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有创机械通气治疗急性病毒性毛细支气管炎:回顾性多中心队列研究

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中国小儿急救医学 2022年第1期29卷 32-32页

作者： Mitting RB Peshimam N lillie j 方伯梁(译) 钱素云(校) 不详首都医科大学附属北京儿童医院

目的毛细支气管炎是冬季PICU主要住院病种,也是冬季医疗资源主要消耗因素。因毛细支气管炎而机械通气患者的诊治尚未标准化,本文旨在评估各中心治疗方式及预后是否具有差异。设计和场所英国伦敦3家三级PICUs内的回顾性队列研究(中心A、B... 详细信息

目的毛细支气管炎是冬季PICU主要住院病种,也是冬季医疗资源主要消耗因素。因毛细支气管炎而机械通气患者的诊治尚未标准化,本文旨在评估各中心治疗方式及预后是否具有差异。设计和场所英国伦敦3家三级PICUs内的回顾性队列研究(中心A、B、C)。方法对2012至2016年间因急性病毒性毛细支气管炎接受有创机械通气(invasive mechanical ventilation,IMV)治疗的462例1岁以下患儿进行分析。收集数据包括所有镇静用药,48 h累积液体平衡性和气管插管位置(经口或经鼻)。

关键词：毛细支气管炎通气儿童重症监护病房

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D-Transposition of the Great Arteries:A New Era in Cardiology

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Cardiovascular Innovations and Applications 2018年第B5期3卷 85-92页

作者： Angeline D.Opina Wayne j.Franklin Adult Congenital Heart Disease Program Lillie Frank Abercrombie Section of CardiologyBaylor College of Medicine and Texas Children’s HospitalHoustonTXUSA

Before the 1950s,D-transposition of the great arteries was associated with nearly 90% mortality within the first year of *** Mustard and Senning procedures resulted in a signifi cant increase in the lifespan of these patients but with notable long-term complications,including arrhythmias,sinus node dysfunction,chronotropic incompetence,and right ventricular systolic *** arterial switch operation(first described by Adib jatene)initially resulted in nearly universal ***,the use of coronary buttons for coronary artery translocation has improved operative survival *** is now considered the treatment of choice in patients amendable to the arterial switch *** an anatomic repair,resulting in concordant ventriculoarterial connections and a systemic left ventricle,the arterial switch operation reduces the incidence of ventricular ***,it is also associated with long-term complications,including aortic root dilatation,aortic valve regurgitation,right ventricular outfl ow tract obstructions,coronary artery stenosis/compression,and branch pulmonary artery stenosis.

关键词： transposition of the great arteries Mustard procedure Senning procedure atrial switch operation adult congenital heart disease

超声心动图预测儿童扩张型心肌病患者不良临床事件的前瞻性临床研究

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世界核心医学期刊文摘（心脏病学分册） 2005年第1期1卷 23-24页

作者： McMahon C.j. Nagueh S.F. Eapen R.S. 艾文婷 lillie Frank Abe rcrombie Division of Pediatric Cardiology Texas Children’s Hospital 6621 Fan nin Houston TX 77030 United StatesDr.

Objectives: To compare tissue Doppler (TD) velocities between patients with di lated cardiomyopathy (DCM) and normal controls and to determine whether TD veloc ities, Tei index, right ventricular fractional area change, and left ventricular ejection fraction (LVEF) predict adverse clinical outcomes in children with DCM . Methods: Prospective evaluation of children with DCM. Results: 54 children wit h DCM and 54 age and sex matched control group participants were studied. Mitral inflow velocities were similar for both groups except for decreased mitral dece leration time in patients with DCM. Systolic and diastolic TD velocities at the mitral annulus (septal and lateral sides) and tricuspid annulus were significant ly reduced in children with DCM compared with controls (pjustment for Tei index and right ventricular fract ional area change, decreased LVEF and tricuspid velocity during early diastole ( Ea) were predictors of the primary end point (PEP), a composite end point consis ting of need for hospitalisation or the outcome transplantation or death. Tricus pid Ea velocity < 8.5 cm/s had 87%specificity and 60%sensitivity for reaching the PEP. LVEF < 30%had 68%specificity and 74%sensitivity for the PEP. Combine d LVEF < 30%and tricuspid Ea < 11.5 cm/s had 100%specificity and 44%sensitivi ty for the PEP. Conclusions: Children with DCM have significantly lower TD veloc ities than normal controls. In such cases, lower LVEF (< 30%) is more sensitive but less specific than lower tricuspid Ea velocities (< 8.5 cm/s) in predicting which patients are at risk of hospitalisation, transplantation, or death.

关键词：超声心动图临床事件组织多普勒二尖瓣环三尖瓣环复合终点事件扩张型心肌病心脏移植变化指数射血分数

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弹力组织与铁或弹力组织与钙的同时显示法

华中科技大学学报(医学版) 1963年第1期 144-144页

作者： j.P.pickett ,j.V.Klavins ,武忠敬

材料和方法应用人的具有中等度动脉硬化的大动脉。此外;也研究了以硫氨基酪酸(ethionine)处理的鼠的主动脉和髂外动脉,应用硫氨基酪酸处理的血管壁是因为Klavins氏等(1961)曾经证明这种血管壁包含钙和铁的沉着物。所有组织以磷酸盐缓冲... 详细信息

材料和方法应用人的具有中等度动脉硬化的大动脉。此外;也研究了以硫氨基酪酸(ethionine)处理的鼠的主动脉和髂外动脉,应用硫氨基酪酸处理的血管壁是因为Klavins氏等(1961)曾经证明这种血管壁包含钙和铁的沉着物。所有组织以磷酸盐缓冲至Ph7的10％蚁醛液(Formalin)固定(lillie 1954)。

关键词：弹力血管壁沉着物氨基醛复红显示法