检索结果-南通市图书馆

世界核心医学期刊文摘（儿科学分册） 2005年第8期1卷 41-42页

作者： rijhwani a. Da.enport M. Da.ra.t M. 宁亮 Depa.tment of Pa.dia.ric Surgery Kings College Hospital SE5 9RS London United Kingdom

Ba.kground/Purpose: The ma.a.ement of exompha.os is controversia. with ma.y centers in the United Kingdom a.d elsewhere a.voca.ing a.conserva.ive nonsurgica. a.proa.h for the la.ger exa.ples. Nevertheless, this a.proa.h is not without pr oblems or complica.ion. The a.m of the study wa. to a.certa.n the outcome of a.l infa.ts with a. a.tena.a.ly dia.nosed exompha.os trea.ed recently a. our instit ution using a.policy of a.gressive a.domina. wa.l closure. Methods: This is a.re trospective review of a.l infa.ts with exompha.os trea.ed from Ja.ua.y 1995 to S eptember 2002. Results: There were 35 infa.ts, a.l of whom underwent surgery. Th ese were sepa.a.ed into 3 groups: group a.(a.l exompha.os minor) underwent prima.y closure (n = 11), group B (exompha.os ma. or) underwent prima.y closure (n = 13), a.d group C (exompha.os ma.or)- underwe nt sta.ed closure involving a.silo (n = 11). Infa.ts in group C ha. a.lower birt h weight (P = .05) a.d were less ma.ure (P = .06). They required longer periods of ventila.ion (Pa.longer hospita. sta. (P =. 001), a.d a.longer period to a.hieve full entera. feeds (P a.l surviva. wa. 34 (97% ) of 35 infa.ts. One prema.ure infa.t who wa. born with a.ruptured exompha.os sa. (birth weight, 862 g) died of nonsurgica. complica.ions (sepsis a.d respira.ory fa.lur e) ea.ly a.ter the crea.ion of a.silo. Conclusions: a. a.gressive surgica. a.pro a.h in infa.ts with exompha.os is a.sa.e option resulting in effective a.domina. wa.l closure. This requires a.skilled multidisciplina.y a.proa.h a.d possibly g rea.er resources tha. other options.

关键词：产前诊断外科手术外科并发症非手术方法闭合术保守性脓毒症肠内营养呼吸衰竭机械通气

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Intermedia.e hyperglycemia.in ea.ly pregna.cy:a.South a.ia. perspective

引用

World Journa. of Dia.etes 2023年第5期14卷 573-584页

作者： John Punnose Koma. Sukhija.Ra.hika.M rijhwani Depa.tment of Endocrinology a.d Meta.olism St.Stephen’s HospitalDelhi 110054India Depa.tment of Endocrinology St.Stephen’s HospitalDelhi 110054India

“Intermedia.e hyperglycemia.in ea.ly pregna.cy(IHEP)”refers to mild hyperglycemia.detected before 24 gesta.iona. weeks(GW),sa.isfying the criteria.for the dia.nosis of gesta.iona. dia.etes *** professiona. bodies recommend routine screening for“overt dia.etes”in ea.ly pregna.cy,which identifies a.significa.t number of women with mild hyperglycemia.of undetermined significa.ce.a.litera.ure sea.ch revea.ed tha. one-third of GDM women in South a.ia. countries a.e dia.nosed before the conventiona. screening period of 24 GW to 28 GW;hence,they belong in the IHEP *** hospita.s in this region dia.nose IHEP by ora. glucose tolera.ce test(OGTT)using the sa.e criteria.used for GDM dia.nosis a.ter 24 *** is some evidence to suggest tha. South a.ia. women with IHEP a.e more prone to a.verse pregna.cy events tha. women with a.dia.nosis of GDM a.ter 24 GW,but this observa.ion needs to be proven by ra.domized control *** pla.ma.glucose is a.relia.le screening test for GDM tha. ca. obvia.e the need for OGTT for GDM dia.nosis a.ong 50%of South a.ia. pregna.t ***1c in the first trimester predicts GDM in la.er pregna.cy,but it is not a.relia.le test for IHEP *** is evidence to suggest tha. Hba.c in the first trimester is a. independent risk fa.tor for severa. a.verse pregna.cy *** resea.ch to identify the pa.hogenetic mecha.isms behind the feta. a.d ma.erna. effects of IHEP is strongly recommended.

关键词： Intermedia.e hyperglycemia Ea.ly pregna.cy Gesta.iona. dia.etes South a.ia. women a.verse events a.ia. India.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：