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World Journal of Clinical Cases 2025年第4期13卷 41-47页

作者： Xing-Po Li Zi-Shan Wang Hong-Xia Yu Shan-Shan Wang Department of Cardiovascular medicine Huantai County Hospital of Traditional Chinese MedicineZibo 256400Shandong ProvinceChina Department of Cardiovascular medicine Zibo Hospital of Integrated Traditional Chinese and Western MedicineZibo 255500Shandong ProvinceChina

BACKGROUND The incidence of acute myocardial infarction(AMI)is rising,with cardiac rupture accounting for approximately 2%of deaths in patients with acute ST-segment elevation myocardial infarction(STEMI).Ventricular free wall rupture(FWR)occurs in approximately 2%of AMI patients and is notably rare in patients with *** of cardiac rupture include left ventricular FWR,ventricular septal rupture,and papillary muscle *** FWR usually leads to acute cardiac tamponade or electromechanical dissociation,where standard resuscitation efforts may not be *** septal rupture and papillary muscle rupture often result in refractory heart failure,with mortality rates over 50%,even with surgical or percutaneous repair *** SUMMARY We present a rare case of an acute non-STEMI patient who suffered sudden FWR causing cardiac tamponade and loss of consciousness immediate before undergoing coronary *** resuscitation and emergency open-heart repair along with coronary artery bypass grafting resulted in successful patient *** This case emphasizes the risks of AMI complications,shares a successful treatment scenario,and discusses measures to prevent such complications.

关键词： Acute non-ST segment elevation myocardial infarction Cardiac rupture Acute myocardial infarction Free wall rupture Case report

Can patients with mild non-neoplastic lesions diagnosed at baseline screening be safely exempt from surveillance: evidence from multicenter community-based cohorts

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Science China Life Sciences 2025年第1期 263-271页

作者： Siyi He Zhiyi Zhang Guohui Song Zhenhai Wang Chunyun Dai Shipeng Yan Kun Jiang Bingbing Song He Li Maomao Cao Dianqin Sun Fan Yang Xinxin Yan Shaoli Zhang Yi Teng Qianru Li Changfa Xia Wanqing Chen Office of Cancer Screening National Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical College Department of Gastroenterology Gansu Wuwei Tumor Hospital Cixian Cancer Institute Linzhou Cancer hospital Center for Disease Control and Prevention of Sheyang county Department of Cancer Prevention and Control Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of MedicineCentral South University Luoshan Center for Disease Control and Prevention Office for Cancer Control and Research Affiliated Cancer Hospital of Harbin Medical University

Surveillance recommendations for gastric cancer（GC） in current guidelines focused on advanced precancerous lesions and were based on precise diagnosis of severity/extent of baseline lesions. We aimed to develop a less endoscopy-related equipment-dependent risk-stratification tool, and assessed whether mild-precursor-lesion patients can be safely exempt from surveillance. In the multicenter communitybased cohort, 75,051 participants receiving baseline endoscopy were enrolled during 2015–2017 and followed-up until 2021. Cumulative incidence rates（CIRs） of GC for precancerous-conditions were calculated by Kaplan-Meier method and compared by Log-rank tests. Mixedeffects Cox regression models were used to detect potential factors for progression towards GC. A risk score was calculated as counts of selected factors. An independent cohort, including 26,586 participants was used for external validation. During a median follow-up of 6.25 years, CIRs of GC were 0.302%, 0.436%, and 4.756% for normal group, non-neoplastic（atrophic gastritis/intestinal metaplasia） and neoplastic lesions（low-grade/high-grade dysplasia）, respectively(Ptrend<0.001). Four predictors, including male, ≥60 years, smoking, and limited vegetable consumption, were selected for risk-stratification. High-risk patients（≥3 risk factors） with non-neoplastic lesions showed higher GC risks（adjusted HR=7.73, 95%CI: 4.29–13.92）, and their four-year CIR reached the one-year CIR of neoplastic lesions. Further categorizing non-neoplastic lesions by histological grade, both patients with moderate-to-severe lesions（aHR=3.07, 95%CI: 1.67–5.64） and high-risk patients with mild lesions（aHR=7.29, 95%CI: 3.58–14.86） showed higher risks. Consistent trends were observed in validation cohort. High-risk mild-precursor-lesion patients should receive surveillance within 3–5 years after baseline screening. Our study provides evidence on supplementing current guideline recommendations.

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Treatment of 43 Cases of Enuresis by Acupuncture

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Journal of Acupuncture and Tuina Science 2003年第6期1卷 26-27页

作者： DING Hui-jun HUANG Guo-qi chinese medicine hospital of guanyun county Jiangsu China 222200

By classification with syndrome differentiation into the three patterns of deficient cold in the lower energizer, qi deficiency in the spleen and lung and damp heat in the Liver Meridian, 43 cases of enuresis were treated by puncturing Baihui (GV 20), Guanyuan (CV 4) and Shanyinjiao (SP 6). After two courses of the treatment, the results showed cure in 28 cases, improvement in 13 cases and failure in 2 cases. Key Words Enuresis - Acupuncture Therapy - Syndrome Differ Classification Translator: HUANG Guo-qi

关键词： Enuresis Acupuncture Therapy Syndrome Differ Classification

Clinical Observation in 45 Cases of Hemorrhagic Apoplexy of the Acute Stage Treated by Promoting Blood Circulation and Removing Blood Stasis

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Journal of Traditional chinese medicine 2003年第2期23卷 96-99页

作者：孙国柱刘煜 Fengqiu county hospital of Traditional chinese medicine Henan Province 4453300

To explore the therapeutic effects of the method of promoting blood circulation and removing blood stasis on hemorrhagic apoplexy of acute stage, 45 cases were treated by the method and observed for their conscious state and motor function, which were compared with 40 cases treated with regular western drugs. The results showed that the effective rate in the treated group was 82.2% and that in control group 60% with a significant difference (P<0.05) between the two groups. In the treated group, the scores of the conscious state and the motor function after treatment were elevated dramatically (P<0.01), indicating a much better effect in the treated group than in the control group.

关键词： medicine, chinese Traditional Aged Aged, 80 and over Cerebral Hemorrhage Cerebrovascular Accident Diagnosis, Differential Drugs, chinese Herbal Female Humans Male Middle Aged Phytotherapy

Application of Computer-Aided Tongue Inspection for Preliminary Screening of Esophageal Cancer

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chinese Journal of Integrative medicine 2018年第10期24卷 746-751页

作者： DUAN Jin-long DENG Bo SONG Guo-hui CHEN Zhi-feng GONG Yan-wei HE Yu-hua JIA Li-qun School of Clinical medicine Beijing University of Chinese Medicine Department of Oncology of Integrative chinese and Western medicine China-Japan Friendship Hospital Department of Oncology Ci County Tumor Hospital Department of Oncology Fourth Affiliated Hospital of Hebei Medical University

Objective： To differentiate patients with esophageal cancer or premalignant lesions from the high-risk population for preliminary screening of esophageal cancer using a feature index determined by a computer-aided tongue information acquisition and processing system （DS01-B）. Methods： Totally, 213 patients diagnosed with esophageal cancer or premalignant lesions and 2,840 normal subjects were collected including primarily screened and reexamined, all of them were confirmed with histological examinations. Their tongue color space values and manifestation features were extracted by DS01-B and analyzed. Firstly, the analysis of variance was performed to differentiate normal subjects from patients with esophageal cancer and premalignant lesions. Secondly, the logistic regression was conducted using 10 features and gender, age to get a predictive equation of the possibility of esophageal cancer or premalignant lesions. Lastly, the equation was tested by subjects undergoing primary screening. Results： Saturation （S） values in the HSV color space showed significant differences between patients with esophageal cancer and normal subjects or those with mild atypical hyperplasia （P〈0.05）; blue-to-yellow （b） values in the Lab color space showed significant differences between patients with esophageal cancer or premalignant lesions and normal subjects （P〈0.05）. Logistic regression analysis showed that the computer-aided tongue inspection approach had an accuracy of 72.3% （2008/2776） in identifying patients with esophageal cancer or premalignant lesions for preliminary screening in high-risk population. Conclusion： Computer-aided tongue inspection, with descriptive and quantitative profile as described in this study, could be applied as a cost- and time- efficient, non-invasive approach for preliminary screening of esophageal cancer in high-risk population.

关键词： esophageal cancer preliminary differential diagnosis computer-aided tongue inspection logistic regression

Treatment of Protrusion of the Lumbar Intervertebral Disc by TCM Massage

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Journal of Traditional chinese medicine 2002年第2期22卷 126-127页

作者：龙亚军叶环 Santai county hospital of Traditional chinese medicine Sichuan Province 621100

　　Protrusion of the lumbar intervertebral disc is a common disorder frequently encountered in clinic. With TCM massage and the maneuver of manual reduction, we have treated 82 cases of protrusion of the lumbar inter... 详细信息

关键词： Lumbar Vertebrae Female Humans Intervertebral Disk Displacement Male Massage Traction

Clinical Experience in Application of the Point Zhongzhu

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Journal of Traditional chinese medicine 2002年第4期22卷 294-295页

作者：周勇吴玮王新中 Wulian county hospital of Traditional chinese medicine Wulian 262300Shandong Province

　　In recent years, based on the experience of predecessors, the authors of this article have applied Zhongzhu point (TE 3) in treatment for various diseases and obtained satisfactory therapeutic results. Some of the... 详细信息

关键词： Clinical Experience in Application of the Point Zhongzhu TE

Diagnostic value of different color ultrasound diagnostic method in endometrial lesions

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World Journal of Clinical Cases 2021年第19期9卷 5037-5045页

作者： Xiao-Lin Lin Dong-Sheng Zhang Zhi-Ye Ju Xiu-Ming Li Yao-Zhu Zhang Department of Ultrasound Pingyi County Traditional Chinese Medicine HospitalLinyi 273300Shandong ProvinceChina Department of Ultrasound Rizhao Peoples HospitalRizhao 276800Shandong ProvinceChina Department of Gastroenterology Pingyi County Traditional Chinese Medicine HospitalLinyi 273300Shandong ProvinceChina

BACKGROUND Endometrial lesions include endometrial cancer and inferior *** them,endometrial cancer as a malignant tumor seriously endangers the life and health of *** is an important means of diagnosing female reproductive system diseases,and it is of critical value for the early diagnosis of endometrial ***,different ultrasound inspection programs have achieved different *** is of great significance to choose a suitable inspection *** To explore the diagnostic efficacy of different ultrasonic examination methods in clinical endometrial *** The 140 patients with endometrial lesions who were treated in our hospital from April 2018 to October 2019 were used as the research *** patients underwent transvaginal color ultrasound and transabdominal color *** compared the diagnostic coincidence and image display effects of the two different examination methods,and the endometrial thickness,blood flow,uterine effusion and resistance index of different diseases were observed by transvaginal color *** The diagnostic coincidence rate of all types of diseases of transvaginal color ultrasound was significantly higher than that of transabdominal color ultrasound(P=0.001,0.005,0.001 and 0.001).In addition,the excellent and good rate of image display of transvaginal color ultrasound was higher than that of transabdominal color ultrasound(P=0.001).There were significant differences in endometrial thickness in patients with different types of endometrial lesions through the transvaginal color examination(P=0.001).The incidence rate of uterine effusion in patients with endometrial carcinoma was significantly higher than that in patients with other types of endometrial lesions(P=0.001),and the rate of the blood flow was the highest(P=0.001).The comparison of blood flow resistance index indicated that the blood flow resistance index in endometrial cancer patients was the lowest,which s

关键词： Endometrial lesions Transvaginal color ultrasound Transabdominal color ultrasound Diagnostic conformity Blood flow Resistance index

112 CASES OF JUVENILE MYOPIA TREATED BY AURICULAR ACUPRESSURE

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Journal of Traditional chinese medicine 1989年第3期9卷 173-,234页

作者：陈茂长 Youyang county hospital of Traditional chinese medicine Sichuan

The author has treated 112 myopes (221eyes) in the Youyang county hospital outpatientdepartment since March,*** cases wereobserved clinically for more than 6 months withrather satisfactory *** is the report.

关键词： satisfactory clinically hundred shortest illness unstable baseline naked fundus session

Clinical effects of a traditional chinese medicine nursing programme to intervene in gastric pain of the spleen and stomach with Qi deficiency

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World Journal of Clinical Cases 2023年第21期11卷 5056-5062页

作者： Yin-Hong Yu Yu-Shuang Yu Xiao-He Cheng Spleen and Stomach Diseases Department Zhejiang Province Chun’an County Traditional Chinese Medicine HospitalChun’an County 311700Zhejiang ProvinceChina

BACKGROUND Gastroparesis is a common digestive disorder characterized by delayed gastric emptying,which can lead to symptoms such as nausea,vomiting,abdominal pain,and poor *** chinese medicine(TCM)has been used for centuries to treat gastrointestinal disorders,including *** theory suggests that spleen and stomach qi deficiency syndrome is one of the main pathogenic factors in *** care plays an important role in the treatment of gastroparesis,and TCM nursing interventions have shown promising results in improving patient ***,there is limited research on the clinical effectiveness of TCM nursing interventions for gastroparesis with spleen stomach deficiency *** study aimed to evaluate the clinical effect of TCM nursing intervention in the treatment of gastroparesis with spleen stomach deficiency syndrome and to compare it with routine nursing *** To analyze the clinical effect of traditional chinese medicine nursing intervention in the treatment of gastric paraplegia with spleen stomach deficiency *** From January 2020 to July 2021,80 patients with gastroparesis of spleen stomach qi deficiency type diagnosed in our hospital were selected for the *** 80 patients were randomly divided into a control group and an experimental group,with 40 cases in each *** the treatment period,the control group received routine nursing interventions,while the experimental group received traditional chinese medicine nursing *** the nursing effects of the two groups and observe the changes in traditional chinese medicine symptom scores,pain levels,and sleep quality before and after *** After treatment,comparing the treatment effects of the two groups,the total effective rate of the experimental group was significantly higher than that of the control group,with statistical significance(P<0.05).There was no statistically significant difference in th

关键词： chinese medicine nursing programme Spleen and stomach qi deficiency type Gastric and epigastric pain Nursing effect Pain Sleep quality