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Ileus Caused by Large Diverticulum of Postbulbar Duodenum: Case Report

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Open Journal of Gastroenterology 2015年第9期5卷 115-118页

作者： Grgi? Dora Zovak Mario Brkic Marina Brkic Tomislav Division of Gastroenterology and Hepatology Department of Internal Medicine University Hospital Rebro Zagreb Croatia clinic of Surgery University Hospital Sestre Milosrdnice Zagreb Croatia Apnea Diagnostic clinic of Internal Medicine Neurology and Anesthesiology Reanimation and Intensive Care Zagreb Croatia

Duodenal diverticula are common and are usually found in patients undergoing roentgenographic investigation of the upper gastrointestinal tract. The majority of these cases are asymptomatic and rarely require operative intervention. Occasionally they can result in the obstruction of the biliary and/or pancreatic ducts, haemorrhage or perforation. Symptomiatic cases may require endoscopic or surgical intervention. Herein, we present a case report of a female patient who underwent surgical procedure due to repetitive obstructive symptoms.

关键词： Duodenal Diverticulum Obstruction Upper Endoscopy Diverticulectomy

Does acupuncture have a positive effect on school success in children?

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Journal of Traditional Chinese Medicine 2014年第4期34卷 450-454页

作者： Demet TAS Hakan Volkan ACAR Department of Pediatrics Ulus State HospitalAnkara 06030Turkey Department of anesthesiology and Intensive Care Ankara Training and Research Hospital of Ministry of HealthAnkara 06340Turkey

OBJECTIVE:To evaluate school success in pediatric patients undergoing acupuncture treatment for ***: The grades achieved during both school terms by children undergoing acupuncture treatment for various indications at the pediatric out patient clinic of Ulus State Hospital were analyzed. Exam grades in mathematics, social studies,and Turkish was compared between the first and the second terms. Forty children were included in thestudy,with 22 male and 18 female,and their average age was 11.1 years. These patients were undergoing acupuncture treatment for attention deficit-hyperactivity disorder(ADHD), enuresis nocturna, migraine, obesity, atopic dermatitis, alopecia areata, and Tourette's syndrome. Treatments were done at the beginning of the second term. Four of the 25 patients with ADHD had borderline intelligence *** report cards of all 40 patients were examined, and their grades in the first and these condschool term were ***: There was a statistically significant increase in the grades obtained in mathematics, social studies, and Turkish(P<0.005) by the students from the first to the second school term. When 4 ADHD patients with borderline deficiency in intelligence were excluded, and the grades among the 21 patients with ADHD were compared for both terms, there was also a statistically significant increase in mathematics, social studies, and Turkish grades(P<0.05).CONCLUSION: Acupuncture contributed to the academic success of the children who under went acupuncture treatment for their primary symptoms.

关键词： Acupuncture Child Learning Attention deficit disorder with hyperactivity

超声引导下的区域阻滞麻醉——寻找阻滞麻醉的“圣杯”

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麻醉与镇痛 2008年第3期4卷 7-9页

作者： Terese T. Horlocker Denise J.Wedel 黄小静(译) 李士通(校) Department of anesthesiology Mayo Clinic College of Medicine Rochester Minnesota 不详

在基督教中，圣杯是耶稣在最后一次晚餐上所用的杯子。传说圣杯具有神奇的力量，在中世纪，拥有圣杯成为每一位有作为的骑士的毕生追求。它需要骑士们具有献身的精神、纯洁的思想以及先见之明。毫无疑问，如此之高的先决条件使得圣杯无... 详细信息

在基督教中，圣杯是耶稣在最后一次晚餐上所用的杯子。传说圣杯具有神奇的力量，在中世纪，拥有圣杯成为每一位有作为的骑士的毕生追求。它需要骑士们具有献身的精神、纯洁的思想以及先见之明。毫无疑问，如此之高的先决条件使得圣杯无人能及。在今天，圣杯被用来比喻一个人或组织或学术研究难以获得的最终追求或目标。

关键词：区域阻滞麻醉超声引导学术研究基督教

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病例报道：静脉注射利多卡因引起支气管痉挛

麻醉与镇痛 2009年第5期5卷 58-60页

作者： Bobby R. Burches David O. Warner 季璐璐(译) 钱燕宁(校) Department of anesthesiology Mayo Clinic College of Medicine Rochester Minnesota 不详

静脉注射利多卡因（1．5mg/kg）实施气管内插管引起一例17个月女婴短暂支气管痉挛，该女婴患有轻度间歇性哮喘。静脉注射利多卡因后即刻，患儿双肺出现弥漫性呼气性哮鸣音，且气道峰压急剧增高。大约5分钟后，患儿症状缓解，后续麻醉过... 详细信息

静脉注射利多卡因（1．5mg/kg）实施气管内插管引起一例17个月女婴短暂支气管痉挛，该女婴患有轻度间歇性哮喘。静脉注射利多卡因后即刻，患儿双肺出现弥漫性呼气性哮鸣音，且气道峰压急剧增高。大约5分钟后，患儿症状缓解，后续麻醉过程平稳。该病例与最近的临床研究相符，即静脉注射利多卡因可引起哮喘患者的气道收缩。麻醉医师应当高度警惕这种潜在的并发症。

关键词：支气管痉挛利多卡因静脉注射病例报道哮喘患者气管内插管气道峰压症状缓解

Ultrasound Guidance Is Helpful for Paravertebral Block Performance and Catheter Placement in Patients with Laminectomy after Thoracotomy or Lumbotomy: A Case Series Imaging Study

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Open Journal of anesthesiology 2013年第2期3卷 67-73页

作者： Pierre Pandin Samia Rettab Alphonse Lubansu Department of anesthesiology and Intensive Care Clinic Orthopaedy and Traumatology Neurosurgery & ENT CUB Erasmus Hospital Free University of Brussels Brussels Belgium Department of anesthesiology and Intensive Care CUB Erasmus Hospital Free University of Brussels Brussels Belgium Department of Neurosurgery CUB Erasmus Hospital Free University of Brussels Brussels Belgium

Today, the ultrasound guidance (USG) in regional anesthesia is gold standard more and more often used for medial or paramedian approaches around to the spine, such as the paravertebral (PV) block. Local anatomical changes may greatly handicap the performance of this type of block. We present clinical, sonographic, and radiological data on successful PV block and catheter placement in four patients with vertebral diseases, targeting thoracotomy or lumbotomy postoperative pain after stabilization of the involved vertebral body and preliminary arthrodesis with laminectomy by the posterior approach. We emphasize the importance of USG in this special context involving local anatomical disturbance.

关键词： Block Catheter Guidance Laminectomy Lumbotomy Paravertebral Thoracotomy Ultrasound

麻醉训练中的模拟教学：布比卡因诱发心跳骤停成功复苏的一例报道与近期模拟训练的联系

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麻醉与镇痛 2009年第3期5卷 95-98页

作者： Hugh M. Smith Adam K. Jacob Leal G. Segura John A. Dilger Laurence C. Torsher 彭宇(译) Department of anesthesiology Mayo Clinic College of Medicine Rochester Minnesota 不详

模拟训练正迅速成为麻醉住院医师培训教程中不可或缺的内容。我们报道1例用静脉注射脂肪乳剂成功复苏布比卡因引起的心跳骤停。此病例报告者近期已参加过模拟训练，其中就包括与此病例几乎相同的情节。事后确定，先前的训练影响着下列... 详细信息

模拟训练正迅速成为麻醉住院医师培训教程中不可或缺的内容。我们报道1例用静脉注射脂肪乳剂成功复苏布比卡因引起的心跳骤停。此病例报告者近期已参加过模拟训练，其中就包括与此病例几乎相同的情节。事后确定，先前的训练影响着下列步骤的执行：迅速发现问题，在高级心脏生命支持的措施下迅速启动特殊治疗以及协调的团队合作。虽然有效复苏和最终恢复的真正原因无法解释，但是此次复苏过程的有效性，包括及时给予脂肪乳剂，证明模拟方法对训练者处理罕见的紧急事件是有用的。

关键词：模拟训练有效复苏心跳骤停布比卡因模拟教学麻醉诱发住院医师培训

开放式肩袖修复术后0．2％与0．3％的罗哌卡因行连续肌间沟镇痛对手术后镇痛和运动功能影响的比较

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麻醉与镇痛 2012年第3期8卷 18-22页

作者： Alain Borgeat, MD Jose Aguirre, MD Michael Marquardt, MD Jelena Mrdjen, MD Stephan Blumenthal, MD 马宵雯(译) 杭燕南(校) Department of anesthesiology Orthopedic University Clinic Zurich Balgrist Switzerland 不详

背景肌间沟镇痛是一种公认的肩部大手术的术后镇痛方法，但最有效的局麻药浓度仍有争议。本研究比较术后48小时肌间沟导管连续输注0．2％和0．3％的罗哌卡因的镇痛效果及不良反应。方法80例择期开放肩袖修复术患者随机分入两组中，通过... 详细信息

背景肌间沟镇痛是一种公认的肩部大手术的术后镇痛方法，但最有效的局麻药浓度仍有争议。本研究比较术后48小时肌间沟导管连续输注0．2％和0．3％的罗哌卡因的镇痛效果及不良反应。方法80例择期开放肩袖修复术患者随机分入两组中，通过肌间沟导管以14ml／h速率连续输注0．2％或0．3％罗哌卡因，所有患者术前给予0．5％的罗哌卡因40ml作为负荷量。由对分组盲态的麻醉医师进行疼痛评分（视觉模拟评分0-100）、运动阻滞强度、术后首夜睡眠质量、吗啡用量和患者满意度等方面的评估。结果0．3％罗哌卡因组中吗啡用量明显减少（12mg和30mg）、睡眠质量更佳（术后首夜觉醒率4％和27％），握力、视觉模拟评分以及不良反应两组间相似。结论开放式肩袖手术术后48小时，通过肌间沟导管输注0．3％罗哌卡因不增加运动阻滞强度和不良反应，且吗啡用量明显减少，术后首夜睡眠质量改善。

关键词：手术后镇痛罗哌卡因修复术后肌间沟开放式运动功能肩袖视觉模拟评分

Low-dose radiation on spinal cord might be a new therapy for intractable chronic cancer and non-cancer pain

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医学争鸣 2017年第5期8卷 30-32页

作者： ZHU Gui-Qin HE Xue-Ming LIU Su DONG Yan-Bin LIU Yue-Peng Center for clinical Research and Translational Medicine Lianyungang Oriental HospitalLianyungang 222042China Department of anesthesiology Lianyungang Oriental HospitalLianyungang 222042China Department of anesthesiology Affiliated Hospital of Xuzhou Medical UniversityXuzhou 221000China

Intractable chronic pain is a great challenge in *** sensitization based on the positive changes of dendritic spines is the main mechanism of intractable chronic *** low-dose radiation has been proved to regulate the changes of dendritic spines ***,we make a hypothesis that low-dose radiation could relieve cancer and noncancer pain through negatively regulating the shape and reducing the number and density of dendritic spines in the spinal *** method is supposed to be a new therapy for intractable chronic pain by expanding indication to non-cancer pain,translocating radiation site from where the tumor exists to special segments of spinal cord and keeping radiation dose at a low *** therapy would be reliable for relieving non-cancer pain and supply more choices for relieving cancer pain.

关键词： radiation chronic pain spinal cord dendritic spine

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颈部疼痛的诊断和管理进展

英国医学杂志中文版 2018年第3期21卷 143-158页

作者： Steven P Cohen W Michael Hooten 公磊 Departments of anesthesiology and Critical Care Medicine Neurology and Physical Medicine and Rehabilitation Johns Hopkins School of Medicine Baltimore MD 21029 USA Uniformed Services University of the Health Sciences Bethesda MD 20889 USA Department of anesthesiology and Perioperative Medicine~ Mayo clinic School of Medicine Rochester MN 55905 USA 清华大学长庚医院外科

颈部疼痛带来了相当大的个人和社会经济负担——它是患病率和伤残所致生命年损失前五位的慢性疼痛疾病之一——但是仅获得了背部疼痛研究的一小部分经费。尽管大多数颈部疼痛急性发作后自行消退，但有超过三分之一的患者群在一年多以后... 详细信息

颈部疼痛带来了相当大的个人和社会经济负担——它是患病率和伤残所致生命年损失前五位的慢性疼痛疾病之一——但是仅获得了背部疼痛研究的一小部分经费。尽管大多数颈部疼痛急性发作后自行消退，但有超过三分之一的患者群在一年多以后仍有轻度症状或疼痛复发，遗传和社会心理因素是症状持续存在的危险因素。将近一半的慢性颈部疼痛患者具有神经性一损伤反应性混合症状或主要为神经性症状。很少有临床研究专门针对颈部疼痛，、肌肉松弛剂和非甾体类抗炙药对急性颈部疼痛有效，临床实践主要依据其他慢性疼痛的研究结果。补充和替代疗法中，证据级别最强的就是运动，稍弱证据支持不同状况下进行按摩、针灸、瑜伽和脊椎推拿。对于神经根型颈椎病和小关节病，弱证据分别支持硬膜外类固醇注射和射频去神经支配治疗。对于大部分患者，手术在短期内比保守治疗更有效，但长期效果相似，手术前进行临床观察是一种合理策略．

关键词：管理诊断疼痛