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慢性肾病病人接受经皮冠状动脉介入治疗冠状动脉慢性完全闭塞而发生对比剂肾病的危险性

国际医学放射学杂志 2015年第5期 502-502页

作者： Y.h.Liu Y.Liu N.Tan J.Y.Chen Y.L.Zhou J.F.Luo 李燕菊 department of Cardiology Guangdong Cardiovascular InstituteGuangdong General HospitalGuangdong Academy of Medical Sciences

摘要目的系统性研究接受经皮冠状动脉介入(PCI)治疗冠状动脉慢性完全闭塞(CTO)的慢性肾病(CKD)病人发生对比剂肾病(CIN)的危险性。方法前瞻性地连续观察515例患有CKD且接受PCI的病人,所有病人分为3组:应用PCI治疗CTO的病人(A组,85例),患... 详细信息

摘要目的系统性研究接受经皮冠状动脉介入(PCI)治疗冠状动脉慢性完全闭塞(CTO)的慢性肾病(CKD)病人发生对比剂肾病(CIN)的危险性。方法前瞻性地连续观察515例患有CKD且接受PCI的病人,所有病人分为3组:应用PCI治疗CTO的病人(A组,85例),患有CTO但应用PCI治疗其他疾病的病人(B组,45例),未患有CTO但应用PCI

关键词：对比剂肾病病人慢性完全闭塞冠状动脉危险性

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创伤CT在创伤室与影像科的成本效能的对比效应试验

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国际医学放射学杂志 2013年第2期 186-186页

作者： T.P. Saltzherr J.C. Goslings F.C. Bakker L.F.M. Beenen M. Olff K. Meijssen 赵芳 Trauma Unit department of Surgery Academic Medical Center Meibergdreef 91105 AZ Amsterdam the Netherlands

目的确定创伤室CT与影像科CT的成本效能。方法随机对照研究纳入需在一楼创伤中心检查的成人病人。介入组所在医院,CT设备放置于创伤室,而对照组所在医院将CT设备置于影像科。计算程序化的住院,诊断,疗程的直接、间接医疗成本。结果根据... 详细信息

目的确定创伤室CT与影像科CT的成本效能。方法随机对照研究纳入需在一楼创伤中心检查的成人病人。介入组所在医院,CT设备放置于创伤室,而对照组所在医院将CT设备置于影像科。计算程序化的住院,诊断,疗程的直接、间接医疗成本。结果根据有可比性的人口特征,对1124例病人进行随机分组。介入组的非程序化住院时间平均为322.5d(95%CI:314～331d),对照组为320.7d(95%CI:312.1～329.2d)。介入组与对照组住院每天的平均诊疗成本分别为554和468欧元。介入组与对照组平均总成本分别为16002欧元(95%CI:13075～18929欧元)和16635欧元(95%CI:13528～19743欧元)(P=0.77)。结论研究显示,对于给创伤病人带来健康经济成本方案方面,CT设备放置于创伤室并不比放置于影像科有明显的优势或不足。要点①CT检查对于创伤病人越来越重要。②急诊科可以设有CT设备或使用影像科的CT设备。③CT成本效能不受CT放置场所的影响。④CT放置的场所不影响非程序化住院存活时间。⑤CT放置的最佳场所需进一步评估。

关键词：创伤 CT 成本效能创伤室 RCT

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Immunosuppressive treatment and radiotherapy in kidney transplant patients:A systematic review

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World Journal of radiology 2022年第3期14卷 60-69页

作者： Valentina Lancellotta Andrea D'Aviero Bruno Fionda Calogero Casà Ilaria Esposito Francesco Preziosi Anna Acampora Fabio Marazzi György Kovács Barbara Alicja Jereczek-Fossa Alessio Giuseppe Morganti Vincenzo Valentini Maria Antonietta Gambacorta Jacopo Romagnoli Luca Tagliaferri UOC Radioterapia Oncologica Dipartimento di Diagnostica per ImmaginiRadioterapia Oncologica ed EmatologiaFondazione Policlinico Universitario A.Gemelli IRCCSRome 00168RomeItaly Sezione di Igiene Dipartimento Universitario di Scienze della Vita e SanitàPubblicaUniversitàCattolica del Sacro CuoreRome 00168RomeItaly UniversitàCattolica del Sacro Cuore Gemelli-INTERACTSRome00168 RomeItaly department of Oncology and Hemato-oncology European Institute of OncologyUniversity of MilanMilan 20141Italy Radiotherapy Center IRCCS Azienda Ospedaliero-Universitaria di BolognaBologna 40121Italy Renal Transplant Unit Fondazione Policlinico Universitario A.Gemelli IRCCSRome 00168RomeItaly

BACKGROUND Immunosuppression(IS)therapy may contribute to cancer *** authors have proposed to reduce immunosuppression drugs dose in case of viral infections,in immunosuppression-related diseases,and in patients undergoing *** present analysis reports the results of a systematic review on kidney transplant recipients undergoing immunosuppression and *** To define if it is necessary reduce immunosuppression drugs during *** The literature search was based on three electronic databases(Pubmed,Scopus,and Web of Science)using selected keywords linked through the"AND"and"OR"Boolean operators to build specific strings for each electronic search *** researchers independently screened the citations,and disagreement was resolved by discussion or through the intervention of a third *** review was conducted and reported according to the PRISMA *** data were narratively synthesized,and,where possible,frequencies,percentages,and ranges were *** The literature search resulted in 147 *** abstracts screening,21 records were selected for full-text *** of these were excluded,leaving six papers considered suitable for *** is still no clear evidence that withdrawing antimetabolites and/or calcineurin inhibitors and/or mammalian target of rapamycin-inhibitors,as opposed to continuing maintenance IS,improves patient survival in kidney transplant recipients with cancer undergoing *** few retrospective studies on small cancer patient cohorts are available in this setting,but without comparison of different immunosuppression *** where immunosuppression therapy was described,patient survival seemed to be correlated only with cancer stage and *** The results of this systematic review do not support the reduction of immunosuppression dose in patients undergoing radiotherapy.

关键词： Renal transplant patients Graft rejection Immunosuppression Radiotherapy Survival

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结直肠滞留异物处理:手术干预的预测因素

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世界核心医学期刊文摘（胃肠病学分册） 2005年第3期1卷 25-25页

作者： Lake J.P. Essani R. Petrone P. R.W. Beart Jr. 李康 department of Colorectal Surgery Keck School of Medicine University of Southern California 1441 Eastlake Avenue Los Angeles CA 90033 United States Dr.

PURPOSE: This study was designed to review experience at our hospital with retained colorectal foreign bodies. METHODS: We reviewed the consultation records at Los Angeles County +University of Southern California General Hospital from October 1993 through October 2002. Ninety three cases of transanally introduced, retained foreign bodies were identified in 87 patients. Data collected included patient demographics, extraction method, location, size and type of foreign body, and postextraction course. RESULTS: Of 93 cases reviewed, there were 87 individuals who presented with first time episodes of having a retained colorectal foreign body. For these patients, bedside extraction was successful in 74 percent. Ultimately, 23 patients were taken to the operating room for removal of their foreign body. In total, 17 examinations under anesthesia and 8 laparotomies were performed (2 patients initially underwent an anesthetized examination before laparotomy). In the eight patients who underwent exploratory laparotomy, only one had successful delivery of the foreign object into the rectum for transanal extraction. The remainder required repair of perforated bowel or retrieval of the foreign body via a colotomy. In our review, a majority of cases had objects retained within the rectum; the rest were located in the sigmoid colon. Fifty five percent of patients (6/11) presenting with a foreign body in the sigmoid colon required operative intervention vs. 24 percent of patients (17/70) with objects in their rectum (P = 0.04). CONCLUSIONS: This is the largest single institution series of retained colorectal foreign bodies. Although foreign objects located in the sigmoid colon can be retrieved at the bedside, these cases are more likely to require operative intervention.

关键词：手术干预开腹手术回顾研究穿孔修补病例记录开腹探查综合医院人口统计学第一时间南加

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