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find Keyword "诊治" 49 results
  • 终末期冠心病原位心脏移植一例

    目的 总结终末期冠心病患者施行心脏移植的临床经验,探讨术后血管病变的预防策略。 方法 在体外循环下采用双腔法原位心脏移植。术后采用环孢菌素A、骁悉和泼尼松等药物抗排斥反应,并监测其血药浓度。结果 患者术后8h清醒,56h脱离呼吸机。围手术期过程平稳,术后1个月心功能分级(NYHA)恢复至Ⅱ级,10个月后恢复至Ⅰ级。 结论 心脏移植可作为冠心病患者的终极治疗措施,术后对患者进行系统的药物治疗十分重要。

    Release date:2016-08-30 06:13 Export PDF Favorites Scan
  • 运动员肌筋膜疼痛综合征诊治进展

    【摘要】肌筋膜疼痛综合征是临床常见的疼痛性疾患,尤其常见于运动员,虽然概念的提出已有数十年之久,但尚未被医务工作者广泛认识。近十年来,对其研究逐渐深入,诊断和治疗手段也已日趋成熟,推动了国内肌筋膜疼痛综合征的临床诊治与科研工作。

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • The key to 15% enhancement of 5-year survival for liver cancer for the plan of “Health-China 2030”

    To challenge the 15% enhancement of 5-year survival of cancer for the plan of “Health-China 2030”, we must strive the following measurements to complete the 15% enhancement of 5-year survival of liver cancer: conduct conversion therapy and conversion to resectability for the 70% of unresectable intermediate-to-advanced stage liver cancer so as to prolong survival; try our best to identify and treat the people of HBV and HCV infection, and to screen the risk people so as to reduce the incidence of liver cancer and the proportion for intermediate-to-advanced stage liver cancer; continue to try our best in the full course management of liver cancer under the frame of MDT.

    Release date:2023-11-24 10:51 Export PDF Favorites Scan
  • 单孔腹腔镜技术在胰腺疾病中的诊治体会

    目的通过手术病例总结单孔腹腔镜手术在胰体尾切除中的经验体会。 方法回顾性分析笔者所在医院科室5例经脐单孔腹腔镜胰体尾切除手术患者的临床资料。 结果4例行单孔腹腔镜保留脾脏胰体尾切除术,1例行单孔腹腔镜联合脾脏胰体尾切除术。经脐单孔腹腔镜手术具有手术切口少,术口小,术后疼痛不明显,术后瘢痕隐蔽,腹腔骚扰小,术后并发症少,术后住院时间短,费用低等优点。 结论单孔腹腔镜胰腺手术是安全可行的,值得在临床推广。

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  • Effectiveness of knee dislocation and multiple ligament injury based on Hua Xi-knee dislocation and multiple ligament injury diagnosis and treatment system

    Objective To investigate the effectiveness of personalized treatment based on Hua Xi-knee dislocation and multiple ligament injury (HX-KDMLI) diagnosis and treatment system. Methods A clinical data of 36 patients (36 knees) with KDMLI met the selective criteria between February 2019 and September 2020 was retrospectively analyzed. There were 24 males and 12 females with an average age of 45.7 years (range, 21-62 years). The KDMLI was caused by traffic accident in 15 cases, heavy pound in 8 cases, sports sprain in 7 cases, falling from height in 4 cases, and machine cutting in 2 cases. The interval between injury and operation was 1-9 weeks (mean, 3.6 weeks). All patients were categorized according to HX-KDMLI diagnosis and treatment system. Twenty patients were categorized as acute period and 16 patients as chronic period. Three patients were type HX-Ⅰ-A, 1 type HX-Ⅰ-P, 10 type HX-Ⅲ-L, 13 type HX-Ⅲ-M, 4 type HX-Ⅳ-S, 3 type HX-Ⅴ-F, and 2 type HX-Ⅴ-T. Thirty-five patients were positive in both the anterior drawer test and Lachman test, 31 were positive in the posterior drawer test; 19 patients were positive in varus stress test, 23 were positive in valgus stress test. According to the Internation Knee Documentation Committee (IKDC) grading, there was 1 case of grade A, 5 cases of grade B, 8 cases of grade C, and 2 cases of grade D. Surgical interventions included arthroscopic surgery, open surgery, or arthroscopy combined with open surgery, ligament suture or reconstruction, and internal fixation after anatomical reduction of the fracture. Different rehabilitation protocols were assigned to patients during different postoperative period, according to patient’s individualized classification. ResultsAll incisions healed by first intention with no obvious complications. All patients were followed up 12-19 months (mean, 15 months). At 12 months after operation, all patients retained muscle strength of grade Ⅴ, and range of motion of the knee joint could reach 0° extension and over 120° flexion. Radiographic examination showed no sign of knee instability, healed fractures, ideal joint alignment, good continuity and tension, and clear image of repaired or reconstructed ligaments. The anterior and posterior drawer tests were all negative. Lachman test was degreeⅠpositive in 5 cases, valgus stress test was degreeⅠpositive in 2 cases, varus stress test was degreeⅠpositive in 2 cases; the other patients were all negative. At 12 months after operation, according to the IKDC grading, there were 9 cases of grade A, 19 cases of grade B, 5 cases of grade C, and 3 cases of grade D, showing significant differences when compared with the preoperative ones (Z=–5.328, P=0.000). There were significant differences in the IKDC, Lysholm, and Tegner scores between pre- and post-operation (P<0.05). ConclusionThe promising effectiveness of KDMLI can obtain under the guidance of HX-KDMLI.

    Release date:2022-01-27 11:02 Export PDF Favorites Scan
  • The Modality of Multi-Disciplinary Team Applied in Surgical Treatment of Colorectal Cancer

    Objective To explore the modality of multi-disciplinary team (MDT) applied in surgical treatment of the colorectal cancer. Methods The literatures about the applied status and opinion of the modality applied in the surgical treatment of colorectal cancer in recent years were collected and reviewed. Results  The modality of MDT in surgical treatment of the colorectal cancer is still in the primary stage. Conclusion There are lots of problem of this modality such as construction and collaborative needed more research.

    Release date:2016-08-28 04:08 Export PDF Favorites Scan
  • Preliminary study on the clinicopathological features and clinical subtypes of Peutz-Jeghers syndrome: a report of 295 Chinese cases

    Objective To investigate the clinicopathological features and clinical subtypes of Peutz-Jeghers syndrome (PJS) in Chinese cases. Methods The clinical and pathological data of 295 patients with PJS who were treated in Air Force General Hospital from Nov. 1994 to Aug. 2017 were retrospectively analyzed and a multifactor statistical study was carried out on. Results Two hundreds and ninety-five patients with PJS belonged to 7 nationalities and came from 26 provinces and urban areas. 99.0% (292/295) of the patients had black spots on the lip and buccal mucosa, and the median occurrence time was 2 years old (0–33 years). The median age of inital diagnosis and treatment was 15 years old (1–45 years). The median interval time between the occurrence of black spots and abdominal symptoms was about 10 years (0–45 years). PJS hamartoma polyps were found in alimentary canals of 293 patients (99.3%), and 96.9% distributed in the duodenum and small intestine (n=284), 90.4% distributed in the colorectal (n=265), 79.9% distributed in the stomach (n=234). Patients of black spot appearing at age <3 years and (or) initial treatment at age <14 years were classified as early-onset subtype, otherwise they could be included in delayed-onset subtype. Conclusions The clinical features of PJS are prominent and the harm of PJS hamartoma polyps is serious. The black spots on the lip and buccal mucosa can be used as an early warning signal to divide the PJS patients into 2 clinical subtypes, which should be differentiated in clinical therapy and follow-up strategy.

    Release date:2018-07-18 01:46 Export PDF Favorites Scan
  • Diagnosis and Management for Foreign Body of the Lower Urinary Tract and Penis: A Retrospective Analysis of 20 Years' Experience

    ObjectiveTo explore the clinical treatment measures and etiology analysis of lower urinary tract and penile foreign bodies. MethodsWe retrospectively analyzed the etiology and diagnosis of 48 cases of lower urinary tract and penile foreign body in the Department of Urology of our hospital between 1993 and 2012. ResultsNine bladder foreign bodies were removed successfully by using cystoscopy; nine were removed through suprapubic cystotomy; urethral foreign bodies in 10 patients were successfully taken out by urethrascope; five foreign bodies were extracted by hand and forceps; rubber bands in 2 patients were cut off under local anesthesia; fretsaw was used to cut through the nested rings in 7 patients; dental drill was used to cut nesting materials in 3 patients; and 3 patients underwent penis skin circumcision overturn stripping ring extraction. No complications after urethral foreign body extraction occurred. ConclusionThe lower urinary tract and penile foreign bodies are easy to diagnose, but patients often conceal the etiology, so the natural history collection is very important in the diagnosis, and doctors should take appropriate methods to remove the foreign body after the diagnosis is confirmed.

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  • Application of evidence-based medicine in diagnosis and treatment of cardiovascular diseases

    This paper tried to address how to apply the relative concepts and methods of evidence-based medicine in clinical practice of cardiology, especially in diagnosis and treatment, with an aim to promote the cardiovascular evidence-based medicine in China.

    Release date:2016-08-25 03:17 Export PDF Favorites Scan
  • 中国癫痫诊断治疗现状

    随着认识的深入和研究的进展,近年来国际癫痫学科领域先后对癫痫的定义、分类及诊断治疗进行了重要更新,国内癫痫学科团队不仅在诊疗实践中紧跟国际步伐,力争使我国癫痫医疗可及性及质量位居世界前列,还在抗癫痫药物的规范使用、添加治疗、微创手术及共病防治等多方面为世界癫痫诊疗的进步做出了众多贡献。目前,我国癫痫诊疗面临的最大问题是癫痫医疗资源的发展不平衡,治疗缺口仍大,进一步推行和完善中国癫痫医疗质量指标体系建设,或将成为解决我国癫痫诊治全面规范化及同质化的重要策略。

    Release date:2019-05-21 08:51 Export PDF Favorites Scan
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