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find Author "唐勇" 24 results
  • Treatment for Peritoneal Dialysis-Associated Peritonitis

    目的:探讨腹膜透析相关性腹膜炎的治疗。方法:回顾性分析的89例腹膜透析相关性腹膜炎患者,初期使用头孢菌素和或氨基糖甙类抗生素治疗,严重者使用头孢唑林和头孢他啶治疗。结果:89例腹膜炎患者透析液培养阳性33例(37.1%),其中19例1~4d治愈(21.3%),56例4~14 d治愈(62.9%),复发11例(12.4%),2例因尿毒症而全身衰竭死亡(2.2%)。结论:虽然腹膜透析相关性腹膜炎的发病率有降低趋势,但其仍然是腹膜透析最常见并发症之一,我们在强调对腹膜炎治疗的同时,更要强调对腹膜炎的预防。

    Release date:2016-09-08 10:01 Export PDF Favorites Scan
  • 腹膜透析相关性腹膜炎致病菌的耐药性分析

    目的:探讨腹膜透析相关性腹膜炎的致病菌及其耐药性。方法:回顾性分析的93例腹膜透析相关性腹膜炎的致病菌及其耐药性。结果:34例培养阳性, 透出液培养阳性率为36.6%, 其中革兰阳性球菌14例, 革兰阴性杆菌17例, 真菌4例。革兰阴性杆菌对氨苄西林的耐药率最高,达83.3%,亚胺培南耐药性最低,达20.0%。革兰阳性球菌对青霉素、环丙沙星的耐药率高,分别为81.8%、71.4%。 结论:提高腹膜透析液细菌培养阳性率有助于腹膜透析相关性腹膜炎的治疗;在经验用药基础上,应依据细菌培养、药敏,选择治疗腹膜透析相关性腹膜炎的敏感、有效抗菌素,真菌性腹膜炎治疗效果仍差,应尽早拔管。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • Acupuncture Resources in Cochrane Database of Systematic Reviews

    Objective To analyze acupuncture resources in the Cochrane Database of Systematic Reviews (CDSR). Methods We identified acupuncture literature from CDSR (2008 year) electronically. W analyzed this literature by research time date, author, study contents, and conCochrane Library usions. Results     We initially found 82 articles. Finally, we identified 67 systematic reviews. The number of acupuncture articles has increased all over the world with higher growth rate in China than overseas. The disease spectrum of acupuncture treatment increased widely, focusing on nervous system diseases and pain diseases. Eight articles (25.8%) definitely supported the efficacy of acupuncture. Twenty two articles (71%) considered the efficacy of acupuncture as uncertain owning to insufficient evidence. Just one article expressed that acupuncture treatment was ineffective according to current evidence.

    Release date:2016-08-25 02:51 Export PDF Favorites Scan
  • Acupuncture and Moxibustion for Breech Presentation: A Systematic Review

    Objective To evaluate the efficacy of acupuncture and moxibustion (acup-moxi) therapy for breech presentation. Methods We electronically searched The Cochrane Library (Issue 1, 2008), PubMed (1980 to Mar. 2008), MEDLINE (1966 to 2008), Ovid EBM Database (1991 to 2008), CBMdisc (1978 to Mar. 2008), VIP (1989 to Mar. 2008), CNKI (1979 to Mar. 2008), and WangFang Database (1983 to Mar. 2008), as well as handsearched seven traditional Chinese medicine journals to obtain randomized control trials (RCTs) about acup-moxi for breech presentation. Quality assessment was conducted according to the Cochrane Handbook for Systematic Reviews of Interventions 5.0.1. Meta-analyses were performed for the results of homogeneous studies using RevMan 5.0 software. Results Eight RCTs involving 1 341 patients met the inclusion criteria. Five trials were of relatively high quality and 3 were of low quality. The pooled analysis of six trials showed that acup-moxi was superior in cephalic presentation with RR=1.38, and 95%CI 1.20 to 1.58. Conclusion Acup-moxi can increase the successful rate of cephalic presentation in the treatment of breech presentation compared with no (routine care) or knee-chest position treatment.

    Release date:2016-09-07 02:10 Export PDF Favorites Scan
  • CT and MRI Diagnosis of Singular Brain Metastasis

    目的:探讨单发脑转移瘤的CT和MRI诊断价值。方法:回顾性分析37例经手术病理证实或临床综合诊断确诊的单发脑转移瘤的CT和MRI表现。结果:病灶位于幕上31例,分布于皮髓质交界区21例。囊实性22例,实性9例,囊性6例。不规则环形强化13例,结节形强化7例,囊实形强化15例,均匀强化2例。病灶直径gt;1.0 cm时瘤周水肿常较明显。结论:单发脑转移瘤的CT、MRI表现具有一定的特征,增强扫描对诊断单发脑转移瘤有重要价值。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • X-ray, CT and MRI Imaging Analysis of the Empty Sella Syndrome

    目的:研究空蝶鞍综合征(ESS)患者的X线、CT、MRI表现,探讨三种诊断方法在ESS的诊断价值。材料与方法:32例ESS具有完整的X线、CT、MRI及临床资料。结果:X线、CT、MRI均能发现蝶鞍扩大,X线不能分辨鞍内结构;CT可显示垂体萎缩,识别75%的垂体柄,有少量伪影干扰,观察细节受影响;MRI完全显示鞍区解剖结构及信号变化。结果:MRI是ESS的最佳影像学诊断手段。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • CT、MRI对霉菌性鼻窦炎的诊断价值

    目的:探讨CT、MRI对霉菌性鼻窦炎的诊断和鉴别诊断价值.方法:回顾性分析32例霉菌性鼻窦炎CT、MRI表现。结果:霉菌性鼻窦炎的CT表现主要为:①90.6%的病变内有高密度钙化影。大多呈斑点状,位于窦腔中央,与窦壁无关。②50.0%的窦壁存在骨质破坏,常见于上颌窦内侧壁,其特点是伴有窦壁骨质增生。霉菌性鼻窦炎的MRI表现为上颌窦病变中央大部分呈T1、T2低信号。结论:霉菌性鼻窦炎有较特征性的CT、MRI表现,CT对病灶内钙化显示较MRI更明确,而且经济,是首选的影像检查方法,MRI在评估病变窦腔外受累及与肿瘤鉴别方面优于CT。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
  • 老年原发性肝癌自发破裂出血25例的诊治体会

    我院于2000年1月至2008年12月期间共收治老年原发性肝癌自发性破裂患者25例,其中男20例,女5例; 年龄60~78岁,平均65.9岁。有乙肝病史者16例,肝硬变家族史者6例,肝癌家族史者2例,无肝病史者1例; 均无外伤史……

    Release date:2016-09-08 11:04 Export PDF Favorites Scan
  • 肝囊腺癌1例报告

    Release date:2016-09-08 11:54 Export PDF Favorites Scan
  • Efficacy of systemic immune inflammation index and National Institutes of Health Stroke Scale score on evaluating the short-term prognosis of patients with acute ischemic stroke receiving intravenous thrombolysis

    Objective To investigate the efficacy of systemic immune inflammation index (SII) at admission and National Institutes of Health Stroke Scale (NIHSS) score immediately after thrombolysis on evaluating the short-term prognosis of neurological function in patients with acute ischemic stroke (AIS) receiving intravenous thrombolysis. Methods Patients with AIS treated with intravenous thrombolysis in the Second People’s Hospital of Chengdu between March 2022 and March 2023 were retrospectively analyzed. The basic data of the patients, NIHSS score at emergency admission, NIHSS score immediately after thrombolysis, modified Rankin Scale (mRS) score 3 months after discharge, and laboratory data at admission were collected, and SII at admission was calculated. According to the mRS score 3 months after discharge, the patients were divided into the good prognosis group (mRS≤2) and the poor prognosis group (mRS>2). Multivariate logistic regression analysis was used to screen out the factors affecting the prognosis of patients, and the receiver operating characteristic curve was drawn to analyze the evaluation effect of SII at admission and NIHSS score immediately after thrombolysis on the poor prognosis of neurological function of patients in the short term. Results A total of 213 patients were enrolled, and the prognosis was poor in 88 patients. Multivariate logistic regression analysis showed that age, onset-to-needle time, uric acid at admission, SII at admission, fasting blood glucose after admission, and NIHSS score immediately after thrombolysis were independent risk factors for poor prognosis in AIS patients (P<0.05). The area under the receiver operating characteristic curve (AUC) of SII at admission for predicting poor prognosis was 0.715, the sensitivity was 55.7%, and the specificity was 84.0%. The AUC of NIHSS score immediately after thrombolysis for predicting poor prognosis of patients was 0.866, the sensitivity was 87.5%, and the specificity was 72.8%. The AUC of SII at admission combined with NIHSS score immediately after thrombolysis for predicting poor prognosis of patients was 0.875, the sensitivity was 84.1%, the specificity was 77.6%, the positive predictive value was 72.5%, and the negative predictive value was 87.4%. SII at admission was positively correlated with NIHSS score at emergency admission, NIHSS score immediately after thrombolysis, and mRS score 3 months after discharge (P<0.05). Conclusion SII at admission can predict the short-term prognosis of neurological function of patients with AIS after thrombolysis therapy, and the combination of SII at admission and NIHSS score immediately after thrombolysis can improve the prediction efficiency.

    Release date:2024-06-24 02:56 Export PDF Favorites Scan
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