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find Author "易智慧" 3 results
  • 胃穿透性溃疡侵蚀胰腺及脾脏血管: 1例报道及文献复习

    目的总结胃穿透性溃疡侵蚀胰腺及脾脏血管患者的诊治经验,为临床诊治提供一定的参考。方法回顾四川大学华西医院收治的1例胃穿透性溃疡侵蚀胰腺及脾脏血管患者的病程发展、诊治过程及临床结局,并结合在中英文数据库中检索到的相关病例进行讨论,对本病临床特征、治疗措施、临床结局等进行总结。结果本例患者行近端胃切除术、脾切除术及胰腺修补术,术后检查及随访结果提示患者痊愈。共检索到27篇相关病例的文献报道,包括本例患者在内共30例患者,其中男21例、女9例,发病年龄为(56.7±13.2)岁,临床症状以上腹部疼痛为主(66.7%),溃疡好发于胃小弯(26.7%)及胃后壁(23.3%),穿透性溃疡最大直径为(4.2±2.4)cm,易受侵犯部位包括胰腺(40.0%)、脾脏血管(33.3%)、肝脏(33.3%),治疗方案以胃部分切除术为主(27.2%),受溃疡侵蚀组织器官多采取局部修补手术治疗(68.2%)。结论胃穿透性溃疡为消化性溃疡少见并发症,患者应行消化内镜及腹部CT评估溃疡进展情况。若已经发生溃疡穿透,则应积极开展手术治疗并及时处理病灶,避免穿透进一步侵蚀周围器官及重要血管。

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  • Preliminary Exploration of the Application of Problem-Based Learning in Diagnostic Practice Teaching

    Objective To explore the teaching effects of problem-based learning (PBL) in diagnostic practice teaching. Methods A total of 32 students enrolled into PBL group adopted the PBL teaching method based on certain cases in some sections while the other 210 students into the control group adopted the traditional teaching method. Their scores in the theory, the practice skill examination and the evaluation of the analytical ability of the medical records were compared. A questionnaire survey was measured in PBL group after class. Results There was no significant difference in scores of theory and practice skill examination in the two groups. The questionnaire survey revealed that the PBL method could improve the learning interest, independent study, b communication, analytical skills, and team spirit. However, there were defects in systematization of imparting knowledge. Conclusion The PBL method has an obvious advantage in diagnostic practice teaching.

    Release date:2016-09-07 11:07 Export PDF Favorites Scan
  • Investigation of the Application of Case-based Learning in Digestive Diseases Module Teaching

    ObjectiveTo explore the teaching effects of case-based learning (CBL) as an educational strategy in digestive diseases module teaching. MethodsSixty-three oral and dental medical senior students were randomly divided into two groups during February to June 2012. Among them, 31 students were enrolled in the CBL group accepting CBL teaching method based on certain cases, while the other 32 students were designated into the control group receiving traditional teaching method. Their scores in practice skill examination, analytical ability of medical records, module test scores and behavior observation results were compared. Questionnaire survey was performed for students in the CBL group. ResultsThere were no significant difference in scores of clinical practice skill examination and behavior observation results between the two groups (P>0.05). Students in the CBL group did significantly better in case analysis and module test scores (P<0.05). Questionnaire survey revealed that CBL method could significantly improve the learning interest, cultivate the ability to combine theory and practice, strengthen analytical skills and promote problem-solving abilities. The students were generally satisfied with the CBL teaching method. ConclusionCBL method has an obvious advantage in digestive diseases teaching.

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