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find Author "高彩云" 2 results
  • 基层医院抢救新生儿胃穿孔的体会

    目的总结新生儿胃穿孔的病因、诊断和治疗方法。 方法回顾性分析2009年8月-2014年8月收治的新生儿胃穿孔的临床资料,总结分析胃穿孔的诊断、治疗和预后情况。 结果共纳入11例患儿,发病年龄2~7 d,其中足月儿8例,早产儿3例;男4例,女7例;出生体质量在1 680~3 800 g。所有患儿均给予手术治疗,且经手术证实为胃穿孔。穿孔部位:胃大弯8例,胃小弯3例。其中1例术后死于多脏器功能衰竭,1例合并肠旋转不良、肠管大部分坏死,家长放弃治疗,存活9例,存活率81.8%,存活患儿经6个月~5年的随访,均生长发育正常。 结论新生儿胃穿孔可能由多种原因所致,其中胃壁先天发育缺陷是最常见的原因;及早诊断、早期积极手术治疗以及新生儿重症监护室和新生儿外科的密切配合是基层医院提高新生儿胃穿孔存活率的重要措施。

    Release date:2016-11-23 05:46 Export PDF Favorites Scan
  • Development of Evidence-based Medicine: Focus on the Abstracts of the Cochrane Colloquium

    Objects To retrospectively analyze the accepted abstracts by the Cochrane Colloquiums in recent 5 years, so as to learn the advances and development trend for next stage in evidence-based medicine field. MethodsAbstracts accepted by the 19th to 23rd Cochrane Colloquiums were collected, and relevant information was extracted. Then, a descriptive analysis was conducted. Outcomes A total of 2088 abstracts were accepted in recent five Cochrane Colloquiums. Europe contributed the most abstracts, in the top 10 contribution countries, five countries were located in Europe. Colleges/Universities were the major contributing institutes, McMaster University of Canada (165, 7.90%) and Lanzhou University of China (118, 5.65%) were the top two contributing institutions. The number of authors of most accepted abstracts were 3 to 5(1011, 48.42%). The top three topics focused by these abstracts were evidence (417, 19.97%), methodology (412, 19.73%) and risk of bias (220, 10.54%). ConclusionsEuropean countries are major contributing countries of abstracts of the Cochrane Colloquium, and colleges/universities are the major contributing institutions. Retrieval and methodology are research hot in recent 5 years. Attention should be paid to breakthrough progress in methodology in future.

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