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治疗恶性肿瘤寒凉药不可多
为什么治疗恶性肿瘤寒凉药不可多用,其原因有二,一是恶性肿瘤的发病及发展中、或在手术后、放化疗、介入等方法治疗后,会产生气血津液大量的亏损,甚至逐渐形成阳虚。二是患者素体阳虚或感受寒邪的入侵而造成恶性肿瘤。总结了该病虚寒者多,实热者少,正虚邪实者多,单独邪实者少,所以治疗该病是扶正祛邪者多,单独泻实者少,可以看到,伤气、伤阳的寒凉药即不可多用了。文中分别列有温阳兼解毒法、温阳兼化痰法、温阳兼化瘀法、温阳兼软坚散结法的不同应用,其中列举了四种方法中的佳常用药物,后以温阳法治疗胃癌手术后,中阳损伤的实际案例。
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原发性肝癌介入治疗护理体会
原发性肝癌是世界上常见的恶性肿瘤之一,我国每年约有22万人死于原发性肝癌川,应用介入治疗原发性肝癌在我国已日趋广泛,介入治疗具有组织创伤小病人痛苦少,恢复快,等优点.
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肿瘤介入性治疗副反应及并发症的防治
随着介入放射医学技术日新月异的发展和日趋广泛应用,介入性诊断治疗在妇科肿瘤中具有其它技术所无法替代的作用[1~3].它具有简便、安全、快速、有效、损伤小等优点,其并发症虽然较少但也在所难免,本文就常见的副反应及并发症及其防治进行综述,以期在此项技术中取得更为理想的效果.
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主动脉内球囊反搏支持下高危冠心病介入治疗临床疗效分析
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房间隔部位介入治疗的焦点与思考
房间隔是先天性心脏病的好发部位之一,不少先天性心脏病的介入治疗是在房间隔部位完成的,如房间隔缺损(atrial septal defect,ASD)封堵术、卵圆孔未闭(patent foramen ovale,PFO)封堵术等.尽管目前房间隔部位的介入治疗成功率较高,但临床仍面临诸多难点,现提出一些热点问题与思考.
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心脏介入性治疗合并急性心脏压塞的早期识别和处理
心血管病的介入治疗既可以解决药物无法解决的问题,又以比外科小的创伤有效地治疗心血管疾病.随着导管技术和介入器材的不断提高和完善,介入相关的并发症已经明显下降.但是心脏压塞仍然是各种介入治疗严重的并发症之一,应引起足够的重视.回顾分析1991年开展介入心脏手术以来,急性心脏压塞的发病特点、治疗方式及其预后情况,以供临床医师参考.
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心脏介入性治疗并发急性心脏压塞的原因及处理
心脏压塞是心脏介入性治疗中的严重并发症.预防、及时诊断和积极处理心脏压塞有重要临床意义.本文报道自1995年8月至2003年5月我院心脏介入性治疗的1 723例患者中发生的3例心脏压塞的原因及处理情况.
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心血管介入性治疗导致心脏压塞的临床分析
统计了1999年1月~2003年5月介入性检查和治疗 1 031例患者,其中经皮冠状动脉腔内成形术(PTCA)335例、射频导管消融术(RFCA)390例、心脏起搏器植入术263例、其它(二尖瓣球囊扩张术、房缺伞堵术等)43例.男性715例,女性316例,年龄3~82(51.75±12.11)岁.
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心脏介入性治疗致急性心脏压塞抢救体会
临床资料患者女性,56岁.因阵发性室上性心动过速入院.入院后在放射科行射频消融术,在操作冠状静脉窦导管时,患者突然出现心率减慢,血压下降,X线下心影增大,心跳、呼吸停止,意识丧失.
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应用光学相干断层成像精确评价冠状动脉病变及治疗效果
医学影像技术的进步为精确评价冠心病患者的冠状动脉病变特征及指导治疗提供了更为可靠的评价手段.光学相干断层成像(optical coherence tomography,OCT)是将光学技术与超灵敏探测器合为一体,应用计算机进行图像处理的断层成像诊断技术.
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铜离子介入与激光手术治疗痔脱出疗效分析
铜离子介入治疗(copper ions interventional therapy,CIIT)是治疗痔的一种新疗法,用于临床已有5~6年,我院及西苑医院自1998年11月至2004年6月,应用CIIT共治疗707例内痔脱出的患者,并与激光手术治疗(laser excision therapy,LET)458例进行对照观察,现报告如下.
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儿童快速性心律失常的自然史及介入治疗
儿童快速性心律失常在自然史及介入治疗指征方面均与成人不同,并存的先天性心脏病(CHD)使得儿童快速性心律失常更有其自身的特殊性.近20年来,射频导管消融(radiofrequency catheter ablation,RFCA)根治儿童快速性心律失常已取得极好的疗效[1],且适应证趋于小龄化[2].冷冻消融由于在某些"危险地带"消融中安全性高以及由此可减少完全性房室传导阻滞并发症的发生,近年来亦引起了儿科介入心脏病学家的高度兴趣[3].
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Endovascular surgery is advantageous in experimentally induced ischemic stroke because it causes fewer cranial traumatic lesions than invasive surgery and can closely mimic the pathophysiol-ogy in stroke patients. However, the outcomes are highly variable, which limits the accuracy of evaluations of ischemic stroke studies. In this study, eight healthy adult rhesus monkeys were randomized into two groups with four monkeys in each group:middle cerebral artery occlusion at origin segment (M1) and middle cerebral artery occlusion at M2 segment. The blood lfow in the middle cerebral artery was blocked completely for 2 hours using the endovascular microcoil placement technique (1 mm × 10 cm) (undetachable), to establish a model of cerebral ischemia. The microcoil was withdrawn and the middle cerebral artery blood lfow was restored. A revers-ible middle cerebral artery occlusion model was identiifed by hematoxylin-eosin staining, digital subtraction angiography, magnetic resonance angiography, magnetic resonance imaging, and neurological evaluation. The results showed that the middle cerebral artery occlusion model was successfully established in eight adult healthy rhesus monkeys, and ischemic lesions were apparent in the brain tissue of rhesus monkeys at 24 hours after occlusion. The rhesus monkeys had symp-toms of neurological deifcits. Compared with the M1 occlusion group, the M2 occlusion group had lower infarction volume and higher neurological scores. These experimental ifndings indicate that reversible middle cerebral artery occlusion can be produced with the endovascular microcoil technique in rhesus monkeys. The M2 occluded model had less infarction and less neurological impairment, which offers the potential for application in the ifeld of brain injury research.
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Vertebral artery oriifce stenting may improve blood supply of the posterior circulation of the brain to regions such as the cerebellum and brainstem. However, previous studies have mainly focused on recovery of cerebral blood lfow and perfusion in the posterior circulation after inter-ventional therapy. This study examined the effects of functional recovery of local brain tissue on cerebellar function remodeling using blood oxygen level-dependent functional magnetic reso-nance imaging before and after interventional therapy. A total of 40 Chinese patients with severe unilateral vertebral artery oriifce stenosis were enrolled in this study. Patients were equally and randomly assigned to intervention and control groups. The control group received drug treat-ment only. The intervention group received vertebral artery oriifce angioplasty and stenting+identical drug treatment to the control group. At 13 days after treatment, the Dizziness Handicap Inventory score was compared between the intervention and control groups. Cerebellar function remodeling was observed between the two groups using blood oxygen level-dependent function-al magnetic resonance imaging. The improvement in dizziness handicap and cerebellar function was more obvious in the intervention group than in the control group. Interventional therapy for severe vertebral artery oriifce stenosis may effectively promote cerebellar function remodeling and exert neuroprotective effects.
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关注心脏介入治疗后上消化道出血
近年来随着心脏介入治疗技术的普及,冠心病治疗合并应用抗血小板制剂、抗凝、溶栓药物的增加,由此发生上消化道出血的病例也逐年增多.
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肺癌介入治疗现状与进展
肺癌是世界上发病率高的恶性肿瘤,年发病率在120万以上,死亡率均为男女性恶性肿瘤死亡率第一位.目前,肺癌的治疗仍以手术治疗为主,经过不懈的努力,肺癌手术治疗取得了许多突破性进展,但其治疗效果仍不尽人意.由于肺癌确诊时75%患者已属中晚期,或者因患者年老体弱,心、肺、肝等脏器功能不佳, 入院时已失去了常规手术根治切除的时机[1].如何使患者得到合理有效的治疗、延长生存期、减轻痛苦、改善生存质量是当前肺癌治疗研究重点和难点.随着介入放射学在肺癌诊疗中的作用不断增强、介入治疗技术的改进和肺癌研究的深入,介入治疗逐渐成为中、晚期肺癌主要的治疗手段.本文就肺癌介入治疗的现状与进展做一综述.
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先天性心脏病介入治疗先天性心脏病介入治疗现状及发展趋势
我国于20世纪70年代在北京、上海开展了球囊导管房间隔造口术,但是,作为成熟技术,先天性心脏病(先心病)介入治疗始于20世纪80年代中期,至20世纪90年代末期逐渐形成规模.现已成功开展了瓣膜球囊成形术、血管球囊扩张术、封堵术、栓塞术、血管支架置入术等,并取得了较好效果.2003年我国有识的年轻专家研发了国产封堵器,应用到临床,由于质量好,价格低廉(是进口价格的50%),在一定程度上解决了看病贵的问题,使许多患者受益.
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神经血管介入治疗
血管内治疗对于多种脑血管疾病已经成为成熟的微侵袭治疗手段.过去的几十年见证了神经血管内治疗领域的巨大进步,这些技术用于治疗颅内动脉瘤、血管畸形、颈动脉海绵窦瘘等,技术日趋完善.
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1例血管造影和介入治疗胆肠、胰肠吻合术后胆管大出血
1 病例介绍患者,男,42岁.因胆总管下段结石、胰头肿块、梗阻性黄疸而行胰十二指肠切除、胆管空肠吻合、胰管空肠吻合和T管引流术.
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颈椎病患者实施介入治疗健康教育的对策
颈椎病是颈椎间盘退行性病变及继发性椎间关节退行性变所致颈脊髓、神经根、椎动脉或交感神经受到刺激、压迫而表现的相应症状及体征的疾病.通常是由于外伤、受寒等导致颈部曲线改变,以及椎间盘、关节等组织的退行性变,刺激或压迫周围血管、神经、脊髓而出现的症候群,根据受压组织不同分为神经根型、脊髓型、交感神经型、椎动脉型及混合型颈椎病.其治疗方法包括非手术治疗、微创介入治疗和手术治疗.传统的针灸、按摩、牵引、封闭、理疗等为主要形式的保守治疗和外科手术治疗为颈椎病患者解除痛苦,提高生存质量,作出了不可磨灭的贡献,并将继续发挥其积极作用.