首页 > 文献资料
-
In the recent decade, interest in treatment and prevention of many critical, severe and acute diseases caused by bacterial endotoxins has been aroused along with the advance of the knowledge on the nature of the endotoxin and the conditions involved. In abroad, attention has been mainly payed to raising antisera and monocolonal antibodies against the endotoxin and the induced mediators. However, the allergic reactions and the cost are still the problems. Till now, there is no drug that can antagonize endotoxin with high effectiveness and low toxicity. Clinical treatments are still confined in inhibiting or killing the pathogen, and correcting the internal environmental disturbance. Being less toxic and rich in resources with low cost and less side-effects, screening of effective Chinese drugs for antagonizing endotoxin is of important and practical significance. Endotoxin belongs to the category of toxic evils, or more precisely, the heat toxin in TCM. Therefore the application of heat-clearing and detoxifying Chinese drugs to antagonizing endotoxins is consistent with the theory of TCM. Some achievements in this field are reported as follows.
-
Potential value of POSSUM scoring system in assessment of surgical outcome
The outcome of surgical intervention is not solely dependent on the abilities of the surgeon in isolation. The patient's physiological status, the disease that requires surgical correction, the nature of the operation, and the preoperative and postoperative support services have a major effect on the ultimate outcome [1].
-
我国儿科临床科学研究的现状与思考
Various definitions have been given to the term "scientific research". It is described as " pursuing truth and exploring knowledge", " critical thinking to develop knowledge", or " collection, synthesis, and analysis of information" . In China, the Ministry of Education proposed that scientific research is to "promote and apply knowledge to invent new techniques and provide creative work". Based on the definitions given above, we describe scientific research as " to explore what we do not know, and to collect, analyze, distinguish, apply, and evaluate what we have known". It is characterized by innovation and non-replication, which involve discontinued and complicated exploration. According to this definition, medical scientific research is therefore defined as investigating the nature of human life and rules of illness, as well as seeking methods to prevent and treat diseases, and improve people's health.
-
Recognition and Management of Athletic Pubalgia
Whether termed “sports hernias”,“hockey groin”,or “athletic pubalgia”,insidious onset and vague groin and hip maladies seem to be on the rise in the last few years,creating much confusion as to the best way to diagnosis and treat the multifaceted and complex conditions.Because of the vague nature of their clinical presentation,sports hernias and athletic pubalgia are complicated and multifaceted problems for clinicians and athletes to manage.
-
Nasopharyngeal carcinoma (NPC) is a high morbidity tumor of otorhinolaryngology. The usual clinical manifestations are well known by the specialists. But the bizarre and confusing nature of NPC has misled clinicians and contributed to delayed diagnosis. Recently our department treated a case with unusual nasopharyngeal carcinoma.
-
更新观念重视痔的诊治
人类早在公元前770年就有了关于"痔"的文献记载,经历了近三千多年的发展,痔的病因和发病机制仍未完全明确[1].自1975年Thomson 发表在美国外科杂志的文章"The nature of hemorrhoids"首次提出肛垫和肛垫学说以来[2],近二三十年来越来越多的学者对痔的本质和发病机制进行了深入探讨,逐渐对肛垫有了全新认识,对盆底控便机制有了更深入的了解,直接导致产生了有关痔起源的肛垫下移学说.多年来对痔的研究取得了突破性进展,从解剖学、组织学、病理生理学等方面赋予了痔现代概念,进而提出痔治疗学现代概念.
-
超声对2型糖尿病合并缺血性脑血管病患者的颈动脉内中膜厚度及斑块评价的应用价值
目的:探讨超声测量颈动脉内-中膜厚度(IMT)及斑块在2型糖尿病合并缺血性脑血管病中的应用价值。方法使用彩色多普勒超声仪对糖尿病与缺血性脑血管病组60例及正常对照组60例进行颈部血管彩超检查,并对I M T及斑块情况进行检测,分析相互之间的关系。结果糖尿病与与缺血性脑血管病组颈动脉平均IMT厚度明显高于对照组。糖尿病与与缺血性脑血管病组颈动脉斑块阳性率及血管狭窄率明显高于对照组。结论超声不仅可以检测2型糖尿病患者IMT及斑块,并可以确定斑块的性质,为临床预测缺血性脑血管病组的发生提供参考依据。
-
《加强医院人文建设确保医院永续发展》专题讲座第五讲临终关怀与整体护理的人文本质
1 临终关怀的人文本质1.1 临终关怀的内涵现代临终关怀运动起源于20世纪60年代,先锋人物Cicely Saunders博士身兼医生、护士及社工三大专业,在长期临床工作中,他发现生命垂危的病人得不到合适的护理,而其家人也不知道如何照顾患者的情况时有发生.1967年在英国伦敦,Cicely Saunders博士开设"圣·克里斯多福安宁院"(St.Christopher's Hospice),率先尝试以医疗团队全程陪伴癌症晚期病人,并辅导家属度过哀恸期的医疗照顾方式[1].该机构影响深远,成为以后所有临终关怀组织的参考.
-
公立医院的经营性质是影响医患关系之根源
编者按:公立医院的经营性已经非常明显,甚至到了"存在即合理"的地步.本文作者认为正是因为公立医院经营性的存在导致医惠关系紧张;要改善医患关系,就要改变公立医院的经营性.<医药卫生体制改革近期重点实施方案(2009-2011年)>明确提出公立医院要坚持维护公益性质和社会效益原则.在新医改形势下,公立医院是否可以存在经营性,如何坚持公益性,同时发挥市场机制的作用,值得我们深入思考和探索,也欢迎各位同仁各抒己见.
-
痔与肛垫关系问题的商榷
1什么是肛垫"anal cushions"或"vascular cushions"早见于Thomson(1975)[1]所著
一文中,中文译为:肛门衬垫、肛管血管衬垫,通常简称"肛垫". -
循证医学:过去、现在和未来(一)
循证医学为临床医生和病人提供了正确使用医学文献解决病人问题的方法.循证医学的佳证据来自认识到传统临床决策的错误和不足,并用循证医学方法弥补这些不足的成功范例.对循证医学内涵的认识在不断进步,目前主要集中在两方面.第一,证据分级;第二,强调临床决策仅依靠证据远远不够,还需考虑病人的的价值观和意愿.当前,循证医学面临的具吸引力的挑战是医生在对每个病人的临床决策中,充分考虑到病人的需求和意愿.