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"胆总管切开探查术后一期缝合胆管"--我的一些看法
总胆管切开探查术后是按过去常规,一概放T管引流还是一期缝合?随着技术的进步,以及实践经验的总结、提高,应该认为现在的多数专业医师的意见和做法在多数情况下是采用胆总管探查术后一期缝合胆管,并取得了满意的效果.
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关于《变态反应性疾病患儿乳胶变应原反应性及抗原交叉性的研究》一文的问题及答复
陈同辛教授:您好!拜读您的论著<变态反应性疾病患儿乳胶变应原反应性及抗原交叉性的研究>(见中华儿科杂志,2004(4):271-274.编者注)有几点不同意见,与您商榷如下.
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就"新生儿化脓性脑膜脑炎并发内源性眼内炎一例"抗生素使用问题的再讨论
卓志强医师(福建省泉州市儿童医院362000)问:细读<中华儿科杂志)2006年第10期刊登的"新生儿化脓性脑膜脑炎并发内源性眼内炎一例"和2008年第5期(读者·作者·编者栏目)刊登了"就‘新生儿化脓性脑膜脑炎并发内源性眼内炎一例'与作者商榷"一文并编者的评论后,本人有一些疑问向编者请教.
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对"卡泊芬净治疗早产儿霉菌性败血症一例"一文的异议
张晓宁医师(051500河北省南皮县人民医院检验科)问:阅读<中华儿科杂志>2008年第46卷第6期丁晓春等[1]同志撰写的"卡泊芬净治疗早产儿霉菌性败血症一例"后,笔者认为该文文题"卡泊芬净治疗早产儿霉菌性败血症一例"值得商榷.该文称"在气道分泌物、血、大便中先后培养出近平滑假丝酵母菌",而文题却为霉菌件败血症.
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就"新生儿化脓性脑膜脑炎并发内源性眼内炎一例"与作者商榷
提问:<中华儿科杂志>2006年第10期刊登了"新生儿化脓性脑膜脑炎并发内源性眼内炎一例",其患儿的致病病原菌为铜绿假单胞菌.我认为该文作者在抗生素的选择用药方面,存在明显不妥,在此与作者商榷.
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对"肠道病毒71型感染首发肺水肿与肺出血三例报告"一文的看法
Cases with severe enterovirus 71 ( EV71 ) infection have been reported outside the mainland of China since the 1990s[1]. The epidemics of the infection occurred and lasted for a long time in some places in China in the spring of 2007 and deaths caused by the infection had been reported. The epidemics of EV71 infection occurred again this year in Southern regions of China. Three cases reported in this issue had severe EV71 infection without skin eruption, and had confirmed evidence for pathogenesis. The report of these cases is helpful to pediatricians to recognize the manifestations of this disease.
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对《CT血管成像静脉注射碘对比剂的原则和策略》的几点思考
诚如作者在综述中所述,近年来,CT设备在技术上实现了跨越式的发展,从单层螺旋CT到MSCT,扫描速度与完成一次设定范围的扫描时间均大大缩短.然而,作为CT检查的另一项重要技术:静脉增强的应用,却没有多少改变,如何更为合理、效果更佳却少有研究.作者在综述中提到了这一问题,并从碘对比剂的药代动力学到影响强化的不同因素对目前增强CT存在的问题进行了分析,的确应引起临床更大重视.然而,作者在论述中却忽视了增强CT的一个重要问题,即增强扫描的目的.实际上,增强CT扫描的目的主要可分为2个:血管结构的增强(包括CTA)与组织的强化,两者的强化目的不同,方法也不应一致.
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Chinese Medical Journal (CMJ) and its electronic version are published monthly by the Chinese Medical Association and distributed worldwide. Manuscripts are welcome from any part of the world and should be sent to the Editorial Office, Chinese Medical Journal, Chinese Medical Association, 42 Dongsi Xidajie, Beijing 100710, China.Manuscripts. Manuscripts are received with the understanding that they have not previously been published in English and are not under simultaneous consideration for another publication and electronic medium. A complete report following presentation or publication of preliminary findings elsewhere (e.g., in an abstract) can be considered. A covering letter and an introduction letter from author's institution are needed. For multicenter clinical trial, at least one person's name must accompany a group name-e.g., Zhu Wenling, for the Collaborative Study Group on Thrombolysis with China-made Recombinant Streptokinase. All persons who meet the criteria for authorship as stated in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals are listed as authors who must make substantial contributions to: ① conception and design, or analysis and interpretation of data; ② the drafting of the article or critical revision for important intellectual content; and ③ the final approval of the version to be published. All three conditions must all be met.
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关于撤消"幽门螺杆菌慢性感染诱导胃上皮细胞产生凋亡耐受"论文的声明
关键词: 撤消 幽门螺杆菌 感染诱导 胃上皮细胞 凋亡耐受 论文 声明 the article epithelial cells -
对"抗苗氏管激素与生长激素缺乏伴低促性腺激素睾丸发育不良症的关系"一文中一些观点的商榷
关键词: 生长激素 促性腺激素 睾丸发育不良 the article -
《无痛性亚急性甲状腺炎22例临床分析》一文读后
该文读后有以下感想:1. 甲状腺毒症的概念及其病因.该文表1提到的甲状腺毒症(Thyrotoxicosis),是指过量甲状腺激素的生化和生理表现."甲状腺毒症"诊断的金标准是血清游离T3和游离T4升高.常常伴有怕热等高代谢症状和心血管、消化、神经肌肉的代偿和失代偿表现.除了罕见病"垂体TSH细胞瘤和垂体抵抗T3和T4"患者TSH正常或升高外,其他病因的甲状腺毒症的TSH水平降低出现的时间明显早于血清游离T3和游离T4的升高.
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上对偶三角组织瓣换位法修复单侧唇裂
对偶三角组织瓣换位术又称Z改形术.早已广泛应用于口角、唇缘、鼻翼附近、颈部、腋窝及肘关节的索状挛缩性疤痕的解除和功能的恢复(1~6).
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短暂性脑缺血后海马CA1锥体细胞延迟性神经元死亡(DND)的新的凋亡证据
We read with great interest the article by Colbourne et al recently published in Stroke. The authors investigated the degree and maturation rate of hippocampal CA1 neuronal damage as a function of the duration of ischemia.
关键词: 短暂性 缺血后 海马 锥体细胞 延迟性神经元死亡 凋亡 证据 Pyramidal Cells the article