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find Author "刘明" 66 results
  • 呼吸机患者管理中橡胶手套的巧妙应用

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  • The Experience of Clinical Application in Pancreaticoduodenectomy with Binding Pancreaticogastrostomy

    Objective To investigate the application value of the binding pancreaticogastrostomy in pancreatico-duodenectomy. Methods The clinical data of 13 patients that performed pancreaticoduodenectomy with binding pancr-eaticogastrostomy from Jan. 2010 to Mar. 2013 in our hospital were retrospectively analyzed. The incidence of postoper-ative complications were counted. Results There was 1 patient with pancreatic stump bleeding after operation, and then recovered after conservative treatment. There was no patient with pancreatic fistula, bile fistula, delayed gastric empt-ying, and other complications after operation in whole group. Peritoneal fluid and amylase level in peritoneal fluid were gradually reduced or degraded after operation. The gastrointestinal function was recovered better. All patients were compl-etely cured. Conclusion The binding pancreaticogastrostomy in pancreaticoduodenectomy has its own unique advantage.It could be reduce the incidence of pancreatic fistula in postoperative patients by using binding pancreaticogastrostomy reasonably.

    Release date:2016-09-08 10:35 Export PDF Favorites Scan
  • Differential Diagnosis and Treatment Strategies of Solitary Pulmonary Nodules

    With widespread utilization of multi-slice helical computed tomography (CT) and low-dose CT in lung cancer screening, significantly greater incidence of patients with solitary pulmonary nodules (SPN) has been found. Once SPN is discovered, it is very difficult to immediately determine whether it is benign or malignant in clinical practice. In this review, SPN etiology, epidemiological characteristics of SPN patients, nodule size, morphology, location and growth rate, mathematical models for predicting malignancy of SPN, and diagnostic value of positron emission tomography (PET) and positron emission tomography-computed tomography (PET/CT) are summarized to provide reference for differential diagnosis of SPN. Current management strategies for SPN are also discussed in this review. According to whether SPN diameter is greater than 8 mm, whether SPN patients are advanced aged, have smoking or malignancy history, different follow-up and treatment strategies can be chosen. The diagnostic and treatment value of video-assisted thoracoscopic surgery for SPN is also discussed.

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  • The research progress of phytochemicals on the prevention and treatment of alcoholic liver disease

    ObjectiveTo summarize the research progress of phytochemicals in the prevention and treatment of alcoholic liver disease and its possible clinical application value.MethodThe current literatures about the preventive and therapeutic effects of phytochemicals on alcoholic liver disease at home and abroad were reviewed.ResultsPhyto- chemicals could prevent and treat alcoholic liver disease by reducing inflammation, reducing oxidative stress, and improving lipid metabolism. They had the advantage of multi-targets.ConclusionPhytochemicals play an important role in the prevention and treatment of alcoholic liver disease, and it also lay a solid foundation for translational medicine.

    Release date:2019-11-25 03:18 Export PDF Favorites Scan
  • Clinical applications of platelet-rich plasma in chronic soft tissue injuries

    Platelet-rich plasma (PRP) is a platelet-rich plasma protein concentrate extracted from autologous peripheral blood, which contains a variety of blood-derived growth factors and cytokines. As an autologous blood product, PRP is widely used in many fields such as tissue repair and regeneration because of its minimally invasive process, simple preparation process and good biological properties. The acquisition of PRP is mainly achieved by collecting peripheral blood through density gradient centrifugation. Various growth factors and cytokines in PRP can repair various tissues. With the deepening of PRP research, it is now gradually applied to rotator cuff injury, lateral epicondylitis of humerus, carpal tunnel syndrome, knee joint injury, gluteal muscle tendinopathy, achilles tendinopathy, plantar fasciitis, and other soft tissue injuries, and some progress has been made. This article reviews the progress on clinical applications of PRP in chronic soft tissue injuries to provide a theoretical basis.

    Release date:2019-09-06 03:51 Export PDF Favorites Scan
  • 双侧髋关节脱位伴股骨头骨折手术治疗一例

    Release date:2018-09-25 02:22 Export PDF Favorites Scan
  • EBM联合PBL教学模式在医学本科生临床见习中的应用

    提高医务人员的临床业务能力,培养更多具备扎实临床技能的医务人员,可以满足人民对高质量健康生活的不断追求。而如何立足临床医学本科教育,积极探索先进的教学模式,是培养优秀临床医生的基石。将循证医学(Evidence based medicine,EBM)引入到问题导向学习(Problem based learning,PBL)教学法中,可以更加高效地提高学生发现问题并寻找问题答案的积极性,为将来快速提升临床疾病处理能力奠定扎实基础。本研究将四川大学华西临床医学院的临床见习本科生作为研究对象,按照随机数字表将学生随机分为PBL组和EBM+PBL组,评估对比两种教学模式的教学效果和满意度。结果发现,与PBL组相比,EBM联合PBL教学模式可以充分激发学生的主动学习意识,提高临床相关知识的掌握情况,培养学生的临床思维能力与团队合作精神,为将来成为一名合格的临床医师奠定基础。

    Release date:2024-05-08 08:43 Export PDF Favorites Scan
  • New mechanisms by which plants regulate human health and disease: cross-species regulation by plant microRNA

    ObjectiveTo explore new mechanisms of cross-species regulation of plant microRNA (miRNA) to regulate human health and disease.MethodThe recently relevant literatures on the new mechanisms of cross-species regulation of the plant miRNA for the health and disease of human were reviewed.ResultsThe phytochemicals played an important role in the maintaining human health and regulating diseases, and the plant miRNA cross-species regulation also played an important role in it. Its possible regulatory mechanism was that the mature plant miRNA came into the animal body through the gastrointestinal tract. It firstly passed through the gastrointestinal tract and then came into the microvesicles secreted by the small intestine. It was targeted to the organ or tissue through passing of the animal circulatory system. The plant miRNA passing through the gastrointestinal tract was highly matched with the target mRNA to perform its biological regulatory role.ConclusionsAlthough studies have confirmed that plant miRNA can regulate animal specific biological functions across gastrointestinal tract and it provides an experimental basis for plants to participate in new mechanisms for regulating occurrence and development of human health and disease, whether or not miRNA in food is affected by way it is processed, transported, stored, and extent to which it is affected, remains to be explored. At the same time, content of plant miRNA in animals is very low and types of plant miRNA in different animals are not same. Although the above issues have been unresolved, it is believed that with research progresses, mastering mechanism of miRNA cross-species regulation will greatly help to prevent human diseases and maintain health of body.

    Release date:2019-01-16 10:05 Export PDF Favorites Scan
  • Research Progress of microRNA Influences on Colorectal Cancer

    microRNA (miRNA) is a kind of RNAs which involves in the regulation of proliferation, invasion and metastasis of tumors. It also closely connects to the colorectal cancer. This article reviews the relationship between miRNA and proliferation, invasion, metastasis, diagnosis and treatment of colorectal cancer.

    Release date:2017-01-17 06:17 Export PDF Favorites Scan
  • 生脉注射液对倍他洛克治疗冠心病慢性充血性心力衰竭疗效的影响

    目的 评价生脉注射液对冠心病慢性中重度充血性心力衰竭(congestive heart failure,CHF)患者使用倍他洛克的影响。 方法 2004年1月-2009年6月住院的冠心病心功能NYHAⅢ~Ⅳ患者80例,随机分成两组,对照组在原抗心衰治疗基础上使用倍他洛克,治疗组在原抗心衰治疗基础上使用倍他洛克同时加用生脉注射液,观察两组使用倍他洛克能够达到的最大耐受剂量及其所需用的时间和安全性。 结果 治疗组与对照组对倍他洛克的平均最大耐受剂量分别为(82.1±15.6) mg/d和(81.6±15.2) mg/d,两组之间无差异;达到最大耐受剂量所需的平均时间分别为(4.98±0.87)周和(6.92±0.85)周,两组间比较有统计学意义;治疗过程中出现的不良反应,治疗组少于对照组。 结论 在中重度CHF患者使用倍他洛克治疗过程中加用生脉注射液治疗,可缩短倍他洛克达到最大剂量所需的时间,并可提高治疗过程中的安全性。

    Release date:2016-09-08 09:49 Export PDF Favorites Scan
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