国际医学资讯

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结构化减重方案效果优于常规护理
Free, Structured Weight-Loss Program Beat Usual Care at Two ...

2010-10-08

饮食和锻炼联合干预的减肥效果显著
Combination Diet and Exercise Intervention Fuels Weight Loss...

2010-10-08

甲氨蝶呤可预防JIA患儿发生葡萄膜炎
Methotrexate Appears to Protect Against Uveitis in JIA

2010-10-07

NICE新版指南建议应用AChE抑制剂治疗轻度阿尔茨海默病
NICE Reverses Itself, Now Recommends AChE Inhibitors for Mil...

2010-10-07

176

两项长期乳腺放疗试验在放疗是否会增加二次恶性肿瘤风险上意见相...
Long-Term Breast Radiotherapy Trials at Odds Over Risk of Se...

2010-10-07

133

皮肤红斑狼疮早期进展至系统性红斑狼疮的风险极大
Study Shows Substantial Risk of Early Progression From Cutan...

2010-10-07

H1N1流感悄然成为众多疾病威胁之焦点：ECDC
H1N1 Stole Focus from Other Threats: ECDC

2010-10-06

在双联抗血小板治疗基础上加用质子泵抑制剂可减少胃肠道出血而不...
Adding PPI to Dual Antiplatelet Therapy Cuts GI Bleeds Witho...

2010-10-06

105

长QT综合征干细胞模型为心脏研究开辟新路
Stem Cell Model for Long-QT Syndrome May Spark New Avenues f...

2010-10-06

104

MYDICAR在心力衰竭的治疗中初显潜力
MYDICAR Treatment Shows Promise in Heart Failure

2010-10-05

111

单纯按压式CPR可提高心脏骤停患者生存率
Compression-Only CPR Increased Cardiac Arrest Survival

2010-10-05

妊娠期间接种流感疫苗可使婴儿感染风险降低41%
Flu Vaccine During Pregnancy Cuts Infants’ Risk of Infection...

2010-10-04

119

年龄及肿瘤特征可预测乳腺癌新辅助治疗后的局部区域治疗失败
Age, Tumor Characteristics Predict Locoregional Failure Afte...

2010-10-04

115

NICE改变曲妥珠单抗适用范围
NICE Changes Course on Trastuzumab

2010-09-29

心房纤颤复发风险增高和疾病负担加重与肥胖有关
Obesity Linked to Higher Atrial Fibrillation Recurrence and ...

2010-09-29

122

注意力缺陷多动症遗传学基础的直接证据
Study Provides Direct Evidence of Genetic Basis for ADHD

2010-09-29

乳腺癌的10年存活率提高
10-Year Breast Cancer Survival Rates Improve

2010-09-29

203

标准食管测压法失败患者可采用替代测压法
Esophageal Manometry Alternative Effective When Patients Fai...

2010-09-28

189

2型糖尿病患者的血糖控制情况对发生心力衰竭风险有影响
Glycemic Control Affects Heart Failure Risk in Type 2 Diabet...

2010-09-28

238

骨保护素对慢性心衰的预后价值
Bone Hormone Shows Prognostic Value in Chronic Heart Failure

2010-09-28

134

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今日的神经科学，未来的神经病学：治疗淀粉样蛋白的功能改变，而...
Neuroscience Today, Neurology Tomorrow: Treating Amyloid Fun...

2009-04-02

515

在制造商资助下，加巴喷丁临床试验的报道存在偏倚
Biased Reporting in Industry-Sponsored Trials of Gabapentin

2009-11-11

515

基础胰岛素较餐时或双相胰岛素更适于作为2型糖尿病患者的初始胰...
Basal Better Than Prandial or Biphasic Insulin for Initial T...

2009-10-22

515

专家称，果糖的代谢方式与脂肪相似，可导致肥胖
Fructose Is Metabolized Like Fat; Leads to Obesity, Expert S...

2009-11-13

515

三阴性局部晚期乳腺癌的复发率较高
Higher Recurrence Rate Seen in Triple-Negative, Locally Adva...

2009-10-15

515

肿瘤存活患者在治疗后过渡时期出现恐惧心理
Post-Treatment Transition Can Be Scary for Cancer Survivors

2009-04-03

513

仅有肝转移的大肠癌的肝外转移情况
Extrahepatic Progression of Hepatic-Only Colorectal Cancer C...

2009-04-09

512

最新研究发现，PARP抑制剂可使三阴性乳腺癌患者总体生存率翻...
PARP Inhibitor Update: Overall Survival Doubled In Triple-Ne...

2010-01-08

512

血小板预防性输注的剂量不会影响出血性并发症的发生率
Dose of Prophylactic Platelets Does Not Affect Bleeding Comp...

2010-02-17

511

墨西哥：流感危重患者的病死率高达41%
Mexico: 41% Mortality Rate for Those Critically Ill With Pan...

2009-10-12

511

美国权威机构建议更改宫颈癌筛查方案
U.S. Agency Recommends Changes in Cervical Cancer Screening

2009-11-19

511

空腹血糖受损患者使用瑞舒伐他汀可预防重大心血管事件
Rosuvastatin Prevents Events in Patients With Impaired Fasti...

2009-12-08

511

EMEA赞成使用两剂大流行性H1N1疫苗
EMEA Stands By Two-Dose Recommendation for Pandemic H1N1 Vac...

2009-10-23

510

建议对五类人群进行新型甲型流感H1N1疫苗的免疫接种
Five Target Populations Recommended for Vaccination Against ...

2009-07-29

509

射频消融可减少肝肿瘤转移并延长生存时间
RFA Treatment Tamed Liver Metastases, Stretched Survival

2010-05-11

509

诊断方面的挑战：神经病学
Diagnostic Challenge: Neurology

2009-03-31

508

双磷酸盐类药物与年轻女性心血管钙化的患病率增加有关
Bisphosphonates Linked to Increased Cardiovascular Calcifica...

2009-11-30

508

高强度肾替代治疗缺乏优势
High-Intensity Renal-Replacement Therapy Yields No Advantage...

2009-10-21

507

非功能性垂体腺瘤摘除后进行生长激素治疗是安全的
Growth Hormone Therapy After Removal of Nonfunctioning Pitui...

2009-07-22

507

镇静药、抗抑郁药以及苯二氮类药物与跌倒有关
Sedatives, Antidepressants, Benzodiazepines Linked to Fallin...

2009-11-23

506

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对于主动脉瓣狭窄高危患者应选用经皮还是外科AVR？
Percutaneous vs. Surgical AVR in High-Risk Patients Debated

2010-07-07

174

血压控制的自我监测策略优于常规护理
Self-Monitoring Trumps Conventional Care in Blood Pressure C...

2010-07-07

121

妊娠糖尿病可预测高血压
Gestational Diabetes May Predict Hypertension

2010-07-08

110

瓣膜手术期间行房颤修复术与生存时间增加有关联
AF Repair During Valve Surgery Tied to Increased Survival

2010-07-08

118

与低热量饮食相比，胃旁路术可更显著降低体重及增加胰岛素敏感性
Surgery Rivals Low-Calorie Diet in Weight Loss, Insulin Sens...

2010-07-08

142

医疗保健基准指标与NSCLC患者手术死亡率无关
No Relationship Between Health Care Benchmarks, Operative Mo...

2010-07-08

100

早期抗病毒治疗可减轻器官移植受者增加的H1N1风险
Increased H1N1 Risks in Transplant Recipients Mitigated by E...

2010-07-08

105

β-HPV使出现鳞状细胞皮肤癌的几率增加
Beta-HPVs Increase Likelihood of Squamous Cell Skin Cancers

2010-07-08

114

NICE拒绝接受米伐木肽和贝伐单抗
NICE Rejects Mifamurtide, Bevacizumab

2010-07-09

250

摄入酒精与关节炎患病率减少有关联
Alcohol Use Linked to Reduced Arthritis Prevalence

2010-07-09

116

超重儿童低估自身体育能力，其父母亦如此
Overweight Children and Their Parents Underestimate Physical...

2010-07-09

111

凡德他尼可延缓甲状腺髓样癌进展
Vandetanib Stalls Progression of Metastatic Medullary Thyroi...

2010-07-09

119

下一代TKI可提高转移性头颈癌的治疗有效率
Next-Generation TKI Raises Response Rate in Metastatic Head ...

2010-07-09

105

在偏头痛患者中童年期受虐史与成年后的心血管风险相关
Childhood Abuse, Adult Cardiovascular Risk Linked in Migrain...

2010-07-12

117

新评分系统可预测感染性心内膜炎的手术风险
New Scoring System Predicts Risks of Infective Endocarditis ...

2010-07-12

138

急诊科治疗后应用舒马曲坦治疗头痛的疗效与萘普生相当
Sumatriptan, Naproxen Comparable for Headache After Emergenc...

2010-07-13

112

奥氮平有助于缓解化疗性恶心和呕吐
Olanzapine Combats Chemo-Induced Nausea and Vomiting

2010-07-13

267

AHA建议通过综合行为干预来降低心脏病风险
Combining Specific Behavioral Interventions Advised to Reduc...

2010-07-12

所有绝经后的激素受体阳性乳腺癌患者均应考虑使用芳香化酶抑制剂...
Consider an Aromatase Inhibitor in All Postmenopausal Recept...

2010-07-12

125

二甲双胍可改善有心血管危险因素的糖尿病患者的生存状况
Metformin Improved Survival for Patients with Diabetes and C...

2010-07-12

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甲状腺功能亢进合并黄疸

王燕燕王曙

上海交通大学附属瑞金医院内分泌科

患者，女，69岁。2009年1月无明显诱因下出现乏力，当时程度较轻，未予以重视。2009年3月患者乏力症状加重，尿色逐渐加深，大便习惯改变，颜色变淡。4月18日入我院感染科治疗，诉轻度头晕、心慌，体重减轻10kg。无肝区疼痛，无发热，无腹痛、腹泻、腹胀、里急后重，无恶性、呕吐等。入院半月前于外院就诊，查肝功能：ALT 601IU/L，AST 785IU/L，TBIL 97.7umol/L，白蛋白 41g/L，甲状腺功能：游离T3 30.6pmol/L，游离T4 51.9pmol/L，心电图示快速房颤。

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