国际医学资讯

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FDA批准治疗精神分裂症新药Lurasidone
New Antipsychotic Approved in U.S. for Schizophrenia Therapy

2010-10-28

NICE驳回癌症和哮喘药物的推荐意见
NICE Rejects Cancer, Asthma Drugs

2010-10-27

108

转移性乳腺癌一线化疗的时间越长效果越好
Longer Is Better for First-Line Chemo in Metastatic Breast C...

2010-10-27

407

高剂量维生素D可降低骨折发生率
Meta-Analysis Links Reduced Fracture Rate to High Vitamin D ...

2010-10-27

延长唑来膦酸治疗可保持患者骨密度
Extending Zoledronic Acid Regimen Maintains Bone Density

2010-10-27

9位诺贝尔奖得主均在爱思唯尔发表过文章
All 9 Nobel scientists have Elsevier connections

2010-10-26

271

放疗加直肠系膜全切术可降低直肠癌的复发率
Radiotherapy Plus Total Mesorectal Excision Still Equals Low...

2010-10-26

强化血糖控制可降低2型糖尿病患者肾脏事件的发生率
Intensive Glucose Control Lowers Renal Event Rate in Patient...

2010-10-26

少数民族儿童及慢性病患儿H1N1流感死亡率更高
Pediatric H1N1 Fatalities High Among Ethnic Minorities, Chro...

2010-10-26

腹主动脉瘤患者胸动脉瘤发生率及风险因素被确定
Incidence, Risks for Thoracic Aneurysm in AAA Defined

2010-10-26

Aurora A激酶抑制剂对卵巢癌有效
Aurora A Kinase Inhibitor Active in Ovarian Cancer

2010-10-25

最新心脏CT适用标准
Criteria for Cardiac CT Updated

2010-10-25

409

重度中年吸烟者罹患痴呆症风险加倍
Heavy Midlife Smoking Doubled Dementia Risk

2010-10-25

激素和放射治疗联用可降低前列腺癌死亡风险
Hormone/Radiation Combination Decreases Prostate Cancer Deat...

2010-10-25

RADIANT研究显示依维莫司对神经内分泌肿瘤的疗效优于安慰...
RADIANT Trials: Everolimus Outshines Placebo in Neuroendocri...

2010-10-22

对血小板抑制剂无反应的创伤患者的鉴定方法
Assay Identifies Trauma Patients Unresponsive to Platelet In...

2010-10-22

奥美沙坦可延迟2型糖尿病患者出现微量白蛋白尿的时间
Olmesartan Delays Time to Microalbuminuria in Type 2 Diabete...

2010-10-22

动脉内膜切除术可改善颈动脉狭窄患者的认知功能
Cognition Improves After Endarterectomy for Carotid Stenosis

2010-10-22

髋关节置换术后接受髋翻修术的比例随着年龄的提高而呈下降趋势
Hip-Replacement Revision Rate Falls With Age

2010-10-21

X线片分析可预测膝盖部骨关节炎病情进展
X-Ray Analysis Predicts Knee Osteoarthritis Progression

2010-10-21

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传统感染控制方法可降低重症监护室(ICU)中耐甲氧西林金黄色...
Conventional Infection-Control Measures Reduce MRSA in ICUs

2010-03-18

605

对青霉素过敏的孕妇接受的GBS治疗常不规范
GBS Treatment in Pregnant Penicillin-Allergic Women Often Of...

2009-09-09

604

接触普瑞巴林后的妊娠转归仍然未知
Pregnancy Outcomes After Pregabalin Exposure Are Mixed

2009-05-18

602

研究发现静脉给药维系生命不能提高生存率
Study: IV Drugs During Life Support Don’t Improve Survival

2009-11-24

600

个性化血液检查可在治疗后追踪肿瘤特异性标志物
Personalized Blood Test Can Track Tumor-Specific Markers Aft...

2010-02-19

594

应用结肠胶囊内镜检查结肠病变的敏感性相对较低
Colon Capsule Endoscopy Shows Relatively Low Sensitivity

2009-07-15

593

全球大多数卒中风险源自十大危险因素
Ten Risk Factors Account for Majority of Global Stroke Risk

2010-06-17

590

孕妇感染H1N1流感病毒后发展为重症的危险性高
H1N1 Presents High Risk of Severe Disease for Pregnant Women

2009-07-28

589

寻找弥漫性大B细胞淋巴瘤最佳补救性治疗方案的努力仍在继续
Search for Best Salvage Regimen Continues in Diffuse Large B...

2009-07-02

586

研究发现，减肥手术可降低癌症死亡率
Bariatric Surgery Found Linked to Lower Rate of Cancer Death...

2009-08-28

579

为期5年的ARTS研究结果表明，药物洗脱支架比金属裸支架更安...
Drug-Eluting Stents Safer Than Bare Metal, 5-Year ARTS Resul...

2010-02-18

576

大规模试验表明动脉内膜切除术优于支架植入术
Endarterectomy Bests Stenting in Large Study

2010-02-25

575

ECDC：预计H1N1会卷土重来，但发病机制可能不同；流感预...
ECDC: Expect H1N1 to Return, but Not Act Same; H5N1 Not Ment...

2010-03-08

574

研究显示，银杏对认知功能衰退无效
Study Shows Ginkgo Biloba Has No Effect on Cognitive Decline

2009-12-29

574

专家视点——妇产科医生处于抗击流感大流行的第一线
Perspective – Ob.Gyns. on the Front Line in Flu Pandemic

2009-09-25

573

质子泵抑制剂联合抗血小板药物安全无虞
PPIs Safe in Combination with Antiplatelet Drugs

2009-08-31

569

胃旁路术后吻合口溃疡的发生与幽门螺杆菌感染无关
Don’t Blame H. pylori for Marginal Ulcers After Gastric Bypa...

2009-08-07

569

专家视点——阴道前壁脱垂
Perspective – Anterior Vaginal Wall Prolapse

2010-06-03

567

CROSS试验显示，新辅助化放疗对食管癌疗效最佳
CROSS Trial Puts Neoadjuvant Chemoradiation on Top in Esopha...

2010-06-17

566

中国人、韩国人患妊娠期糖尿病的风险高
Koreans, Chinese at Increased Risk for Gestational Diabetes

2009-12-10

566

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Folfirinox化疗方案使胰腺癌患者的生存取得里程碑式的...
Pancreatic Cancer Survival Reaches New Milestone With Folfir...

2010-06-18

260

允许创伤后应激障碍患者自主选择治疗方案可提高其对治疗的依从性...
Patient Choice in PTSD Treatment May Boost Adherence, Respon...

2010-06-21

125

许多患者不知道高温对自身糖尿病的影响
Many Patients Unaware of Heat’s Impact on their Diabetes

2010-06-21

134

艺术治疗对接受临终关怀的痴呆症患者有益
Art Therapy Benefits Hospice, Dementia Patients

2010-06-21

160

C反应蛋白增高与二手烟暴露有关
High CRP Linked to Secondhand Smoke Exposure

2010-06-21

183

表皮生长因子受体抗体对食管癌的治疗效果仍不明确
Role for EGFR Antibodies in Esophageal Cancer Remains Unsett...

2010-06-22

228

专家视点：孕期肥胖的管理
Perspective: Managing Obesity During Pregnancy

2010-06-22

167

抗体介导脑炎作用机制确定
Mechanism of Antibody-Mediated Encephalitis Determined

2010-06-22

287

观点/反对观点：药物或手术治疗，何种应成为青少年异位妊娠治疗...
Point/Counterpoint: Is Medical or Surgical Treatment Preferr...

2010-06-22

144

中老年人体重、脂肪增加与糖尿病有关联
Weight, Fat Gain in Middle and Older Age Linked to Diabetes

2010-06-22

203

患有睡眠呼吸暂停综合征的年轻患者在校成绩较差
Youths With Sleep Apnea Have Lower Grades in School

2010-06-23

接受贝伐单抗、替莫唑胺与化疗联合治疗方案的胶质母细胞瘤患者中...
Nearly Half of Patients Survive 2 Years With Bevacizumab, Te...

2010-06-23

249

吉非替尼一线治疗可使伴EGFR突变NSCLC患者的无进展生存...
First-Line Gefitinib Doubles Progression-Free Survival in NS...

2010-06-23

247

46岁前绝经的女性绝经后出现CVD的风险翻倍
Menopause Before Age 46 Doubles CVD Risk Later in Life

2010-06-24

235

二联口服用药未达到转移性乳腺癌的高基准
Oral Doublet Misses High Benchmark in Metastatic Breast Canc...

2010-06-24

193

减重并非睡眠呼吸暂停综合征治疗的唯一靶点
Weight Loss Not the Only Target in Sleep Apnea Pipeline

2010-06-24

192

每周1次艾塞那肽比每日1次甘精胰岛素能更大程度地降低HbA1...
Once-Weekly Exenatide Lowers HbA1c More Than Exenatide Daily...

2010-06-24

260

新型药物可降低经二甲双胍治疗的2型糖尿病患者的HbA1c
Novel Drug Reduces HbA1c in Type 2 Diabetes Patients on Metf...

2010-06-24

209

EMA增补依西奈肽和HPV疫苗的适应证
EMA Adds Indications for Exenatide, HPV Vaccine

2010-06-25

187

FOLFOX4可延长晚期肝细胞癌患者的生存期
FOLFOX4 Extends Survival in Advanced HCC

2010-06-25

333

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病例分析 [栏目介绍]

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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