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成功的Fontan术究竟能产生多大效果? Fontan术后非...
How Good Is a Good Fontan? Quality of Life and Exercise Capa...
Ann Thorac Surg
★★
B
Fontan术后运动能力以及心室特征和功能的实验室检测与功能...
Laboratory Measures of Exercise Capacity and Ventricular Cha...
Circulation
B
经皮封堵术治疗高血压性动脉导管未闭
Percutaneous closure of hypertensive ductus arteriosus
Heart
★★
C
先天性矫正型大动脉转位患者的形态学左心室压力对其右心室几何学...
Effects of Morphologic Left Ventricular Pressure on Right Ve...
Am J Cardiol
★★★
B
文章标题 期刊 第一作者 作者单位
CXCR4介导的骨髓祖细胞维持和动员是由c-kit活性来调节
CXCR4-mediated bone marrow progenit...
Circulation Research Cheng M Feinberg Cardiovascular Research Institute, Northw...
衰竭心脏中蛋白酶corin的表达及活性
Protease corin expression and activ...
American Journal of Physiology... Chen S Molecular Cardiology, Cardiovascular Medicine and ...
低盐饮食喂养的犬中血流诱导的冠状小动脉扩张受到影响:ANG ...
Impaired flow-induced dilation of c...
American Journal of Physiology... Huang A Dept. of Physiology, New York Medical College, Val...
心脏淀粉样变性伴巨大心房
Cardiac amyloidosis with giant atri...
Heart Cheng Z 北京协和医科大学/北京协和医院心内科

经普伐他汀40 mg单药治疗后血脂控制不佳的混合型高脂血症高...
Efficacy and Safety of Adding Fenofibrate 160 mg in High-Risk Patients...

麻醉剂治疗对急性冠脉综合征结局的影响
Effect of Narcotic Treatment on Outcomes of Acute Coronary Syndromes

院内即开始降脂治疗对急性缺血性卒中或一过性脑缺血发作患者6个...
Effect of In-Hospital Initiation of Lipid-Lowering Therapy on Six-Mont...

【国际】无烟烟草产品的使用与心血管疾病:政策声明
Use of Smokeless Tobacco Products and Cardiovascular Disease: Policy Statement

【国际】胸主动脉腔内修复术中左锁骨下动脉的管理
Management of the Left Subclavian Artery with Thoracic Endovascular Aortic Repair

【国际】心力衰竭成年患者的诊疗指南
Guidelines for the Diagnosis and Management of Heart Failure in Adults

【国际】心脏移植受者的护理指南(执行摘要)
Guidelines for the Care of Heart Transplant Recipients (Executive Summary)

【国际】EMA加大信息透明度,将公开所有不良反应资料
EMA Prepares for Data-Request Blitz; All Adverse Reaction Information to Be Disclosed

【国际】抗心律失常药胺碘酮的预混静脉注射剂获准
Premixed IV formulation of antiarrhythmic amiodarone approved

【国际】抗生素库比星2 min静脉注射剂获准
Antibiotic Cubicin approved for use as a 2-minute IV injection

【国际】Gablofen鞘内注射液获准用于治疗重度痉挛
Intrathecal Gablofen approved for management of severe spasticity

中文标题:乳腺癌术中定向放疗与术后全乳放疗的疗效比较(TARGIT-A试验):一项国际多中心、前瞻性、非劣效性Ⅲ期随机试验
英文标题:Targeted intraoperative radiotherapy versus whole breast radiotherapy for breast cancer (TARGIT-A trial): an international, prospective, randomised, non-inferiority phase 3 trial
作者:Jayant S Vaidya, David J Joseph, Jeffrey S Tobias, Max Bulsara, Frederik Wenz, Christobel Saunders, Michael Alvarado, Henrik L Flyger, Samuele Massarut, Wolfgang Eiermann, Mohammed Keshtgar, John Dewar, Uta Kraus-Tiefenbacher, Marc Sütterlin, Laura Esserman, Helle M R Holtveg, Mario Roncadin, Steffi Pigorsch, Marinos Metaxas, Mary Falzon, April Matthews, Tammy Corica, Norman R Williams, Michael Baum
全文: 背 景 保乳术后90%的乳腺癌复发仍然会在手术切除区域发生,即使乳腺其他区域存在多中心癌灶时也是如此。因此,对一部分特定...

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病例分析 <span class="ModTitle_Intro_Right" id="EPMI_Home_MedicalCases_Intro_div" onclick="javascript:window.location='http://www.elseviermed.cn/tabid/127/Default.aspx'" onmouseover="javascript:document.getElementById('EPMI_Home_MedicalCases_Intro_div').style.cursor='pointer';document.getElementById('EPMI_Home_MedicalCases_Intro_div').style.textDecoration='underline';" onmouseout="javascript:document.getElementById('EPMI_Home_MedicalCases_Intro_div').style.textDecoration='none';">[栏目介绍]</span>  病例分析 [栏目介绍]

午夜一名56岁的妇女被急救车送入医院急诊科。她呼吸非常急促,面容极度痛苦。患者手腕上戴着一个标有糖尿病、高血压、缺血性心脏病的医用警示腕带。

 

患者极度痛苦,无法讲话并且出现端坐呼吸。

 

体格检查示患者轻度肥胖,皮肤湿冷,周围性和中心性发绀并存。脉搏细速且不规则,血压160/100 mm Hg,颈静脉怒张,未闻及心音。听诊呼吸音粗,可闻及呼气性哮鸣音和响亮的吸气末爆破音。可扪及两侧股动脉搏动且力度一致,踝部轻度水肿。

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