爱思唯尔期刊精选全文

		Gastroenterology
		中文标题: AGA关于炎症性肠病患者结直肠肿瘤诊断与管理的医学立场声明
		英文标题: AGA Medical Position Statement on the Diagnosis and Management of Colorectal Neoplasia in Inflammatory Bowel Disease
		作者: Francis A.Farraye ,Robert D.Odze Jayne Eaden ,St...
		全文: The AGA Institute Medical Position Panel consisted of the authors of the technical review, a community-based gastroenterologist (Robert P. McCabe, MD, Minnesota Gastroenterology), academic-based gastr...

		American Heart Journal
		中文标题: 急性心肌梗死患者冠脉内注射骨髓源性单核细胞后动脉粥样硬化性疾病不再快速进展——血管造影与血管内超声—...
		英文标题: Absence of accelerated atherosclerotic disease progression after intracoronary infusion of bone marrow derived mononuclear cells in patients with acut...
		作者: Roman Arnold, Adolfo Villa, Hipo´ lito Gutie´rrez,...
		全文: Background :We tried to evaluate a putative negative effect on coronary atherosclerosis in patients receiving intracoronary infusion of unfractionated bone marrow mononuclear cells (BMMC) following an...

		Clinical Gastroenterology and Hepatology
		中文标题: 1例纵膈增宽病例的内镜超声检查
		英文标题: Endoscopic Ultrasound in a Case of a Widened Mediastinum
		作者: MALAY SHARMA, ARAVINDH SOMASUNDARAM, BALAKRISHNAN ...
		全文: A 35-year-old woman presented with history of low-grade fever, anorexia, malaise, and significant loss of weight for the past 3 months. General physical examination was unremarkable except for mild pa...

		Clinical Gastroenterology and Hepatology
		中文标题: 阑尾腺瘤的内镜检查与手术治疗
		英文标题: Endoscopy and Surgery for Appendiceal Adenoma
		作者: ERIK SVENSSON, PHILIPPA NEWELL, TOMAS M. HEIMANN
		全文: A review of the literature shows that there have been fewer than 60 cases of appendiceal villous adenomas described.Appendiceal adenomas rarely are diagnosed preoperatively and usually are not associa...

		Clinical Gastroenterology and Hepatology
		中文标题: 红细胞生成性原卟啉症
		英文标题: Erythropoietic Protoporphyria
		作者: NAOKI AKAZAWA, MIKIO YANASE, NAOHIKO MASAKI
		全文: A 34-year-old woman with a history of photosensitivity reaction was admitted to our hospital for epigastralgia and jaundice, which had persisted for 1 month. She had no history of alcohol consumption,...

		Clinical Gastroenterology and Hepatology
		中文标题: 食管壁内假性憩室病：食管狭窄的罕见病因
		英文标题: Esophageal Intramural Pseudodiverticulosis: A Rare Cause of Esophageal Stricture
		作者: SHUNSUKE YAMAMOTO, SHUSAKU TSUTSUI, NORIO HAYASHI
		全文: A 60-year-old man with diabetes and alcohol dependence had difficulty swallowing and was referred to our hospital. Barium esophagography showed a stricture of the thoracic esophagus with multiple smal...

		Clinical Gastroenterology and Hepatology
		中文标题: 盲肠阿米巴瘤
		英文标题: Cecal Ameboma
		作者: DEEPAK JOSHI , RAKESH AGA
		全文: A 60-year-old North Indian man presented with increased bowel frequency and weight loss during a period of 6 weeks. There was no history of rectal bleeding. The patient had not traveled abroad during...

		Clinical Gastroenterology and Hepatology
		中文标题: 隐球菌性胃十二指肠炎：一种罕见的病灶部位
		英文标题: Cryptococcal Gastroduodenitis: A Rare Location of the Disease
		作者: MARC GIRARDIN, VINCENT GRELOZ, ANTOINE HADENGUE
		全文: A 26-year-old woman originating from Zambia presented at the emergency room with a 3-week history of epigastric abdominal pain and biliary vomiting. She returned from Zambia 3 weeks earlier. She had c...

		Clinical Gastroenterology and Hepatology
		中文标题: 小肠膈肌样狭窄与巨细胞病毒感染相关
		英文标题: Diaphragm-Like Stricture of the Small Intestine Related to Cytomegalovirus Infection
		作者: TAKAHIRO SHIMIZU, HIROYUKI MARUSAWA, YUKITAKA YAMA...
		全文: A 53-year-old man was referred to our hospital for evaluation of fever, abdominal pain, diarrhea, and vomiting approximately 1 year after receiving an allogeneic bone marrow transplantation for acute...

		Clinical Gastroenterology and Hepatology
		中文标题: 经胃坏死组织清除术加胰管支架置入术治疗胰管断裂伴胰腺坏死
		英文标题: Disconnected Pancreatic Duct With Pancreas Necrosis, Treated With Transgastric Debridement and Pancreatic Duct Stent
		作者: KAPIL GUPTA, MARTIN L.FREEMAN
		全文: A 75-year-old man presented 6 weeks after onset of severe acute biliary pancreatitis with low grade fever and malaise. Computerized tomography scan demonstrated infected organized necrosis of the cent...

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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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