爱思唯尔期刊精选全文

		American Journal of Obstetrics and Gynecology
		中文标题: 目前间质部妊娠的诊断与治疗
		英文标题: Current diagnosis and treatment of interstitial pregnancy
		作者: Nash S. Moawad MD, Sangeeta T. Mahajan MD, Michell...
		全文: The incidence of interstitial pregnancy is rising. Traditional treatment with laparotomy, hysterectomy, or cornual wedge resection is associated with high morbidity and detrimental effects on future f...

		Frontiers in Neuroendocrinology
		中文标题: 能量平衡的神经内分泌学和神经科学
		英文标题: The neuroendocrinology and neuroscience of energy balance
		作者: Martin G. Myers Jr and Richard B. Simerly
		全文: Article Outline Acknowledgements References The past 15 years has witnessed unprecedented growth in our understanding of the neural and neuroendocrine systems that regulate energy homeost...

		American Journal of Medicine
		中文标题: 易碎斑块与病人：加强对未来冠状动脉事件的预测
		英文标题: Vulnerable Plaques and Patients: Improving Prediction of Future Coronary Events
		作者: John A. Ambrose MD and Sundararajan Srikanth MD
		全文: Heart disease remains the leading cause of mortality in the United States despite recent reductions in the death rate. Complications of coronary artery disease and its sequelae are the most common m...

		Free Radical Biology and Medicine
		中文标题: 在胎儿和新生儿中，异前列腺素对健康和疾病的影响
		英文标题: Isoprostanes in fetal and neonatal health and disease
		作者: Jaques Belik, Gema E. González-Luis, Francisco Per...
		全文: Isoprostanes are prostaglandin-like bioactive molecules generated via nonenzymatic peroxidation of lipid membrane-derived arachidonic acid by free radicals and reactive oxygen species. Their cognate...

		Free Radical Biology and Medicine
		中文标题: 氧化应激和谷胱甘肽在TGF-β介导的纤维生成中的作用
		英文标题: Oxidative stress and glutathione in TGF-β-mediated fibrogenesis
		作者: R.-M. Liu and K.A. Gaston Pravia
		全文: Transforming growth factor β (TGF-β) is the most potent and ubiquitous profibrogenic cytokine, and its expression is increased in almost all the fibrotic diseases and in experimental fibrosis models...

		Journal of Cardiac Failure
		中文标题: 急性失代偿心衰患者血清中中性粒细胞明胶酶相关载脂蛋白(NGAL)水平对肾功能恶化的预测作用
		英文标题: Serum Neutrophil Gelatinase-Associated Lipocalin (NGAL) in Predicting Worsening Renal Function in Acute Decompensated Heart Failure
		作者: Arash Aghel MD, Kevin Shrestha AB, Wilfried Mullen...
		全文: Background The development of worsening renal function (WRF, defined as creatinine rise ≥0.3 mg/dL) occurs frequently in the setting of acute decompensated heart failure (ADHF) and strongly pr...

		Journal of Cardiac Failure
		中文标题: 运动后心率恢复情况可以独立预测慢性心衰病人的病死率风险
		英文标题: Post-Exercise Heart Rate Recovery Independently Predicts Mortality Risk in Patients With Chronic Heart Failure
		作者: Yi-Da Tang MD, PhD, Thomas A. Dewland MD, Detlef W...
		全文: Background Post-exercise heart rate recovery (HRR) is an index of parasympathetic function associated with clinical outcomes in populations with and without documented coronary heart disease. Decre...

		American Heart Journal
		中文标题: 在社区中猝死的病因：解剖、代谢和遗传学评估结果
		英文标题: Etiology of sudden death in the community: Results of anatomical, metabolic, and genetic evaluation
		作者: A. Selcuk Adabag MD, MS, Garry Peterson MD, JD, Fr...
		全文: Background Identifying persons at risk for sudden cardiac death (SCD) is challenging. A comprehensive evaluation may reveal clues about the clinical, anatomical, genetic, and metabolic risk factors f...

		American Heart Journal
		中文标题: 对二尖瓣功能性解剖的当代见解
		英文标题: Contemporary insights into the functional anatomy of the mitral valve
		作者: Jeffrey J. Silbiger MD and Raveen Bazaz MD
		全文: The mitral valve is a highly complex structure the normal functioning of which requires the coordinated interaction of the leaflets, annulus, chordae tendineae, and papillary muscles. Perturbations of...

		American Journal of Cardiology
		中文标题: 冠状动脉旁路移植术后使用中性粒细胞与淋巴细胞之比作为房颤的预测因子
		英文标题: Usefulness of Neutrophil/Lymphocyte Ratio As Predictor of New-Onset Atrial Fibrillation After Coronary Artery Bypass Grafting
		作者: Patrick H. Gibson BMBCh, Brian H. Cuthbertson MBCh...
		全文: The neutrophil/lymphocyte (N/L) ratio integrates information on the inflammatory milieu and physiologic stress. It is an emerging marker of prognosis in patients with cardiovascular disease. We invest...

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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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