爱思唯尔期刊精选全文

		Gynecologic Oncology
		中文标题: 腺癌：一种特殊的宫颈癌
		英文标题: Adenocarcinoma: A unique cervical cancer
		作者: Lilian T. Gien, Marie-Claude Beauchemin and Gillia...
		全文: Adenocarcinoma of the cervix constitutes only approximately 20% of all cervical carcinomas; therefore, specific Level 1 evidence to guide patient management is lacking. Most trials have included thi...

		Contraception
		中文标题: 米非司酮：十年历程
		英文标题: Mifepristone: ten years later
		作者: Eric A. Schaff
		全文: While pregnant women have sought abortifacients for thousands of years, they had no success at finding one that both worked and did not jeopardize their lives in the process. The discovery of mifepr...

		American Journal of Obstetrics and Gynecology
		中文标题: 怀孕期间接种流感疫苗的安全性
		英文标题: Safety of influenza vaccination during pregnancy
		作者: Pranita D. Tamma MD, Kevin A. Ault MD, Carlos del ...
		全文: The Centers for Disease Control and Prevention Advisory Committee on Immunization Practices recommends routine influenza vaccination for all women who are or will be pregnant during the influenza seas...

		Heart and Lung
		中文标题: 冠心病病人健康生活方式自我管理干预措施的开发
		英文标题: Development of a health-related lifestyle self-management intervention for patients with coronary heart disease
		作者: Ritin Santiago Fernandez PhD, MN, RN, Patricia Dav...
		全文: Risk-factor modification after an acute coronary event is imperative, and intervention strategies are continuously being developed to assist patients with behavioral change and, consequently, decreasi...

		Translational Research
		中文标题: 干细胞治疗急性心肌梗死：临床试验回顾
		英文标题: Stem cell therapy in acute myocardial infarction: a review of clinical trials
		作者: Jon C. George
		全文: Stem cells (SCs) possess the ability to differentiate into cells of various tissues. Although the differentiation of SCs into functional cardiomyocytes has been difficult to demonstrate in humans, cli...

		American Journal of Medicine
		中文标题: 静脉血栓栓塞预防：争议与观点
		英文标题: Venous Thromboembolism Prophylaxis in the Medical Patient: Controversies and Perspectives
		作者: Alex C. Spyropoulos MD, FACP, FCCP, FRCP(C), and ...
		全文: Despite the high morbidity and mortality associated with venous thromboembolism in hospitalized at-risk medical patients, the publication of large-scale studies showing that prophylaxis is effective...

		American Journal of Cardiology
		中文标题: 比较糖尿病病人使用西罗莫司或紫杉醇药物洗脱支架的5项随机临床试验的荟萃分析
		英文标题: Meta-Analysis of Five Randomized Clinical Trials Comparing Sirolimus- Versus Paclitaxel-Eluting Stents in Patients With Diabetes Mellitus
		作者: Feng Zhang MD, Lili Dong MD and Junbo Ge MD
		全文: Recent data on drug-eluting stents have shown improved clinical outcomes in patients with diabetes mellitus. However, the relative efficacy and safety of sirolimus-eluting stents (SES) compared with p...

		American Journal of Cardiology
		中文标题: 房颤病人体重指数与左心房血栓形成的风险
		英文标题: Body Mass Index and Risk of Left Atrial Thrombus in Patients With Atrial Fibrillation
		作者: Ri-Bo Tang MD, Xiao-Hui Liu MD, Jérôme Kalifa MD, ...
		全文: This study sought to assess the impact of body mass index (BMI) on the risk of left atrial (LA)/left atrial appendage (LAA) thrombus in patients with atrial fibrillation (AF) before catheter ablation....

		Contraception
		中文标题: 每日连续服用左旋诺孕酮/炔雌醇与21天周期性服用左旋诺孕酮/炔雌醇的比较：在一项随机、开放标记试验中...
		英文标题: Continuous, daily levonorgestrel/ethinyl estradiol vs. 21-day, cyclic levonorgestrel/ethinyl estradiol: efficacy, safety and bleeding in a randomized,...
		作者: Alexander Teichmann, Dan Apter, Janusz Emerich, Kl...
		全文: Background This Phase 3, randomized, open-label, multicenter study conducted at 44 sites in Europe evaluated the safety and efficacy of a continuous, daily regimen of levonorgestrel (LNG) 90 mcg/...

		Seminars in Perinatology
		中文标题: 涉及婴儿的研究的伦理学问题
		英文标题: Ethical Issues in Research Involving Infants
		作者: Douglas S. Diekema MD, MPH
		全文: The future health of infants and children is dependent on the performance of clinical research in which infants participate. Achieving a proper balance between this social good and the obligation to...

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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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