爱思唯尔期刊精选全文

		Free Radical Biology and Medicine
		中文标题: 四氢生物蝶呤、过氧化物和血管功能紊乱
		英文标题: Tetrahydrobiopterin, superoxide, and vascular dysfunction
		作者: Jeannette Vásquez-Vivar
		全文: (6R)-5,6,7,8-Tetrahydrobiopterin (BH4) is an endogenously produced pterin that is found widely distributed in mammalian tissues. BH4 works as a cofactor of aromatic amino acid hydroxylases and nitri...

		Journal of Cardiac Failure
		中文标题: 急性心衰入院患者病情的早期恶化：时程，血液动力学预测因素和结果
		英文标题: Early Worsening Heart Failure in Patients Admitted for Acute Heart Failure: Time Course, Hemodynamic Predictors, and Outcome
		作者: Guillermo Torre-Amione MD, Olga Milo-Cotter MD, Ed...
		全文: Background The most common outcome currently assessed in acute heart failure trials (AHF) is dyspnea improvement. Worsening hear failure (WHF) is a new outcome measure that incorporates failure to...

		American Journal of Cardiology
		中文标题: 亚洲队列研究中主动脉缩窄外科术后或球囊成形术后发生的晚期心血管并发症
		英文标题: Late Cardiovascular Complications After Surgical or Balloon Angioplasty of Coarctation of Aorta in an Asian Cohort
		作者: Hsin-Hui Chiu MD, Shuenn-Nan Chiu MD, Fu-Chang Hu ...
		全文: Late cardiovascular complications after intervention for coarctation of the aorta (CoA) might be common. Such data, especially in Asian populations, are still limited. A total of 169 patients with CoA...

		Seminars in Perinatology
		中文标题: 早产的预测：子宫颈超声检查
		英文标题: Prediction of Preterm Birth: Cervical Sonography
		作者: Maria Teresa Mella MD and Vincenzo Berghella MD
		全文: The cervix has to open to allow vaginal birth. Ultrasound has now shown that this lower part of the uterus begins to show changes weeks before eventual birth. Only transvaginal ultrasound should be...

		Heart and Lung
		中文标题: 老年人肺炎支原体社区活动性肺炎(CAP)：急性血小板增多诊断的意义
		英文标题: Mycoplasma pneumoniae community-acquired pneumonia (CAP) in the elderly: Diagnostic significance of acute thrombocytosis
		作者: Burke A. Cunha MD and Francisco M. Pherez MD
		全文: The most common cause of nonzoonotic atypical community-acquired pneumonia (CAP) is Mycoplasma pneumoniae. M. pneumoniae CAP is most common in young adults but may occur at any age. Like other atypi...

		Contraception
		中文标题: 口服避孕药与乳腺癌家族史
		英文标题: Oral contraceptives and family history of breast cancerstar, open
		作者: Mary E. Gaffield, Kelly R. Culwell and Anita Ravi
		全文: Background Questions remain regarding whether oral contraceptive (OC) use among women with a family history of breast cancer increases disease risk. Study Design We conducted a systematic revie...

		Gynecologic Oncology
		中文标题: 淋巴结阳性的子宫内膜腺癌：使用或不用外照射的结局和复发模式
		英文标题: Node-positive adenocarcinoma of the endometrium: Outcome and patterns of recurrence with and without external beam irradiation
		作者: Ann H. Klopp, Anuja Jhingran, Lois Ramondetta, Kar...
		全文: Objective To evaluate treatment outcomes and patterns of recurrence in patients with node-positive (International Federation of Obstetrics and Gynecology stage IIIC) adenocarcinoma of the uterus...

		American Journal of Obstetrics and Gynecology
		中文标题: 未足月胎膜早破且胎儿濒临死亡时的处理
		英文标题: The management of preterm premature rupture of the membranes near the limit of fetal viability
		作者: Thaddeus P. Waters MD and Brian M. Mercer MD
		全文: Preterm premature rupture of the membranes near the limit of fetal viability is an uncommon complication of pregnancy, affecting approximately 4 in 1000 gravidas. However, maternal, fetal, and neona...

		Frontiers in Neuroendocrinology
		中文标题: 大鼠和小鼠对社会信息处理的神经内分泌学机制
		英文标题: Neuroendocrinology of social information processing in rats and mice
		作者: Elena Choleris, Amy E. Clipperton-Allen, Anna Phan...
		全文: We reviewed oxytocin (OT), arginine–vasopressin (AVP) and gonadal hormone involvement in various modes of social information processing in mice and rats. Gonadal hormones regulate OT and AVP media...

		Translational Research
		中文标题: 肺活量测定在慢性阻塞性肺病诊断中的使用及改善护理质量的措施
		英文标题: Use of spirometry in the diagnosis of chronic obstructive pulmonary disease and efforts to improve quality of care
		作者: Min J. Joo, David H. Au and Todd A. Lee
		全文: Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation that is not fully reversible. In a patient presenting with respiratory symptoms and risk factors, the recommendati...

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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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