爱思唯尔期刊精选全文

		Clinical Gastroenterology and Hepatology
		中文标题: 壶腹部类癌：诊断难点与最新治疗方案
		英文标题: Ampullary Carcinoid: Diagnostic Challenges and Update on Management
		作者: SOMASHEKAR G.KRISHNA, LAURA W.LAMPS, RAYBURN F.REG...
		全文: A 65-year-old woman with past history of cholecystectomy presented with nonspecific abdominal pain. Physical examination was unremarkable. Laboratory evaluation was normal except for a slightly elevat...

		Clinical Gastroenterology and Hepatology
		中文标题: 固定式鼻空肠营养管
		英文标题: An Immovable Nasojejunal Feeding Tube
		作者: NANNE K.H.DE BOER, ANTON JANSEN, WILLEM A. MARSMAN
		全文: Providing adequate postoperative nutrition for patients is crucial and challenging. We describe an uncommon surgical complication of a feeding tube accidently sutured at the gastrojejunostomy site aft...

		Clinical Gastroenterology and Hepatology
		中文标题: 一种呕血的罕见表现：肝细胞癌上颌骨转移的临床表现之一
		英文标题: An Unusual Presentation of Hematemesis: A Presentation of Maxillary Metastasis From Hepatocellular Carcinoma
		作者: MING–JONG BAIR, WEI–YI LEI, CHIEN–LIN CHEN
		全文: A 52-year-old man with a past medical history of alcoholic liver cirrhosis presented with production of increasing volume of blood-stained sputum and hematemesis. Physical examination disclosed pale c...

		Clinical Gastroenterology and Hepatology
		中文标题: 亟需磁共振扫描仪：胶囊内镜的潜在危害
		英文标题: An Urgent Call to the Magnetic Resonance Scanner: Potential Dangers of Capsule Endoscopy
		作者: PHILIP A.BERRY, RAJAVENTHAN SRIRAJASKANTHAN, SIMO...
		全文: A 41-year-old woman with Crohn's disease was admitted for investigation. Three years previously she had undergone a right hemicolectomy because of intractable pain and diarrhea. Disease recurrence led...

		Clinical Gastroenterology and Hepatology
		中文标题: 复杂内镜手术下采用麻醉介导的镇静与心肺并发症：小题大做？
		英文标题: Anesthesia-Mediated Sedation for Advanced Endoscopic Procedures and Cardiopulmonary Complications: Of Mountains and Molehills
		作者: JOHN J.VARGO
		全文: Anesthesiologist-administered sedation for gastrointestinal endoscopy has become an indelible and somewhat controversial part of our practice landscape. I am not here to expound upon the pharmacoecono...

		Gastroenterology
		中文标题: CCR6对胃肠道内前变应T细胞的功能影响
		英文标题: A Functional Role for CCR6 on Proallergic T Cells in the Gastrointestinal Tract
		作者: ANA BELÉN BLÁZQUEZ, ADINA KAY KNIGHT,HOHETEBERHAN ...
		全文: BACKGROUND & AIMS: CCL20 is a chemokine that regulates the homeostatic and inflammatory trafficking of leukocytes to the small intestine and regulates the development of the gastrointestinal lymph...

		Gastroenterology
		中文标题: 自身免疫性肝炎的诊断、发病机制及治疗进展
		英文标题: Advances in the Diagnosis, Pathogenesis, and Management of Autoimmune Hepatitis
		作者: ALBERT J. CZAJA , MICHAEL P. MANNS
		全文: Autoimmune hepatitis (AIH) is characterized by chronic inflammation of the liver, interface hepatitis (based on histologic examination), hypergammaglobulinemia, and production of autoantibodies. Many...

		Gastroenterology
		中文标题: 幽门螺旋杆菌感染与食管癌发病风险降低之间的相关性与环境和遗传修饰基因无关
		英文标题: Association of Helicobacter pylori Infection With Reduced Risk for Esophageal Cancer Is Independent of Environmental and Genetic Modifiers
		作者: David C.Whiteman ,Priya Parmar, Paul Fahey, Suzann...
		全文: BACKGROUND & AIMS: Infection with Helicobacter pylori is associated with reduced risk of esophageal adenocarcinoma (EAC), but it is not clear whether this reduction is modified by genotype, other...

		Gastroenterology
		中文标题: 脱-γ-羧基凝血酶原和甲胎蛋白作为肝细胞癌早期检测的生物标志物
		英文标题: Des-γ-Carboxy Prothrombin and α-Fetoprotein as Biomarkers for the Early Detection of Hepatocellular Carcinoma
		作者: Anna S.Lok ,Richard K.Sterling , James E. Everhart...
		全文: BACKGROUND & AIMS: The outcome of patients with hepatocellular carcinoma (HCC) remains poor because of late diagnosis. The aim of this study was to compare the accuracy of _-fetoprotein (AFP) and...

		American Heart Journal
		中文标题: 小剂量n-3脂肪酸对4,837例心肌梗死后患者心血管疾病的影响：Alpha Omega试验设计和基线...
		英文标题: Effect of low doses of n-3 fatty acids on cardiovascular diseases in 4,837 post-myocardial infarction patients: Design and baseline characteristics of...
		作者: Johanna M.Geleijnse, Erik J.Giltay, Evert G. Schou...
		全文: Background :Weekly fish consumption has been related to a lower risk of fatal coronary heart disease (CHD) and incident stroke in populations with a low fish intake. This relation has mainly been attr...

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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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