爱思唯尔期刊精选全文

		American Heart Journal
		中文标题: 根据基线肌钙蛋白水平和90分钟ST段回落幅度及早进行动态风险分层以预测ST段抬高心肌梗死患者的30天...
		英文标题: Early dynamic risk stratification with baseline troponin levels and 90-minute ST-segment resolution to predict 30-day cardiovascular mortality in ST-s...
		作者: Matthew W.Sherwood, David A.Morrow, Benjamin M.Sci...
		全文: Background :Troponin is the preferred biomarker for risk stratification in non-ST elevation ACS. The incremental prognostic use of the initial magnitude of troponin elevation and its value in conjunct...

		American Heart Journal
		中文标题: 因心衰住院的Medicare受益人中肾功能恶化与30天结局之间的相关性
		英文标题: Associations between worsening renal function and 30-day outcomes among Medicare beneficiaries hospitalized with heart failure
		作者: Uptal D.Patel, Melissa A.Greiner, Gregg C. Fonarow...
		全文: Background :Kidney disease is common among patients with heart failure, but relationships between worsening renal function (WRF) and outcomes after hospitalization for heart failure are poorly underst...

		American Heart Journal
		中文标题: 比较双室与右室抗心动过速起搏用于接受心脏再同步化治疗的患者以终止室性快速型心律失常：ADVANCE ...
		英文标题: BIVentricular versus right ventricular antitachycardia pacing to terminate ventricular tachyarrhythmias in patients receiving cardiac resynchronizatio...
		作者: Maurizio Gasparini, Fre´de´ric Anselme, Jacques Cl...
		全文: Background This multicenter, prospective, randomized, controlled, parallel trial compares the efficacy of biventricular (BIV) versus right ventricular (RV) antitachycardia pacing (ATP) in terminating...

		American Heart Journal
		中文标题: 缩小抗血小板治疗临床试验与老年患者实际应用之间的差距
		英文标题: Bridging the gap between clinical trials of antiplatelet therapies and applications among elderly patients
		作者: Harold L.Dauerman, Deepak L.Bhatt, Daniel D. Gretl...
		全文: Although patients aged ≥75 years represent nearly 40% of all those hospitalized with acute coronary syndromes, their enrollment in trials of therapeutic interventions has been relatively modest. Thus,...

		American Heart Journal
		中文标题: 因心衰加重和左室射血分数减少而住院的患者中死亡和再住院的原因：抗利尿激素拮抗剂替伐普坦对心衰结局影响...
		英文标题: Causes of death and rehospitalization in patients hospitalized with worsening heart failure and reduced left ventricular ejection fraction: Results fr...
		作者: Christopher M.O'Connor, Alan B.Miller, John E. A.B...
		全文: Background :The postdischarge rehospitalization and death rates are high in patients with acute heart failure (HF) syndromes despite optimization of standard therapy for chronic HF. To the best of our...

		American Heart Journal
		中文标题: 不明原因的卒中与潜在房颤(CRYSTAL AF)：设计与原理
		英文标题: Cryptogenic Stroke and underlying Atrial Fibrillation (CRYSTAL AF): Design and rationale
		作者: Anil-Martin Sinha, Hans-Christoph Diener, Carlos A...
		全文: Background Patients with atrial fibrillation (AF) are at increased risk for ischemic stroke. In patients who have suffered a stroke, screening for AF is routinely performed only for a short period aft...

		American Heart Journal
		中文标题: 推迟纤维蛋白溶解的时间作为急性ST段抬高心肌梗死患者的首要再灌注治疗
		英文标题: Delays in fibrinolysis as primary reperfusion therapy for acute ST-segment elevation myocardial infarction
		作者: Seth W.Glickman, Charles B.Cairns, Anita Y. Chen, ...
		全文: Background :In contemporary practice, the degree to which fibrinolytic therapy is administered in a timely fashion for ST-segment elevation myocardial infarction (STEMI) and its association with outco...

		American Heart Journal
		中文标题: 根据B型钠尿肽前体水平定制慢性心衰门诊患者的治疗方案(PROTECT)研究的设计与方法
		英文标题: Design and methods of the Pro-B Type Natriuretic Peptide Outpatient Tailored Chronic Heart Failure Therapy (PROTECT) Study
		作者: Anju Bhardwaj, Shafiq U.Rehman, Asim Mohammed, Aa...
		全文: Background :Serial measurements of N-terminal pro-B type natriuretic peptide (NT-proBNP) provide prognostic information in patients with chronic heart failure (HF). Changes in NT-proBNP concentrations...

		American Heart Journal
		中文标题: 老年心衰患者住院后的利尿剂用量与远期结局
		英文标题: Diuretic dose and long-term outcomes in elderly patients with heart failure after hospitalization
		作者: Husam M.Abdel-Qadir, Jack V.Tu, Lingsong Yun, Pete...
		全文: Background: The array of outcomes according to longitudinal furosemide doses in heart failure (HF) have not been evaluated. We examined the relationship of dynamic furosemide dose with mortality and h...

		American Heart Journal
		中文标题: 使用阿司匹林是否会对接受了血管紧张素转换酶抑制剂或血管紧张素受体阻滞剂的住院患者出院后的中期结局产生...
		英文标题: Does aspirin use adversely influence intermediate-term postdischarge outcomes for hospitalized patients who are treated with angiotensin-converting en...
		作者: Phillip D.Levy, Deepa Nandyal, Robert D.Welch, Jie...
		全文: Background: Conflicting data exist regarding a potential deleterious association between aspirin (ASA) and angiotensin-converting enzyme inhibitors (ACEIs) when used concurrently in patients with hear...

末页

全部学科

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。

更多>>>

医学数据库