爱思唯尔期刊精选全文

		American Journal of Medicine
		中文标题: 抑郁与偶发性糖尿病足溃疡：一项前瞻性队列研究
		英文标题: Depression and Incident Diabetic Foot Ulcers: A Prospective Cohort Study
		作者: Lisa H.Williams,Carolyn M.Rutter,Wayne J. Katon,Ga...
		全文: OBJECTIVE: To test whether depression is associated with an increased risk of incident diabetic foot ulcers. METHODS: The Pathways Epidemiologic Study is a population-based prospective cohort study of...

		American Journal of Medicine
		中文标题: 银屑病患者的冠心病和卒中风险：回顾性分析
		英文标题: Coronary Heart Disease and Stroke Risk in Patients with Psoriasis: Retrospective Analysis
		作者: Alexa Boer Kimball,Annie Guerin, Dominick Latremou...
		全文: BACKGROUND: Past studies suggest an association between psoriasis and the risk of developing coronary heart disease. The objectives of this study were to estimate the 10-year risks of coronary heart d...

		American Journal of Medicine
		中文标题: 当代急性心肌梗死循证治疗的趋势
		英文标题: Contemporary Trends in Evidence-based Treatment for Acute Myocardial Infarction
		作者: Marco Fornasini,Jorge Yarzebski,David Chiriboga,Da...
		全文: BACKGROUND: Guidelines for the management of patients with acute myocardial infarction recommend the routine use of 4 effective cardiac medications: angiotensin-converting enzyme inhibitors, aspirin,...

		American Journal of Medicine
		中文标题: 超高龄高血压性冠心病患者的血压与结局：INVEST亚研究
		英文标题: Blood Pressure and Outcomes in Very Old Hypertensive Coronary Artery Disease Patients: An INVEST Substudy
		作者: Scott J. Denardo, Yan Gong, PhD Wilmer W. Nichols,...
		全文: BACKGROUND: Our understanding of the growing population of very old patients (aged _80 years) with coronary artery disease and hypertension is limited, particularly the relationship between blood pres...

		American Journal of Medicine
		中文标题: 房颤患者应该根据其卒中风险来接受华法林的治疗吗？
		英文标题: Are Atrial Fibrillation Patients Receiving Warfarin in Accordance with Stroke Risk?
		作者: Peter J.Zimetbaum, Amit Thosani, Hsing-Ting Yu,Yan...
		全文: BACKGROUND: Clinical guidelines for the management of atrial fibrillation and atrial flutter provide recommendations for anticoagulation based on patients’ overall risk of stroke. To determine the rea...

		American Journal of Medicine
		中文标题: 加拿大安大略省刚开始接受治疗的高血压老年患者降压药的持续使用情况及依从性
		英文标题: Antihypertensive Drug Persistence and Compliance Among Newly Treated Elderly Hypertensives in Ontario
		作者: Oded Friedman, Finlay A.McAlister, Lingsong Yun, N...
		全文: BACKGROUND: Poor medication-taking behaviors are important considerations in the management of hypertension. METHODS: We conducted a retrospective cohort study addressing antihypertensive drug persist...

		American Journal of Medicine
		中文标题: 男性使用镇痛剂与听力丧失风险相关
		英文标题: Analgesic Use and the Risk of Hearing Loss in Men
		作者: Sharon G.Curhan,Roland Eavey, Josef Shargorodsky,...
		全文: BACKGROUND: Hearing loss is a common sensory disorder, yet prospective data on potentially modifiable risk factors are limited. Regularly used analgesics, the most commonly used drugs in the US, may b...

		American Journal of Medicine
		中文标题: 心脏自主神经功能改变可能见于代谢综合征患者出现胰岛素抵抗之前
		英文标题: Altered Cardiac Autonomic Function May Precede Insulin Resistance in Metabolic Syndrome
		作者: Chih-Jen Chang, Yi-Ching Yang, Feng-Hwa Lu,Thy-She...
		全文: BACKGROUND: Previous studies on the change of cardiac autonomic function and insulin resistance in metabolic syndrome recruited subjects with cardiovascular-related disease and defined metabolic abnor...

		American Journal of Medicine
		中文标题: 肺炎住院患者中入院低血糖与死亡率增加相关
		英文标题: Admission Hypoglycemia and Increased Mortality in Patients Hospitalized with Pneumonia
		作者: John-Michael Gamble, Dean T. Eurich, Thomas J. Mar...
		全文: BACKGROUND: The relationship between spontaneous admission hypoglycemia and mortality in patients hospitalized with community-acquired pneumonia is unclear. METHODS: From 2000 to 2002, clinical data w...

		Gastroenterology
		中文标题: 胶囊内镜能否改善不明原因消化道出血的结局？随机试验与专用小肠造影
		英文标题: Does Capsule Endoscopy Improve Outcomes in Obscure Gastrointestinal Bleeding? Randomized Trial Versus Dedicated Small Bowel Radiography
		作者: Loren Laine , Amandeep Sahota, Abbid Shah
		全文: BACKGROUND & AIMS: Capsule endoscopy improves the diagnostic yield in patients with obscure gastrointestinal (GI) bleeding, but whether it improves outcomes is uncertain. METHODS: Patients with ob...

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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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