爱思唯尔期刊精选全文

		Journal of Cardiac Failure
		中文标题: 在明确诊断为心力衰竭的患者中通过数字体重秤结合生物电阻抗分析仪评估体液状态的新型监测方法
		英文标题: A New Monitoring Method for the Estimation of Body Fluid Status by Digital Weight Scale Incorporating Bioelectrical Impedance Analyzer in Definite Hea...
		作者: Hajime Kataoka MD
		全文: Background This pilot study examined the feasibility of monitoring changes in body weight and body-fat percentage (BF%) using commercially available digital weight scale incorporating bioelectrical...

		American Heart Journal
		中文标题: 心房纤颤导管消融与抗心律失常药物治疗后的死亡率比较：一项对随机试验的荟萃分析
		英文标题: Mortality after catheter ablation for atrial fibrillation compared with antiarrhythmic drug therapy. A meta-analysis of randomized trials
		作者: Nikolaos Dagres MD, Christos Varounis MD, Panayota...
		全文: Introduction Nonrandomized studies suggest a survival benefit for patients with atrial fibrillation (AF) undergoing catheter ablation compared with antiarrhythmic drug (AAD) therapy. Data from random...

		American Journal of Cardiology
		中文标题: ST段抬高型心肌梗死患者住院前应用比伐卢定的可行性及安全性
		英文标题: Feasibility and Safety of Prehospital Administration of Bivalirudin in Patients With ST-Elevation Myocardial Infarction
		作者: Maria Sejersten MD, Søren Loumann Nielsen MD, Thom...
		全文: The selective thrombin inhibitor bivalirudin with a provisional glycoprotein IIb/IIIa inhibitor (GPI) has been shown to be comparable to heparin plus GPI in the rates of ischemic events but to signifi...

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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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