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Ectopic papilla of Vater in the pylorus 被引量:3
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作者 Iván Guerra Luis Ramón Rábago +2 位作者 Fernando Bermejo Elvira Quintanilla Silvia García-Garzón 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第41期5221-5223,共3页
The major papilla of Vater is usually located in the second portion of the duodenum, to the posterior medial wall. Sometimes the mouth of the biliary duct is located in other areas. Drainage of the common bile duct in... The major papilla of Vater is usually located in the second portion of the duodenum, to the posterior medial wall. Sometimes the mouth of the biliary duct is located in other areas. Drainage of the common bile duct into the pylorus is extremely rare. A 73-year old man, with a history of duodenal ulcer, was admitted to hospital with the diagnosis of cholangitis. Dilatation of the extrahepatic biliary duct was observed by abdominal ultrasonography, and endoscopic retrograde cholangiopancreatography (ERCP) was performed. No area suggesting the presence of the papilla of Vater was found within the second duodenal portion. Finally the major papilla was located in the theoretical pyloric duct. Cholangiography was performed and choledocholithiasis was found in the biliary tree. The patient underwent dilatation of the papilla with a balloon tyre and removal of a 7 mm stone using a Dormia basket, which solved the problem without further complications. This anomaly increased the difficulty of performing therapeutic interventions during ERCR This alteration in anatomy may increase the risk of complications during papillotomy, with a theoretically higher risk of perforation. Dilatation using a balloon was the chosen therapeutic technique both in our case and in the literature, due to its low rate of complications. 展开更多
关键词 Ectopic common bile duct Endoscopic dilatation Endoscopic retrograde cholangiopancreatog- raphy Papilla of Vater PAPILLOTOMY Pyloric drainage
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Planting Performance of Pennisetum purpureum Schumab cv.Purple in the Southern Region of China 被引量:1
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作者 易显凤 赖志强 +4 位作者 姚娜 蔡小艳 韦锦益 赖大伟 梁永良 《Agricultural Science & Technology》 CAS 2016年第3期667-671,共5页
[Objective] The present experiment was conducted to investigate the yield,adaptability and quality characteristics of Pennisetum purpureum Schumach cv. Purple to provide reference for the certification and development... [Objective] The present experiment was conducted to investigate the yield,adaptability and quality characteristics of Pennisetum purpureum Schumach cv. Purple to provide reference for the certification and development of new varieties.[Method] With P. purpureum Schumab cv. Purple as experimental material, the variety comparison tests were conducted in Nanning, Lingyun, and Tiandeng in Guangxi from 2007 to 2009, and variety regional trials were conducted in Danzhou of Hainan, Fuzhou of Fujian and Zhanjiang of Guangdong from 2011 to 2013. Its comprehensive characters of plant height, hay yield, stem-leaf ratio and nutritional components were determined, and were compared with those of P. purpureum × P.americanum cv. Reyan No.4 and P. purpureum Schum cv. Guiminyin. [Result] The average height of P. purpureum Schumach cv. Purple was 706.54 cm, which was5.92% and 8.44% lower than that of P. purpureum × P. americanum cv. Reyan No.4 and P. purpureum Schum cv. Guiminyin, respectively. The average hay yield of P. purpureum Schumach cv. Purple was 32.74 t/ha in Nanning, Lingyun, and Tiandeng of Guangxi from 2007 to 2009, and 22.41 t/ha in Danzhou of Hainan, Fuzhou of Fujian and Zhanjiang of Guangdong from 2011 to 2013. Although its hay yield was lower than two control varieties, the difference was not significant(P 0.05).The stem-leaf ratio of P. purpureum Schumach cv. Purple was 0.98:1. Moreover,the analysis on the nutritional components of dry matter showed that compared with P. purpureum × P. americanum cv. Reyan No.4 and P. purpureum Schum cv.Guiminvin, the crude fiber of P. purpureum Schumab cv. Purple was decreased by4.76% and 2.78%, respectively; the neutral detergent fiber decreased by 5.07% and2.22%, respectively; the acid detergent fiber was decreased by 2.54% and 1.99%,respectively; the crude fat was increased by 64.29% and 43.75%, respectively; the calcium content was increased by 28.00% and 33.33%, respectively; the phosphorus content was increased by 9.68% and 22.73%, respectively; the total content of amino acid was increased by 43.23% and 68.41%, respectively; the anthocyanin content of leaf was increased by 400.00% and 216.90%, respectively(P 0.05).[Conclusion] P. purpureum Schumach cv. Purple is a new high-quality forage variety with wide adaptability, high yield, rich nutrient and good palatability, which is appropriate for comprehensive exploitation and application in the southern region of China. 展开更多
关键词 P.purpureum Schumab cv.Purple Plant height Hay yield Stem-leaf ratio Nutritional component Southern region of China
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《黄帝内经》中的“脏”“象”与脏象学说 被引量:15
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作者 刘玮 《中华中医药杂志》 CAS CSCD 北大核心 2020年第6期2710-2714,共5页
《黄帝内经》是一部从人的体表形象现象,研究人类的生理学、病理学、观察诊断学、治疗学,破译人类生命科学的医宗经典,是一个系统、科学、完整的脏象学说信息医学理论体系,其精髓就是脏象学说。岐伯在《移精变气论》里告诉后人,脏象学... 《黄帝内经》是一部从人的体表形象现象,研究人类的生理学、病理学、观察诊断学、治疗学,破译人类生命科学的医宗经典,是一个系统、科学、完整的脏象学说信息医学理论体系,其精髓就是脏象学说。岐伯在《移精变气论》里告诉后人,脏象学说是医家修为成"神医"的"要极、大则",在诊断治疗时要"用之不惑",如果"逆从倒行",就会"亡神失国"。在《外揣》里明确告诉后人,只要悟通了脏象学说,观察病情就如"日月之明,不失其影。水镜之察,不失其形。鼓响之应,不后其声。动摇则应和,尽得其情"。脏象学说是一个科学、规范的临床操作规程,是一种顺势思维、快速反应的观察诊断通道,所以黄帝称其为"医道"。扁鹊、医缓、医和、仓公、张仲景、华佗等就是依据这个简洁、科学、完整、系统、规范的操作规程,修为成了闻而知病和望而知病的"神医"。本文论证什么是脏象学说中的脏,什么是脏象学说中的象,什么是脏象学说,古人是用什么方法观察脏的动摇和象的应和,而"尽知其情",学医者又怎样才能在最短的时间内,修为成闻而知病和望而知病的"神医"。 展开更多
关键词 学说 五脏 十象 八变 三条道 处方库 顺势思维 黄帝内经
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《黄帝内经》脏象学说之形象学说浅解 被引量:8
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作者 王轩 郑允彬 刘玮 《中华中医药杂志》 CAS CSCD 北大核心 2021年第4期2238-2240,共3页
《黄帝内经》脏象学说的核心是从与五脏对应的天象、地象、形象、色象、神象、声象、音象、五官各象、变象、食象十象以及阴阳表里、寒热虚实八变,观察诊治疾病的一种顺势思维,快速反应的思维模式,其具有科学的系统性和完整性。文章从... 《黄帝内经》脏象学说的核心是从与五脏对应的天象、地象、形象、色象、神象、声象、音象、五官各象、变象、食象十象以及阴阳表里、寒热虚实八变,观察诊治疾病的一种顺势思维,快速反应的思维模式,其具有科学的系统性和完整性。文章从十象八变中的形象学说阐述《黄帝内经》在临床的实践性和指导性作用。 展开更多
关键词 黄帝内经 学说 学说 十象八变 治未病
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《黄帝内经》脏象学说的“天象”与“地象” 被引量:1
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作者 赵琼 王轩 +1 位作者 郑允彬 刘玮 《中华中医药杂志》 CAS CSCD 北大核心 2021年第12期6959-6962,共4页
文章通过对《黄帝内经》脏象学说"十象"中的天象、地象的定义、作用进行论述,旨在阐明天象主司病因信息的传递,从而在预防疾病与观察病因中发挥重要作用;而地象负责传递病机信息,这是一个顺势思维,以培养快速反应、观象别脏... 文章通过对《黄帝内经》脏象学说"十象"中的天象、地象的定义、作用进行论述,旨在阐明天象主司病因信息的传递,从而在预防疾病与观察病因中发挥重要作用;而地象负责传递病机信息,这是一个顺势思维,以培养快速反应、观象别脏、辨证施治的思维方式,这便是闻而知病、望而识病的基础理论。从对天象、地象的研究中可以看到,古人对因风湿寒热引发的慢性退行性疾病和慢性损伤性疾病的研究成果显著,其理论后人至今望其项背。在传染病学的研究上,对于病毒、病菌、肉眼看不到的原虫感染等因素,引发的温热病,古人认识到病气由空气传播,能以"风"解释,但对其病理却难以有足够的认知。所以,对于脏象学说中天象、地象的研究,应区别对待、理性思维,切忌深究术数。 展开更多
关键词 学说 十象八变 病因 病机
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