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小儿体外循环中的脑保护 被引量:2
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作者 Xiaowei W. Su Feng Qiu Akif tindar 《中国体外循环杂志》 2011年第1期40-47,共8页
手术技术和术后监护的进步已经大大降低了小儿先天性心脏病(先心病)手术的死亡率,并改善了患儿的长期预后。最近的研究显示[1],尽管病例的复杂性有所提高,但术后的院内死亡率低于3%,而且一项大样本社会心理学研究显示,在儿童时期接受... 手术技术和术后监护的进步已经大大降低了小儿先天性心脏病(先心病)手术的死亡率,并改善了患儿的长期预后。最近的研究显示[1],尽管病例的复杂性有所提高,但术后的院内死亡率低于3%,而且一项大样本社会心理学研究显示,在儿童时期接受过先心病纠治手术的成年人能够较好的适应社会。 展开更多
关键词 体外循环 小儿 脑保护
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Radiographical findings in patients with liver cirrhosis and hepatic encephalopathy
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作者 Saleh Elwir Hassan Hal +3 位作者 Joshua Veith Ian Schreibman Zakiyah Kadry Thomas Riley 《Gastroenterology Report》 SCIE EI 2016年第3期221-225,I0002,共6页
Background and aims:Hepatic encephalopathy is a common complication encountered in patients with liver cirrhosis.Hepatic encephalopathy is not reflected in the current liver transplant allocation system.Correlation wa... Background and aims:Hepatic encephalopathy is a common complication encountered in patients with liver cirrhosis.Hepatic encephalopathy is not reflected in the current liver transplant allocation system.Correlation was sought between hepatic encephalopathy with findings detected on radiographic imaging studies and the patient’s clinical profile.Methods:A retrospective analysis was conducted of patients with cirrhosis,who presented for liver transplant evaluation in 2009 and 2010.Patients with hepatocellular carcinoma,ejection fraction less than 60%and who had a TIPS(transjugular intrahepatic portosystemic shunting)procedure or who did not complete the evaluation were excluded.Statistical analysis was performed and variables found to be significant on univariate analysis(P<0.05)were analysed by a multivariate logistic regression model.Results:A total of 117 patients met the inclusion criteria and were divided into a hepatic encephalopathy group(n=58)and a control group(n=59).Univariate analysis found that a smaller portal vein diameter,smaller liver antero-posterior diameter,liver nodularity and use of diuretics or centrally acting medications showed significant correlation with hepatic encephalopathy.This association was confirmed for smaller portal vein,use of diuretics and centrally acting medications in the multivariate analysis.Conclusion:A decrease in portal vein diameter was associated with increased risk of encephalopathy.Identifying patients with smaller portal vein diameter may warrant screening for encephalopathy by more advanced psychometric testing,and more aggressive control of constipation and other factors that may precipitate encephalopathy. 展开更多
关键词 hepatic encephalopathy CIRRHOSIS portal vein diameter computed tomography(CT)
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