国际医学资讯

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妇女健康行动：有关三大癌症发病率的最新研究结果
Women’s Health Initiative: New Findings on Big-Three Cancer ...

2010-12-13

单切口腹腔镜结肠切除术的收益不止美容一项
Single-Incision Laparoscopic Colectomy Offers Benefits Beyon...

2010-12-08

低剂量阿司匹林治疗对免疫化学法粪便隐血试验结果无干扰
Low-Dose Aspirin Therapy Doesn’t Compromise iFOBT Results

2010-12-07

低剂量阿司匹林可使癌症死亡率降低30%~40%
Low-Dose Aspirin Cuts Cancer Death Rate by 30%-40%

2010-12-06

应用替米夫定治疗乙肝孕妇安全、有效
Telbivudine for Hep B in Pregnancy Appears Safe, Improves Ou...

2010-12-03

利那洛肽改善便秘型肠易激综合征症状
Linaclotide Improves Symptoms in IBS With Constipation

2010-12-03

172

FDA专家组支持降低减肥手术的BMI标准
U.S. Panel Supports Lowering BMI Criterion for Obesity Surge...

2010-12-03

食道穿孔非手术治疗比例提高
Nonsurgical Approaches to Esophageal Perforation Are Rising

2010-12-02

幽门螺旋杆菌感染、慢性胃炎似乎可预防Barrett食管化生
H. pylori, Chronic Gastritis Appear Protective Against Barre...

2010-12-01

免疫球蛋白不能提高乙肝疫苗对受感染母亲的新生儿的保护作用
Immunoglobulin Doesn’t Boost HBV Vaccine Prophylaxis in Newb...

2010-12-01

EMA加大信息透明度，将公开所有不良反应资料
EMA Prepares for Data-Request Blitz; All Adverse Reaction In...

2010-11-22

123

广泛筛查Lynch综合征经济有效
Wide Screening for Lynch Syndrome Seen as Cost Effective

2010-11-19

联用阿霉素加索拉非尼可延长晚期肝细胞癌患者生存时间
Doxorubicin Plus Sorafenib Ups Survival in Advanced Hepatoce...

2010-11-16

152

新型艰难梭菌在欧洲呈现上升势头
New C. difficile Types Make Headway in Europe

2010-11-15

试验性诺瓦克病毒(Norovirus)疫苗可以预防急性胃炎的...
Experimental Norovirus Vaccine Protects Against Acute Gastri...

2010-11-12

III期试验结果：Telaprevir和Boceprevir...
Phase III Results: Telaprevir, Boceprevir Improve HCV Cure R...

2010-11-11

143

肥胖与复发性腺瘤风险增加相关
Obesity Linked to Increased Risk for Recurrent Adenomas

2010-11-11

体重降低过快可能导致特定疾病发生
Rapid Weight Loss May Trigger Risk for Certain Ailments

2010-11-10

联用PPI和抗血小板药物仅适用于部分病例
Combining PPIs With Antiplatelet Drugs ‘Appropriate’ in Some...

2010-11-08

质子泵抑制剂的应用与艰难梭菌相关腹泻风险增加80%有关
Proton Pump Inhibitor Use Tied to 80% Increase in Clostridiu...

2010-11-05

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Lomitapide：一种新型超级降脂药
Lomitapide: A Novel Super-Potent Lipid-Lowering Drug

2009-12-07

1648

早期根治幽门螺杆菌可预防胃癌
Early Eradication of H. pylori Protects Against Gastric Canc...

2009-11-10

1221

增加当前乙肝治疗的成功率
Optimizing Success Rates With Current Hepatitis B Therapy

2010-05-21

1102

经阴道的胆囊切除术前景光明
Transvaginal Gall Bladder Removal Shows Promising Results

2009-06-24

1099

视频记录可提高结肠镜检查质量
Video Recording Associated With Improved Colonoscopy Quality

2009-12-03

982

维生素E、吡格列酮可改善非酒精性脂肪肝炎
Vitamin E, Pioglitazone May Improve Nonalcoholic Steatohepat...

2010-04-28

838

可近乎100%发现非酒精性脂肪性肝病患者罹患肝癌的筛查组合
Screening Combo Identifies Cancer in NAFLD Patients

2010-05-03

760

依立替康延长进展期转移性胃癌病人的生存期
Irinotecan Prolongs Survival in Progressive Metastatic Gastr...

2009-10-05

760

免疫检测可检出早期胰腺癌
Immunoassay Identifies Early-Stage Pancreatic Cancer

2010-01-21

746

《柳叶刀》撤消一篇有关疫苗与广泛性发育障碍的文章
Lancet Withdraws Article on Vaccines and Pervasive Developme...

2010-02-02

697

多排螺旋CT可显示胃肠穿孔的部位和原因
Multidetector CT Reveals Site and Cause of GI Tract Perforat...

2009-11-17

684

FDA警告使用质子泵抑制剂有骨折风险
FDA Warns on Fracture Risks With Proton Pump Inhibitors

2010-05-25

683

社区获得性艰难梭菌感染可表现为急腹症
Community-Acquired C. difficile Can Present as Acute Abdomen

2009-08-25

675

首个旨在顺利过渡到基层医护服务的NCCN肿瘤存活患者指南
First-Ever NCCN Cancer Survivor Guidelines Aim to Smooth Tra...

2009-04-02

649

茶碱和4倍剂量试验成为年度最受关注的哮喘研究
Theophylline, Quadruple Dosing Mark Year’s Top Asthma Studie...

2010-04-15

620

应用结肠胶囊内镜检查结肠病变的敏感性相对较低
Colon Capsule Endoscopy Shows Relatively Low Sensitivity

2009-07-15

593

研究发现，减肥手术可降低癌症死亡率
Bariatric Surgery Found Linked to Lower Rate of Cancer Death...

2009-08-28

579

胃旁路术后吻合口溃疡的发生与幽门螺杆菌感染无关
Don’t Blame H. pylori for Marginal Ulcers After Gastric Bypa...

2009-08-07

569

CROSS试验显示，新辅助化放疗对食管癌疗效最佳
CROSS Trial Puts Neoadjuvant Chemoradiation on Top in Esopha...

2010-06-17

566

新装置的问世使胃食管反流病的治疗有了更多选择
New Device Adds to Treatment Options for Gastroesophageal Re...

2010-03-29

560

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经阴道的胆囊切除术前景光明
Transvaginal Gall Bladder Removal Shows Promising Results

2009-06-24

1099

维生素E、吡格列酮可改善非酒精性脂肪肝炎
Vitamin E, Pioglitazone May Improve Nonalcoholic Steatohepat...

2010-04-28

838

西罗莫司可延长肝癌患者肝移植术后的生存时间
Sirolimus May Improve Survival After Transplant for Liver Ca...

2010-04-29

270

可近乎100%发现非酒精性脂肪性肝病患者罹患肝癌的筛查组合
Screening Combo Identifies Cancer in NAFLD Patients

2010-05-03

760

立体定向放射手术可以改善胰腺癌患者的治疗前景
Stereotactic Radiosurgery Can Improve Outlook in Pancreatic ...

2010-05-03

183

炎症性肠病可增加胰腺癌风险
Irritable Bowel Diseases Sharply Boost Risk of Pancreatic Ca...

2010-05-03

207

服用质子泵抑制剂的胃食管反流病患者中有50%查出小肠细菌过度...
Small Intestinal Bacterial Overgrowth Found in 50% of Reflux...

2010-05-04

224

HBV-DNA水平可预测慢性乙肝患者急性发作时是否发生肝脏失...
HBV-DNA Level Predicts Decompensation in Chronic Hepatitis B...

2010-05-04

298

射频消融对Barrett食管的效果可持续至少5年
Radiofrequency Ablation Effective for at Least 5 Years in Ba...

2010-05-04

333

长期肝移植幸存者的生活质量较高
Quality of Life High in Long-Term Liver Transplant Survivors

2010-05-05

376

内镜下壶腹切除术可以有效治疗早期壶腹部肿瘤
Endoscopic Ampullectomy Proved Effective for Early Ampullary...

2010-05-05

254

益生菌用于治疗艰难梭菌与抗生素相关腹泻利弊兼有
Probiotics for C. difficile and Antibiotic-Associated Diarrh...

2010-05-06

254

内镜下十二指肠转位术的减重效果与不良反应均更为显著
More Weight Loss, Side Effects With Laparoscopic Duodenal Sw...

2010-05-06

180

有关药物诱导性肝损伤的报告缺乏重要的信息要素
Reports of Drug-Induced Liver Injury Lack Essential Informat...

2010-05-06

175

诊断轻微型肝性脑病更好的方法
A Better Way to Diagnose Minimal Hepatic Encephalopathy

2010-05-10

546

在干扰素治疗丙肝期间，预防性采用抗抑郁药物取得成功
Preemptive Antidepressant Pays Off During Interferon Therapy...

2010-05-10

214

难辨梭状芽孢杆菌感染与质子泵抑制剂有关的观点得到证实
Link Between C. difficile Infection, PPIs Strengthened

2010-05-10

261

质子泵抑制剂可能提高某些骨折的风险，髋骨除外
PPIs May Raise Risk of Some Fractures, but Not Hip

2010-05-10

181

射频消融可减少肝肿瘤转移并延长生存时间
RFA Treatment Tamed Liver Metastases, Stretched Survival

2010-05-11

509

伴代谢综合征意味着丙型肝炎治疗效果不佳
Metabolic Syndrome Predicts Negative Treatment Outcome in He...

2010-05-14

197

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消化病学

病例分析 [栏目介绍]

身目黄染，发现胰头占位1月余——上海中山医院病例

张怡安涂传涛

复旦大学附属中山医院消化科

患者男性，42岁。入院前1个月无明显诱因下出现巩膜黄染及尿黄，尿色如浓茶，伴上腹隐痛。外院肝功能示TB/CB 238.8/176.3µmol/L，ALT/AST 302/111U/L，AKP/r-GT 186U/L 365U/L。HBsAg、Anti-HCV、肿瘤标志物、肾功能、ANA、AMA、SMA、ANCA均阴性。B超（肝胆脾）示：上腹部见低回声结节，大小35cm×32cm，边界可见，形态尚规则。肝内胆管扩张，胆总管11cm，轻度扩张。入院前10天我院门诊行MRI示胰头钩突占位，MT机会大；肝内外胆管扩张，胆囊形态饱满。患者4个月前行胃镜示浅表性胃炎（活动期），否认高血压、糖尿病、心脏病史。否认特殊药物使用史及大量饮酒史。

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