爱思唯尔期刊精选全文

		Free Radical Biology and Medicine
		中文标题: 脂质过氧化：生理水平与两种生物学作用
		英文标题: Lipid peroxidation: Physiological levels and dual biological effects
		作者: Etsuo Niki
		全文: Lipid peroxidation (LPO) has been shown to induce disturbance of membrane organization and functional loss and modification of proteins and DNA bases, and it has been implicated in the pathogenesis...

		Free Radical Biology and Medicine
		中文标题: 过氧化物歧化酶基因调节：与疾病的关联
		英文标题: Regulation of superoxide dismutase genes: Implications in disease
		作者: Lu Miao, Daret K. St. Clair
		全文: Numerous short-lived and highly reactive oxygen species (ROS) such as superoxide (O2−), hydroxyl radical, and hydrogen peroxide are continuously generated in vivo. Depending upon concentration, loca...

		Journal of Cardiac Failure
		中文标题: 男性与女性心力衰竭的治疗有无明显不同：老年心力衰竭患者症状的性别方面考虑
		英文标题: Are There Any Significant Differences Between Females and Males in the Management of Heart Failure? Gender Aspects of an Elderly Population With Sympt...
		作者: Urban Alehagen PhD MD, Anne Ericsson MD and Ulf Da...
		全文: Background An increasing interest has been shown in potential gender differences in treating patients with heart failure (HF), a serious condition for the individual. To evaluate whether there are...

		American Heart Journal
		中文标题: 肾动脉粥样硬化狭窄：当前治疗与未来发展
		英文标题: Atherosclerotic renal artery stenosis: Current therapy and future developments
		作者: Ranjith Shetty MD, Mitesh S. Amin MD and Ion S. Jo...
		全文: Atherosclerotic renal artery stenosis affects between 2 and 4 million people in the United States alone and likely has a higher prevalence than previously thought. Renal artery stenosis has been incre...

		American Journal of Cardiology
		中文标题: 辛伐他汀20mg与80mg对急性冠状动脉综合征病人行冠脉介入预防造影剂诱导肾病作用的对比
		英文标题: Comparison of Usefulness of Simvastatin 20 mg Versus 80 mg in Preventing Contrast-Induced Nephropathy in Patients With Acute Coronary Syndrome Undergo...
		作者: Jia Xinwei MD, Fu Xianghua MD PhD FACC, Zhang Jing...
		全文: Contrast-induced nephropathy limits the outcomes of percutaneous coronary intervention (PCI). The present study compared the protective effects of different statin doses on renal function. A total of...

		American Journal of Cardiology
		中文标题: 主动脉球囊反搏术在急性心肌梗死后心源性休克患者中的应用
		英文标题: Usefulness of Intra-Aortic Balloon Pump Counterpulsation in Patients With Cardiogenic Shock from Acute Myocardial Infarction
		作者: Jin M. Cheng MSc, Suzanne D.A. Valk MD, Corstiaan ...
		全文: Although intra-aortic balloon pump (IABP) counterpulsation is increasingly being used for the treatment of patients with cardiogenic shock from acute myocardial infarction, data on the long-term outco...

		American Journal of Cardiology
		中文标题: β受体阻滞剂与卡托普利和（或）缬沙坦联用对心肌梗死后高危病人的用处
		英文标题: Usefulness of Beta Blockers in High-Risk Patients After Myocardial Infarction in Conjunction With Captopril and/or Valsartan (from the VALsartan In Ac...
		作者: Robert M. Califf MD, Yuliya Lokhnygina PhD, Eric J...
		全文: Concern has been raised about combining β blockers with angiotensin-receptor blockers in patients with heart failure. The VALsartan In Acute myocardial infarction (VALIANT) trial enrolled 14,703 patie...

		American Journal of Cardiology
		中文标题: 心血管负性结果与心肌梗死后高血压关系的荟萃分析
		英文标题: Meta-Analysis of Adverse Cardiovascular Outcomes Associated With Antecedent Hypertension After Myocardial Infarction
		作者: Guanmin Chen MD PhD, Brenda Hemmelgarn MD PhD, Sam...
		全文: The aim of this study was to investigate the association of antecedent hypertension with adverse cardiovascular outcomes after myocardial infarction. A search of Medline and EMBASE was supplemented by...

		Heart and Lung
		中文标题: 入住ICU的囊性纤维化病人的转归：对于等待肺移植的病人来说有创机械通气是死亡的危险因素吗？
		英文标题: Outcome of patients with cystic fibrosis admitted to the intensive care unit: Is invasive mechanical ventilation a risk factor for death in patients w...
		作者: Ori Efrati MD, Irena Bylin MD, Eran Segal MD, Daph...
		全文: Objective The admission of patients with cystic fibrosis (CF) to the intensive care unit (ICU) is controversial. Our aim was to study the long-term outcome of patients with CF who were admitted to...

		Heart and Lung
		中文标题: 非免疫抑制宿主感染的严重巨细胞病毒（CMV）社区获得性肺炎（CAP）一例
		英文标题: Severe cytomegalovirus (CMV) community-acquired pneumonia (CAP) in a nonimmunocompromised host
		作者: Burke A. Cunha MD, Francisco Pherez MD and Nicole ...
		全文: Background Community-acquired pneumonia (CAP) in an immunocompetent host may be severe because of a variety or combination of host and microbial factors. In patients with severe cardiopulmonary dysfu...

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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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