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        west china medical publishers
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        find Author "李俊" 38 results
        • 星狀神經阻滯致臂叢神經長時程阻滯一例

          Release date:2016-09-08 09:25 Export PDF Favorites Scan
        • 結腸腺癌合并原發性肝癌骨轉移1例

          Release date:2016-09-08 09:56 Export PDF Favorites Scan
        • The valuation of quantitative lung data of vibration response imaging in diagnosis of obstructive lung diseases

          Objective Vibration response imaging(VRI) is a new lung sound imaging technology.It provides quantitative lung data(QLD) of vibration in respiratory system.The study is to explore the value of QLD in diagnosis of obstructive lung diseases.Methods The QLD of 61 chronic obstructive pulmonary disease(COPD) patients,58 asthma patients and 64 healthy volunteers were reviewed.The QLD were transferred to abnormity and variation by a formulation and were analyzed.Results The mean QLD of healthy volunteers were 8.4,14.5,22.0,11.1,18.5,25.5 with mean abnormity as 10.0 and mean variation as 2.0.The mean QLD of the COPD patients were 11.6,16.7,21.9,12.6,17.2,20.1 with mean abnormity as 47.1 and mean variation as 10.9.The mean QLD of the asthma patients were 12.8,17.2,19.9,13.3,17.5,19.3 with mean abnormity as 58.1 and mean variation as 12.2.The abnormity and variation of the patients were different from those of volunteers(Plt;0.05).When abnormity≥20.0 or variation≥5.0 was define as threshold value,the specificity was 87.5%.The diagnosis sensitivity for COPD is 82.0% and sensitivity for asthma is 82.8%.Conclusion COPD and asthma patients can be detected by quantitative lung data from vibration response imaging.

          Release date:2016-09-14 11:56 Export PDF Favorites Scan
        • 乙狀結腸腸脂垂致嵌頓性閉孔疝1例報告

          患者,女,71歲。因反復左大腿前內側脹痛1年,加重半月入院。疼痛放射至左膝部伴酸脹、麻木,持續時間不等,休息能自行緩解。左髖、膝關節疼痛,活動稍受限。近半月持續疼痛不能緩解,無腹脹、腹痛、惡心、嘔吐、便秘。查體: 全腹平軟,無壓痛、反跳痛,腸鳴音正常。左腹股溝區未捫及明顯腫塊。直腸指檢于左閉孔管內口處捫及一索狀包塊、壓痛。伸髖關節及旋轉運動時加重,即HR征(+)。考慮為左閉孔疝。在持續硬膜外麻醉下,取下腹正中切口,行剖腹探查,術中見左閉孔處有一直徑約1.2 cm盆腹膜缺損,鄰近乙狀結腸壁上有三枚腸脂垂簇集,約1 cm×1.5 cm×1 cm大,其中兩枚呈暗紅色,略腫脹,腸脂垂中部有嵌頓跡象,一枚外觀正常。探查乙狀結腸、左附件、膀胱及小腸未見異常。考慮為此2枚腸脂垂嵌入左閉孔疝囊中所致。術中因麻醉后閉孔疝環松弛,故見腸脂垂自行還納腹腔,未再嵌入。遂將此3枚腸脂垂切除送病檢。然后探查閉孔疝囊,約1 cm×2 cm大,將疝囊切除,用絲線間斷縫合修補閉孔環。檢查無出血后關腹。

          Release date:2016-08-28 04:49 Export PDF Favorites Scan
        • 玻璃體切割術治療兒童感染性眼內炎

          Release date:2016-09-02 06:03 Export PDF Favorites Scan
        • 外傷性氣管、支氣管斷裂18例

          Release date:2016-08-30 05:59 Export PDF Favorites Scan
        • 膽囊殘株炎23例診治體會

          Release date:2016-08-28 04:47 Export PDF Favorites Scan
        • B SCAN ULTRASONIC EXAMINATION IN INFECTIOUS ENDOPHTHALMITIS IN CHILDREN

          PURPOSE:To evaluate the B sean ultrasonic examination in diagnosis and prognosis of infectious endophthalmitis in children. METHODS:The hospital records of 44 children with infectious endophthalmitis were retrospectively analysed. The correlation between the initial B scan eehographic findings and the initial vision and the vision at discharge were analysed by t-test. RESULTS :The average visual, acuity was hand moving on admission,and 0.04 at discharge. Both the final vision and the initial vision were associated with the severity of vitreous opacity. The ultrasonic findings including retinal detachment and choroidal detachment were associated with poor vision outcomes. CONCLUSION :The ocular B scan ultrasonic examination was effective to predict the final vision in infectious endophthalmitis in children. (Chin J Ocul Fundus Dis,1997,13: 134-135)

          Release date:2016-09-02 06:12 Export PDF Favorites Scan
        • New Spot Matching Algorithm for Protein 2-DE Images Based on Geometric Blocking and Gray Hierarchical

          To reduce the mismatching and non-matching in the protein two-dimension electrophoresis (2-DE) images, we proposed an auto-matching algorithm based on gray hierarchical and geometric blocking in this study. Firstly, protein spots in the gel images were divided into groups by gray level and geometric position, and then a method based on shape context and normalized correlation was used for coarse matching in protein spots. Secondly, matched pairs in coarse matching were set as feature points, and the precise matching in the rest of not matched protein spots was accomplished by the method of geometric correlation and similarity criterion. Finally, local affine transformation was used in the verification of matching results to remove non-matching and mis-matching points. The algorithm was applied to different 2-DE gel images. The results showed that the new matching algorithm could reduce the non-matching and mis-matching spots, and increase the matching accuracy.

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        • CT Guided Transpedicular Biopsy in Diagnosing Vertebral Body Lesions

          【摘要】 目的 探討CT引導下經椎弓根穿刺活檢對椎體病變的診斷價值及可行性。 方法 回顧性分析2009年5月—2010年4月42例椎體病變患者經椎弓根穿刺活檢的穿刺活檢方法、病理結果、最終診斷及穿刺并發癥。 結果 患者總穿刺準確率為95.2%(40/42)。其中惡性病變的穿刺準確率為94.3%(33/35),良性病變穿刺準確率為100%(7/7);所有患者均未發生嚴重穿刺并發癥。 結論 CT引導下經椎弓根穿刺活檢診斷椎體病變有安全可靠、準確性高等特點。【Abstract】 Objective To explore the value and the feasibility of CT guided transpedicular biopsy in diagnosing vertebral body lesions.  Methods From May 2009 to April 2010, 42 patients with vertebral body lesions underwent CT guided transpedicular biopsy. The clinical data including the puncture method, pahtological resutls, final diagnosis, and the pucture complications were retrospectively analyzed.  Results The total accuracy rate of the puncture was 95.2%(40/42). The accuracy rate of the puncture was 94.3% (33/35) for malignant lesions and 100.0% (7/7) for benign lesions. No complication occurred.  Conclusion CT guided transpedicular biopsy is very helpful in diagnosing vertebral body lesions with high accuracy and fewer complications.

          Release date:2016-09-08 09:26 Export PDF Favorites Scan
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