现在位置 >首页 > 临床话题
0℃
Effects of Variable Pressure Support Ventilation on Regional Homogeneity and Aeration Tommaso Mauri, Marta Lazzeri, Alfio Bronco, et al. Am J Respir Crit Care Med 2017; 195: e27-e28 Figure 1.Physiologic effects of variable pressure support assessed by electrical impedance tomography. After application of variable pressure support, distribution of tidal ventilation within the patient’s chest became more homogeneous (A and B) and was associated with improved lung aerati...
阅读全文
0℃
Lobar Necrosis from Pulmonary Embolism Ramiro Fernandez ,  Jonathan M. Tomasko ,  Daphne Edgren, et al Am J Respir Crit Care Med 2017; 195: 685-686 A 63-year-old male heart transplant recipient with recurrent lower extremity deep vein thrombosis, receiving warfarin, with chronically reduced glomerular filtration rate (30 ml/min), presented with worsening cough and dyspnea. Laboratory testing revealed normal blood cell counts, mildly elevated C-reactive protein, and in...
阅读全文
0℃
[编者按]:以下病例来自即将发表的麻省总医院病例。诊断是什么?哪种诊断检查最可能有帮助?请就诊断发表你的意见,并对应当进行何种诊断检查发表评论。正确的诊断以及病例完整介绍及诊疗过程将于2017年3月23日的新英格兰医学杂志发表。 A 27-Year-Old Woman with Nausea, Vomiting, Confusion, and Hyponatremia Presentation of Case 病例报告 Dr. Meaghan E. Colling (Medicine): A 27-year-old woman was admitted to this hospital because of nausea, vomiting, confusion, and hyponatremia. Meaghan E. Co...
阅读全文
0℃
Images in Clinical Medicine Empyema Necessitatis Ronaldo A. Gismondi, M.D., Ph.D. Luiz F.F. de Souza, M.D. N Engl J Med 2017; 376: e13 DOI: 10.1056/NEJMicm1608914 A 40-year-old man presented with a 3-month history of fever, weight loss, dyspnea, and cough. Physical examination revealed a tender, bulging anterior thoracic mass and a small ulcerative lesion that was inferomedial to the right nipple (Panel A). Computed tomographic scans showed a pleural effusion (Pa...
阅读全文
0℃
16 Anatomic Mnemonics Editor: Christine Wiebe  |  March 14, 2017 How do you remember the anatomical structures housed by the retroperitoneum? Nick Love, PhD, a second-year medical student at Stanford University, created these whimsical images to help remember parts of the human anatomy. All images courtesy of Nick Love, PhD The heart's left ventricle pumps blood throughout the entire body. After leaving the left ventricle, blood enters the aorta, brachiocephalic trunk, t...
阅读全文
0℃
Images in Clinical Medicine Gas in the Left Atrium and Ventricle Mary Thomson, Fredy El Sakr. N Engl J Med 2017; 376: 683 A 60-year-old man with coronary artery disease, ischemic cardiomyopathy with biventricular implantable cardioverter–defibrillator placement, and atrial fibrillation presented with chest pain and numbness in both arms. During his initial presentation, he suddenly collapsed and became unresponsive. Computed tomographic (CT) angiography of his chest...
阅读全文
0℃
[编者按]:以下病例来自即将发表的麻省总医院病例。诊断是什么?哪种诊断检查最可能有帮助?请就诊断发表你的意见,并对应当进行何种诊断检查发表评论。正确的诊断以及病例完整介绍及诊疗过程将于2017年3月23日的新英格兰医学杂志发表。 A 27-Year-Old Woman with Nausea, Vomiting, Confusion, and Hyponatremia Presentation of Case 病例报告 Dr. Meaghan E. Colling (Medicine): A 27-year-old woman was admitted to this hospital because of nausea, vomiting, confusion, and hyponatremia. Meaghan E. Co...
阅读全文
0℃
Images in Clinical Medicine Disseminated Cysticercosis Qiang Meng, M.D., Ph.D. Lingchun Liu, M.D. N Engl J Med 2016; 375: e52 A 23-year-old woman presented with a 1-month history of headache, vomiting, recurrent episodes of syncope, weight gain, and leg pain. A physical examination revealed several subcutaneous nodules on the patient's face and trunk. Exophthalmos, fundal hemorrhage, neck rigidity, and a hypertrophic appearance of the thigh and calf muscles were ...
阅读全文
0℃
Images in Clinical Medicine Swirl Sign — Intestinal Volvulus after Roux-en-Y Gastric Bypass N Engl J Med 2017; 376: e3 DOI: 10.1056/NEJMicm1601775 A 56-year-old man presented after a day and a half of midabdominal pain, nausea, and bilious emesis. The patient had undergone Roux-en-Y gastric bypass 7 years earlier. During the physical examination, tachycardia and tachypnea were noted. The abdominal examination showed a distended, tympanic abdomen with severe...
阅读全文
0℃
大连医科大学重症医学研究所/附属一院重症医学科(116011)李文雯 万献尧   急性呼吸窘迫综合征(ARDS)是严重威胁患者生命的危重症,其临床发病率和病死率均较高。尽管近年来对其发病机制、治疗策略等研究有了很大的进展,但其病死率仍居高不下,可达36%~45%[1],甚至更高。因此,及时正确的诊断与治疗,在临床工作中起着极其重要的作用。 自1967年Ashbaugh等[2]报告了ARDS的病例以来,ARDS便成了基础和临床的研究热点,但尚缺乏统一的临床诊断标准。直至1994年,欧美联席会议(AECC)提出了急性肺损伤(ALI...
阅读全文
×
腾讯微博