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老年人急性非静脉曲张性上消化道出血病因分析 被引量:17
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作者 安康 陈倩倩 +5 位作者 李惠惠 王淑芳 毛永平 张修礼 刘庆森 令狐恩强 《中华老年多器官疾病杂志》 2016年第6期455-458,共4页
目的分析老年急性非静脉曲张性上消化道出血(ANVUGIB)的病因。方法对解放军总医院消化内科2011年1月至2015年12月期间收治的233例老年ANVUGIB患者的临床资料进行回顾性分析。结果233例老年ANVUGIB患者,年龄60-96(74.38±8.86... 目的分析老年急性非静脉曲张性上消化道出血(ANVUGIB)的病因。方法对解放军总医院消化内科2011年1月至2015年12月期间收治的233例老年ANVUGIB患者的临床资料进行回顾性分析。结果233例老年ANVUGIB患者,年龄60-96(74.38±8.86)岁。最常见的病因为消化性溃疡(111例,占47.6%),内胃溃疡49例,十二指肠溃疡43例,复合溃疡19例。排在第二、三位的病因分别为消化系恶性肿瘤(74例,占31.8%)、急性胃黏膜病变出血(20例,占8.6%)。老年ANVUGIB的危险因素中,非甾体抗炎药(NSAIDs)及抗凝药物相关消化道出血占28.8%。性别亦是危险因素之一。结论消化性溃疡是老年ANVUGIB最常见的病因,NSAIDs及抗凝药物相关消化道出血是其最常见的危险因素。 展开更多
关键词 胃肠出血 老年人 病因 消化性溃疡
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食管微小平滑肌瘤的临床特点及高频电切除治疗的应用价值 被引量:3
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作者 李文波 张修礼 陈桂荣 《中国内镜杂志》 CSCD 2003年第10期41-43,共3页
目的 探讨食管微小平滑肌瘤的临床特点及高频电切除治疗的价值。方法  2 0 0 1年 3月~ 2 0 0 3年 3月 ,我院高频电切除治疗食管微小平滑肌瘤共 39例 ,对其临床及治疗资料进行分析。结果 食管微小平滑肌瘤以男性患者多见 ,男女性比例... 目的 探讨食管微小平滑肌瘤的临床特点及高频电切除治疗的价值。方法  2 0 0 1年 3月~ 2 0 0 3年 3月 ,我院高频电切除治疗食管微小平滑肌瘤共 39例 ,对其临床及治疗资料进行分析。结果 食管微小平滑肌瘤以男性患者多见 ,男女性比例 2 .2 5∶1。好发年龄 30~ 6 5岁 (33/ 39,84 .6 % )。临床症状以吞咽困难或进食不畅感 (2 2 / 39,5 6 .4 % )、上腹部疼痛或不适 (2 0 / 39,5 1.3% )、胸骨后不适 (12 / 39,30 .8% )等多见。肿瘤多位于食管中段 (18/ 39,4 6 .2 % )、下段 (17/ 39,4 3.6 % ) ,尤以食管第二生理性狭窄以下多见 (32 / 39,82 .1% )。形态以圆形或椭圆形多见 (34/ 39,87.2 % ) ,广基 (38/ 39,97.4 % ) ,表面光滑 (34/ 39,87.2 % ) ,质硬 (37/ 39,94 .9% ) ,活动度好 (39/ 39,10 0 % ) ,大小平均为 0 .98± 0 .2 8cm。 6例患者超声胃镜声像显示病变多位于超声第 2层 ,低回声、不均匀回声多见 ,境界较清楚。 39例患者术后无食管穿孔、食管狭窄等严重并发症发生 ,创面渗血 1例 (1/ 39,2 .6 % ) ;术后 1月~ 2年复查电子胃镜未见病变再发。结论 食管微小平滑肌瘤早期临床表现多非特异 ;内镜下高频电切除治疗是一种安全。 展开更多
关键词 平滑肌肿瘤 食管 内镜 电切除
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Expression of nitric oxide synthase in T-cell-dependent liver injury initiated by ConA in Kunming mice 被引量:1
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作者 张修礼 曲建慧 +5 位作者 万谟彬 权启镇 孙自勤 王要军 江学良 李文波 《Journal of Medical Colleges of PLA(China)》 CAS 2004年第2期112-114,共3页
Objective: To investigate whether nitric oxide synthase (NOS) is expressed in T-cell-dependent liver injury initiated by concanavalin A (ConA) in Kunming mice and study the possible effect of nitric oxide(NO) on liver... Objective: To investigate whether nitric oxide synthase (NOS) is expressed in T-cell-dependent liver injury initiated by concanavalin A (ConA) in Kunming mice and study the possible effect of nitric oxide(NO) on liver injury models. Methods: Liver injury in Kunming mice was induced by administration of ConA through tail vein. Expression of NOS in the liver was detected by NADPH diaphorase staining method. The possible effect of NO on liver injury models was obtained by L-NAME injection to suppress synthesis of NO. Results: NOS has a strong expression in hepatocytes after ConA injection, especially in those close to the central vein, while only a weak expression was found in the epithelial cells in control group. Liver injury became more serious when NO synthesis was inhibited by L-NAME, accompanied by great malondialdehyde(MDA) increase in serum and severe intrahepatic vascular thrombosis. Conclusion: NOS markedly expressed in ConA-induced liver injury, which may subsequently promote nitric oxide synthesis. Increasement of nitric oxide has a protective effect on ConA-induced liver injury. 展开更多
关键词 nitric oxide synthase nitric oxide concanavalin A liver injury
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Primary hepatic non-Hodgkin's lymphoma: a case report and review of the literature
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作者 张修礼 权启镇 +3 位作者 孙自勤 王要军 江学良 王东 《Journal of Medical Colleges of PLA(China)》 CAS 2000年第4期274-275,共2页
Objective: To gain more data for the diagnosis and treatment for primary hepatic lymphoma(PHL). Methods: A 32-year-old man was admitted due to fatigue, anorexia, loss of weight and fever. Physical examination was carr... Objective: To gain more data for the diagnosis and treatment for primary hepatic lymphoma(PHL). Methods: A 32-year-old man was admitted due to fatigue, anorexia, loss of weight and fever. Physical examination was carried out and bone marrow aspitation, blood culture, endoscopy of stomach and colon, chest X-ray, renal fumction and liver function test were all done. Results: Physical examination showed slight abdominal tenderness all edema of the legs, and the liver was unpalpable. Alpha- fetoprotein (AFP ) and carcinomoembryonic antigen (CEA ) were negative. Laboratory tests of rheumatic diseases such as ANA and ENA were all normal. Abdominal ultrasonography and computerized tomography showed diffuse low density or diffuse hypoechogenic changes of the liver, there was no obvious mass lesion in the liver. Conclusion: The diagnosis of PHL was affirmed, and the subtype was non-Hodgkin’s lymphoma. 展开更多
关键词 PRIMARY HEPATIC LYMPHOMA non-Hodgdin’s LYMPHOMA
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燃油掺水乳化燃烧技术在供热中心锅炉上的应用
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作者 张修礼 苏庆禄 《上海节能》 1991年第1期33-34,29,共3页
关键词 燃油 掺水 乳化燃烧 供热 锅炉
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