目的探讨肝脏炎性假瘤(inflammatory pseudotumor of the liver,IPL)的临床特点及治疗方法。方法回顾性分析近3年收治的11例IPL患者的临床资料。结果右上腹痛、发热为主要临床表现,术前检查白细胞、AFP、CEA、CA19-9均正常,HbsAg(+)1例...目的探讨肝脏炎性假瘤(inflammatory pseudotumor of the liver,IPL)的临床特点及治疗方法。方法回顾性分析近3年收治的11例IPL患者的临床资料。结果右上腹痛、发热为主要临床表现,术前检查白细胞、AFP、CEA、CA19-9均正常,HbsAg(+)1例。CT、MRI增强后延迟期多表现为边缘强化或内部分隔样强化。手术疗效确切,术后随访无复发。结论肝脏炎性假瘤无特异性临床表现,CT、MRI增强扫描后的影像学表现反映了其病理学特征,对其诊断有重要价值,诊断不明或不能排除恶性肿瘤者建议手术治疗。展开更多
工程设计中 ,基于 Auto CAD进行二次开发参数化 CAD系统得到了广泛的应用。对 R14版的 Auto CAD进行二次开发的常用方法是 ARX(Auto CAD Runtime Extension)法。利用此方法开发的应用程序与 Auto CAD的接口方式不同 ,直接影响着整个系...工程设计中 ,基于 Auto CAD进行二次开发参数化 CAD系统得到了广泛的应用。对 R14版的 Auto CAD进行二次开发的常用方法是 ARX(Auto CAD Runtime Extension)法。利用此方法开发的应用程序与 Auto CAD的接口方式不同 ,直接影响着整个系统的实用性和用户界面的友好性。本文论述了应用程序与 Auto CAD接口的几种技术 ,并介绍了实现方法。展开更多
Objective: To make a systematic assessment on whether the progression of early diabetic renal disease with normotension may be slowed down by angiotensin-converting enzyme (ACE) inhibitors. Methods: Randomized clinica...Objective: To make a systematic assessment on whether the progression of early diabetic renal disease with normotension may be slowed down by angiotensin-converting enzyme (ACE) inhibitors. Methods: Randomized clinical experiments published on MEDLINE from January 1990 to April 1999 and on China Biological Medicine were reviewed for studying the effects of ACE-inhibitors on normotensive patients with early diabetic renal diseases. Based on the inclusion criteria, 10 studies were selected. Their results were combined and analyzed with RevMan3. I software. Results: The pooled effect of urinary microalbumin excretion rate, systolic blood pressure, diastolic blood pressure and mean arterial blood pressure were -77.502 mg/24 h (-100.748 to-54.256), -5.002 mmHg [-9.630 to 0.685],-2.949 mmHg (-4.005 to 1.892). -4.284 mmHg (-5.444 to 3.123) respectively. Using clinical albuminuria as the end-point, the pooled odd ratio was 0.27 [95% CI 0.18 0.40]. The sub-group analysis showed that those results had no difference between type 1 and type 2 diabetes. There was no significant correlation between the pooled effects of urinary micro-albuminuria excretion rate and systolic blood pressure. diastolic blood pressure or mean arterial blood pressure. Conclusion: ACE inhibitors can decline urinary micro-albuminuria excretion rate in normotensive patients with early diabetic renal disease and delay the progression of early diabetic renal disease to clinical albuminuria. These effects may not be dependent on its blood pressure-reduction effect.展开更多
文摘目的探讨肝脏炎性假瘤(inflammatory pseudotumor of the liver,IPL)的临床特点及治疗方法。方法回顾性分析近3年收治的11例IPL患者的临床资料。结果右上腹痛、发热为主要临床表现,术前检查白细胞、AFP、CEA、CA19-9均正常,HbsAg(+)1例。CT、MRI增强后延迟期多表现为边缘强化或内部分隔样强化。手术疗效确切,术后随访无复发。结论肝脏炎性假瘤无特异性临床表现,CT、MRI增强扫描后的影像学表现反映了其病理学特征,对其诊断有重要价值,诊断不明或不能排除恶性肿瘤者建议手术治疗。
文摘工程设计中 ,基于 Auto CAD进行二次开发参数化 CAD系统得到了广泛的应用。对 R14版的 Auto CAD进行二次开发的常用方法是 ARX(Auto CAD Runtime Extension)法。利用此方法开发的应用程序与 Auto CAD的接口方式不同 ,直接影响着整个系统的实用性和用户界面的友好性。本文论述了应用程序与 Auto CAD接口的几种技术 ,并介绍了实现方法。
文摘Objective: To make a systematic assessment on whether the progression of early diabetic renal disease with normotension may be slowed down by angiotensin-converting enzyme (ACE) inhibitors. Methods: Randomized clinical experiments published on MEDLINE from January 1990 to April 1999 and on China Biological Medicine were reviewed for studying the effects of ACE-inhibitors on normotensive patients with early diabetic renal diseases. Based on the inclusion criteria, 10 studies were selected. Their results were combined and analyzed with RevMan3. I software. Results: The pooled effect of urinary microalbumin excretion rate, systolic blood pressure, diastolic blood pressure and mean arterial blood pressure were -77.502 mg/24 h (-100.748 to-54.256), -5.002 mmHg [-9.630 to 0.685],-2.949 mmHg (-4.005 to 1.892). -4.284 mmHg (-5.444 to 3.123) respectively. Using clinical albuminuria as the end-point, the pooled odd ratio was 0.27 [95% CI 0.18 0.40]. The sub-group analysis showed that those results had no difference between type 1 and type 2 diabetes. There was no significant correlation between the pooled effects of urinary micro-albuminuria excretion rate and systolic blood pressure. diastolic blood pressure or mean arterial blood pressure. Conclusion: ACE inhibitors can decline urinary micro-albuminuria excretion rate in normotensive patients with early diabetic renal disease and delay the progression of early diabetic renal disease to clinical albuminuria. These effects may not be dependent on its blood pressure-reduction effect.
