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| 1 | Interventions to improve sarcopenia in cirrhosis: A systematic review显示文摘BACKGROUND Sarcopenia, i.e., muscle loss is now a well-recognized complication of cirrhosis and in cases of non-alcoholic fatty liver disease can contribute to accelerate liver fibrosis leading to cirrhosis. Hence, it is imperative to study interventions which targets to improve sarcopenia in cirrhosis.AIM To examine the relationship between interventions such nutritional supplementation, exercise, combined life style intervention, testosterone replacement and trans jugular intrahepatic portosystemic shunt(TIPS) to improve muscle mass in cirrhosis.METHODS We search PubMed, EMBASE and Cochrane between June-August 2018, without a limiting period and the types of articles(RCTs, clinical trial, comparative study)in adult patients with sarcopenia and cirrhosis. The primary outcome of interest was improvement in muscle mass, strength and physical function interventions mentioned above. In the screening process, 154 full text articles were included in the review and 129 studies were excluded.RESULTS We identified 24 studies that met review inclusion criteria. The studies were diverse in terms of the design, setting, interventions, and outcome measurements.We performed only qualitative synthesis of evidence due to heterogeneity amongst studies. Risk of bias was medium in most of the included studies and low quality of evidence showed improvement in the muscle mass, strength and physical function following aerobic exercise. 60% of the included studies on the nutritional intervention, 100% of the studies on testosterone replacement in hypogonadal men and trans-jugular portosystemic shunt were proved to be effective in improving sarcopenia in cirrhosis.CONCLUSION Although the quality of evidence is low, the findings of our systematic review suggest improvement in the sarcopenia in cirrhosis with exercise, nutritional interventions, hormonal and TIPS interventions. High quality randomized controlled trials needed to further strengthen these findings. | Maliha Naseer Erica P Turse Ali Syed Francis E Dailey Mallak Zatreh Veysel Tahan | 2019 | World Journal of Clinical Cases2019，7，2： | 8 |
| 2 | 血液透析患者颈内静脉置管的护理体会显示文摘目的:探讨颈内静脉置管血液透析的使用情况、透析疗效、并发症及处理、影响因素。方法:对58例血液透析患者行颈内静脉置管,观察留置时间,感染、栓塞等并发症的发生情况及处理结果。结果:导管总体使用情况良好,常见的并发症有栓塞、血流量不足、感染,能够通过加强护理、抗感染等处理改善,未见严重的并发症发生。结论:颈内静脉置管透析是一种安全、有效的方法,加强护理可以减少并发症的发生,并延长留置导管时间。 | 王莉 徐博 陈淑媛 赵杰 | 2015 | 中国医药导刊2015，17，10： | 5 |
| 3 | Pulmonary embolism and internal jugular vein thrombosis as evocative clues of Lemierre's syndrome:A case report and review of the literature显示文摘Lemierre’s syndrome(LS)is an uncommon condition with oropharyngeal infections,internal jugular vein thrombosis,and systemic metastatic septic embolization as the main features.Fusobacterium species,a group of strictly anaerobic Gram negative rod shaped bacteria,are advocated to be the main pathogen involved.We report a case of LS complicated by pulmonary embolism and pulmonary septic emboli that mimicked a neoplastic lung condition.A Medline search revealed 173 case reports of LS associated with internal jugular vein thrombosis that documented the type of microorganism.Data confirmed high prevalence in young males with Gram negative infections(83.2%).Pulmonary embolism was reported in 8.7% of cases mainly described in subjects with Gram positive infections(OR=9.786;95%CI:2.577-37.168,P=0.001),independently of age and gender.Only four fatal cases were reported.LS is an uncommon condition that could be complicated by pulmonary embolism,especially in subjects with Gram positive infections. | Alfredo De Giorgi Fabio Fabbian Christian Molino Elisa Misurati Ruana Tiseo Claudia Parisi Benedetta Boari Roberto Manfredini | 2017 | World Journal of Clinical Cases2017，5，3： | 2 |
| 4 | The effects of PaCO_2 on balance of cerebral oxygen supply and consumption during intravenous general anesthesia显示文摘 | 陈绍洋 王强 曾祥龙 董海龙 胡文能 曾毅 张玉勤 熊利泽 | 1999 | Journal of Medical Colleges of PLA(China)1999，14，4： | 2 |
| 5 | Highlights of the physical examination in heart failure显示文摘Because decompensated heart failure (HF) patients present primarily with symptoms of congestion, the assessment of volume status is of paramount importance. Despite the addition of new technologies that can predict intracardiac filling pressures, the physical exam (PE) remains the most accessible and cost-effective tool available to clinicians. An elevated jugular venous pressure (JVP)useful cutoff is that if the JVP is greater than 3 cm in vertical distance above the sternal angle, the central venous pressure is elevated. In addition to assessment of volume status, the PE in HF can reveal adverse prognostic signs, namely: elevated JVP, presence of third heart sound, elevated heart rate, low systolic BP, and low proportional pulse pressure (< 25%). This article will review the evidence for the diagnostic and prognostic utility of common PE findings in HF. | Sandesh Dev | 2006 | Journal of Geriatric Cardiology2006，3，4： | 1 |
| 6 | Surgical resection of rare internal jugular vein aneurysm in neurofibromatosis type 1显示文摘Neurofibromatosis type 1 is a congenital condition affecting neurons and connective tissue integrity including vasculature.On extremely rare occasions these patients present with venous aneurysms affecting the internal jugular vein.If they become large enough there presents a risk of rupture,thrombosis,embolization or compression of adjacent structures.In these circumstances,or when the patient becomes symptomatic,surgical exploration is warranted.We present a case of one of the largest aneurysms in the literature and one of only five associated with Neurofibromatosis type 1.A 63-year-old female who initially presented for a Hinchey Ⅲ diverticulitis requiring laparotomy developed an incidentally discovered left neck swelling prior to discharge.After nonspecific clinical exam findings,imaging identified a thrombosed internal jugular vein aneurysm.Due to the risks associated with the particularly large size of our patient's aneurysm,our patient underwent surgical exploration with ligation and excision.Although several techniques have been reported,for similar presentations,we recommend this technique. | Khortnal Delvecchio Fazaldin Moghul Bipinchandra Patel Susan Seman | 2017 | World Journal of Clinical Cases2017，5，12： | 1 |
| 7 | THIRTY YEARS IN SKULL BASE SURGERY | HUANG Deliang LIU Liangfa | 2012 | Journal of Otology2012，7，2： | 1 |
| 8 | Microsurgical treatment of jugular foramen tumors显示文摘To evaluate the microsurgical techniques and outcomes of jugular foramen tumor.Methods From April 2000 to June 2004,we treated 10 patients of jugular foramen tumor.The common clinical presentation were hearing difficulty and involvement of cranial nerves Ⅸ,Ⅹ,Ⅺ.All patients had been detected by MRI and CT scan of skull base and 8 cases underwent cerebral angiography.10 cases of tumor were removed using microsurgical techniques.Transjugular (craniocervical) approachs were used in 6 cases,far lateral approachs were used in 2 cases,and retrosignmoid suboccipital approach wer used in 2 cases.Results There were total removal tumor in 9 cases,subtotal removal in 1 case.10 cases were conscious from operation,but 2 cases died of sudden laryngeal edema.There were improvement from preoperative symptoms in 3 cases,no change 3 cases,additional deficts 2 cases.Follow-up of post-operative MRI in 8 cases revealed total removal tumor in 7 cases and subtotal removal in 1 case.Conclusion Jugular foramen tumor can be surgically removed with suitable skill and gained satisfactory outcomes.Transjugular approach may be the best approach for jugular foramen tumor resection.6 refs. | 石忠松 | 2005 | 外科研究与新技术2005，，3： | 0 |
| 9 | Safety and efficacy of transjugular intrahepatic portosystemic shunt therapy for symptomatic portal biliopathy显示文摘To the Editor,Portal biliopathy(PB)is characterized by an abnormal-ity in the extrahepatic biliary system in patients with chronic portal vein occlusion or cavernous transforma-tion of the portal vein.It is a rare biliary complication secondary to portal hypertension.1 Symptomatic PB refers to recurrent cholangitis and chronic cholestasis with pain caused by biliary strictures or stones.The management of symptomatic PB is limited to case reports,including endoscopic,interventional radiology,and surgical procedures.Transjugular intrahepatic portosystemic shunt(TIPS),an effective therapy for portal hypertension,has been indicated for the cavern-ous transformation of the portal vein in patients with cirrhosis;however,its role in the management of PB remains unclear.This study aimed to evaluate the efficacy of covered TIPS in patients with sympto-matic PB. | Feng Zhang Xixuan Wang Wei Zhang Ming Zhang Lei Wang Yuzheng Zhuge | 2023 | Portal Hypertension & Cirrhosis2023，2，3： | 0 |
| 10 | EFFECTS OF NEEDLING AT RENZHONG ACUPOINT ON HISTOCHEMISTRY,HISTOLOGY AND ULTRASTRUCTURE OF THE LIVER IN RABBITS WITH HEMORRHAGIC SHOCK显示文摘Shock is a serious symptom thattouches upon various disciplines ofmedicine.Hemorrhagic shock is one of thethree main categories of shock establishedby the International Shock Society in1978.Shock pertains to the syncopesyndrome in TCM.Renzhong(Du 26) | 翟丽 文琛 黄为敏 | 1990 | Journal of Traditional Chinese Medicine1990，10，1： | 0 |
| 11 | Hemodynamic changes and oxygen metabolism daring off-pump coronary artery bypass grafting显示文摘Objective To examine the hemodynamic changes and oxygen metabolism during off-pump coronary artery bypass grafting (OPCABG). Methods Twenty patients (18 male,2 female) aged (60 ±8)yr, weighing (71 ± 9) kg undergoing OPCABG were studied. The patients were premedicated with diazepam 10 mg PO 2h before operation and morphine 10 mg and scopolamine 0. 3 mg im 30 min before operation. Anesthesia were induced with midazolam 0.1 -0.2 mg·kg-1,fentanyl 5 - 10 μg·kg-1 and vecuronium 0. 12 - 0. 15 mg · kg-1 and maintained with 0. 5% - 2% isoflurane inhalation, fentanyl 10 - 20 μg·kg-1 and intermittent iv boluses of vecuronium and in some patients propofol infusion. Radial artery was cannulated. Swan-Ganz catheter was placed via internal jugular vein into pulmonary artery. Hemodynamic parameters including MAP, HR, cardiac index ( CI), stroke volume (SV), MPAP, PCWP, SVR, left ventricle stroke work index (LVSWI) and PVSWI; oxygen metabolism including oxygen delivery (DO2 ), oxygen consumption (VO2) and | 凌滨 | 2003 | 外科研究与新技术2003，，2： | 0 |
| 12 | ANTIFIBRIN MONOCLONAL ANTIBODIES FOR THE DETECTION OF VENOUS THROMBOSIS显示文摘In order to specifically detect the localization of thrombus in vivo, we have recently developed two monoclonal antibodies (SZ-58, SZ-63) which can specifically bind to cross-linked fibrin. The binding rates of the two monoclonal antibodies (MoAbs) to human plasma clots in vitro were 46.4±2.3% for 125I-SZ-58, 50.1±1.7% for 125I-SZ-63 and 3.4±1.6% for 125I-SZ-53 (control, MoAb against TM). It was shown that both Sz-58 and SZ-63 posess properties of inhibiting the polymerization of fibrin, and SZ-58 could also inhibit the aggregation of platelets induced by ADP. These characteristics make the two MoAbs suitable in the detection of thrombus in vivo. According to the cross reaction tests, thrombi in the jugular veins and carotid arteries in rabbits were made. After injection of the 125I-labeled MoAbs (100000 cpm/ml of blood), the thrombi and the blood were taken and weighed at various time intervals and radioactivities were measured by an autogamma counter. The ratios of thrombus to blood | 夏利军 李佩霞 赵益明 王庆才 奚晓东 阮长耿 | 1994 | Chinese Medical Journal1994，，7： | 0 |
| 13 | Microsurgical anatomy of the modified transjngnlar approach显示文摘Objective To investigate both intracranial and extracranial components surgical aproach to resect the jugular foramen (JF) lesions in single-stage. Methods With the aid of the magnification (× 3-40), the microsurgical anatomy and extended exposure of the transjugluar approach were studied in 10 cadaveric head-neck specimens of adults. Results The exposure of the transjugular approach was directed through the jugular process of occipital bone to posterior surface of jugular bulk (JB). After removal of the mastoid process and the petrous bone under the labyrinth, the vertical segment of facial nerve was skeletoned. The exposure was extended lateral to JF. The transverse process of C1 was removed and the segment of the VA between the transverse foramen of C2 and its entrance of the dura was seperated, the cervical exposure was extended. The tympanornastoid notch and the posterior belly of digastric were closely related to facial nerve. Conclusion The modified transjugular approach can provide sufficient | 张明广 | 2003 | 外科研究与新技术2003，，2： | 0 |
| 14 | Expression of tissue factor in pulmonary artery after experimental acute pulmonary embolism显示文摘Objective To investigate the expression of tissue factor and explore its clinical significances in pulmonary artery after acute pulmonary thromboembolism.Methods Thirty-four Japanese white rabbits(LevelⅡanimals)were randomly(random number)assigned into four groups:group A(specimen of pulmonary artery was taken 3 hours | 张敬霞 | 2014 | China Medical Abstracts(Internal Medicine)2014，31，1： | 0 |
| 15 | Twist deformation and buckling behavior of veins显示文摘Introduction Twisted arteries and veins disrupt normal blood flow and elevate the risk for clinical complications such as thrombosis,heart attack,stroke,and organ dysfunction.Veins should remain mechanically stable for normal function.However,compared to arteries,veins are more vulnerable to collapse because they are thin-walled and under lower lumen pressure.Twisted veins have been shown to occur with head turning or after inadvertent twist during various vascular surgeries.In vivo and cadaver studies have demonstrated that turning the head to one side can result in torsion and compression of the internal jugular vein and can compromise cranial drain- | Justin Garcia Haichao Han | 2013 | 医用生物力学2013，28，S1： | 0 |
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