第20例——发热、乏力、臂部疼痛

~~第20例——发热、乏力、臀部疼痛@杨春花!100853北京$解放军总医院风湿科 @黄烽!100853北京$解放军总医院风湿科 @朱剑!100853北京$解放军总医院风湿科     

溃疡性结肠炎住院患者525例临床特征分析

目的 探讨近16年解放军总医院溃疡性结肠炎(UC)的临床特征的变化特点.方法 总结分析解放军总医院1994至2009年期间确诊并住院治疗的UC患者的临床资料.结果 自1994-2009年共有525例患者诊断为UC,中位发病年龄42岁.在发病部位中,12.4%(65/525)为直肠,25.7%(135/525)为直乙状结...     

冠心苏合丸所致肾脏损害的临床特征

近年来笔发现冠心苏合丸可以引起肾损害,现将解放军总医院第一附属医院收治的19例病例资料总结如下.     

《中华老年多器官疾病杂志》投稿须知

<正>《中华老年多器官疾病杂志》是由解放军总医院主管、解放军总医院医学创新研究部/国家老年疾病临床医学研究中心（解放军总医院）/解放军总医院第六医学中心心血管病医学部主办、国内外公开发行的医学学术期刊,月刊,大16开本。本刊属中国科技论文统计源期刊（中国科技核心期刊）,被国内各大检索系统和美国《化学文摘》等国际知名检索系统收录。     

本期专家介绍

范利，硕士，主任医师、教授、博士生导师，解放军总医院副院长，少将军衔。著名老年心血管病专家，美国纽约爱因斯坦医学院医疗中心心脏科高级访问学者。历任解放军总医院老年心血管内科主任、南楼临床部主任，2007年至今任解放军总医院副院长。     

阿司匹林停药致急性心肌梗死1例

1 病历资料 患者女,83岁.因"发作性胸闷胸痛20年,持续胸腹痛12 h"于2008-08-05人住解放军总医院.     

解放军总医院第一届老年医学研讨会圆满召开

由国家重点学科——解放军总医院老年医学研究所主办的解放军总医院第一届老年医学研讨会，于2005年7月6日在北京召开。有来自美国、加拿大、意大利、日本以及国内的百余名专家教授到会。会议由解放军总医院老年医学研究所所长王鲁宁教授、副所长叶玲研究员主持。     

老年感染性休克42例临床总结

为进一步提高对老年感染性休克患者的救治水平,本文对解放军总医院309临床部近10年老年与非老年感染性休克患者进行了总结和分析.     

关注下肢动脉闭塞规范临床诊疗

下肢动脉硬化闭塞是发生全身动脉硬化闭塞的重要信号。在6月21日解放军总医院“下肢动脉诊疗沙龙”开课仪式上,解放军总医院血管外科郭伟教授介绍说。     

代谢综合征肥胖组分的干预研究及其重要性

目前,无论是欧美还是亚洲,MS的发病率都在逐年增加.因此,在本次讨论会上,解放军总医院陆菊明教授着重探讨了对肥胖这一MS组分干预治疗的重要性和措施.     

Convection and permeation and albumin between plasma and interstitium.

Nonequilibrium thermodynamics is combined with compartmental analysis to interpret albumin sieving and tracer experiments in terms of a permeability-surface product PS (permeation) and a solvent drag reflection coefficient σ_f (convection) for various blood-tissue barriers. The human whole-body albumin data of Lassen, Parving, and Rossing (Lassen, Parving, and Rossing, Microvasc. Res.7, i–iv (1974)), modified for nonliver tissues by Johnson and Levitt (Johnson &; Levitt, Microvasc. Res.9, 141 (1975)) lead to P ～ 1.8 × 10^?8 cm sec^?1 (based on a surface area per unit plasma volume of 700 cm^?1) and to σ_f ～ 0.9, which imply, in agreement with Johnson and Levitt, that permeation is the dominant nonliver blood-tissue transport mechanism for albumin in the normal resting human. Similar values are derived from the dog paw muscle data of Garlick and Renkin (Garlick and Renkin, Amer. J. Physiol.219, 1595–1605 (1970)). The Casley-Smith (Casley-Smith, Microvasc. Res.9, 43–48 (1975)) mechanism of uphill albumin transport is verified as possible. It is tentatively inferred that lymph formation in resting tissue does not result from a small difference between a large fluid (volumetric) filtration and an almost equally large fluid reabsorption, either in the same capillary (Starling) or between different capillaries (Zweifach) (Zweifach, Circ. Res.34, 858–866 (1974)). Rather, reabsorption is negligibly small relative to filtration, and lymph flow is comparable to volumetric filtration.     

ERCP and MRCP--when and why

Since the introduction of endoscopic retrograde cholangiopancreatography (ERCP) in the 1970s, gastroenterologists have a wide spectrum of diagnostic and therapeutic options in the biliopancreatic ductal system at their disposal. With its arrival in the 1990s, magnetic resonance cholangiopancreatography (MRCP) developed as a potent diagnostic tool in biliopancreatic pathology. Currently, MRCP is widely replacing diagnostic ERCP and thereby avoiding complications related to endoscopic technique.We summarize evidence-based data and demonstrate indications and differential indications for MRCP and ERCP in pancreatic disease. Complications related to the procedures and possible medical prevention are discussed. The feasibility of interventional endoscopy in pancreatic disease is reported in detail. The role of gastroenterologists in performing MRCP is outlined on the basis of practical examples.