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find Author "李梅" 23 results
  • Research progress of cardiac rehabilitation

    With the prevalence of cardiovascular diseases, the development of cardiac rehabilitation is an inevitable trend. Cardiac rehabilitation is a comprehensive and long-term plan including medical assessment, exercise prescription, correction of cardiovascular risk factors, education, counseling, and behavioral intervention. Evidence-based medical evidence confirms that cardiac rehabilitation plays an important role in the three level prevention of cardiovascular disease. In this paper, we searched the literature in recent 10 years to explain the current situation and future research direction of cardiac rehabilitation, and explore the best mode of cardiac rehabilitation.

    Release date:2019-05-23 04:49 Export PDF Favorites Scan
  • 脉络膜骨瘤吲哚青绿与荧光素眼底血管造影观察一例

    Release date:2016-09-02 06:05 Export PDF Favorites Scan
  • The characteristics of congenital retinoschisis with optical coherence tomography

    Objective To investigate the characteristics of congenital retinoschisis of optical coherence tomography(OCT) and its clinical application. Methods Eight cases(15 eyes) which were diagnosed as or suspected to retinoschisis in clinic were examined by OCT,direct ophthalmoscopy and color fundus photograph.Three cases(6 eyes) were examined by electroretinogram(ERG) and fundus fluorescein angiography(FFA). Results The typical characteristic OCT images of congenital retinoschisis were cystic maculopathy with tilted and vertical connective filaments,typical split in innner retinal layers in posterior retina and thickening of neurosensory retina with the split of outer retinal layers in membranous remnants. Conclusions OCT can display the characteristics of congenital retinoschisis.It is potentially useful as a new technique for the diagnosis of congenital retinoschisis. (Chin J Ocul Fundus Dis, 1999, 15: 209-211)

    Release date:2016-09-02 06:07 Export PDF Favorites Scan
  • Evaluation of the Effects of Comprehensive Discharge Education for Patients Having Undergone Mechanical Heart Valve Replacement

    目的 探讨心脏机械瓣膜置换术后患者出院指导的综合方法,评价其效果。 方法 将2010年9月-2011年1月242例心脏机械瓣膜置换术患者按入院先后顺序随机分成试验组和对照组。试验组患者采用综合出院指导方案,对照组采用常规宣教方法,在6个月后对两组患者进行调查,评价综合指导方案的效果,并进行统计学分析。 结果 试验组患者均未出现不良并发症,对照组有1例出院后未遵医嘱服药及定期复查,死于血管栓塞;有2例出现血管栓塞,2例牙龈出血,经及时治疗后好转。 结论 对心脏机械瓣膜置换术患者出院时,发放健康教育资料及定期随访指导的综合出院指导方案,可以降低术后并发症,提高患者认知水平和满意度,帮助患者提高依从性,提高生存质量。

    Release date:2016-09-08 09:11 Export PDF Favorites Scan
  • 心脏开胸术后胸带固定必要性的探讨

    目的讨论心脏开胸术后患者是否需要使用胸带固定。 方法将2012年1月-6月201例心脏开胸术后患者根据术后回病房的时间随机分为观察组(101例)和对照组(100例),观察组使用胸带固定胸骨及伤口,对照组未使用胸带固定,就两组患者的伤口愈合、胸骨是否浮动、患者舒适感受等指标进行对比分析。 结果一期愈合对照组98例(98.00%),观察组96例(95.05%),两组比较一期愈合率差异无统计学意义(χ2=1.301,P=0.254),且两组均未出现胸骨浮动;对照组患者舒适度达69.00%,观察组仅为34.70%,两组比较差异有统计学意义(Uc=20.862,P<0.001)。 结论心脏开胸术后患者伤口一期愈合、胸骨浮动与是否使用胸带固定无直接关系。

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  • 自制简易负压吸引装置在胸部正中切口术后的应用

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  • 误诊为恶性肿瘤的肿瘤样钙质沉积症一例

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  • 血友病患儿合并先天性心脏病的围手术期护理一例

    Release date:2017-11-24 10:58 Export PDF Favorites Scan
  • Clinical analysis of 12 posterior scleritis patients with an initial symptom of affected optic nerve

    ObjectiveTo summarize the clinical features and visual outcome of posterior scleritis presented with symptoms involving affected optic nerve.MethodsRetrospective case series study. Twelve eyes of 12 female patients with posterior scleritis were included in this study. The average age was 35.2±14.31 years old. The patients got diagnosed with an average of 24.75±22.91 days. Ocular pain was complained in all patients, and blurred vision in 11 patients. The best corrected visual acuity (BCVA), intraocular pressure (IOP), slit lamp microscope examination, B-scan ultrasound, optical coherence tomography (OCT), fundus photography, fundus fluorescein angiography (FFA) and ocular wall thickness measurement were performed in all patients. Nine eyes received visual field examination. All patients received systemic corticosteroid and steroidal eye drops for 3 months. Clinical features and outcome were retrospectively studied.ResultsBefore treatment, the BCVA was from <0.1 to >0.8. There were 3 eyes with scleral hyperemia, 3 eyes with anterior chamber flares, 12 eyes with papilledema and different degrees of retinal vein dilatation, 3 eyes with star-shaped macular exudates and 2 eyes with macular retinal pigment epithelium detachment. B-scan ultrasound demonstrated that the ocular walls were thickening in all eyes with typical T-sign, and the average thickness was 2.76±0.68 mm. OCT demonstrated optic disc swelling, and the macular retinal detachment in 2 eyes. In the FFA examination, the fluorescein leakage of the disc was enhanced with time. In the Humphrey test, the value of mean deviation (MD) was 12.56±5.73 dB and pattern standard deviation (PSD) was 8.15±4.23 dB in 9 eyes before the treatment. After treatment for 3 months, the symptoms were attenuated and the visual acuity was obviously improved with BCVA>0.1 in all eyes. Scleral hyperemia and anterior chamber flares were only found in 1 eye. The optic disc edema gradually faded away. The ocular wall thickness in the poster part of the eyeball decreased, and the T-sign disappeared in all eyes, the average thickness was 1.53±0.41 mm. Compared with parameters before the treatment, the difference was statistically significant (t=0.003 5, P<0.05). OCT demonstrated the recovery of the macular retinal detachment. There was no abnormal leakage evidenced in FFA in the optic disc and macular. After treatment, the value of MD and PSD was 5.19±4.82 dB and (4.33±3.76) dB, respectively. The difference of MD value between before and after the treatment was significant (t=0.026, P<0.05).ConclusionsPosterior scleritis with an initial symptom of optic nerve was tend to affect middle-aged patients, with clinical manifestations of anterior segment signs in some patients and optic disc swelling with retinal vein dilatation in all patients. B ultrasound examination showed typical T sign. Systemic corticosteroid treatment always obtained remission of the ocular inflammatory activity, and could achieve favorable visual outcome.

    Release date:2018-07-23 04:02 Export PDF Favorites Scan
  • 肛瘘及肛周脓肿的超声诊断现状

    【摘要】 肛瘘及肛周脓肿是肛肠外科较常见疾病,其手术治疗对医生迄今仍是一个挑战,因为医生既希望手术根治疾病,防止复发,又要避免手术损伤引起大便失禁,因此术前准确定位至关重要。现代超声技术能准确定位肛瘘的内口、主管、支管、脓腔,能较为准确地显示瘘管与周围组织的关系,为医生制定个体化的手术方案提供帮助。现根据国内外发表的相关文献综述超声检查对肛瘘及肛周脓肿的诊断,以期对临床工作起到一定的指导作用。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
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