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依据标准多导睡眠仪(PSG)、超声心动图检查结果及其他相关临床资料，该例患者主要诊断为重度阻塞性睡眠呼吸暂停低通气综合征（OSAHS）合并扩张性心肌病（DCM）。应用双水平气道正压（BiPAP）治疗，联合常规利尿、降低肺动脉高压治疗，患者夜间呼吸暂停及低通气消失，心功能明显改善(心功能Ⅱ级)。作者认为，OSAHS和DCM具有一定关系，BiPAP治疗联合抗心力衰竭治疗效果明显。 [ABSTRACT FROM AUTHOR]

目的 探讨卵巢癌患者血浆 D-二 聚体和纤溶酶原激活物抑制剂 1(PAI-1) 水平是否存在异常及其与肿瘤临床进 展的关系。方法 回顾性分析2013 年 5 月至 2019 年 2 月在该院就诊且确诊的卵巢癌患者 98 例(卵巢癌组),选取同期卵巢良性 肿瘤患者(病理检查确诊为卵巢囊肿、囊腺瘤、成熟畸胎瘤等)50例作为卵巢良性肿瘤组,另选取同期健康体检者 58 例作为对照 组。采集患者治疗前及对照组研究对象健康体检时清晨空腹静脉血 3 mL于枸橼酸钠抗凝管中,采用全自动血凝分析仪免疫比 浊法测定血浆 D-二 聚体水平,采用酶联免疫吸附法检测血浆 PAI-1 水平。结果 卵巢癌组患者血浆 D-二 聚体和 PAI-1 水平均显 著高于卵巢良性肿瘤组和对照组,差异均有统计学意义 (P <0.05); 但卵巢良性肿瘤组患者血浆 D-二 聚体和 PAI-1 水平并未发生 显著上调,与对照组比较,差异无统计学意义 (P >0.05)。D-二 聚体和 PAI-1 水平在卵巢癌患者中均随肿瘤进展呈逐渐上升趋 势,差异有统计学意义 (P <0.05)。结论 卵巢癌患者血浆 D-二 聚体和 PAI-1 水平显著上调,并随着肿瘤进展呈不断上升趋势。 [ABSTRACT FROM AUTHOR]

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目的研究精细化护理联合超声雾化治疗小儿重症肺炎的临床疗效,并探讨其安全性。方法选取2017年5月至2018年7月该院呼吸内科就诊的小儿重症肺炎患者82例作为研究对象,按照其就诊的先后顺序将其分为联合治疗组和对照组。联合治疗组41例,采用精细化护理联合超声雾化进行治疗;对照组41例,采用常规护理进行治疗。一个疗程后,将2组患者的临床症状改变时间、住院时间、临床总有效率、不良反应等情况进行比较分析。结果与对照组比较,联合治疗组患者的临床症状改变时间和机械吸氧时间更短,护理满意度更高,不良反应率更低,差异均具有统计学意义(P<0.05)。结论精细化护理联合超声雾化的疗效较好,安全性高,无显著不良反应,值得在今后临床实践中推广应用。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的探讨腹腔镜手术在妊娠合并卵巢肿瘤治疗中的价值。方法选取2010年1月至2015年1月在 该科接受手术治疗的87例妊娠合并卵巢肿瘤患者。其中行腹腔镜手术43例（观察组），行开腹手术44例（对照组）。比较 两组患者手术时间、术中出血量、术后留置导尿管时间、住院时间及妊娠结局。结果 87例患者均顺利完成手术，观察组 未出现中转开腹者。观察组患者平均手术时间、术中出血量、术后留置导尿管时间及术后住院时间均优于对照组，先兆流 产发生率低于对照组，差异均有统计学意义（P<0.05)。结论妊娠期行腹腔镜手术对母亲及胎儿是安全的。腹腔镜手术 具有腹部切口小、损伤小、术后恢复快、住院时间短等优点。 [ABSTRACT FROM AUTHOR]