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    find Author "高彩云" 2 results
    • 基層醫院搶救新生兒胃穿孔的體會

      目的總結新生兒胃穿孔的病因、診斷和治療方法。 方法回顧性分析2009年8月-2014年8月收治的新生兒胃穿孔的臨床資料,總結分析胃穿孔的診斷、治療和預后情況。 結果共納入11例患兒,發病年齡2~7 d,其中足月兒8例,早產兒3例;男4例,女7例;出生體質量在1 680~3 800 g。所有患兒均給予手術治療,且經手術證實為胃穿孔。穿孔部位:胃大彎8例,胃小彎3例。其中1例術后死于多臟器功能衰竭,1例合并腸旋轉不良、腸管大部分壞死,家長放棄治療,存活9例,存活率81.8%,存活患兒經6個月~5年的隨訪,均生長發育正常。 結論新生兒胃穿孔可能由多種原因所致,其中胃壁先天發育缺陷是最常見的原因;及早診斷、早期積極手術治療以及新生兒重癥監護室和新生兒外科的密切配合是基層醫院提高新生兒胃穿孔存活率的重要措施。

      Release date:2016-11-23 05:46 Export PDF Favorites Scan
    • Development of Evidence-based Medicine: Focus on the Abstracts of the Cochrane Colloquium

      Objects To retrospectively analyze the accepted abstracts by the Cochrane Colloquiums in recent 5 years, so as to learn the advances and development trend for next stage in evidence-based medicine field. MethodsAbstracts accepted by the 19th to 23rd Cochrane Colloquiums were collected, and relevant information was extracted. Then, a descriptive analysis was conducted. Outcomes A total of 2088 abstracts were accepted in recent five Cochrane Colloquiums. Europe contributed the most abstracts, in the top 10 contribution countries, five countries were located in Europe. Colleges/Universities were the major contributing institutes, McMaster University of Canada (165, 7.90%) and Lanzhou University of China (118, 5.65%) were the top two contributing institutions. The number of authors of most accepted abstracts were 3 to 5(1011, 48.42%). The top three topics focused by these abstracts were evidence (417, 19.97%), methodology (412, 19.73%) and risk of bias (220, 10.54%). ConclusionsEuropean countries are major contributing countries of abstracts of the Cochrane Colloquium, and colleges/universities are the major contributing institutions. Retrieval and methodology are research hot in recent 5 years. Attention should be paid to breakthrough progress in methodology in future.

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  • 松坂南