目的 依托四川大學華西醫院的臨床資源，建立了一個規范化、標準化的腫瘤組織標本庫，對臨床醫學研究提供了珍貴的資源。 方法 于2009年6月創建四川大學華西醫院腫瘤組織標本庫、進行質量控制、規范化管理及總結實踐經驗。 結果 從創建腫瘤組織標本庫至2012年2月，共收集各類腫瘤（胃、食管、肝、肺、腸、乳腺、胰腺、甲狀腺、縱隔、腎臟、喉、腦）組織標本44 609例，包括腫瘤組織、腫瘤旁組織（距離腫瘤組織2 cm的組織）和切緣遠端非腫瘤組織（距離腫瘤組織＞5 cm的組織）。對腫瘤組織標本進行有效和科學的管理，為科研提供了便利和高質量的資源。 結論 建立了一個國際標準化、規范化、信息完善的腫瘤組織標本庫，可為腫瘤的發生、發展、轉移及生物標志物的研究提供高質量的標本。
Neuromuscular disease (NMD) encompasses a group of disorders that affect motor neurons, peripheral nerves, neuromuscular junctions, and skeletal muscles, potentially leading to respiratory muscle impairment and decline in respiratory function, significantly impacting patients' quality of life. In March 2023, clinical practice guideline titled Respiratory Management of Patients with Neuromuscular Weakness was released by the American College of Chest Physicians. This article summarizes, categorizes, and interprets the contents and key points of the guideline, aiming to provide more targeted guidance for clinical healthcare professionals and ultimately enhance the effectiveness of respiratory management for patients with NMD.
ObjectiveTo summarize the clinical experience of retropancreatic tunnel established by superior mesenteric vein-approach in a child with cavernous transformation of the portal vein (CTPV) during Rex bypass. MethodThe retropancreatic tunnel was created by the superior mesenteric vein-approach during Rex bypass in a child with CTPV who was admitted to our hospital in September, 2023. Clinical data were retrospectively analyzed. ResultsFor the 4-year-old male child who was diagnosed with CTPV, after the establishment of the retropancreatic tunnel by superior mesenteric vein-approach, the portal vein was quickly identified, thus simplifying the portal dissection. The operation time of Rex bypass was about 8 hours, and intraoperative blood loss was about 60 mL. After a 3-month follow-up, the child recovered well with patent bypass vessels. ConclusionThe surgical strategy proposed by our team can simplify the Rex bypass, resulting in more rapid and safe access to the vascular anastomosis site.