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Revue De Medecine Interne最新文献

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IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-09-01 DOI: 10.1016/S0248-8663(24)00771-9
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引用次数: 0
Orientation diagnostique devant une anomalie du TP ou du TCA [如何解释和追踪延长的快速时间或 APTT]。
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-09-01 DOI: 10.1016/j.revmed.2024.05.002

The standard hemostasis workup [quick time (QT), and activated partial thrombin time (APTT)] is very commonly prescribed but its interpretation is often difficult for practitioners who are not specialized in hemostasis. Here, we review the principles of the diagnostic approach to these tests. Only a very basic knowledge of the coagulation cascade is necessary to identify which clotting factor tests to prescribe and to interpret the results. Deficiency in several clotting factors suggests liver dysfunction, disseminated intravascular coagulation (DIC) or vitamin K deficiency. If a single factor is deficient, we review the different causes of acquired deficiencies and briefly discuss the characteristics of the different congenital defects, which generally require specialized management. Lupus anticoagulant is a common and generally benign cause of prolonged APTT to be aware of, which is not related to a hemorrhagic risk. A good knowledge of the diagnostic approach to abnormal QT or APTT generally allows the resolution of the most common situations.

标准的止血检查[快速时间（QT）和活化部分凝血酶时间（APTT）]是非常常用的处方，但对于不擅长止血的医生来说，其解释往往很困难。在此，我们将回顾这些检查的诊断原则。只需对凝血级联有非常基本的了解，就能确定应进行哪些凝血因子检测并解释检测结果。多种凝血因子缺乏提示肝功能异常、弥散性血管内凝血（DIC）或维生素 K 缺乏。如果是单一因子缺乏，我们将回顾后天缺乏的不同原因，并简要讨论不同先天缺陷的特点，这些缺陷通常需要专门的治疗。狼疮抗凝物是导致 APTT 延长的一个常见且通常是良性的原因，需要引起注意，它与出血风险无关。掌握 QT 或 APTT 异常的诊断方法通常可以解决最常见的情况。
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引用次数: 0
Tout savoir sur les inhibiteurs de JAK 您需要了解的有关 JAK 抑制剂的所有信息
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-09-01 DOI: 10.1016/S0248-8663(24)00775-6
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引用次数: 0
Une pancytopénie qui cache bien son jeu [一名 39 岁女性的高烧]。
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-09-01 DOI: 10.1016/j.revmed.2024.05.022
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引用次数: 0
The CARMEN-France registry of adult patients with immune thrombocytopenia and autoimmune hemolytic anemia in France 法国免疫性血小板减少症和自身免疫性溶血性贫血成年患者 CARMEN-France 登记。
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-09-01 DOI: 10.1016/j.revmed.2024.06.006

The CARMEN-France registry is a prospective, multicenter registry in France including adult patients with a new diagnosis of immune thrombocytopenia or of autoimmune immune hemolytic anemia (2402 patients included in December 31, 2023). The recording of clinical, biological and treatment data allows detailed epidemiological and pharmacoepidemiological real-world studies. This review summarizes the CARMEN-France registry protocol, gives examples of studies conducted in the registry, and indicates future directions such as inclusion of patient reported outcomes, linkage with the French national health insurance database and linkage with other registries in Europe.

法国 CARMEN 登记处是法国的一个前瞻性多中心登记处，收录了新诊断为免疫性血小板减少症或自身免疫性溶血性贫血的成年患者（截至 2023 年 12 月 31 日，共收录 2402 名患者）。通过记录临床、生物和治疗数据，可以进行详细的流行病学和药物流行病学真实世界研究。本综述概述了 CARMEN-France 登记协议，举例说明了在该登记处开展的研究，并指出了未来的发展方向，如纳入患者报告的结果、与法国国家健康保险数据库的链接以及与欧洲其他登记处的链接。
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引用次数: 0
Littérature commentée 带评注的文学作品
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-09-01 DOI: 10.1016/j.revmed.2024.07.005
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引用次数: 0
Title Page 标题页
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-09-01 DOI: 10.1016/S0248-8663(24)00769-0
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引用次数: 0
Situations fréquentes en médecine interne 内科常见情况
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-09-01 DOI: 10.1016/S0248-8663(24)00776-8
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引用次数: 0
Portrait de Claire Vasco, PH en médecine interne à l’hôpital de Libourne 利布尔内医院内科 PH 克莱尔-瓦斯科的肖像。
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-08-01 DOI: 10.1016/j.revmed.2024.06.012
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引用次数: 0
Bien-être, burn-out, résilience : mots et maux de la Médecine Interne française [幸福、倦怠、恢复力：法国内科医学的词汇与弊病]。
IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Revue De Medecine Interne
Pub Date : 2024-08-01 DOI: 10.1016/j.revmed.2024.07.001
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引用次数: 0
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