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A.M.A. American journal of diseases of children最新文献

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Studies in sickle-cell anemia. V. Sickle-cell hemoglobin C disease; report of two cases in siblings with clinical and genetic observations and a brief review of the literature. 镰状细胞性贫血的研究。5、镰状细胞血红蛋白C病;报告两例兄弟姐妹的临床和遗传观察,并简要回顾文献。
Pub Date : 1955-07-01 DOI: 10.1001/archpedi.1955.04030010037006
R B SCOTT, M E JENKINS
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引用次数: 5
Prenatal lesions of the pancreas. 产前胰腺病变
Pub Date : 1955-07-01 DOI: 10.1001/ARCHPEDI.1955.04030010030005
P. Véghelyi, J. Šoš, T. Kemény
In order to make the purpose of the experiments to be discussed below clearly understandable, it was thought necessary briefly to summarize the main results of our previous studies concerning the functional pathology of the pancreas. It has been many years since we first observed that in the first week of scarlet fever the activity of pancreatic enzymes in the duodenal juice becomes decreased and at the same time the level of both amylase and lipase is greatly increased in the blood. 1 After a week this shift characteristic of acute pancreatitis usually disappears. In some instances, however, the pancreatic dysfunction becomes permanent, similarly as after certain cases of mumps or other infectious fevers.* A short time after that observation we had occasion to become acquainted with the morphological basis of the dysfunction: In three patients who died of bacillary dysentery the pancreas presented a picture characterized by degeneration, variably
为了使下面将要讨论的实验的目的清楚地理解,我们认为有必要简要地总结一下我们以往关于胰腺功能病理学研究的主要结果。自从我们第一次观察到在猩红热的第一周,十二指肠液中胰腺酶的活性下降,同时血液中淀粉酶和脂肪酶的水平大大增加以来,已经很多年了。1一周后,急性胰腺炎的这种转变特征通常消失。然而,在某些情况下,胰腺功能障碍成为永久性的,类似于某些腮腺炎或其他传染性发烧的病例。*观察后不久,我们有机会了解功能障碍的形态学基础:在3例死于细菌性痢疾的患者中,胰腺呈现出变性的特征
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引用次数: 7
The hypothyroid infant and child; therapy with sodium l-thyroxine. 甲状腺功能减退的婴幼儿;用l-甲状腺素钠治疗。
D A FISHER, G D HAMMOND, D E PICKERING
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引用次数: 0
The hypothyroid infant and child; therapy with sodium l-thyroxine. 甲状腺功能减退的婴幼儿;用l-甲状腺素钠治疗。
Pub Date : 1955-07-01 DOI: 10.1001/ARCHPEDI.1955.04030010008003
D. Fisher, G. Hammond, D. Pickering
This communication reviews problems of diagnosis and therapy of hypothyroidism in infancy and childhood and presents 12 representative cases treated with sodium l -thyroxine. Pessimism in regard to treatment and prognosis for children with congenital athyrosis is based upon the high incidence of persisting deficits of intellect and skeletal growth which follow seemingly adequate replacement therapy. Selected experimental observations made in this laboratory regarding the physiologic role of thyroid in the growth and metabolism of I 131 -thyroid-ablated infant rhesus monkeys contribute to an understanding of clinical and metabolic features exemplified by these patients. In the athyroid infant monkey, as in the patients to be presented, it has been observed that many metabolic and clinical signs of thyroid deficiency may be controlled with doses of sodium l -thyroxine significantly smaller than those required to promote optimal central nervous system and skeletal growth and maturation.* This seeming discrepancy in tissue response
本文综述了婴幼儿甲状腺功能减退症的诊断和治疗问题,并介绍了12例应用甲状腺素钠治疗的代表性病例。对先天性甲状腺病儿童的治疗和预后持悲观态度的原因是,在似乎足够的替代治疗之后,智力和骨骼生长的持续缺陷的发生率很高。本实验室所做的关于甲状腺在i131甲状腺消融婴儿恒河猴生长和代谢中的生理作用的实验观察有助于了解这些患者的临床和代谢特征。在甲状腺幼猴中,正如在将要介绍的患者中一样,已经观察到甲状腺缺乏的许多代谢和临床症状可以通过明显小于促进中枢神经系统和骨骼生长和成熟所需剂量的l -甲状腺素钠来控制。*组织反应的表面差异
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引用次数: 11
Psychosomatic gastrointestinal problems in children. 儿童的心身性胃肠问题。
Pub Date : 1955-06-01 DOI: 10.1001/archpedi.1955.02050110857009
A H CHAPMAN, D G LOEB
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引用次数: 1
Linear growth of long bones of extremities from infancy through adolescence; continuing studies. 从婴儿期到青春期四肢长骨的线状生长;继续研究。
M M MARESH
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引用次数: 0
Discordant monozygotic twins; diabetes mellitus and obesity. 不一致的同卵双胞胎;糖尿病和肥胖症。
Pub Date : 1955-06-01 DOI: 10.1001/ARCHPEDI.1955.02050110829006
J. Warkany, G. M. Guest, W. Cochrane
Identical, or monozygotic, twins offer unusual opportunities to study the role of heredity and environment in the origin of pathologic disorders. Since Galton suggested the study of identical twins as a method for the separation of hereditary and environmental influences in the development of human traits, "Gemelloiogy" has become a science in its own rights.* The striking similarities (concordance) of identical twins in physical, physiological, psychological, and pathological characteristics have always attracted attention and aroused curiosity. They were and are welcome objects of investigation for students of human inheritance. The dissimilarities (discordance) of identical twins being less impressive to the casual observer, rarely are given the consideration they deserve. Identical twins discordant in respect to a structural or functional disorder offer convincing evidence that a pathologic manifestation, observed in one twin only, cannot be determined entirely genetically. If identical twins have the same genetic endowment, their differences or discordant properties
同卵或同卵双胞胎为研究遗传和环境在病理疾病起源中的作用提供了不寻常的机会。自从高尔顿提出对同卵双胞胎的研究作为分离人类特征发展中遗传和环境影响的一种方法以来,“遗传学”已经成为一门独立的科学。同卵双胞胎在生理、生理、心理和病理特征上惊人的相似(一致性)一直吸引着人们的注意和好奇心。它们过去和现在都是人类遗传研究的热门研究对象。同卵双胞胎的不同之处(不一致之处)对不经意的观察者来说不那么令人印象深刻,很少得到应有的考虑。在结构或功能紊乱方面不一致的同卵双胞胎提供了令人信服的证据,表明仅在一对双胞胎中观察到的病理表现不能完全由遗传决定。如果同卵双胞胎有相同的基因禀赋,他们的差异或不一致的特性
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引用次数: 5
Hemodialysis of the uremic child. 尿毒症患儿的血液透析。
Pub Date : 1955-06-01 DOI: 10.1001/archpedi.1955.02050110785001
F M MATEER, L GREENMAN, T S DANOWSKI
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引用次数: 21
Isoniazid in tuberculous peritonitis of childhood. 异烟肼在儿童结核性腹膜炎中的作用。
Pub Date : 1955-06-01 DOI: 10.1001/archpedi.1955.02050110825004
H SHUKRY, S AWWAAD
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引用次数: 1
The Wolff-Parkinson-White syndrome; report of a case occurring in a mother and infant. 沃尔夫-帕金森-怀特综合征;报告一例发生在母亲和婴儿之间的病例。
Pub Date : 1955-06-01 DOI: 10.1001/ARCHPEDI.1955.02050110883011
M. McIntire, A. Freed
WOLFF, Parkinson, and White, in 1930, first described the combination of a short P-R interval and a prolonged QRS on the electrocardiogram in frequent association with attacks of paroxysmal tachycardia.1It is usually the only cardiac anomaly present. Holtzmann and Scherf2and Wolferth and Wood3suggested that accessory atrioventricular pathways were present which would permit premature depolorization of part of the ventricle. Engle has reviewed the literature recently in infants and children.4Her youngest case was 6 days old with symptoms dating back to the first day of life, suggesting that the syndrome is congenital in origin. The symptoms of an attack are usually irritability, vomiting, prostration, and an ashen gray color. If allowed to continue it may precipitate cardiac failure. The treatment of choice is digitalis. Insofar as we were able to determine, our case is the first in which both the mother and infant
WOLFF、Parkinson和White在1930年首次描述了心电图上P-R间期短和QRS长与阵发性心动过速发作的频繁关联。它通常是唯一的心脏异常。Holtzmann和scherf2以及Wolferth和wood3认为存在副房室通路,这将允许部分心室过早去极化。恩格尔最近回顾了有关婴儿和儿童的文献。她最小的病例6天大,症状可以追溯到生命的第一天,这表明该综合征是先天性的。发作的症状通常是烦躁、呕吐、虚弱和脸色灰白。如果任其继续下去,可能会导致心力衰竭。治疗的选择是洋地黄。据我们所知,我们的病例是第一例母亲和婴儿都
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引用次数: 13
期刊
A.M.A. American journal of diseases of children
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