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Fortschritte der Medizin最新文献

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[Spondylarthritis. 3. Diagnosis and differential diagnosis of various forms of spondylarthritis]. (脊椎关节炎。3.各种形式脊柱炎的诊断与鉴别诊断[j]。
Pub Date : 1999-04-20
L Köhler, J Wollenhaupt, H Zeidler
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引用次数: 0
[Facts and targets in analgesic therapy. Levels in delivery of care-- advanced training--the Swedish National Program]. 镇痛治疗的事实和目标。提供护理的水平——高级培训——瑞典国家计划]。
Pub Date : 1999-04-20
B Meyerson, R Wörz
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引用次数: 0
[Advantages of insulin Lispro (short-acting) in terminal kidney failure]. [短效胰岛素利斯普罗治疗终末期肾衰竭的优势]。
Pub Date : 1999-04-20
P M Jehle, U Aisenpreis, D Bundschu, F Keller

Diabetic management of dialysis patients with end-stage renal failure is often problematic. Renal failure interferes with the metabolism of glucose and insulin. Many of these diabetics have wide fluctuations in their daily blood glucose profile. The kinetics of regular insulin may be appreciably prolonged in consequence of the failure of renal insulin degradation, making the dose-effect profile of the insulin difficult to control, and hypoglycemia more likely. Intensified conventional insulin treatment (ICT) using the short-acting insulin, Lispro, facilitates the calculation of insulin requirements and helps to avoid large fluctuations in blood glucose levels. The present case report illustrates these difficulties in a patient on dialysis, and shows how ICT with Lispro can improve the quality of life of diabetics with renal failure.

糖尿病透析患者终末期肾功能衰竭的管理往往是有问题的。肾功能衰竭会干扰葡萄糖和胰岛素的代谢。这些糖尿病患者中的许多人在他们的日常血糖谱上有很大的波动。由于肾脏胰岛素降解的失败,常规胰岛素的动力学可能明显延长,使胰岛素的剂量效应难以控制,并且更容易发生低血糖。使用短效胰岛素Lispro的强化常规胰岛素治疗(ICT)有助于计算胰岛素需求,并有助于避免血糖水平的大幅波动。本病例报告说明了透析患者的这些困难,并展示了ICT与Lispro如何改善肾功能衰竭糖尿病患者的生活质量。
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引用次数: 0
[Do not let down the aged!]. 不要让老年人失望!
Pub Date : 1999-04-20
H W Minne
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引用次数: 0
[New ethics for physicians?]. [医生的新伦理?]。
Pub Date : 1999-04-20
H Pillau
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引用次数: 0
[Quality of life and patient compliance during pain therapy. Multicenter study using Tramundin retard]. 疼痛治疗期间的生活质量和患者依从性。多中心研究使用曲曲明迟缓]。
Pub Date : 1999-04-10
M Frank, M Sturm, H Arnau, U Achenbach
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引用次数: 0
[Tuberculosis spectrum displaced. Increasing infection rates by atypical Mycobacteria]. [结核病谱偏移。增加非典型分枝杆菌的感染率]。
Pub Date : 1999-04-10
R H Knauer
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引用次数: 0
[Will blood pressure measuring by the Riva-Rocci and Korotkoff method soon by substituted? Missing oscillometric appliances--technical data kept secret]. Riva-Rocci和Korotkoff测量血压的方法会很快被取代吗?丢失的计量器具——技术数据保密]。
Pub Date : 1999-04-10
M Anlauf
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引用次数: 0
[Practical conducting of blood pressure measuring. Important contributing factors and possibilities of errors]. 测量血压的实用方法。重要的影响因素和错误的可能性]。
Pub Date : 1999-04-10
U Tholl

Studies have shown that both laypersons and doctors and medical staff have insufficient knowledge of the proper handling of blood pressure measurement. The resulting deviations in the measured values are of a diagnostically relevant order of magnitude capable of leading, for example, to an erraneous diagnosis of hypertension. Some of the factors frequently receiving too little attention are, for example, the use of an inappropriate cuff size, failure to ensure that the patient is adequately rested, and inappropriate positioning of the arm during measurement. Attention is drawn to the recommendations of the various hypertension societies.

研究表明,无论是外行人还是医生和医务人员,对正确处理血压测量的知识都不足。测量值的结果偏差具有诊断相关的数量级,例如,可能导致高血压的错误诊断。一些经常被忽视的因素是,例如,使用不合适的袖带尺寸,未能确保患者得到充分休息,以及测量时手臂的位置不适当。我们要注意各种高血压学会的建议。
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引用次数: 0
[Asthma-grading amplified. The German Ligue of Respiratory Diseases distinguishes only four stages]. [Asthma-grading放大。德国呼吸系统疾病协会只划分了四个阶段。
Pub Date : 1999-04-10
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引用次数: 0
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Fortschritte der Medizin
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