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British journal of diseases of the chest最新文献

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Fundamental techniques in pulmonary and oesophageal surgery 肺和食管手术的基本技术
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90050-2
K. Jeyasingham
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引用次数: 0
Practical Bronchoscopy 实际的支气管镜检查
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90052-6
I.C. Paterson
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引用次数: 0
Meeting announcement 会议公告
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90059-9
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引用次数: 0
Selman Waksman (1888–1973), discoverer of streptomycin: A centenary review 塞尔曼·瓦克斯曼(1888-1973),链霉素的发现者:百年回顾
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90005-8
Alex Sakula
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引用次数: 19
The assessment of a computer administered questionnaire in the differential diagnosis of asthma and chronic airflow limitation 计算机管理问卷在哮喘和慢性气流受限鉴别诊断中的评估
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90067-8
J. Bennett, J. Osman, A.D. Blainey, R.J. Davies

We have tested a computer administered respiratory symptom questionnaire in patients with asthma, chronic airflow limitation, and subjects with no evidence of respiratory disease. The questionnaire was highly effective at distinguishing patients with respiratory disease from those without. However, the responses of asthmatic patients and patients with CAL to the majority of questions were similar though the responses to four out of 11 questions were significantly different. We conclude that such a computer administered questionnaire is of limited value in distinguishing patients with asthma and CAL, underlining the importance of objective tests in this differential diagnosis.

我们在哮喘患者、慢性气流受限患者和无呼吸道疾病证据的受试者中测试了计算机管理的呼吸症状问卷。该问卷在区分呼吸道疾病患者和非呼吸道疾病患者方面非常有效。然而,哮喘患者和CAL患者对大多数问题的回答相似,尽管11个问题中有4个问题的回答有显著差异。我们得出结论,这种计算机管理的问卷在区分哮喘和CAL患者方面价值有限,强调了客观测试在鉴别诊断中的重要性。
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引用次数: 17
Nodular pulmonary amyloidosis: a case report and review of literature 肺结节性淀粉样变1例报告并文献复习
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90097-6
S. Holmes, J.B. Desai, R.N. Sapsford

Since 1974, 20 new cases of nodular pulmonary amyloidosis have been reported in the English literature. We present a new case and a review of the literature.

自1974年以来,英国文献报道了20例新的结节性肺淀粉样变病例。我们提出了一个新的病例和文献综述。
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引用次数: 15
Enprofylline in chronic asthma 慢性哮喘的enprofyline
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90088-5
B.J. Chapman , C. McDonald , S. Capewell , M.H. Frame , G.K. Crompton

A double-blind crossover study has been performed in 14 patients with moderately severe chronic asthma to compare the bronchodilator efficacy of two dosage regimens of intravenous enprofylline (high dose=2 mg/kg bolus and 1 mg/kg/hour infusion; low dose=1 mg/kg bolus and 500 μg/kg/hour infusion) with aminophylline (5 mg/kg/bolus and 500 μg/kg/hour infusion) and placebo. The bolus injections were given over 20 minutes and infusion over 160 minutes. Twelve subjects completed the study. High dose enprofylline was more effective than aminophylline in increasing PEF (P=0.008) and FEV1 (P=0.004). Low dose enprofylline and aminophylline were of similar efficacy. Side-effects, notably headaches and nausea, were more common with enprofylline; three out of 14 subjects receiving the high dose regimen developed severe nausea. The plasma enprofylline levels achieved with the high dose regimen were greater than anticipated. Further studies are required in acute severe asthma to clarify the therapeutic role of intravenous enprofylline and the most appropriate dosage regimen.

在14例中重度慢性哮喘患者中进行了一项双盲交叉研究,以比较静脉注射enprofylline两种剂量方案(高剂量= 2mg /kg丸和1mg /kg/小时输注;低剂量=1 mg/kg丸,500 μg/kg/小时输注),氨茶碱(5 mg/kg丸,500 μg/kg/小时输注)和安慰剂。注射时间为20分钟,输注时间为160分钟。12名受试者完成了这项研究。高剂量enprofylline在提高PEF (P=0.008)和FEV1 (P=0.004)方面比氨茶碱更有效。低剂量enprofyline与氨茶碱疗效相近。副作用,尤其是头痛和恶心,在enprofylline中更为常见;接受高剂量方案的14名受试者中有3人出现了严重的恶心。高剂量组血浆enprofylline水平高于预期。急性重症哮喘需要进一步的研究来阐明静脉注射enprofylline的治疗作用和最合适的给药方案。
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引用次数: 2
General practitioner referrrals for static miniature chest radiography: Indications and diagnostic yield 全科医生转介静态微型胸片:适应症和诊断率
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90011-3
F.G. Simpson, J.F.J. Morrison, N.J. Cooke, S.B. Pearson

The chest clinic based miniature radiographic service had been studied prospectively with the view of assessing its efficiency and correlating radiological and clinical findings. We conclude that such a service provides advantages for rapid patient recall and assessment. The fact that it is organized by chest physicians allows a more selected pattern of clinic referral.

本文对基于临床的胸部微型x线摄影服务进行了前瞻性研究,以评估其有效性并将其与影像学和临床表现相关联。我们的结论是,这种服务为快速的病人回忆和评估提供了优势。事实上,它是由胸科医生组织的,允许更多的选择模式的临床转诊。
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引用次数: 3
Transbronchial aspiration of subcarinal lymph nodes 经支气管吸入隆突下淋巴结
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90035-6
A.D. Blainey , M. Curling , Malcolm Green

Transbronchial needle aspiration of subcarinal lymph nodes has been undertaken in 60 consecutive patients with pulmonary malignancies undergoing routine fibreoptic bronchoscopy. Four aspirates from the subcarinal nodes contained malignant cells; three squamous cell carcinoma and one adenocarcinoma. Four of 40 (10%) of patients with non-small-cell carinoma of the lung had a positive aspirate. We have not confirmed the high positive rate previously reported, but nevertheless transbronchial needle aspiration provided useful staging information in some patients.

The techniques is rapid, safe and simple, and can easily be applied in a routine bronchoscopy service for all patients with suspected cancer, or selected patients under active consideration for surgery.

经支气管针吸隆突下淋巴结已进行了60例连续的肺恶性肿瘤患者进行常规纤维支气管镜检查。从隆突下淋巴结抽取的4个标本中含有恶性细胞;3例鳞状细胞癌1例腺癌。40例(10%)非小细胞肺癌患者中有4例抽吸阳性。我们尚未证实先前报道的高阳性率,但经支气管针吸为一些患者提供了有用的分期信息。该技术快速、安全、简便,可方便地应用于所有疑似癌症患者的常规支气管镜检查服务,或选择积极考虑手术的患者。
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引用次数: 10
Essentials of thoracic surgery 胸外科要领
Pub Date : 1988-01-01 DOI: 10.1016/0007-0971(88)90017-4
K.M. Pagliero
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引用次数: 0
期刊
British journal of diseases of the chest
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