ABSTRACT
Intrahepatic cholangiocellular carcinoma (ICC) has become the second common malignant tumors of the liver,with its incidence being next only to hepatocellular carcinoma (HCC).Due to the lack of targeted screening methods and specific clinical manifestations,most intrahepatic cholangiocarcinoma (ICC) is clearly diagnosed as advanced,which brings great difficulties to the treatment of ICC.At present,radical surgical resection is still the most effective method to ICC.However,for some patients who had a positive-margin (R1) resection or positive lymph node metastasis,multidisciplinary comprehensive treatment including transcatheter arterial chemoembolization (TACE),local ablation,systemic chemotherapy,targeted therapy and immunotherapy,etc.can effectively improve the prognosis of these patients.
ABSTRACT
Intrahepatic cholangiocellular carcinoma (ICC) has become the second common malignant tumors of the liver, with its incidence being next only to hepatocellular carcinoma (HCC). Due to the lack of targeted screening methods and specific clinical manifestations, most intrahepatic cholangiocarcinoma(ICC)is clearly diagnosed as advanced, which brings great difficulties to the treatment of ICC. At present, radical surgical resection is still the most effective method to ICC. However, for some patients who had a positive-margin (R1) resection or positive lymph node metastasis, multidisciplinary comprehensive treatment including transcatheter arterial chemoembolization (TACE), local ablation, systemic chemotherapy, targeted therapy and immunotherapy, etc. can effectively improve the prognosis of these patients.
ABSTRACT
OBJECTIVE:To observe the efficacy and safety of ferrous succinate in the treatment of pregnancy complicated with iron deficiency anemia. METHODS:90 pregnant women with iron deficiency anemia were randomly divided into treatment group and control group. All patients were stopped drugs related to iron supplement 2 weeks before treatment,and the blood index-es were detected,including red blood cell count (RBC),hemoglobin concentration (Hb) and serum ferritin concentration (SF), etc. The treatment group was orally given 2 Ferrous succinate tablets after a meal,twice a day;control group was orally given 2 Ferrous sulfate tablets after a meal,twice a day. The treatment course for both groups was 1 month. The clinic data was observed, including clinical efficacy,RBC,Hb and SF level before and after treatment,and the incidence of adverse reactions. RESULTS:The total effective rate in treatment group was significantly higher than control group,the difference was statistically significant(P0.05). CONCLUSIONS:Ferrous succinate tablets has good efficacy and safety in the treatment of pregnancy complicated with iron deficiency anemia.
ABSTRACT
Objective:This paper analyzes different dialysate proportioning systems, when facing various types of system, we take different methods of maintenance to make the right proportion of dialysate. Methods: According to the different working principles, different dialysate proportioning systems need different ways to maintenance. Results:During the dialysis sessions, it makes proportioning of concentrations more stable. Conclusion:Maintenance can provide the safe operation of hemodialysis machines, and ensure high quality dialysis for patients.
ABSTRACT
Objective: According to the relevant principles of blood volume monitoring and monitoring methods, to apply online monitoring data information management in the blood volume monitoring for hemodialysis patients. Methods:through the relevant technical form and its function of monitoring data to study and analyze of treatment parameters of hemodialysis patients described in online blood volume monitor, to achieve data analyzed by using information management system. Results: the blood volume can be visually monitored during the hemodialysis to understand changes in the blood volume of hemodialysis patients, it helps to avoid the occurrence of hypotension and evaluation of patients with dry weights during the hemodialysis. The data can be downloaded, exported, and edited at the same the while fully access to treatment data by effective using of blood volume monitoring data management system (BVMS), in order to achieve data analyzed by using information management system. Conclusion:by understanding the correlation betweenΔBV and blood pressure screen composition can help to speculate the reasons for drop in blood pressure;by combining the examination data can help to control dry weight management, by fully accessing to data can help to manage hemodialysis patient data information management system, and according to patients expression and display of blood volume monitoring to determine the appropriate amount of ultrafiltration, adjust dry weight and develop an appropriate treatment plan.
ABSTRACT
Objective: To keep the ultrafiltration control systems running effectively, we take different maintenance methods. Methods:According to the different working principles, different ultrafiltration control systems need different ways to maintenance. Results:It is confirmed that maintenance can keep machine running in its best mode. Conclusion:Maintenance can provide the safe operation of hemodialysis machines, and ensure the medical quality.
ABSTRACT
Objective: To provide a basis for proper use of the continuous blood purification machine through analysis of its malfunction related factors. Methods: Through study of using continuous blood purification machine by Baxter Aquarius in four of the best hospitals in Shanghai for the past three years, lists frequent incidences of malfunction classification, causes, and treatment methods based on statistics on the process of using the alarm malfunction, and solved malfunction by manufacturer’s engineers. Results:To provide clinical guidance for operation of CRRT equipment, improve the safe and stable operating condition through comparison and analysis of the continuous blood purification machine malfunction. Conclusion: The regular maintenance and proper use of clinical operations will help the stability of operating condition of the continuous blood purification machine.