解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Plug closure of patent ductus arteriosus without thoracotomy is reliable and can be a good alternative to surgical closure for selected patients. We report our experiences with plug closure in 87 consecutive patients (age range, 3 to 38 years). Closure was successful in 83 patients (95 percent). There has been no mort...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.5.631
更新日期:1976-11-01 00:00:00
abstract::The presence of a null gene for alpha1-antitrypsin was detected in a family study by the inheritance of intermediate antitrypsin deficiency in association with a normal (PiM) phenotypic pattern. The proband, a 42-year-old man (M-phenotype), was a cigarette smoker and had physiologic evidence of pulmonary emphysema. Th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.4.532
更新日期:1976-10-01 00:00:00
abstract::A 51-year-old man suffered third-degree caustic burns of the esophagus and proximal two-thirds of the stomach. A tracheoesophageal fistula developed, and surgery was performed to exclude the esophagus from gastrointestinal reflux and to divert the oral secretions. An uneventful postoperative course was interrupted on ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.4.549
更新日期:1976-10-01 00:00:00
abstract::At the time of bronchoscopic observation, 28 of 31 patients proved to have aspirated gastric contents by the presence of gastric contents in the trachea or by direct observation of gastric aspiration followed by respiratory distress and erythema of subsegmental bronchi. Since gastric aspiration is a difficult diagnosi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.4.458
更新日期:1976-10-01 00:00:00
abstract::Each of four examiners performed standardized physical examinations on a group of patients who had just undergone tests of ventilatory function. The intensity of breath sounds heard with deep inspiration was graded on a rating scale of 0 to 4; the grades in six areas of the chest were added to give a total score, with...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.3.341
更新日期:1976-09-01 00:00:00
abstract::A patient with Ewing's sarcoma of the left scapula received prophylactic radiotherapy to the left lung following wide excision of the tumor. While the left lung remained free of tumor, there was metastatic invasion of the right lung within ten months of the initial diagnosis of the disease. Since Ewing's sarcoma frequ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.3.393
更新日期:1976-09-01 00:00:00
abstract::Closure of ventricular septal defects through the aortic valve annulus has been described for a variety of cardiac anomalies. This technique is most appropriate when simultaneous aortic valve replacement is anticipated. A continuous suture through the patch material may produce a purse-string effect upon the aortic va...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.2.311
更新日期:1976-08-01 00:00:00
abstract::The effects of the administration of ouabain on the peak negative left ventriculat (LV) dP/dt were studied in 14 patients with acute myocardial infarction. Prior to administration of ouabain, negative LV dP/at was lower than previously reported for patients without coronary arterial disease. One hour after administrat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.2.259
更新日期:1976-08-01 00:00:00
abstract::The echocardiographic appearance of fungal endocarditis of the aortic valve is described in a patient who subsequently died from this disease. In addition, the progressive growth of the vegetation on serial echocardiograms was recorded, and premature closure of the mitral valve was absent, notwithstanding perforation ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.2.300
更新日期:1976-08-01 00:00:00
abstract::In this study, pleural calcifications prevailing in the inhabitants of some villages and towns around Diyarbakir, a city in southeast Turkey, have been found to be caused by the inhalation of chrysotile asbestos, the mineral commonly used indiscriminately to paint the walls and floors of houses. There were no industri...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.1.43
更新日期:1976-07-01 00:00:00
abstract::Postmortem examination two weeks following implantation of a demand pacemaker with sutureless electrodes demonstrated that (1) the loops of intrapericardial electrode leads indented the myocardium and produced a circumscribed area of subepicardial necrosis, and (2) one of the electrode coils protruded into the right v...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.1.80
更新日期:1976-07-01 00:00:00
abstract::This study represents an analysis of 13 cases of ruptured interventricular septum occurring as a complication of myocardial infarction. The cases considered appeared to divide themselves into two groups. One group survived the septal rupture for weeks or months and underwent surgery in the chronic stage. The patients ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.6.734
更新日期:1976-06-01 00:00:00
abstract::A median sternotomy approach was used for closure of patent ductus arteriosus associated with a hypoplastic right lung. The anterior approach to the left ductus is indicated if left thoracotomy is contraindicated. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.6.785
更新日期:1976-06-01 00:00:00
abstract::The efficacy of a new tissue-culture technique for the diagnosis of malignant pleural effusions was contrasted with conventional cytologic methods. The new technique is based on the ability of the tissue-culture medium to transform mesothelial cells into fibroblasts while not sustaining lymphoreticular cells. Against ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.5.626
更新日期:1976-05-01 00:00:00
abstract::Actinomyces israelii is a rare cause of pericarditis. Infection spreads to pericardium from an intrathoracic focus. Branching gram-positive filaments are seen on microscopic examination of clinical specimens. Cultures should be performed under anaerobic conditions. Both surgical drainage and antibiotics (penicillin) a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.5.680
更新日期:1976-05-01 00:00:00
abstract::In a prospective study, 11 (1.5 percent) of 742 patients had angiographically proven coronary artery aneurysms. The clinical picture was similar to that of patients with severe coronary artery disease. The coronary artery aneurysms were multiple and were associated with extensive coronary atherosclerosis in ten of the...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.5.630
更新日期:1976-05-01 00:00:00
abstract::A study of 26 men with bronchogenic cancer demonstrated high serum calcitonin levels in 62 percent (16). Levels were particularly high in patients with small-cell cancer and adenocarcinoma. Two varieties of hypercalcitonemia have been encountered: (1) ectopic hypercalcitonemia, in which the hormone is secreted by the ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.495
更新日期:1976-04-01 00:00:00
abstract::In rabbits, an experimental model of fat embolism was produced that simulates the course of events in the clinical situation. Small doses of fat-cell suspension (0.075 ml/kg of body weight), prepared by collagenase treatment of homologous adipose tissue, were injected intravenously. Concomitantly, hypovolemia was prod...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.523
更新日期:1976-04-01 00:00:00
abstract::A patient with the sick sinus syndrome accompanying mirror-image dextrocardia which was associated with double superior venae cavae and an absent inferior vena cava is presented. A permanent transvenous demand pacemaker was inserted because of repeated episodes of dizziness and a documented 31/2-second period of asyst...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.558
更新日期:1976-04-01 00:00:00
abstract::This report describes the cross-sectional echocardiographic features of a left ventricular diverticulum. The echocardiographic findings are illustrated and discussed in relation to the diagnostic capabilities of this noninvasive imaging technique. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.544
更新日期:1976-04-01 00:00:00
abstract::This is the first reported case of discrete fibrous subaortic stenosis in tetralogy of Fallot. Transaortic excision of the subaortic membrane was readily accomplished. To detect this and other forms of left ventricular outflow-tract obstruction in tetralogy of Fallot before surgery, routine selective left ventriculogr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.543
更新日期:1976-04-01 00:00:00
abstract::Echocardiographic studies were performed in 86 patients with right ventricular volume overload. In 45 of these 86 patients, 58 echocardiograms were performed at different intervals in the postoperative period. For control purposes, 60 normal subjects and 18 patients with right ventricular pressure overload were also e...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.3.388
更新日期:1976-03-01 00:00:00
abstract::Two cases are presented in which a Dormia ureteral stone dislodger with straight filiform tip was used to retrieve broken central venous pressure catheters from the right side of the heart and vena cavae. It should be emphasized that this particular model is more easily passed into the vascular system and more easily ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.3.435
更新日期:1976-03-01 00:00:00
abstract::99mTechnetium stannous pyrophosphate has been shown to accumulate in acutely infarcted myocardium. To determine if the isotope is also taken up by severely ischemic, but not necrotic myocardium, we performed myocardial scintigraphic studies in 17 patients with chest pains. Seven of the patients satisfied conventional ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.2.168
更新日期:1976-02-01 00:00:00
abstract::A case of acute and recrudescent melioidosis complicated by pericarditis and pericardial effusion is described. The potential for the appearance of future cases in the United States and the necessity for physicians to remain aware of this potential diagnosis are discussed. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.2.227
更新日期:1976-02-01 00:00:00
abstract::Fiberglass inhalation seems to produce a minimal tissue response in the lungs, and the reaction is one of macrophagic mobilization and is characteristic of the pulmonary response to those nonfibrogenic dusts classified as nuisance dusts. In order to merit the designation of a nuisance dust, the pulmonary response must...
journal_title:Chest
pub_type: 杂志文章,评审
doi:
更新日期:1976-02-01 00:00:00
abstract::The surgical treatment of the completely obstructed left main coronary artery is aortocoronary saphenous-vein bypass to the left coronary artery system. Without surgical intervention, this lesion has an exceedingly poor prognosis. This report describes a patient with atherosclerotic obstruction of the left main corona...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.2.238
更新日期:1976-02-01 00:00:00
abstract::A case of subaortic stenosis caused by two discrete membranes is presented. Following demonstration of the two distinct sites of obstruction by intraventricular pressure gradients and angiocardiogram, the two membranes were excised through a transaortic approach. The importance of being aware of the occurrence of this...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.1.104
更新日期:1976-01-01 00:00:00
abstract::Aortic valve atresia is usually associated with hypoplasia of the left ventricle and mitral valve. We report a patient presenting aortic atresia with ventricular septal defect and a normally sized left ventricle. The electrocardiogram showed left axis deviation and left ventricular hypertrophy. The ventricular septal ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.1.121
更新日期:1976-01-01 00:00:00
abstract::A review of the incidence and severity of hemolysis in the aortic prosthesis is presented. The noncloth-covered Starr-Edwards prosthetic series 1000, 1200, and 1260 had a 2 percent (1/54) incidence of anemia. The cloth-covered Starr-Edwards aortic prosthetic series 2300 was associated with anemia in 61 percent (28/46)...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.1.56
更新日期:1976-01-01 00:00:00
abstract::This study evaluated the influence of pregnancy as a relapse factor in pulmonary tuberculosis in 215 patients who recieved adequate chemotherapy. A comparison was made between the evolution of patients who had pregnancies and those who did not. On ending the period of observation (details are lacking with respect to o...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.6.800
更新日期:1975-12-01 00:00:00
abstract::Primary influenza pneumonia is a disease of high mortality. Differentiation between a bacterial and viral etiology for the pulmonary infiltrates frequently presents a diagnostic dilemma. Rapid diagnosis is essential; and once established, the patient requires careful supportive therapy. This report describes two patie...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.4.513
更新日期:1975-10-01 00:00:00
abstract::A 64-year-old patient was admitted to the hospital with a history of two syncopal episodes. The results of the physical examination, resting electrocardiogram and His-bundle study were all normal. Study with a 24-hour ECG monitor (Holter) was at first interpreted as demonstrating periods of sinus arrest. However, more...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.4.582
更新日期:1975-10-01 00:00:00
abstract::Transbronchial lung biopsy (TBB) was performed during fiberoptic bronchoscopy under fluoroscopic guidance in 107 patients. TBB was diagnostic in 17 of 21 (81 percent) cases with localized malignant lesions greater than 4 cm in diameter and bronchial brushing was positive in 12 (57 percent). TBB was diagnostic in 14 of...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.4.524
更新日期:1975-10-01 00:00:00
abstract::Each of 100 chest radiographs selected randomly from a hospital population were read by five experienced radiologists. The films were rich in abnormal findings. Disagreement analysis was performed considering the entire content of the interpretation. The disagreements were graded by a panel as to type (false negative,...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.3.278
更新日期:1975-09-01 00:00:00
abstract::A 60-year-old woman with recent onset of exertional chest pain, left anterior hemiblock and negative stress electrocardiogram was found to have hypoplasia of the coronary sinus with drainage of the major coronary venous blood by way of the Thebesian system into the left ventricle. This abnormality appeared to be of no...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.3.384
更新日期:1975-09-01 00:00:00
abstract::A nationwide study of acute myocardial infarction in Israel was carried out during a one-year period. There were 2,504 new and 968 repeated attacks. Annual incidence rate of first attacks was 0.9 per 1,000 (1.3 in men and 0.5 in women). Incidence was highest among the European born in both sexes. But, while the patter...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.2.214
更新日期:1975-08-01 00:00:00
abstract::The first report of coincident IHSS and ostium secundum ASD is corroborated and successful septal myotomy and myectomy with patch closure of the ASD is described. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.2.246
更新日期:1975-08-01 00:00:00
abstract::We describe a ten-month-old patient in whom intermittent patency and closure of the dectus arteriosus was observed clinically, and in whom this observation was uniquely demonstrated at the time of cardiac catheterization. The hemodynamics of this patient and the physiology of ductal closure are discussed. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.1.110
更新日期:1975-07-01 00:00:00
abstract::Systolic time interval studies were performed to evaluate left ventricular performance in 28 patients with untreated systemic hypertension but without clinical heart failure. The pre-ejection period (PEP) was significantly prolonged (p smaller than 0.001) and left ventricular ejectime time (LVET) was shortened (p smal...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.1.51
更新日期:1975-07-01 00:00:00