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使用升白细胞的药品等白细胞低增加术后感染的风险,排除实验室误差,复查相关检查之后再行手术,可以先停用相关影响白细胞的药物,以及进补营养品
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胃癌晚期能否治疗_胃癌的死亡原因 _百度_ 知道 _ 中心 _ !???
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From NPR News in Washington. I'm Jack Speer.It now appears the number of people injured after a collapse at a packed London theater was more than 75 with authorities there saying at least 7 of those people suffered more serious injuries. Witnesses say there appears that a portion of theater ceiling getaway during the performance of a holiday show, The Curious Incident Of The Dog In The Nighttime. Here are analysts with the London fire brigade. Quite quickly we are able to establish the nature of the collapse and confirmed, confined to some heavy ornate plastering typical of what you would expect to find in a theatre in the west end of this age. It has fallen from the roof level, so above the upper circle it feels like. Officials say this time they are not aware of any fatalities, the incident took place in the Apollo theater in London's west end. The theater which dated back to 1901, holds about 775 people.New York city has become the biggest city in the nation to add electronic cigarettes to its smoking bans. City council boarding today 43 to 8 prohibited use in the public places. NPR, Dan Bobkoff has more.New Yorkers will soon be forbidden from using e-cigarettes in the same public places regular cigarettes are banned, places like restaurants and parks. E-cigarettes create a vapor out of nicotine and other chemicals. Proponents say they are less harmful and many have used them precisely to get around smoking bans. Some say e-cigarettes are less dangerous than combustible cigarettes but research scanned. Matthew Miles of the campaign for tobacco free for kids says it's an open question whether the vapor from e-cigarettes are harmful to those exposed to it. The American public should not be human guinea pig for the secondhand smoke from e-cigarettes. Mayor Michael Bloomburg expected to sign the bill before he leaves office of the end of the year. Dan Bobkoff, NPR news, New York.Weekly Jobs reports shows new claims on unemployment benefits have reached a 9-month high. The NPR's Lauren Hodges reports some economists don't think necessarily a worrisome sign.The labor department reported that new jobless claims rose to a seasonally adjusted 379,000 last week, the highest number since March. This fell short of expectations which projected a drop in first-time applications. But economist Gass Forshay of PNC financial service says the holidays are affecting that number. I think it's just a season adjustment issue will not be underlying problems in consumer spending in the holiday season. Forshay says the monthly job's report from December will be a bigger indicator and all other available data point to an improving job's market. Hiring increase in October and November and a unemployment drop to a 5-year low of 7% in November. Lauren Hodges, NPR news, Washington.The index of leading economic indicators which look at a variety from reports, everything from manufacturing to jobs numbers, up to a strong eight-tenths of a percentage last month. There's a research through the conference boards saying last month rises far stronger than the 0.1% gain reported on Oct.On Wall street today mixed closed, the Dow was up 11 points to 16,179, that NASDAQ fell 11 points.You're listening to NPR.Despite calls by the white house to hold off any further sanctions against Iran or talks continuing on running that country's disputed nuclear program, it appears some Senate lawmakers don't agree. A quarter of the senate define the president in introducing legislation of set standards if Iran violates a nuclear deal which the world powers last month, including a global boycott Iranian oil exports. The deal reached in Geneva the Obama administration promise no new sanctions were six months as long as the congress not to act in that period.2 Islamist extremists have been convicted by a London jury of killing an off-duty British soldier on south London district in May. Larry Miller reports the jury took just 90 minutes to find the men guilty.Muslim converts Michael Adebolajo and Michael Adebowale said they selected soldier Lee Rigby at random as he walked near south London barracks. They first drove their car into Rigby and then hacked him to death and attempted to decapitate him. As they waited for police to arrive, they handed a bystander a note saying the intention was to bring carnage to London streets. In their defense, their accuse claimed they were soldiers of Allah and the killing was an act of war. Scarlin Yards cries a deep. It was intended to divide our communities. After the murder, the young men waited at the scene, they testified they wanted to be killed by police and murdered them, they were not found guilty of attempting to murder a police officer. For NPR news, I'm arry Miller in London.A couple of Californian lawmakers were proposing a kill switch be put into cellphone so that if they are stolen they can be rendered inoperable. The cellphone carriers who are objecting the idea saying a wireless kill switch will intentionally also allow a hacker to disable someone's phone.I'm Jack Speer, NPR news in Washington.来自:VOA英语网 文章地址: /html//NPR-NEWS-.htmlOct. 15 - Criticized by some as a harlot but canonized by others as a charming expecting mother, a Chinese blogger is stirring a lot of on-line debate because she's not married. Ground Melon Pig , as she calls herself, has decided1 to become a single mother after breaking up with her boyfriend. Her blog, titled Words to my Baby , is filled with cute little poems to her unborn child whom she calls 'Piggy'.Reaction to her writings has been varied2 and abundant. Since she started writing in August, 600,000 viewers of her blog have left postings. The postings show many people still have hard-held moral beliefs about single parenthood while others are embracing more liberal attitudes.The massive number of postings, most of which offer well-intended advise and opinion, indicates China's growing tolerance3 of diverse opinions. Ground Melon Pig , a young reporter at a newspaper in Beijing, defends her choice to go through with her pregnancy4. It's not impulsive5. I know I'll face many difficulties in the future, but I believe they can be solved if I have faith. she writes.Some postings are from other single mothers who confide6 their feelings, and praise and support Ground Melon Pig for her courage. Love yourself and love your 'piggy', that's enough. It's your own business, you're not hurting anyone. Be happy and have the courage to do what you want. says a writing use the name Caoming.Doubters of Ground Melon Pig's choice are concerned the mother-to-be could be making a big mistake that will hurt her future. You will have a very hard later life. said another writing under the name Linva. Your baby's life will be incomplete without a father and your parents will definitely face great pressure from the public write Kerenkexin . Ground Melon Pig is not alone. Many single mothers have set up websites and internet forums7 to share their feelings. As long as you are financially and spiritually secure, being a single mother is nothing special. Society is becoming more tolerant. said a netizen called Blue rain on Single Mother Forum8 .Chinese marriage laws don't prevent unmarried women from having babies.The Population and Family Planning Law stipulates9 children of unmarried women have the same rights and enjoy the same treatment as offspring of married women, said Wu Changzhen, a professor with the China University of Political Science and Law. People should respect unmarried women's right to have babies. said Xia Xueluan, a sociology professor with Beijing University. Economic and social burdens might force some single mothers to give up their children. said Xia. This gave them a decided advantage over their opponents.这使他们比对手具有明显的优势。 There is a decided difference between British and Chinese way of greeting.英国人和中国人打招呼的方式有很明显的区别。 The forms of art are many and varied.艺术的形式是多种多样的。 The hotel has a varied programme of nightly entertainment.宾馆有各种晚间娱乐活动。 Tolerance is one of his strengths.宽容是他的一个优点。 Human beings have limited tolerance of noise.人类对噪音的忍耐力有限。 Early pregnancy is often accompanied by nausea.怀孕早期常有恶心的现象。 Smoking during pregnancy increases the risk of miscarriage.怀孕期吸烟会增加流产的危险。 She is impulsive in her actions.她的行为常出于冲动。 He was neither an impulsive nor an emotional man,but a very honest and sincere one.他不是个一冲动就鲁莽行事的人,也不多愁善感.他为人十分正直、诚恳。 I would never readily confide in anybody.我从不轻易向人吐露秘密。 He is going to confide the secrets of his heart to us.他将向我们吐露他心里的秘密。 讨论会; 座谈会; 广播专题讲话节目; 集会的公共场所( forum的名词复数 ); 论坛,讨论会,专题讨论节目; 法庭 A few of the forums were being closely monitored by the administrators. 有些论坛被管理员严密监控。
It can cast a dark cloud over these forums. 它将是的论坛上空布满乌云。
They're holding a forum on new ways of teaching history.他们正在举行历史教学讨论会。 The organisation would provide a forum where problems could be discussed.这个组织将提供一个可以讨论问题的平台。 n.(尤指在协议或建议中)规定,约定,讲明(条件等)( stipulate的名词复数 );规定,明确要求v.(尤指在协议或建议中)规定,约定,讲明(条件等)( stipulate的第三人称单数 );规定,明确要求 The trade contract stipulates for the settlement of balances in RMB. 贸易合同规定余额以人民币结算。 来自《现代汉英综合大词典》 The contract stipulates for the use of seasoned timber. 合同上订明用干透的木料。 来自辞典例句
大家都爱看由于和讯关闭留言功能,给交流带来影响,现已将【留言板】迁移至http://zyandkt.【《中庸与肾移植》病友交流处】,请大家去那里注册留言提问。由此给大家带来的不便,敬请谅解!――中庸
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hushuibuyun 18:09一、基本资料(提示:将*号填上数字,◇号填上文字)hushuibuyun&1.性别:男;2.年龄:41岁;3.体重/身高:71公斤/1.75米;4.手术时间:2004年10月;5.手术医院:*总医院;6.供肾来源:尸体7.血压:90/65;8.心率:68;9.尿量:3500ml左右。二、用药情况:1.免疫用药:(提示:将*号填上数字,服用国产吗替麦考酚酯、环孢素A、他克莫司、西罗莫司的请注明“生产厂家”,没有服用的药物空着不填,下列的免疫用药项目请全部保留不得删除!)A1.泼尼松:**/天(距本次复查日之前最后的一次调药:*年*月*日由**/天调为现在用量);A2.美卓乐:4mg/天(距本次复查日之前最后的一次调药:日由2mg/天调为现在用量);B1.骁悉:1.5g/天(早0.75g、晚0.75g。距本次复查日之前最后的一次调药:日由1.25g/天调为现在用量);B2.米芙:**mg/天(早**mg、晚**mg。距本次复查日之前最后的一次调药:**年*月*日由**mg/天调为现在用量);B3.布累迪宁:**mg/天(早**mg、晚**mg。距本次复查日之前最后的一次调药:**年*月*日由**mg/天调为现在用量);B4.依木兰:**mg/天(早**mg、晚**mg。距本次复查日之前最后的一次调药:**年*月*日由**mg/天调为现在用量);C1.新山地明:**mg/天(早**mg、晚**mg。距本次复查日之前最后的一次调药:**年*月*日由**mg/天调为现在用量);C2.普乐可复:0.75mg/天(早0.5mg、晚0.25mg。距本次复查日之前最后的一次调药:日由1mg/天调为现在用量);C3.雷帕鸣:**mg/天(早**mg、晚**mg。距本次复查日之前最后的一次调药:**年*月*日由**mg/天调为现在用量);D1.来氟米特:**mg/天(早**mg、晚**mg。距本次复查日之前最后的一次调药:**年*月*日由**mg/天调为现在用量);E1.雷公藤多甙:**mg/天(早**mg、晚**mg。距本次复查日之前最后的一次调药:**年*月*日由**mg/天调为现在用量)。2.辅助用药(根据自己的情况填写,勿漏填,用μg、mg、g,复方制剂用片、粒标注用量,新加药物注明添加日期):a.百令胶囊:5g/天;b.科素亚:50mg/天;c.阿法骨化醇:0.25ug/天;d维生素c:2片/天;e.复合维生素b:4片/天;f.别嘌醇:0.2g/天;g.阿魏酸哌嗪:12片/天;h.多稀酸乙酯软胶囊:4粒/天i.螺内酯:10毫克/天......3.服药及用餐时间安排(根据自己的情况填写,勿漏填):6:30 早饭9:00 &fk560 百令胶囊&9:30 骁悉 美卓乐 阿法骨化醇 多稀酸乙酯软胶囊vc 复合维生素b .别嘌醇&12:00 午饭18:00晚饭21:00 fk560 百令胶囊21:30 &骁悉 科素亚 阿法骨化醇 多稀酸乙酯软胶囊vc 复合维生素b;螺内酯......三、检查指标:(提示:术后没有检查过的项目请填“从未查过”,检查过的必须填写不得漏填;下列的“检查指标”项目请全部保留,可以增加检查项目但不得删除下列的“检查指标”项目!)1.药物浓度:(必须填写最后一次的浓度检查报告,没有服用的免疫抑制剂浓度空着不填)环孢素C0浓度:**ng/ml,(末次服用**mg,**小时后抽血,距本次更新资料时最近的一次检查:**年**月**日,◇◇医院检查);环孢素C2浓度:**ng/ml,(末次服用**mg,**分钟后抽血,距本次更新资料时最近的一次检查:**年**月**日,◇◇医院检查);他克莫司浓度:3.3ng/ml,(末次服用0.25mg,12小时后抽血,距本次更新资料时最近的一次检查:日,北京*医院检查);西罗莫司浓度:**ng/ml,(末次服用**mg,**小时后抽血,距本次更新资料时最近的一次检查:**年**月**日,◇◇医院检查);霉酚酸药时曲线下面积(MPA-AUC):未查(早**g,晚**g,距本次更新资料时最近的一次检查:**年**月**日查,◇◇医院检查)。2.肾功:(距本次更新资料时最近的一次检查:日,北京*医院检查)肌酐:147(53-115)高;:::括号内为参考值。尿素:12.67(1.43-7.14);高尿酸:445(178-416);高胱抑素C:未查(**-**)。3.肝功:(距本次更新资料时最近的一次检查:日)谷丙转氨酶ALT:23(0-40);碱性磷酸酶:70(30-150);总胆红素:21.3(3.4-20.4);高直接胆红素:6.4(0-6.8);总蛋白:74.9(60-80);白蛋白:46.9(35-55)。4.电解质:(距本次更新资料时最近的一次检查:日)钾:4.56(3.5-5.5);钠:141.(135-150);氯:102(95-110)。钙:2.41(2-2.5);镁:0.88(0.7-1.1);磷:1.28(0.97-1.62);二氧化碳结合力17.3(20-31)。5.血脂血糖:(距本次更新资料时最近的一次检查:日)血糖:4.55(3.92-6.16)。甘油三酯:1.58(0.57-1.7);总胆固醇:5.54(3.9-5.2);高高密度脂蛋白胆固醇:1.55(1.04-1.56);低密度脂蛋白胆固醇:3.11(2.34-3.12)。6.血常规:(距本次更新资料时最近的一次检查:日)白细胞:10.41(4-10);高中性粒细胞比率:80.2(50-70);高中性粒细胞绝对值:8.36(2-7);高淋巴细胞比率:15.6(20-40);低淋巴细胞绝对值:1.62(0.8-4.0);血红蛋白138(120-160);红细胞:4.34(4.0-5.5);血小板:229(100-300)。7.尿常规:(距本次更新资料时最近的一次检查:日)比重:1.015(1.003-1.03);pH:5.0(5.5-8.5);尿蛋白:+ 0.3;尿微量白蛋白:>0.15;镜检红细胞:1个/hp(0-17);镜检白细胞:2个/hp(0-28)。24小时蛋白:0.37(0―0.15)8.T淋巴细胞亚群(距本次更新资料时最近的一次检查)填写详细报告9.移植肾彩超(距本次更新资料时最近的一次检查:填写详细报告。四、病情补充说明(根据自己的具体情况填写,越详细越好):中庸老师您好!最近在您的帮助下一直还算稳。昨天去北京检查了一下,资料已经上传。存在一些问题还需要老师的帮助 &最近在您的帮助下一直还算稳。昨天去北京检查了一下,资料已经上传。存在一些问题还需要老师的帮助&1、肌酐基本没变,但是尿素氮很高,螺内酯加了有几个月了,如果是螺内酯的副作用造成的偏高的话,对肾脏有实质损害吗?需要怎么处理?2、螺内酯10毫克(半片),科素亚50毫克血压90/65,24尿蛋白 0.37,没有降得明显,想把把螺内酯加到一天20毫克,怕血压太低,把科素亚降一些,加点螺内酯还是需要怎么调整一下?3、这次检查白细胞突然高,中性粒细胞绝对值高、中性粒细胞比率高、淋巴细胞比率低,春节前几天在当地查白细胞接近上线但没有超标。这次查高了。没有感冒。是什么原因呢?4、二氧化碳低了,医生让加点碳酸氢钠片,尿酸也有些超标怎么处理?中庸: 02:17:25【本回复纯属病友之间的交流,不可作为治疗依据,请与医生联系治疗方案:】hushuibuyun移友您好!1.. 螺内酯作用于肾小管,有可能会影响氮的排除,但不会影响肾功能。建议适当减少蛋白质的摄入量。2.. 不用调整,只要尿蛋白不明显增加,则可以。3.. 继续观察。4.. 其实没有必要处理。减少蛋白质的摄入量尿酸也会下降。hushuibuyun03-13 06:48感谢老师这么晚了还在为我们解答问题!您辛苦了!hushuibuyun03-13 10:42还有几个事请教老师:1、医生让做抗群体抗体(PRA),说移植时间长的都应该做一下,您认为呢?2、肿瘤标志物,多久查一次,肾移植主要需要查哪几项?3、每年春秋季节交替的时候是否应该输一些疏通改善血管的药物,如需要输怎么用药?中庸: 00:27:17【本回复纯属病友之间的交流,不可作为治疗依据,请与医生联系治疗方案:】湖水不愠移友您好!1.. 做一下更好。2.. 原则上每年查最好,查糖类抗原、癌胚抗原、甲胎蛋白。3.. 应该视具体情况而定,如果肌酐偏高,则可以每季输一点,建议前列地尔,每天10μg;盐酸川芎嗪,每天160mg。输2周。hushuibuyun03-16 08:36老师答复已经看到,确认的有些晚了抱歉!hushuibuyun 15:16中庸老师您好:我在网上偶尔看到肾脏病专用的低蛋白麦淀粉,含蛋白很低,可以减少植物蛋白摄入。我的肌酐、和尿素氮都偏高,以这个为主食,会延缓肾功能的下降速度吗?不知您对这个肾病辅助食品有什么看法?中庸: 00:31:18【本回复纯属病友之间的交流,不可作为治疗依据,请与医生联系治疗方案:】湖水不愠移友您好!凡是食物赋予了针对某种疾病的治疗或保健作用身价就倍增。“低蛋白麦淀粉”与其他纯淀粉对肾功能不全的治疗作用是相同的,因此可以选择的范围很大,如玉米淀粉、红薯淀粉、作菜用的芡粉、做水晶饺子用的澄面、市售的葛根粉、藕粉等都可以用。低蛋白质饮食配合α-酮酸效果更好。我正在受邀写关于《慢性肾衰营养治疗》的文章,预计1~2万字,会比较详细介绍这方面的情况。hushuibuyun03-18 06:54感谢老师的辛苦解答!您的知识确实很前沿,我们刚知道的事您已经关注和研究很久了。很期待您的 《慢性肾衰营养治疗》的文章早日写完,我们早日拜读。 以我目前的情况,主食尽量吃您所列低蛋白食品,蛋白以动物蛋白为来源;还是现在就开始低蛋白饮食配合α-酮酸呢?中庸: 23:41:09【本回复纯属病友之间的交流,不可作为治疗依据,请与医生联系治疗方案:】湖水不愠移友您好!您的情况,我认为如果能够保证每天每公斤体重0.7g左右的蛋白质(蛋白质保证优质蛋白质≥50%),每公斤体重35千卡的热量(热量来源以低蛋白质碳水化合物为主,动植物油共25g/d),保证蔬菜、水果,那就是完美饮食治疗方案了。hushuibuyun03-19 06:17感谢您的耐心指导!hushuibuyun 17:3024小时蛋白:0.47(0―0.15)(3月25日查)8.T淋巴细胞亚群(查)项目代号 & & & & & & &项目名称 & & & & & & & 结果 & & & & & &参考区间4/8Ratio & & & & & &T4/T8细胞比值 & & & & & &0.64 & & & & & &0.71-2.78CD3+CD4+% & & & & & T4细胞百分数 & & & & & & 36.9 & & & & & &27-51CD3+CD+8% & & & & & T3细胞百分数 & & & & & & 55.5 & & & & & &15-44&CD8 & & & & & & & & T8细胞绝对数 & & & & & & 980 & & & & & & 190-1140CD4 & & & & & & & & T4细胞绝对数 & & & & & & 625 & & & & & & 410-1590CD3 & & & & & & & & T3淋巴细胞绝对数 & & & & 1766 & & & & & &690-25409.移植肾彩超(距本次更新资料时最近的一次检查:填写详细报告。四、病情补充说明(根据自己的具体情况填写,越详细越好):中庸老师您好!今天我又在当地新做了T淋巴细胞亚群和24小时蛋白尿。其他检查结果还是上次去北京检查的,为了便于您分析我重新传了一遍。资料已经发,我有几个问题好的辛苦老师:1、我的T淋巴细胞亚群结果怎么样?2、 &昨天从医院开了前列地儿,医生说在处方上直接写200毫升盐水,10微克前列地儿。我问她不是静推吗,她说咱们医院都是这样输的,剂量这么大静推不太安全。我已经输了两天了。这样输可以吗,对效果和副作用等会有影响吗?3、 &我看有的病友再吃维生素AD胶丸,我这种情况可以吃吗,吃这个主要起到什么作用?4、 &我还有什么需要调整改进的地方吗?问的很多,给老师添麻烦了,问一问您心里就踏实一些,再一次谢谢您!中庸: 01:37:11【本回复纯属病友之间的交流,不可作为治疗依据,请与医生联系治疗方案:】hushuibuyun移友您好!1.. 可能有一点免疫抑制过度,如果能够作霉酚酸暴露量则更能够确定。2.. 输的效果要差一点。3.. 可以,每天单位的1粒,对感染和肿瘤有一定预防作用。4.. 要适当限制蛋白质的摄入量。hushuibuyun03-26 07:15谢谢老师指导!hushuibuyun03-27 08:01中庸老师您好:有两个事还得辛苦您一下。1、我的白细胞最近几个月持续高和抑制过度有关系吗?2、骁悉暴露量当地、手术医院都查不了,我也从来没有查过。我下月初正好要去上海杭州去出差,您是否知道上海杭州那个医院、星期几可以抽血化验骁悉暴露量?,如果这两个城市做不了,我专门坐车去一趟南京军区总院也可以的,总院星期几化验骁悉暴露量,一般结果当天就可以拿上吗?我想提前安排检查时间和订票时间。实在不好意思因为这些问题,还占用您的时间!中庸: 00:24:00【本回复纯属病友之间的交流,不可作为治疗依据,请与医生联系治疗方案:】hushuibuyun移友您好!1.. 如果没有与感染相关的症状,白细胞升高则可能是骁悉加量引起的。2.. 浙一医可以作,具体要咨询开单医生(各医院要求不同),您可以先与医院电话联系。hushuibuyun03-28 07:05非常感谢老师,我马上电话联系医院!
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