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      2. west china medical publishers
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        find Author "易智慧" 3 results
        • 胃穿透性潰瘍侵蝕胰腺及脾臟血管: 1例報道及文獻復習

          目的總結胃穿透性潰瘍侵蝕胰腺及脾臟血管患者的診治經驗,為臨床診治提供一定的參考。方法回顧四川大學華西醫院收治的1例胃穿透性潰瘍侵蝕胰腺及脾臟血管患者的病程發展、診治過程及臨床結局,并結合在中英文數據庫中檢索到的相關病例進行討論,對本病臨床特征、治療措施、臨床結局等進行總結。結果本例患者行近端胃切除術、脾切除術及胰腺修補術,術后檢查及隨訪結果提示患者痊愈。共檢索到27篇相關病例的文獻報道,包括本例患者在內共30例患者,其中男21例、女9例,發病年齡為(56.7±13.2)歲,臨床癥狀以上腹部疼痛為主(66.7%),潰瘍好發于胃小彎(26.7%)及胃后壁(23.3%),穿透性潰瘍最大直徑為(4.2±2.4)cm,易受侵犯部位包括胰腺(40.0%)、脾臟血管(33.3%)、肝臟(33.3%),治療方案以胃部分切除術為主(27.2%),受潰瘍侵蝕組織器官多采取局部修補手術治療(68.2%)。結論胃穿透性潰瘍為消化性潰瘍少見并發癥,患者應行消化內鏡及腹部CT評估潰瘍進展情況。若已經發生潰瘍穿透,則應積極開展手術治療并及時處理病灶,避免穿透進一步侵蝕周圍器官及重要血管。

          Release date:2023-12-26 06:00 Export PDF Favorites Scan
        • Preliminary Exploration of the Application of Problem-Based Learning in Diagnostic Practice Teaching

          Objective To explore the teaching effects of problem-based learning (PBL) in diagnostic practice teaching. Methods A total of 32 students enrolled into PBL group adopted the PBL teaching method based on certain cases in some sections while the other 210 students into the control group adopted the traditional teaching method. Their scores in the theory, the practice skill examination and the evaluation of the analytical ability of the medical records were compared. A questionnaire survey was measured in PBL group after class. Results There was no significant difference in scores of theory and practice skill examination in the two groups. The questionnaire survey revealed that the PBL method could improve the learning interest, independent study, b communication, analytical skills, and team spirit. However, there were defects in systematization of imparting knowledge. Conclusion The PBL method has an obvious advantage in diagnostic practice teaching.

          Release date:2016-09-07 11:07 Export PDF Favorites Scan
        • Investigation of the Application of Case-based Learning in Digestive Diseases Module Teaching

          ObjectiveTo explore the teaching effects of case-based learning (CBL) as an educational strategy in digestive diseases module teaching. MethodsSixty-three oral and dental medical senior students were randomly divided into two groups during February to June 2012. Among them, 31 students were enrolled in the CBL group accepting CBL teaching method based on certain cases, while the other 32 students were designated into the control group receiving traditional teaching method. Their scores in practice skill examination, analytical ability of medical records, module test scores and behavior observation results were compared. Questionnaire survey was performed for students in the CBL group. ResultsThere were no significant difference in scores of clinical practice skill examination and behavior observation results between the two groups (P>0.05). Students in the CBL group did significantly better in case analysis and module test scores (P<0.05). Questionnaire survey revealed that CBL method could significantly improve the learning interest, cultivate the ability to combine theory and practice, strengthen analytical skills and promote problem-solving abilities. The students were generally satisfied with the CBL teaching method. ConclusionCBL method has an obvious advantage in digestive diseases teaching.

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          2. 射丝袜