Video-assisted thoracoscopic surgery (VATS) for the treatment of hepatic hydrothorax: report of twelve cases

Background: Hepatic hydrothorax is defined as a significant pleural effusion in patients with liver cirrhosis and without underlying cardiopulmonary diseases. Treatment of hepatic hydrothorax remains a challenge at present. Methods: Herein we share our experiences in the treatment of 12 patients with hepatic hydrothorax by video-assisted thoracoscopic surgery (VATS).Repair of the diaphragmatic defects, or pleurodesis by focal pleureetomy, talc spray, mechanical abrasion, electro-cauterization or injection was administered intraoperatively, and tetracycline intrapleural injection was used postoperatively for patients with prolonged (＞7 d) high-output (＞300 ml/d) pleural effusion. Results: Out of the 12 patients, 8 (67%) had uneventful postoperative course and did not require tube for drainage more than 3 months after discharge. In 4 (33%) patients the pleural effusion still recurred after discharge due to end-stage cirrhosis with massive ascites. Conclusion: We conclude that the repair of the diaphragrnatic defect and pleurodesis through VATS could be an alternative of transjugular intrahepatic portal systemic shunt (TIPS) or a bridge to liver transplantation for patients with refractory hepatic hydrothorax. Pleurodesis with electrocauterization can be an alternative therapy if talc is unavailable.     

Chest wall abscess due to Prevotella bivia

Prevotella bivia is associated with pelvic inflammatory disease. A 77-year-old man developed a rapidly growing chest wall abscess due to P. Bivia within days. He underwent surgical resection of the infected area; his postoperative course was un-eventful. This is the first case of chest wall abscess due to P. Bivia infection. Its correct diagnosis cannot be underestimated be-cause fulminam infections can occur in aged or immunocompromised patients if treated incorrectly. Prompt, appropriate surgical management, and antibiotic therapy affect treatment outcome.     

高职高专院校实验室管理改革探析

通过实验室管理内涵和存在问题分析,探讨高职高专院校实验室管理改革,提出实验室管理改革趋势,提高实验教学质量,促进高职高专院校人才培养质量.     

中学数学教育教学类期刊选稿思考

分析中学数期刊目前的运作环境和来稿中存在的问题。根据其运作特点拟定符合期刊运作规律的选稿要求和编辑责任,把荐稿权和抽稿权分离,让审稿人在不同的审稿时段里享有不同的荐稿权和抽稿权,使审稿人有荐稿权的同时也受到制度的制约,保证录用的稿件是经过交叉审稿的优秀论文。     

高校图书馆参考咨询服务初探

我国高等教育不断向前发展,高校图书馆作为集文化教育、信息集散为一体的有机体,应该也必须在已有传统的服务项目的基础上开展更加丰富、高效的服务内容。为了满足当前形势下高校师生对图书馆的文献信息服务的需求,很多高校图书馆已经开展或是正在准备开展参考咨询服务。     

对达成社会价值共识路径的反思

社会认识渐趋多元,价值共识的达成成为难题,破解难题的路径有通过社会价值观的排序确立共识、自由兼容彼此融合寻求共识、确定底线共识搁置矛盾和依托权威达成共识等.现实地看这些路径所涉及的内容却都有着不同的难点.达成价值共识在于达成价值共识时代性条件的具备和人的全面发展.     

民俗体育融入学校体育的理性思考

民俗体育融入学校体育既是民俗体育自身发展的需要,也是学校体育发展的内在要求.要加快民俗体育融入学校体育的进程,必须进一步完善中央和地方体育课程政策,加强民俗体育项目的专门研究,加强民俗体育项目的教师队伍建设,积极探索民俗体育项目活动形式的多样性,规范民俗体育运动项目赛事体系建设.     

浅谈基于GSM室内分布系统的TD-SCDMA改造

对现有GSM室内分布系统进行TD-SCDMA改造的关键问题进行了分析,结合典型场景,通过对比、理论预算和测试结果相结合的方法实现TD-SCDMA室内良好的覆盖.     

广义对角占优矩阵的若干基本性质

讨论广义(非严格)对角占优矩阵的基本性质,并举例说明广义严格对角占优矩阵的诸多性质对广义(非严格)对角占优矩阵不再成立.     

先秦儒家"性""欲"之辨——兼与周德清先生商榷

关于人之“性”与人之“欲”,最早的认识从孔子开始。《论语》大量记述了孔子对“欲”的言说,他认为“欲”是“性”发的结果,“欲”可分为:“性”发而皆中节的“和之欲”和“性”发而失中节的“贪之欲”。“和之欲”经《中庸》的进一步阐释,为孟子所继承并提出性善说;“贪之欲”为荀子所发挥,提出了性恶说。