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彭佑铭 《医学与哲学(人文社会医学版)》1994,15(6):31-32
慢性肾功能衰竭治疗的思考湖南医科大学附属二院肾内科博士生(4410011)彭佑铭慢性肾衰是一个临床综合征。由各种慢性肾脏疾病晚期,肾单位毁损到一定程度时,引起肾功能减退,临床上出现水、电解质紊乱和酸碱失衡及代谢毒素所致全身中毒症状。该病在我国发病率... 相似文献
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慢性肾病、慢性肾功能衰竭全方位审视 总被引:1,自引:1,他引:0
慢性肾病(CKD)、慢性肾功能衰竭(CRF)是全身性疾病在肾脏的表现、特别与血管性免疫性和代谢性疾病相关。肾脏又是一个排泄器官,中西药的过度应用,尤其是具有毒性药物如雷公藤类、抗生素类累积性损伤肾脏。所以,根本性控制在于预防和少用药物。近年来因为应用了肾替代疗法、包括肾移植带来一些社会、经济、生活质量、移植肾来源等问题。本文以全新的理念提出质疑且对其共性治疗重新评估替代疗法,并重视个案分析对某些肾病的病名提出它的概念的非合理性,对其共性治疗的误导应予以反思。最后,建议逐步改变单纯生物医学模式的替代疗法,重视整体全方位地发挥自身潜在调节力量缓解或治愈或延长寿命,这样可以大大地减少CKD、CRF、ESRD的发病率。 相似文献
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慢性肾小球肾炎 (以下简称慢性肾炎 )是一种常见病、多发病 ,对人体的健康和生命危害极大 ,是具有进行倾向的慢性肾脏炎症 ,它的发展速度与保养和治疗良好与否密切相关。慢性肾炎治疗的目的是防止和延续肾功能进行性减退 ,延长肾功能代偿期的时间 ,提高患者的生活质量[1 ] 。目前采取饮食调节、对症治疗、教育等综合措施来控制病情。而教育在慢性肾炎治疗中有着药物不可比拟的作用 ,它能把有关的医学成果化成患者的医学知识 ,发挥他们的主观能动性 ,为彻底解决这些矛盾提供前提条件。具体体现在以下几个方面。1 调节饮食———教育患者勿看… 相似文献
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慢性肾痛(CKD)、慢性肾功能衰竭(CRF)是全身性疾病在肾脏的表现、特别与血管性免疫性和代谢性疾病相关.肾脏又是一个排泄器官,中西药的过度应用,尤其是具有毒性药物如雷公藤类、抗生素类累积性损伤肾脏.所以,根本性控制在于预防和少用药物.近年来因为应用了肾替代疗法、包括肾移植带来一些社会、经济、生活质量、移植肾来源等问题.本文以全新的理念提出质疑且对其共性治疗重新评估替代疗法,并重视个案分析对某些肾病的病名提出它的概念的非合理性,对其共性治疗的误导应予以反思.最后,建议逐步改变单纯生物医学模式的替代疗法,重视整体全方位地发挥自身潜在调节力量缓解或治愈或延长寿命,这样可以大大地减少CKD、CRF、ESRD的发病率. 相似文献
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慢性肾功能衰竭目前主要依靠透析或肾移植替代疗法来延长生命,但二者并未彻底解决问题并且代价昂贵.体外干细胞研究的兴起,为解决慢性肾功能衰竭的治疗带来了一丝曙光,但获得成功恐怕还需要一个相当长的时间.只有契合了整体辩证统一原则的再生医学,通过在肾脏原位重建生理环境,激发机体本身潜能,使肾脏修复到自然的完美状态,才能实现与人体生命一体化的有机结合,才是小儿肾脏替代疗法中有光明前景的发展方向. 相似文献
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肾功能衰竭的治疗方法作为人类战胜疾病的一种工具,随着人类对疾病本质认识的不断深化而随之不断更新。每一种治疗手段都有其特定的时空性,在治疗肾功能衰竭过程中,医务工作者应当在尊重患者意愿的基础上,优化组合治疗方法以期发挥最佳的治疗效果。 相似文献
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高峰 《医学与哲学(人文社会医学版)》2011,(10)
慢性心脏衰竭仍然对大量的医疗保健造成很大的影响,给患者及社会造成了较为沉重的负担。尽管最近对慢性心脏衰竭的治疗进展层出不穷,但仍应值得重视。最终导致慢性心脏衰竭最关键的病理生理进程是在应对慢性疾病的过程中发生的心脏重塑。基于此,研究者回顾分析了相关的最新研究进展,研究和理解了慢性心脏衰竭在复杂的心脏重塑过程中起作用的一... 相似文献
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肾功能衰竭的治疗方法作为人类战胜疾病的一种工具,随着人类对疾病本质认识的不断深化而随之不断更新.每一种治疗手段都有其特定的时空性,在治疗肾功能衰竭过程中,医务工作者应当在尊重患者意愿的基础上,优化组合治疗方法以期发挥最佳的治疗效果. 相似文献
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随着聚乙二醇化干扰素(IFN)的普及应用和慢性丙型肝炎规范化治疗的开展,其治愈率不断提高.但疗效不佳的慢性丙型肝炎患者不断积累,难治性慢性丙型肝炎患者成为临床医生必须面对的挑战.难治性丙型肝炎患者应当分为两类,第一类为“难治疗”性慢性丙型肝炎患者,该类患者由于宿主条件限制,不能耐受IFN联合利巴韦林(RBV)的标准治疗,如儿童和老年人、慢性肾功能衰竭患者等.第二类为“难治愈”性慢性丙型肝炎患者,该类患者可以耐受标准治疗方案,但按照应答指导的治疗原则(RGT)治疗后,效果仍然不佳或复发.本文就近年关于难治性丙型肝炎的研究进展,从难治性丙型肝炎的定义、机制、治疗诸方面作一综述. 相似文献
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随着聚乙二醇化干扰素(IFN)的普及应用和慢性丙型肝炎规范化治疗的开展,其治愈率不断提高.但疗效不佳的慢性丙型肝炎患者不断积累,难治性慢性丙型肝炎患者成为临床医生必须面对的挑战.难治性丙型肝炎患者应当分为两类,第一类为“难治疗”性慢性丙型肝炎患者,该类患者由于宿主条件限制,不能耐受IFN联合利巴韦林(RBV)的标准治疗,如儿童和老年人、慢性肾功能衰竭患者等.第二类为“难治愈”性慢性丙型肝炎患者,该类患者可以耐受标准治疗方案,但按照应答指导的治疗原则(RGT)治疗后,效果仍然不佳或复发.本文就近年关于难治性丙型肝炎的研究进展,从难治性丙型肝炎的定义、机制、治疗诸方面作一综述. 相似文献
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Ivan Marquez 《World Futures: Journal of General Evolution》2013,69(4):307-316
This article investigates three things: (1) what development might be, (2) how development and ethics might be related, and (3) what an ethics of development might look like. First, I show how if we move away from an essentialist metaphysics of being to a possibilist-functionalist metaphysics of becoming in our understanding of development, we can reconceptualize ethics as self-directed ontogeny. Thus, ethics turns out to be a part of development. Secondly, I sketch out the possibility of an ethics of development, showing how it should be based on three desiderata: (1) sustainability, promoting the long-term existence of the maximum human and non-human biodiversity, (2) democracy, promoting human-human relationships that are bidirectional and, to the extent possible, non-imposing, and (3) non-ethnocentrism, promoting true modernity; a modernity not predicated on a non-existent abstract universality but on concrete syncretism. The ultimate aim of this ethics of development is the optimization of individual and collective subjectivity and agency across time. 相似文献
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Intercultural development in global employees will aid organizations to function successfully in the current global work scene. However, there is a need for a psychometrically valid and reliable measure, which can be used by practitioners and academics to assess the capabilities of individuals. This vignette based intercultural development scale was conceived on the basis of Bennett’s developmental model of intercultural sensitivity. The content was generated using interviews with international employees and subject matter experts. Psychometric properties were established with both qualitative and quantitative analysis. A sample of 461 international employees was used to test the validity of the scale. Confirmatory factor analysis, reliability analysis and construct validity was established with cosmopolitanism and openness to experience scales. The study confirms the scale’s dimensionality and established convergent, discriminant and nomological validity. The applications of this scale in building capabilities, talent management and strategic decisions in both practical and theoretical assessment are outlined. 相似文献
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Govindan Parayil 《Journal of applied philosophy》1998,15(2):179-194
Although the concept of 'sustainable development' or SD has been welcomed as a new idea to resolve the immense environmental and developmental problems in the world, it has become apparent that the concept has nothing new to offer to the victims of environmental degradation and poverty. The sustainable development thesis, as it is being promoted now, is based on the premise that environmental problems and poverty can be attenuated and eventually solved by being treated as mere technical problems which then can be ultimately reduced to an environmental management problem. As long as the developmentalist ideology of mere economic growth, which is framed within neoclassical economics, is not challenged and transformed, SD cannot address the problems of environmental degradation and poverty. SD needs to be framed in an alternative discourse for analysing the ecological crisis in order to address the issues of economic injustice and inequality. It will be argued that reducing economic inequality and social injustice, which are the underlying causes for ecological injustice, will render environmental problems more tractable and eventually avoidable. 相似文献
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