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两种急性肺损伤模型大鼠炎症反应、激素受体水平及其对激素反应的差异研究 总被引:1,自引:0,他引:1
糖皮质激素(GC)治疗急性肺损伤(ALI)/急性呼吸窘迫综合征(ARDS)争论已久。GC对严重急性呼吸综合征(SARS)显示出治疗效果。但更多的研究对GC治疗ALI/ARDS提出异议。 相似文献
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胸外伤合并急性呼吸窘迫综合征的诊治 总被引:2,自引:0,他引:2
龚洋 《实用心脑肺血管病杂志》2009,17(4):308-308
目的探讨严重胸外伤致急性呼吸窘迫综合征(ARDS)的诊断和治疗。方法对52例严重胸外伤并发急性呼吸窘迫综合征患者的诊断、治疗进行分析与总结。结果全组52例,死亡6例,死亡率为13%,主要死亡原因是多器官功能衰竭(MSOF)。结论通过早期诊断,积极有效的机械通气以及全身治疗可明显提高严重胸外伤和呼吸窘迫综合征的抢救成功率。 相似文献
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急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)在1967年首次被报道以来,人们对该综合征的认识逐渐深入。急性肺损伤(acute lung injury,Au)是ARDS的早期阶段,Au阶段未给予有效地治疗干预则进展为ARDS,以及并发严重呼吸衰竭其病死率高达70%。 相似文献
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妊娠急性脂肪肝(AFLP)是一发病急,进展极快的妊娠特有疾病。其病理改变是以肝细胞脂肪变性为特征的多种重要器官的脂肪变性。起病急骤,病死率高,常并发弥漫性血管内凝血(DIC)、肾功能衰竭、肝性脑病等严重并发症,但目前尚未见国内外有AFLP合并急性肺损伤(ALI)/急性呼吸窘迫综合征(ARDS)的报道,我院近2年内发生2例妊娠期急性脂肪肝并发急性呼吸窘迫综合征,均死亡,现报道并分析如下。 相似文献
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过敏性心肌缺血综合征(AMIS)系指由严重过敏反应诱发的心绞痛、急性心肌梗死或急性冠状动脉综合征,亦称Kounis综合征,因近年来屡有报道而备受关注[1~3]。 相似文献
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武晓星 《中国心血管病研究杂志》2013,(2):154-156
冠心病(CHD)是危害人类生命健康的严重疾病之一,而急性冠脉综合征(ACS)是急性心肌缺血的一组临床综合征,是CHD最严重的临床类型和致死、致残的主要原因。非ST段抬高型心肌梗死(NSTEMI)是ACS的一个亚组,其临床表现、危险层次及临床预后极不均一,对其进行危险因素分析及进行早期的危险分层有助于指导治疗和判断预后。 相似文献
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王海燕 《中华肺部疾病杂志(电子版)》2014,(6):83-86
急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)是由多种原发性疾病过程中发生的急性进行性缺氧性呼吸衰竭(respiratory failure) ,是急性肺损伤(acute lung injury,ALI)的严重阶段,其特征性的病理生理表现为肺实质炎症反应而导致的弥漫性肺泡上皮和肺微血管内皮的严重损伤.在美国每年估计约有190 000 ~200 000例ALI/ARDS成年患者,以及还有大量的ALI/ARDS儿童患者. 相似文献
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0引言吞咽是维持人体生存的重要功能活动.每人每天均必须进行无数次吞咽.对吞咽障碍(deglutitiondisoders,DD)进行有效的预防、诊断和治疗必须了解咽部有关的解剖和功能.1吞咽的生理解剖学“吞咽”不仅指口腔内食团(包括液、固体食物、药物和唾液等)在咽部的通过,而应将之定义为是在构成吞咽通道的唇、舌、腭、咽、喉、食管等各器官肌肉、神经的密切协同下,将吞咽物顺利、安全地运送至胃的全过程[1].食物在口腔内经过咀嚼、搅拌,由唾液润湿,变成食团,然后被吞咽经咽和食管入胃.咀嚼的作用是把大块食物分成小块,并经舌肌、颊肌、颌肌等的搅… 相似文献
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An enzymatic method for synthesis of labelled thyroxine glucuronide (T4G) and triiodothyronine glucuronide (T3G) from labelled thyroxine (T4) and triiodothyronine (T3) is presented. The synthetic glucuronides are completely digested by beta-glucuronidase, with recovery of the parent T4 or T3. They have distinctive elution patterns on HPLC and on Sephadex G25 chromatography, and can be clearly separated from T4 and T3 as well as from synthetic T4 sulfate (T4S) and T3 sulfate (T3S). On LH 20 chromatography, elution of T4G and T3G is intermediate between that of T4 and T3 and that of T4S and T3S. T3G can be well separated from other thyronines by HPLC alone, but T4G coelutes with rT3 on HPLC; these are then separated by adding a Sephadex G25 chromatography step. Biosynthetic 131I-T3G and 125I-T4G from the bile of a cat given 131I-T3 and 125I-T4 had similar HPLC chromatographic patterns to those of synthetic T3G and T4G. That the identified peaks from analysis of the bile were indeed T3G and T4G was confirmed by recovery of the parent T3 and T4 after beta-glucuronidase digestion. 相似文献
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骨关节结核是危害人们健康的严重感染性疾病,近95%由他处结核病继发而来.罹患骨关节结核疾病后几乎均将致残,严重影响人们的健康、工作和生活.建国以来在党和国家的关心和支持下,骨关节结核的诊治水平取得了长足进步.时至今日,由于多种原因,学科发展和被重视程度受到一定的制约,同整个医疗行业的发展不相适应.回顾过去,展望未来,我们需要重新审视骨关节结核的诊治方法,努力推进骨关节结核诊疗技术的科学发展. 相似文献
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血管通路的评价、选择及并发症防治 总被引:16,自引:0,他引:16
随着终末期肾衰竭患者的逐年增多,用于维持性血液透析患者的费用支出也逐年增加,其中相当比例的资金用于血管通路的建立及相关并发症的处理。据Lysaght估计,2001年全球维持性透析患者超过110万人,并以每年7%的速度增长,到2010年将达到200万人,今后10年医疗费用将超过1万亿美元。美国国立卫生研究院(NIH)估计,每年因血管通路建立和相 相似文献
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Stress triggers crucial responses, including elevated blood pressure and heart rate (HR), to handle the emergency and restore homeostasis. However, continuation of these effects following cessation of the stress is implicated with many stress-related disorders. Here, we examine the kinetics and persistence of cardiovascular and locomotor responses to single and repeated immobilization stress (IMO), with and without prior treatment with adrenocorticotropic hormone (ACTH). Radiotelemetry probes were implanted into male Sprague-Dawley rats to continually monitor mean arterial pressure (MAP), HR and locomotor activity. Rats were subjected to IMO for 2 h daily (10 a.m. to noon, 6 consecutive days). The first IMO induced the greatest change in MAP (about 30 mm Hg) and HR (about 200 bpm). Following each IMO, MAP and HR were elevated during the remaining light phase and in the subsequent dark phase, HR was lower than prior to IMO. We further examined whether elevation of ACTH to a level similar to IMO will elicit similar effects, and if it will alter subsequent responses to IMO. Injection of ACTH (13 IU/kg, s.c.) triggered a short-lived rise in MAP, and decreased HR. After six daily injections of ACTH and recovery time (8 days), rats were immobilized as above. The cardiovascular responses were similar during the IMO, but the ACTH-pretreated group displayed differences following cessation of the IMO. In addition, IMO led to a large reduction of locomotor activity during the dark (normally active) phase to levels similar to the light phase. Following the IMOs, locomotor activity recovered more slowly in the ACTH-pretreated group. The study revealed that IMO-triggered cardiovascular and locomotor responses are evident after termination of the stress. In addition, prior exposure to ACTH delayed recovery in cardiovascular and locomotor functions following cessation of stress. 相似文献