31例活动性肺结核治疗前及治愈后的CT征象分析

目的 探讨抗结核疗前及治愈后活动性肺结核CT征象的变化特点.方法 选取临床治愈的活动性肺结核31例,对比观察活动性肺结核的CT征象转归表现.结果 肺结核活动性CT征象治愈前检出率为100.0%,治疗后检出率为35.5%.活动性CT征象中毛玻璃阴影、节段分布小叶中心结节影、小叶样实变影、树芽征、支气管壁增厚、厚壁空洞和肺实变治疗前检出率分别为87.1%、80.6%、80.1%、61.3%、58.1%、48.4%和32.3%、,治愈后检出率分别为0、19.4%、0、0、12.9%、0和3.2%.治疗前活动性肺结核CT检查可检出多种活动性影像,而疗程结束后上述征象减少并多以单发为主,两者有显著差异（P＜0.01）.结论 CT检查有助于活动性肺结核治疗疗效的判定,并具有较高的敏感度,但特异度较低.     

糖尿病妇科手术92例的围手术期处理

2002-01／2004-01Ⅱ型糖尿病(DM)妇科手术患92例，年龄31～73(平均53．4)岁．有明确DM病史53例．病程1／12～21(平均6．9)a，入院后新诊断的DM39例空腹血糖为5．9—18．0(平均9．6)mmol/L，餐后血糖为9．3—22．6(平均16．5)mmol/L，术前准备时间平均为6．4d，术后住院时间平均为11．4d，术前有并存症72例．随机抽取同期住院非DM妇科手术92例，年龄22～65(平均41．5)岁，     

牵张力作用下培养的人牙周膜成纤维细胞生成NO的实验研究

目的：观察在机械牵张力作用下牙周膜成纤维细胞NO的生成情况以及iNOS的表达情况。方法：用自行研制的细胞加载系统，对培养至第4代的人牙周膜成纤维细胞施以频率为每分钟6个周期（5s拉伸，5s松弛）、拉伸率为12％的牵张力，分别于加载后3，10，20，40，60min取上清液进行NO含量检测；以及于加载24，48，96h后固定细胞，进行iNOS免疫组化反应。结果：NO含量在所研究时间范围内逐渐增加；iNOS免疫组化结果显示iNOS的染色强度随着作用时间延长而增强。结论：牙周膜成纤维细胞在机械牵张力作用下合成NO增多，它可能通过合成和释放NO这一途径，在应力作用下的牙周组织改建过程中起作用。     

Albumin in the cornea is oxidized by hydrogen peroxide.

The action of hydrogen peroxide on soluble proteins of the rat cornea has been evaluated. Two major corneal proteins are found to be oxidized by 10 mM hydrogen peroxide. Protein sequence and antibody recognition has shown one of the proteins to be albumin. Treatment of pure rat or human albumin with hydrogen peroxide oxidizes the protein and decreases its affinity for its antibody. Because albumin is a major protein in the cornea, its ready oxidation suggests that a role for albumin in this tissue may be to act as a native antioxidant, scavenging hydrogen peroxide and thus preventing more extensive damage by this toxin. These data are relevant to the evaluation of the safety of contact lens disinfectants containing hydrogen peroxide and suggest that further study of the action of this oxidant is warranted.     

贮脂细胞在大鼠实验性肝纤维化中的作用及机理研究

在用电镜、免疫组化对CCl_4诱发大鼠肝纤维化过程中的贮脂细胞、纤维粘连蛋白和Ⅲ型胶原的变化作了动态观察.结果表明,实验早期在坏死灶周围即有贮脂细胞增生,中期贮脂细胞增生达到高峰并形成主要由贮脂细胞的过渡型细胞和成纤维细胞组成的早期纤维间隔.晚期贮脂细胞数目基本降至正常,形成主要由成纤维细胞组成的纤维间隔,结合电镜观察结果,提示在肝纤维化过程中,贮脂细胞可向成纤维细胞分化,并具有合成胶原蛋白的能力.而纤维粘连蛋白则可能在趋化贮脂细胞和成纤维细胞,促进胶原合成等过程中具有一定的作用.     

Effects of Nephritis No.3 Recipe on Nitric Oxide,Nitric Oxide Synthase Secreted by Cultured Mesangial Cells in Rats and the Gene Expression of Inducible Nitric Oxide Synthase

Objective:To explore the effect of the Nephritis No.3(N-3)recipe on nitric oxide(NO),nitric oxide synthase(NOS)secreted by cultured mesangial cells(MC)and its gene expression of the in-ducible nitric oxide synthase(iNOS).Methods:The drug(nephritis No.3)-containing serum was preparedwith serum pharmacological technique,and then was applied to react on mesangial cells cultured In fetalcalf serum(FCS)and cells cultured in FCS plus lipopolysaccharide.To observe the secretion of NO andNOS and the gene expression of iNOS by means of RT-PCR.Results:Under the two kinds of culture con-ditions,the content of NO and NOS in the groups with drug-containing serum were higher than thosewithout drug-containing serum(P<0.05,P<0.01),and the expression of iNOS mRNA was up-regula-ted too.Conclusion:The N-3 could significantly promote the secretion of NO and NOS and the mRNA ex-pression of iNOS in rats.     

应用单克隆抗体检测肺癌病人外周血中T细胞亚群

本文应用单克隆抗体检测33例原发性肺癌病人治疗前后外周血中T淋巴细胞亚群变化。结果提示:肺癌病人外周血中T细胞亚群明显有别于正常人,主要表现为T_H细胞降低和T_S细胞升高以及T_H/T_S比值明显倒置。短期观察结果表明,肺癌病人外周血中T_S细胞持续升高和T_H/T_S比值持续降低者,预后不良。临床检测T细胞亚群变化及它们的动态变化可作为判断宿主抗肿瘤免疫功能状态、病情发展和预后的敏感指标。