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131.
X线引导下经皮通用脊柱系统内固定治疗胸腰椎骨折 总被引:4,自引:1,他引:3
目的探讨X线引导下经皮通用脊柱系统(USS)内固定治疗胸腰椎骨折的可行性.方法 2002年10月~2004年5月对无须减压胸腰椎骨折8例采用后路经皮USS椎弓根螺钉植入,在椎旁肌深层置入固定棒行伤椎复位固定.结果手术时间120~240 min,平均140 min.术中出血量20~90 ml,平均40 ml.后凸Cobb's角术前(21.5±4.3)°、术后(2.7±1.5)°(t=17.541,P=0.001),椎体塌陷术前18.5%±4.1%、术后2.4%±1.0%(t=16.504,P=0.001).术后3周佩戴腰围支具下床,复查Frankel分级,C级恢复至D级2例,D级恢复至E级1例,保持D级1例,保持E级4例.结论经皮USS内固定治疗无须减压的胸腰椎骨折创伤小,恢复快,但技术难度高,X线暴露时间长. 相似文献
132.
湿热环境下密闭性功能敷料护理伤口对β—内啡肽的影响 总被引:4,自引:0,他引:4
OBJECTIVE: To study the changes of plasma beta-endorphin (beta-EP) in pigs with traumatic injury after occlusive wound dressing supplemented with antiphlogistic and analgesic agents in hot and humid environments (HHE). METHODS: Traumatic models were established in 10 pigs, 5 of which received antiphlogistic- and analgesic-supplemented occlusive dressings of the wounds (experiment group, EG), while the rest pigs were assigned to control group (CG) to receive routine wound management. The pigs in both groups were then exposed to artificial HHE and at different time points during the exposure, the plasma beta-EP level, respiratory frequency and heart rates were measured respectively. RESULTS: The plasma beta-EP concentration of EG was significantly lower than that of CG (P <0.01) after the injury, but in both groups, the levels before the injury were similar to those measured at hour 8 during HHE exposure and at hour 24 following the injury. The variation range of the respiratory frequency and heart rates during HHE exposure were significantly smaller in EG than CG (P <0.01). CONCLUSION: This supplemented occlusive wound dressing can help restrain the peak of plasma beta-EP level and the variation range of respiratory frequency and heart rates of pigs exposed to HHE. 相似文献
133.
血清铁和铁蛋白与肝病患者肝纤维化指标的关系 总被引:12,自引:1,他引:11
OBJECTIVE: To study the relationship of serum iron and ferritin with the indicators for hepatic fibrosis and hepatic iron overload. METHODS: Liver tissue specimens were obtained from 41 patients with benign (16) or malignant (25) liver diseases by 1 second liver biopsy, and routine microscopic examination was performed after haematoxylin-eosin (HE) and Perl's Prussian staining. Atomic absorption spectrum, radioimmunoassay and enzyme-linked immunosorbent assay were respectively employed to examine the serum levels of iron, ferritin, hyaluronic acid, laminin, human procollagen type , and collagen type . RESULTS: Between patients with benign and malignant liver diseases, significant differences were found in the serum ferritin levels (P < 0.05), but not in serum iron levels (P > 0.05). It was also noted that the levels of the indicators for hepatic fibrosis in patients with benign and early-stage malignant diseases varied significantly from the levels in normal subjects, but these differences were not observed between normal subjects and patients with end-stage hepatic malignancies. Serum iron and ferritin were found to be associated with serum laminin levels (serum iron: r=0.439, P=0.031; serum ferritin: r=0.476, P=0.016), and no iron granules detected in the tissue specimens of hepatocellular carcinoma. CONCLUSIONS: Most of the patients with hepatocellular carcinoma have elevated serum ferritin levels. The serum levels of iron and ferritin are statistically correlated with serum laminin level. Obvious reduction of iron content is typical of hepatic malignant tissues in comparison with the benign tissues, and the reduction in the levels of the indicators for hepatic fibrosis might involve the inhibition of collagen synthesis in the tumor tissues from patients with end-stage hepatocellular carcinoma. Most of the cases of alcoholic fatty liver are complicated by liver iron overload, often marked by serum iron and ferritin levels. 相似文献
134.
目的探讨膀胱出口梗阻(BOO)后逼尿肌收缩蛋白表达和膀胱重量的改变及意义。方法BOO组病人16例,筛选条件为入院诊断良性前列腺增生症(BPH)并经尿动力学压力-流率检查证实为高压低流型;对照组5例,为外伤等情况入院并排除有下尿路梗阻病史者。BOO组所有病例均行耻骨上经膀胱前列腺摘除术,术前B超检查测定膀胱重量和前列腺内外径比值,术中切取膀胱上壁组织2cm×1cm×1cm大小,标本行RT-PCR反应,检测膀胱逼尿肌中肌动蛋白和肌球蛋白mRNA的表达,并比较其与膀胱重量间的线性相关性。结果BOO组与对照组膀胱重量分别为(92.15±34.89)g和(56.08±20.35)g,(P<0.05);前列腺内外径比值分别为(0.57±0.16)和(0.18±0.06),(P<0.01);与对照组相比,BOO组肌动蛋白和肌球蛋白mRNA的表达量均有显著增加,分别为(40.32±59.67)×106和(6.59±5.62)×106,(P值均<0.01);且两者表达量与膀胱重量之间均有明显线性正相关性(P<0.05)。结论逼尿肌中肌动蛋白和肌球蛋白的表达与膀胱逼尿肌的功能状态密切相关。 相似文献
135.
Q. Mao P. I. Terasaki J. Cai K. Briley P. Catrou C. Haisch L. Rebellato 《American journal of transplantation》2007,7(4):864-871
Longitudinal studies were conducted over a five-year period for HLA antibodies on 493 sera tested from 54 kidney transplant patients. HLA single antigen beads were employed to establish donor specificity of the antibodies. Only 3 of 22 patients without antibodies rejected a graft in contrast to 17 out of 32 patients with posttransplant antibodies (p = 0.003). Using a serum creatinine value of 4.0 mg/dL as the cut-off for a failed graft, 4 of 22 patients without antibodies failed compared to 21 of 32 with antibodies (p = 0.0006). Among patients with donor-specific antibodies (DSA) 13 of 15 failed (p = 0.000004). Even among patients with non-donor specific antibodies (NDSA), 8 of 17 failed (p = 0.05). Among patients who could be identified as making de novo antibodies (since they developed antibodies while not having antibodies for more than six months after transplantation), 6 of 11 failed (p = 0.03). Sequential testing for HLA antibodies shows that antibodies appear prior to a rise in serum creatinine and subsequent graft failure. The very strong association between the production of HLA antibodies after transplantation and graft failure indicates the importance of monitoring for posttransplant HLA antibodies. 相似文献
136.
目的 对大段异体骨移植用于骨肿瘤保肢治疗及其相关问题进行分析讨论。方法采用大段异体骨修复骨肿瘤瘤段切除后骨缺损5例,术后X线及同位素骨扫描评定骨愈合,并评估其功能恢复情况。结果手术后3—6个月在X线片显示牢固的生物固定(坚强的外骨痂或已骨性连接)、^99mTc—MDP骨扫描图像显示异体骨早期代谢活跃,2年后逐渐恢复正常。结论 同种异体骨半关节移植治疗股骨远端肿瘤术后观察移植骨与自体骨愈合,关节功能重建方面到达良好表现。 相似文献
137.
以氯铂酸钾为原料,经硫酸氨铂(Ⅱ)中间体制得抗肿瘤药物顺糖氨铂(Ⅱ),操作简便,总收率46.1%。 相似文献
138.
现将本院2006年1月-2006年12月54例经DSA全脑造影及栓塞术的麻醉处理总结如下。
1资料与方法
1.1一般资料
本组54例患者中,男29例,女25例,年龄11-70岁,ASAⅡ-Ⅲ级,急诊11例。术前昏迷5例,术中动脉瘤破裂2例。 相似文献
139.
囊性肺纤维化同种异体肺移植1例报告 总被引:1,自引:0,他引:1
为1例17岁女性严重囊性肺纤维化患者行右侧单肺移植,术中未用体外循环,供肺采用冷UW液灌注,冷缺血时间280min。术后18h停用呼吸机,第4天下地活动。术后免疫抑制剂选用甲基强的松龙冲击治疗后再用“新三联”(FK506,骁悉,强的松)维持后续治疗。患者术后恢复顺利,复查肺功能基本正常,动脉血气分析显示较术前明显改善。术后第1个月未出现严重排异反应。目前存活状况良好。 相似文献
140.
Summary In order to study the immune function of patients on maintenance hemodialysis (MHD), we assayed NK cell cytotoxicity against
K562 targets in 40 patients on MHD, and the production of IL-2 and IFN in peripheral blood mononuclear cells (PBMC) after PHA
stimulation, in contrast to those in normal controls. The results showed that NK cell activity and IL-2 and IFN levels were
markedly lower in the patients than in the controls. Afeter a single dialysis, NK cell activity as well as IL-2 and IFN levels
were elevated to different extent. But there was no significant change in patients after long-term dialysis. There was a positive
correlation between the NK cell activity and IL-2 and IFN activity in the controls, but no such correlation was found in the
patients on MHD. There was a positive correlation between the NK cell activity and IL-2 activity in patients after dialysis,
suggesting that immune function were impaired in the patients on MHD, with a decline in the activity of NK cell and IL-2 and
IFN, and a disorder of immune regulation cycle. These abnormal immune impairments in the patients could be partly corrected
by hemodialysis. However, long-term hemodialysis is not much helpful in the improvement of patient’s immune function. 相似文献