Outcomes and factors associated with early mortality in pediatric postcardiotomy veno‐arterial extracorporeal membrane oxygenation

Mortality and morbidity of children received veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) support after cardiac surgery remain high despite remarkable advances in medical management and devices. The purpose of this study was to describe outcomes and risk factors of applying VA‐ECMO in the surgical pediatric population. We retrospectively analyzed 85 consecutive pediatric patients (aged <18 years) who received postcardiotomy VA‐ECMO from January 2010 to December 2018. Median (IQR) age at ECMO implantation in this cohort was 12.7 (6.4, 43.2) months, median weight was 8.5 (6.0, 12.8) kg, mean ECMO duration was 143.2 ± 81.6 hours and mean hospital length of stay was 48.4 ± 32.4 days. Seventy‐five patients (88.2%) were indicated for postcardiotomy cardiogenic shock. The successful ECMO weaning rate was 70.6% and in‐hospital mortality was 52.9%. The most common diagnosis was transposition of great arteries (n = 18, 21.2%), while acute kidney injury occurred most often (n = 64, 75.3%). Multivariate logistic regression analysis showed that thrombocytopenia, hemolysis, and nosocomial infection were positively correlated with in‐hospital mortality. Multivariate Cox proportional hazard regression analysis presented that thrombocytopenia significantly increased the 180‐day mortality in patients with successful weaning. Therefore, multiple factors had adverse effects on prognosis. Patient selection and procedures from ECMO implantation to weaning need to be closely monitored and performed in a timely manner to improve outcome.     

载药微球经导管动脉化疗栓塞治疗肝细胞癌研究进展

载药微球经导管动脉化疗栓塞(DEB-TACE)利用微球在靶病灶内释放化学治疗(简称化疗)药物,使靶肿瘤内药物浓度更高,而全身化疗药物浓度及不良反应降低;且微球可较完全栓塞肿瘤毛细血管网,闭塞肿瘤邻近血管,致癌细胞缺血、缺氧而坏死。本文对DEB-TACE治疗肝细胞癌(HCC)研究进展进行综述。     

Psychometric properties of the EQ-5D-5L: a systematic review of the literature

Quality of Life Research - Although the EQ-5D has a long history of use in a wide range of populations, the newer five-level version (EQ-5D-5L) has not yet had such extensive experience. This...     

心血管参数对动脉中压力和流量的影响

本文从建立心室-血管优化耦合模型出发,通过求解优化耦合所对应主动脉根部的压力和流量所满足方程,详细讨论动脉中压力和流量随心血管参数的变化规律,所得结果与血液循环系统的生理事实一致。     

RNA silencing: a conserved antiviral immunity of plants and animals

RNA silencing is a novel RNA-guided gene regulatory mechanism operational in a wide range of eukaryotic organisms from fission yeast, plants, to mammals. This article reviews the recent progress on aspects of RNA silencing that are related to its biological function as a conserved antiviral immunity of plants and animals, and highlights features of this novel antiviral response in invertebrate animals as compared to the known innate and adaptive immunities. Finally, we discuss evidence that suggests a natural antiviral role for RNA silencing in vertebrates as well as experimental approaches that may facilitate the identification of first mammalian viral suppressors of RNA silencing.     

小鼠胸腺基质细胞株MTECB的细胞学特性

用免疫组织化学和透射电镜技术对本室所建立的小鼠胸腺基质细胞株ＭＴＥＣＢ进行了细胞学鉴定。免疫组织化学观察显示：４０ｋＤ、４５ｋＤ角蛋白和波形蛋白呈现强阳性，５２ｋＤ，５４ｋＤ，５８ｋＤ角蛋白和Ｓ－１００蛋白呈现阴性。电镜下见到，具有桥粒和张力丝结构，含较多的囊泡和髓样体，发达的高尔基复合体和线粒体。另外ＭＴＥＣＢ还表现为酸性磷酸酶、碱性磷酸酶、非特异性酯酶弱阳性。据此我们认为ＭＴＥＣＢ为上皮细胞来