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Zhi-gang Wang Yi-dong Huang Ke-luo Cheng Xiao-bi Cai Zheng Wu Jian-dong Zhan 《第一军医大学学报》2004,24(3):345-6, 351
OBJECTIVE: To study how blood supply of the esophageal and gastric stumps influences the anastomotic healing after esophagogastrostomy in rabbits. METHODS: Twenty-seven New Zealand rabbits were randomly divided into 3 groups to receive esophagogastrostomy, followed by different procedures. Except for those in group I, all the rabbits were subjected to procedures of reducing the blood supply either of the esophageal or the gastric stump (group II and group III, respectively), followed by single-layer esophagogastric anastomoses using interrupted 5-0 polypropylene sutures. Ten days after operation, all the rats were killed and the anastomotic sites excised for measurement of the inner diameter, tensile strength, and hydroxyproline concentration. RESULTS: Healing of the esophagograstric anastomosis was obtained in all the rabbits but one with anastomotic leakage in group I and one with perforation of the gastric fundus in group III. The anastomotic inner diameters were similar in all the three groups, whereas the tensile strength and hydroxyproline concentration at the anastomoses decreased in group III in comparison with the other two groups (P<0.05) that had similar measurements (P>0.05). CONCLUSIONS: Extended length of the free esophageal stump does not significantly affect anastomotic healing as decrease of blood supply in the gastric stump. 相似文献
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Simone Shurland Min Zhan Douglas D Bradham Mary-Claire Roghmann 《Infection control and hospital epidemiology》2007,28(3):273-279
OBJECTIVE: To quantify the clinical impact of methicillin-resistance in Staphylococcus aureus causing infection complicated by bacteremia in adult patients, while controlling for the severity of patients' underlying illnesses. DESIGN: Retrospective cohort study from October 1, 1995, through December 31, 2003. PATIENTS AND SETTING: A total of 438 patients with S. aureus infection complicated by bacteremia from a single Veterans Affairs healthcare system. RESULTS: We found that 193 (44%) of the 438 patients had methicillin-resistant S. aureus (MRSA) infection and 114 (26%) died of causes attributable to S. aureus infection within 90 days after the infection was identified. Patients with MRSA infection had a higher mortality risk, compared with patients with methicillin-susceptible S. aureus (MSSA) infections (relative risk, 1.7 [95% confidence interval, 1.3-2.4]; P<.01), except for patients with pneumonia (relative risk, 0.7 [95% confidence interval, 0.4-1.3]). Patients with MRSA infections were significantly older (P<.01), had more underlying diseases (P=.02), and were more likely to have severe sepsis in response to their infection (P<.01) compared with patients with MSSA bacteremia. Patients who died within 90 days after S. aureus infection was identified were significantly older (P<.01) and more likely to have severe sepsis (P<.01) and pneumonia (P=.01), compared with patients who survived. After adjusting for age as a confounder, comorbidities, and pneumonia as an effect modifier, S. aureus infection-related mortality remained significantly higher in patients with MRSA infection than in those with MSSA infection, among those without pneumonia (hazard ratio, 1.8 [95% confidence interval, 1.2-3.0]); P<.01. CONCLUSIONS: The results of this study suggest that patients with MRSA infections other than pneumonia have a higher mortality risk than patients with MSSA infections other than pneumonia, independent of the severity of patients' underlying illnesses. 相似文献
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益肾化浊注射液对慢性肾功能衰竭大鼠残余肾中细胞因子含量的影响 总被引:2,自引:0,他引:2
通过观察益肾化浊注射液对5/6肾切除大鼠残余肾中细胞因子含量的影响,益肾化浊注射液延缓慢性肾功能衰竭(CRF)模型大鼠肾功能减退的作用机理。结果显示:益肾化浊注射液可以降低5/6肾切在鼠血清肌,尿素氮(P<0.01),下调肾组织中白细胞介素-1(IL-1)(P<0.05),白细胞介素-8(IL-8)(P<0.05)及肿瘤坏死因子(TNF)(P<0.05)的总体水平,说明益肾化浊注射液可以通过下调5/6肾切除大鼠残余肾中相关细胞因子含量,抑制促炎细胞因子对肾脏的损害,从而延缓CRF的进展。 相似文献
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登革病毒感染后小鼠细胞免疫功能的动态变化 总被引:2,自引:0,他引:2
从登革Ⅱ型病毒感染成年BALB/c小鼠为模型,观察感染后不同时间机体细胞免疫反应的变化。结果表明:感染后7-14d免疫功能处于激活状态,表现为腹腔巨噬细胞的吞噬功能和脾淋巴细胞对ConA的反应及IL-2产生水平都明显高于对照组,感染21d后免疫功能则转为抑制状态,上棕免疫反应明显低于对照组,脾中的L3T4^+细胞亚群的百分比逐渐下降;相反,LYT2^+细胞亚群的百分比逐渐升高,这种抑制现象可维持到 相似文献
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恶性肿瘤的皮肤转移确与患者的病种、病理类型、术前后淋巴结转移情况、临床分期、手术类型、放疗及化疗的剂量、遗传因素有关。其出现于任何部位均提示预后不佳。 相似文献
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重庆某高校桶装饮用水及饮水机微生物污染检测情况分析 总被引:3,自引:1,他引:2
目的 了解桶装饮用水及饮水机微生物污染状况,探讨其原因并提出处理措施。方法检测了25桶桶装饮用水及43台饮水机用水的细菌总数和霉菌。结果 桶装饮用水及饮水机用水的细菌总数和霉菌都有一定的超标。结论 造成桶装饮用水及饮水机用水水质微生物超标的原因包括生产厂家因素、用户因素、卫生部门监管力度、市场规范等等方面。 相似文献
60.