脑外伤后脑干组织中血管内皮细胞及血浆蛋白分布改变的免疫？…

目的:探讨脑外伤后脑干组织中血脑屏障和神经细胞的病理学改变.方法:采用免疫组化染色显示人体脑干组织中的血管内皮细胞(CD31)和某些血浆蛋白(白蛋白及 IgM).结果:1.在正常脑干组织中, CD31阳性物呈连续的线条状,围成规则的血管腔,其周围无明显间隙;血浆蛋白位于血管内,未见到血浆/蛋白阳性神经细胞或神经纤维.2.脑外伤后,脑干中的 CD31阳性物呈不规则弯曲的小片段状,围成不规则的血管腔,其周围间隙明显增宽;同时可见到白蛋白及IgM阳性神经细胞和神经纤维.结论:脑外伤后,脑干组织中的血脑屏障受到了破坏,而且神经细胞也有不同程度的损伤.     

Characterization and phylogenetic analysis of a neurovirulent Zika virus isolated from Cambodia in 2019

The geographic range of Zika virus (ZIKV) has expanded from Asia to the Americas, leading to the 2015–2016 pandemic with enhanced neurovirulence. At present, ZIKV is continuously circulating in many Southeast Asian countries. Unfortunately, the persistent evolution of ZIKV in Southeast Asia and its influence on the biological characteristics of the virus remain incompletely understood. In this study, the in vitro and in vivo properties of a new ZIKV isolate obtained from Cambodia in 2019 (CAM/2019) were characterized and compared with those of the Cambodian strain (CAM/2010). Compared with CAM/2010, the CAM/2019 virus showed similar plaque morphology and growth curves in cell cultures and induced comparable viremia and organ viral loads profiles in both BALB/c and A129 (IFNAR1^−/−) mice upon intraperitoneal (i.p.) inoculation. Remarkably, the CAM/2019 virus exhibited enhanced neurovirulence in neonatal mice compared with CAM/2010, with a 74-fold reduction in the 50% lethal dose (LD₅₀). Consistently, CAM/2019 produced higher viral loads in the brains of BALB/c neonatal mice than CAM/2010 did. Sequence alignment showed that the CAM/2019 virus has acquired 12 amino acid substitutions, several of which were found to be associated with neurovirulence. In particular, the CAM/2019 virus shared an A1204T substitution in NS2A with the Thai isolate SI-BKK02 that was isolated from a microcephaly case. Taken together, our results indicate that a ZIKV strain isolated with specific mutations has emerged in Cambodia, highlighting the need for extensive molecular and disease surveillance in Cambodia and other Asian countries.     

Effect of intranasal structure-normalizing surgery on allergic rhinitis: A primary report of 41 cases

The heatment of allergic rhinitis is yet qUite a challeopng and intrigUing Pchem, and there has not beeneradicable modality. Dings often relieve symptomS tempowhly. Selechve nerve block surgerys such as section andelectroCauterization of Vidian nerve, anterior ethlnoidalnerve and sphenoplatine nerve, have brought us a newProspect, but long-term results still need checking andthey are not considend to be adopted until Ph~otherapy and ilnlnunotherapy come to failu.[l]. Clinically, allergic rh…     

贵阳城区儿童少年行为问题与家庭背景研究

为了解贵阳城区儿童少年行为问题的现状和行为问题儿童少年与家庭因素的关系 ,用Achenbach’s儿童行为量表及儿童发展相关因素问卷对贵阳城区 1365名 6～ 16岁儿童青少年进行调查 ,就调查结果进行了现状分析及相关因素的单元和多元比较。结果表明 :检出有行为问题的儿童少年 2 0 7名 ,检出率 ( 15 16± 0 72 ) % ,高于全国调查结果 ,差异有显著性P <0 0 5)。中学组检出率高于小学组 ,差异不明显 ,与其他城市及全国相比差异有显著性 (P <0 0 5)。性别差异不明显。检出率较高的因子是忧郁、社会退缩、多动、攻击等。影响儿童少年行为问题的家庭因素依次是 :家庭对孩子心理健康的重视程度、母亲文化、家庭经济收入、家长对子女心理健康的认识、父母婚姻状况等。提示 :贵阳城区儿童少年行为问题的检出率高于全国水平 ,高年龄组尤为突出。家庭环境是影响儿童少年行为发展的重要因素。     

老年糖尿病患者骨质疏松及骨折发生率分析

目的：探讨２型糖尿病患者骨密度改变及骨折发生率。方法：逆向随机选取住院骨折病人３８０例,测定骨密度改变,同时测定其血Ｃａ,Ｐ,ＡＫＰ,ＧＬＵ,ＢＧＰ浓度,并统计其中糖尿病的发生率及测定值对比情况。结果;骨折病人中的糖尿病患者机率为６．３２％,骨折病人的骨密度改变在糖尿病组和非糖尿病组病人中有显著差异,和本区普查结果无显著差异。结论：糖尿病病人的骨折发生率和非糖尿病患者及无明显差异,但骨密度改变有明     

外周动静脉同步换血对血清钙的影响

目的：探讨外周动静脉同步换血对血清钙的影响。方法：对２５全高胆红素血症患儿采用同型血进行外周动静脉同步换血,换血前后在同一动脉端取血测血清钙。结果：换血过程中应用钙剂组（观察组）与未应用钙剂组,血钙水平在换血前后及两组之间均无差异,Ｐ〉０．０５。注射钙剂的不良反应发生率为６．２５％。结论：外周动静脉同步换血疗法对血清钙无明显影响,换血过程中静注钙剂是不必要的。     

INHIBITORY EFFECT OF FLUVASTATIN ON AORTIC INTIMAL THICKENING IN NORMOCHOLESTEROLEMIC RABBITS

Objective, The anti-atherosclerotic effect of fluvastatin at doses insufficient to lower serum cholesterol on the catheter-induced intimal thickening and possible mechanism were investigated in abdominal aorta of rabbits. Methods. Fifty-six rabbits were randomly divided into eight groups( n = 7, each). Fluvastatin was given mixed with food at daily dose of 8mg/kg starting 5 days before catheterization. Light microscope, immanohistochemistry, transmis-sion electron microscope and RT-PCR assay were applied to assess vascular smooth muscle cell (VSMC) proliferation and apoptosis, as well as oncogene expression in vascular wall. Results. At day 10 and day 15 after catheter induced denudation intima/media( I/M) thickness ratio was obviously higher, and also the percentage of PCNA-positive cells and TUNEL-positive cells in media was significantly higher compared with controls. The intimal hyperplasia was mostly composed of α-SM-actin-pesitive cells. In rabbits given flu-vastatin I/M ratio and the percentage of these positive cells significantly decreased compared with those without fluvas-tatin.The overexpression of proto-oncogene H-ras mRNA and decreased expression of anti-oncogene p53 mRNA were found after vascular injury, whereas fluvastatin significantly reduced H-ras mRNA and increased p53 mRNA expres-sion. Conclusion. Proliferation of VSMC in the media and the migration to the intima can be inhibited, and apoptosis of VSMC be induced by short-term use of fluvastatin after balloon catheter denudation, independent of serum lipid change. The underlying mechanism is presumably associated With the influence of fluvastatin on oncogene expression in the injured vascular Wall.     

退变性腰椎管狭窄症手术治疗的探讨

目的：探讨退变性腰椎管狭窄症的手术治疗。方法：对９４例６０岁以上患者进行分型和手术治疗。结果：将本病分为Ⅰ型（侧隐窝狭窄型）;Ⅱ型（中央管狭窄型）;Ⅲ型（混合型）。对Ⅰ型手术方式采用单侧或双侧椎板开窗,扩大神经根管或（和）摘除髓核;对Ⅱ型行半椎板或全椎板切除术;对Ⅲ型行全椎板切除术。结论：通过术后疗效观察和３年随访,根据分型的不同选择不同的手术方式,可达到较好的临床疗效     

小儿咽后脓肿14例临床分析

报告１４ 例小儿咽后脓肿,急性型１３ 例,慢性型１ 例;异物性２ 例,结核性１ 例,邻近炎症扩散引起者２ 例,上呼吸道感染所致９ 例;１４ 例颈侧位Ｘ线片示脓肿２ 例,１０ 例颈部ＣＴ扫描示脓肿７ 例。所有病例经脓液引流及抗炎或抗痨治疗后痊愈。