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11.
Ureteral obstruction caused by L-asparaginase-induced pancreatitis in a child with acute lymphoblastic leukemia. 总被引:1,自引:0,他引:1
Chien-Han Chen Meng-Yao Lu Kai-Hsin Lin Dong-Tsamn Lin Shinn-Forng Peng Shiann-Tarng Jou 《台湾医志》2004,103(5):380-384
L-asparaginase, an effective antileukemia and antilymphoma agent, is toxic to many organ systems. We report a case of ureteral obstruction caused by L-asparaginase via the inflammatory complication of acute pancreatitis. The patient was an 11-year-old boy with acute lymphoblastic leukemia. Six days after completing a 4-week induction therapy containing 9 doses of L-asparaginase, severe left abdominal pain developed. Abdominal computed tomography showed phlegmon formation anterior to the pancreatic head and in the left posterior pararenal space. The strands of inflammatory soft tissues encased the upper third of the left ureter, causing left hydroureter and left hydronephrosis. The ureteral obstruction resolved after insertion of a double-J catheter that remained in place for 66 days. This case suggests that L-asparaginase may play a role in the pathogenesis of ureteral obstruction in children receiving chemotherapy. 相似文献
12.
目的:探讨提高嗜铬细胞瘤患者围手术期安全性的措施。方法:对15例嗜铬细胞瘤患者、术前采用选择性α1受体阻滞剂多沙唑嗪控释片(可多华)控制高血压;11例患者采用3D DCEMRA进行肿瘤定位;术中均采用联合高容量血液稀释(AHH)和术中患者自体血回输纠正血容量。结果:除1例持续性高血压患者需联合钙离子拮抗剂和ACEI药物降压外.其余患者血压控制均为满意;根据3D DCEMRA定位选择手术径路者均顺利完成手术;AHH联合术中自体血回输使14例患者避免了异体输血。结论:本文围手术期处理改进.可多华可明显减少药物的不良反应;采用3D DCEMRA进行肿瘤定位,可增加手术安全性;AHH联合术中自体血回输可减少医疗成本和异体输血,以及由此而引起的并发症。 相似文献
13.
Da-Nian Zhu, Long-Mei Xue, Peng Li. Effect of central muscarine receptor blockade. with DKJ-21 on the blood pressure and heart rote in stress-induced hypertensive rats.
The experiments were performed on Wistar or Sprague-Dawley rats of both sexes divided at random into stress and control groups. The rats in the stress groups were put into cages and subjected to electric foot-shocks and noises for 9-15 days, which caused an increase in blood pressure (BP) and heart rate (HR). In hypertensive rats DKJ-21 (4mg/lml) was injected intravenously (i.v.), and 0.5-1.0h after administration the BP and HR dropped from the high level to normotensive level. In normotensive rats, however, administration of DKJ-21 had no effect on BP or HR. In separate groups of normotensive rats, pretreatment of DKJ-21 (4 mg/l ml, i.v.) blocked the pressor and tachycardiac effect induced by microinjection of physostigmine (0.4μg/0.1 /μl/site), corticosterone (40μg/0.1μl/site) or aldosterone (40 μg/0.1 μl/site) into the rostral ventrolateral medulla (rVLM). Furthermore, DKJ-21 also attenuated the enhancement of the pressor response to stimulation of the defense area in the midbrain, which was induced by microinjection of drugs (mentioned above) into the rVLM. These results indicate that i.v. DKJ-21 can selectively block the muscarinic receptors in the rVLM in stress-induced hypertensive rats, which suggests that abnormal enhancement of cholinergic mechanism in the rVLM may be related to hypertensive effects of corticoids in this area. 相似文献
The experiments were performed on Wistar or Sprague-Dawley rats of both sexes divided at random into stress and control groups. The rats in the stress groups were put into cages and subjected to electric foot-shocks and noises for 9-15 days, which caused an increase in blood pressure (BP) and heart rate (HR). In hypertensive rats DKJ-21 (4mg/lml) was injected intravenously (i.v.), and 0.5-1.0h after administration the BP and HR dropped from the high level to normotensive level. In normotensive rats, however, administration of DKJ-21 had no effect on BP or HR. In separate groups of normotensive rats, pretreatment of DKJ-21 (4 mg/l ml, i.v.) blocked the pressor and tachycardiac effect induced by microinjection of physostigmine (0.4μg/0.1 /μl/site), corticosterone (40μg/0.1μl/site) or aldosterone (40 μg/0.1 μl/site) into the rostral ventrolateral medulla (rVLM). Furthermore, DKJ-21 also attenuated the enhancement of the pressor response to stimulation of the defense area in the midbrain, which was induced by microinjection of drugs (mentioned above) into the rVLM. These results indicate that i.v. DKJ-21 can selectively block the muscarinic receptors in the rVLM in stress-induced hypertensive rats, which suggests that abnormal enhancement of cholinergic mechanism in the rVLM may be related to hypertensive effects of corticoids in this area. 相似文献
14.
目的 :探讨纤维连接蛋白 (FN)在膀胱癌化疗药物耐受中的作用。方法 :将T2 4膀胱肿瘤细胞分别接种于包被FN、牛血清蛋白 (BSA)的培养板上孵育 2 4h ,加入不同浓度的丝裂霉素C(MMC)作用 2h ,用MTT比色法检测作用后不同时间肿瘤细胞的存活率 ,用ANNEXINⅤ流式细胞分析仪检测不同时间肿瘤细胞的凋亡率。结果 :FN黏附的膀胱肿瘤细胞在不同浓度MMC作用 2h、12h和 2 4h后的平均存活率为 6 8.3%、4 5 .7%及 5 9.1% ,与BSA黏附的膀胱肿瘤细胞平均存活率 4 5 .0 %、2 1.3%、2 6 .6 %比较 ,差异有统计学意义 (P <0 .0 5 )。FN黏附的膀胱肿瘤细胞在不同浓度MMC作用 2h和 12h后平均凋亡率分别为 1.4 %和 1.0 % ,而BSA组的细胞平均凋亡率为4 .9%和 8.2 % ,两组比较差异有统计学意义 (P <0 .0 1)。结论 :与FN黏附后的膀胱肿瘤细胞对化疗药物MMC的敏感性下降 ,细胞存活率增高 ;FN能抑制MMC引起的膀胱肿瘤细胞凋亡 ,产生药物耐受。 相似文献
15.
目的:探讨血管内皮生长因子在肺癌中的表达情况与肺癌病理生物学行为之间的关系。方法:采用免疫组化SP法检测47例肺癌组织和10正常肺组织中VEGF的表达水平。结果:肺癌组织中VEGF的表达明显高于正常肺组织(P<0.005),P53、VEGF表达与肺癌的分化程度、淋巴结转移及P—TNM分期密切相关(P<0.05),与患者的性别、年龄、肿瘤大小及组织类型无关(P>0.05)。结论:检测肺癌组织中VEGF的表达水平有助于了解肿瘤的生物学行为,并可作为判断其预后的有价值指标。 相似文献
16.
目的 评价腰椎管减压、后外侧植骨和椎弓根螺钉内固定治疗退行性腰椎滑脱的临床疗效。方法 1993年 1月~ 2 0 0 2年 9月对 74例腰椎退行性滑脱的患者行腰椎管减压、后外侧植骨和椎弓根螺钉内固定 ,采用的椎弓根内固定技术包括Dick 8例、Steffee 10例、RF 9例、Socon 2 5例、Tenor 2 0例、Moss Miami 2例。滑脱水平在L4的患者有 4 4例、L3 有 9例、L5有 16例 ,两节水平的滑脱有 5例。Ⅰ°滑脱 37例 ,Ⅱ°31例 ,Ⅲ°6例。患者平均年龄为 5 3.6岁 (30~ 79岁 )。根据手术前、后日本骨科协会 (TDA)评分评价临床症状改善的程度。结果 平均随访时间为 4 4个月 (12~ 10 4个月 ) ,所有患者最后随访的JOA评分中客观症状为 (6 .7± 1.0 )分 ,临床体征为 (4 .7± 1.1)分 ,日常活动为 (11.8± 1.9)分 ,总评分为 (2 3.0± 2 .5 )分。手术前、后的JOA评分比较 ,术后主观症状改善 70 % ,临床体征改善 6 8% ,日常活动改善 77%。根据患者的年龄分为A组 (30~ 39岁 )、B组 (4 0~ 4 9岁 )、C组 (5 0~ 5 9岁 )、D组 (≥ 6 0岁 ) ,以JOA的评分结果 >2 5分定为满意 ,A、B、C、D组的满意率分别为91%、75 %、6 9%、6 1%。结论 椎板减压、后外侧植骨融合和椎弓根螺钉内固定是治疗不稳定腰椎滑脱的一种有效方法 ,临床疗效 相似文献
17.
Ligustrazini in the treatment of chronic cor pulmonale 总被引:2,自引:0,他引:2
18.
In this study antigen-independent factor in the pathogenesis of chronic rejection of organ transplants was examined.Kidney isografts and allografts were transplanted orthotopically into bilaterally nephroectomized rat recipients and studied functionaaly,morphologically and immunohistologically,at serial intervals up to 52 weeks after transplantation.Allograft recipients developed progressive proteinuria after 12 weeks,with gradual renal failure ultimately leading to death.At the same time,morphological changes,including progressive arteriosclerosis and glomerulosclerosis ,tubular atrophy and interstitial fibrosis,developed.Immunohistologically,macrophages infiltrated glomeruli during this period and cytokines became unregulated.Our results showed that antigen-independent functional and morphological changes occurred in long-tern kidney isografts and mimicked those appearing much earlier in allografts that reject chronically.Initial injury and extent of functioning renal mass is suggested to be important factor for such late changes. 相似文献
19.
Wang Tao Liang Zhihou Sun Shenggang Cao Xuebing Peng Hai Cao Fei Liu Hongjin Tong E-tang 《华中科技大学学报(医学英德文版)》2003,23(2):145-147
Summary To investigate the distribution of possible novel mutations from parkin gene in variant subset of patients with Parkinson’s
disease (PD) in China and explore whether parkin gene plays an important role in the pathogenesis of PD, 70 patients were
divided into early-onset group and late-onset group; 70 healthy subjects were included as controls. Genomic DNA from 70 normal
controls and from those of PD patients were extracted from peripheral blood leukocytes by using standard procedures. Mutations
of parkin gene (exon 1–12) in all the subjects were screened by PCR-single strand conformation polymorphism (SSCP), and further
sequencing was performed in the samples with abnormal SSCP results, in order to confirm the mutation and its location. A new
missense mutation Gly284Arg in a patient and 3 abnormal bands in SSCP electrophoresis from samples of another 3 patients were
found. All the DNA variants were sourced from the samples of the patients with early-onset PD. It was concluded that Parkin
point mutation also partially contributes to the development of early-onset Parkinson’s disease in Chinese.
WANG Tao, male, born in 1961, Associate Professor
This work was supported by grants from the key program of the special scientific project of Scientific & Technologic Agency
of Hubei Province (Serial No. 2001AA308B01) and the Hygienic Research Project of Hygienic Agency of Hubei province (Serial
No. WJ 01529). 相似文献
20.
彭喜海 《四川省卫生管理干部学院学报》1994,(2)
为了解幼儿的肝功能和HBsAg携带情况,我们于1991年肝炎发病高峰季节对我县四所幼儿园共824名幼儿进行了ALT、TTT、ZnTT、HBsAg检测。结果ALT、TTT均升高1例,有体征;ALT单项升高6例,无症状;HBsAg阳性58例,其中9例ALT升高,4例TTT升高。幼儿园是幼儿集中的地方、同吃、同住、接触密切,对HBsAg阴性者接种乙肝疫苗,对ALT升高者不能忽视以免发生肝炎流行。 相似文献