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81.
Fred Poordad Robert Gish Adil Wakil Richard Garcia-Kennedy Paul Martin Francis Y. Yao 《American journal of transplantation》2003,3(11):1413-1417
Non-alcoholic fatty liver disease (NAFLD) is an increasingly recognized clinico-pathologic entity typically associated with obesity, type II diabetes and hyperlipidemia. It has been noted to recur after orthotopic liver transplantation (OLT). We report four patients who developed de novo NAFLD within 3 months of OLT without the typical predisposing factors of diabetes mellitus or obesity. Three of the four patients underwent OLT for hepatitis C-related cirrhosis, and the other for alcoholic cirrhosis. Examination of the liver explants revealed no evidence of steatosis. No surreptitious alcohol use or a drug-induced process could be identified in these patients. Treatment of recurrent hepatitis C infection in one patient with interferon and ribavirin led to sustained suppression of the viral RNA to undetectable levels, but no improvement in histology or liver enzymes. All four patients had histologic evidence of preservation injury on the initial post-OLT biopsies, but the significance of this finding in relationship to the development of NAFLD is unknown. NAFLD can develop without any of the known predisposing conditions after transplantation, and this raises further questions about the pathogenesis of this condition . 相似文献
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83.
糖皮质激素及异烟肼预防食管碱性腐蚀伤后瘢痕狭窄的实验研究 总被引:8,自引:2,他引:6
实验家犬采用Davis食管碱性腐蚀伤模型,结果显示:甲基强的松龙治疗组,狭窄段食管的管径和食管的顺应性均明显大于对照组,而胶原含量及图象分析瘢痕组织中胶原纤维的密度均显著低于对照组,表明甲基强的松龙确有控制食管腐蚀伤后瘢痕狭窄的作用。但异烟肼组所测得的上述指标,均显著优于甲基强的松龙组,说明异烟肼预防食管腐蚀伤后瘢痕狭窄的效果优于甲基强的松龙,且其不良反应小,可以长期应用。无论甲基强的松龙或异烟肼,如同时应用青霉素均可加强治疗效果。 相似文献
84.
Concentric sclerosis (Baló): Morphometric and in situ hybridization study of lesions in six patients
Da-Lin Yao Henry deF. Webster Lynn D. Hudson Michael Brenner Duo-San Liu Alfonso I. Escobar Samuel Komoly 《Annals of neurology》1994,35(1):18-30
Brain tissues from 6 patients with concentric sclerosis (Baló) were examined by in situ hybridization, immunocytochemistry, morphometry, and histological methods. The patients were 24 to 48 years old and had progressive cerebral symptoms and signs that lasted 15 to 100 days. Large demyelinative lesions, most frequent in the frontal white matter, contained alternating bands of demyelinated and partly myelinated white matter that were arranged in concentric or mosaic patterns. In the areas of demyelination, axons were relatively well preserved and there were perivascular inflammatory infiltrates. In 2 specimens, lesions contained regions with the characteristic appearance of actively demyelinating multiple sclerosis plaques. Oligodendroglial densities were highest in normal-appearing white matter, lower in partially myelinated areas, and lowest in demyelinated areas, which also contained many hypertrophic astrocytes closely associated with oligodendroglia. Messenger RNA levels for myelin-related proteins followed the same pattern; they were lowest in demyelinated areas, higher in partially myelinated areas, and highest in normal-appearing white matter beyond lesion margins. Our findings suggest that concentric sclerosis is a variant of multiple sclerosis, that oligodendroglial loss is important in the pathogenesis of demyelination, and that partially myelinated areas probably represent stages of ongoing myelin breakdown rather than remyelination of previously demyelinated areas. 相似文献
85.
本文采用直接放射免疫测定法,固定条件,按标准程序测得30名正常成人全唾液及血浆中的醛固酮(Aldosterone,Aldo)浓度。均值唾液为6.6±1.9nmol/L,血浆为32.5±8.0nmol/L,两者呈平行关系(r=0.4,P<0.05,=11.29+0.79X),浓度比平均为20.2%。结果进一步证实唾液作为临床测定Aldo标本的有效性与实用性,有助于对一些全身及口腔疾病进行诊断及估计预后,并可据以评价皮质类固醇治疗效果及用药的合理性。 相似文献
86.
Pyogenic granuloma is one of the diseases sometimes seen in otorhinolaryngology clinics. The clinical features of this disease are understood to be that the lesion is located in the oral cavity in the majority of cases that its causative agent is usually discovered and that it most likely grows as a malignant tumor. However, the entity of pathological diagnosis has not been established. Thirty-one cases of oral pyogenic granuloma, including 16 males and 15 females, are reported in this paper. The granuloma was located most frequently at the tongue, followed, in order, by the gingiva, buccal mucosa, hard palate, lip and oral floor. The period between the patient's first visit to our clinic and the onset of his/her complaint was variable. It was relatively shorter in those cases with the lesion at the gingiva or tongue as compared to other locations. The size of the lesion was smaller than 10 x 10 mm. We classified the pathological features into three patterns; granuloma type, hemangioma type, and intermediate type. Many cases of lesions located at the back of the tongue, buccal mucosa, or hard palate were of the hemangioma type, while many cases of lesions located at the top of the tongue, gingiva, or oral floor were of the granuloma type. We have the impression that pyogenic granuloma could be one of the purulent changes associated with benign oral tumors. 相似文献
87.
88.
Protective effect of Re-LPS antiserum on experimental multiple system organ failure. 总被引:2,自引:0,他引:2
This study examines the possible beneficial effect of Re-LPS (F515) antiserum on experimental multiple system organ failure (MSOF) in rabbits. The results showed that the plasma LPS level was significantly decreased, and it took a shorter period to clear up LPS in experimental than in control rabbits after receiving Re-LPS antiserum. Pretreatment with antiserum can markedly improve the function of the liver, lungs, kidneys, blood and gastrointestinal tract. The MSOF incidence in the group of rabbits receiving immune sera was only 11.2% and the survival rate was raised by about 40.0%. The results suggest that early passive immunotherapy may neutralize gut-derived endotoxin, inhibit endotoxin-induced mediators release and prevent development of severe complications due to sepsis. It is therefore postulated that LPS core antiserum may provide a prophylactic effect on the development of experimental MSOF.
相似文献
89.
重症胰腺炎动物模型制作及发病机理的研究 总被引:6,自引:1,他引:5
为探讨胰腺炎的发病机理,作者采用大鼠(n=58只)十二指肠结扎法和犬(n=46条)胰管内注射自身胆汁法制作重症胰腺炎的动物模型。该模型接近人类急性胰腺炎的发病因素,方法可靠,操作简便,费用便宜。前者适用于小动物实验,后者宜于大动物实验。作者认为胰管内压力增高和微生物是急性胰腺炎的重要条件;胰酶激活始动时间早在胰管内胆汁和肠液的反流后,胰酶激活的主要部位在腺泡细胞。 相似文献
90.
The effect of (+/-)-, (+)- and (-)-gossypol on testicular lactate dehydrogenase-X (LDH-X) was studied in vitro and in vivo. It was found that racemic gossypol and the two optical enantiomers had similar inhibitory effects on rat testicular LDH-X in vitro. However, neither racemic gossypol nor the enantiomers exhibited an inhibitory effect on testicular LDH-X in vivo. It is concluded that inhibition of testicular LDH-X is not likely to be the mechanism of the antifertility action of gossypol. The inhibition of testicular LDH-X in vitro by all three preparations of gossypol is probably non-specific. 相似文献