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71.
目的探讨胰腺闭合性损伤诊断和外科处理的方法。方法分析20例胰腺闭合性损伤的诊断,手术处理和预后。结果17例治愈,死亡3例,死亡率15,并发胰瘘2例,假性囊肿2例,腹腔脓肿1例。结论CT、B超及血淀粉酶检查对胰腺损伤仍具有一定的诊断价值。术中关键是保持警觉,按胰腺损伤情况选择适当的术式。 相似文献
72.
73.
目的 研究地氟醚高浓度、低流量洗入时的摄取规律。方法 择期全麻下行上腹部手术的ASA I-Ⅱ级患者80例,随机分为A、B两组,洗入期:A组新鲜气流量为:氧气0.7 L/min;B组新鲜气流量为:氧气0.4 L/min,氧化亚氮 0.3 L/min。两组Tec-6地氟醚蒸发器刻度均为18%。维持期:两组新鲜气流量均不变,蒸发器刻度均改为8%。结果 A组平均洗入时间为(4.56±0.68)min,B组平均洗入时间为(4.05±0.52)min,二者无统计学差异(P>0.05)。两组间各时点 FA/FI均无显著差异(P>0.05)。结论 低流量洗入地氟醚、氧化亚氮时,氧化亚氮并不影响地氟醚的体内摄取过程。地氟醚低流量洗入紧闭环路麻醉安全可行。 相似文献
74.
Jing‐Long Huang Liang‐Shiou Ou Ching‐Hsiung Tsao Li‐Chen Chen Ming‐Ling Kuo 《Pediatric allergy and immunology》2002,13(6):426-433
T lymphocytes play a fundamental role in the initiation and regulation of chronic inflammatory responses in patients with asthma. CD69 is an early marker of T‐cell activation. The levels of intercellular adhesion molecule‐1 (ICAM‐1, CD54) and L ‐selectin have been reported to increase in patients with allergic diseases and asthma. The present study was therefore undertaken to investigate the expression of CD69, CD54, and L ‐selectin by T lymphocytes of children with asthma, before and after immunotherapy. Eighteen children newly diagnosed with asthma, 11 good and nine poor responders to immunotherapy, and 16 normal subjects, were enrolled in this study. The percentages of CD69+, CD54+, and CD62L+ cells in T lymphocytes were measured by using flow cytometry. The levels of CD69, CD54, and CD62L in serum and culture supernatants were determined by using enzyme‐linked immunosorbent assay (ELISA). The expression of CD69 and CD54 on CD3+ T lymphocytes was significantly higher in children with asthma than in control patients. All the patient groups expressed (spontaneously and following stimulation with phorbol myristate acetate and ionomycin together with mite‐extract proteins) greater amounts of CD69 and CD54 than did control subjects. With long‐term immunotherapy, the percentages of CD69+ and CD54+ T lymphocytes were significantly lower in patients with a good response to immunotherapy. Our results also showed significantly lower serum L ‐selectin levels following immunotherapy. In conclusion, successful immunotherapy resulted in decreased expression and production of CD69 and CD54. These results may explain, in part, the clinical efficacy of immunotherapy. 相似文献
75.
Analysis of epidermal growth factor receptor and activated epidermal growth factor receptor expression in pituitary adenomas and carcinomas. 总被引:2,自引:0,他引:2
Onder Onguru Bernd W Scheithauer Kalman Kovacs Sergio Vidal Long Jin Shuya Zhang Katharina H Ruebel Ricardo V Lloyd 《Modern pathology》2004,17(7):772-780
Epidermal growth factor receptor plays an important role in the pathogenesis of many malignancies. Various growth factors, including epidermal growth factor receptor, have been shown to influence pituitary tumor growth and differentiation. To analyze the role of epidermal growth factor receptor in pituitary tumor development, we examined normal pituitaries (n=8), pituitary adenomas (n=158), and pituitary carcinomas (n=7) for expression of epidermal growth factor receptor protein and messenger RNA using tissue microarrays and RT-PCR. We also examined (a) the expression of phospho-epidermal growth factor receptor, the activated form of epidermal growth factor receptor, in pituitary tumors and normal pituitaries by immunohistochemistry and (b) the effects on epidermal growth factor receptor expression of treating pituitary cells (HP75 cell line) with epidermal growth factor. Epidermal growth factor receptor and the phosphorylated variant expression were present in normal pituitary cells. Epidermal growth factor receptor messenger RNA was also detected in normal pituitaries, pituitary adenomas, and carcinomas by in situ hybridization and RT-PCR. Most pituitary adenomas showed expression of epidermal growth factor receptor and the phosphorylated variant. Nonfunctional adenomas showed higher levels of expression of epidermal growth factor receptor (76 vs 34%) and of phospho-epidermal growth factor receptor (26 vs 8%) as compared to functional adenomas. Five of seven pituitary carcinomas showed strong expression of both epidermal growth factor receptor and phospho-epidermal growth factor receptor. When a human pituitary cell line (HP75) was cultured in the presence of epidermal growth factor receptor, there was an increase in the levels of both epidermal growth factor receptor and phospho-epidermal growth factor receptor after 5 h of treatment, thus confirming that epidermal growth factor receptor signaling was active in pituitary tumors. These results indicate that activated epidermal growth factor receptor is expressed in pituitary adenomas and carcinomas. Higher levels in pituitary carcinomas suggest a role in pituitary tumor progression. 相似文献
76.
77.
经单鼻孔-蝶窦入路切除垂体腺瘤 总被引:3,自引:1,他引:2
近年来,经鼻蝶入路有被广泛应用和普及的趋势,其应用中又分为经鼻小柱中隔入路、经鼻前庭中隔入路、经单鼻孔中隔蝶窦入路和经单鼻孔直接蝶窦入路的不同方式[1~4]。我科自2003年11月至2004年4月,采用经单鼻孔中隔蝶窦入路对15例垂体腺瘤患者施行了手术治疗,效果理想,现报告如下 相似文献
78.
79.
沾染液体火箭推进剂时的个人洗消技术进展 总被引:3,自引:0,他引:3
岳茂兴 《中华航空航天医学杂志》2003,14(3):189-192
目的 回顾与分析国内外有关沾染液体火箭推进剂时个人洗消技术和方法的研究资料,提出有效的个人洗消技术和方法,以尽可能地避免染毒或减轻染毒伤员的伤害程度。资料来源与选择 结合我们已进行的有关研究和参加抢救的临床救治体会,并引用国内外公开发表的相关论文及著作。资料引用 论文28篇及3部专著。资料综合主要针对个人洗消技术的有效性与安全性对文献作者采用的方法和指标进行分析和综合。结论 迅速及时地进行有效的洗消,以尽早彻底清除沾染的毒物,是防治液体火箭推进剂中毒的首要措施,可以明显避免或减轻染毒伤员的伤害程度。 相似文献
80.
率先在国内应用PCR技术扩增Wilson病(WD)基因内部D13S301位点的微卫星多态,通过变性聚丙烯酰胺凝胶电泳检测扩增产物,对80名正常中国人进行了检测,结果具有12种不同长度的等位片段,多态信息含量(PIC值)为0.883,表明该位点在中国人群中具有长度多态性及较高的应用价值。应用该位点对10个WD家系进行连锁分析,在24名无症状个体中检出12名基因携带者,7名正常纯合子及2名症状前患者,进一步证实该位点可用于WD的症状前诊断及杂合子筛选。 相似文献