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991.
目的 探讨沂蒙山区新生儿血液中甲状腺激素的水平和碘缺乏状态 ,为消灭新生儿碘缺乏症提供依据。方法 利用放射免疫 (或免疫放射 )分析方法 ,对沂蒙山区 2 0 0 0例新生儿脐血中TT3、TT4 、FT3、FT4 、rT3、TSH进行综合检测。结果 男女两性新生儿脐血中的甲状腺激素和促甲状腺激素无显著性差异 ;山区居民新生儿脐血中TT3、TT4 、FT3、FT4 、rT3 值均低于城镇居民新生儿 ,TSH值高于城镇居民新生儿 ,山区与城镇居民新生儿脐血中的TT3、TT4 之间存在显著性差异 (P <0 .0 5) ;有 6例 ( 0 .30 % )新生儿存在缺碘状况。结论 检测新生儿脐血中TT4 、FT4 、TSH ,是判断新生儿是否存在碘缺乏的重要依据。 相似文献
992.
Xueping Yu Yijuan Zheng Dawu Zeng Yongjun Zhou Jian Sun Milong Su Huatang Zhang Minhui Zheng Zhipeng Huang Wenwu Lin Richeng Mao Jiming Zhang Chunfu Zheng Zhijun Su 《Journal of medical virology》2023,95(1):e28129
CD7 and CD57 are related to the differentiation and functional stages of CD8+ T cells. However, the role of their combined presence in CD8+ T cells in patients with chronic hepatitis B virus (HBV) infection, especially those with end-stage liver disease, remains unclear. Blood samples from healthy volunteers and patients with chronic hepatitis B were analyzed via Luminex assay and ELISA to measure plasma cytokine levels. Further, recombinant IL-22 was used to stimulate peripheral blood mononuclear cells from healthy volunteers, and the frequency of CD3+CD4−CD7+CD57− T cells and apoptosis rates were investigated via flow cytometry. Patients with end-stage liver disease, particularly those with acute to chronic liver failure, showed decreased CD3+CD4−CD7+CD57− T cell frequency. Furthermore, the prevalence of CD3+CD4−CD7+CD57− T cells was negatively correlated with disease severity, prognosis, and complications (ascites). We also observed that IL-22 promoted apoptosis and brought about a decrease in the number of CD3+CD4−CD7+CD57− T cells in a dose-dependent manner. CD3+CD4−CD7+CD57− T cells displayed a B and T lymphocyte attenuator (BTLA)highCD25highCD127high immunosuppressive phenotype and showed low interferon-γ, tumor necrosis factor-α, granzyme A, and perforin expression levels. The present findings will elucidate the pathogenesis of HBV-related end-stage liver disease and aid the identification of novel drug targets. 相似文献
993.
Fan Wu Yue Yuan Yanjun Li Di Yin Bing Lang Yangguo Zhao Xueying Fan Huachun Zou Chunhuan Zhang Xiangyue Zeng Caijun Sun 《Journal of medical virology》2023,95(1):e28227
Compared with the nucleic acid amplification test (NATT), the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) rapid antigen self-testing (RAST) has advantages in speed and convenience. However, little is known about people's acceptance and influencing factors for SARS-CoV-2 RAST. A cross-sectional study was conducted from April 21 to 30, 2022 in China. The χ2 test and multivariate logistic regressions were used to identify the influencing factors. The structural equation model was used to test the extended protective motivation theory (PMT) model hypotheses. Among the total of 5107 participants, 62.5% were willing to accept the SARS-CoV-2 RAST. There were significant differences in acceptance among different residences (p < 0.001), educational level (p < 0.001), occupation (p < 0.001), monthly income (p < 0.001), travel frequency (p < 0.05), and feelings about NATT (p < 0.001). Response efficacy (β = 0.05; p = 0.025) and self-efficacy (β = 0.84; p < 0.001) had a positive effect, while response cost showed a negative effect (β = −0.07; p < 0.001). The public's major concerns about SARS-CoV-2 RAST are its reliability, testing method, price, and authority. Overall, a moderate intention to use SARS-CoV-2 RAST was found among the Chinese population. The extended PMT can be used for the prediction of intention to accept the RAST. We need to take measures to increase people's acceptance of SARS-CoV-2 RAST. 相似文献
994.
~ hepatic lympholna (PHL) is very uncommon, with which most clinicians are not fallliar. We report a case Of p~ hepatic non-Hodgkin's lymphomawhoSe clinical ~stalons were Presented edng withP~ssiVe liVer failure, and the comet diagnosis wascoallrmed by liver biopsy. A review of the lite~re anddiscussion of PHL ~ also Presented.~ ~ ~sPatient A 32-year-old man was abbotted to ourdepallment on APril l, 1999 because of fatigUe, anowhaand loss Of weight for 5 months, feVer for 4 d. The onse… 相似文献
995.
996.
五灵胶囊治疗慢性肝炎的临床随访观察 总被引:13,自引:3,他引:10
0 引言 五灵丸治疗慢性病毒性肝炎取得了较好的疗效 [1 ] ,但五灵丸为大蜜丸 ,不易被患者所接受 ,且其消化道副作用较明显 .为此 ,我们改进剂型 ,研制成五灵胶囊 ,为明确其能否保持远期疗效 ,我们对用该药治疗的患者进行随访观察 ,同时与五灵丸的疗效进行比较 .1 对象和方法1.1 病例选择 按慢性肝炎的诊断标准选择住院患者 10 0例 ,随机分为两组 .治疗组为五灵胶囊组 ,对照组为五灵丸组 .每组各 5 0例 .治疗组轻度 19例 ,中度 2 0例 ,重度 11例 .对照组轻度 2 0例 ,中度 18例 ,重度 12例 .两组均选择 18~5 8岁 ,病程 1~ 2 0 a.平均 4… 相似文献
997.
综合疗法治愈狼疮性急性肾衰1例 总被引:3,自引:2,他引:1
1 病例报告 患者 ,女 ,6 0岁 ,因反复发热 2 5 a、全身性关节疼痛 2 3 a,双下肢水肿 2 mo,腹胀、尿少 1mo,于 1998- 10 - 2 0入院 .1975年患者出现发热 ,全身关节疼痛 ,四肢关节周围皮肤出现结节性红斑 ,触之疼痛 ,多次化验血沉 115 mm· h- 1 ,抗核抗体阴性 ,类风湿因子阳性 ,未找到狼疮细胞 ,诊断为“类风湿性关节炎”.1986年因上述症状复发再次入我院 ,多次检查后发现血抗核抗体 ( ) ,抗双链 DNA抗体 ( ) ,临床确诊为系统性红斑狼疮 (SL E) ,狼疮性肝炎 ,狼疮性胸膜炎 ,狼疮性肺炎 .经治疗好转 ,但上述症状反复发作 .此次上述症状复… 相似文献
998.
药疹132例临床分析 总被引:2,自引:0,他引:2
目的 :探讨药疹与某些致敏药物的联系。方法 :查阅了 1998年 1月~ 1999年 12月我院药疹病历 132例 ,对致敏药物的种类及疹型进行了统计分析。结果 :怀疑致敏药物 6 5种 ,药疹的分型以荨麻疹型最多 ,其次为麻疹样型和猩红热型。结论 :引发药疹最多的药物是抗菌药物 ,其次是解热镇痛药和中药 相似文献
999.
目的 :为研究慢性肾功能不全 (CRF)时甲状腺激素的变化及其临床意义。方法 :应用放射免疫法 (RIA)检测 47例CRF患者 ,2 1例肾功能正常的肾脏疾病患者和 2 4例正常人 T3、T4、FT3、FT4、TSH。结果 :CRF患者血清 T3、T4、FT3、FT4明显降低 (P<0 .0 5 ,P<0 .0 1) ,并与 Scr呈显著负相关 (P<0 .0 5 ,P<0 .0 1)。结论 :CRF病例存在继发性甲状腺功能减退症 ,甲状腺激素可作为判定肾功能受损程度的参考指标。 相似文献
1000.
COMPLICATIONS IN LAPAROSCOPIC GYNECOLOGIC SURGERY 总被引:3,自引:0,他引:3
Objective. To investigate retrospectively the complications and associated factors of gynecological laparescopies.Methods. 1769 laparoscopic surgeries were carried out from January 1994 to October 1999 at our department. The procedures included 1421 surgeries of ovary and tube, 52 myomectomies and 296 cases of laproscopic-assisted vaginal hysterectomy (LAVH). A total of 312 patients had a history of prior laparotomy (17.6%). Results. Complications occured in 34 cases, the overall complication rate was 1.92%. Unintended laparotomies occured in 6 cases(0.34% ). 12 complications were associated with insertion of Veress needle or trocar and creation of pneumoperitoneum, including 5 severe emphysema and 7 vascular injuries, this figure represents 35.3% of all complications of this series. Five intraopemtive complications (14.7 % ) occured during the laparescopic surgery (3 severe bleedings, one bladder injury and one skin bum of leg caused by damaged electrode plate), laparotomy was re-quired in four of these cases. Seventeen complications occured during postoperative stage: 2 intraperitoneal hemor-rhages needing laparotomy, 2 bowel injuries, 4 nerve paresis and 9 febrile morbidities. Cordusions. Operative gynecologic laparoscopy is associated with acceptable morbidity rate, but can not be over-looked. Complication rate seems to be higher in advanced procedures such as LAVH. 相似文献