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111.
硬脑膜动脉海绵窦瘘的眼眶CT表现,DSA检查及栓塞治疗 总被引:3,自引:1,他引:2
笔者分析了5例硬脑膜动脉海绵窦瘘伴突眼,结膜充血的病例,全部经CT及DSA检查,同时进行了栓塞治疗,经随访7-9个月未见复发,主要CT表现为:(1)眼球突出,结膜充血;(2)眼上静脉扩张;(3)海绵窦增大;(4)眼外肌增厚:(5)眶尖软组织肿胀。并讨论了诊断鉴别诊断,DSA检查及有关治疗问题。 相似文献
112.
J. Hilton R.J. Dearman N. Sattar D.A. Basketter I. Kimber 《Food and chemical toxicology》1997,35(12):1209-1218
Whereas many foreign proteins are immunogenic, only a proportion is also allergenic, having the capacity to induce the quality of immune response necessary to support the production of IgE antibody. We have demonstrated previously that intraperitoneal administration to mice of proteins such as ovalbumin (OVA) or the industrial enzyme A. oryzae lipase, which possess significant allergenic potential, stimulates the production of both IgG and IgE antibody. Identical exposure to bovine serum albumin (BSA), a protein with limited potential to cause immediate respiratory or gastrointestinal hypersensitivity reactions, induced IgG responses only. In the current investigations, the quality of immune responses induced following exposure to these proteins via mucosal tissue (intranasal) has been compared with those provoked following administration via a non-mucosal (intraperitoneal) route of exposure. Intranasal or intraperitoneal administration of BSA, OVA or A. oryzae lipase elicited in each case vigorous IgG and IgG1 antibody responses. For all three proteins, at every concentration tested, and via both routes of exposure, IgG1 antibody titres paralleled closely IgG titres. However, the three materials displayed a differential potential to provoke IgE responses and this correlated with their known allergenic potential in humans. Thus, OVA and A. oryzae lipase stimulated strong IgE antibody responses, whereas BSA provoked low titre IgE only at the highest concentration tested (5% administered intraperitoneally). The quality of induced responses was not affected by the route of exposure. It would appear, therefore, that the stimulation of IgG and IgG1 antibody responses is a reflection of protein immunogenicity whereas protein allergenicity is associated with the induction of strong IgE responses. 相似文献
113.
C3d及荷C3d免疫复合物的测定与意义 总被引:2,自引:0,他引:2
用抗人C3和抗人IgGγ球蛋白组分作固相反应物,建立了检测补体活化片段C3d及荷C3d-IC的ELISA法,并对临床各类疾病患者血清C3d和C3d-IC的水平进行了测定,结果表明:慢性肾炎,SLE,慢性乙肝及肺炎患者血清C3d总体水平均较对照组显著增高,分别有58.5%~72.2%的病人C3d含量高于正常上限(P〈0.01),且该类病人亦有较高的C3d-IC阳性检出率(肺炎患者例外)本项研究中,C 相似文献
114.
Summary For many years percutaneous needle and classic burr-hole trephination with insertion of plastic catheters for external ventricular drainage are in use. The shortcomings of the conventional puncture needles were compensated for by the development of a modified instrument in recent years.In this prospective study we tried to define advantages and disadvantages of percutaneous ventriculostomy with this modified needle in a large number of patients. We treated and followed a total number of 200 patients with external ventricular drainage for various reasons (42% obstructive hydrocephalus, 27% haematocephalus, 11% malresorptive hydrocephalus, 11% elevated ICP and 9% infections). The ventriculostomy is performed — after percutaneous trepheication with a 1.5 mm drill and 1.2 mm needle under the local aesthesia as a bedside procedure. The modified blunt needle is provided with markings and a set screw which allows insertion to a prefixed depth and a sharp guide which is withdrawn after penetration of the dura. It is then bent rostrally and fixed by a plaster cast. The mean duration of drainage was 9 days (1–30 days). Mean operating time for the whole procedure including fixation and connection to the drainage system was 20 minutes. Overall complication rate was 13% (N=26). Two intracerebral haemorrhages (1%) occurred, of which one was caused by overdrainage. Five (3%) infections in primarily not infectious cases (N=182) were seen. Only one case of infection occurred without loosing of the needle on day 17. In 19 patients (10%) the needles had loosened. Fifteen times this complication was repaired in time and no infection occurred. The overall complication rate (13%) and the needle related risk of bleeding (0.5%) seem average. The true risk of infection with correct handling (0.5%) is very low despite the very long average duration of drainage. The main risk lies in the markedly high danger of loosening (10%), which entails a disproportionally high demand for nursing care. Nevertheless, we regard percutaneous needle trephination as the ventriculostomy method of choice because of its better practicability and low infection rate. 相似文献
115.
The mortality of neonates with oesophageal atresia in the Third World remains high because of delays in presentation and diagnosis. Lack of appropriate intensive care facilities is a further contributing factor. Caudothoracic epidural anaesthesia was used during surgical repair of oesophageal atresia in 35 patients in an attempt to minimise the need for post-operative ventionally support. This group was compared with 36 patients whose surgery was performed under general anaesthesia. The age at the time of referral, sex ratio, and weight were comparable in both groups. Using the Waterson classification, a greater number of poorer prognostic patients were seen in the epidural group (P <0.02). In all Waterson risk categories fewer patients required ventionally support post-operatively, which was statistically significant (P <0.01) when all categories were combined. We are encouraged by our results and believe this technique has a rôle in the management of neonates undergoing major surgery, both where neonatal intensive care exist or is deficient as in many parts of the Third World. 相似文献
116.
Binding of sulfaethidole to bovine serum albumin was studied by equilibrium dialysis, fluorescence probe technique, uv difference
spectrophotometry and circular dichroism. Equilibrium dialysis method enabled us to estimate the total number of drug binding
sites of albumin molecule. For sulfaethidole, albumin had 6 primary and 40 secondary binding sites. The primary and secondary
binding constants were 0.9×105 M−1 and 0.2×106 M−1, respectively. 1-Anilino-8-naphthalenesulfonate (ANS) and 2-(4′-hydroxylbenzeneazo)-benzoic acid (HBAB) were used as the
fluorescence probe and the uv spectrophotometric probe, respectively. In fluorescence probe technique, results indicated that
the number of higher affinity drug binding site of albumin was 1 and the number of lower affinity drug binding sites of albumin
was 3, and the primary and secondary drug binding constants for bovine serum albumin were 2.15×105 M−1 and 1.04×105 M−1, respectively. In uv difference spectrophotometry, binding sites were 3 and binding constant was 1.88×105 M−1. The above results suggest that several different methods should be used in ompensation for insufficient information about
drug binding to albumin molecule given by only one method. 相似文献
117.
袖套法异种心脏移植模型 总被引:8,自引:0,他引:8
采用Heron袖套法进行异种(小鼠→大鼠)心脏移植,异位移植于颈部皮下,供体主动脉接受体颈内动脉,供体肺动脉接受体项外静脉,并对手术方法进行了部分改进。进行正式手术22次,成功率86%,移植后平均存活时间2.10±0.80天;该方法简单、迅速、可靠,移植于颈部易于观察,对于超急性排斥反应的观察以及免疫耐受的诱导,抗免疫排斥药物筛选是一位得推广的动物模型。 相似文献
118.
Emergency airway management in patients with cervical spine injuries 总被引:10,自引:0,他引:10
119.
P. SCHWARZ H. A. SØRENSEN I. TRANSBØL Mineral Metabolic Research Group 《European journal of clinical investigation》1994,24(8):553-558
Abstract. The objective of the present study was to compare the calcium set-points of E. M. Brown and A. M. Parfitt obtained by sequential citrate and calcium clamp in patients with primary hyperparathyroidism and healthy controls. Twenty-six patients with primary hyperparathyroidism were investigated and compared to 22 healthy volunteers. All participants were investigated by sequential calcium lowering and raising comprising the following four phases: Phase (1) blood ionized calcium lowering of about 0·20 mmol l-1; phase (2) steady-state (relative) hypocalcaemia of blood ionized calcium 0·20 mmol l-1 below baseline; phase (3) blood ionized calcium is raised to about 0·20 mmol l-1 above baseline; and phase (4) (relative) hypercalcaemia of blood ionized calcium 0·20 mmol l-1 above baseline. Serum parathyroid hormone (1–84) was measured by an immunoradiometric assay. Blood ionized calcium was measured by a calcium selective electrode. We found the calcium set-points of Parfitt to be 1·42 mmol l-1 (SD 0·12, n= 52) vs. 1·25 mmol l-1 (SD 0·04, n= 44) in patients and controls, respectively (P < 0·001). The calcium set-points of Brown were 1·32 mmol l-1 (SD 0·10, n= 26) vs. 1·13 mmol l-1 (SD 0·04, n= 22), respectively (P < 0·001). By comparing the calcium set-points of Parfitt and Brown, a strikingly good correlation was observed, in patients (r= 0·91, P < 0·001) and in controls (r= 0·85, P < 0·001). We demonstrate in this paper in vivo that Brown's and Parfitt's calcium set-points are raised in primary hyperparathyroidism and return to normal following parathyroidectomy. The values for Brown's and Parfitt's calcium set-points are significantly different, but strikingly well correlated, supporting the view that Brown and Parfitt describe two different points on the same sigmoidal curve, corresponding to 50% and about 85% inhibition of PTH maximum, respectively. The mathematical form of the sigmoidal curve between blood ionized calcium and parathyroid hormone is very similar in primary hyperparathyroidism and normal humans. 相似文献
120.