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71.
A. Hedberg H-G. Hårdemark B. Olsson-Liljequist J. Sjölin 《Clinical microbiology and infection》2004,10(8):765-768
Cerebrospinal fluid (CSF) concentration-time curves of rifampicin and fusidic acid were studied in a patient with post-operative meningitis caused by Staphylococcus epidermidis. The patient was treated with this combination of antimicrobial agents because of a severe hypersensitivity reaction to vancomycin. Peak CSF concentrations of rifampicin exceeded the MIC by > 60-fold, while those of fusidic acid just reached the MIC. CSF concentrations of fusidic acid were relatively stable within the range reported for patients with uninflamed meninges, but serum levels were surprisingly low. An increase in the metabolism of fusidic acid induced by rifampicin cannot be excluded. 相似文献
72.
Leo Sher Juan J Carballo Michael F Grunebaum Ainsley K Burke Gil Zalsman Yung-yu Huang J John Mann Maria A Oquendo 《Bipolar disorders》2006,8(5P2):543-550
Objectives: Bipolar disorder is a severe illness that is associated with suicidal behavior. A biological predictor of highly lethal suicide attempts in patients with bipolar disorder would be valuable. We hypothesized that cerebrospinal fluid (CSF) monoamine metabolite levels are related to lethality of suicide attempts in bipolar patients and examined the relation between CSF 5-hydroxyindolacetic acid (5-HIAA), homovanillic acid (HVA), and 3-methoxy-4-hydroxyphenylglycol (MHPG) levels and maximum lethality of suicide attempts at baseline and during a 2-year follow up.
Methods: Twenty-seven bipolar depressed patients participated in the study. Demographic and clinical parameters were examined and recorded. Lumbar punctures were performed and CSF 5-HIAA, HVA, and MHPG were assayed by high-performance liquid chromatography with electrochemical detection. Following discharge, patients were evaluated after 3 months, 1 year, and 2 years. Each follow-up interview included an in-depth assessment of suicidal behavior during the intervening time period.
Results: Six subjects made suicide attempts during the 2-year follow-up. Bipolar patients who attempted suicide during the follow-up period had higher aggression and hostility scale scores compared to bipolar subjects who did not make a suicide attempt during the follow-up period. CSF 5-HIAA, HVA, and MHPG levels were negatively correlated with the maximum lethality of suicide attempts during the 2-year follow-up period.
Conclusions: Our finding is the first observation that CSF monoamine metabolite levels may be predictors of lethality of suicide attempts in patients with bipolar disorder. Further studies are necessary to answer the question whether CSF monoamine metabolite levels are clinically useful biochemical predictors of highly lethal suicide attempts or completed suicides. 相似文献
Methods: Twenty-seven bipolar depressed patients participated in the study. Demographic and clinical parameters were examined and recorded. Lumbar punctures were performed and CSF 5-HIAA, HVA, and MHPG were assayed by high-performance liquid chromatography with electrochemical detection. Following discharge, patients were evaluated after 3 months, 1 year, and 2 years. Each follow-up interview included an in-depth assessment of suicidal behavior during the intervening time period.
Results: Six subjects made suicide attempts during the 2-year follow-up. Bipolar patients who attempted suicide during the follow-up period had higher aggression and hostility scale scores compared to bipolar subjects who did not make a suicide attempt during the follow-up period. CSF 5-HIAA, HVA, and MHPG levels were negatively correlated with the maximum lethality of suicide attempts during the 2-year follow-up period.
Conclusions: Our finding is the first observation that CSF monoamine metabolite levels may be predictors of lethality of suicide attempts in patients with bipolar disorder. Further studies are necessary to answer the question whether CSF monoamine metabolite levels are clinically useful biochemical predictors of highly lethal suicide attempts or completed suicides. 相似文献
73.
通过对国产硫酸奈替米星注射后人体血尿中药物浓度测定,建立了奈替米星体液浓度测定的微生物法,该方法的检测限为0.0375~0.0751μg,最低检测浓度为0.25~0.5μg/ml,回收率为88.8%±3.63%~98%±14.40%,重复性试验相对标准差为2.22%~5.34%;并对10例健康受试者用药后血标本100余份进行了微生物法测定和高压液相色谱法测定,对两种方法测定结果的比较发现:微生物法测定的血药浓度明显高于HPLC法(P<0.01),而HPLC法由于需复杂的样品预处理和特殊的色谱条件,测定的血药浓度较低,回收率仅71.98%~76.96%。不过,两种方法测定结果的相关性较好。本研究结果提示:微生物法测定奈替米星体液浓度简便、易操作、结果准确可信,适用于体液药物浓度测定。 相似文献
74.
Chromosomes in 1620 metaphases of ascitic fluid cells in 20 cases of ovariancarcinoma were analyzed.The results showed that there were marked structuralaberrations aside from significant increase in chromosomal numerical aberrations(85.2%).In the ascitic fluid cells from 12 patients,15 types of marker chromosomes were found,among which t(6;14)(q21;q24)and t(2;6)(q35;p12)were more frequently noted witha rate of 7.84% and 7.59% respectively,which was significantly higher than that of othermarker chromosomes(P<0.01).The findings suggested that,besides t(6;14)(q21;q24),t(2;6)(q35;p12)may also be a specific marker chromosome of ovarian carcinoma. 相似文献
75.
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77.
耳脑医用粘合剂是α-氰基丙烯酸正辛酯和α-氰基丙烯酸正丁酯及少量添加剂配伍而成的复合性医用粘合剂。应用此粘合剂粘合修补脑脊液漏27例,其中外伤性脑脊液鼻漏5例,经鼻蝶入路垂体瘤切除术脑脊液漏6例,开颅手术后手术切口脑脊液漏11例,脊膜膨出修补术后脑脊液漏5例。成功25例,成功率93%。应用此粘合剂修补脑脊液漏具有简便、迅速、有效的特点。 相似文献
78.
A 73-year-old woman presenting with persistent swelling of the right knee 30 months after total joint arthroplasty was found to have a Candida parapsilosis infection. Treatment with fluconazole resulted in full recovery. 相似文献
79.
通过对动物模型实验治疗的病理观察,评价全肺大容量灌洗治疗矽肺的效果,并优选灌洗液。对40只家兔和10只幼猪经SiO2染尘处理后,各随机分为药物组、盐水组和对照组。4~5周后施行全肺大容量灌洗。治疗后3~5个月处死各组动物,进行病理双盲检查。经统计学秩和检验,兔与猪各组肺矽结节纤维化级别分布的差异有非常显著意义(P<0.005)。经卡方检验,各灌洗组的纤维化程度与对照组相比,差异亦有非常显著意义(P<0.01)。灌洗液中药与盐水比,P<0.05;盐水与西药比,P<0.05。兔和猪矽肺各灌洗组的效果明显优于对照组。灌洗液中药优于盐水,盐水又优于西药 相似文献
80.
目的:检测β—淀粉样蛋白(β—amyloid protein,Aβ)两种主要成分Aβl-40和Aβ1—42在阿尔茨海默病(Alzheier's Disease,AD)脑脊液中的变化,并探讨其对AD的诊断价值。方法:采用敏感的双抗体夹心酶联免疫吸附法(ELISA),检测54例AD患脑脊液中Aβ的浓度,并与30例正常对照(normal controls,NC)脑脊液中的相应成分进行对比。结果:①AD患脑脊液中Aβ1—42浓度低于正常对照组,而Aβl-40/Aβl—42比值高于对照组;②以脑脊液中Aβ比值及Aβl—42浓度检测诊断AD的敏感性分别为54.51%、90.00%,特异性为84.25%、84.38%。结论:临床上同时检测脑脊液中Aβl—42浓度及Aβ比值可作为早期诊断AD的辅助指标,具有一定的临床应用价值。 相似文献