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1.
Mei-Yi Wu Yu-Wei Chen Lie-Yee Hung Chii-Hong Lee Hsin-An Chen Yung-Ho Hsu Mai-Szu Wu 《Transplantation proceedings》2019,51(5):1472-1474
IntroductionThe immunosuppressant agents in kidney transplantation (KT) may lead to various complications such as opportunistic infections and malignancies. BK virus associated nephropathy is a significant complication following KT, and it can result in graft failure. BK virus causes tubulointerstitial nephritis, ureter stenosis, and even graft failure in KT recipients with impaired immune system. We described a 63-year-old woman, who was a hepatitis C carrier and on dialysis for 22 years before KT, who received cadaveric-donor KT 2 years previously. She reported decreasing urine output and general weakness. The serum creatinine level was slightly increased from 2.94 to 4.38 mg/dL.MethodsImmunosuppressant medications including prednisolone, everolimus, cyclosporin, and mycophenolate sodium were continued as maintenance therapy post KT. Kidney biopsy was performed due to deterioration of graft function.ResultsThe kidney biopsy showed consistent results with early-stage polyomavirus nephropathy, characterized by focal viral cytopathic changes with positive immunohistochemical signals and mesangial proliferative glomerulonephritis, immune-complex-mediated (Fig 1 and Fig 2). Negative C4d staining at peritubular capillary was reported. The dosage of mycophenolate sodium was tapered from 720 to 360 mg daily and that of everolimus increased from 0.5 to 1.0 mg daily due to BK viral infection with BK nephropathy. The serum creatinine level was 2.75 mg/dL after treatment.ConclusionEarly detection of BK nephropathy and decreasing immunosuppressant agents are the mainstay of treatment. Substituting leflunomide for mycophenolate sodium and increasing dosage of everolimus has been proposed to solve BK nephropathy. We presented that the use of leflunomide in such situation is in a timely manner. 相似文献
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3.
周现军 《邯郸医学高等专科学校学报》2003,16(5):395-396
目的 验证降糖灵 1号的降血糖作用。方法 以大、小白鼠为实验动物 ,分别与空白对照、高血糖对照及降糖甲片组和消渴丸组进行对照。研究降糖灵 1号对肾上腺素性和四氧嘧啶性高血糖的药理作用。结果 降糖灵 1号组除与消渴丸组对糖尿病差异无显著性意义 (P >0 0 5 )外 ,与其他各组差异均有显著性意义 (P <0 0 5 ,P <0 0 1)。结论 降糖灵 1号具有明显的降血糖作用 相似文献
4.
本文用Balb/c小鼠观察了巯亚硝基蛋白在体内产生一氧化氮的量效关系,结果发现,SNO-Hb在体内可剂量信赖地产生NO。 相似文献
5.
目的 观察肝康胶囊对慢性乙型肝炎的疗效。方法 36例慢性中度肝炎随机分为二组,治疗组给予肝康胶囊口服,每日3次,每次6~8粒,连服1个月为一疗程,根据病情可连服2~3个疗程;对照组给服大黄蛰虫丸,疗程同前。在服药期间定期查肝功能、γ球蛋白、血清透明质酸(HA)、Ⅲ型前胶原(PCⅢ)、Ⅳ型胶原(C-Ⅳ)和层粘蛋白(LN)。结果 治疗组丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)和总胆红素(TB)下降速度明显快于对照组;自觉症状的改善情况也好于对照组;3个疗程后治疗组各项肝纤维化指标以及γ球蛋白均较治疗前显著下降(P<0.01),而对照组变化不甚明显。结论 肝康胶囊对慢性肝炎有良好的抗纤维化和改善肝功能作用。 相似文献
6.
硝酸铋与丙磺舒合用对顺铂肾毒性的防护作用 总被引:1,自引:0,他引:1
毒性剂量的顺铂(CP30μmol·kg-1ip)可引起血尿素氮(BUN)升高。硝酸铋(BN)5μmol·kg-1于CP前48和24hse,丙磺舒(Pro)700μmol·kg-1于CP前15,1h及CP后5hig,或BN与Pro二者半量合用,按上述给药,均能抑制CP引起的BUN升高,尤以BN+Pro组抑制作用显著。肾脏光镜和电镜标本显示,CP使肾小管受损严重;BN组,Pro组和BN+Pro组均使CP引起的肾小管受损减轻,尤以BN+Pro组减轻明显。BN2.5-20μmol·kg-1剂量依赖性地诱导小鼠肾脏金属硫蛋白合成。Pro可使CP后24b肾铂含量明显降低;Pro或Pro+BN使尿铂累积排出量增加,血浆铂浓度降低。提示PFO防护CP肾毒性与其减少肾铂分布,增加尿铂排出有关。 相似文献
7.
Objective:To explore the effect of the Nephritis No.3(N-3)recipe on nitric oxide(NO),nitric oxide synthase(NOS)secreted by cultured mesangial cells(MC)and its gene expression of the in-ducible nitric oxide synthase(iNOS).Methods:The drug(nephritis No.3)-containing serum was preparedwith serum pharmacological technique,and then was applied to react on mesangial cells cultured In fetalcalf serum(FCS)and cells cultured in FCS plus lipopolysaccharide.To observe the secretion of NO andNOS and the gene expression of iNOS by means of RT-PCR.Results:Under the two kinds of culture con-ditions,the content of NO and NOS in the groups with drug-containing serum were higher than thosewithout drug-containing serum(P<0.05,P<0.01),and the expression of iNOS mRNA was up-regula-ted too.Conclusion:The N-3 could significantly promote the secretion of NO and NOS and the mRNA ex-pression of iNOS in rats. 相似文献
8.
Ingmar Königsrainer Wolfgang Steurer Maria Witte Alfred Königsrainer 《Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie》2007,392(4):485-488
Background Nowadays, liver resection is a routine operative procedure in surgical centers, and strategies must be aimed at avoiding additional
risk factors. Extrahepatic isolation of portal vein, hepatic artery and hepatic duct, as well as lymphadenectomy of the liver
hilum are generally accepted steps of liver resection, even for metastatic and benign indications. Our primary aim was to
analyze the feasibility, blood loss, blood transfusion requirements, incidence of complications, and outcome using the approach
for intrahepatic devascularization leaving the extrahepatic hilus untouched.
Materials and methods Thirty-eight consecutive patients with resection for metastases and benign liver tumors were selected. After hilar examination,
the extrahepatic structures remain intact, and during parenchyma dissection, the whole right or left or the appropriate bi-segmental
pedicle is isolated intrahepatically and then transected using a stapler device.
Results The used technique was feasible in all cases, and no intra- or postoperative surgical complications were observed. To date,
no tumor recurrence was found in the hilum during the follow-up period.
Conclusion The intrahepatic pedicle stapling technique appears to be feasible and safe in liver resection. Hilar dissection can, thus,
be avoided in liver metastasis and benign liver tumors. 相似文献
9.
成人特发性乳糖酶缺乏症的发生率极高,这些人进食牛奶后会出现胃肠胀气、腹痛、腹泄等对牛奶不耐受的消化不良症状。为解决这一问题,自1989年起,国内外不少学者是主张有产替代疗法,即将人工培养制备纯化的乳糖酶直接加入牛奶中以水解其中的乳糖来弥补成人乳糖酶的缺乏。 相似文献
10.
Male wild (Cavia aperea) and domestic (C. porcellus) guinea pigs were tested in two-bottle choice tests for preferences between glucose solutions of different concentrations and de-ionized water. Wild males showed significant preferences for concentrations between 0.025 and 0.4 M glucose while domestic males preferred only the 0.2 M glucose solution to de-ionized water. C. aperea males also consumed significantly greater volumes of liquid per kg body during the glucose tests than did the C. porcellus males. These comparative results contrast sharply with those obtained by other authors with wild and domestic Norway rats. 相似文献