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急性骨髓型放射病合并周围神经损伤的机制及治疗
引用本文:胡龙虎,崔哲,韩雪英,李晓霞,王艳,周晋,姜丽波. 急性骨髓型放射病合并周围神经损伤的机制及治疗[J]. 中国伤残医学, 2010, 18(5)
作者姓名:胡龙虎  崔哲  韩雪英  李晓霞  王艳  周晋  姜丽波
作者单位:1. 哈尔滨医科大学附属第一医院血液科,黑龙江,哈尔滨,150001
2. 齐齐哈尔医学院第二附属医院血液科
基金项目:黑龙江省教育厅课题项目
摘    要:目的:探讨急性骨髓型放射病(ARS)合并周围神经(PN)损伤的发生机制和治疗方法。方法:观察ARS病人治疗前后周围神经的电生理变化和大鼠ARS合并周围神经损伤的病理及超微结构变化。结果:(1)照射后ARS病人PN传导速度轻度减低,经维生素B族治疗后,PN传导速度明显改善;(2)大鼠ARS合并周围神经损伤的基本病理变化为:滋养血管轻度扩张、充血,神经髓鞘轻度肿胀和轻度板层分离、部分脱髓鞘,神经元Nissl小体部分溶解、线粒体絮状变性;上述病理为轻度变化,照射后3天最明显,14天有所恢复,30天基本恢复正常。结论:ARS合并周围神经损伤的病理变化轻微,经维生素B族治疗后,其PN传导速度明显改善。

关 键 词:急性放射病  骨髓  周围神经  病理

Mechanism and Treatment of Acute Radiation Sickness with Peripheral Nerve Injury
HU Long-hu,CUI Zhe,HAN Xue-ying,et al.. Mechanism and Treatment of Acute Radiation Sickness with Peripheral Nerve Injury[J]. Chinese JOurnal of Trauma and Disability Medicine, 2010, 18(5)
Authors:HU Long-hu  CUI Zhe  HAN Xue-ying  et al.
Affiliation:HU Long-hu,CUI Zhe,HAN Xue-ying,et al.(The First Clinical Hospital of Harbin Medical University,HeiLongjiang Harbin 150001,China)
Abstract:Objective:To explore the mechanism and treatment of acute radiation sickness(ARS) and peripheral nerve(PN) injury.Methods:Observe the electrophysiological changes of PN in ARS patients before and after therapy and pathology and microstructure variation in rats with ARS and PN injury.Results:1.Speed of PN conduction in APS patients were lightly lowered,and were improved obviously after Vitamine B treatment;2.Basic pathological changes in rats with ARS and PN injury were:Dilation and congestion of nourish vei...
Keywords:ARS  Bone marrow  PN  Pathology  
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