west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "廖勇" 5 results
  • 老年人踝臂指数和脉搏波速度与心血管危险因素的关系研究

    【摘要】国内老年人心血管疾病发病率越来越高。查阅近年来国内外心血管疾病危险因素研究资料及文献,踝臂指数(anklebrachial index,ABI)和脉搏波速度(pulse wave velocity,PWV)在评估、预测心血管病变风险等方面已成为判别老年人心血管危险因素的重要指标,并日益受到重视。通过对老年人ABI和PWV特点及与心血管危险因素关系的论述、分析,探讨其在临床的应用价值。

    Release date:2016-09-08 09:31 Export PDF Favorites Scan
  • 肺切除术联合化疗治疗耐多药肺结核51例

    摘要: 目的 探讨肺切除联合化疗治疗耐多药肺结核的临床应用价值,总结治疗经验。 方法 1999年1月至2007年1月,我科共收治51例主病灶局限于肺叶或单侧全肺的耐多药肺结核患者,男38例,女13例;年龄18~56岁,平均年龄36.5岁。施行肺叶切除术30例,肺叶加同侧肺段切除术或同侧双肺叶切除术11例,全肺切除术10例;分析术后继续抗结核化疗18~24个月的疗效。 结果 51例患者均手术成功,46例完成化疗(18~24个月)后治愈;治疗失败5例,其中3例在疗程最后6个月痰菌仍为阳性,2例于围手术期内死于术后并发症。术后发生并发症12例,其中术后1个月内发生9例:呼吸功能衰竭3例,均经呼吸机辅助呼吸治愈;脓胸3例,2例经胸腔闭式引流治愈,1例术后3周死于多器官功能衰竭;支气管胸膜瘘1例,经留置胸腔引流管3个月后瘘口逐渐闭合治愈;暂时性视力障碍1例,未作特殊处理,1个月后视力恢复正常,急性肺水肿1例,治疗无效死亡。1个月后发生并发症3例:切口感染2例,经开放引流每日换药,行二期缝合伤口Ⅲ/丙愈合;支气管胸膜瘘1例,行胸部肌瓣填塞+胸廓成形术后支气管胸膜瘘再度复发,给予胸壁开放式引流,长期未愈,72个月后因大咯血窒息死亡。 结论 对主病灶局限的耐多药肺结核患者施行肺切除联合抗结核化疗,治愈率高,并发症发生率及病死率均在可接受范围内。

    Release date:2016-08-30 06:02 Export PDF Favorites Scan
  • NLRP3 炎症小体与癫痫的研究进展

    癫痫是一种常见的慢性脑部神经元异常放电的疾病。癫痫的发病机制复杂,与神经元递质效失衡、离子通道异常、神经网络重构及颅内炎症激活等密切相关。癫痫与炎症炎症与癫痫关系密切,癫痫会促使颅内炎症发生,而炎症会进一步加重癫痫。作为重要的炎性小体,核苷酸结合寡聚化结构域样受体蛋白 3(NLPR3)激活后促使炎症效应因子释放,加重癫痫发作,是近年来研究热点。本文就 NLRP3 炎性小体与癫痫的关系进行综述,以期从炎症角度阐明两者之间的关系,为究癫痫的防治提供新思路。

    Release date: Export PDF Favorites Scan
  • EXPERIMENTAL STUDY ON RECONSTRUCTION OF URETER BY INTESTINAL SERO-MUSCULAR SEGMENT WITH AUTOGRAFT OF BLADDER MUCOSA

    Objective It is a thorny problem to reconstruct long ureteral defect in urinary surgery. To investigate the feasibil ity of intestinal sero-muscular segment with autograft of bladder mucosa as a replacement material for reconstructionof long ureteral defect. Methods Twelve adult Beagle dogs (weighing 6.5-9.3 kg and being male or female) were randomlydivided into 3 groups, each group including 4 dogs. In group A, lower segment of ureter was reconstructed by autograft of bladder mucosa to the intestinal sero-muscular segment; furthermore, the proximal and distal reconstructed ureter were anastomosed to the bladder and the upper ureter, respectively. In group B, upper segment of ureter was reconstructed by the same method as that of group A, the proximal and distal reconstructed ureter anastomosised with pelvic and lower ureter, respectively. In group C, whole ureter was reconstructed by the same method as that of group A, the proximal and distal reconstructed ureter were anastomosised with pelvic and bladder, respectively. Blood urea nitrogen, Cr2+, K+, Na+, Cl-, Ca2+ and carbon dioxide combining power were detected before operation, the general state, drainage volume, heal ing of wound, and compl ications were observed after operation. At 6 weeks, the blood biochemical indexes and intravenous urography (IVU) were detected, and the gross and histological observations of ureter were done. Results In group B, urine leakeage and infection occurred in 1 dog 2 days after operation because ureter stent prolapsed; other dogs had no complications. There was no significant difference in the biochemical indexes between before operation and 6 weeks after operation. IVU showed: in group A, hydronepherosis and ureterectasia occurred on the operation side of 1 dog; in group B, anastomotic stricture between the reconstructed ureter and lower ureter and hydronepherosis occurred in 1 dog; and in other dogs of all groups, renal function was good and the reconstructed ureter had peristalsis function. The histopathological observation showed that the reconstructed ureter had similar structure to normal ureterat 6 weeks in 3 groups; the inflammatory cells infiltrating of the reconstructed ureter was observed in 1 dog of groups A and C, respectively. Conclusion Reconstruction of ureter by intestinal sero-muscular segment with autograft of bladder mucosa has similar structure and function to the normal ureter. The results might provide an experimental basis for cl inical use.

    Release date:2016-08-31 05:48 Export PDF Favorites Scan
  • 支气管内膜结核致肺不张外科治疗28例

    Release date:2016-08-30 06:08 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content