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find Author "张小宁" 3 results
  • 先天性右位心合并心血管畸形的诊断与外科治疗

    目的总结先天性右位心合并心血管畸形的诊断和外科治疗经验。方法23例先天性右位心患者,其中镜面右位心17例,右旋心6例;所有患者均合并右心室双出口、室间隔缺损、房间隔缺损等心血管畸形。对所有患者的心脏病变施行手术治疗,包括全腔静脉一肺动脉连接术、Glenn手术、Fontan手术、Rastelli手术、法洛四联症纠治术等。结果围术期死亡2例,死亡原因主要为低心排血量综合征;术后3个月死亡1例,死亡原因为左肺上叶不张、乳糜胸和充血性心力衰竭。随访16例,随访时间8个月~18年,心功能I~Ⅱ级14例,Ⅲ级2例。结论超声心动图和胸腹部X线片检查是诊断先天性右位心的主要方法;先天性右位心合并心血管畸形的患者需施行手术治疗;肺动脉高压、肺血管发育不良及Kartagener综合征是影响外科治疗效果的主要危险因素。

    Release date:2016-08-30 06:18 Export PDF Favorites Scan
  • The changes and effect of plasma renin-angiotensin system and nitric oxide in rabbits pericarditis

    Objective To explore the changes and effect of plasma renin-angiotensin system (RAS) and nitric oxide (NO) in rabbits pericarditis. Methods Twenty-one male rabbits were divided into two groups randomly. Experimental group: 11 rabbits were injected 40% urea (2ml/kg) into pericardial cavity, control group: 10 rabbits were injected 0.9% natrium chloride into the pericardial cavity . The concentration of plasma renin active (RA), angiotensin Ⅱ(ANGⅡ) and NO were measured before operation and after operation 1,4,7,10,15,21 days. The histopathological changes of pericardium, myocardium, lung and liver were observed in the adopted specimens. Results The concentration of plasma RA, ANGⅡ and NO in experimental group increased after operation and significantly increased at 7 to 21 day compared with those in control group (Plt;0.01). In the experimental group, there were proliferation and thickening of pericardium, myocardial degeration, pulmonary ecchymosis and hepatic ecchymosis. Conclusion The concentration of plasma RAS and NO is increased in rabbits with pericarditis, plasma NO rejects the roles of RAS, NO and RAS lead to organs injury of pericardium, myocardium, lung, liver and so on.

    Release date:2016-08-30 06:27 Export PDF Favorites Scan
  • Mosaic adeno-associated virus-mediated gene transfer of calcitonin gene-related peptide for prevention of inflammatory mediator expression, macrophage infiltration and neointimal hyperplasia in an experimental rabbit vein graft model

    Objective To investigate the effect and mechanism of calcitonin gene-related peptide (CGRP) on the prevention and treatment of transplant vein graft disease. Methods The 25 New Zealand white rabbits were divided into three groups: an experimental group [n=8, the rabbit jugular veins transfected with adeno-associated virus vector tipe 2/1 containing CGRP gene (AAV2/1-CGRP)], a carrier group [n=9, transfected with mosaic adeno-associated virus vector tipe 2/1 containing LacZ gene (AAV2/1-LacZ)] and a control group (n=8, saline) and then the cervical veins were implantated into the ipsilateral carotid artery by reverse end-side anastomosis. At 4 weeks after surgery, the pathology of the specimens, CD68 immunohistochemistry, in situ β-galactosidase staining were obtained. The expression of CGRP gene was detected by reverse transcription-polymerase chain reaction (RT-PCR). Monocyte chemoattractant protein-1(MCP-1), tumour necrosis factor-α (TNF-α), inducible nitric oxide synthase (iNOS) and matrix metalloproteinase-9 (MMP-9) were detected by real-time polymerase chain reaction (real-time PCR). Results The CGRP and LacZ gene expression was positive at postoperative 4 weeks. The intima/media ratio was significantly inhibited in the experimental group. Macrophage infiltration and expression of inflammatory mediators including MCP-1, TNF-α, iNOS and MMP-9 were also significantly inhibited in the experimental group. Conclusion Transfection of AAV2/1-CGRP inhibits inflammatory mediator expression, macrophage infiltration and neointimal hyperplasia in experimental vein graft disease.

    Release date:2017-11-01 01:56 Export PDF Favorites Scan
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