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find Author "李彤" 22 results
  • 一侧颈内动脉闭塞致眼部缺血综合征一例

    Release date:2016-09-02 05:46 Export PDF Favorites Scan
  • Effects of Inflammatory Reaction Related to Different Cerebral Protective Methods on Brain

    Objective To observe the changes of inflammatory cytokines in brain protective methods, study the inflammatory mechanism during cerebral protection tissues in different cerebral Methods Eighteen healthy adult dogs were randomly divided into three groups (6 dogs in each group): normothermic cardiopulmonary bypass (NCPB group), deep hypothermic circulatory arrest (DHCA group), and intermittent selective antegrade cerebral perfusion (ISACP) during DHCA(DHCA+ISACP group). After operation the water contents in brain tissue were measured ,the hippocampus were removed, and radio-immunity analysis (RIA) was used to measure the content of interleukin-1β(IL-1β) and tumor necrosis factor-alpha (TNF-α) of the hippocampus tissue. The morphology of the hippocampus were examined by transmission electron (TE) microscopy. Results The contents of IL-1β and TNF-α of DHCA group was higher significantly than those of NCPB group and DHCA+ISACP group (P〈0.01), there was no significant difference between NCPB group and DHCA+ISACP group (P〉0.05). And the contents of TNF-α and IL-1β were positive linear correlated with degree of edema of brain tissues (r = 0. 987, 0.942; P〈 0.01). TE examination revealed that the damage of the uhrastructure in the DHCA group was more severe than that in NCPB group and DHCA+ISACP group. Conclusions This experiment revealed that long duration DHCA can bring some damages to the brain and that ISACP during long-term DHCA has brain protective effects to some extent. IL-1β and TNF-α play an effective role in the brain damage of long-term DHCA.

    Release date:2016-08-30 06:18 Export PDF Favorites Scan
  • 体外膜式氧合的临床应用

    目的 总结体外膜式氧合(ECMO)在临床的应用经验,以提高对危重患者的治疗效果。 方法 2006年7月至2008年2月, 27例患者使用ECMO,其中非手术急性心肺功能衰竭8例,心脏手术后的心功能辅助4例,心脏不停跳冠状动脉旁路移植术中心脏功能辅助13例,体外循环与ECMO相互转换应用于心脏手术中和术后的心功能辅助2例。 结果 27例患者应用ECMO辅助时间为2~61 h,26例成功撤离ECMO,1例82岁患者成功撤离ECMO后24 h出现轻度二氧化碳潴留,患者家属要求出院;2例院内死亡;24例康复出院。 结论 ECMO是抢救心肺功能衰竭的有效方法,对非手术患者或高危患者行心脏不停跳冠状动脉旁路移植术以及心脏手术中、手术后的心脏功能辅助亦有明显的效果。

    Release date:2016-08-30 06:05 Export PDF Favorites Scan
  • Expression of Donor Major Histocompatibility Complex Gene in Thymus by Gene Transfer to Mitigate Xenograft Rejection

    Abstract: Objective To assess the feasibility of transferring major histocompatibility complex (MHC) gene into the thymus to mitigate xenograft rejection. Methods By molecular cloning technique, we extracted and proliferated the-H-2K d gene from donor mice (MHC class Ⅰ gene of Balb/c mice) and constructed the expression vector plasmid of pCI-H-2K d. Twenty SD rats were selected as receptors, and by using random number table, they were divided into the experimental group and the control group with equal number of rats in each group. By ultrasoundguided puncture and lipofection method, the pCI-H-2Kd was injected into thymus of SD rats in the experimental group and meanwhile, empty vector plasmid of pCIneo was injected into thymus of SD rats in the control group. Subsequently, we transplanted the donor mice myocardium xenografts into the receptor rats, and observed the xenograft rejection in both the two groups. Results The survival time of the xenotransplanted myocardium in the experimental group was significantly longer than that in the control group (14.61±2.98 d vs. 6.40±1.58 d, t=-7.619,Plt;0.05). Microtome section of transplanted myocardium in the control group showed a relatively large amount of lymphocyte infiltration and necrosis occurred to most part of the transplanted myocardium, while microtome section of experiment group showed no lymphocyte infiltration and most of the cells of the transplanted myocardium were still alive. After mixed lymphocyte culture, the reaction of receptors to donor cells in the experiment group was obviously lower than that in the control group (t=4.758, P=0.000).After the count by flow cytometer, the xenoMHC molecules were expressed in the receptors’ thymus with a transfection efficiency of 60.7%. Conclusion Our findings suggest that xenograft rejection can be mitigated substantially by donor’s MHC gene transferring into receptor’s thymus. This may provide theoretical and experimental evidence for inducing xenotransplantation tolerance.

    Release date:2016-08-30 06:02 Export PDF Favorites Scan
  • Research progress of cyclic guanosine monophosphate in inherited retinal degeneration

    Inherited retinal degeneration (IRD) is a group of fundus diseases characterized by a high degree of genetic heterogeneity and clinical heterogeneity, and more than 300 genetic mutations have been identified in association with IRD. Dysregulation of the intracellular second messenger cyclic guanosine monophosphate (cGMP) plays an important role in the development of IRD. cGMP participates in phototransduction process in photoreceptors. Abnormally elevated cGMP over-activate protein kinase G and cyclic nucleotide-gated channel, causing protein phosphorylation and Ca2+ overload, respectively, and these two cGMP-dependent pathways may individually or collectively drive photoreceptor degenerative lesions and death; therefore, reducing cGMP synthesis and blocking downstream signaling can be considered as treatment strategies. Investigating the molecular mechanisms of cGMP dysregulation in photoreceptor degeneration may provide a more comprehensive picture of the pathogenesis of IRD, as well as ideas for finding new therapeutic targets and designing therapeutic programs.

    Release date:2024-11-20 10:40 Export PDF Favorites Scan
  • 生物瓣心瓣膜置换术后远期疗效

    目的评价生物瓣心瓣膜置换术后远期疗效。方法1979年1月至2001年12月施行生物瓣心瓣膜置换术303例,按年龄分为两组,≥55岁者123例(≥55岁组);(55岁者180例(〈55岁组)。其中160例早期使用经戊二醛处理的猪主动脉瓣,143例使用经环氧氯丙烷改性的新型猪主动脉瓣。所有心瓣膜置换术均在全身麻醉体外循环下进行。结果术后早期死亡9例,随访267例(90.8%),随访时间3~20年,5年生存率94.1%±2.3%,10年生存率85.0%±2.7%,15年生存率78.3%±1.2%。51例出现瓣膜衰坏,40例再次手术;5年、10年、15年累计瓣膜未衰坏率分别为90.1%±2.2%、79.4%±3.6%和36.8%±1.6%。且≥55岁组患者瓣膜未衰坏率高于(55岁组(P〈0.05)。经环氧氯丙烷改性的新型生物瓣10年瓣膜未衰坏率明显高于早期戊二醛处理的生物瓣。全组血栓发生率低,15年为0.014%。发生感染性心内膜炎7例,3例治愈,4例死亡。结论人工生物瓣心瓣膜置换术后疗效良好,尤其适合老年患者。经环氧氯丙烷改性的新型生物瓣有较强的抗衰坏能力;术后发生感染性心内膜炎应予以足够的重视。

    Release date:2016-08-30 06:22 Export PDF Favorites Scan
  • 1,6-二磷酸果糖和巯甲丙脯酸对心脏术后心肌缺血-再灌注损伤的保护

    摘要 目的 探讨1,6-二磷酸果糖(FDP)和巯甲丙脯酸(CAP)增强心脏停搏液对缺血心肌保护的临床效果。方法 将60例患者随机分成三组。Ⅰ组:作为对照组,应用我院体外循环下心肌保护方法,即首剂应用冷钾晶体心脏停搏液,从第二剂量开始改用15℃稀释氧合血灌注;Ⅱ组:在冷钾晶体心脏停搏液中加入FDP(5mmol/L);Ⅲ组:在冷钾晶体心脏停搏液中加FDP(5mmol/L)和CAP(12.5mg/L)。观察血浆丙二醛(MDA)、肌酸磷酸激酶同工酶(CPK-MB)、血栓素B2(TXB2)、6-酮-前列腺素F1α(6-酮-PGF1α)及电子显微镜检查结果。结果 与Ⅰ组比较,Ⅱ组和Ⅲ组MDA,CPK-MB明显降低,且Ⅲ组较好地维持了TXB2和6-酮-PGF1α二者的比例平衡。Ⅱ组和Ⅲ组对线粒体也有较好地保护及提高毛细血管通畅率的作用。结论 FDP和CAP能明显增强心脏停搏液对缺血心肌保护的效果。

    Release date:2016-08-30 06:33 Export PDF Favorites Scan
  • Research progress in research on Bestrophinopathies and mutations in BEST1 gene

    Mutations in the BEST1 gene are associated with a range of retinal diseases collectively referred to as "Best diseases", including Best vitelline macular dystrophy. More than 300 mutations at different sites of the BEST1 gene have been found, which may cause a series of functional disorders such as the mistransport of the calcium-activated anion channel protein-1 protein encoded by it, protein oligomerization defects, and abnormal anion channel activity, leading to different clinical phenotypes. Although it has been established that the BEST1 gene mutation is associated with at least one different type of Best disease, the relationship between the specific gene mutation site and the specific clinical phenotype has not been fully defined. For the time being. Drugs and gene therapy for the Best diseases are still in the basic research stage, which provides a broad development space for future treatment exploration. In the future, when selecting gene therapy in clinical applications, it is necessary to combine the clinical phenotype and molecular diagnosis of patients, and clearly define their mutation types and pathogenic mechanisms in order to achieve better personalized treatment effects.

    Release date:2025-03-17 03:07 Export PDF Favorites Scan
  • 颈阔肌肌皮瓣修复颜面瘢痕挛缩小口畸形

    Release date:2016-09-01 11:12 Export PDF Favorites Scan
  • 妊娠合并心血管疾病的手术方法及文献复习

    目的 介绍剖腹产术(CS)加同期体外循环(CPB)心脏手术方法,并探讨妊娠合并心血管疾病手术方法的选择。 方法 1例27岁、妊娠38周合并先天性心脏病患者出现亚急性细菌性心内膜炎、三尖瓣和右心室流出道有赘生物、心力衰竭、先兆早产、胎儿窘迫患者,在局部麻醉+静脉麻醉下先行CS,再行CPB心脏手术,包括三尖瓣和右心室流出道赘生物摘除、室间隔缺损修补、房间隔缺损修补。 结果 CS中顺利取出一健康成活女婴。CPB时间87min,升主动脉阻断时间59min。手术后母婴平安、恢复顺利。随访11个月,患者心功能Ⅰ级,婴儿发育正常。 结论 在妊娠合并心血管疾病影响孕妇及胎儿生命安全的情况下,可以在施行CS后同期施行心内直视手术。但手术方法的选择应慎重。

    Release date:2016-08-30 06:15 Export PDF Favorites Scan
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