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find Author "王雪梅" 6 results
  • 医源性十二指肠损伤11例诊治体会

    Release date:2016-08-29 03:19 Export PDF Favorites Scan
  • 自然杀伤/T细胞淋巴瘤的生物学行为和临床及诊断研究进展

    自然杀伤(NK)/T细胞淋巴瘤(NKTCL)作为非霍奇金淋巴瘤(NHL)的独立类型,在亚洲、拉丁美洲地区发病率明显高于西方国家。其发病与EB病毒(EBV)感染关系密切,而遗传因素、农药、化学溶剂等与其发病有一定相关性。病理组织学上以血管中心和多形淋巴网状内皮细胞的破坏性浸润为特征,表达T或NK细胞抗原,以及T细胞内抗原-1、粒酶B、穿孔素等细胞毒颗粒相关蛋白,组织标本中绝大部分EBV编码的小分子RNA检测阳性。临床上以中轴区受累为多见,早期病变常局限,进展期则呈侵袭性生长、少数可发生远处转移。目前诊断主要依靠组织标本的病理学检查,CD2+、CD3ε+及CD56+可作为诊断该肿瘤较特异的免疫组织化学标记;同时,EBV相关成分及白介素-9、白介素-10和γ-干扰素等相关细胞因子和蛋白的检出对诊断具有积极帮助,卟啉钙黏蛋白15则可望成为诊断NK细胞来源肿瘤的新的重要标记。近年来,影像学检查、尤其18氟标记脱氧葡萄糖正电子发射型计算机断层扫描显像仪对诊断的价值更加受到重视,有利于与B细胞来源淋巴瘤鉴别,并对NKTCL的分期及预后判断有一定价值。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • Recent advance on photosensitive occipital lobe epilepsy

    Photosensitive occipital lobe epilepsy (POLE) is a rare idiopathic reflex focal epilepsy that can occur in all age groups. It is characterized by occipital lobe seizures induced by flashing stimuli (flashing sunlight, video games, TV commercials and programs, etc.). Photoparoxysmal response on EEG is induced by intermittent photic stimulation; Ictal EEG shows rapid spike rhythms are originated from the occipital region. There are no obvious abnormalities in brain image. POLE responds well to anti-seizure medications and has a good prognosis. This article reviews the research progress on POLE in order to improve the clinician’s understanding and reduce the rates of missed diagnosis and misdiagnosis.

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  • 奥曲肽治疗胆瘘7例报告

    Release date:2016-08-28 05:30 Export PDF Favorites Scan
  • The investigation of genotypes of HCV and clinical characteristics in HCV patients in West China Hospital of Sichuan University

    Objective To investigate HCV genotypes in HCV patients in West China Hospital of Sichuan University, and to analyze the major genotypes and clinical characteristics. Methods From March 2011 to September 2016, 4 520 HCV patients who were successfully genotyped HCV genotypes were enrolled in West China Hospital of Sichuan University. The genotypes distributions and the characteristics of laboratory characteristics of liver function, the viral loading were all analyzed. In addition, the genotypes in HCC patients, liver cirrhosis, HBC/HCV co-infection were also analyzed. Results HCV genotypes of HCV patients were divided into five genotypes of 1, 2, 3, 4, 6 and 23 subtypes, including predominant genotypes/subtypes 1b, 1*, 3b, 2a, 3a and 6a, accounting for 66.42%, 8.01%, 6.57%, 4.54%, 4.29%, and 3.41%, respectively. Subtype 1b was the predominant subtype for both sex. In male patients, the levels of ALT were highest in 6a subtype, while in female, the levels of ALT were highest in 3a subtype. For the 94 liver cirrhosis patients, 42 patients were 1b subtypes; as for the 6 HCC patients, 1b and 3b subtypes were the only detected. Conclusion HCV genotypes/subtypes of HCV patients in West China Hospital of Sichuan University have unique characteristics of distribution, while the predominant genotype/subtypes are 1b,1*, 3b, 2a, 3a, 6a.

    Release date:2017-05-18 02:12 Export PDF Favorites Scan
  • Analysis of HPV infection among 8 944 females of health examination in West China Hospital of Sichuan University

    Objective To investigate HPV infection, genotype distribution of HPV infection among 8 944 females of health examination in West China Hospital of Sichuan University. Methods We enrolled 8 944 females of health examination in West China Hospital of Sichuan University from January to September in 2016. HPV genotyping was performed by Luminex fluorescence technique. Excel 2007 and SPSS 17.0 softwares were used to analyze the infection and genotype distribution of HPV. Results The HPV infection rate of 8 944 health examination women was 14.4% (1 291/8 944). Among them, there were 1 025 cases of single infection, the infection rate was 11.5% (1 025/8 944); there were 266 cases of multiple infection, the infection rate was 3.0% (266/8 944). The infection rates of 20 to 25 years and ≥66 years groups in single and multiple infection were higher than other age groups. In the single and multiple infections, the most common genotypes were HPV52, 53, 16 and 58. Infection rate of HPV52 was the highest in single infection, which had two increased age groups including 31 to 35 years and 61 to 65 years old. Infection rate of HPV52 and HPV16 were increased in 20 to 25 years old group of multiple infections. Conclusion In view of the prevalence of HPV infection among health examination females and the genotype distribution, we recommend incorporating HPV52, 53 and 58 into future vaccine screening.

    Release date:2017-06-16 02:25 Export PDF Favorites Scan
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