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find Author "陈愉生 " 2 results
  • 成人Still病伴机化性肺炎一例

    成人Still病(AOSD)是一种原因不明的慢性系统性炎性疾患,属于全身性幼年型类风湿性关节炎的成人变异型,其主要临床表现为高热、多关节疼痛或肿胀、皮疹和中性粒细胞为主的白细胞增多,可累及多个系统。其临床表现复杂多变并凶险,缺乏临床特征,因而误漏诊率很高。现将我院最近收治的1例成人Still病伴继发性机化性肺炎报告如下,以引起临床医师的重视

    Release date:2016-09-14 11:53 Export PDF Favorites Scan
  • Significance of serum soluble intercellular adhension molecule-1 and soluble vascular cell adhension molecule-1 in patients with community-acquired pneumonia

    Objective To detect the levels and study the significance of serum soluble intercellular adhension molecule-1(sVCAM-1),soluble vascular cell adhension molecule-1 (sVCAM-1) in patients with community-acquired pneumonia(CAP).Methods sICAM-1 and sVCAM-1 were detected by enzymelinked immunosorbent assy(ELISA)in 25 patients with CAP before and after treatment as well as in 10 healthy controls.Results Before treatment, the levels of serum sICAM-1 and sVCAM-1 in the patients with CAP[(2.658 4±0.259 7)ng/mL,(2.680 9±0.255 4)ng/mL)] were significantly higher than those in controls[(2.472 8±0.077 6)ng/mL,(2.426 3±0.307 2)ng/mL](Plt;0.01,Plt;0.05). After treatment, the levels of serum sICAM-1, sVCAM-1 significantly decreased [(2.518 3±0.205 2)ng/mL,(2.523 0±0.279 4)ng/mL](Plt;0.01,Plt;0.01) and were not different from those in controls(Pgt;0.05).The levels of sICAM-1 were positively associated with neutrophil counts(r=0.602,Plt;0.001)rather than the levels of sVCAM-1(r=0.036,Pgt;0.05).Conclusion The changes of sICAM-1 and sVCAM-1 before and after treatment are predictive to the prognosis in patients with CAP.

    Release date:2016-09-14 11:52 Export PDF Favorites Scan
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