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以短暂性意识丧失为主要症状成人急性肺血栓栓塞症误诊分析及文献复习 被引量:2
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作者 贾卫红 杨栋才 +5 位作者 李楠 路晨阳 马倩 卜丽娜 刘志燕 祝阿妮 《临床误诊误治》 CAS 2022年第10期4-6,共3页
目的分析以短暂性意识丧失为主要症状急性肺血栓栓塞症病例,探讨其误诊原因,总结经验。方法回顾性分析2019年1月-2022年6月被误诊的以短暂性意识丧失为主要症状急性肺血栓栓塞症7例的诊治过程及临床资料。结果7例均发生不同程度的短暂... 目的分析以短暂性意识丧失为主要症状急性肺血栓栓塞症病例,探讨其误诊原因,总结经验。方法回顾性分析2019年1月-2022年6月被误诊的以短暂性意识丧失为主要症状急性肺血栓栓塞症7例的诊治过程及临床资料。结果7例均发生不同程度的短暂性意识丧失,短者3 s,最长达10 min,其中2例存在短时间内反复发生短暂性意识丧失;同时伴有胸闷、气短各4例,心悸2例,乏力、头晕各1例。误诊为体位性低血压1例、意识丧失原因待查1例、冠心病3例、急性冠状动脉综合征1例、胆囊结石1例。误诊时间10 h~1个月。7例均由肺动脉CTPA检查确诊为急性肺血栓栓塞症。本组4例行抗凝治疗,2例行静脉溶栓+抗凝治疗,1例因肺动脉狭窄率达到90%,行肺动脉球囊扩张术。死亡1例,好转6例。结论以短暂性意识丧失为主要症状急性肺血栓栓塞症临床误诊率高。对于突发意识丧失合并持续低氧血症时,要排除急性肺血栓栓塞症的可能,并关注血气分析和D-二聚体的动态变化。 展开更多
关键词 肺栓塞 意识丧失 误诊 低血压 位置性 冠心病 急性冠状动脉综合征 胆囊结石
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Detection of lung adenocarcinoma using magnetic beads based matrix-assisted laser desorption/ionization time-of-flight mass spectrometry serum protein profiling 被引量:13
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作者 LIN Xiu-li YANG Shuan-ying +5 位作者 DU Jie TIAN Ying-xuan bu li-na HUO Shu-fen WANG Feng-peng NAN Yan-dong 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第1期34-39,共6页
Background Recently, due to the rapid development of proteomic techniques, great advance has been made in many scientific fields. We aimed to use magnetic beads (liquid chip) based matrix-assisted laser desorption/i... Background Recently, due to the rapid development of proteomic techniques, great advance has been made in many scientific fields. We aimed to use magnetic beads (liquid chip) based matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS) technology to screen distinctive biomarkers for lung adenocarcinoma (adCA), and to establish the diagnostic protein profiles. Methods Using weak cation exchange magnetic beads (MB-WCX) to isolate and purify low molecular weight proteins from sera of 35 lung adCA, 46 benign lung diseases (BLDs) and 44 healthy individuals. The resulting spectra gained by anchor chip-MALDI-TOF-MS were analyzed by ClinProTools and a pattern recognition genetic algorithm (GA). Results In the working mass range of 800-10 000 Da, 99 distinctive peaks were resolved in lung adCA versus BLDs, while 101 peaks were resolved in lung adCA versus healthy persons. The profile gained by GA that could distinguish adCA from BLDs was comprised of 4053.88, 4209.57 and 3883.33 Da with sensitivity of 80%, specificity of 93%, while that could separate adCA from healthy control was comprised of 2951.83 Da and 4209.73 Da with sensitivity of 94%, specificity of 95%. The sensitivity provided by carcinoembryonic antigen (CEA) in this experiment was significantly lower than our discriminatory profiles (P 〈0.005). We further identified a eukaryotic peptide chain release factor GTP-binding subunit (eRF3b) (4209 Da) and a complement C3f (1865 Da) that may serve as candidate biomarkers for lung adCA. Conclusion Magnetic beads based MALDI-TOF-MS technology can rapidly and effectively screen distinctive proteins/polypeptides from sera of lung adCA patients and controls, which has potential value for establishing a new diagnostic method for lung adCA. 展开更多
关键词 magnetic beads matrix-assisted laser desorption/ionization-mass spectrometry lung adenocarcinoma SERUM PROTEOMICS
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乳腺癌脊髓转移患者多重放化疗5例报告 被引量:2
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作者 达永 周明 +8 位作者 董大鹏 蔡金东 杨刚 王鲲鹏 刘涛 杨雷丽 杨华 卜丽娜 申戈 《中国肿瘤临床与康复》 2019年第4期482-486,共5页
目的探讨乳腺癌脊髓转移患者的临床特点及综合治疗效果。方法选取2008年7月至2018年6月间解放军307医院和北京丰台右安门医院收治的5例乳腺癌脊髓转移患者,脊髓病变局部治疗包括常规放疗及立体定向放疗,脊髓转移后的药物治疗包括拉帕替... 目的探讨乳腺癌脊髓转移患者的临床特点及综合治疗效果。方法选取2008年7月至2018年6月间解放军307医院和北京丰台右安门医院收治的5例乳腺癌脊髓转移患者,脊髓病变局部治疗包括常规放疗及立体定向放疗,脊髓转移后的药物治疗包括拉帕替尼、卡培他滨、培美曲塞、替莫唑胺及氨甲蝶呤,分析患者的临床疗效和不良反应。结果患者中4例行常规放疗,2例行立体定向放疗。脊髓转移后,2例Her-2阳性患者均采用拉帕替尼。2例患者用卡培他滨,1例用替莫唑胺,2例用培美曲塞,2例用鞘内注射氨甲蝶呤。脊髓病变治疗后,4例患者用核磁评价疗效:2例完全缓解,1例部分缓解,1例稳定,1例未评价。3例去世者脊髓转移后生存时间分别为1、5和7个月,2例存活者分别为8和129个月。结论乳腺癌脊髓转移患者综合治疗有效,有的患者可能长期生存。 展开更多
关键词 乳腺肿瘤 脊髓转移 放射疗法 药物疗法
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Study of differential proteins in lung adenocarcinoma using laser capture microdissection combined with liquid chip-mass spectrometry technology
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作者 bu li-na YANG Shuan-ying +10 位作者 LI Feng-tao SHANG Wen-li ZHANG Wei HUO Shu-fen NAN Yan-dong TIAN Ying-xuan DU Jie LIN Xiu-li LIU Yan-feng LIN Yu-rong RONG Biao-xue 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第22期3309-3313,共5页
Background In recent years the proportion of lung adenocarcinoma (adCA) which occurs in lung cancer patients has increased. Using laser capture microdissection (LCM) combined with liquid chip-mass spectrometry tec... Background In recent years the proportion of lung adenocarcinoma (adCA) which occurs in lung cancer patients has increased. Using laser capture microdissection (LCM) combined with liquid chip-mass spectrometry technology, we aimed to screen lung cancer biomarkers by studying the proteins in the tissues of adCA. Methods We used LCM and magnetic bead based weak cation exchange (MB-WCX) to separate and purify the homogeneous adCA cells and normal cells from six cases of fresh adCA and matched normal lung tissues. The proteins were analyzed and identified by matrix assisted laser desorption/ionization time-of-fight mass spectrometry (MALDI-OF-MS). We screened for the best pattern using a radial basic function neural network algorithm. Results About 2.895x10s and 1.584x10s cells were satisfactorily obtained by LCM from six cases of fresh lung adCA and matched normal lung tissues, respectively. The homogeneities of cell population were estimated to be over 95% as determined by microscopic visualization. Comparing the differentially expressed proteins between the lung adCA and the matched normal lung group, 221 and 239 protein peaks, respectively, were found in the mass-to-charge ration (M/Z) between 800 Da and 10 000 Da. According to ttest, the expression of two protein peaks at 7521.5 M/Zand 5079.3 M/Z had the largest difference between tissues. They were more weakly expressed in the lung adCA compared to the matched normal group. The two protein peaks could accurately separate the lung adCA from the matched normal lung group by the sample distribution chart. A discriminatory pattern which can separate the lung adCA from the matched normal lung tissue consisting of three proteins at 3358.1 M/Z, 5079.3 M/Z and 7521.5 M/Z was established by a radial basic function neural network algorithm with a sensitivity of 100% and a specificity of 100%. Conclusions Differential proteins in lung adCA were screened using LCM combined with liquid chip-mass spectrometry technology, and a biomarker model was established. It is possible that this technology is going to become a powerful tool in screening and early diagnosis of lung adCA. 展开更多
关键词 lung adenocarcinoma laser capture microdissection magnetic beads mass spectrometry
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