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围产期起病的胎/新生儿心房扑动:21例临床分析 被引量:1
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作者 宋雅婷 孙建华 +6 位作者 步军 王亮君 张国庆 须丽清 叶秀霞 陈夏芳 贝斐 《中华围产医学杂志》 CAS CSCD 北大核心 2023年第2期134-138,共5页
目的总结分析围产期起病的心房扑动(atrial flutter,AFL)患儿的临床特征、诊疗经过和转归,以提高对围产期起病的胎/新生儿AFL的诊治水平。方法回顾性分析2013年11月至2021年8月外院出生后转入上海交通大学医学院附属上海儿童医学中心新... 目的总结分析围产期起病的心房扑动(atrial flutter,AFL)患儿的临床特征、诊疗经过和转归,以提高对围产期起病的胎/新生儿AFL的诊治水平。方法回顾性分析2013年11月至2021年8月外院出生后转入上海交通大学医学院附属上海儿童医学中心新生儿科的围产期起病的AFL患儿的临床资料、治疗方法和随访结果,总结其临床特征、复律方法和随访结局。对数据资料采用描述性统计分析。结果共纳入围产期起病的AFL患儿共21例,男17例,女4例;足月儿10例,早产儿11例;胎龄32~41周,平均(36.6±1.9)周;出生体重2130~4450 g,平均(3059±528)g,均为剖宫产出生。所有患儿在宫内已出现胎心率增快,症状出现孕周均大于32周。胎儿期经外院胎儿超声心动图诊断3例。出生后所有患儿仍有心率偏快,生后当天均行心电图检查确诊。心电图提示AFL(2~6)∶1传导。6例患儿出现心功能不全表现,监测血压偏低,伴有呼吸困难及皮肤发绀。其中4例患儿头罩吸氧后症状缓解,2例患儿予呼吸机支持后症状改善。21例患儿中1例自行转复,其余20例予药物复律或电复律。首选药物复律7例,复律成功率为5/7;治疗前伴有心功能不全患儿1例,治疗过程中新发心功能不全3例;中位住院23 d(13~25 d)。首选电复律治疗13例,复律成功率为12/13,治疗前伴有心功能不全5例,治疗过程中无新发心功能不全;中位住院11 d(9~14 d)。21例患儿出院随访20例,失访1例,随访时间1月龄至8岁,均未复发。结论围产期起病的胎/新生儿AFL症状多始于孕晚期,出生前主要依靠胎儿超声心动图诊断,出生后依靠心电图诊断,总体预后良好;电复律治疗快速有效。 展开更多
关键词 心房扑动 围产期 电复律 预后
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Role of VEGF in the growth and metastasis of a murine bladder carcinoma 被引量:4
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作者 WANG Feng WU Jihong +4 位作者 TIAN Yuhua chen xiafang HU Honghui WU Wensen LI Chuanyuan 《Chinese Science Bulletin》 SCIE EI CAS 2003年第22期2404-2410,共7页
Bladder transitional cell carcinoma is the most common form of carcinoma in the urinary system. Although overexpression of VEGF has been identified in tissue, serum, and urine of patients with bladder cancer, the role... Bladder transitional cell carcinoma is the most common form of carcinoma in the urinary system. Although overexpression of VEGF has been identified in tissue, serum, and urine of patients with bladder cancer, the role of VEGF in transitional cell carcinoma of the bladder has not beenclearly elucidated. Here, we dissected the effect of VEGFduring bladder tumor growth and progression by modifying a BBN (N-butyl-N-(4-hydroxybutyl) nitrosamine) induced mouse bladder transitional cell carcinoma cell lineBTT-T739 by stable transfection of antisense VEGF121 cDNA. The transfection resulted in more than 80% reduction inVEGF production. The growth of the transduced tumor cells in vitro was not affected, however, these cells formed small or no tumors in vivo. Even in the tumors formed, there were mini- mal vascularization, extensive necrosis and longerlatency compared to those formed by parental cells. Thepermeability of tumor vasculature and metastatic tumor growth were also significantly suppressed in antisense VEGFcDNA trans- fected cells. In addition, the transfer ofanti-angiogenic gene in a combination of sFlk-1 and ExTekwith electroporation can suppress the tumor growthefficiently. Taken together, these results demonstrated thatVEGF plays an important role in bladder tumorangiogenesis and angiogenesis plays an important role in bladder tumor growth and metastasis. 展开更多
关键词 膀胱癌 泌尿系统 DNA 基因技术
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