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以分泌性中耳炎为首诊症状的ANCA相关小血管炎的临床误诊2例 被引量:3
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作者 林丹宇 申宇鹏 +3 位作者 李晓明 周永青 程贺娟 魏英粉 《临床与病理杂志》 2018年第12期2738-2742,共5页
回顾性分析白求恩国际和平医院诊治的2例合并分泌性中耳炎的抗中性粒细胞胞质抗体(antineutrophil cytoplasmic antibody,ANCA)相关小血管炎的临床资料及随访资料。该2例患者早期均出现耳闷、听力下降等分泌性中耳炎症状,完善血清免疫... 回顾性分析白求恩国际和平医院诊治的2例合并分泌性中耳炎的抗中性粒细胞胞质抗体(antineutrophil cytoplasmic antibody,ANCA)相关小血管炎的临床资料及随访资料。该2例患者早期均出现耳闷、听力下降等分泌性中耳炎症状,完善血清免疫学检查后确诊为ANCA相关小血管炎,积极行激素及免疫治疗,单纯针对中耳炎的治疗效果不良。ANCA相关小血管炎患者临床表现复杂多样,少数病例以分泌性中耳炎或鼻窦炎为首发症状,极易误诊,诊断时不能局限于专科疾病,需结合特异性实验室检查确诊。早期确诊并给予激素及免疫治疗方案,有利于提高疗效和预防疾病进展。 展开更多
关键词 分泌性中耳炎 抗中性粒细胞胞质抗体相关小血管炎 诊断 治疗
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Synthesis and Pharmacokinetic Property Improvement of Deuterated Plinabulin 9
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作者 ZHAO Jianchun cheng hejuan +6 位作者 SUN Tianwen WANG Shixiao DING Zhongpeng DOU Guifang MENG Zhiyun GUAN Huashi LI Wenbao 《Journal of Ocean University of China》 SCIE CAS CSCD 2017年第2期305-310,共6页
Plinabulin,a potent microtubule-targeting agent,is derived from marine natural diketopiperazine ‘phenylahistin'.To develop novel plinabulin analogue that could display better pharmacokinetic properties and less s... Plinabulin,a potent microtubule-targeting agent,is derived from marine natural diketopiperazine ‘phenylahistin'.To develop novel plinabulin analogue that could display better pharmacokinetic properties and less side effects,deuterated plinabulin 9 was synthesized and evaluated in vitro and in vivo.In comparison with plinabulin,in vivo pharmacokinetic studies indicated that the deuterated derivative 9 could alter blood circulation behavior obviously,which was proved by increased area under the plasma concentration-time curve(AUC_(0–∞)),reduced clearance(CL),and prolonged total body mean residence time(MRT).The derivative 9 also has higher inhibition rates against Bx PC-3,Jurkat and A-431 tumor cell lines as compared with its prototype plinabulin.Therefore,the deuterated compound 9 might be developed as a potential agent for different cancer treatments. 展开更多
关键词 plinabulin DIKETOPIPERAZINE ANTITUMOR DEUTERATION pharmacokinetics
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