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3例累及邻近多部位的儿童鼻腔鼻窦胚胎型横纹肌肉瘤临床分析 被引量:5
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作者 吴振恭 熊俊 +6 位作者 周良强 陈请国 陈金 褚汉启 陶雁玲 甄宏韬 王丽 《中国耳鼻咽喉颅底外科杂志》 CAS 2019年第5期546-550,共5页
目的探讨儿童横纹肌肉瘤(rhabdomyosarcoma,RMS)的临床特点、影像学检查及临床病理学特征,以期减少漏诊误诊,提高临床诊断和鉴别诊断水平。方法回顾性分析3例不典型学龄前期儿童RMS的详细临床资料并复习相关文献。结果2例以眼部症状为... 目的探讨儿童横纹肌肉瘤(rhabdomyosarcoma,RMS)的临床特点、影像学检查及临床病理学特征,以期减少漏诊误诊,提高临床诊断和鉴别诊断水平。方法回顾性分析3例不典型学龄前期儿童RMS的详细临床资料并复习相关文献。结果2例以眼部症状为主诉收入院,1例罕见以反复鼻腔出血并睡觉打鼾为主诉收入院,相关影像学检查显示肿瘤多已广泛侵犯破坏周围结构,行相关手术病理确诊,均为胚胎性RMS。免疫组化显示3例患者Myogenin均为阳性,Ki-67(LIt分别约为90%、80%、70%),其中2例VIM阳性,2例DES(部分或者局灶性)阳性,2例CD99阳性。后转入肿瘤科规律治疗。结论儿童RMS早期临床表现不典型呈现多样化,具有恶性程度高、侵袭性强、进展快等特点,需要根据临床特征结合影像学检查及免疫组化结果确诊。 展开更多
关键词 鼻腔鼻窦 儿童 胚胎型横纹肌肉瘤 免疫组化
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Aminoglycoside ototoxicity in three murine strains and effects on NKCC1 of stria vascularis 被引量:5
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作者 chu han-qi XIONG Hao +5 位作者 Zhou Xiao-qin HAN Fang WU Zhen-gong ZHANG Ping HUANG Xiao-wen CUl Yong-hua 《Chinese Medical Journal》 SCIE CAS CSCD 2006年第12期980-985,共6页
Background After establishing a murine model of aminoglycoside antibiotic (AmAn) induced ototoxicity, the sensitivity of AmAn induced ototoxicity in three murine strains and the effect of kanamycin on the expression... Background After establishing a murine model of aminoglycoside antibiotic (AmAn) induced ototoxicity, the sensitivity of AmAn induced ototoxicity in three murine strains and the effect of kanamycin on the expression of Na-K-2Cl cotransporter-1 (NKCC1) in stria vascularis were investigated. Methods C57BL/6J, CBA/CaJ, NKCC1^+/- mice (24 of each strain) were randomly divided into four experimental groups: A: kanamycin alone; B: kanamycin plus 2,3-dihydroxybenzoate; C: 2,3-dihydroxybenzoate alone; and D: control group. Mice were injected with kanamycin or/and 2,3-dihydroxybenzoate twice daily for 14 days. Auditory brainstem response (ABR) was measured and morphology of cochlea delineated with succinate dehydrogenase staining. Expression of NKCC1 in stria vascularis was detected immunohistochemically. Results All three strains in groups A and B developed significant ABR threshold shifts (P〈0.01), which were accompanied by outer hair cell loss. NKCC 1 expression in stria vascularis was the weakest in group A (A cf D, P〈0.01) and the strongest in groups C and D (P〈0.05). CBA/CaJ mice had the highest sensitivity to AmAn.Conclusions Administration of kanamycin established AmAn induced ototoxicity. Kanamycin inhibited the expression of NKCC1 in stria vascularis. 2, 3-dihydroxybenzoate attenuated AmAn induced ototoxicity-possibly by enhancing the expression of NKCC 1. Age related hearing loss did not show additional sensitivity to AmAn induced ototoxicity in murine model. 展开更多
关键词 KANAMYCIN 2 3-dihydroxybenzoate OTOTOXICITY reactive oxygen species hearing loss
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