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Atrial natriuretic peptide attenuates inflammatory responses on oleic acid-induced acute lung injury model in rats 被引量:9
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作者 ZHU Yao-bin ZHANG Yan-bo +6 位作者 LIU Dong-hai LI Xiao-feng LIU Ai-jun fan xiang-ming QIA0 Chen-hui LING Feng LIU Ying-long 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第4期747-750,共4页
Background An inflammatory response leading to organ dysfunction and failure continues to be a major problem after injury in many clinical conditions such as sepsis, severe burns, and trauma. It is increasingly recogn... Background An inflammatory response leading to organ dysfunction and failure continues to be a major problem after injury in many clinical conditions such as sepsis, severe burns, and trauma. It is increasingly recognized that atrial natriuretic peptide (ANP) possesses a broad range of biological activities, including effects on endothelial function and inflammation. A recent study has revealed that ANP exerts anti-inflammatory effects. In this study we tested the effects of human ANP (hANP) on lung injury in a model of oleic acid (OA)-induced acute lung injury (ALl) in rats. Methods Rats were randomly assigned to three groups (n=6 in each group). Rats in the control group received a 0.9% solution of NaCI (1 ml-kg-l.h1) by continuous intravenous infusion, after 30 minutes a 0.9% solution of NaCI (1 ml/kg) was injected intravenously, and then the 0.9% NaCI infusion was restarted. Rats in the ALl group received a 0.9% NaCI solution (1 ml-kgl-h-~) intravenous infusion, after 30 minutes OA was injected intravenously (0.1 ml/kg), and then the 0.9% NaCI infusion was restarted. Rats in the hANP-treated ALl group received a hANP (0.1 IJg.kg-Lmin~) infusion, after 30 minutes OA was injected intravenously (0.1 ml/kg), and then the hANP infusion was restarted. The anti-inflammation effects of hANP were evaluated by histological examination and determination of serum cytokine levels. Results Serum interleukin (IL)-113, IL-6, IL-10 and tumor necrosis factor (TNF) a were increased in the ALl group at six hours. The levels of all factors were significantly lower in the hANP treated rats (P 〈0.005). Similarly, levels of IL-113, IL-6, IL-10 and TNF-a were higher in the lung tissue in the ALl group at six hours, hANP treatment significantly reduced the levels of these factors in the lungs (P 〈0.005). Histological examination revealed marked reduction in interstitial congestion, edema, and inflammation. Conclusion hANP can attenuate inflammation in OA-induced lung injury in rat model. 展开更多
关键词 acute respiratory distress syndrome atrial natriuretic peptide inflammatory response CYTOKINE RATS
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Partial liquid ventilation decreases tissue and serum tumor necrosis factor-~ concentrations in acute lung injury model of immature piglet induced by oleic acid 被引量:11
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作者 ZHU Yao-bin fan xiang-ming +4 位作者 LI Xiao-feng LI Zhi-qiang WANG Qiang SUN Li-zhong LIU Ying-long 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第1期123-128,共6页
Background Pediatric patients are susceptible to lung injury.Acute lung injury in children often results in high mortality.Partial liquid ventilation (PLV) has been shown to markedly improve oxygenation and reduce h... Background Pediatric patients are susceptible to lung injury.Acute lung injury in children often results in high mortality.Partial liquid ventilation (PLV) has been shown to markedly improve oxygenation and reduce histologic evidence of injury in a number of lung injury models.This study was designed to examine the hypothesis that PLV would attenuate the production of local and systemic tumor necrosis factor (TNF)-α in an immature piglet model of acute lung injury induced by oleic acid (OA).Methods Twelve Chinese immature piglets were induced acute lung injury by OA.The animals were randomly assigned to two groups of six animals,(1) conventional mechanical ventilation (MV) group and (2) PLV with 10 ml/kg FC-77 group.Results Compared with MV group,the PLV group had better cardiopulmonary variables (P 〈0.05).These variables included heart rate,mean blood pressure,blood pH,partial pressure of arterial oxygen (PaO2),PaO2/inspired O2 fraction (FiO2) and partial pressure of arterial carbon dioxide (PaCO2).PLV reduced TNF-α levels both in plasma and tissue compared with MV group (P 〈0.05).Conclusion PLV provides protective effects against TNF-a response in OA-induced acute lung injury in immature piglets. 展开更多
关键词 acute lung injury animal models partial liquid ventilation
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腔肺吻合术中合并肺静脉异位引流的处理
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作者 赵雪婷 刘迎龙 +1 位作者 范祥明 樊星 《中华实用诊断与治疗杂志》 2018年第5期452-454,共3页
目的探讨单心室合并肺静脉异位引流(anomalous pulmonary venous connection,APVC)患者行单侧或双侧腔肺吻合术(Glenn)治疗的近期疗效,总结肺静脉处理要点。方法 41例单心室合并APVC患者,术前超声心动图、心脏CT、造影等检查证实解剖单... 目的探讨单心室合并肺静脉异位引流(anomalous pulmonary venous connection,APVC)患者行单侧或双侧腔肺吻合术(Glenn)治疗的近期疗效,总结肺静脉处理要点。方法 41例单心室合并APVC患者,术前超声心动图、心脏CT、造影等检查证实解剖单心室18例,功能单心室23例;完全型APVC 30例,部分型APVC 11例;28例行单侧Glenn术,13例行双侧Glenn术;完全型APVC中,11例心上型同期行肺静脉共同腔-心房吻合,3例心上型、1例混合型保留垂直静脉-上腔静脉回流途径,15例心内型未处理;部分型APVC中,5例心上型将异位引流的肺静脉直接吻合于心房,4例心上型保留肺静脉-上腔静脉回流途径,2例心内型未处理。比较术前超声心动图、CT诊断结果与术中探查结果;观察手术效果,比较手术前后血氧饱和度;随访1~58个月,记录术后并发症发生情况,再住院情况。结果与术中结果比较,术前超声心动图、心脏CT对APVC的漏诊率分别为29.3%、2.4%;术后血氧饱和度[(85.67±6.55)%]高于术前[(75.86±7.56)%](P<0.05);术后2d超声心动图示房室瓣反流程度减轻;术后发生浆膜腔严重渗漏5例,严重心律失常2例,吻合口闭塞和或血栓形成3例,神经系统并发症3例,伤口愈合不良2例,因出血二次开胸止血4例;术后胸腔积液再入院2例;术后死于吻合口狭窄、肺静脉梗阻、肺出血、恶性心律失常和凝血功能障碍各1例,1例死亡与漏诊有关。结论 Glenn术治疗单心室合并APVC效果满意,但风险较高;术前明确APVC诊断,个体化肺静脉处理可能对患者有益。 展开更多
关键词 单心室 肺静脉异位引流 腔肺吻合术 肺静脉处理
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A novel and feasible way to cultivate and purify endothelial progenitor cells from bone marrow of children with congenital heart diseases 被引量:3
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作者 WU Yong-tao LI Jing-xing +6 位作者 LIU Shuo XIN Yi WANG Zi-jian GAO Jin JI Bing-yang fan xiang-ming ZHOU Qi-wen 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第11期1903-1907,共5页
Background Endothelial progenitor cells (EPCs) are used in vascular tissue engineering and clinic therapy. Some investigators get EPCs from the peripheral blood for clinic treatment, but the number of EPCs is seldom... Background Endothelial progenitor cells (EPCs) are used in vascular tissue engineering and clinic therapy. Some investigators get EPCs from the peripheral blood for clinic treatment, but the number of EPCs is seldom enough. We have developed the cultivation and purification of EPCs from the bone marrow of children with congenital heart disease, to provide enough seed cells for a small calibre vascular tissue engineering study. Methods The 0.5-ml of bone marrow was separated from the sternum bone, and 5-ml of peripheral blood was collected from children with congenital heart diseases who had undergone open thoracic surgery. CD34+ and CD34+NEGFR+ cells in the bone marrow and peripheral blood were quantified by flow cytometry. CD34+/VEGFR+ cells were defined as EPCs. Mononuclear cells in the bone marrow were isolated by Ficoll density gradient centrifugation and cultured by the EndoCult Liquid Medium KitTM. Colony forming endothelial cells was detected. Immunohistochemistry staining for Dil-ac-LDL and FITC-UEA-1 confirmed the endothelial lineage of these cells. Results CD34+ and CD34+NEGFR+ cells in peripheral blood were (0.07±0.05)% and (0.05±0.02)%, respectively. The number of CD34+ and CD34+/VEGFR+ cells in bone marrow were significantly higher than in blood, (4.41±1.47)% and (0.98±0.65)%, respectively (P 〈0.0001). Many colony forming units formed in the culture. These cells also expressed high levels of Dil-ac-LDL and FITC-UEA-I. Conclusion This is a novel and feasible approach that can cultivate and purify EPCs from the bone marrow of children with congenital heart disease, and provide seed cells for small calibre vascular tissue engineering. 展开更多
关键词 congenital heart diseases endothelial progenitor cells cell culture bone marrow
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Total liquid ventilation reduces oleic acid-induced lung injury in piglets 被引量:2
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作者 ZHU Yao-bin LIU Dong-hai +5 位作者 ZHANG Yan-bo LIU Ai-jun fan xiang-ming QIAO Chen-hui WANG Qiang LIU Ying-long 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第22期4282-4288,共7页
Background Pediatric patients are susceptible to lung injury that does not respond to traditional therapies. Total liquid ventilation has been developed as an alternative ventilatory strategy for severe lung injury. T... Background Pediatric patients are susceptible to lung injury that does not respond to traditional therapies. Total liquid ventilation has been developed as an alternative ventilatory strategy for severe lung injury. The aim of this study is to investigate the effect of total liquid ventilation on oleic acid (OA)-induced lung injury in piglets. Methods Twelve Chinese immature piglets were induced acute lung injury by OA. Twelve piglets were randomly treated with conventional gas ventilation (control group) or total liquid ventilation (study group) for 240 minutes. Samples for blood gas analysis were collected before, and at 60-minute intervals after OA-induced lung injury. The degree of lung injury was quantified by histologic examination. The inflammatory cells and the levels of IL-1β, IL-6, IL-10 and TNF-α in plasma, tissue and bronchoalveolar lavage were analyzed. Results Neutrophil and macrophage counts in bronchoalveolar lavage were significantly decreased in the study group (P〈0.05). The total lung injury score was also reduced in the study group (P〈0.05). The concentrations of IL-1β, IL-6, IL-10 and TNF-α in plasma, tissue and bronchoalveolar lavage were significantly reduced in the study group (P〈0.05). Conclusions Total liquid ventilation reduces biochemical and histoloaic OA-induced luna iniurv in nialets. 展开更多
关键词 total liquid ventilation perfluorocarbons acute lung injury oleic acid cytokines
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