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早期气管切开对重型颅脑损伤术后并发肺部感染的影响 被引量:28
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作者 许国文 孙艳云 +6 位作者 韩振波 魏玲 李军 陈永新 赵洪亮 宋金和 韩华柱 《局解手术学杂志》 2019年第8期631-634,共4页
目的探讨早期气管切开对重型颅脑损伤术后并发肺部感染的影响以及生化因子的变化。方法选取2017年3月至2018年8月在我院重症监护室治疗的重型颅脑损伤患者288例,分为2组,颅脑损伤后24 h内行气管切开的患者纳入观察组,颅脑损伤24 h后行... 目的探讨早期气管切开对重型颅脑损伤术后并发肺部感染的影响以及生化因子的变化。方法选取2017年3月至2018年8月在我院重症监护室治疗的重型颅脑损伤患者288例,分为2组,颅脑损伤后24 h内行气管切开的患者纳入观察组,颅脑损伤24 h后行气管切开的患者纳入对照组,比较2组患者的肺部感染发生率、感染控制率、感染控制时间、c-反应蛋白(CRP)、降钙素原(PTC)的变化。结果观察组患者肺部感染率和平均控制时间均低于对照组,感染控制率高于对照组,2组比较差异有统计学意义(P<0.05);2组患者术后第1、3、7、10天的CRP与术前比较均明显增加,差异有统计学意义(P<0.05);2组患者在术后第1、3、7、10天的PCT与术前相比均明显增加,差异有统计学意义(P<0.05),在术后第7、10天,观察组PCT与对照组相比明显降低,差异有统计学意义(P<0.05)。结论对重型颅脑损伤患者在术后早期行气管切开,有助于控制肺部感染,降低肺部感染率。 展开更多
关键词 早期气管切开 颅脑损伤 肺部感染 CRP PTC
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Effect of Low Dose Radiation on Intracellular Calcium and Protein Kinase C in Lymphocytes 被引量:3
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作者 LIU SHU-ZHENG SU XU +2 位作者 han zhen-bo ZhanG YING-CHUN AND QI JIN (The MPH Radiobiology Research Unit, Norman Bethune University of Medical Sciences, 6 Xinmin Street, Changchun 130021, China) 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 1994年第3期284-291,共8页
It is first reported in the present paper that whole-body irradiation (WBI) with low dose X-rays could increase intracellular calcium ions ([Ca2+]i) and stimulate protein kinase C (PKC) activity of mouse lymphocytes. ... It is first reported in the present paper that whole-body irradiation (WBI) with low dose X-rays could increase intracellular calcium ions ([Ca2+]i) and stimulate protein kinase C (PKC) activity of mouse lymphocytes. Following WBI of male Kunming micc With 75 mGy X-rays at a dose rate of 12.5 mGy/min the mobilization of [Ca2+]i with Con A in CD4+ and CD8+ Cells in the thymus and spleen was potentiated and the amplitude of [Ca2+], mobilization in thymocytes in response to anti-CD3 monoclonal antibody increased with time from 4 to 24 h following low dose radiation. The PKC activity in the homogenate of spleen was markedly stimulated 12 h after WBl with 75 mGy, reaching its peak value at 24-48 h and coming down to lower than normal on day 7. However, the PKC activity in the separated T lymphocytes reached its peak value at 12 h and that in the B lymphocytes reached its peak value on day 4, both coming down to below control on day 7. The implications of this facilitation of signal transduction in T lymphocytes in the mechanism of immunoenhancement after low dose radiation were discussed 展开更多
关键词 ZHANG CA Effect of Low Dose Radiation on Intracellular Calcium and Protein Kinase C in Lymphocytes
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