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康柏西普对糖尿病性黄斑水肿患者血清中lncRNA MALAT1水平及黄斑中央区厚度的影响 被引量:2
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作者 苟文军 李恒 +3 位作者 游慧 陶依凡 李博 张慧 《国际眼科杂志》 CAS 北大核心 2023年第1期10-16,共7页
目的:探讨康柏西普对糖尿病性黄斑水肿(DME)患者血清lncRNA MALAT1水平、黄斑中央区厚度(CMT)及最佳矫正视力(BCVA)的影响,观察其治疗的有效性与安全性。方法:纳入DME患者300例300眼,均为单眼病变。按照随机数字表法进行分组:非注射组10... 目的:探讨康柏西普对糖尿病性黄斑水肿(DME)患者血清lncRNA MALAT1水平、黄斑中央区厚度(CMT)及最佳矫正视力(BCVA)的影响,观察其治疗的有效性与安全性。方法:纳入DME患者300例300眼,均为单眼病变。按照随机数字表法进行分组:非注射组100例100眼,对照组100例100眼给予雷珠单抗治疗,研究组100例100眼给予康柏西普治疗。结果:治疗前与治疗后1、2、3mo测定患者BCVA、血清lncRNA MALAT1水平及CMT,同时对比临床疗效,并对患者进行随访,记录不良反应发生情况。非注射组患者的BCVA(LogMAR)、血清lncRNA MALAT1水平与CMT均无明显变化(P>0.05)。对照组、研究组患者治疗后1、2、3mo的BCVA(LogMAR)与治疗前相比明显提高(均P<0.05),但研究组与对照组相比,差异无统计学意义。对照组患者治疗后1、2、3mo血清lncRNA MALAT1水平降低,研究组患者治疗后1、2、3mo血清lncRNA MALAT1水平降低更明显,研究组治疗后血清lncRNA MALAT1水平明显低于对照组(均P<0.05)。对照组患者治疗后1、2、3mo CMT降低,研究组患者治疗后1、2、3mo CMT降低更明显,研究组治疗后CMT明显低于对照组(均P<0.05)。研究组不良反应发生率(2.0%)明显低于对照组(11.0%)。结论:康柏西普能够显著降低DME患者血清lncRNA MALAT1水平,降低CMT、减轻黄斑水肿,改善视力,其治疗有效性与安全性明显优于雷珠单抗。 展开更多
关键词 康柏西普 雷珠单抗 注射 注射治疗糖尿病性黄斑水肿 lncRNA MALAT1 黄斑中央区厚度
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miRNA-147靶向调控VEGF对人视网膜色素上皮细胞增殖和凋亡及迁移的影响 被引量:1
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作者 陈方 李恒 +3 位作者 游慧 邱煜焱 王宁 陈微 《国际眼科杂志》 CAS 北大核心 2021年第11期1855-1860,共6页
目的:探讨miRNA-147靶向调控VEGF对人视网膜色素上皮细胞增殖和凋亡及迁移的影响,并初步研究其分子机制。方法:选择人视网膜色素上皮细胞株(ARPE-19细胞),将细胞分为7组:空白对照组(不处理)、无义miRNA组(转染mimic NC)、miRNA-147模拟... 目的:探讨miRNA-147靶向调控VEGF对人视网膜色素上皮细胞增殖和凋亡及迁移的影响,并初步研究其分子机制。方法:选择人视网膜色素上皮细胞株(ARPE-19细胞),将细胞分为7组:空白对照组(不处理)、无义miRNA组(转染mimic NC)、miRNA-147模拟物组(转染miRNA-147模拟物)、抑制剂阴性对照组(转染shRNA NC)、VEGF抑制剂组(转染VEGF抑制剂)、miRNA-147模拟物+空载病毒载体组(转染miRNA-147模拟物和空载体)和miRNA-147模拟物+VEGF过表达组(转染miRNA-147模拟物和VEGF过表达)。使用RT-qPCR检测各组细胞miRNA-147及VEGF mRNA表达水平;双荧光素酶实验验证miRNA-147与VEGF靶向关系;Western blot检测VEGF蛋白表达水平;MTT法检测细胞增殖;流式细胞术检测细胞凋亡水平及细胞周期的改变;细胞划痕实验检测细胞迁移。结果:与空白对照组和无义miRNA组相比,miRNA-147模拟物组miRNA-147表达水平显著升高,VEGF mRNA及蛋白表达水平显著降低(P<0.05);与抑制剂阴性对照组相比,VEGF抑制剂组VEGF mRNA及蛋白表达水平显著降低(P<0.05);与miRNA-147模拟物+空载病毒载体组相比,miRNA-147模拟物+VEGF过表达组VEGF mRNA表达水平显著升高(P<0.05)。双荧光素酶报告显示VEGF是miRNA-147的靶基因。转染miRNA-147模拟物和VEGF抑制剂均可降低ARPE-19细胞增殖和迁移水平,促进细胞凋亡(P<0.05)。转染VEGF过表达可逆转miRNA-147 mimic对ARPE-19细胞增殖、迁移和凋亡的影响(P<0.05)。结论:miRNA-147可通过靶向VEGF抑制ARPE-19细胞增殖和迁移,促进细胞凋亡。 展开更多
关键词 miRNA-147 血管内皮生长因子(VEGF) 人视网膜色素上皮细胞 增殖 凋亡 迁移
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Growth-associated protein 43 and neural cell adhesion molecule expression following bone marrow-derived mesenchymal stem cell transplantation in a rat model of ischemic brain injury 被引量:18
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作者 Yu Peng Qimei Zhang +3 位作者 hui you Weihua Zhuang Ying Zhang Chengyan Li 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第13期975-980,共6页
BACKGROUND: Transplantation of bone marrow-derived mesenchymal stem cells (BMSCs) improves motor functional recovery, but the mechanisms remain unclear. OBJECTIVE: To investigate expression of growth-associated pr... BACKGROUND: Transplantation of bone marrow-derived mesenchymal stem cells (BMSCs) improves motor functional recovery, but the mechanisms remain unclear. OBJECTIVE: To investigate expression of growth-associated protein 43 (GAP-43) and neural cell adhesion molecule following BMSC transplantation to the lateral ventricle in rats with acute focal cerebral ischemic brain damage. DESIGN, TIME AND SETTING: A randomized, controlled, animal experiment using immunohistochemistry was performed at the laboratories of Department of Neurology, Renmin Hospital of Wuhan University and Doctoral Scientific Research Work Station of C-BONS PHARMA, Hubei Province, China, from January 2007 to December 2008. MATERIALS: Monoclonal mouse anti-rat 5-bromo-2-deoxyuridine and neural cell adhesion molecule antibodies were purchased from Sigma, USA; monoclonal mouse anti-rat GAP-43 antibody was purchased from Wuhan Boster, China. METHODS: Rat models of right middle cerebral artery occlusion were established using the thread method. At 1 day after middle cerebral artery occlusion, 20μL culture solution, containing 5×10^5 BMSCs, was transplanted to the left lateral ventricle using micro-injection. MAIN OUTCOME MEASURES: Scores of neurological impairment were measured to assess neural function. Expression of GAP-43 and neural cell adhesion molecule at the lesion areas was examined by immunohistochemistry. RESULTS: GAP-43 and neural cell adhesion molecule expression was low in brain tissues of the sham-operated group, but expression increased at the ischemic boundary (P 〈 0.05). Transplantation of BMSCs further enhanced expression of GAP-43 and neural cell adhesion molecule (P 〈 0.05) and remarkably improved neurological impairment of ischemic rats (P 〈 0.05). CONCLUSION: BMSC transplantation promoted neurological recovery in rats by upregulating expression of GAP-43 and neural cell adhesion molecule. 展开更多
关键词 growth-associated protein 43 neural cell adhesion molecule bone marrow-derived mesenchymal stem cell brain injury neural regeneration
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EVALUATION OF MITOCHONDRIAL ENCEPHALOMYOPATHY WITH LACTIC ACIDOSIS AND STROKE-LIKE EPISODES WITH MAGNETIC RESONANCE IMAGING AND PROTON MAGNETIC RESONANCE SPECTROSCOPY 被引量:7
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作者 Feng Feng hui you +5 位作者 Jing Gao Xiao-zhen Li Chun-ling Meng Hong-yi Sun Zheng-yu Jin Yu-pu Guo 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第4期234-238,共5页
客观:在质子上学习系列的特征磁性的回声光谱学(1H 太太) 和它在有有乳的酸中毒和像击的事件(MELAS ) 的 mitochondrial encephalomyopathy 的病人的价值。方法:七临床上诊断的病人 withMELAS 经历了磁性的回声成像(MRI ) 和 1H 太太... 客观:在质子上学习系列的特征磁性的回声光谱学(1H 太太) 和它在有有乳的酸中毒和像击的事件(MELAS ) 的 mitochondrial encephalomyopathy 的病人的价值。方法:七临床上诊断的病人 withMELAS 经历了磁性的回声成像(MRI ) 和 1H 太太考试。1H 太太技术,系列的特征,和它与实验室测试的关联是 analyzed.RESULTS:服的畸形在传统的先生图象上在所有 7 个病人被揭示,并且很反常的信号被观察在双边枕骨,顶骨,和时间的脑叶。我们发现了 4cases 与基础与侧面的服的肉茎和 thalami 的参与轧了神经胶质参与,有温和正面的脑叶损害的 2 个盒子,和 1 个盒子。另外, 1 个病人涉及左海岛的脑叶。从在显示出的大脑实质的突出的损害的系列喂奶马甲山峰 in6 病人,其中 3 个也被注意喂奶在室的脑髓的液体(CSF ) 的山峰 .CONCLUSION:1H 太太可以关于新陈代谢变化提供更直接的信息,它帮助肯定诊断,并且可以代替确定的常规侵略方法喂奶 inCSF。 展开更多
关键词 磁共振技术 酸中毒 症状表现 质子
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Cerebrospinal Fluid Biomarkers in Dementia Patients with Cerebral Amyloid Angiopathy 被引量:3
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作者 Yan-feng Li Fang-fang Ge +2 位作者 Yong Zhang hui you Zhen-xin Zhang 《Chinese Medical Sciences Journal》 CAS CSCD 2015年第3期170-173,共4页
Objective To study the changes of biomarkers in cerebrospinal fluid(CSF) in cerebral amyloid angiopathy(CAA) dementia and Alzheimer's disease.Methods Levels of amyloid protein β(Aβ42,Aβ40) and phosphorylated Ta... Objective To study the changes of biomarkers in cerebrospinal fluid(CSF) in cerebral amyloid angiopathy(CAA) dementia and Alzheimer's disease.Methods Levels of amyloid protein β(Aβ42,Aβ40) and phosphorylated Tau-protein(P-tau) in CSF and ratio of Aβ42/Aβ40 were tested in 5 cases with CAA dementia and 20 cases with Alzheimer's disease collected at Peking Union Medical College Hospital from December 2001 to March 2011.Results The levels of Aβ42,Aβ40,and P-tau in CSF and ratio of Aβ42/Aβ40 were(660.4±265.2) ng/L,(7111.0±1033.4) ng/L,(71.8±51.5) ng/L,and 0.077±0.033,respectively in CAA dementia and(663.6±365.6) ng/L,(5115.0±2931.1) ng/L,(47.7±38.8) ng/L,and 0.192±0.140,respectively in Alzheimer's disease patients.There were no statistically significant differences between CAA dementia and Alzheimer's disease in terms of these CSF biomarkers(all P>0.05).Conclusion Measurements of CSF biomarkers may not be helpful in differential diagnosis of CAA and Alzheimer's disease. 展开更多
关键词 CEREBRAL AMYLOID ANGIOPATHY Alzheimer's disease CEREBROSPINAL fluid biomarker
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METABOLIC ABNORMALITIES IN MESIAL TEMPORAL LOBE EPILEPSY PATIENTS DEPICTED BY PROTON MR SPECTROSCOPY USING A 3.0T MR SCANNER 被引量:4
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作者 Jing-jing Lu Lian-kun Ren +6 位作者 Feng Feng hui you Li-hua Zhang Ming-li Li Fei Sun Hai-hong Fu Zheng-yu Jin 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第4期209-213,共5页
Objective To evaluate metabolic abnormalities in patients with mesial temporal lobe epilepsy (MTLE) with proton magnetic resonance spectroscopy (MRS) using a 3.0T MR scanner. Methods Sixty-three patients (32 women and... Objective To evaluate metabolic abnormalities in patients with mesial temporal lobe epilepsy (MTLE) with proton magnetic resonance spectroscopy (MRS) using a 3.0T MR scanner. Methods Sixty-three patients (32 women and 31 men) with diagnosed MTLE underwent diagnostic MR imaging (MRI) and proton MRS using a 3.0T MR scanner. The clinical history and interictal epileptiform discharges (IEDs) were recorded. Sixteen healthy volunteers served as control. The results of proton MRS were compared with the findings of electroencephalogram and structural MRI findings. Results Twenty-seven of the 63 patients with MTLE showed unilateral hippocampal sclerosis, and 9 showed bilateral hippocampal sclerosis. The concentration ratio of N-acytelaspartate (NAA)/ in the hippocampal region of MTLE patients (0.64±0.07) was significantly lower than control (0.80±0.05, P= 0.023). In the patients with unilateral hippocampal sclerosis, NAA/(Cr+Cho) in the hippocampal region ipsilateral to the sclerotic hippocampus (0.56±0.06) was significantly lower than the ratio in the contralateral hippocampal region (0.69±0.07, P<0.001). There was significant difference in hippocampal NAA/(Cr+Cho) between the refractory patients and the non-refractory patients (0.64±0.05 vs. 0.71±0.07, P=0.04). Forty-five patients were lateralized by IEDs, while 49 patients were lateralized by metabolite ratio. And lateralization determined by proton MRS and IEDs was concordant in 33 patients. Conclusions MRS as a noninvasive tool adds helpful metabolite information to routine MRI in evaluation of MTLE. The method is well established and should be a routine clinical application in the investigation of epilepsy. 展开更多
关键词 新陈代谢异常 脑电图 核磁共振成像技术 海马
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EVALUATION OF NEUROPROTECTIVE EFFECTS OF LONG-TERM LOW DOSE HORMONE REPLACEMENT THERAPY ON POSTMENOPAUSAL WO-MEN BRAIN HIPPOCAMPUS USING MAGNETIC RESONANCE SCANNER 被引量:1
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作者 Ling Hu Yun Yue +5 位作者 Ping-ping Zuo Zheng-yu Jin Feng Feng hui you Ming-li Li Qin-sheng Ge 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第4期214-218,共5页
客观:在荷尔蒙在绝经后的女人上调查长期的低剂量荷尔蒙代替治疗(HRT ) 的效果水平,认知分数,马头鱼尾的怪兽体积,和磁性的回声光谱学(太太) 参数。方法:50-87 年的 182 个绝经后的女人的一个总数在北京联合医学院医院被选择并且分... 客观:在荷尔蒙在绝经后的女人上调查长期的低剂量荷尔蒙代替治疗(HRT ) 的效果水平,认知分数,马头鱼尾的怪兽体积,和磁性的回声光谱学(太太) 参数。方法:50-87 年的 182 个绝经后的女人的一个总数在北京联合医学院医院被选择并且分到 HRTgroup 和控制组。HRT 组的志愿者拿了低剂量荷尔蒙[estradiol (E2 ) 0.5-1.0 mg 和孕酮 0.5-2.0 mg,一次一天] 为 4-33 年。E2,孕酮,和睾丸激素的集中用连接酶的免疫吸着剂试金(ELISA ) 被测量。apolipoprotein E (ApoE ) 的 Thegene 类型被聚合酶链反应,和这些题目与 Alzheimer 的易受影响的基因(ApoE epsilon3/epsilon4 ) 测量“ s 疾病(广告) 被屏蔽。Theirhippocampus 卷和太太参数通过磁性的回声成像(MRI ) 被获得,并且在二个组的结果被统计方法分析。结果:与控制组相比,在在 HRT 的每个年龄阶段的 E2 的集中组织显著地更高(P 【 0.05 ) 除了 the80-89 岁亚群;然而,在在二个组之间的孕酮和睾丸激素的集中没有统计差别。在在二个组之间的 ApoEsubtypes 分发没有明显的差别。为有易受影响的基因 ApoE epsilon3/epsilon4 的题目的马头鱼尾的怪兽 MRI 的结果( HRT 组 14 盒子,控制组 11 盒子)证明到在 HRT 的整个大脑体积的双边的马头鱼尾的怪兽体积的比率组织( 0.406 +/- 0.028 )比控制组显著地高( 0.369 +/- 0.031 , P 【 0.05 )。为有易受影响的基因 ApoE epsilon3/epsilon4 的题目的 1H 太太的结果( HRT 组 12 盒子,控制组 11 盒子)证明在在 HRT 组( 1.54 +/-0.08 )的马头鱼尾的怪兽的区域的 N-acetylaspartate/total 肌酸比控制组显著地高( 1.45 +/- 0.13 , P 【 0.05 )。结论:Forpostmenopausalwomen,长期的低剂量 HRT 能在血浆维持 E2 的生理的集中。而且,与 ApoE epsilon3/epsilon4 基因在那些上执行的马头鱼尾的怪兽 MRI 证明长期的低剂量 HRT 能阻止马头鱼尾的怪兽萎缩,它是有益的维持大脑功能并且阻止广告。 展开更多
关键词 激素 药物治疗 绝经 女性 海马 磁共振技术 边缘系统 阿朴脂蛋白
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Genetic mechanism of heterosis for rice milling and appearance quality in an elite rice hybrid 被引量:1
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作者 hui you Sundus Zafar +6 位作者 Fan Zhang Shuangbing Zhu Kai Chen Congcong Shen Xiuqin Zhao Wenzhong Zhang Jianlong Xu 《The Crop Journal》 SCIE CSCD 2022年第6期1705-1716,共12页
Development of hybrid rice with high yield and grain quality is a goal of rice breeding.To investigate the genetic mechanism of heterosis for rice milling and appearance quality in indica/xian rice,QTL mapping was con... Development of hybrid rice with high yield and grain quality is a goal of rice breeding.To investigate the genetic mechanism of heterosis for rice milling and appearance quality in indica/xian rice,QTL mapping was conducted using 1061 recombinant inbred lines(RILs)derived from a cross of the xian rice cultivars Quan 9311B(Q9311B)and Wu-shan-si-miao(WSSM),and a backcross F_(1)(BC_(1)F_(1)) population developed by crossing the RILs with Quan 9311A(Q9311A),combined with phenotyping in two environments.The F_(1) hybrid(Q9311A×WSSM)showed various degrees of heterosis for milling and appearance quality.A total of 142 main-effect QTL(M-QTL)and 407 pairs of epistatic QTL(E-QTL)were identified for five milling and appearance quality traits and grain yield per plant(GYP)in the RIL,BC_(1)F_(1) and mid-parental heterosis(H_(MP)) populations.Differential detection of QTL in three populations revealed that most additive loci detected in the RILs did not show heterotic effects,but some of them did contribute to BC_(1)F_(1) trait performance.Unlike heterosis of GYP,single-locus overdominance and epistasis were the main contributors to heterosis for milling and appearance quality.Epistasis contributed more to the heterosis for milling quality than to that for appearance quality.Three(four)QTL regions harboring opposite(consistent)directions of favorable allele effects for GYP and grain quality were identified,indicating the presence of partial genetic overlaps between GYP and grain quality.Three strategies are proposed to develop hybrid rice with high yield and good grain quality:1)pyramiding favorable alleles with consistent directions of gene effects for GYP and grain quality at the M-QTL on different chromosomes;2)introgressing favorable alleles for GYP and grain quality into the parents and then pyramiding and fixing these additive effects in hybrids;and 3)pyramiding overdominant and dominant loci and minimizing or eliminating underdominant loci from the parents. 展开更多
关键词 Milling and appearance quality Quantitative trait locus/loci(QTL) HETEROSIS Hybrid rice Pyramiding breeding
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DIFFERENCES IN INTERICTAL PERFUSION PATTERNS BETWEEN REFRACTORY AND NON-REFRACTORY TEMPORAL LOBE EPILEPSIES EVALUATED WITH FAIR AT 3.0T
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作者 hui you Jing-jing Lu +4 位作者 Lian-kun Ren Xiao-zhen Li Feng Feng Chun-ling Meng Zheng-yu Jin 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第4期219-222,共4页
Objective To investigate the difference in interictal perfusion patterns between refractory and non-refractory temporal lobe epilepsies evaluated with flow-sensitive alternating inversion recovery (FAIR) magnetic reso... Objective To investigate the difference in interictal perfusion patterns between refractory and non-refractory temporal lobe epilepsies evaluated with flow-sensitive alternating inversion recovery (FAIR) magnetic resonance (MR) sequence. Methods Nine patients with refractory temporal lobe epilepsy, 21 patients with non-refractory temporal lobe epilepsy, and 13 normal volunteers underwent FAIR MR scanning. The relative cerebral blood flow (rCBF) in bilateral hemispheres and mesial temporal lobes were measured. And we also calculated the asymmetry index (AI) values. Results The AI values of bilateral hemispheres in refractory and non-refractory epilepsy patients were both significantly different from those of volunteers (P=0.012 and 0.029, respectively). There was significant difference in AI values of bilateral mesial temporal lobes between non-refractory epilepsy patients and volunteers (P=0.049), while no significant difference between refractory epilepsy patients and volunteers. Conclusions The hypoperfusion pattern of interictal refractory temporal lobe epilepsy patients is different from that of non-refractory patients. Although the hypoperfusion tends to extend out of temporal lobes in all patients, the refractory epilepsy patients have a preference of bilateral mesial temporal hypoperfusion, which may be valuable for evaluating prognosis. 展开更多
关键词 癫痫 磁共振技术 灌注不足 预后
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RETROSPECTIVE ANALYSIS OF MAGNETIC RESONANCE MYOCARDIAL DELAYED ENHANCEMENT
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作者 Zhu-hua Zhang Qi Miao +12 位作者 Song-bai Lin Shu-yang Zhang Li-bo Chen Heng Zhang Yi-ning Wang Lu Zhou Lin-yan Kong Feng Feng hui you Hong-yi Sun Wen-min Zhao Li-ren Zhang Zheng-yu Jin 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第4期245-251,共7页
Objective To explore the imaging and related clinical characteristics of magnetic resonance (MR) delayed enhancement in patients with ischemic or nonischemic heart disease. Methods Thirty-two cases who underwent MR my... Objective To explore the imaging and related clinical characteristics of magnetic resonance (MR) delayed enhancement in patients with ischemic or nonischemic heart disease. Methods Thirty-two cases who underwent MR myocardial cine and delayed enhancement imaging from January 2004 to October 2006 were retrospectively analyzed. The cine sequence imaging included the four-chamber view and the left ventricular short axis view. The delayed enhancement imaging was taken 10 minutes after the infusion of gadolinium from the antecubital vein with a segmented inversion-recovery-prepared T1-weighted fast gradient echo sequence. Patients underwent coronary computed tomography angiography (CTA) two weeks before or after the MR imaging examination. Combined with clinical history, the clinical and MR imaging characteristics of the patients who had delayed enhancement were analyzed. Results MR delayed enhancement could be found in 16 cases. Among them, 12 cases had ischemic heart disease. Their coronary CTA showed one to three vessel diseases. The delayed enhancement was transmural or subendocardium, and the area of delayed enhancement corresponded well with one or more coronary arteries which had severe stenosis or occlusion. Four cases had nonischemic heart diseases. One case was dilated cardiomyopathy, with diffuse small midwall spots in delayed enhancemen and only 30% stenosis of the anterior descending coronary artery in coronary CTA. One case was hypertrophic cardiomyopathy, with delayed enhancement of strip- and patch-shaped at midwall of the hypertrophic myocardium. One case was restrictive cardiomyopathy, and the delayed enhancement was located in the area of subendocardium of both the right and left ventricles. Coronary CTA of these two cases were normal. The other case was a mass of the lateral wall of the left ventricle, and the delayed enhancement with a clumpy shape was located in the lateral wall of the left ventricle. Conclusions MR myocardial delayed enhancement is not a specific sign of myocardial infarction of ischemic heart disease. Nonischemic heart diseases including all kinds of primary cardiomyopathy and some other diseases affecting myocardium can also cause delayed enhancement, but their characteristics are different. The differentiation of the etiology of the nonischemic heart disease with delayed enhancement relies upon the intimate connection with clinical history and the cine sequence MR images. 展开更多
关键词 磁共振技术 心脏疾病 心室 血管造影术
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Diabetes insipidus with impaired vision caused by germinoma and perioptic meningeal seeding:A case report
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作者 Na Yang hui-Juan Zhu +4 位作者 Yong Yao Li-Yun He Yu-Xiu Li hui you Hua-Bing Zhang 《World Journal of Clinical Cases》 SCIE 2021年第8期1976-1982,共7页
BACKGROUND Germinoma is a type of germ cell tumor that most frequently arises in the midline axis of the brain.Impaired vision is a clinical manifestation of germinnoma.Although rare,intracranial germinoma seeding to ... BACKGROUND Germinoma is a type of germ cell tumor that most frequently arises in the midline axis of the brain.Impaired vision is a clinical manifestation of germinnoma.Although rare,intracranial germinoma seeding to the perioptic arachnoid space is one cause of visual acuity decrease.CASE SUMMARY An 11yearold girl who presented with polyuria and polydipsia and subsequently developed diminution of vision.Imaging showed bilateral heterogeneous enhancement of the optic nerve sheaths and atrophy of the optic nerve,and transsphenoidal biopsy revealed a germinoma.The patient experienced poor visual recovery following chemotherapy and radiotherapy.Germinomas are rare and they are mostly identified in children and adolescents.The manifestations include diabetes insipidus,pituitary dysfunction,visual complaints,etc.The mechanisms that lead to visual loss include intracranial hypertension,compression of optic chiasma,and tumor invasion.A literature review was performed to summarize the cases with a tumor infiltrating the optic nerve.Most of the reported patients were adolescents and presented with anterior pituitary hormone deficiency.Enhancement of optic nerve sheaths and optic disc pallor could be identified in most of the cases.The purpose of this report is to provide awareness that in cases where a germinoma is associated with visual loss,though rare,perioptic meningeal seeding should be taken into consideration.CONCLUSION The case report suggests that children with diabetes insipidus need a complete differential diagnosis. 展开更多
关键词 GERMINOMA Visual acuity decrease Central diabetes insipidus Perioptic meningeal seeding Intracranial tumor Case report
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肺吸虫感染致胸腔积液6例临床分析
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作者 王汉生 陈晓 +3 位作者 尤辉 刘岩 任涛 王梅芳 《中华实验和临床感染病杂志(电子版)》 CAS 2023年第5期348-353,共6页
目的探索肺吸虫致胸腔积液的临床诊断经验,避免误诊或延误诊断。方法回顾性分析2018年5月至2022年12月十堰市太和医院呼吸与危重症医学科收治的6例肺吸虫感染所致胸腔积液患者的临床资料及诊治过程。收集患者人口学特征、临床症状、暴... 目的探索肺吸虫致胸腔积液的临床诊断经验,避免误诊或延误诊断。方法回顾性分析2018年5月至2022年12月十堰市太和医院呼吸与危重症医学科收治的6例肺吸虫感染所致胸腔积液患者的临床资料及诊治过程。收集患者人口学特征、临床症状、暴露史、实验室指标、胸水细胞学检查、胸膜活检组织病理学检查、肺吸虫特异性抗原皮内试验、抗寄生虫治疗后转归以及后期随访结果。结果分别有3例男性、3例女性患者入组,平均年龄为(46.5±5.1)岁。患者外周血嗜酸性粒细胞绝对计数和百分比均不同程度升高(12.6%~54.0%);4例患者胸水细胞学显示存在少量或大量嗜酸性粒细胞;4例患者行内科胸腔镜胸膜活检,其中3例提示间质可见嗜酸性粒细胞广泛浸润,1例患者可见寄生虫虫卵,另1例患者显示非特异性炎症。6例患者中4例有生食淡水蟹或饮用溪水的暴露史,同时6例患者肺吸虫特异性抗原皮内试验(IDTPA)阳性和血清肺吸虫抗体酶联免疫吸附试验(ELISA)阳性,排除肺外脏器肺吸虫感染,诊断为肺吸虫所致胸腔积液。6例患者均接受口服吡喹酮治疗(25 mg/kg、3次/d,连用3 d为1个疗程,间歇7 d后行第2个疗程),胸部计算机断层扫描(CT)随访显示治疗后胸腔积液减少或消失。结论在诊断不明原因胸腔积液时,对于外周血、胸水或胸膜组织嗜酸性粒细胞异常增多,且生食淡水蟹或者生溪水的患者应高度怀疑肺吸虫感染所致胸腔积液,尤其是来自肺吸虫感染流行地区的患者。 展开更多
关键词 肺吸虫 胸腔积液 嗜酸性粒细胞 肺吸虫特异性抗原皮内试验 吡喹酮
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1T′-MoTe_(2)-Based On-Chip Electrocatalytic Microdevice:A Platform to Unravel Oxidation-Dependent Electrocatalysis
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作者 hui you Zhiwen Zhuo +7 位作者 Xiufang Lu youwen Liu Yabin Guo Wenbin Wang Huan Yang Xiaojun Wu huiqiao Li Tianyou Zhai 《CCS Chemistry》 CAS 2019年第5期396-406,共11页
Ultrathin transition metal dichalcogenides(TMDs)are of particular interest as low-cost alternatives to highly active electrocatalysts because of their high surface activation energy.However,their striking structural c... Ultrathin transition metal dichalcogenides(TMDs)are of particular interest as low-cost alternatives to highly active electrocatalysts because of their high surface activation energy.However,their striking structural characteristics cause chemical instability and undergo oxidation easily. 展开更多
关键词 1T′-MoTe_(2) on-chip electrocatalytic micro-device electron density modulator catalytic model hydrogen evolution reaction
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