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颅内外血栓在系统性红斑狼疮患儿中的发生情况比较
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作者 邓江红 李彩凤 +8 位作者 韩彤昕 邝伟英 王江 张俊梅 檀晓华 李超 李妍 朴玉蓉 李士朋 《中国现代医学杂志》 CAS 2020年第19期68-72,共5页
目的通过回顾性比较儿童系统性红斑狼疮(SLE)患者发生颅内、外血栓的情况,旨在发现SLE合并不同部位血栓的危险因素。方法选取2006年1月—2019年12月首都医科大学附属北京儿童医院收治的SLE患儿,收集患儿人口学资料、临床表现、活动度评... 目的通过回顾性比较儿童系统性红斑狼疮(SLE)患者发生颅内、外血栓的情况,旨在发现SLE合并不同部位血栓的危险因素。方法选取2006年1月—2019年12月首都医科大学附属北京儿童医院收治的SLE患儿,收集患儿人口学资料、临床表现、活动度评估及治疗、病程及随访资料等,并收集实验室检查数据及血栓相关数据等,根据血栓部位将患儿分为颅内血栓组及颅外血栓组,对两组资料进行比较。结果27例SLE合并血栓患儿中,6例(22.22%)发生颅内血栓,21例(77.78%)患儿发生颅外血栓。颅内血栓以颅内静脉窦血栓形成(CVST)更为多见,横窦是CVST最常见的受累部位。颅外血栓常见受累部位依次为股总静脉、髂外静脉及股深浅静脉。颅外血栓组合并肾脏受累比例较颅内血栓组高(P<0.05),颅内血栓组合并神经系统受累比例较颅外血栓组高(P<0.05)。颅外血栓组的Hb、C3、C4水平较颅内血栓组低,尿蛋白水平较颅内血栓组高(P<0.05)。治疗后两组血栓均有一定程度的好转,其中颅内血栓组1例(16.7%)患儿血栓消失再通,颅外血栓组11例(52.4%)患儿血栓消失再通。结论SLE合并颅内、外血栓形成有不同的特点,神经系统症状是颅内血栓最常见的症状,肾脏受累的患儿更易发生颅外血栓。早期诊断,积极治疗可明显改善SLE合并血栓患儿的预后。 展开更多
关键词 红斑狼疮 系统性 儿童 颅内血栓形成
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Experimental analysis of crack tip fields in rubber materials under large deformation 被引量:4
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作者 Xia Xiao Hai-Peng Song +3 位作者 Yi-Lan Kang Xiao-Lei Li xiao-hua tan Hao-Yun tan 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2012年第2期432-437,共6页
A three-nested-deformation model is proposed to describe crack-tip fields in rubber-like materials with large deformation. The model is inspired by the distribution of the measured in-plane and out-of-plane deformatio... A three-nested-deformation model is proposed to describe crack-tip fields in rubber-like materials with large deformation. The model is inspired by the distribution of the measured in-plane and out-of-plane deformation. The in- plane displacement of crack-tip fields under both Mode 1 and mixed-mode (Mode I-II) fracture conditions is measured by using the digital Moir6 method. The deformation character- istics and experimental sector division mode are investigated by comparing the measured displacement fields under differ- ent fracture modes. The out-of-plane displacement field near the crack tip is measured using the three-dimensional digital speckle correlation method. 展开更多
关键词 Crack-tip field. Large deformation Sector divi- sion mode. Three-nested-deformation model- Digital Moir6 method
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Analysis of clinical manifestations and treatment in 26 children with fibrodysplasia ossificans progressiva in China
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作者 Jun-Mei Zhang Cai-Feng Li +7 位作者 Shuang-Ying Ke Yu-Rong Piao Tong-Xin Han Wei-Ying Kuang Jiang Wang Jiang-Hong Deng xiao-hua tan Chao Li 《World Journal of Pediatrics》 SCIE CAS CSCD 2020年第1期82-88,共7页
Background Fibrodysplasia ossificans progressiva(FOP)is a rare and disabling heritable connective tissue disease that is difficult to treat.This study seeks to explore the clinical characteristics,clinical manifestati... Background Fibrodysplasia ossificans progressiva(FOP)is a rare and disabling heritable connective tissue disease that is difficult to treat.This study seeks to explore the clinical characteristics,clinical manifestations,treatment and prognosis of FOP to provide a clinical basis for its early diagnosis and treatment.Methods Twenty-six children with FOP were retrospectively analyzed in terms of their onset,clinical manifestations,auxiliary examinations and treatment.Results Among the 26 cases,the youngest age of manifestation of mass was 8 days after birth,and the average age was 3 years and 2 months.The peak age was 2-5 years old.Inflammatory mass and toe-finger deformity are the main early clinical manifestations of the disease.These inflammatory masses often lead to hard osteogenic deposits that initially mainly involve the central axis,such as the neck(22/26,84.6%),back(20/26,76.9%),and head(13/26,50%).Toe-finger deformity mainly manifests as symmetrical great toe deformity,or short and deformed thumb and little finger.The diagnosis of FOP requires typical clinical manifestations or ACVR1 gene detection.The main therapeutic drugs for FOP include glucocorticoids and non-steroidal anti-inflammatory drugs.Although not compliant with the recommended medical management of FOP,in our clinical practice children with uncontrollable illness could be treated using a variety of immunosuppressive agents in combination.Conclusions FOP is a rare autosomal dominant heritable disease.The main clinical manifestations observed in this study were recurrent inflammatory mass and toe-finger deformity.If the diagnosis and treatment are not performed in a timely manner,serious complications are likely to affect the prognosis.Therefore,early diagnosis and active treatment should be performed. 展开更多
关键词 Clinical manifestation Fibrodysplasia ossificans progressiva Inflammatory mass TREATMENT
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