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256层iCT剂量优化技术在婴幼儿复杂先天性心脏病中的应用 被引量:10
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作者 周燕飞 郑穗生 +1 位作者 邹立巍 杨立状 《中国现代医学杂志》 CAS 2019年第9期100-103,共4页
目的探讨256层i CT剂量优化计算机体层血管成像(CTA)技术在小儿复杂先天性心脏病术前诊断中的应用价值。方法选取某院先天性心脏病患儿50例,根据检查方法分为回顾组、前瞻组,分别采用回顾性、前瞻性心电门控心脏CTA检查,对两组扫描图像... 目的探讨256层i CT剂量优化计算机体层血管成像(CTA)技术在小儿复杂先天性心脏病术前诊断中的应用价值。方法选取某院先天性心脏病患儿50例,根据检查方法分为回顾组、前瞻组,分别采用回顾性、前瞻性心电门控心脏CTA检查,对两组扫描图像进行图像质量评估、差异分析;比较两组患儿有效射线辐射剂量;以手术结果为金标准,比较术前CTA、超声心动图(UCG)及手术符合率。结果两组患儿扫描图像差异无统计学意义(P>0.05);前瞻组容积CT计量指数(CTDI)、剂量长度乘积(DLP)、有效剂量(ED)值与回顾组比较,差异有统计学意义(P <0.05),前瞻组低于回顾组。术前总体CTA诊断手术符合率与UCG诊断比较,差异有统计学意义(P <0.05),CTA优于UCG。结论剂量优化心脏CTA检查对复杂先天性心脏病术前诊断具有临床意义。 展开更多
关键词 心脏病 体层摄影术 CT 辐射剂量
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Remote ischemic perconditioning prevents liver transplantation-induced ischemia/reperfusion injury in rats: Role of ROS/RNS and e NOS 被引量:18
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作者 Ning He Jun-Jun Jia +10 位作者 Jian-Hui Li yan-fei zhou Bing-Yi Lin Yi-Fan Peng Jun-Jie Chen Tian-Chi Chen Rong-Liang Tong Li Jiang Hai-Yang Xie Lin zhou Shu-Sen Zheng 《World Journal of Gastroenterology》 SCIE CAS 2017年第5期830-841,共12页
AIM To investigate the underlying mechanisms of the protective role of remote ischemic perconditioning(RIPerC) in rat liver transplantation. METHODS Sprague-Dawley rats were subjected to sham, orthotopic liver transpl... AIM To investigate the underlying mechanisms of the protective role of remote ischemic perconditioning(RIPerC) in rat liver transplantation. METHODS Sprague-Dawley rats were subjected to sham, orthotopic liver transplantation(OLT), ischemic postconditioning(IPostC) or RIPerC. After 3 h reperfusion, blood samples were taken for measurement of alanine aminotransferase, aspartate aminotransferase, creatinine(Cr) and creatinine kinase-myocardial band(CK-MB). The liver lobes were harvested for the following measurements: reactive oxygen species(ROS), H2O2, mitochondrial membrane potential(ΔΨm) and total nitric oxide(NO). These measurements were determined using an ROS/H2O2, JC1 and Total NOx Assay Kit, respectively. Endothelial NO synthase(e NOS) was analyzed by reverse transcription-polymerase chain reaction(RTPCR) and western blotting, and peroxynitrite was semiquantified by western blotting of 3-nitrotyrosine. RESULTS Compared with the OLT group, the grafts subjected to RIPerC showed significantly improved liver and remote organ functions(P < 0.05). ROS(P < 0.001) including H2O2(P < 0.05) were largely elevated in the OLT group as compared with the sham group, and RIPerC(P < 0.05) reversed this trend. The collapse of ΔΨm induced by OLT ischemia/reperfusion(I/R) injury was significantly attenuated in the RIPerC group(P < 0.001). A marked increase of NO content and phosphoserine eN OS, both in protein and mR NA levels, was observed in liver graft of the RIPer C group as compared with the OLT group(P < 0.05). I/R-induced 3-nitrotyrosine content was significantly reduced in the RIPerC group as compared with the OLT group(P < 0.05). There were no significant differences between the RIPerC and IPostC groups for all the results except Cr. The Cr level was lower in the RIPerC group than in the IPostC group(P < 0.01).CONCLUSION Liver graft protection by RIPerC is similar to or better than that of IPostC, and involves inhibition of oxidative stress and up-regulation of the PI3K/Akt/e NOS/NO pathway. 展开更多
关键词 肝移植 Ischemia/reperfusion 损害 遥远的 ischemic perconditioning Endothelial 氮的氧化物 synthase 反应的氧种类
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Influence of perfusate on liver viability during hypothermic machine perfusion 被引量:7
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作者 Jun-Jun Jia Jing Zhang +7 位作者 Jian-Hui Li Xu-Dong Chen Li Jiang yan-fei zhou Ning He Hai-Yang Xie Lin zhou Shu-Sen Zheng 《World Journal of Gastroenterology》 SCIE CAS 2015年第29期8848-8857,共10页
AIM: To optimize the perfusates used for hypothermicmachine perfusion(HMP).METHODS: Sprague-Dawley rats were assigned randomly to three groups(n = 12 per group) that received either saline, University of Wisconsin col... AIM: To optimize the perfusates used for hypothermicmachine perfusion(HMP).METHODS: Sprague-Dawley rats were assigned randomly to three groups(n = 12 per group) that received either saline, University of Wisconsin coldstorage solution(UW) or histidine-tryptophan-ketoglutarate solution(HTK) as the perfusate. Each group was divided into two subgroups: static cold storage(SCS) and HMP(n = 6 per subgroup). The liver graft was retrieved according to the method described by Kamada. For the SCS group, the graft was directly placed into cold perfusate(0-4?℃) for 6 h after liver isolation while the portal vein of the graft was connected to the perfusion machine for the HMP group. Then the perfusates were collected at different time points for analysis of aspartate aminotransferase(AST), alanine transaminase(ALT) and lactate dehydrogenase(LDH) levels. Liver tissues were obtained for evaluation of histology, dry/wet weight(D/W) ratio, and malondialdehyde(MDA) and adenosine-triphosphate(ATP) levels. The portal vein pressure and velocity were monitored in real time in all HMP subgroups.RESULTS: Comparison of HMP and SCS: Regardless of the perfusate, HMP improved the architecture of donor graft in reducing the congestion around sinusoids and central vein and maintaining sinusoid lining in morphology; HMP improved liver function in terms of ALT, AST and LDH, especially during the 3-6 h period(SCS vs HMP using saline: ALT3, 225.00 ± 105.62 vs 49.50 ± 18.50, P = 0.047; LDH3, 1362.17 ± 563.30 vs 325.75 ± 147.43, P = 0.041; UW: LDH6, 2880.14 ± 948.46 vs 2135.00 ± 174.27, P = 0.049; HTK, AST6, 307.50 ± 52.95 vs 185.20 ± 20.46, P = 0.041); HMP decreased MDA level(saline, 2.79 ± 0.30 vs 1.09 ± 0.09, P = 0.008; UW, 3.01 ± 0.77 vs 1.23 ± 0.68, P = 0.005; HTK, 3.30 ± 0.52 vs 1.56 ± 0.22, P = 0.006). Comparison among HMP subgroups: HTK showed less portal vein resistance than UW and saline(vs saline, 3.41 ± 0.49 vs 5.00 ± 0.38, P < 0.001; vs UW, 3.41 ± 0.49 vs 4.52 ± 0.63, P = 0.007); UW reduced edema most efficiently(vs saline, 0.68 ± 0.02 vs 0.79 ± 0.05, P = 0.013), while HTK maintained ATP levels best(vs saline, 622.60 ± 29.11 vs 327.43 ± 44.66, P < 0.001; vs UW, 622.60 ± 29.11 vs 301.80 ± 37.68, P < 0.001).CONCLUSION: HMP is superior to SCS in maintaining both architecture and function of liver grafts. Further, HTK was found to be the optimal perfusate for HMP. 展开更多
关键词 Hypothermic machine perfusion Staticcold storage LIVER VIABILITY WISCONSIN cold-storagesolution Histidine-tryptophan-ketoglutarate solution
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Mitofusin-2 mediated mitochondrial Ca2+ uptake 1/2 induced liver injury in rat remote ischemic perconditioning liver transplantation and alpha mouse liver-12 hypoxia cell line models 被引量:3
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作者 Ruo-Peng Liang Jun-Jun Jia +7 位作者 Jian-Hui Li Ning He yan-fei zhou Li Jiang Tao Bai Hai-Yang Xie Lin zhou Yu-Ling Sun 《World Journal of Gastroenterology》 SCIE CAS 2017年第38期6995-7008,共14页
AIM To investigate the protective mechanism of mitofusin-2(Mfn2) in rat remote ischemic perconditioning(RIC) models and revalidate it in alpha mouse liver-12(AML-12) hypoxia cell lines.METHODS Sprague-Dawley rats were... AIM To investigate the protective mechanism of mitofusin-2(Mfn2) in rat remote ischemic perconditioning(RIC) models and revalidate it in alpha mouse liver-12(AML-12) hypoxia cell lines.METHODS Sprague-Dawley rats were divided into three groups(n = 6 each): sham, orthotopic liver transplantation and RIC. After operation, blood samples were collected to test alanine aminotransferase and aspartate aminotransferase. The liver lobes were harvested for histopathological examination, western blotting(WB) and quantitative real-time(q RT)-PCR. AML-12 cell lines were then subjected to normal culture, anoxic incubator tank culture(hypoxia) and anoxic incubator tank culture with Mfn2 knockdown(hypoxia + Si), and data of q RT-PCR, WB, mitochondrial membrane potential(ΔΨm), apoptosis, endoplasmic reticulum Ca2+ concentrations and mitochondrial Ca2+ concentrations were collected.RESULTS Both sham and normal culture groups showed no injury during the experiment. The RIC group showed amelioration of liver function compared with the orthotopic liver transplantation group(P < 0.05). q RTPCR and WB confirmed that Mfn2-mitochondrial Ca2+ uptake 1/2(MICUs) axis was changed(P < 0.005). In AML-12 cell lines, compared with the hypoxia group, the hypoxia + Si group attenuated the collapse of ΔΨm and apoptosis(P < 0.005). The endoplasmic reticulum Ca2+ decrease and mitochondrial Ca2+ overloading observed in the hypoxia group were also attenuated in the hypoxia + Si group(P < 0.005). Finally, q RT-PCR and WB confirmed the Mfn2-MICUs axis change in all the groups(P < 0.005).CONCLUSION Mfn2 participates in liver injury in rat RIC models and AML-12 hypoxia cell lines by regulating the MICUs pathway. 展开更多
关键词 遥远的 ischemic 每调节 Ischemia-reperfusion 损害 Ca 2+ Mitofusin-2 Mitochondrial Ca 2+ uniporter
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羧基化PEG修饰的磁流体的制备和表征(英文) 被引量:1
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作者 周彦菲 杜玲然 +1 位作者 周超 范田园 《Journal of Chinese Pharmaceutical Sciences》 CAS 2012年第1期50-56,共7页
制备和表征肿瘤热疗用羧基化PEG修饰的Fe_3O_4磁流体。化学共沉淀方法制备四氧化三铁磁性纳米颗粒,然后用羧基化PEG修饰;用邻二氮菲显色法测定磁流体中铁的含量;沉降方法考察了制备的磁流体的稳定性;通过X射线衍射、透射电子显微镜、红... 制备和表征肿瘤热疗用羧基化PEG修饰的Fe_3O_4磁流体。化学共沉淀方法制备四氧化三铁磁性纳米颗粒,然后用羧基化PEG修饰;用邻二氮菲显色法测定磁流体中铁的含量;沉降方法考察了制备的磁流体的稳定性;通过X射线衍射、透射电子显微镜、红外和振动样品磁强计对制备的磁流体进行表征;测定了磁流体在交变磁场作用下的热效应。羧基化PEG修饰的磁流体稳定性明显优于未修饰的;红外图谱和X衍射图谱证明所制备的磁流体样品由Fe_3O_4组成;透射电镜照片显示磁性粒子分散良好;经X衍射数据计算得磁性粒子的粒径约为5 nm;羧基化PEG修饰磁流体的饱和磁化强度和剩余磁化强度分别为47.01和3.41 emu/g。矫顽力为6.7 Oe;磁流体的特征吸收率为63.0 W/g[Fe]。羧基化PEG修饰的Fe_3O_4磁流体有望用于肿瘤热疗。 展开更多
关键词 铁磁流体 四氧化三铁 羧基化聚乙二醇 热效应 热疗
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