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α-促红细胞生成素致单纯性红细胞再生障碍性贫血 被引量:3
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作者 丁峻杰 《药物不良反应杂志》 2002年第6期418-418,共1页
α-促红细胞生成素(epoetin alfa)用于治疗慢性肾衰、癌症化疗、自体造血干细胞移植以及重大的整形外科手术相关的贫血。在英国和加拿大已有慢性肾衰患者应用α-促红细胞生成素引起单纯性红细胞再生障碍性贫血(PRCA)的报道。患者通常在... α-促红细胞生成素(epoetin alfa)用于治疗慢性肾衰、癌症化疗、自体造血干细胞移植以及重大的整形外科手术相关的贫血。在英国和加拿大已有慢性肾衰患者应用α-促红细胞生成素引起单纯性红细胞再生障碍性贫血(PRCA)的报道。患者通常在治疗开始的几个月~几年后贫血突发恶化,且对增加α-促红细胞生成素剂量或其它红细胞生成素也不敏感,形成输血依赖性。因此,应监测红细胞生成素临床反应。患者一旦出现用药无效或贫血加剧时, 展开更多
关键词 药物不良反应 α-促红细胞生成素 单纯性红细胞再生障碍性贫血
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Desferoxamine preconditioning protects against cerebral ischemia in rats by inducing expressions of hypoxia inducible factor 1α and erythropoietin 被引量:1
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作者 李云霞 丁素菊 +2 位作者 肖林 郭卫 詹青 《Neuroscience Bulletin》 SCIE CAS CSCD 2008年第2期89-95,共7页
Objective To investigate whether desferoxamine (DFO) preconditioning can induce tolerance against cerebral ischemia and its effect on the expression of hypoxia inducible factor 1 α (HIF- 1α) and erythropoietin ... Objective To investigate whether desferoxamine (DFO) preconditioning can induce tolerance against cerebral ischemia and its effect on the expression of hypoxia inducible factor 1 α (HIF- 1α) and erythropoietin (EPO) in vivo and in vitro. Methods Rat model of cerebral ischemia was established by middle cerebral artery occlusion with or without DFO administration. Infarct size was examined by TTC staining, and the neurological severity score was evaluated according to published method. Cortical neurons were cultured under ischemia stress which was mimicked by oxygen-glucose deprivation (OGD), and the neuron damage was assessed by MTT assay. Immunofluorescent staining was employed to detect the expressions of HIF-1 and EPO. Results The protective effect induced by DFO (decreasing the infarction volume and ameliorating the neurological function) appeared at 2 d after administration ofDFO (post-DFO), lasted until 7 d and disappeared at 14 d (P 〈 0.05); the most effective action was observed at 3 d post-DFO. DFO induced tolerance of cultured neurons against OGD: neuronal viability was increased 23%, 34%, 40%, 48% and 56% at 8 h, 12 h, 24 h, 36 h, and 48 h, respectively, post-DFO (P 〈 0.05). Immunofluorescent staining found that HIF-1 α and EPO were upregulated in the neurons of rat brain at 3 d and 7 d post-DFO; increase of HIF-1 α and EPO appeared in cultured cortex neurons at 36 h and 48 h post-DFO. Conclusion DFO induced tolerance against focal cerebral ischemia in rats, and exerted protective effect on OGD cultured cortical neurons. DFO significant induced the expression of HIF- 1 α and EPO both in vivo and in vitro. DFO preconditioning can protect against cerebral ischemia, which may be associated with the synthesis of HIF- 1 α and EPO. 展开更多
关键词 desferoxamine ischemia preconditioning hypoxia inducible factor 1 α ERYTHROPOIETIN
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肾功能衰竭:早期纠正贫血对慢性肾衰竭心血管病变影响的多中心临床研究
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作者 蒋建平 《中国医学文摘(内科学)》 2005年第6期712-712,共1页
慢性肾衰(CRF)透析前患者158例,均按CRF常规治疗包括低蛋白饮食、控制血压等。其中治疗组86例(Hb〈110/L),每周接受α-促红细胞生成素100-135U/kg皮下注射。对照Ⅰ组40例(Hb〈110gm),对照组Ⅱ组32例(Hb〉110g/L).
关键词 慢性肾衰竭 多中心临床研究 心血管病变 肾功能衰竭 贫血 α-促红细胞生成素 早期 低蛋白饮食 控制血压 皮下注射
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