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来那度胺联合自体造血干细胞移植治疗POEMS综合征1例及文献复习
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作者 张权娥 陈月 +3 位作者 张丽娟 丁亦含 王春玲 何正梅 《南京医科大学学报(自然科学版)》 CAS 北大核心 2024年第2期293-296,共4页
POEMS综合征(POEMS syndrome)是一种罕见的克隆性浆细胞病,Bardwick等[1]于1980年根据该疾病主要症状的首字母:多发性神经病(polyneuropathy)、脏器肿大(organmegaly)、内分泌异常(endocrinopathy)、M蛋白(mprotein)、皮肤改变(skin cha... POEMS综合征(POEMS syndrome)是一种罕见的克隆性浆细胞病,Bardwick等[1]于1980年根据该疾病主要症状的首字母:多发性神经病(polyneuropathy)、脏器肿大(organmegaly)、内分泌异常(endocrinopathy)、M蛋白(mprotein)、皮肤改变(skin changes),提出了POEMS综合征的命名方式。POEMS综合征的临床表现复杂,涉及多个学科,并且没有特定的检查方法,所以POEMS综合征早期容易漏诊或误诊。该病发病机制尚不清,可能与细胞因子失衡相关。 展开更多
关键词 poemS综合征 来那度胺 自体造血干细胞移植
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变异型POEMS综合征1例并文献复习
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作者 牛慧玲 汪雪萍 马婕 《中国高原医学与生物学杂志》 CAS 2024年第1期70-72,共3页
POEMS综合征是一种罕见的综合征,1980年由Bardwick及其同事首次提出。近期,青海大学附属医院血液科诊断变异型POEMS综合征1例,现报告如下1病例资料患者,男,53岁,于1年前无明显诱因发现双侧乳房大小略增,体毛增多变硬,性功能减退.
关键词 变异型 poemS 综合征
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不典型POEMS综合征1例报告并文献复习
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作者 苏禹行 马春燕 李淞 《吉林医学》 CAS 2024年第1期250-252,F0003,共4页
POEMS综合征是一种罕见的由单克隆浆细胞异常增殖导致的副肿瘤综合征,主要表现为脱髓鞘性周围神经病及多系统受累。Bardwick等于1980年根据该疾病主要症状的首字母:多发性神经病、脏器肿大、内分泌异常、M蛋白、皮肤改变,提出了POEMS综... POEMS综合征是一种罕见的由单克隆浆细胞异常增殖导致的副肿瘤综合征,主要表现为脱髓鞘性周围神经病及多系统受累。Bardwick等于1980年根据该疾病主要症状的首字母:多发性神经病、脏器肿大、内分泌异常、M蛋白、皮肤改变,提出了POEMS综合征的命名方式[1-2]。日本在2003年的全国范围调查,其发病率大约为0.3/100000[3]。其发病率低,已被列入我国首批罕见病目录。由于其罕见性、多系统受累和临床高度异质性,有着较高的误诊率和漏诊率,从发病至诊断中位时间约为12个月[4-5]。POEMS综合征患者临床症状不典型国内少有相关文献报道,本研究报道1例POEMS综合征患者资料(患者及家属表示知情同意),同时对该病文献进行复习学习,以期为POEMS综合征患者的治疗提供临床指导和参考。 展开更多
关键词 poemS综合征 周围神经病变 血管内皮生长因子 预后
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达雷妥尤单抗联合方案治疗POEMS综合征1例并文献复习
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作者 张杨 王佳妮 魏芳 《山西医科大学学报》 CAS 2024年第4期530-533,共4页
POEMS(polyneuropathy,organomegaly,endocrinopathy,M-protein and skin changes)综合征是一种单克隆浆细胞异常增殖的副肿瘤综合征,患病率约为0.3/10万[1]。该病累积神经、内分泌、骨骼、免疫及造血等系统,临床上诊断需要2个基本要素... POEMS(polyneuropathy,organomegaly,endocrinopathy,M-protein and skin changes)综合征是一种单克隆浆细胞异常增殖的副肿瘤综合征,患病率约为0.3/10万[1]。该病累积神经、内分泌、骨骼、免疫及造血等系统,临床上诊断需要2个基本要素:多发性周围神经病和单克隆浆细胞病[2]。周围神经病变是超过60%的POEMS综合征患者的首发症状,不少患者早期就诊于神经内科并被误诊为慢性炎性脱髓鞘性多发性神经根神经病(chronic inflammatory demyelinating polyneuropathy,CIDP)等原发性神经系统疾病[3]。由于神经病变进展缓慢、致残率高,多数患者就诊时症状严重且已造成神经不可逆性损伤,给患者生活带来极大不便,因此早识别、早诊断、及时治疗至关重要。本文报告1例采用达雷妥尤单抗(Daratumumab,Dara)联合方案治疗伴有严重周围神经病变的POEMS综合征,分析了神经病变的发病机制,并强调了POEMS综合征诊断的复杂性以及Daratumumab作为新一代药物在治疗中的潜在优势。 展开更多
关键词 poemS综合征 多发性周围神经病 恶性浆细胞病 达雷妥尤单抗
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以肾上腺功能减退为首发表现的POEMS综合征1例报道并文献复习
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作者 桂成思 唐元艳 《现代医药卫生》 2024年第S01期194-196,共3页
老年男性患者,无明显诱因出现乏力、纳差,并进行性加重,伴双下肢水肿,入院检查存在多发性神经病,缺乏单克隆浆细胞证据,存在Castleman病及VEGF升高,有淋巴结增大、皮肤色素沉积、浆膜腔积液及肾上腺皮质功能减退,可诊断为变异型POEMS综... 老年男性患者,无明显诱因出现乏力、纳差,并进行性加重,伴双下肢水肿,入院检查存在多发性神经病,缺乏单克隆浆细胞证据,存在Castleman病及VEGF升高,有淋巴结增大、皮肤色素沉积、浆膜腔积液及肾上腺皮质功能减退,可诊断为变异型POEMS综合征。这个患者以肾上腺皮质功能减退为首发及突出表现,较少见,故对POEMS综合征的内分泌病变发病机制进行文献复习。 展开更多
关键词 poemS综合征 CASTLEMAN病 肾上腺皮质功能减退
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Preface to Special Issue on Towards High Performance Ga_(2)O_(3) Electronics: Epitaxial Growth and Power Devices(Ⅰ)
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作者 Genquan Han Shibing Long +2 位作者 Yuhao Zhang Yibo Wang Zhongming Wei 《Journal of Semiconductors》 EI CAS CSCD 2023年第6期4-6,共3页
There is currently great optimism within the electronics community that gallium oxide(Ga_(2)O_(3)) ultra-wide bandgap semiconductors have unprecedented prospects for eventually revolutionizing a rich variety of power ... There is currently great optimism within the electronics community that gallium oxide(Ga_(2)O_(3)) ultra-wide bandgap semiconductors have unprecedented prospects for eventually revolutionizing a rich variety of power electronic applications. Specially, benefiting from its ultra-high bandgap of around 4.8 eV, it is expected that the emerging Ga_(2)O_(3) technology would offer an exciting platform to deliver massively enhanced device performance for power electronics and even completely new applications. 展开更多
关键词 Epitaxial Growth and Power Devices preface to Special Issue on Towards High Performance Ga_(2)O_(3)Electronics POWER
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POEMS综合征1例报道并文献复习
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作者 梁庆健 符家武 +2 位作者 刘洲 冼文川 钟望涛 《中国实用神经疾病杂志》 2024年第7期901-905,共5页
目的对POEMS综合征的临床特征及治疗进行总结,以提高临床对该病的诊疗能力。方法对广东医科大学附属医院收治的1例POEMS综合征患者的临床表现、相关辅助检查结合既往文献复习进行分析。结果本例患者以四肢麻木、无力起病,逐渐出现肢体... 目的对POEMS综合征的临床特征及治疗进行总结,以提高临床对该病的诊疗能力。方法对广东医科大学附属医院收治的1例POEMS综合征患者的临床表现、相关辅助检查结合既往文献复习进行分析。结果本例患者以四肢麻木、无力起病,逐渐出现肢体水肿、器官肿大、皮肤色素沉着等症状,曾查M蛋白阴性,历时5 a方确诊。结论POEMS综合征临床表现多样,早期极易误诊,临床应提高对该病的认识,从而降低误诊率及漏诊率。 展开更多
关键词 poemS综合征 周围神经病 临床特征 预后
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^(18)F-FDG PET/CT显像及血管内皮生长因子对POEMS综合征放化疗联合自体干细胞移植的疗效
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作者 陆国秀 郝珊瑚 +1 位作者 刘艳清 张国旭 《分子影像学杂志》 2024年第4期353-357,共5页
目的探讨^(18)F-FDG PET/CT显像、血管内皮生长因子(VEGF)在POEMS综合征放化疗联合自体干细胞移植治疗中的价值。方法回顾性分析2012年6月~2022年12月本院123例临床高度怀疑POEMS综合征患者临床及影像资料,最终纳入25例患者,经临床及病... 目的探讨^(18)F-FDG PET/CT显像、血管内皮生长因子(VEGF)在POEMS综合征放化疗联合自体干细胞移植治疗中的价值。方法回顾性分析2012年6月~2022年12月本院123例临床高度怀疑POEMS综合征患者临床及影像资料,最终纳入25例患者,经临床及病理确诊POEMS综合征21例,惰性淋巴瘤1例,多发性骨髓瘤3例。21例POEMS综合征患者分为单纯放化疗组(n=12)和放化疗联合自体干细胞移植治疗组(n=9),分析两组患者PET/CT影像特点、最大标准化摄取值(SUV_(max))、VEGF、白细胞介素6(IL-6)、游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺激素(TSH)水平,随访观察两组患者的治疗效果。结果21例POEMS综合征患者均伴有不同程度的多发性神经病变与单克隆浆细胞增殖性改变,皮肤病变10例。^(18)F-FDG PET/CT显像21例患者94个部位形态或代谢异常,SUV_(max)与VEGF水平呈正相关性(r=0.590,P=0.005),而SUV_(max)与FT3、FT4、TSH、IL-6水平均无相关性(P>0.05)。随访55.5±17.6月,治疗后VEGF水平较治疗前基线水平降低(1670.7±309.1 pg/mL vs2051.0±458.8 pg/mL,P<0.05);放化疗联合自体干细胞治疗组中位生存期与单纯放化疗组的差异无统计学意义(P=0.612)。结论PET/CT显像联合血清VEGF水平检测可作为POEMS综合征诊断、活动度监测及预后评估的无创方法,自体干细胞联合放化疗未明显延长POEMS综合征的中位生存期。 展开更多
关键词 poemS综合征 自体干细胞治疗 标准化摄取值 PET/CT显像 单克隆增殖性疾病 多发性神经病变
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A Preliminary Exploration of Zong Baihua’s Aesthetic Character and the Creative Philosophy of Small Poems
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作者 ZHANG Hao 《Cultural and Religious Studies》 2024年第1期15-23,共9页
Zong Baihua’s aesthetic character and the creative philosophy of small poems are integrated and intertwined with each other,with distinctive aesthetic characteristics and unique artistic concepts.Whether it is his“r... Zong Baihua’s aesthetic character and the creative philosophy of small poems are integrated and intertwined with each other,with distinctive aesthetic characteristics and unique artistic concepts.Whether it is his“rounded and integrated aesthetics centered on Chinese art”,“vivid and charming natural cosmology”,or“personality aesthetics that mutually mirrors with the nature universe”,they all have extraordinary inspirations and guidance for us today to explore the reform of new literature and art,the reform of new poems,and even the contemplation of the cosmos,society,and life,with positive and profound significance. 展开更多
关键词 Zong Baihua AESTHETICS small poem
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POEMS综合征的神经肌电图特征分析 被引量:1
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作者 岳亚延 于明 《包头医学院学报》 CAS 2023年第3期37-41,共5页
目的:探讨POEMS综合征的神经肌电图特征,为疾病的早期识别提供参考依据。方法:回顾性分析8例POEMS综合征患者(观察组)的神经肌电图特征,对比患者上、下肢的神经传导及F波出现率差异,并与对照组(同时期内进行肌电图检查的8例健康体检者)... 目的:探讨POEMS综合征的神经肌电图特征,为疾病的早期识别提供参考依据。方法:回顾性分析8例POEMS综合征患者(观察组)的神经肌电图特征,对比患者上、下肢的神经传导及F波出现率差异,并与对照组(同时期内进行肌电图检查的8例健康体检者)的神经传导和针肌电图指标进行对比。结果:观察组感觉神经动作电位(sensory nerve action potential,SNAP)引出率(41.7%)低于复合肌肉动作电位(compound muscle action potential,CMAP)(81.3%)(P<0.05),下肢CMAP引出率(62.5%)低于上肢(100%)(P<0.05),下肢SNAP引出率(0.0%)低于上肢(62.5%),胫神经F波引出率(0.0%)低于正中神经(100%)。与对照组相比,观察组运动传导末端潜伏期(distal motor latency,DML)延长、运动神经传导速度(motor nerve conduction velocity,MCV)减慢、波幅(amplitude,AMP)降低(P<0.05),感觉传导AMP降低、感觉神经传导速度(sensory nerve conduction velocity,SCV)减慢(P<0.05),胫神经F波引出率明显下降、正中神经F波平均潜伏期延长(P<0.05),尺神经远端潜伏期指数(TIL)增高(P<0.05);观察组针极肌电图异常率24.1%,其中胫前肌异常率最高。结论:POEMS综合征患者运动神经、感觉神经均受累,传导速度与波幅均异常,F波异常率高,针电极肌电图可出现神经源性损害。 展开更多
关键词 poemS综合征 周围神经病 肌电图
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The Contrastive Study on the Use of Politeness in Chinese Preface and English Preface
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作者 徐雅楠 《海外英语》 2013年第6X期251-253,共3页
Based on Leech's maxims of politeness, this paper conducts a contrastive study between the use of politeness strategies in 30 Chinese prefaces and that in 30 English prefaces which are published about English study.
关键词 CHINESE preface ENGLISH preface POLITENESS princip
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Preface 被引量:7
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作者 Organizing Committee of Parallel Computing and Evolutionary Computation 《Wuhan University Journal of Natural Sciences》 CAS 2003年第S1期5-5,共1页
For celebrating the 70th birthday of Professor Kang Li-shan,we edit and publish this Special Issue to report ourrecent researches in parallel computing and evolutionary computation. Professor Kang is one of the pionee... For celebrating the 70th birthday of Professor Kang Li-shan,we edit and publish this Special Issue to report ourrecent researches in parallel computing and evolutionary computation. Professor Kang is one of the pioneers in parallel computing researches in China.In 1970ms he creatd the SchwarzAlternating Procedure and developed a class of asynchronous parallel algorithms for solving mathematical physics prob-lems called the domain decomposition methods(DDM).Then he and his colleagues continued to set up theoretic foun- 展开更多
关键词 HAVE in AS on for preface of been DDM
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Preface 被引量:54
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作者 boyun huang Academician of Chinese Academy of Engineering,Vice-president of China Association for Science and Technology,Vice-chairmen of China Postdoctoral Science Foundation 《中国有色金属学会会刊:英文版》 CSCD 2009年第S3期527-527,共1页
Materials science and technology is the basis and driving force in the progress of human society,where a great number of research frontiers represented by nanomaterials。
关键词 OFFICE preface
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Preface 被引量:28
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作者 Xu Bin2shiChairman of Academic CommitteeInternational Workshop onSustainable Manufacturing 《Journal of Central South University》 SCIE EI CAS 2005年第S2期278-279,共2页
关键词 SUSTAINABLE affiliated created RESTORATION SUMPTION grateful submit preface ESSENCE maintenance
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Preface 被引量:20
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作者 The Organizing Committee of The International Conference of Nonferrous Materials ’2007 《中国有色金属学会会刊:英文版》 CSCD 2007年第6期I0003-I0004,共2页
The International Conference of Nonferrous Materials (ICNFM) ’2007 was held in Changsha and Zhangjiajie, China, from November 25 to November 30, 2007.
关键词 In preface
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Preface 被引量:9
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作者 Guoxiong Wu Vice President, IAMAS President, Chinese National Committee for IAMAS Chongyin Li Chairman, Chinese National Committee for WCRP 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2006年第6期I0001-I0001,共1页
The 9th Scientific Assembly of the International Association of Meteorology and Atmospheric Sciences (IAMAS-2005) was held at the Beijing International Convention Center (BICC), Beijing, China from August 2-11, 20... The 9th Scientific Assembly of the International Association of Meteorology and Atmospheric Sciences (IAMAS-2005) was held at the Beijing International Convention Center (BICC), Beijing, China from August 2-11, 2005. The Theme of IAMAS-2005 is: The Fascinating Atmosphere: Changeable and Changing. 展开更多
关键词 WCRP preface CNC
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Preface 被引量:7
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作者 YU Rucong WU Guoxiong 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2008年第4期517-517,共1页
The Climate System Model Development and Application Studies (CSMDA for short) is an International Partnership Program for Creative Research Teams that was started in October 2004 and is supported by the Chinese Aca... The Climate System Model Development and Application Studies (CSMDA for short) is an International Partnership Program for Creative Research Teams that was started in October 2004 and is supported by the Chinese Academy of Sciences (CAS). The initial objectives are "to develop a sustainable climate system model that can represent the interaction of different spheres in the climate system, to provide a cross-cut research platform for atmospheric sciences, oceanography and other related fields, and to offer theoretical support for developing and improving reasonable short-range climate prediction systems". 展开更多
关键词 ESSP ASIA preface IPO
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Preface 被引量:8
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作者 LUO Ying-she Chairman of Organizing Committee 《Journal of Central South University》 SCIE EI CAS 2008年第S1期5-5,共1页
Rheology is a new cross discipline which researches on flow and deformation of matter and material,furthermore the rules of
关键词 NATURE preface CSR
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Preface 被引量:5
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作者 Peng AnProfessor Research Center for Eco-Environmental Sciences,Chinese Academy o Sciences 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 1991年第4期3-4,共2页
Kaschin-Beck disease (KBD) is regarded as an endemic, chronic, high incidence and degenerative osteoarthropathie disease. The areas of endemic KBD are relatively stable and are correlated with specific geographical en... Kaschin-Beck disease (KBD) is regarded as an endemic, chronic, high incidence and degenerative osteoarthropathie disease. The areas of endemic KBD are relatively stable and are correlated with specific geographical environments. In China, estimation of KBD patients in 1985 indicated more than 2 million people were severely affected in a broad region inhibited by over 30 million people. KBD endemic areas form a broad belt extending from northeast to southwest. The disease mostly appears in mountainous and hilly regions, and farmers are the major potentially affected ones. Hence KBD has been designated a national health priori-ty problem in China since 60’s. 展开更多
关键词 KBD preface
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Preface to the Special Issue on the “Observation,Prediction and Analysis of severe Convection of China”(OPACC) National “973” Project 被引量:9
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作者 Ming XUE 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2016年第10期1099-1101,共3页
China is a country that is frequently affected by severe convective weather. Here, severe convective weather mainly refers to intense local heavy precipitation, thunderstorm-induced gale-force winds including those fr... China is a country that is frequently affected by severe convective weather. Here, severe convective weather mainly refers to intense local heavy precipitation, thunderstorm-induced gale-force winds including those from tornadoes and downbursts, and hail and lightning. These types of severe weather are usually small in spatial scale and rapid in their development, and are therefore difficult to capture by observational networks and are poorly resolved in typical operational numerical weather prediction (NWP) models. Furthermore, many of the important dynamic and physical processes involved are not well understood. Within China, the impacts of severe convective weather rank only after those of landfalling typhoons and widespread heavy precipitation and flooding. Studies (e.g., Zhang and Zhai, 2011) have shown tendencies for an increased frequency in short-duration extreme precipitation during the past several decades over most of eastern China, where the population is most dense. An in-depth understanding of severe convective weather in China, as well as being able to accurately predict it, is clearly of great importance. 展开更多
关键词 PROJECT NATIONAL preface to the Special Issue on the
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