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含氧血停搏液临床应用508例 被引量:4
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作者 许蓼梅 何争鸣 申建初 《中国现代医学杂志》 CAS CSCD 2000年第10期96-96,98,共2页
关键词 含氧血停搏液 心肌保护 临床应用
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含氧血持续肺动脉灌注对体外循环后细胞因子水平的影响 被引量:2
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作者 刘立明 胡建国 +4 位作者 尹邦良 周新民 宋国宝 易定武 喻杰峰 《中国现代手术学杂志》 2005年第3期196-198,共3页
目的探讨体外循环(cardiopulmonarybypass,CPB)期间含氧血持续肺动脉灌注对CPB术后细胞因子水平的影响。方法30例行二尖瓣置换术病人随机分成肺灌注组(15例)与对照组(15例)。肺灌注组病人CPB术中采用含氧血肺动脉持续灌注,对照组常规行... 目的探讨体外循环(cardiopulmonarybypass,CPB)期间含氧血持续肺动脉灌注对CPB术后细胞因子水平的影响。方法30例行二尖瓣置换术病人随机分成肺灌注组(15例)与对照组(15例)。肺灌注组病人CPB术中采用含氧血肺动脉持续灌注,对照组常规行二尖瓣置换术,未行肺动脉灌注。分别于术前、术后0h、6h抽取病人静脉血,采用双抗体夹心ABC-ELISA法测TNF-α、IL-8血浆浓度。结果同组术后较术前均明显升高(P<0.05);与对照组比较,肺灌注组术后0h、术后6hTNF-α与IL-8血浆浓度显著降低(P<0.05)。结论CPB心脏手术可引起术后细胞因子TNF-α、IL-8水平的升高,CPB术中含氧血持续肺动脉灌注可降低术后TNF-α、IL-8水平。 展开更多
关键词 体外循环 液灌注 白细胞介素8 肿瘤坏死因子 再灌注损伤 含氧血 肺动脉灌注 细胞因子
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含氧血心脏停搏液持续灌注后血清钾的变化 被引量:1
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作者 寇瑛琍 袁宏声 +2 位作者 石应康 徐小萍 赵清江 《中国胸心血管外科临床杂志》 2000年第3期231-214,共1页
目的 观察含氧血心脏停搏液持续灌注后血清钾的变化 ,对造成高钾血症的原因及预防措施进行了探讨。 方法 根据灌注不同的心脏停搏液 ,将 6 8例心瓣膜直视术患者随机分为两组 ,组 :用冷晶体心脏停搏液 (St.Thomas液 )灌注 ;组 :用... 目的 观察含氧血心脏停搏液持续灌注后血清钾的变化 ,对造成高钾血症的原因及预防措施进行了探讨。 方法 根据灌注不同的心脏停搏液 ,将 6 8例心瓣膜直视术患者随机分为两组 ,组 :用冷晶体心脏停搏液 (St.Thomas液 )灌注 ;组 :用含氧血心脏停搏液灌注。对两组血清钾水平进行了连续监测及比较分析。 结果 含氧血心脏停搏液持续灌注者术后能使血清钾维持在较好的水平 ,但有可能造成术中高钾血症。 结论 使用含氧血心脏停搏液持续灌注技术适当 ,可避免高钾血症。 展开更多
关键词 含氧血心脏停搏液 清钾 高钾
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含氧血及冷晶体心脏停搏液灌注后线粒体量化计分及超微结构变化的比较研究
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作者 寇瑛琍 田子朴 +2 位作者 周桥 张杰 张祥蓉 《现代中西医结合杂志》 CAS 2000年第22期2191-2193,共3页
目的 :对比研究含氧血心脏停搏液连续灌注与冷晶体心脏停搏液间断灌注后心肌线粒体量化计分及超微结构的变化。方法 :患者分为三组 (每组 8例 )。主动脉阻塞前及再灌注后 2 0~ 30分钟各取 1m m3心室壁肌肉置入 4℃ 2 %戊二醛液中固定... 目的 :对比研究含氧血心脏停搏液连续灌注与冷晶体心脏停搏液间断灌注后心肌线粒体量化计分及超微结构的变化。方法 :患者分为三组 (每组 8例 )。主动脉阻塞前及再灌注后 2 0~ 30分钟各取 1m m3心室壁肌肉置入 4℃ 2 %戊二醛液中固定。在电镜下选择 5个视野 ,每个视野随机观察 2 0个线粒体。依受损程度分为 0~ 4级 ,将 10 0个线粒体按级得分总和除以 10 0即为该组得分数。结果 :再灌注 2 0~ 30分钟后冷晶组计分为 (2 .6 92± 0 .46 2 ) (P<0 .0 5 ) ;浅低温血组计分为 (1.0 6 7±0 .377) ;常温血组计分为 (1.16 5± 0 .30 2 )。结论 :电镜下线粒体超微结构及量化计分证明了含氧血组心肌保护明显优于冷晶组。 展开更多
关键词 线粒体量化计分 心肌 超微结构 含氧血 心脏停搏液 冷晶体
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应用中度低温含氧血停跳液持续灌注心肌保护法的临床疗效分析
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作者 马游 吴凯 《江苏临床医学杂志》 1998年第2期99-100,共2页
应用中度低温含氧血停跳波持续灌注心肌保护方法对20例各种先天性及风湿性心脏病人进行手术治疗,与低温冷晶体停跳液间断灌注方法相比较,此方法临床上表现开放主动脉后心脏自动复跳车高,脱机顺利,术后低心排综合症发生率低,血流动... 应用中度低温含氧血停跳波持续灌注心肌保护方法对20例各种先天性及风湿性心脏病人进行手术治疗,与低温冷晶体停跳液间断灌注方法相比较,此方法临床上表现开放主动脉后心脏自动复跳车高,脱机顺利,术后低心排综合症发生率低,血流动力学稳定,无手术死亡,表明具有较好的心肌保护效果。 展开更多
关键词 心肌保护 体外循环 中度低温 含氧血 停跳液
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不同温度含氧血停跳液的临床应用价值 被引量:1
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作者 赵俊林 陈惠端 《福建医药杂志》 CAS 2001年第5期19-20,共2页
目的 评价三组不同温度含氧血停跳液的临床应用价值。方法 选择 30例病人 ,分为三组。手术中分别实施温血停跳组 (n=10 ) (34~ 36℃ ) ;中低温停跳组 (n=10 ) (2 4~ 2 8℃ ) ;低温停跳组 (n=10 ) (15~ 2 0℃ ) ,分别在不同的时点... 目的 评价三组不同温度含氧血停跳液的临床应用价值。方法 选择 30例病人 ,分为三组。手术中分别实施温血停跳组 (n=10 ) (34~ 36℃ ) ;中低温停跳组 (n=10 ) (2 4~ 2 8℃ ) ;低温停跳组 (n=10 ) (15~ 2 0℃ ) ,分别在不同的时点测量血清磷酸肌酸激酶值。分析动静脉血气值 ,推算心肌耗氧摄取率和血流动力学改变 ,并行心肌活检病理学检查 ,行统计学处理。结果 血流动力学改变 ,温血组复苏后心率偏慢 ,与中低温组和低温组比较有统计学意义(P<0 .0 5 ) ,低温组复苏后心率偏快 ,与温血组和中低温组比较 P<0 .0 5 ,静脉压偏高 ,与前两组比较 P<0 .0 5。血清CK水平 :温血组与中低温组比较无显著差异 (P>0 .0 5 )。低温组血清 CK水平与前两组比较有显著差异 (P<0 .0 5 ) ;甚至在 2 4小时后仍高 ,持续时间长。提示低温对心肌的损害是明显的。病例活组织检查也证实低温组的心肌线粒体细胞器损害以及空泡样变 ,比温血组和中低温组严重。结论 不同温度含氧血停跳液都有临床使用价值 ,但中低温含氧血停跳液更有临床应用价值。 展开更多
关键词 温度 心肌灌注 体外循环 含氧血停跳液
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主动脉阻断期间含氧血持续肺动脉灌注的肺保护研究 被引量:3
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作者 郑景浩 徐志伟 +3 位作者 苏肇伉 王伟 白凯 蒋祖明 《中华胸心血管外科杂志》 CSCD 北大核心 2003年第6期360-362,共3页
目的 评估体外循环主动脉阻断期间应用含氧血持续肺动脉灌注对肺功能的保护作用。方法 选择杂种上海犬 (上海农科院犬养殖厂 ) 12只 ,体重 7~ 12kg。随机分成应用含氧血持续肺动脉灌注的实验组和对照组 ,分别测定体外循环前、结束即... 目的 评估体外循环主动脉阻断期间应用含氧血持续肺动脉灌注对肺功能的保护作用。方法 选择杂种上海犬 (上海农科院犬养殖厂 ) 12只 ,体重 7~ 12kg。随机分成应用含氧血持续肺动脉灌注的实验组和对照组 ,分别测定体外循环前、结束即刻、结束后 1h的肺功能 ,体外循环术后 2组左、右心房内血白细胞记数以及肺水含量的变化。体外循环转流前、后分别在右肺门处随机切取肺组织(3cm× 3cm大小 )送病理检查。结果 术后实验组的肺功能明显改善 ,左、右心房血白细胞记数差异无显著性 ,肺水含量与对照组比较差异无显著意义。对照组显示肺泡间质明显水肿 ,肺泡内大量的中性粒细胞渗出 ,实验组保留了正常的肺组织结构。结论 含氧血持续肺动脉灌注可减轻主动脉阻断期间肺组损伤 ,保护术后肺功能。 展开更多
关键词 主动脉阻断 含氧血 持续肺动脉灌注 肺保护 再灌注损伤 动物实验 体外循环
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体外循环心内直视手术中含氧温血灌注心肌保护方法的应用体会
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作者 李志荣 刘学敬 郭银堂 《工企医刊》 2001年第4期37-38,共2页
我院自1999年3月~2000年3月共实施心脏手术29例,其中12例采用氧合温血心肌保护,取得了满意的效果.报告如下.
关键词 体外循环 心内直视手术 含氧 心肌灌注 心肌保护
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温氧合血心停搏液微流量连灌与微温氧合血间灌心肌酶谱变化的对比研究
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作者 刘宁 李建中 +4 位作者 刘伟 李鹏 何茂鑫 高攀 高飞 《中国中医药咨讯》 2010年第11期150-151,共2页
目的观察温氧合血心停搏液微流量连灌与微温氧合血间灌后心肌酶谱的变化。方法选择40例择期心脏瓣膜手术随机分为两组(每组20例)。A组采用常温CPB,温氧合血心停搏液(35℃)微流量连灌(0.5ml/mg.min);B组采用浅低温CPB,微温... 目的观察温氧合血心停搏液微流量连灌与微温氧合血间灌后心肌酶谱的变化。方法选择40例择期心脏瓣膜手术随机分为两组(每组20例)。A组采用常温CPB,温氧合血心停搏液(35℃)微流量连灌(0.5ml/mg.min);B组采用浅低温CPB,微温氧合血心停搏液(26—28℃)间灌。主动脉阻断时间大于60分钟。分别测定术前、术后16、40、64、88h肌酸激酶(CK)、心肌型肌酸激酶同工酶(CK—MB)、乳酸脱氢酶(LDH)的变化,进行组内和组间对比研究。结果术后88h内,两组心肌酶均有不同程度升高,峰值多在术后16~40h,组内比较与主动脉阻断前差异有显著性(P〈0.05),大部分在88h内降至正常。组间比较,两组在大部分时间点差异有显著性(P〈O.05),B组心肌酶较A组低。临床结果证明,两组术后需循环和呼吸辅助时间短,心功能恢复迅速,稳定。结论微温氧合心停跳液间灌具有更好的心肌保护作用。 展开更多
关键词 心肌酶谱 连续灌注 间断灌注 含氧血心停搏液 温度
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主动脉瘤:潜伏的杀手
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作者 梁伟文 《心血管病防治知识》 2013年第4期32-33,共2页
此疾病一般可能没有症状,但是,您生活的风险肯定会增加! 主动脉是人体最大的动脉.也是机体的生命线。主动脉将新鲜的含氧血从心脏输送至胸部和腹部,然后分成多支动脉.供血给脚部。机体各个器官和各支动脉赖以生存的血液来自健康... 此疾病一般可能没有症状,但是,您生活的风险肯定会增加! 主动脉是人体最大的动脉.也是机体的生命线。主动脉将新鲜的含氧血从心脏输送至胸部和腹部,然后分成多支动脉.供血给脚部。机体各个器官和各支动脉赖以生存的血液来自健康的主动脉。 展开更多
关键词 主动脉瘤 潜伏 多支动脉 含氧血 机体
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提高血含氧量预防脑痴呆
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作者 李国仁 王春晖 尹继云 《河南医药信息》 2002年第24期21-21,共1页
关键词 含氧 预防 脑痴呆 老年痴呆 He—Ne激光照射充氧
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The Effect of Mercury on Lipid Peroxidation and Its Relation with Vitamin (A, E) and Essential Elements in Dentals Serum
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作者 Jaffer Hashim Mohsen Hanan Fadel Abbas Kasim Kadhim Alasedi 《Journal of Life Sciences》 2013年第4期370-376,共7页
In the present study, the authors attempted to shed a light on the possible relationships between lipid per oxidation markers, serum malondialdehyde (MDA) with the effect of mercury exposure using serum samples obta... In the present study, the authors attempted to shed a light on the possible relationships between lipid per oxidation markers, serum malondialdehyde (MDA) with the effect of mercury exposure using serum samples obtained from 100 mercury exposed dentals due to their occupation. These dentals were divided into two groups according to their occupational period. The third group consists of healthy volunteers that were working outside the mercury factories as a control group. The present results showed that mercury levels increased with the increasing of their occupation period. The highest level was 5.7 μg/dl, compared to the control group which was 0.1 μg/dl., The level of MDA was elevated in the workers and the highest level was found to be 41.00 nmol/dL for workers with longest period compared to the control group 8.6 nmol/dL. Some serum antioxidants such as vitamin A, E and albumin were evaluated and were found to be lower in all workers compared to the control group. The present results showed that Mg levels increased with the increasing of their occupation period and were found to be lower in Zn, Se of all workers compared to the control group. 展开更多
关键词 MERCURY lipid per oxidation dental serum.
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SOS!腹中小宝宝缺氧
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作者 丁宏 《江苏卫生保健》 2004年第4期15-15,共1页
小鞠生了。听说生产中,曾出现胎儿心跳变慢、羊水中混有胎粪。医生通知她爱人,说胎儿宫内窘迫,情况十分危急,必须马上行产钳术娩出胎儿。所幸发现早,处理及时,胎儿娩出后情况良好。
关键词 胎儿缺氧 胎盘因素 含氧量不足 胎儿宫内窘迫 相关因素
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Comparison of Antioxidant Activity and Antioxidant Components in Lettuce, Onion and Tomato Obtained with Different Levels and Forms of Nitrogen Fertilization
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作者 Ragab Abdelmohsen E1-Mergawi Khalid Naser Al-Redhaiman Hussein F. Abouziena 《Journal of Agricultural Science and Technology(A)》 2014年第7期597-604,共8页
The effect of N levels and sources on the antioxidant components in vegetable is not completely understood. Therefore, greenhouse experiments were conducted to determine the changes in antioxidant capacity diphenyl-2-... The effect of N levels and sources on the antioxidant components in vegetable is not completely understood. Therefore, greenhouse experiments were conducted to determine the changes in antioxidant capacity diphenyl-2-picrylhydrazyl (DPPH) and ferric reducing antioxidant power (FRAP), total phenolics, ascorbic acid, total carotene and lycopene contents in edible portions of lettuce, onion and tomato due to different nitrogen levels and sources. The experiment included three N levels (20, 40 and 60 kg/ha for lettuce trial and 60, 120 and 180 kg/ha for either onion or tomato) and four nitrogen sources (calcium nitrate, ammonium sulphate, ammonium nitrate and urea). The antioxidant capacity and phenolic contents in lettuce was enhanced under low nitrogen level, while the antioxidant capacities, phenolics, carotenoids and lycopene in tomato fruits were not significantly affected by the nitrogen dose applied. Application of calcium nitrate caused 50% increase in DPPH and 20% in FRAP of lettuce compared to other nitrogen forms. Tomato treated with calcium nitrate or ammonium sulphate had higher phenolic and ascorbic acid contents than treated plants with ammonium nitrate or urea. Antioxidant tested parameters of onion were not significantly affected by the nitrogen treatments. Nitrogen concentration in tomato fruits significantly correlated with FRAP antioxidant capacity, phenolics, ascorbic acid, carotene and lycopene contents. 展开更多
关键词 Ammonium nitrate ammonium sulphate ascorbic acid calcium nitrate CAROTENE phenolics urea.
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A Decreased Responsiveness of Platelet to Nitric Oxide in Cholesterol-Fed Rabbits
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作者 SUNJing ZHANGAi-xia LUOChun-xia WANGWei SUNYong-jun ZHUDong-ya 《Journal of Nanjing Medical University》 2004年第3期117-120,共4页
Objective:To determine whether endothelial dysfunction leads to an abnormal responsiveness of platelet to nitric oxide(NO)during the development of atherosclerosis. Methods:Rabbits were fed a 1% cholesterol chow for ... Objective:To determine whether endothelial dysfunction leads to an abnormal responsiveness of platelet to nitric oxide(NO)during the development of atherosclerosis. Methods:Rabbits were fed a 1% cholesterol chow for 12 weeks to induce atherosclerosis.Serum NOx levels and the responsiveness of platelet to NO donor SNP were determined every 4 weeks during maintaining on a chow containing 1% cholesterol.The measurement of serum lipids and the examination of morphological feature and endothelial-dependent relaxation of aorta were performed after 12 weeks of cholesterol diet. Results:Cholesterol diet significantly increased serum levels of cholesterol and LDL,caused a remarkable platelet hyperaggregability,and produced an evident endothelial dysfunction as indicated by the diminished vasorelaxation induced by acetylcholine and endothelial cell lesion as exhibited by scanning electron microscope examination.The percentage of inhibition of ADP-induced platelet aggregation by NO donor SNP was significantly smaller in cholesterol chow group than that in normal chow group although no significant difference in serum NOx levels between normal and cholesterol chow group was observed throughout the development of atherosclerosis. Conclusion:The present study suggests that the endothelial dysfunction caused by enhanced serum cholesterol and LDL levels induces a decreased responsiveness of platelet to NO. 展开更多
关键词 atherosclerosis endothelial dysfunction nitric oxide platelet aggregation LDL CHOLESTEROL
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Effect of Iron on Growth, Pigmentation and Antioxidative Activity of Bloom Forming Cyanobacteria
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作者 Archana Tiwari Anjana Pandey 《Journal of Environmental Science and Engineering》 2010年第11期55-64,共10页
Cyanobacterial blooms are ubiquitous in fresh and brackish eutrophic waters in India. The cyanotoxins produced by many bloom forming cyanobacteria severely affect the health of animals, fishes, birds and human beings.... Cyanobacterial blooms are ubiquitous in fresh and brackish eutrophic waters in India. The cyanotoxins produced by many bloom forming cyanobacteria severely affect the health of animals, fishes, birds and human beings. Different physical and chemical factors contribute towards bloom formation. Ten bloom forming cyanobacteria were isolated from natural blooms of northern India. The strains were purified and enriched in the laboratory. The aim of this study was to understand the influence of iron on growth, pigmentation and antioxidative activity of enzymes-catalase and ascorbate peroxidase of bloom forming cyanobacteria. Results show that different strains of bloom forming cyanobacteria attain optimum growth at varied concentration of iron. The cyanobacterial strains like Synechocystis aquatalis, Merismopedia glauca, Anabaena variabilis and Anabaena iyengarii exhibit maximum growth at low iron concentration (2 pM) while some species require higher concentration of iron for their optimum growth namely, Arthrospira platensis show optimum growth at 10uM, and Nostocpaludosum shows maximum growth at 100uM concentration of iron. It was also noticed that chlorophyll and phycobiliprotein content also varies with change in iron concentration. The activity of antioxidative enzymescatalase and ascorbate peroxidase was noticed in all ten cyanobacterial strains. In the light of the findings, it seems that Arthrospira platensis possess maximum catalase and ascorbate peroxidase activity. Increment in concentration beyond optimum value leads to deterioration in the growth, pigment content and enzymatic activity of the cyanobacterial strains. Knowledge about the factors influencing growth of bloom forming cyanobacteria will help to work out ways for eradication of hazardous cyanobacterial blooms. 展开更多
关键词 Cyanobacterial blooms CYANOTOXINS PHYCOBILIPROTEIN CATALASE ascorbate peroxidase.
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