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多巴胺、立其丁伍用治疗支气管哮喘40例分析
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作者 孟凡庆 高新红 《中华临床医药杂志(北京)》 CAS 2003年第9期107-107,共1页
关键词 多巴胺 立其丁 伍用 治疗 支气管哮喘4
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误诊为支气管哮喘4年的支气管内膜结核1例
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作者 陈智渊 田兆文 《中国社区医师(医学专业)》 2005年第15期67-67,共1页
关键词 支气管内膜结核 支气管哮喘4 误诊为 呼气性呼吸困难 反复发作 急性发作 慢性咳嗽 地塞米松 平喘化痰
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沙丁胺醇氧气雾化吸入42例临床护理 被引量:3
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作者 黄应香 赵杨秋 《齐鲁护理杂志》 2011年第2期79-79,共1页
2009年1月~2010年5月,我们对42例患者使用沙丁胺醇氧气雾化吸入缓解支气管痉挛,经临床观察,取得满意效果。现报告如下。1资料与方法1.1临床资料同期使用沙丁胺醇氧气雾化吸入42例患者中,男37例,女5例;年龄53~84岁。其中支气管哮喘4例... 2009年1月~2010年5月,我们对42例患者使用沙丁胺醇氧气雾化吸入缓解支气管痉挛,经临床观察,取得满意效果。现报告如下。1资料与方法1.1临床资料同期使用沙丁胺醇氧气雾化吸入42例患者中,男37例,女5例;年龄53~84岁。其中支气管哮喘4例,哮喘型支气管炎1例,慢性阻塞性肺气肿34例,慢性阻塞性肺气肿伴气胸3例。 展开更多
关键词 氧气雾化吸入 沙丁胺醇 临床护理 慢性阻塞性肺气肿 哮喘支气管 支气管哮喘4 2009年 支气管痉挛
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病态肥胖合并哮喘高龄患者围术期麻醉管理一例并文献复习
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作者 陈冬梅 闫建平 《实用医技杂志》 2014年第7期806-807,共2页
患者女,93岁,体质量指数(BMI)43 kg/m^2,拟行左股骨粗隆间骨折切开复位内固定术,既往患高血压病28年,Ⅱ型糖尿病12年,支气管哮喘4年,近日因感冒引发哮喘发作,卧床1周。术前,经内科雾化抗炎等对症治疗后,感冒好转,血压、血... 患者女,93岁,体质量指数(BMI)43 kg/m^2,拟行左股骨粗隆间骨折切开复位内固定术,既往患高血压病28年,Ⅱ型糖尿病12年,支气管哮喘4年,近日因感冒引发哮喘发作,卧床1周。术前,经内科雾化抗炎等对症治疗后,感冒好转,血压、血糖控制可。实验室检查:白细胞10.03×10^9/L;肺功能测定:阻塞性通气功能障碍;动脉血气分析:PO269%,多学科联合会诊后决定择期手术。麻醉科建议先采用椎管内阻滞或神经阻滞完成手术,必要时可以考虑喉罩或气管插管,与家属沟通告知风险,术毕送回重症监护病房(ICU)。 展开更多
关键词 支气管哮喘4 高龄患者 文献复习 麻醉管理 病态肥胖 围术期 阻塞性通气功能障碍 切开复位内固定术
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AhR、CYP1B1在哮喘小鼠肺及外周T淋巴细胞的表达
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作者 张雪雅 张维溪 +1 位作者 盛安群 李昌崇 《医学研究杂志》 2013年第10期34-37,共4页
目的对AhR、CYP1B1在哮喘模型小鼠肺组织及外周CD4+T细胞中的表达特征进行研究,探讨AhR、CYP1B1在哮喘发病中的作用。方法建立哮喘小鼠模型,制备肺组织石蜡切片进行病理学检查。磁珠阳性分选法从脾脏中分离获得外周CD4+T细胞,利用RT-PC... 目的对AhR、CYP1B1在哮喘模型小鼠肺组织及外周CD4+T细胞中的表达特征进行研究,探讨AhR、CYP1B1在哮喘发病中的作用。方法建立哮喘小鼠模型,制备肺组织石蜡切片进行病理学检查。磁珠阳性分选法从脾脏中分离获得外周CD4+T细胞,利用RT-PCR半定量技术分别测定正常组和哮喘组小鼠肺组织及外周CD4+T细胞中AhR、CYP1B1 mRNA的表达量。结果两组小鼠肺组织和外周CD4+T中均有表达AhR、CYP1B1。哮喘组肺组织及外周CD4+T细胞中AhR、CYP1B1表达均较正常组低(P<0.05)。结论 AhR、CYP1B1在支气管哮喘的发病过程中发挥作用,可能是支气管哮喘治疗的新靶点。 展开更多
关键词 AHR CYPlBl支气管哮喘肺CD4+T细胞
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Cloning and polymorphism analysis of IL-4 proximal promoter in asthmatic children
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作者 周玉峰 付劲蓉 +1 位作者 李成荣 吴健民 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第11期1624-1627,146,共4页
OBJECTIVE: To clone and study the polymorphism within interleukin-4 (IL-4) proximal promoter of asthmatic children. METHODS: The IL-4 proximal promoter segments were amplified and selected by polymerase chain reaction... OBJECTIVE: To clone and study the polymorphism within interleukin-4 (IL-4) proximal promoter of asthmatic children. METHODS: The IL-4 proximal promoter segments were amplified and selected by polymerase chain reaction (PCR) and single strand conformation polymorphism (SSCP) with genomic DNA from ten healthy children and forty patients with dominantly allergic familial histories as templates. The selected PCR segments were cloned into recombinant plasmids pIL-4-Jx2. The PCR inserts were sequenced by dideoxy chain termination method. RESULTS: Seven aberrant bands were found in SSCP analysis from forty asthmatic patients. The sequencing results showed that four variant sites were found within or adjacent to the known IL-4 regulatory element. A C to A transversion located at -229 position was just within the positive regulatory element-I (PRE-I) in one patient. A C to T transition adjacent to the negative regulatory element-II (NRE-II) and an extra G adjacent to TATA box were found in two patients. A five base nucleotide deletion was found near signal transducers and activators of transcription-6 responsive element (STAT-6 RE) in one patient. CONCLUSION: There were polymorphisms within the IL-4 proximal promoter of allergic asthmatic patients and these polymorphisms might result in aberrant expression of IL-4 gene and asthma. 展开更多
关键词 Polymorphism Genetic Promoter Regions (Genetics) Asthma Base Sequence CHILD Child Preschool Cloning Molecular Humans Interleukin-4 Molecular Sequence Data Plasmids Polymerase Chain Reaction Polymorphism Single-Stranded Conformational STAT6 Transcription Factor TRANS-ACTIVATORS
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Nuclear factor-κB in signal conduction of protein kinase C in T lymphocytes from an asthmatic guinea pig model
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作者 熊维宁 徐永健 +3 位作者 张珍祥 王孝养 莫碧文 傅娟 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第5期45-49,148-149,共0页
Objective To explore the role of nuclear factor κB (NF κB) in the signal conduction of protein kinase C (PKC) regulated proliferation, apoptosis and expression of Th2 cytokines - interleukin 4 (IL 4) and interl... Objective To explore the role of nuclear factor κB (NF κB) in the signal conduction of protein kinase C (PKC) regulated proliferation, apoptosis and expression of Th2 cytokines - interleukin 4 (IL 4) and interleukin 5 (IL 5) of T lymphocytes in the bronchial alveolus lavage fluid (BALF) Methods T lymphocytes were isolated and purified from BALF of asthmatic guinea pigs in normal and asthmatic groups, and were stimulated with PKC agitator phorbol 12 myristate 13 acetate (PMA) and NF κB inhibitor pyrrolidine dithiocarbamate (PDTC), respectively The expressions of NF κB, IL 4 and IL 5 mRNA and protein, the proliferation and apoptosis of T lymphocytes were observed by immunohistochemistry, in situ hybridization, ELISA, MTT and TUNEL, respectively Results The activation of NF κB, proliferation response, and expression of IL 4 and IL 5 mRNA and protein in T lymphocytes stimulated by PMA were significantly higher than those of their blank control ( P 【0 01), while those indexes of T lymphocytes stimulated by PMA and PDTC simultaneously were significantly lower than those stimulated by PMA alone ( P 【0 01) The apoptotic index of T lymphocytes stimulated with PMA were significantly lower than that of their blank control ( P 【0 01), and the apoptotic index of asthmatic guinea pig T lymphocytes stimulated with PMA and PDTC simultaneously were significantly higher than that stimulated by PMA alone ( P 【0 01) The significant positive correlations were found between the activation of NF κB and the proliferation ( r =0 64, P 【0 001), and the expression of IL 4 and IL 5 mRNA and protein of T lymphocytes, respectively ( r =0 55-0 68, P 【0 001) There was also significant negative correlation between the activation of NF κB and apoptosis of T lymphocytes ( r =0 62, P 【0 001) Conclusions NF κB may participate in the signal conduction of PKC regulated proliferation, apoptosis and expression of IL 4 and IL 5 of T lymphocytes in asthma The activation of NF κB in PKC signal conduction pathway of T lymphocytes may play an important role in the pathogenesis of asthma 展开更多
关键词 protein kinase C · nuclear factor κB · bronchial asthma · proliferation · apoptosis · interleukin 4 · interleukin 5
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