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烧伤治疗的系统化观念及其影响
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作者 唐建兵 陈璧 《继续医学教育》 2006年第14期70-71,72,共3页
关键词 烧伤治疗 系统化 多器官功能衰竭 吸入性损伤 临床表现 全身治疗 局部处理 烧伤休克 烧伤感染 烧伤免疫
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特异性i-RNA预防烧伤感染的作用及其机理的研究
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作者 卓安山 张德林 +2 位作者 罗丽玲 王希珍 陈爱娟 《空军医高专学报》 1996年第1期26-31,共6页
为探讨特异性免疫核糖核酸(i-RNA)预防烧伤患者感染的作用及机理,将51例烧伤患者随机分成2组。对照组采用常规治疗,治疗组在常规治疗基础上应用特异性i-RNA。并采用McAb ApAAp法、MTT比色法等技术,观察了2组烧伤患者伤后感染的发生率及... 为探讨特异性免疫核糖核酸(i-RNA)预防烧伤患者感染的作用及机理,将51例烧伤患者随机分成2组。对照组采用常规治疗,治疗组在常规治疗基础上应用特异性i-RNA。并采用McAb ApAAp法、MTT比色法等技术,观察了2组烧伤患者伤后感染的发生率及免疫功能的变化。结果:(1)治疗组创面细菌培养阳性率及菌血症的发生率显著低于对照组;(2)治疗组全身情况及创面愈合时间也明显优于对照组;(3)治疗组于伤后第10天所测各项免疫指标基本恢复正常水平,对照组各项免疫指标仍明显异常。以上结果2组比较,差异非常显著(P<0.01)。提示特异性i-RNA对烧伤感染有一定的预防作用,可从细胞分子水平纠正烧伤患者的免疫功能紊乱,文中对其机理进行了讨论。 展开更多
关键词 烧伤感染 烧伤免疫 免疫核糖核酸 细胞因子
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重度烧伤诱发IgA肾病伴高血压一例 被引量:2
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作者 汪卫华 马路 《中国疗养医学》 2012年第7期655-655,共1页
1病例资料患者,男性,44岁,工人,于2010—04—22因全身多处钢水烧伤入院。入院诊断为:烧伤(火焰)85%,深Ⅱ°35%、Ⅲ°50%。患者既往无高血压及肾脏病病史。入院检查患者血压正常,化验尿常规及肾功能未见异常。入院... 1病例资料患者,男性,44岁,工人,于2010—04—22因全身多处钢水烧伤入院。入院诊断为:烧伤(火焰)85%,深Ⅱ°35%、Ⅲ°50%。患者既往无高血压及肾脏病病史。入院检查患者血压正常,化验尿常规及肾功能未见异常。入院后给予气管切开、双下肢切开减压、植皮手术、静滴抗生素及补液等综合治疗,患者创面逐渐愈合。 展开更多
关键词 烧伤自身免疫性肾病高血压
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特异性i—RNA对烧伤患者肿瘤坏死因子水平影响的研究 被引量:1
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作者 卓安山 张德林 《中国实验临床免疫学杂志》 1996年第3期22-25,共4页
关键词 烧伤 烧伤免疫 肿瘤坏死因子 免疫核糖核酸 感染
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烧伤脓毒症的免疫抑制与免疫疗法:理念、挑战与希望 被引量:1
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作者 贾赤宇 张泽鑫 +1 位作者 李姝何岩 尹斌 《中华损伤与修复杂志(电子版)》 CAS 2022年第5期379-389,共11页
烧伤脓毒症是由宿主异常反应导致的危及生命的并发症,是重度烧伤死亡的主要原因。在大多数烧伤脓毒症患者中发现了严重的免疫抑制,这与院内感染和病死率升高显著相关。重度烧伤免疫抑制主要病理生理特点为固有免疫细胞数量增多、功能低... 烧伤脓毒症是由宿主异常反应导致的危及生命的并发症,是重度烧伤死亡的主要原因。在大多数烧伤脓毒症患者中发现了严重的免疫抑制,这与院内感染和病死率升高显著相关。重度烧伤免疫抑制主要病理生理特点为固有免疫细胞数量增多、功能低下和适应性免疫细胞数量和功能抑制。由于各个免疫细胞亚型直接的具体作用和抑制机制仍然不明确,临床上难以逆转免疫抑制,进而无法有效控制感染和脓毒症的发生。借鉴免疫疗法在肿瘤领域取得的瞩目成就,充分研究重度烧伤脓毒症中免疫细胞病理机制和免疫疗法靶点具有巨大的应用前景。因此笔者特撰此文,旨在围绕免疫细胞异常和免疫疗法的现状和挑战等问题进行阐述,并展望基于多组学和大数据研究背景下,烧伤脓毒症免疫症研究的前景和方向。为进一步提高烧伤脓毒症患者抗感染治疗效果提供理论依据。 展开更多
关键词 烧伤免疫抑制 烧伤免疫疗法 烧伤多组学研究
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SERUM HAPTOGLOBIN SUPPRESSES T-LYMPHOCYTE FUNCTIONS FOLLOWING BURNS
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作者 王凤君 黄文华 黎鳌 《Chinese Medical Sciences Journal》 CAS CSCD 1996年第3期180-183,共4页
It is well known that serum immunosuppressive factors play an important role in the mechanism of postburn immunosuppression.This study was intended to investigate the effect of haptoglobin, purified from the serum of ... It is well known that serum immunosuppressive factors play an important role in the mechanism of postburn immunosuppression.This study was intended to investigate the effect of haptoglobin, purified from the serum of burned patients by affinity chromatography,on the proliferation and interleukin-2(IL-2) secretion of normal murine thymocytes induced by ConA and the proliferation of IL-2 dependent cell line(CTLL-2) stimulated by recombinant human IL-2,so as to elucidate the role of serum haptoglobin in postburn T-lymphocyte dysfunction.The results showed that purified haptoglobin,at the level equivalent to the concentration found in serum of burned patients,significantly inhibited the proliferation and IL-2 secretion of normal murine thymocytes as well as CTLL-2 proliferation;whereas it exhibited no immunosuppressive effects at the level equivalent to the concentration found in serum of nomal volunteers.According to the results reported here,it is suggested that extraordinary increase in serum haptoglobin level may be an important factor of impaired T-lymphocyte responses following burns. 展开更多
关键词 BURN HAPTOGLOBIN T-LYMPHOCYTE INTERLEUKIN-2
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CHANGES OF IMMUNE FUNCTIONS AFTER RADIATION,BURNS AND COMBINED RADIATION-BURN INJURY IN RATS
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作者 阎永堂 冉新泽 魏书庆 《Chinese Medical Sciences Journal》 CAS CSCD 1995年第2期85-89,共5页
The changes of several immune functions were observed in rats after they were inflicted with 6 Gy gamma rays irradiation, 15% TBSA full thickness brun and the combination of the 2 injuries. It was found that the funct... The changes of several immune functions were observed in rats after they were inflicted with 6 Gy gamma rays irradiation, 15% TBSA full thickness brun and the combination of the 2 injuries. It was found that the functions of thymocytes and splenocytes suffered the most severe suppression in the 24th to 72nd hour after radiation injury and began to recover on the 7th day. In the rats with burn injury, the suppression on thymocytes and splenocytes were significantly less severe than that after radiation and recovered more rapidly. The effects of combined radiation-burn injury showed several characteristics. The suppression on the thymocytes was more severe with slower recovery as compared with that after single radiation injury only. The suppression on the splenocytes as a whole was similar to that after single radiation injury , but in the early stage after combined injury, the suppression was far more severe than that after radiation Escharectomy and skin grafting on the burn wounds on the lst day after combined injury could accelerate the recovery on both the thymocytes and splenocytes. Our findings indicated that the severity of the suppression on the immune functions due to combined radiation-burn injury might depend on the size of the burn wounds. 展开更多
关键词 combined radiation-burn injury immune function
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高温环境对烫伤大鼠免疫功能的影响 被引量:3
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作者 朱童 詹剑华 +2 位作者 游浩元 孙俊锋 罗锦花 《中华烧伤杂志》 CAS CSCD 北大核心 2011年第2期119-121,共3页
我国南方地区夏季漫长,极端气温达38~40℃甚至更高,在该环境下机体会产生一系列不同于常温环境下的改变。目前关于普通环境温度下烧伤免疫的研究报道较多,但对高温气候下烧伤免疫的变化了解较少。笔者对此进行动物实验研究,拟为高... 我国南方地区夏季漫长,极端气温达38~40℃甚至更高,在该环境下机体会产生一系列不同于常温环境下的改变。目前关于普通环境温度下烧伤免疫的研究报道较多,但对高温气候下烧伤免疫的变化了解较少。笔者对此进行动物实验研究,拟为高温气候下烧伤救治提供参考。 展开更多
关键词 高温环境 免疫功能 烫伤大鼠 烧伤免疫 南方地区 环境温度 实验研究 烧伤救治
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Expression characteristics of c-fos, c-myc and bFGF in early burn tissue 被引量:1
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作者 顾小曼 付小兵 +2 位作者 杨银辉 孙同柱 蒋礼先 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第9期29-32,104,共5页
Objective To investigate the sequence and characteristics of expression of proto-oncogenes, c-fos, c-myc and endogenous basic fibroblast growth factor (bFGF), in burn tissue from rats. Methods A partial thickness bu... Objective To investigate the sequence and characteristics of expression of proto-oncogenes, c-fos, c-myc and endogenous basic fibroblast growth factor (bFGF), in burn tissue from rats. Methods A partial thickness burn of 30% TBSA was created on the backs of Wistar rats. Immunohistochemistry was used to detect the expression of these proteins in normal and burned skin at 3 hours, 6 hours, 1 day, 3 days, 7 days and 14 days postburn.Results Expression of c-fos, c-myc and bFGF was induced by the burn, but these three proteins showed different expression levels in sequence and distribution. Expression of c-fos increased and peaked at 3 hours postburn. Stain positive granules were distributed mainly in the cytoplasm of basal cells and the nuclei of fibroblasts. The expression of bFGF protein increased at 6 hours and peaked at 1 day postburn; it was distributed in the cytoplasm of fibroblasts. C-myc protein peaked at 3 days postburn and was also distributed in the cytoplasm of fibroblasts.Conclusions Thermal injury can induce c-fos, c-myc and bFGF expression and show phasic control and regional distribution. The phasic expression of these three proteins indicates that there maybe a regulatory relationship between proto-oncogenes and growth factors in early burn. This may play an important role in late tissue repair. 展开更多
关键词 c myc · c fos · basic fibroblast growth factor · burn
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