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失血性休克对脾免疫功能和超微结构的影响及脾脏在MOF中的可能作用 被引量:2
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作者 周其全 陈玉魁 +2 位作者 张峙 张鹏 王玉明 《中国病理生理杂志》 CAS CSCD 北大核心 2001年第11期1120-1120,共1页
关键词 失血性休克 脾免疫功能 超微结构 MOF 动物模型
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原位保脾术治疗重度外伤性脾破裂及残脾免疫功能的观察
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作者 李桢 李华斌 闫兴军 《河南外科学杂志》 1999年第3期214-215,共2页
1991.1~1998.5按Gall和Scheele提出的脾外伤分级标准对28例Ⅲ~Ⅳ级(称为重度)外伤性脾破裂施行原位保脾术,术后连续检测其免疫功能,现报告如下。
关键词 脾免疫功能 破裂 外伤性 原位保 血清免疫球蛋白 组织 放射免疫 大网膜 片移植
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褪黑激素(Melatonin)调节大鼠脾免疫功能的初步观察
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作者 束凯俊 严丽荣 +3 位作者 狄荣科 马瑞 刘益仁 李卫党 《镇江医学院学报》 1998年第2期241-241,共1页
褪黑激素(Melatonin)调节大鼠脾免疫功能的初步观察附属医院放疗科束凯俊严丽荣解剖教研室狄荣科马瑞刘益仁微免教研室李卫党哺乳动物和人类体内存在免疫─神经─内分泌调节网络,已为众多学者所关注[1]。有研究认为这一... 褪黑激素(Melatonin)调节大鼠脾免疫功能的初步观察附属医院放疗科束凯俊严丽荣解剖教研室狄荣科马瑞刘益仁微免教研室李卫党哺乳动物和人类体内存在免疫─神经─内分泌调节网络,已为众多学者所关注[1]。有研究认为这一网络的各组成部分之间的互相作用,对... 展开更多
关键词 药理 裉黑激素 大鼠 调节 脾免疫功能
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肝脾联合切除治疗肝癌合并肝硬化脾功能亢进的现状 被引量:4
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作者 李聪 蔡建强 《中国肿瘤外科杂志》 CAS 2011年第2期106-108,共3页
我国肝癌患者多合并肝炎肝硬化,其中合并脾功能亢进者是外科治疗的难题。联合脾切除可使术后血小板计数迅速升高,血小板的聚集性增强,血中纤维蛋白原含量明显增多,减少术后出血风险。只要严格掌握适应证,围手术期妥善管理,术中精细操作... 我国肝癌患者多合并肝炎肝硬化,其中合并脾功能亢进者是外科治疗的难题。联合脾切除可使术后血小板计数迅速升高,血小板的聚集性增强,血中纤维蛋白原含量明显增多,减少术后出血风险。只要严格掌握适应证,围手术期妥善管理,术中精细操作,尽量以非规则肝切除为主要术式,肝脾联合切除并不增加术后并发症的发生率,是安全可行的治疗手段,能改善肝癌预后,提高远期疗效。 展开更多
关键词 肝癌 肝硬化 功能亢进 联合切除 脾免疫功能 预后
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门脉高压症巨脾大部切除术的进展 被引量:1
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作者 黄凤瑞 褚海波 《实用医药杂志》 1998年第5期62-63,共2页
脾脏是人体最大的外周淋巴器官,具有免疫功能等重要作用。由于切脾后凶险性感染(OPSI)或严重感染屡有报道〔1~4〕进而引起世界医学界的关注。为此,对脾功能与脾外科的研究亦成为我国现代脾外科的前沿性课题。笔者结合自己1... 脾脏是人体最大的外周淋巴器官,具有免疫功能等重要作用。由于切脾后凶险性感染(OPSI)或严重感染屡有报道〔1~4〕进而引起世界医学界的关注。为此,对脾功能与脾外科的研究亦成为我国现代脾外科的前沿性课题。笔者结合自己10多年来从事门脉高压症巨脾的基础研... 展开更多
关键词 大部切除术 高压症 门脉 切除后凶险性感染 脾免疫功能 外科 保留极性 功能 分流术
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Changes in count and function of splenic lymphocytes from patients with portal hypertension 被引量:14
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作者 Zong-Fang Li Shu Zhang +5 位作者 Gao-Bo Lv Ying Huang Wei Zhang Song Ren Jun Yang Shuang-Suo Dang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第15期2377-2382,共6页
AIM: To investigate changes in numbers and proliferative function of splenic lymphocytes in patients with hypersplenism due to portal hypertension (PH), to provide evidence for further study of immune status of the sp... AIM: To investigate changes in numbers and proliferative function of splenic lymphocytes in patients with hypersplenism due to portal hypertension (PH), to provide evidence for further study of immune status of the spleen during PH. METHODS: Twelve spleens from patients with hypersplenism due to PH served as the PH group, and four spleens from cases of traumatic spleen rupture were regarded as the control group. After weighing the spleen, lymphocytes were separated and counted using a cell counting plate to calculate the lymphocyte count per gram of spleen tissue (relative quantity) and total lymphocyte count in whole spleen (absolute quantity). The immunohistochemical SP method was used to observe the density and distribution of lymphocytes in the spleen. The MTT method was used to observe changes in lymphocyte proliferative function. RESULTS: As compared to the control group, the splenic lymphocytes in the PH group showed that: (1) There was no difference in distribution but a significant decreasein density; (2) the number of lymphocytes per gram of spleen (relative quantity) decreased significantly (0.822 ± 0.157) × 108 vs (1.174 ± 0.254) × 108, P < 0.01]; (3) with the significant increase in the weight of the PH spleen (832.6 ± 278.2 g vs 211.7 ± 85.6 g, P < 0.01), the total quantity of lymphocytes (absolute quantity) increased significantly (0.685 ± 0.072) × 1011 vs (0.366 ± 0.057) × 1011, P < 0.01]; and (4) the proliferative function of lymphocytes was enhanced: T lymphocytes, (0.022 ± 0.005 vs 0.015 ± 0.003, P < 0.05), and B lymphocytes (0.034 ± 0.006 vs 0.023 ± 0.001, P < 0.01). CONCLUSION: Although lymphocyte density in the spleen decreased in patients with PH, the total quantity of lymphocytes increased because spleen weight increased greatly, along with the proliferating function. With respect to changes in lymphocytes, PH spleens may still have immune function, although it may be disordered. However, complete evaluation of the immune function of the spleen in PH requires more research. 展开更多
关键词 Portal hypertension SPLEEN LYMPHOCYTE Immune function
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Spleen:A new role ffoorr an old player? 被引量:2
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作者 Giovanni Tarantino Silvia Savastano +1 位作者 Domenico Capone Annamaria Colao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第33期3776-3784,共9页
The spleen could be considered a neglected organ.To date,it has been deemed an ancillary organ in portal hypertension or an organ localization in lymphoproliferative diseases,even though it has had significant attenti... The spleen could be considered a neglected organ.To date,it has been deemed an ancillary organ in portal hypertension or an organ localization in lymphoproliferative diseases,even though it has had significant attention in infectious diseases for some time.Now,it is thought to be central in regulating the immune system,a metabolic asset and involved in endocrine function with regard to nonalcoholic fatty liver disease.The main mechanisms involved in this complex network will be critically discussed in this article. 展开更多
关键词 Endocrine function Immune system Metabolic asset Nonalcoholic fatty liver disease SPLEEN
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Immunomodulation of polypeptides fromChlamys farreri in vitro 被引量:1
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作者 CAI MEI ZHAN HONG MEI ZHANG +1 位作者 YE JUN YU XIAO PING LIU 《Journal of Microbiology and Immunology》 2005年第2期105-110,共6页
The aim of this study was to investigate the effects of polypeptides from Chlamys farreri (PCF) on immunoeytes or immunocytes treated with dexamethasone (DEX) in vitro. After incubating immunoeytes with 25 mg/L PC... The aim of this study was to investigate the effects of polypeptides from Chlamys farreri (PCF) on immunoeytes or immunocytes treated with dexamethasone (DEX) in vitro. After incubating immunoeytes with 25 mg/L PCF or/and DEX for a given time, the proliferative response of thymocytes and splenoeytes to ConA were measured bv MTF assay; the subpopulations of thymocytes and splenic T lymphoeytes was analyzed by flow cytomety; the cytotoxicity of natural killer cells was measured by Llactate dehydrogenase (LDH) assay; the phagocytosis of rat peritoneal macrophages was measured by Neutral red assay and the Bel-2 protein expression of macrophages was detected by imrnunocytoehemical stain. The proliferative ability of rat thymocytes and splenocytes induced with ConA was enhanced and the depression of lymphoproliferation caused by DEX was reversed by PCF. The percentages of mouse thymic L3 T4^- Lyt-2^- and Lyt-2^+ subpopulations and splenic Lyt-2 ^+ cells were decreased and the percentage of splenic L3 T4^ + cells was increased by PCF. The NK cytotoxicity, phagocytosis of macraphages and Bcl-2 protein expression of macrophages were enhanced and the decrease of NK cytotoxicity and Bel-2 protein expression of maerophages caused by DEX were reversed by PCF. PCF could not only enhance the normal immunity function, but also reverse the imrnunosuppression induced by DEX. 展开更多
关键词 Peptides Dexamethasone Lymphocyte Natural killer cells Macrophage
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脾保留手术在外伤性脾破裂中的临床分析 被引量:11
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作者 徐伟 《中华全科医学》 2013年第4期584-585,共2页
目的探讨脾保留手术在外伤性脾破裂中的应用价值,总结外伤性脾破裂脾保留手术的临床经验。方法外科自2005年6月-2011年6月共收治47例闭合性脾损伤患者,其中男性30例,女性17例,年龄16~63岁,平均37.6岁,手术入腹后探明脾损伤情况,根据脾... 目的探讨脾保留手术在外伤性脾破裂中的应用价值,总结外伤性脾破裂脾保留手术的临床经验。方法外科自2005年6月-2011年6月共收治47例闭合性脾损伤患者,其中男性30例,女性17例,年龄16~63岁,平均37.6岁,手术入腹后探明脾损伤情况,根据脾损伤分级,分别施行相应脾保留手术,并对其术后1个月、1年、2年检测免疫功能、红细胞滤过功能等。结果 47例患者均治愈,所有患者均得到有效回访,效果满意,主要检测指标为IgM、NK细胞活性、免疫球蛋白、T淋巴细胞亚群、T淋巴细胞转化率、脾脏B超、ECT、CT检查等,效果均较为满意。结论脾外伤后施行脾保留手术是安全可行的,对于恢复和保留脾脏的生理功能具有重要作用,只要遵循保脾治疗的基本原则,脾保留手术在外伤性脾破裂中应用安全、可行,值得推广。 展开更多
关键词 保留手术 破裂 脾免疫功能 闭合性
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