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肝硬化合并自发性细菌性腹膜炎32例临床分析
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作者 吴舟 孙娟 《亚太传统医药》 2009年第1期62-63,共2页
目的:进一步提高肝硬化合并自发性细菌性腹膜炎(SBP)临床诊治水平。方法:对32例SBP患者的临床表现、治疗及转归进行回顾性分析。结果:许多SBP患者临床表现不典型,诊断需要依靠腹水细胞计数和细菌培养,Child-Pugh分级与预后相关,且肝功... 目的:进一步提高肝硬化合并自发性细菌性腹膜炎(SBP)临床诊治水平。方法:对32例SBP患者的临床表现、治疗及转归进行回顾性分析。结果:许多SBP患者临床表现不典型,诊断需要依靠腹水细胞计数和细菌培养,Child-Pugh分级与预后相关,且肝功能积分越高,预后越差。结论:SBP的临床诊断应综合考虑,早期诊断及积极治疗是提高SBP生存率的关键。 展开更多
关键词 肝硬化 自发性细茵性腹膜炎 诊断 预后
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肝硬化腹水并自发性细菌性腹膜炎80例临床分析 被引量:2
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作者 邹建波 《九江医学》 2007年第4期35-35,共1页
关键词 肝硬化腹水 自发性细茵性腹膜炎 诊断 治疗
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肝硬化肝性胸水并发自发性细菌性脓胸临床观察27例 被引量:1
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作者 梁忠 《中国社区医师(医学专业)》 2011年第24期86-87,共2页
目的:探讨肝硬化肝性胸水并发自发性细菌性脓胸(SBEM)患者的临床特点。方法:回顾分析27例确诊肝硬化并发SBEM的临床资料。结果:肝硬化肝性胸水并发SBEM临床上并非罕见,本组发生率22.4%。发病特点为胸腔在原有漏出液基础上合并感染,以右... 目的:探讨肝硬化肝性胸水并发自发性细菌性脓胸(SBEM)患者的临床特点。方法:回顾分析27例确诊肝硬化并发SBEM的临床资料。结果:肝硬化肝性胸水并发SBEM临床上并非罕见,本组发生率22.4%。发病特点为胸腔在原有漏出液基础上合并感染,以右侧胸腔为主,均有感染的临床经过,血常规白细胞计数升高或正常,胸水中白细胞≥500×106/L,均多核>单核。腹水中PMN相对值比例明显升高。胸水细菌培养25例阳性(92.5%),腹水培养阳性19例(66.7%),病原菌均以大肠埃希菌为主。结论:肝硬化肝性胸水并发SBEM临床表现大多不典型,胸水细菌培养阳性或白细胞计数≥500×106/L,多核>单核,是诊断SBEM重要而可靠的指标。早期诊断并合理治疗SBEM是提高肝硬化患者生存率的重要措施。 展开更多
关键词 肝硬化 肝性胸水 自发性细 胞性脓胸
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肝硬化自发性细菌性腹膜炎临床疗效观察 被引量:1
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作者 程春红 《中华中医药学刊》 CAS 2007年第5期1079-1080,共2页
目的:探讨中西医结合治疗肝炎后肝硬化失代偿期并发自发性细菌性腹膜炎(SBP)的临床疗效。方法:选择肝炎后肝硬化并SBP患者56例,随机分为2组。在综合护肝、支持、对症治疗基础上,观察组(28例)应用头孢曲松常规静脉滴注,配合中药煎剂口服... 目的:探讨中西医结合治疗肝炎后肝硬化失代偿期并发自发性细菌性腹膜炎(SBP)的临床疗效。方法:选择肝炎后肝硬化并SBP患者56例,随机分为2组。在综合护肝、支持、对症治疗基础上,观察组(28例)应用头孢曲松常规静脉滴注,配合中药煎剂口服;对照组(28例)单纯应用头孢曲松静脉滴注;7~14天为1个疗程。结果:观察组治疗总有效率为92.85%,对照组为65.51%,两组比较,差异有显著性(P<0.05)。结论:中西医结合治疗SBP疗效显著。 展开更多
关键词 肝硬化 自发性细静巨腹膜炎 中西医结合治疗
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Spontaneous bacterial peritonitis 被引量:31
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作者 Anastasios Koulaouzidis Shivaram Bhat Athar A Saeed 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第9期1042-1049,共8页
Since its initial description in 1964,research hastransformed spontaneous bacterial peritonitis (SBP)from a feared disease (with reported mortality of 90%)to a treatable complication of decompensated cirrhosis,albeit ... Since its initial description in 1964,research hastransformed spontaneous bacterial peritonitis (SBP)from a feared disease (with reported mortality of 90%)to a treatable complication of decompensated cirrhosis,albeit with steady prevalence and a high recurrencerate. Bacterial translocation,the key mechanism in thepathogenesis of SBP,is only possible because of theconcurrent failure of defensive mechanisms in cirrhosis.Variants of SBP should be treated. Leucocyte esterasereagent strips have managed to shorten the 'tap-to-shot' time,while future studies should look into theircombined use with ascitic fluid pH. Third generationcephalosporins are the antibiotic of choice becausethey have a number of advantages. Renal dysfunctionhas been shown to be an independent predictor ofmortality in patients with SBP. Albumin is felt to reducethe risk of renal impairment by improving effectiveintravascular volume,and by helping to bind pro-inflammatory molecules. Following a single episodeof SBP,patients should have long-term antibioticprophylaxis and be considered for liver transplantation. 展开更多
关键词 Spontaneous bacterial peritonitis INFECTION ASCITES Leucocyte reagent strips Portal hypertension Ascites
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Bile duct ligation in rats: A reliable model of hepatorenal syndrome? 被引量:10
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作者 Stelios F Assimakopoulos Constantine E Vagianos 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第1期121-123,共3页
The two most widely used experimental models of advanced liver disease are the administration of carbon tetrachloride, and common bile duct ligation (BDL), however, neither has been systematically evaluated as a model... The two most widely used experimental models of advanced liver disease are the administration of carbon tetrachloride, and common bile duct ligation (BDL), however, neither has been systematically evaluated as a model of hepatorenal syndrome (HRS). The BDL model in rats, studied at diverse time points, induced a progressive renal dysfunction without structural changes in the kidney. The authors concluded that BDL is a good model for further studies of HRS and its treatment. However, the renal impairment observed at the acute phase of the BDL model is based on a different pathophysiology than that of HRS. Specifi cally, in acute obstructive jaundice, cholemia predominates over parenchymal liver disease (reversible at this stage without portal hypertension or cirrhosis) and independently induces negative inotropic and chronotropic effects on the heart, impaired sympathetic vasoconstriction response and profound natriuresis and diuresis that might lead to volume depletion. In addition, systemic endotoxemia contributes to the prerenal etiology of renal impairment and promotes direct nephrotoxicity and acute tubular necrosis. On the other hand, the renal failure observed in the chronic BDL model (with development of biliary cirrhosis, portal hypertension and ascites) shares pathophysiological similarities with HRS, but the accordance of the chronic BDL model to the diagnostic criteria of HRS (e.g. absence of spontaneous bacterial peritonitis, no renal function improvement after plasma volume expansion) should have been confirmed. In conclusion, we think that the BDL model is not suitable for the study of the natural history of HRS, but the chronic BDL model might be valid for the study of established HRS and its potential therapies. 展开更多
关键词 Obstructive jaundice RATS Bile ductligation Hepatorenal syndrome Renal failure
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INHIBITION OF SPONTANEOUS APOPTOSIS IN HUMAN BREAST CANCER
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作者 邵志敏 江明 +4 位作者 吴炅 余黎民 韩企夏 张廷璆 沈镇宙 《Chinese Medical Sciences Journal》 CAS CSCD 1996年第4期200-203,共4页
Breast tumorigenesis proceeds through an accumulation of specific genetic alteration. Breast malignant transformation is dependent on not only the rate of cell production but also on apoptosis,a genetically programed ... Breast tumorigenesis proceeds through an accumulation of specific genetic alteration. Breast malignant transformation is dependent on not only the rate of cell production but also on apoptosis,a genetically programed process of autonomous cell death. We investigated whether breast tumorigenesis involved an altered susceptibility to apoptosis and proliferation by examining normal breast epithelium and breast cancer samples. We found there is a great inhibition of spontaneous apoptosis in breast cancer cells compared with normal breast epithelium. The inhibition of apoptosis in breast cancer may contribute to neoplastic transformation. 展开更多
关键词 APOPTOSIS PCNA breast cancer
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Cell transformation as aberrant differentiation: Environmentally dependent sportaneous transformation of NIH 3T3 cells
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作者 XUKANG HARRYRUBIN 《Cell Research》 SCIE CAS CSCD 1990年第2期198-206,共9页
NIH 3T3 cells, a mouse fibroblast cell line used as routine target cells for transfection experiments, undergo spontaneous transformation in our experiments after they form a confluent sheet in medium containing fetal... NIH 3T3 cells, a mouse fibroblast cell line used as routine target cells for transfection experiments, undergo spontaneous transformation in our experiments after they form a confluent sheet in medium containing fetal bovina serum (FBS) or lower coneentrafcion of calf serum (CS). The transformation takes the form of foci of multiplying cells among the surrounding cells which have stopped cell division. However, no focus of transformed cells could be seen in medium containing high concentration (10%) of OS. Further experiments indicated that the frequency of transformation is highly dependent on the concentration of serum and the transformation in OS is changeable when the cells are passaged in FBS. 8H-thymidine autoradiography has been proved to be a sensitive measurement indicator for foous formation. Our results suggest that the high frequency of transformation and its dependence on confmenoy as well as on medium composition are characteristics of cell differentiation rather than mutation. The role of the NIH 3T3 cell line as a cancer-initiated cell population and its accelerated transformation by rat oncogene might be considered as a form of tumor promotion is discussed. 展开更多
关键词 Cell transformation aberrant differentiation NIH 3T3 cells.
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Effect of Allocryptopine on Late sodium current of atrial myocytes in spontaneously hypertensive rats
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作者 Ying ZHAO Xiao-Ting XIE +7 位作者 Yan-Mei SUN Zhong-Qi CAI Ying DONG Chao ZHU Xi CHEN Hong-Lin WU Jian-Cheng ZHANG Yang LI 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第4期280-286,共7页
Objective To explore the effect of allocryptopine (All) on the Late sodium current (INa,Late) of atrial myocytes in spontaneously hyper- tensive rats (SHR). Method The enzyme digestion method was used to separat... Objective To explore the effect of allocryptopine (All) on the Late sodium current (INa,Late) of atrial myocytes in spontaneously hyper- tensive rats (SHR). Method The enzyme digestion method was used to separate single atrial myocytes from SHR and Wistar-Kyoto rat (WKY) rats. INa,Late was record by patch-clamp technique and the effect of All on the current was evaluated. Results Comparing with WKY cells, markedly increasing of INa,Late current in SHR myocytes was found from 0.24 ± 0.02 pA/pF of WKY cells to 1.73± 0.04 pA/pF of SHR cells (P 〈 0.01, n = 15). After treament with 30 μmol/L All; the current densities was reduced to 0.92 ± 0.03 pA/pF. The ratio of INa,Late/INa,peak of WKY and SHR were 0.09% ± 0.01% and 0.71% ± 0.02%, INa, Late/INa,peak of SHR was reduced to 0.37% ± 0.02% by 30 μmol/L All (P 〈 0.01, n = 15). We also determined the effect of All on the gating mechanism of the INa,Late in the SHR cells. It was found that All decreased the INa,Late by alleviating the inactivation of the channels and increasing the window current of sodium channel. Conclusion Increased INa,Late in SHR atrial myocytes and the prolonged APD were inhibited by All coming from Chinese herb medicine. 展开更多
关键词 Action potential ALLOCRYPTOPINE Atrial myocytes Late sodium current Spontaneously hypertensive rats
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Endothelin-1, an important mitogen of smooth muscle cells of spontaneously hypertensive rats 被引量:1
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作者 刘革修 王华 +2 位作者 欧大明 黄红林 廖端芳 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第5期750-752,156,共3页
OBJECTIVE: To study the features of vascular smooth muscle cell (VSMC) proliferation induced by endothelin-1 (ET-1). METHODS: VSMCs of spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats were cultured and trea... OBJECTIVE: To study the features of vascular smooth muscle cell (VSMC) proliferation induced by endothelin-1 (ET-1). METHODS: VSMCs of spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats were cultured and treated with ET-1. Basic fibroblast growth factor (bFGF) gene expression was measured using both Northern blot and an enzyme-linked immunoassay. RESULTS: ET-1 resulted in an increase in bFGF transcripts at 8 - 24 h; bFGF levels were significantly higher in VSMCs treated with ET-1 than in those not treated. However, VSMCs growth responses in SHR and WKY were different. Smooth muscle cells of SHR were hyper-responsive to ET-1. Maximal bFGF mRNA levels were elevated 3.5-fold at 4 h of stimulation in WKY and 8-fold at 8h in SHR4. Moreover, the proliferation of VSMCs induced by ET-1 was inhibited by antisense phosphorothioate oligodeoxynucleotides (10 micromol/L AS-bFGF) but not sense bFGF oligomers at the same concentrations, being reduced by 80% in SHR and 40% in WKY vs control, respectively. Furthermore, the effect of AS-bFGF oligomers on SHR SMC proliferation is significantly greater than on WKY SMC proliferation. CONCLUSION: ET-1 may be required for exaggerated vascular growth responses in SHR and bFGF may be involved. 展开更多
关键词 Animals Cell Division Cells Cultured Comparative Study DNA Antisense Dose-Response Relationship Drug ENDOTHELIN-1 Fibroblast Growth Factor 2 Gene Expression Regulation Muscle Smooth Vascular Oligonucleotides RNA Messenger RATS Rats Inbred SHR Rats Inbred WKY Research Support Non-U.S. Gov't Time Factors
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