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联合用药测定MRPA体外抗生素后效应 被引量:1
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作者 李宏 赵红峥 +2 位作者 李伟 李巧霞 张金艳 《中国卫生检验杂志》 北大核心 2014年第2期279-281,共3页
目的探讨阿米卡星(AMK)、异帕米星(ISP)分别联合哌拉西林/他唑巴坦(TZP)对临床分离的多重耐药铜绿假单胞菌(multidrug-resistant pseudomonas aeruginosa MRPA)抗生素后效应(post-antibiotic effect PAE)。方法用琼脂稀释法分别测定AMK... 目的探讨阿米卡星(AMK)、异帕米星(ISP)分别联合哌拉西林/他唑巴坦(TZP)对临床分离的多重耐药铜绿假单胞菌(multidrug-resistant pseudomonas aeruginosa MRPA)抗生素后效应(post-antibiotic effect PAE)。方法用琼脂稀释法分别测定AMK、ISP、TZP对MRPA的MIC;微量肉汤稀释法测定联合用药组的联合MIC;菌落计数法测定单药和联合用药对MRPA的抗生素后效应。结果 AMK/TZP组MIC与AMK单药组相比明显降低(Z=-3.309,P<0.05)。ISP/TZP组MIC与ISP单药组相比明显降低(Z=-3.320,P<0.05)。两单药组之间和两联合组之间比较无明显区别。两种药物联合组在1/2MIC联合、1MIC联合、2MIC联合时所产生的PAE都呈现相加作用,不同浓度之间差异有统计学意义(P<0.05);在4MIC联合时联合组存在PAE协同作用,但两个联合组之间差异无统计学意义。结论 AMK,ISP与TZP联合在4MIC时呈现协同作用。 展开更多
关键词 多重耐药铜绿假单胞菌 最低抑菌浓度 抗生素后效应
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肺栓塞的影像学诊断
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作者 石彦明 《山东医药》 CAS 北大核心 2001年第20期57-58,共2页
关键词 肺栓塞 影像学诊断 PE CT X线平片 螺旋CT 电子束CT mrpa
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多重耐药铜绿假单胞菌Ⅰ类整合酶基因研究
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作者 孙慧清 《泰山医学院学报》 CAS 2010年第3期181-182,共2页
目的探讨临床分离的多重耐药铜绿假单胞菌(MRPA)耐药性和Ⅰ类整合酶基因存在状况。方法对68株MRPA,用K—B纸片扩散法和微量稀释法测定16种抗菌药物的敏感性。用PCR检测intⅠ1基因。结果 68株MRPA(耐三类抗菌药物的菌株)对16种抗菌... 目的探讨临床分离的多重耐药铜绿假单胞菌(MRPA)耐药性和Ⅰ类整合酶基因存在状况。方法对68株MRPA,用K—B纸片扩散法和微量稀释法测定16种抗菌药物的敏感性。用PCR检测intⅠ1基因。结果 68株MRPA(耐三类抗菌药物的菌株)对16种抗菌药物的耐药率在14.7%~100%之间。68株intI 1基因均阳性。结论我院分离出68株MRPA全部携带intI 1基因。 展开更多
关键词 mrpa 耐药性 整合酶
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磁共振三维增强肺动脉造影诊断肺动脉血栓栓塞及临床应用的初步研究 被引量:8
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作者 张兆琪 吕飙 董莉 《中国医学影像技术》 CSCD 2002年第8期801-803,共3页
目的 研究屏气三维增强磁共振肺动脉造影的方法和临床应用。方法  3 5例病人经过屏气三维增强磁共振肺动脉造影检查 ,19例曾做过核素扫描 ,3例做过CT肺动脉增强扫描 ,3例做过肺动脉DSA。结果 本文分析了肺栓塞的三维增强磁共振肺动... 目的 研究屏气三维增强磁共振肺动脉造影的方法和临床应用。方法  3 5例病人经过屏气三维增强磁共振肺动脉造影检查 ,19例曾做过核素扫描 ,3例做过CT肺动脉增强扫描 ,3例做过肺动脉DSA。结果 本文分析了肺栓塞的三维增强磁共振肺动脉造影的图像特征表现 ,3 5例中 2 9例发现肺栓塞 ,主要征象包括腔内充盈和管腔闭塞。结论 屏气三维增强磁共振肺动脉造影是确诊肺栓塞的一种无创、有效的检查手段 。 展开更多
关键词 三维增强磁共振肺动脉造影 肺栓塞 诊断 PE 临床应用
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Design, preparation and activity evaluation of novel recombinant thrombolytic proteins
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作者 胡桂珍 刘晓岩 +1 位作者 朱元军 王银叶 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2017年第11期819-826,共8页
Recombinant tissue plasminogen activator (rPA) has been used as a thrombolytic agent. However, considerable improvements have been done to prolong its plasma half-life (tl/2) and reduce its side effects, such as i... Recombinant tissue plasminogen activator (rPA) has been used as a thrombolytic agent. However, considerable improvements have been done to prolong its plasma half-life (tl/2) and reduce its side effects, such as intracranial hemorrhage. Based on these improvements, a mutant ofrPA, mrPA, was designed by mutating its PAI-1 binding site to extend its tl/2. Furthermore, a fusion protein conjugating mrPA with NR3 was designed, which was a rAcAp5 mutant with a platelet GPIIb/IIIa-binding RGD motif, to enhance the ability of targeted-thrombus and thrombolysis. The synthesized DNA sequences coding the two proteins were amplified by PCR, cloned into pET30a to construct recombinant plasmids pET30a-mrPA and pET30a-mrPA-NR3, and transformed into E. coli BL21 (DE3). The two proteins were expressed in inclusion bodies induced by isopropy113-D-1-thiogalactopyranoside. After purified to qualified purity using one-step Ni affinity chromatography, the denatured proteins were refolded by dialysis. Their thrombolytic effects in vitro and in vivo were evaluated. In vitro 3.5 and 7 pmol/L of mrPA significantly reduced thrombus weight; 1.75, 3.5 and 7 ~tmol/L of mrPA-NR3 also significantly reduced the thrombus weight, and mrPA-NR3 displayed stronger thrombolytic effects than mrPA at 7 lamol/L. In vivo both mrPA and mrPA-NR3 showed significantly thrombolytic effect at 60-240 ktmol/kg in thrombolytic model of inferior vena cava. Importantly, mrPA-NR3 exhibited more potent thrombolytic effect than both mrPA and rhM-tPA (positive control) at 240 p.mol/kg. In addition, these two novel proteins did not increase bleeding time while they exerted thrombolytic effect. In conclusion, we engineered two novel proteins and proved that fusion protein had better thrombolytic effect than non-fusion protein, and the results suggest that dual thrombolytic mechanism or thrombus-target potentiated the thrombolytic effect ofrPA and alleviated hemorrhage side reaction. This study may shed light on the development of novel thrombolytic agents with targeted thrombolysis and reduced side effects. 展开更多
关键词 Recombined thrombolytic protein mrpa mrpa-NR3
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多重耐药铜绿假单胞菌防突变浓度及突变选择窗分析
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作者 李宏 赵红峥 +2 位作者 李伟 李巧霞 张金艳 《中国卫生检验杂志》 北大核心 2013年第7期1803-1805,共3页
目的:探讨阿米卡星(AMK)、异帕米星(ISP)与哌拉西林/他唑巴坦(TZP)联合对临床分离的多重耐药铜绿假单胞菌(multidrug-resistant pseudomonas aeruginosa,MRPA)防突变浓度(mutant prevention concentration,MPC),突变选择窗(mutant selec... 目的:探讨阿米卡星(AMK)、异帕米星(ISP)与哌拉西林/他唑巴坦(TZP)联合对临床分离的多重耐药铜绿假单胞菌(multidrug-resistant pseudomonas aeruginosa,MRPA)防突变浓度(mutant prevention concentration,MPC),突变选择窗(mutant selection window,MSW)的影响,为临床合理使用抗生素,防止细菌耐药突变株产生提供理论依据。方法:琼脂稀释法分别测定AMK、ISP、TZP对临床分离的MRPA的MIC;微量肉汤稀释法测定AMK联合TZP、ISP联合TZP后对MRPA的MIC;琼脂稀释法测定AMK、ISP单独应用或与TZP联合用药对MRPA的MPC,并计算MSW。结果:两药联用组比单药组均能显著降低MPC值(P<0.05)。突变选择窗(MSW)以缩小为主。结论:AMK、ISP分别与TZP联合应用能够降低AMK、ISP对MRPA的MPC、MSW,联合用药有利于防止耐药突变的发生。 展开更多
关键词 多重耐药铜绿假单胞菌 最低抑菌浓度 防突变浓度 突变选择窗
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