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他克莫司与其它药物相互作用致肾移植受者高钾血症10例临床分析 被引量:13
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作者 邱春燕 隋雨荧 +4 位作者 于立新 邓文锋 苗芸 刘如敏 叶桂荣 《器官移植》 CAS CSCD 2017年第1期40-43,共4页
目的探讨肾移植术后用药导致他克莫司(FK506)血药浓度过高引起高钾血症的处理方法。方法对肾移植术后服用抗真菌药物致FK506血药浓度过高而引起的高钾血症10例患者的临床资料进行归纳和分析。结果 10例患者术后1~2个月内出现肺部感染或... 目的探讨肾移植术后用药导致他克莫司(FK506)血药浓度过高引起高钾血症的处理方法。方法对肾移植术后服用抗真菌药物致FK506血药浓度过高而引起的高钾血症10例患者的临床资料进行归纳和分析。结果 10例患者术后1~2个月内出现肺部感染或肺炎合并肺部真菌感染等,对症选用相应剂量的复方磺胺甲唑、米卡芬净、头孢哌酮钠-舒巴坦钠和莫西沙星等药物进行抗真菌感染治疗。经过降钾治疗及停用抗真菌药物、调整FK506剂量(部分病例更换为环孢素)后,10例患者血钾下降并维持在正常范围,同时FK506血药浓度也在正常范围,之后未采取任何降血钾措施,未再发生高血钾现象。结论肾移植术后用药易导致FK506血药浓度过高,引起高钾血症,治疗上应采用降钾、停用相关药物、调整免疫抑制剂,避免产生有害的相互作用。 展开更多
关键词 他克莫司 相互作用 高钾血症 术后 肾移植 临床研究
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肝移植术后慢性低钠血症的临床研究 被引量:1
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作者 隋雨荧 于立新 +3 位作者 邓文锋 周杰 刘如敏 苗芸 《器官移植》 CAS CSCD 2017年第1期44-48,共5页
目的总结肝移植术后慢性低钠血症的特点和防治方法。方法回顾性分析肝移植术后发生慢性低钠血症的26例患者的临床资料。记录患者的一般情况和主要并发症;对肝移植术后住院时间和低钠血症持续时间进行相关性分析;总结患者的治疗和转归。... 目的总结肝移植术后慢性低钠血症的特点和防治方法。方法回顾性分析肝移植术后发生慢性低钠血症的26例患者的临床资料。记录患者的一般情况和主要并发症;对肝移植术后住院时间和低钠血症持续时间进行相关性分析;总结患者的治疗和转归。结果 26例患者的血钠浓度中位数为131 mmol/L(125~133 mmol/L),均为轻、中度低钠血症。其他主要并发症包括肺部感染(13例,50%)、移植肝急性排斥反应(7例,27%)和消化道出血(7例,27%)。患者肝移植术后住院时间与低钠血症持续时间具有相关性。治疗方法为对患者病情充分评估,去除诱因,通过胃肠道和(或)静脉补给3%高渗盐水。经积极治疗后,治愈23例(88%),3例(12%)死于感染合并多器官功能衰竭。结论肝移植术后慢性低钠血症发生率低、程度较轻,且患者住院时间与低钠血症持续时间有相关性。治疗关键在于及时去除病因,依据个体化原则纠正低钠状态,积极防治并发症。 展开更多
关键词 肝移植 低钠血症 慢性 肝功能 血钠浓度 住院时间 并发症 病因 治疗 高渗盐水
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肾移植受者围手术期危急值分析与处理
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作者 隋雨荧 于立新 +4 位作者 邓文锋 邱春燕 苗芸 刘如敏 叶桂荣 《器官移植》 CAS CSCD 2017年第1期34-39,共6页
目的分析并总结肾移植受者围手术期常见危急值的特点及处理方法。方法收集出现危急值的273例次肾移植围手术期患者的性别、年龄、危急值、原发病、出现危急值时临床诊断及相应处理等资料并进行分析。结果与结论肾移植受者在围手术期危... 目的分析并总结肾移植受者围手术期常见危急值的特点及处理方法。方法收集出现危急值的273例次肾移植围手术期患者的性别、年龄、危急值、原发病、出现危急值时临床诊断及相应处理等资料并进行分析。结果与结论肾移植受者在围手术期危急值以水、电解质和酸碱平衡紊乱最为常见,占43.2%(118/273),其中高钾血症最常见,占24.9%(68/273);出现危急值的男性比例高于女性(76.9%比23.1%),且多集中于35~54岁年龄段。对于出现高钾血症危急值患者,依次使用葡萄酸钙或氯化钙稳定心肌细胞膜、胰岛素、葡萄糖以及碳酸氢钠静脉滴注促使K+向细胞内转运、利尿药促进K+排泄,上述治疗无效则采用血液透析进行治疗。所有患者血钾均恢复正常。对出现其他危急值的患者,则针对不同情况采取个体化治疗措施。了解肾移植受者围手术期常见危急值,以及不同年龄段、不同性别的肾移植受者危急值分布的特点和原因,对临床监测和治疗有较强的指导作用。 展开更多
关键词 肾移植 围手术期 危急值 高钾血症
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手术引起的女性更年期可促进全脑缺血后的海马区淀粉样变性(英文)
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作者 Erin L.Scott Quan-Guang Zhang +4 位作者 Yan Dong Dong Han Rui-Min Wang Ratna K.Vadlamudi Darrell W.Brann 《Journal of Sport and Health Science》 SCIE 2014年第3期206-216,共11页
背景:研究发现,过早绝经的女性患痴呆的风险加倍,死干神经功能障碍的风险也增加5倍,但其分子机制还不明确。本研究试图探讨卵巢1 7β-雌二醇(E2)持续降低是否可能促进海马区局部缺血引起的淀粉状蛋白生成。方法:用已建造的早期手术性更... 背景:研究发现,过早绝经的女性患痴呆的风险加倍,死干神经功能障碍的风险也增加5倍,但其分子机制还不明确。本研究试图探讨卵巢1 7β-雌二醇(E2)持续降低是否可能促进海马区局部缺血引起的淀粉状蛋白生成。方法:用已建造的早期手术性更年期大鼠模型(双侧卵巢切除术10周),在手术后立即给予E2(短期E2缺乏,STED)或卵巢切除术后期给予E2(长期E2缺乏,LTED)。在连续1周皮下注射E2后,对于动物进行全脑缺血10 min,再评价LTED对缺血诱导的海马CA1区淀粉样蛋白生成的作用。结果:海马区β淀粉样蛋白(Aβ)水平在全脑缺血后没有明显增加,而LTED雌鼠在全脑缺血后内源性Aβ水平快速稳健提高。在STED的雌鼠,我们观察到全脑缺血后减少ADAM10在海马CA1区的表达,而E2治疗能保持ADAM10在海马CA1区的表达水平。同时,全脑缺血后引起BACEl的增强,而E2可以在相同脑区域降低BACE1水平。然而,我们在LTED雌鼠观察到E2治疗失去了在海马CA1区对ADAM 10、ADAM 17和BACE1水平的调节,说明早期内源性雌激素长期缺乏会加重脑缺血后导致的Aβ-生成。同时,我们还观察到,LTED雌鼠全脑缺血后,E2还失去了对tau蛋白高度磷酸化的调节,为体内雌激素水平下降和脑缺血所导致的粉状蛋白增加的机制提供了证据。结论:本研究部分解释了过早绝经的妇女有高风险患痴呆和过早死亡的机制,并认为及时补充E2会使得神经系统得到最大的保护作用。 展开更多
关键词 海马CA1区 淀粉样蛋白 脑缺血 绝经 手术 卵巢切除术 老年痴呆症 潜在风险
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Passive eye movements induced by electromagnetic force(EMF) in rats
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作者 Yue Yu Jun Huang +10 位作者 Chun-Ming Zhang Tian-Wen Chen David S.Sandlin Shao-Xun Wang Alberto A.Arteaga Jerome Allison Yang Ou Susan Warren Paul May Hong Zhu Wu Zhou 《Zoological Research》 SCIE CAS CSCD 2019年第3期211-218,共8页
Accurate information on eye position in the orbit is available from visual feedback,efference copy of the oculomotor commands and proprioceptive signals from the extraocular muscles (EOM).Whereas visual feedback and o... Accurate information on eye position in the orbit is available from visual feedback,efference copy of the oculomotor commands and proprioceptive signals from the extraocular muscles (EOM).Whereas visual feedback and oculomotor commands have been extensively studied,central processing of EOM proprioceptive signals remains to be elucidated.A challenge to the field is to develop an approach to induce passive eye movements without physically contacting the eyes.A novel method was developed to generate passive eye movements in rats.A small rare-earth magnet disk (0.7 mm diameter,0.5 mm thickness) was attached to the surface of a rat's eyeball.A metal rod (5 mm diameter) wrapped with an electromagnetic (EM) coil was placed near the magnet (8-15 mm).By passing currents to the EM coil,electromagnetic force (EMF) was generated and acted upon the magnet and induced passive eye movements.The EMF induced well-defined passive eye movements,whose directions were dependent on current polarity and amplitudes and peak velocities were dependent on current intensity and duration.Peak velocities of the EMF-induced eye movements were linearly related to amplitudes,exhibiting main sequence relationships similar to that of saccades in awake rats and eye movements induced by electrical microstimulation of the abducens nucleus in anesthetized rats.Histological examination showed that repetitive EMF stimulations did not appear to result in damages in the EOM fibers.These results validated the EMF approach as a novel tool to investigate EOM proprioceptive signals and their roles in visual localization and gaze control. 展开更多
关键词 Eye MOVEMENT PROPRIOCEPTION EXTRAOCULAR muscles STRETCH REFLEX
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Targeting multiple signaling pathways:the new approach to acute myeloid leukemia therapy 被引量:4
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作者 Jenna L.Carter Katie Hege +6 位作者 Jay Yang Hasini A.Kalpage Yongwei Su Holly Edwards Maik Hüttemann Jeffrey W.Taub Yubin Ge 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2020年第1期102-130,共29页
Acute myeloid leukemia(AML)is the most common form of acute leukemia in adults and the second most common form of acute leukemia in children.Despite this,very little improvement in survival rates has been achieved ove... Acute myeloid leukemia(AML)is the most common form of acute leukemia in adults and the second most common form of acute leukemia in children.Despite this,very little improvement in survival rates has been achieved over the past few decades.This is partially due to the heterogeneity of AML and the need for more targeted therapeutics than the traditional cytotoxic chemotherapies that have been a mainstay in therapy for the past 50 years.In the past 20 years,research has been diversifying the approach to treating AML by investigating molecular pathways uniquely relevant to AML cell proliferation and survival.Here we review the development of novel therapeutics in targeting apoptosis,receptor tyrosine kinase(RTK)signaling,hedgehog(HH)pathway,mitochondrial function,DNA repair,and c-Myc signaling.There has been an impressive effort into better understanding the diversity of AML cell characteristics and here we highlight important preclinical studies that have supported therapeutic development and continue to promote new ways to target AML cells.In addition,we describe clinical investigations that have led to FDA approval of new targeted AML therapies and ongoing clinical trials of novel therapies targeting AML survival pathways.We also describe the complexity of targeting leukemia stem cells(LSCs)as an approach to addressing relapse and remission in AML and targetable pathways that are unique to LSC survival.This comprehensive review details what we currently understand about the signaling pathways that support AML cell survival and the exceptional ways in which we disrupt them. 展开更多
关键词 MYELOID APPROACH APPROVAL
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Targeting multiple signaling pathways:the new approach to acute myeloid leukemia therapy
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作者 Jenna LCarter Katie Hege +6 位作者 Jay Yang Hasini AKalpage Yongwei Su Holly Edwards Maik Hüttemann Jeffrey WTaub Yubin Ge 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2021年第1期41-69,共29页
Acute myeloid leukemia(AML)is the most common form of acute leukemia in adults and the second most common form of acute leukemia in children.Despite this,very little improvement in survival rates has been achieved ove... Acute myeloid leukemia(AML)is the most common form of acute leukemia in adults and the second most common form of acute leukemia in children.Despite this,very little improvement in survival rates has been achieved over the past few decades.This is partially due to the heterogeneity of AML and the need for more targeted therapeutics than the traditional cytotoxic chemotherapies that have been a mainstay in therapy for the past 50 years.In the past 20 years,research has been diversifying the approach to treating AML by investigating molecular pathways uniquely relevant to AML cell proliferation and survival.Here we review the development of novel therapeutics in targeting apoptosis,receptor tyrosine kinase(RTK)signaling,hedgehog(HH)pathway,mitochondrial function,DNA repair,and c-Myc signaling.There has been an impressive effort into better understanding the diversity of AML cell characteristics and here we highlight important preclinical studies that have supported therapeutic development and continue to promote new ways to target AML cells.In addition,we describe clinical investigations that have led to FDA approval of new targeted AML therapies and ongoing clinical trials of novel therapies targeting AML survival pathways.We also describe the complexity of targeting leukemia stem cells(LSCs)as an approach to addressing relapse and remission in AML and targetable pathways that are unique to LSC survival.This comprehensive review details what we currently understand about the signaling pathways that support AML cell survival and the exceptional ways in which we disrupt them. 展开更多
关键词 MYELOID APPROACH APPROVAL
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