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闭孔疝临床诊疗分析:附5例报告 被引量:3
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作者 杨永光 陈伟峰 +4 位作者 邓春梅 陈伟策 张艺 陈明 林满洲 《中国普通外科杂志》 CAS CSCD 北大核心 2021年第10期1197-1202,共6页
背景与目的:闭孔疝是临床罕见的腹外疝,具有术前诊断率低,病死率高的临床特点。本文通过回顾收治的闭孔疝病例,分析总结闭孔疝的病因、临床特点及诊治方法,以期为该病的诊治提供参考。方法:回顾性分析2011年1月—2021年1月期间收治广东... 背景与目的:闭孔疝是临床罕见的腹外疝,具有术前诊断率低,病死率高的临床特点。本文通过回顾收治的闭孔疝病例,分析总结闭孔疝的病因、临床特点及诊治方法,以期为该病的诊治提供参考。方法:回顾性分析2011年1月—2021年1月期间收治广东医科大学附属医院5例闭孔疝患者临床资料。结果:5例闭孔疝病例中(4例患者,1例女性患者半年内先后被诊断为左、右侧闭孔疝),男1例,女4例;年龄61~87岁;除1例术前诊断右侧腹股沟斜疝术中发现同侧隐匿闭孔疝外,其余均以急性机械性肠梗阻首诊;左侧闭孔疝例3例、右侧闭孔疝2例;3例术前行盆腔CT检查并诊断闭孔疝,2例术中明确。1例择期手术外,其余4例均行急诊手术探查。合并小肠嵌顿4例,1例因嵌顿缺血坏死予以小肠切除,其余3例肠管麻醉状态下自行回纳或腹腔镜下协助回纳。修补方式方面,2例用3-0 Prolene行闭孔管口直接缝合关闭,1例行开放式无张力修补,其余2例腹腔镜下腹膜外间隙补片无张力修补。1例患者因并发感染性休克术后第2天ICU死亡,其余4例病例(3例患者)治愈出院。治愈出院患者均获随访,随访时间为1~5年,中位数(3.0±2.2)年,随访无复发。结论:老年女性患者出现病因不明的急性机械性肠梗阻时应考虑闭孔疝可能,盆腹腔CT检查有助于明确诊断。明确诊断后尽早手术,患者条件允许建议腹腔镜探查并修补。 展开更多
关键词 闭孔/诊断 闭孔/治疗 肠梗阻 疝修补术
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Selective support of a mouse thymus epithelial cell line(MTEC1)to the viability and proliferation of CD4^+CD8^-,CD4^-CD8^-,and CD4^+CD8^+thymocytes in vitro
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作者 chenweifeng JAPINGATO 《Cell Research》 SCIE CAS CSCD 1992年第2期183-193,共11页
The MTEC1 cell line, established in our laboratory, is a normal epithelial cell line derived from thymus medulla of Balb/c mice and these cells constitutively produce multiple cytokines. The selection of thymic microe... The MTEC1 cell line, established in our laboratory, is a normal epithelial cell line derived from thymus medulla of Balb/c mice and these cells constitutively produce multiple cytokines. The selection of thymic microenvironment on developing T cells was investigated in an in vitro system. Un-separated fresh thymocytes from Balb/c mice were cocul-tured with MTECl cells or/and MTEC1-SN,then,the viability, proliferation and phenotypes of cultured thymocytes were assessed. Without any exogenous stimulus, both MTECl cells and MTECl -SN were able to maintain the viability of thymocytes, while only the MTECl cells, not the MTECl -SN, could directly activate thymocytes to exhibit moderate proliferation, indicating that the proliferative signal is delivered through cell surface interactions of MTECl cells and thymocytes. Phenotype analysis on FACS of viable thymocytes after coculture revealed that MTECl cells preferentially activate the subsets of CD4+ CDS', CD4+ CD8+ and CD4- CD8- thymocytes; whereas MTEC1- SN preferentially maintained the viability of CD4+ CD8- and CD4-CD8+ thymocyte subsets.For the Con A-activated thymocytes, both MTEC1 cells and MTEC1-SN provided accessory signal(s) to significantly increase the number of viable cells and to markedly enhance the proliferation of thymocytes with virtually equal potency, phenotyped as CD4+CD8-, CD4-CD8+, and CD4- CD8- subsets. In summary, MTEC1 cells displayedselective support to the different thymocyte subsets , and the selectivity is dependent on the status of thymocytes. 展开更多
关键词 thymic selection thymic epithelial cells thymocyte subsets cytokines flow cytometry.
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