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Promising way to address massive intragastric clotting in patients with acute upper gastrointestinal bleeding:A case report 被引量:1
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作者 Su-Xian Liu Bei Shi +2 位作者 Ya-Feng Liu Jing-Yi Shan Bo Sun 《World Journal of Clinical Cases》 SCIE 2023年第15期3578-3582,共5页
BACKGROUND Massive intragastric clotting(MIC) makes endoscopic therapy difficult in patients with acute upper gastrointestinal bleeding. Literature data on how to address this problem are limited. Here, we report on a... BACKGROUND Massive intragastric clotting(MIC) makes endoscopic therapy difficult in patients with acute upper gastrointestinal bleeding. Literature data on how to address this problem are limited. Here, we report on a case of massive stomach bleeding with MIC that was successfully treated endoscopically using an overtube of singleballoon enteroscopy.CASE SUMMARY A 62-year-old gentleman with metastatic lung cancer was admitted to the intensive care unit due to tarry stools and hematemesis of 1500 mL of blood during hospitalization. Emergent esophagogastroduodenoscopy revealed massive blood clots and fresh blood in the stomach with evidence of active bleeding.Bleeding sites could not be observed even by changing the patient’s position and aggressive endoscope suction. The MIC was successfully removed using an overtube connected with a suction pipe, which was inserted into the stomach with an overtube of a single-balloon enteroscope. An ultrathin gastroscope was also introduced through the nose into the stomach to guide the suction. A massive blood clot was successfully removed, and an ulcer with oozing bleeding at the inferior lesser curvature of the upper gastric body was revealed, facilitating endoscopic hemostatic therapy.CONCLUSION This technique appears to be a previously unreported method to suction MIC out of the stomach in patients with acute upper gastrointestinal bleeding. This technique could be considered when other methods are not available or if they fail to remove massive blood clots in the stomach. 展开更多
关键词 Upper gastrointestinal bleeding Massive intragastric clotting Overtube for single-balloon enteroscope Ultrathin gastroscope Case report
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Correlation of fibrinogen level and absorbance change in both PT and APTT clotting curves on BCSXP
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作者 Xiaojie Zhang Bing Bai 《Journal of Nanjing Medical University》 2008年第3期193-198,共6页
Objective: To investigate the correlation of fibrinogen level and absorbance change in both PT and APTT clotting curves on BCSXP Analyzer. Methods:A serial of standard fibrinogen and 250 patient plasma samples with ... Objective: To investigate the correlation of fibrinogen level and absorbance change in both PT and APTT clotting curves on BCSXP Analyzer. Methods:A serial of standard fibrinogen and 250 patient plasma samples with different qualities(normal, hemolysis, icterus, and lipemia) were run on BCSXP for assays PT, APTT and Fibrinogen. The absorbance change(DeltaA) from baseline to plateau in clotting curve was retrieved and analyzed on its correlation with the Fibrinogen result. Influence of plasma quality and PT/ APTT result on this correlation was also studied respectively. Results:Both PT-DeltaA and APTT-DeltaA showed good linear regres- sion with fibrinogen level in the sample, with R2 close to 0.90 in both standard and patient samples. Hemolysis(H), itcterus(I) and lipemia(L) of the sample with valid clotting curves were found to have no significant difference in this correlation from normal(N) sample(R2: 0.83H, 0.92I, 0.81L and 0.79N in PT; 0.89H, 0.95l, 0.91L and 0.89N in APTT) in either PT or APTT curve. PT or APTT result also has little impact on this correlation(0.71 in range 7 - 10 sec, 0.56 inl0 - 20 sec, and 0.70 in 20 sec-; R2 in APTT: 0.88 in 20-30 sec, 0.92 in 30-40 sec, and 0.95 in 40 sec-). Conclusion:The absorbance change in either PT or APTT clotting curve correlates well with the fibrinogen level in plasma, which is independent of plasma quality PT or APTT results. The absorbance change can be used as an alternative way to roughly estimate fibrinogen level in either PT or APTT clotting curve when the result of clauss-based fibrinogen measurement is not available. 展开更多
关键词 PT APTT FIBRINOGEN clotting curve absorbance change BCSXP
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A Case of Adverse Reaction to Booster Dose of COVID-19 Vaccination: Could D-Dimer Elevation Suggest Increased Clotting Risk?
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作者 Serafino Fazio Manila Vaccariello Flora Affuso 《Health》 CAS 2022年第2期204-208,共5页
We report the clinical case of a 40-year-old Italian woman, who soon after her booster vaccination with mRNA-1273 after the two previous vaccinations with BNT162b2, developed severe headache, high fever, and Musculo-s... We report the clinical case of a 40-year-old Italian woman, who soon after her booster vaccination with mRNA-1273 after the two previous vaccinations with BNT162b2, developed severe headache, high fever, and Musculo-skeletal pain. She went to the emergency department, where computerized tomography (CT) scans of chest and brain were performed, resulting in both negative for pathologic findings. On the contrary, white blood count was strongly lowered and D-dimer severely elevated. She improved after treatment with enoxaparin and the blood analyses returned in the normal range after ten days. This case supports the hypothesis that COVID-19 vaccines could increase blood clotting in some predisposed subjects. Therefore, we believe that robust and well-designed clinical trials, considering the evaluation of D-dimer levels, should be performed to eliminate any doubts on this issue. 展开更多
关键词 Adverse Reaction COVID-19 VACCINATION Blood clotting
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Purification and Identification of a Clotting Protein from the Hemolymph of Chinese Shrimp (Fenneropenaeus chinensis)
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作者 WANG Baojie PENG Hongni +3 位作者 LIU Mei JIANG Keyong ZHANG Guofan WANG Lei 《Journal of Ocean University of China》 SCIE CAS 2013年第3期477-483,共7页
The clotting protein(CP) plays important and diverse roles in crustaceans,such as coagulation and lipid transportation.A clotting protein was purified from the hemolymph of Chinese shrimp Fenneropenaeus chinensis(name... The clotting protein(CP) plays important and diverse roles in crustaceans,such as coagulation and lipid transportation.A clotting protein was purified from the hemolymph of Chinese shrimp Fenneropenaeus chinensis(named as Fc-CP) with Q sepharose HP anion-exchange chromatography and phenyl sepharose HP hydrophobic interaction chromatography.Fc-CP was able to form stable clots in vitro in the presence of hemocyte lysate and Ca2+,suggesting that the clotting reaction is catalyzed by a Ca2+-dependent transglutaminase in shrimp hemocytes.The molecular mass of Fc-CP was 380 kDa under non-reducing conditions and 190 kDa under reducing conditions as was determined with SDS-PAGE.CP exists as disulfide-linked homodimers and oligomers.The N-terminal amino acid sequence of Fc-CP was identical to that of shrimps including Penaeus monodon,Farfantepenaeus paulensis and Litopenaeus vannamei;and similar to that of other decapods.The purified Fc-CP was digested with trypsin and verified on an ABI 4700 matrix-assisted laser desorption/ionization tandem time-of-flight(MALDI-TOF/TOF) mass spectrometry.Our results will aid to better understanding the coagulation mechanism of shrimp hemolymph. 展开更多
关键词 Fenneropeaaeus chinensis clotting protein purification proteomic identification MALDI-TOF/TOF MS
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Influence of styptic fiber on clotting time in rabbits
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作者 LU Jun JIANG Su-yun 《沈阳药科大学学报》 CAS CSCD 北大核心 2008年第S1期93-93,共1页
Objective To explore the influence of styptic fiber on clotting time in rabbits so as to provide experiment data for its development.Methods Onto 0.1 mL aliquots of citrated anti-coagulant rabbit blood placed in a sur... Objective To explore the influence of styptic fiber on clotting time in rabbits so as to provide experiment data for its development.Methods Onto 0.1 mL aliquots of citrated anti-coagulant rabbit blood placed in a surfacial plate 25 ul of 0.2 mol·L-1 CaCl2 solution was dropped,and mixed well with glass stirrer;the resulting mixture was immediately capped with a piece of styptic fiber(test product group)or absorptive gelatin sponge(positive control group)of 2 cm diameter.Then,the surficial plate was rinsed with 30ml of purified water at 5,10,20,30,40 and 50 min after capping;the rinsings were allowed to stand for 1 h and were subjected to OD determination at a wavelength of 541 nm.The above procedure was repeated twice,the average value of the twice experiments was taken for evaluation of the hemostatic effect of test product.For negative control group,all procedures except for capping were same as the test product group.The haemostatic effect was judged by percent OD relative to OD at 0 min in negative control group(OD 0 min)(OD 0 min was considered as 100%);if OD value at a time was less than 80%of OD 0 min,it should be designated as primary clotting time(PCT),less than 20%as complete clotting time(CCT).Results The measured PCT was 20min for both negative and positive control groups;CCT was 50,30 and 5 min for negative control,positive control and test product groups,respectively,showing the test styptic fiber had a CCT 8 times shorter than untreated blood,10 times shorter than negative control and 6 times shorter than positive control.Conclusions The test styptic fiber has powerful hemostatic effect. 展开更多
关键词 RABBIT clotting time styptic fiber
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H-Feedback Control of Heparin-Controlled Blood Clotting Network for Cardiac Surgeries
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作者 Alexander W. Bae 《Journal of Biosciences and Medicines》 CAS 2022年第8期57-67,共11页
This paper presents a solution methodology for H<sub>∞</sub>-feedback control design problem of Heparin controlled blood clotting network under the presence of stochastic noise. The formulaic solution pro... This paper presents a solution methodology for H<sub>∞</sub>-feedback control design problem of Heparin controlled blood clotting network under the presence of stochastic noise. The formulaic solution procedure to solve nonlinear partial differential equation, the Hamilton-Jacobi-Isaacs equation with Successive Galrkin’s Approximation is sketched and validity is proved. According to Lyapunov’s theory, with solutions of the nonlinear PDEs, robust feedback control is designed. To confirm the performance and robustness of the designed controller, numerical and Monte-Carlo simulation results by Simulink software on MATLAB are provided. 展开更多
关键词 Gene Regulatory Network GMA System Galerkin Method Feedback Design of Biomolecular Systems Hamilton-Jacobi Equation Nonlinear Control Heparin-Controlled Blood clotting Network
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腹膜后肿瘤切除术患者Century clot分析仪检测参数和常规凝血功能检测参数的相关性分析
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作者 王晓茹 刘鲲鹏 +7 位作者 姚兰 张华 索利斌 王军 李红培 王博 陈伟达 苗成利 《北京医学》 2025年第2期121-126,共6页
目的探讨全身麻醉下实施腹膜后肿瘤切除术患者Century clot分析仪检测参数和常规凝血功能检测参数的相关性。方法回顾性选取2021年12月至2024年5月北京大学国际医院在全身麻醉下实施腹膜后肿瘤切除术的患者145例。记录患者入室时和手术... 目的探讨全身麻醉下实施腹膜后肿瘤切除术患者Century clot分析仪检测参数和常规凝血功能检测参数的相关性。方法回顾性选取2021年12月至2024年5月北京大学国际医院在全身麻醉下实施腹膜后肿瘤切除术的患者145例。记录患者入室时和手术结束时Century clot分析仪检测参数,即激活凝血时间(activated clotting time,ACT)、凝血速率(clot rate,CR)和血小板功能(platelet function,PF),术前和术后当日或第1天的常规凝血功能检测参数,即PT、APTT、凝血酶时间(thrombin time,TT)、FIB和PLT;采用Pearson相关性分析患者术前及术后Century clot分析仪检测参数与常规凝血功能检测参数的相关性及Century clot分析仪各指标之间的相关性。结果145例患者中,男50例、女95例,年龄24~78岁,平均(54.7±12.4)岁,身高平均(163.3±8.0)cm,体质量平均(63.6±13.2)kg,麻醉时间平均(331.4±89.6)min。Pearson相关性分析结果显示,术前及术后ACT与APTT呈正相关;CR与FIB和PLT呈正相关;PF与FIB和PLT呈正相关。术前及术后CR与PF呈正相关,与ACT呈负相关。结论在腹膜后肿瘤切除术患者中,Century clot分析仪检测参数与常规凝血功能检测参数具有显著相关性和一致性,能够对患者围术期出凝血功能做出较为快速、准确的检测,可用作目标导向性输血管理的辅助监测手段。 展开更多
关键词 腹膜后肿瘤切除术 Century clot分析仪 常规凝血功能检测 检测参数 目标导向性出凝血管理 黏弹性凝血检测 相关性
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The Efficacy of Omeprazole Combined Clotting Enzymes in Treating Chronic Gastritis Combined with peptic Ulcer Bleeding
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作者 DENG Bingbing XIAO Peng 《外文科技期刊数据库(文摘版)医药卫生》 2021年第12期1436-1439,共7页
Objective: to analyze the efficacy of omeprazole combined clotting enzyme in treating chronic gastritis combined with peptic ulcer bleeding. Methods: a total of 80 patients with combined peptic ulcer bleeding from chr... Objective: to analyze the efficacy of omeprazole combined clotting enzyme in treating chronic gastritis combined with peptic ulcer bleeding. Methods: a total of 80 patients with combined peptic ulcer bleeding from chronic gastritis from August 2019 to August 2021 were admitted to the hospital Example, random grouping, single drug group to give omeprazole, combined drug group to give clotting enzyme combined with omeprazole. Comparing the duration of bleeding of two groups of peptic ulcers, the time of blood transvagination of stool, and comparing the hematology, inflammation and total efficiency of the two groups before and after treatment. Results: the duration of peptic ulcer bleeding in the combined drug group was 3.01±0.23d,and the time ofstool transvaginal blood transvaginal was 4.15±1.01d shorter than that of a single drug group 4.89±1.41d and 6.56±1.18d,P<0.05 /b129>. The total efficiency of the combined drug group was 100.00%(40/40)higher than that of the single drug group 32(80.00),P <0.05. Blood indicators and inflammation in the combined drug group were better than in the single drug group,with P<0.05. Conclusion: The combined effect of omeprazole and clotting enzyme is accurate, and in terms of hemostatic effect and improvement of body inflammation and hematology index, the effect of clotting enzyme combined with omeprazole is better. 展开更多
关键词 OMEPRAZOLE clotting enzyme therapy chronic gastritis peptic ulcer bleeding EFFICACY
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Determination of Rennet Clotting Time by Texture Analysis Method
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作者 Zerrin Yuksel 《Food and Nutrition Sciences》 2013年第11期1108-1113,共6页
In this study, texture analysis method was used for the determination of rennet flocculation time (tfloc) and rennet clotting time (tclot) of rennet-induced reconstitued milk samples with different CaCl2 concentration... In this study, texture analysis method was used for the determination of rennet flocculation time (tfloc) and rennet clotting time (tclot) of rennet-induced reconstitued milk samples with different CaCl2 concentrations. The rennet flocculation time (RFT) and rennet clotting time (RCT) were also determined by using the Berridge test and sensory evaluation. The hardness value versus renneting time curves derived from texture analysis gave a good modified exponential relationship for each CaCl2 concentration and the curves were used to calculate flocculation time and clotting time parameters. It was found that the parameters (tfloc and tclot) appeared strongly correlated with RFT and RCT, respectively. Texture analysis was proved as a suitable method to control the rennet-induced coagulation and determine the rennet clotting time. It was also determined that enrichment of milk with CaCl2 leaded to a decrease in flocculation and clotting times and an increase in rate of clotting and gel hardness. 展开更多
关键词 Rennet Flocculation Time Rennet clotting Time Texture Analysis HARDNESS Rennet Gel CACL2
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Genomic DNA Isolation by Phenol/Chloroform Extracting Method from Sheep Blood Clot 被引量:6
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作者 曹果清 莫清珊 陈凤仙 《Agricultural Science & Technology》 CAS 2009年第5期76-78,共3页
[ Objective] The aim was to establish the method of extracting genomic DNA from sheep blood clot on the basis of the improvement of method for extracting genomic DNA from tissues. [Method]The genomic DNA with complete... [ Objective] The aim was to establish the method of extracting genomic DNA from sheep blood clot on the basis of the improvement of method for extracting genomic DNA from tissues. [Method]The genomic DNA with complete primary structure and high purity was obtained from the sheep blood clot after the steps of cutting the sheep blood clot with ophthalmic scissors, cell lysis with tissue DNA extracts and digested by proteinase K, extracting with phenol/chloroform and precipitating with ethanol were performed. [ Result] The concentration of the extracted DNA was 159.90 ±0.70 ng/μl and the ratio of the A260/A280 was 1.80 +0.01. The sheep microsatellite locus of BM203 was amplified by using the extracted DNA from the sheep blood clot as template of PCR, and the PCR result was perfect. [Conclusion]This method is simple and feasible, the quantity and quality of the extracted DNA can satisfy the demands for the subsequent researches. It is worth to extending and using for reference. 展开更多
关键词 Sheep blood clot Phenol/chloroform extracting method DNA extraction
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Century Clot在大咯血输血中的指导价值研究 被引量:1
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作者 章玉坤 刘子林 +3 位作者 张齐龙 曾迎春 何佩娟 蔡源恩 《现代诊断与治疗》 CAS 2023年第6期897-898,901,共3页
目的 探讨Century Clot在大咯血输血中的指导价值。方法 选取收治60例大咯血患者。随机分为研究组和对照组各30例,除原有治疗方案外,研究组行centuryclot指导输血;对照组行凝血四项及血常规指导输血。比较两组咯血停止时间、治疗后总咯... 目的 探讨Century Clot在大咯血输血中的指导价值。方法 选取收治60例大咯血患者。随机分为研究组和对照组各30例,除原有治疗方案外,研究组行centuryclot指导输血;对照组行凝血四项及血常规指导输血。比较两组咯血停止时间、治疗后总咯血量及输血总量,比较两组治疗前后的凝血功能(包含TT、PT、APTT以及FIB)及凝血功能监测的准确率。结果 研究组咯血停止时间短于对照组,总咯血量及总输血量低于对照组(P<0.05)。治疗前,两组凝血功能无明显差异(P>0.05);治疗后,两组TT、PT及APTT水平均低于治疗前,且研究组均低于对照组(P<0.05);治疗后,两组FIB均高于治疗前,且研究组高于对照组(P<0.05)。研究组误诊率及漏诊率均低于对照组,但差异无统计学意义(P>0.05),准确率高于对照组(P<0.05)。结论 通过Centuryclot指导大咯血患者输血,不仅可精准止血,还可以有效改善患者凝血功能,减少咯血量及节约血制品。 展开更多
关键词 Century clot 咯血 输血 凝血功能
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用Sonoclot分析仪测评体外循环后凝血功能的改变 被引量:6
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作者 王仕刚 龙村 高国栋 《中国体外循环杂志》 2008年第4期220-222,共3页
目的用Sonoclot凝血和血小板功能分析仪观察心脏直视手术体外循环前、后凝血功能的改变。方法选择20例体外循环下心脏手术患者,麻醉前及首次鱼精蛋白中和肝素后10 min取静脉血用Sonoclot分析仪检测全血凝血和血小板功能,并进行激活全血... 目的用Sonoclot凝血和血小板功能分析仪观察心脏直视手术体外循环前、后凝血功能的改变。方法选择20例体外循环下心脏手术患者,麻醉前及首次鱼精蛋白中和肝素后10 min取静脉血用Sonoclot分析仪检测全血凝血和血小板功能,并进行激活全血凝固时间(ACT)测定。结果体外循环前后ACT差异无显著性(P=0.27),而使用玻璃珠作为促凝剂的检测试剂盒(gb-ACTKit)术后明显高于术前(P<0.01),凝血速率(CR)术后明显降低(P=0.01),血小板功能(PF)降低但无显著差异(P=0.50)。结论Sonoclot分析仪能够早期检测体外循环后凝血功能的改变,是一种较为敏感的床边检测方法。 展开更多
关键词 凝血 血小板 激活全血凝固时问 体外循环 心脏手术
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尿激酶联合肝素钠膀胱灌注治疗膀胱血凝块填塞3例报告初步经验
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作者 荆琦傲 叶圣同 +6 位作者 宋佳颖 林瞳景致 张琪 李子成 苏阳 邹志辉 梁朝朝 《现代泌尿外科杂志》 2026年第1期57-59,共3页
目的评估尿激酶联合肝素钠膀胱灌注治疗膀胱血凝块填塞的可行性。方法报告2024年6月—9月于安徽医科大学第一附属医院泌尿外科收治的3例经腹、盆腔计算机断层扫描(CT)确诊的膀胱血凝块填塞患者的诊治经过并结合文献进行探讨。结果3例膀... 目的评估尿激酶联合肝素钠膀胱灌注治疗膀胱血凝块填塞的可行性。方法报告2024年6月—9月于安徽医科大学第一附属医院泌尿外科收治的3例经腹、盆腔计算机断层扫描(CT)确诊的膀胱血凝块填塞患者的诊治经过并结合文献进行探讨。结果3例膀胱血凝块填塞患者采用三腔导尿管膀胱灌注尿激酶(20000 IU)与肝素钠(125000 U)混合液,保留30 min后开放引流。所有患者的血凝块均完全溶解,下腹部胀痛即刻缓解,术后CT显示膀胱腔恢复通畅,血红蛋白下降2~5 g/L,无并发症发生。结论初步试验证明,尿激酶联合肝素钠膀胱灌注可安全有效地清除膀胱血凝块,为膀胱血凝块填塞患者提供了新的治疗选择。 展开更多
关键词 尿激酶 肝素钠 膀胱血凝块 膀胱填塞 溶栓
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连续性肾脏替代治疗滤器的综合保护策略
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作者 刘彩虹 赵宇亮 付平 《西部医学》 2026年第2期157-161,171,共6页
连续性肾脏替代治疗(CRRT)是急性肾损伤等危重症患者的重要支持治疗手段,而滤器凝血是导致体外循环回路失功与疗效受限的关键环节,其发生受抗凝方案与处方参数等多因素共同影响。本文围绕药物抗凝与非药物管理的协同框架,对不同抗凝策... 连续性肾脏替代治疗(CRRT)是急性肾损伤等危重症患者的重要支持治疗手段,而滤器凝血是导致体外循环回路失功与疗效受限的关键环节,其发生受抗凝方案与处方参数等多因素共同影响。本文围绕药物抗凝与非药物管理的协同框架,对不同抗凝策略及治疗模式、血流量与稀释方式等可调控因素对滤器寿命的影响作一述评,并讨论材料与工程技术在滤器保护方面的潜在价值,旨在为CRRT临床实践中的滤器保护提供循证依据,以供肾脏病学及重症医学领域的从业者参考。 展开更多
关键词 连续性肾脏替代治疗 滤器寿命 凝血
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Macrophages-derived NRG-1 promotes angiogenesis after ischemic stroke via the Akt-mTOR pathway
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作者 Jie Chen Bo Wang +4 位作者 Danyang Fan Xi Chen Lenv Gao Yun Luo Zhenhua Zhou 《Neural Regeneration Research》 2026年第7期3007-3016,共10页
Acute ischemic stroke remains a significant health concern owing to the limited efficacy of current therapeutic options.In recent years,Neuregulin-1 has exhibited promising neuroprotective effects in cerebral ischemia... Acute ischemic stroke remains a significant health concern owing to the limited efficacy of current therapeutic options.In recent years,Neuregulin-1 has exhibited promising neuroprotective effects in cerebral ischemia.However,the sources and functions of Neuregulin-1 have not yet been fully understood,which hinders its translation and broad application.Here,we collected paired clot and peripheral blood samples from patients with acute ischemic stroke to determine the sources of Neuregulin-1.In addition,we established an in vivo transient middle cerebral artery occlusion mouse model to investigate the therapeutic effects of Neuregulin-1 and its underlying molecular biological mechanisms.We observed a significant elevation in serum Neuregulin-1 levels among patients with acute ischemic stroke that correlated with severity of neurological impairment and clinical outcome.Using single-cell sequencing,we identified Neuregulin-1-positive macrophages among peripheral blood mononuclear cells that produced Neuregulin-1 post-ischemia.In addition,Neuregulin-1 promoted repair of the infarcted area,alleviating neuronal and myelin damage and improving overall behavioral recovery in mice.We found that Neuregulin-1 may exert these neuroprotective effects by promoting angiogenesis in the infarct area,and that this effect is mediated by Akt/mTOR/VEGF-dependent signaling.Our findings suggest that peripheral macrophages are a source of Neuregulin-1 post-stroke.Neuregulin-1 exerts its neuroprotective effects by promoting angiogenesis via Akt/mTOR/VEGF-dependent signaling,showing promising clinical translation potential. 展开更多
关键词 acute ischemic stroke ANGIOGENESIS clot ERBB4 fluorescence-activated cell sorting immune cell inflammation macrophages NEUREGULIN-1 NEUROPROTECTION
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基于细菌内毒素检查法的醋酸氯己定冲洗剂的干扰消除及方法建立
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作者 蔺红伟 武雪宾 +3 位作者 唐蕾 李静娴 梁凤英 朴淑娟 《海军军医大学学报》 北大核心 2026年第2期274-278,共5页
目的建立微量鲎试剂凝胶检查法检查醋酸氯己定冲洗剂细菌内毒素限度的方法。方法依照《中国药典》2020年版四部1143细菌内毒素检查法和9251细菌内毒素检查法应用指导原则,找到消除醋酸氯己定冲洗剂凝胶法干扰因素的方法,并建立细菌内毒... 目的建立微量鲎试剂凝胶检查法检查醋酸氯己定冲洗剂细菌内毒素限度的方法。方法依照《中国药典》2020年版四部1143细菌内毒素检查法和9251细菌内毒素检查法应用指导原则,找到消除醋酸氯己定冲洗剂凝胶法干扰因素的方法,并建立细菌内毒素的微量鲎试剂凝胶检查法。结果确认用镁离子缓冲液对醋酸氯己定冲洗剂稀释2倍,再用细菌内毒素检查用水稀释至8倍,可消除其对鲎试剂凝集反应的干扰,细菌内毒素限值为0.5 EU/mL,用λ0.06 EU/mL的鲎试剂进行检测。结论本实验建立的微量鲎试剂凝胶检查法操作简单、准确性高、重复性好,适用于醋酸氯己定冲洗剂的细菌内毒素限度的检查,可以作为醋酸氯己定冲洗剂生物检查法部分的质量控制方法。 展开更多
关键词 内毒素 微量鲎试剂凝胶检查法 镁离子缓冲液 醋酸氯己定冲洗剂 干扰
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奥曲肽联合奥美拉唑治疗上消化道出血的临床效果研究
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作者 郑丹华 《中国医药指南》 2026年第1期79-82,共4页
目的探究上消化道出血疾病行治疗方案时,考虑以联合用药(奥美拉唑+奥曲肽)干预对患者病情康复的积极影响。方法选取2022年8月至2024年11月本院收入的64例患者,依照随机数字表法分为对照组(32例)和观察组(32例),其中对照组应用奥美拉唑治... 目的探究上消化道出血疾病行治疗方案时,考虑以联合用药(奥美拉唑+奥曲肽)干预对患者病情康复的积极影响。方法选取2022年8月至2024年11月本院收入的64例患者,依照随机数字表法分为对照组(32例)和观察组(32例),其中对照组应用奥美拉唑治疗,观察组奥曲肽联合奥美拉唑治疗,比较两组用药前后炎症反应、凝血功能、治疗效果、血常规指标、血尿素氮。结果降钙素原、白细胞介素-2、C反应蛋白水平、血清D-二聚体、活化部分凝血活酶时间及血浆纤维蛋白原对比,观察组低于对照组(P<0.05);总有效率对比,观察组高于对照组(P<0.05);各项血常规指标水平对比,观察组网织红细胞低于对照组,血红蛋白、红细胞压积水平均高于对照组(P<0.05);血尿素氮指标水平对比,观察组低于对照组(P<0.05)。结论上消化道出血疾病行治疗方案时,以奥曲肽联合奥美拉唑联合治疗,能够充分抑制炎症反应,改善患者凝血功能与血常规指标水平,对改善患者预后效果显著。 展开更多
关键词 上消化道出血 奥美拉唑 奥曲肽 凝血功能
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Intraclot Recombinant Tissue-type Plasminogen Activator Reduces Perihematomal Edema and Mortality in Patients with Spontaneous Intracerebral Hemorrhage 被引量:9
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作者 连立飞 许峰 +8 位作者 唐洲平 薛峥 梁奇明 胡琦 朱文浩 康慧聪 刘晓艳 王芙蓉 朱遂强 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2014年第2期165-171,共7页
The study aimed to investigate the impact of intraclot recombinant tissue-type plasminogen activator (rt-PA) on perihematomal edema (PHE) development in patients with intracerebral hemorrhage (ICH) treated with ... The study aimed to investigate the impact of intraclot recombinant tissue-type plasminogen activator (rt-PA) on perihematomal edema (PHE) development in patients with intracerebral hemorrhage (ICH) treated with minimally invasive surgery (MIS) and the effects of intraclot rt-PA on the 30-day survival. We reviewed the medical records of ICH patients undergoing MIS between October 2011 and July 2013. A volumetric analysis was done to assess the change in PHE and ICH volumes at pre-MIS (T1), post-MIS (T2) and day 10-16 (T3) following diagnostic computed tomographic scans (To). Forty-three patients aged 52.8±11.1 years with (n=30) or without rt-PA (n=13) were enrolled from our institutional ICH database. The median rt-PA dose was 1.5 (1) mg, with a maximum dose of 4.0 mg. The ratio of clot evacuation was significantly increased by intraclot rt-PA as compared with controls (77.9%±20.4% vs. 64%±15%; P=0.046). From TI to T2, reduction in PHE volume was strongly associ- ated with the percentage of clot evacuation (p=0.34; P=-0.027). In addition, PHE volume was positively correlated with residual ICH volume at the same day (p ranging from 0.39-0.56, P〈0.01). There was no correlation between the cumulative dose of rt-PA and early (T2) PHE volume (p=0.24; P=0.12) or de- layed (T3) PHE volume (p=0.19; P=0.16). The 30-day mortality was zero in this cohort. In the selected cohort of ICH patients treated with MIS, intraclot rt-PA accelerated clot removal and had no effects on PHE formation. MIS aspiration and low dose of rt-PA seemed to be feasible to reduce the 30-day mor- tality in patients with severe ICH. A large, randomized study addressing dose titration and long-term outcome is needed. 展开更多
关键词 intracerebral hemorrhage minimally invasive surgery clot aspiration perihematomaledema recombinant tissue-type plasminogen activator
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Role of Inclined Magnetic Field and Copper Nanoparticles on Peristaltic Flow of Nanofluid through Inclined Annulus: Application of the Clot Model 被引量:2
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作者 Iqra Shahzadi S.Nadeem 《Communications in Theoretical Physics》 SCIE CAS CSCD 2017年第6期704-716,共13页
A genuine neurotic condition is experienced when some blood constituents accumulate on the wall of the artery get withdrew from the wall, again join the circulatory system and coagulation occur. Role of copper nanopar... A genuine neurotic condition is experienced when some blood constituents accumulate on the wall of the artery get withdrew from the wall, again join the circulatory system and coagulation occur. Role of copper nanoparticles and inclined magnetic field on the peristaltic flow of a nanofluid in an annular region of inclined annulus is investigated.We represent the clot model by considering the small artery as an annulus whose outer tube has a wave of sinusoidal nature and inner tube has a clot on its walls. Lubrication approach is used to simplify the problem. Close form solutions are determined for temperature and velocity profile. Impact of related parameters on pressure rise, pressure gradient,velocity and streamlines are interpreted graphically. Comparison among the pure blood and copper blood is presented and analyzed. One main finding of the considered analysis is that the inclusion of copper nanoparticles enlarges the amplitude of the velocity. Therefore, the considered study plays a dominant role in biomedical applications. 展开更多
关键词 inclined magnetic field copper nanoparticles inclined annulus clot model exact solution
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A Clot Model Examination: with Impulsion of Nanoparticles under Influence of Variable Viscosity and Slip Effects 被引量:1
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作者 S.Ijaz Iqra Shahzadi +1 位作者 S.Nadeem Anber Saleem 《Communications in Theoretical Physics》 SCIE CAS CSCD 2017年第11期667-677,共11页
In this speculative analysis, our main focused is to address the neurotic condition that occurs due to accumulation of blood components on the wall of the artery that results in blood coagulation. Specifically, to per... In this speculative analysis, our main focused is to address the neurotic condition that occurs due to accumulation of blood components on the wall of the artery that results in blood coagulation. Specifically, to perceive this phenomena clot model is considered. To discuss this analysis mathematical model is formed in the presence of the effective thermal conductivity and variable viscosity of base fluid. Appropriate slip conditions are employed to obtain the close form solutions of temperature and velocity profile. The graphical illustrations have been presented for the assessment of pressure rise, pressure gradient and velocity profile. The effects of several parameters on the flow quantities for theoretical observation are investigated. At the end, the results confirmed that the impulsion of copper and silver nanoparticles as drug agent enlarges the amplitude of the velocity and hence nanoparticles play an important role in engineering and biomedical applications such as drug delivery system. 展开更多
关键词 variable viscosity metallic nanoparticles slip effects clot model exact solution
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