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因其他疾病住院的患者院内感染新型冠状病毒后肺炎发病的危险因素
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作者 王晓晨 林向华 +4 位作者 蔡梦珊 彭栩健 钟润锵 吕云娟 罗玲 《山东医药》 CAS 2024年第18期35-39,共5页
目的分析因其他疾病住院的患者院内感染新型冠状病毒(SARS-CoV-2)后肺炎发病的危险因素。方法275例因其他疾病住院的患者,根据住院期间是否感染SARS-CoV-2后发生肺炎分为肺炎组68例、无肺炎组207例,收集患者临床资料,采用二元Logistic... 目的分析因其他疾病住院的患者院内感染新型冠状病毒(SARS-CoV-2)后肺炎发病的危险因素。方法275例因其他疾病住院的患者,根据住院期间是否感染SARS-CoV-2后发生肺炎分为肺炎组68例、无肺炎组207例,收集患者临床资料,采用二元Logistic回归分析法分析住院患者感染SARS-CoV-2后发生肺炎的危险因素。结果与无肺炎组相比,肺炎组患者年龄大、男性比例高,患有高血压、糖尿病、心脑血管疾病、神经系统疾病、慢性阻塞性肺疾病、贫血、营养不良、鼻咽癌和肝分化型胚胎瘤比例均高(P均<0.05);与无肺炎组相比,肺炎组患者红细胞分布宽度、白细胞计数、中性粒细胞高,血清尿素、葡萄糖、谷丙转氨酶、谷草转氨酶、总胆红素、γ-谷氨酰转肽酶、碱性磷酸酶、纤维蛋白原和D-二聚体水平高,凝血酶原时间及活化部分凝血活酶时间长,红细胞计数、红细胞比积、血红蛋白、淋巴细胞、嗜酸性粒细胞、嗜碱性粒细胞低,血清钙、总蛋白、白蛋白和胆碱酯酶水平低(P均<0.05)。年龄大、男性、凝血酶原时间延长、嗜碱性粒细胞百分比下降、活化部分凝血活酶时间缩短以及血清总蛋白水平下降为发生肺炎的危险因素(OR分别为1.037、5.383、115.786、0.155、0.884、0.941,P均<0.05)。结论年龄大、男性、凝血酶原时间延长、嗜碱性粒细胞百分比下降、活化部分凝血活酶时间缩短以及血清总蛋白水平降低的因其他疾病住院的患者感染SARS-CoV-2后更易发生肺炎。 展开更多
关键词 院内感染 肺炎 继发性肺炎 新型冠状病毒 年龄 性别 凝血酶原 嗜碱性粒细胞百分比 白蛋白
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Anti-embolic effect of Taorenchengqi Tang in rats with embolic stroke induced by occluding middle cerebral artery
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作者 Li Jiun-Yi Chang Ting-Chen +2 位作者 Chang Nen-Chung Thanasekaran Jayakumar Chang Chao-Chien 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2017年第3期326-332,共7页
OBJECTIVE: To investigate the anti-embolic effect of Taorenchengqi Tang(TRCQT), a formulas from Traditional Chinese Medicine, plus aspirin in rats with embolic stroke induced by selective occlusion of the middle cereb... OBJECTIVE: To investigate the anti-embolic effect of Taorenchengqi Tang(TRCQT), a formulas from Traditional Chinese Medicine, plus aspirin in rats with embolic stroke induced by selective occlusion of the middle cerebral artery(MCA). Possible side effects of hemorrhagic incident and other bleeding events and anti-platelet effect were also explored.METHODS: Ninety rats were randomly separatedinto 9 groups(n = 10): group 1 a sham-operated group(n = 10); groups 2 and 3 orally treated with an isovolumetric solvent(distilled water) for 1 and3 months, followed by thromboembolic occlusion(n = 10); groups 4 and 5 orally treated with aspirin(5 mg/kg) alone for 1 and 3 months, followed by thromboembolic occlusion(n = 10); groups 6 and 7orally treated with TRCQT(0.5 g/kg) alone for 1 and3 months, followed by thromboembolic occlusion(n = 10); groups 8 and 9 orally treated with TRCQT plus aspirin for 1 and 3 months, respectively followed by thromboembolic occlusion(n = 10). The ischemic stroke in rats was induced by selective MCA occlusion. One was orally administered. After the treatments, rats' brains were removed, sectioned and stained with triphenyltetrazolium chloride(TTC) for infarct volume measurement. The incidence of subarachnoid hemorrhage(SAH) and intracerebral hemorrhage(ICH) were observed. A potential gastric bleeding side effect was assessed by measuring hemoglobin(Hb), and prothrombin time(PT). Collagen-induced platelet activation and tail vein bleeding time were measured.RESULTS: Treatment with TRCQT alone or in combination with aspirin reduced infarct volume for 1(P < 0.05), and 3(P < 0.01) months without SAH and ICH incidences, and gastric bleeding. TRCQT treatment for 1 month was also not altered PT. Moreover, a concentration dependent inhibition of collagen-induced platelet activation, followed by increasing of tail vein bleeding time was observed after TRCQT treatment.CONCLUSION: Either TRCQT alone or TRCQT plus aspirin exhibits potent neuroprotective effect by reducing infarct volume without changing the status of SAH, ICH and gastric bleeding possibly via inhib-iting the platelet activation and increasing bleeding time. 展开更多
关键词 Stroke EMBOLISM ASPIRIN Subarach-noid hemorrhage Cerebral hemorrhage prothrom-bin time Blood platelet Taorenchengqi Tang
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山东省多中心PICU收治的急性肝衰竭患儿病因、临床特点及预后影响因素 被引量:2
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作者 王琦玮 杨鹏 +6 位作者 韩明英 侯建 赵春 王伟 王玉娟 信晓伟 靳有鹏 《山东医药》 CAS 2023年第18期1-5,共5页
目的总结急性肝衰竭(pediatric acute liver failure,PALF)患儿的病因、临床特点及预后影响因素。方法对2010年8月—2022年8月间山东省4家儿童重症监护病房(PICU)收治的236例急性肝衰竭患儿的临床资料作回顾性分析。结果236例患儿病因... 目的总结急性肝衰竭(pediatric acute liver failure,PALF)患儿的病因、临床特点及预后影响因素。方法对2010年8月—2022年8月间山东省4家儿童重症监护病房(PICU)收治的236例急性肝衰竭患儿的临床资料作回顾性分析。结果236例患儿病因有感染性疾病49例(20.8%)、遗传代谢性疾病36例(15.3%)、噬血细胞综合征27例、中毒19例、恶性肿瘤/血液病12例、循环衰竭11例,胆道疾病3例、热射病1例及不明原因78例(33.0%)。236例患儿中男性131例(55.5%);年龄0~1岁109例(46.2%);临床表现为黄疸160例(67.8%)、多器官功能障碍综合征(MODS)148例、出血118例、腹水80例、肝性脑病75例、DIC 67例、肝肾综合征20例。236例患儿治疗后好转出院87例、治疗无效149例。凝血酶原时间(PT)延长、血氨(NH3)水平升高、血清白蛋白(ALB)水平降低及合并MODS是急性肝衰竭患儿预后不良的独立危险因素(OR分别为1.023,1.008,0.928,2.980;95%CI分别为1.003~1.044,1.002~1.014,0.872~0.989,1.393~6.377;P均<0.05)。结论急性肝衰竭患儿的最常见病因是感染性疾病。急性肝衰竭多发生于1岁以下男婴,主要临床表现为黄疸、MODS及出血,预后较差,PT延长、血NH3水平高、血清ALB水平低及合并MODS的急性肝衰竭患儿预后更差。 展开更多
关键词 肝衰竭 急性肝衰竭 多器官功能障碍综合征 感染性疾病 凝血酶原时间 白蛋白
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