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直立不耐受症状评分及儿茶酚胺与血管迷走性晕厥患儿情绪障碍的相关性
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作者 李玲 闫宇晗 +3 位作者 孔清玉 王敏敏 赵海招 赵翠芬 《山东大学学报(医学版)》 北大核心 2025年第5期71-78,共8页
目的探讨直立不耐受症状评分及24 h尿儿茶酚胺在血管迷走性晕厥(vasovagal syncope,VVS)患儿焦虑及抑郁性情绪障碍评估中的临床意义。方法回顾性分析2018年6月至2021年12月山东大学齐鲁医院儿童心血管病房诊治的53例VVS患儿临床资料,根... 目的探讨直立不耐受症状评分及24 h尿儿茶酚胺在血管迷走性晕厥(vasovagal syncope,VVS)患儿焦虑及抑郁性情绪障碍评估中的临床意义。方法回顾性分析2018年6月至2021年12月山东大学齐鲁医院儿童心血管病房诊治的53例VVS患儿临床资料,根据心理量表评分分为焦虑组(n=29)、非焦虑组(n=24)、抑郁组(n=13)和非抑郁组(n=40)。所有患儿在入院后进行直立不耐受症状评分,儿童焦虑性情绪障碍筛查量表(screen for child anxiety related emotional disorders,SCARED)评估患儿焦虑性情绪障碍程度,儿童抑郁量表(child depression inventory,CDI)评估患儿抑郁性情绪障碍程度,采用液相二级质谱法检测患儿24 h尿儿茶酚胺水平。采用国内已发表相同量表的学龄期儿童作为常模组。组间比较采用t检验、Mann-Whitney U检验或χ^(2)检验,相关性分析采用Pearson或Spearman相关,采用ROC曲线分析直立不耐受症状评分的预测价值。结果(1)53例VVS患儿SCARED评分(26.7±15.5)分,高于常模组(t=5.73,P<0.001);焦虑障碍检出率54.7%,高于常模组(χ^(2)=21.12,P<0.001);CDI评分(14.3±8.8)分,高于常模组(t=2.21,P=0.032);抑郁障碍检出率24.5%,高于常模组(χ^(2)=3.95,P=0.047);(2)非焦虑组直立不耐受症状评分低于焦虑组(Z=5.25,P<0.001);53例患儿SCARED评分与直立不耐受症状评分呈正相关(r_(s)=0.76,P<0.001),与24 h尿去甲肾上腺素水平无相关性(r=-0.16,P=0.254),与24 h尿肾上腺素、多巴胺水平无相关性(r_(s)=-0.16,-0.21;P=0.245,0.136);(3)非抑郁组患儿直立不耐受症状评分与抑郁组差异无统计学意义(Z=1.68,P=0.093);53例VVS患儿CDI评分与直立不耐受症状评分呈正相关(r_(s)=0.41,P=0.002),与24 h尿去甲肾上腺素水平无相关性(r=-0.07,P=0.616);与24 h尿肾上腺素和多巴胺水平无相关性(r_(s)=-0.09,-0.10;P=0.502,0.475);(4)VVS患儿直立不耐受症状评分为8.5分时,其预测VVS患儿存在焦虑性情绪障碍的灵敏度为75.9%,特异度为95.8%,其预测VVS患儿存在抑郁性情绪障碍的灵敏度69.2%,特异度为65.0%。结论VVS患儿SCARED及CDI评分与直立不耐受症状评分呈正相关,与24 h尿儿茶酚胺水平呈无相关性;直立不耐受症状评分对VVS患儿情绪障碍有预测价值。 展开更多
关键词 情绪障碍 晕厥 直立不耐受 儿茶酚胺 儿童
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LC-MS/MS在儿茶酚胺及其代谢物检测中的研究进展
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作者 王静 刘双艺 +2 位作者 金智琳 肖雪 陆桥 《分析测试学报》 北大核心 2025年第5期977-984,共8页
儿茶酚胺类化学物(CAs)是一种在人体内起着重要作用的生物活性物质。肾上腺素与去甲肾上腺素水平的异常升高常提示肾上腺肿瘤或嗜铬细胞瘤的存在,其代谢物甲氧基肾上腺素和去甲氧基肾上腺素是检测副神经节瘤和嗜铬细胞瘤的重要生物标志... 儿茶酚胺类化学物(CAs)是一种在人体内起着重要作用的生物活性物质。肾上腺素与去甲肾上腺素水平的异常升高常提示肾上腺肿瘤或嗜铬细胞瘤的存在,其代谢物甲氧基肾上腺素和去甲氧基肾上腺素是检测副神经节瘤和嗜铬细胞瘤的重要生物标志物,而多巴胺及其代谢产物的失衡则与帕金森病等神经系统疾病相关。液相色谱-串联质谱法(LC-MS/MS)具有高灵敏度、高特异性和宽线性范围等优点,已成为小分子生物标志物检测领域的优选方法之一。该技术极大地提高了儿茶酚胺的检测效率与准确性,但存在成本高、技术要求高和样本预处理繁琐等缺点。该文综述了国内外LC-MS/MS在CAs及其代谢物检测中的研究进展,包括其检测流程、临床应用以及面临的主要问题,并对未来发展趋势进行了展望。 展开更多
关键词 液相色谱-串联质谱法 儿茶酚胺 代谢物 样品前处理 定量分析
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子宫-膀胱间隙异位副神经节瘤诊治一例
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作者 潘如 陈紫均 +2 位作者 杨海坤 余祝英 吴生盛 《国际生殖健康/计划生育杂志》 2025年第2期128-131,共4页
副神经节瘤(paraganglioma,PGL)是源自肾上腺外嗜铬细胞的罕见肿瘤,而发生部位在子宫-膀胱间隙且术前无任何症状的相关病例更为鲜见。报道1例罕见的PGL病例,术前无头痛、出汗、高血压及心动过速等典型PGL症状。术中见肿瘤位于子宫与膀... 副神经节瘤(paraganglioma,PGL)是源自肾上腺外嗜铬细胞的罕见肿瘤,而发生部位在子宫-膀胱间隙且术前无任何症状的相关病例更为鲜见。报道1例罕见的PGL病例,术前无头痛、出汗、高血压及心动过速等典型PGL症状。术中见肿瘤位于子宫与膀胱间隙中,触碰肿瘤时出现血压异常波动、血氧下降、室颤、房颤等心律失常,在术中稳定生命体征后进行了全子宫+双侧附件切除术,术后转重症监护病房密切监测生命体征,予以对症治疗后患者痊愈出院,出院时血压、心功能稳定,无并发症,术后2个月复查儿茶酚胺、血压、妇科彩色超声等无明显异常。通过该病例的临床特点和辅助检查情况,分析术前精确诊断要点,以降低PGL的围手术期风险,提高患者生存率。 展开更多
关键词 副神经节瘤 儿茶酚胺类 诊断 治疗 病例报告
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The dopaminergic system and Alzheimer's disease 被引量:1
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作者 Yuhan Zhang Yuan Liang Yixue Gu 《Neural Regeneration Research》 SCIE CAS 2025年第9期2495-2512,共18页
Alzheimer's disease is a common neurodegenerative disorder in older adults.Despite its prevalence,its pathogenesis remains unclea r.In addition to the most widely accepted causes,which in clude excessive amyloid-b... Alzheimer's disease is a common neurodegenerative disorder in older adults.Despite its prevalence,its pathogenesis remains unclea r.In addition to the most widely accepted causes,which in clude excessive amyloid-beta aggregation,tau hyperphosphorylation,and deficiency of the neurotransmitter acetylcholine,numerous studies have shown that the dopaminergic system is also closely associated with the occurrence and development of this condition.Dopamine is a crucial catecholaminergic neurotransmitter in the human body.Dopamine-associated treatments,such as drugs that target dopamine receptor D and dopamine analogs,can improve cognitive function and alleviate psychiatric symptoms as well as ameliorate other clinical manifestations.Howeve r,therapeutics targeting the dopaminergic system are associated with various adverse reactions,such as addiction and exacerbation of cognitive impairment.This review summarizes the role of the dopaminergic system in the pathology of Alzheimer's disease,focusing on currently available dopamine-based therapies for this disorder and the common side effects associated with dopamine-related drugs.The aim of this review is to provide insights into the potential connections between the dopaminergic system and Alzheimer's disease,thus helping to clarify the mechanisms underlying the condition and exploring more effective therapeutic options. 展开更多
关键词 adverse drug reaction Alzheimer's disease catecholamine dopamine receptor dopamine receptor heterodimers dopaminergic system neurodegenerative disease NEUROTRANSMITTER signaling pathways traditional Chinese medicine TREATMENT
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Isoproterenol mechanisms in inducing myocardial fibrosis and its application as an experimental model for the evaluation of therapeutic potential of phytochemicals and pharmaceuticals 被引量:1
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作者 Lujain Bader Eddin Mohamed Fizur Nagoor Meeran +2 位作者 Niraj Kumar Jha Samer NGoyal Shreesh Ojha 《Animal Models and Experimental Medicine》 2025年第1期67-91,共25页
Cardiac injury initiates repair mechanisms and results in cardiac remodeling and fi-brosis,which appears to be a leading cause of cardiovascular diseases.Cardiac fi-brosis is characterized by the accumulation of extra... Cardiac injury initiates repair mechanisms and results in cardiac remodeling and fi-brosis,which appears to be a leading cause of cardiovascular diseases.Cardiac fi-brosis is characterized by the accumulation of extracellular matrix proteins,mainly collagen in the cardiac interstitium.Many experimental studies have demonstrated that fibrotic injury in the heart is reversible;therefore,it is vital to understand differ-ent molecular mechanisms that are involved in the initiation,progression,and resolu-tion of cardiac fibrosis to enable the development of antifibrotic agents.Of the many experimental models,one of the recent models that has gained renewed interest is isoproterenol(ISP)-induced cardiac fibrosis.ISP is a synthetic catecholamine,sympa-thomimetic,and nonselectiveβ-adrenergic receptor agonist.The overstimulated and sustained activation ofβ-adrenergic receptors has been reported to induce biochemi-cal and physiological alterations and ultimately result in cardiac remodeling.ISP has been used for decades to induce acute myocardial infarction.However,the use of low doses and chronic administration of ISP have been shown to induce cardiac fibrosis;this practice has increased in recent years.Intraperitoneal or subcutaneous ISP has been widely used in preclinical studies to induce cardiac remodeling manifested by fibrosis and hypertrophy.The induced oxidative stress with subsequent perturbations in cellular signaling cascades through triggering the release of free radicals is consid-ered the initiating mechanism of myocardial fibrosis.ISP is consistently used to induce fibrosis in laboratory animals and in cardiomyocytes isolated from animals.In recent years,numerous phytochemicals and synthetic molecules have been evaluated in ISP-induced cardiac fibrosis.The present review exclusively provides a comprehensive summary of the pathological biochemical,histological,and molecular mechanisms of ISP in inducing cardiac fibrosis and hypertrophy.It also summarizes the application of this experimental model in the therapeutic evaluation of natural as well as syn-thetic compounds to demonstrate their potential in mitigating myocardial fibrosis and hypertrophy. 展开更多
关键词 cardiac fibrosis catecholamineS experimental models ISOPROTERENOL myocardial fibrosis PHYTOCHEMICALS β-adrenergic receptors
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嗜铬细胞瘤和副神经节瘤术后低血糖的研究进展
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作者 李宇珂 崔玉健 +2 位作者 韩文聪 张争 李楠 《实用医学杂志》 北大核心 2025年第16期2476-2480,共5页
嗜铬细胞瘤和副神经节瘤(PPGL)是一种独特的神经内分泌肿瘤,其临床特征除血流动力学异常外,还包括围手术期的血糖紊乱,均与儿茶酚胺分泌异常相关。低血糖是PPGL术后常见的并发症,其机制主要与术后反跳性胰岛素分泌和胰岛素敏感性恢复相... 嗜铬细胞瘤和副神经节瘤(PPGL)是一种独特的神经内分泌肿瘤,其临床特征除血流动力学异常外,还包括围手术期的血糖紊乱,均与儿茶酚胺分泌异常相关。低血糖是PPGL术后常见的并发症,其机制主要与术后反跳性胰岛素分泌和胰岛素敏感性恢复相关。PPGL术后低血糖因症状隐匿、潜在危害严重而需高度重视,其危险因素包括分泌以肾上腺素为主的儿茶酚胺类激素、较长的手术时间、较大的肿瘤和既往合并终末肾脏疾病史,因此术前识别高危人群、术中密切监测和术后及时干预尤为重要。本篇文章系统总结了近年PPGL术后低血糖的流行病学、发生机制、临床诊疗及预后,并在临床诊疗部分提出了创新性的研究方向和框架,如α受体阻滞剂的最佳时间窗和最佳剂量、微剂量胰高血糖素的可能应用、糖代谢调控分子机制和靶向干预策略等。该综述旨在填补该领域围术期规范化管理的空白,为临床实践提供兼具创新性和可操作性的参考。 展开更多
关键词 嗜铬细胞瘤 副神经节瘤 儿茶酚胺 低血糖
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Changes of serum thyroid hormone and plasma catecholamine of 16 th and 17 th Chinese Expeditioners in Antarctic environment 被引量:1
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作者 徐成丽 朱广瑾 +1 位作者 薛全福 祖淑玉 《Chinese Journal of Polar Science》 2003年第2期124-130,共7页
The serum thyroid hormone and plasma catecholamine were examined in 18 male and 2 female members of the Chinese Antarctic Expedition (who spent the 2000 or 2001 austral winter at the Great Wall Station) . The changes ... The serum thyroid hormone and plasma catecholamine were examined in 18 male and 2 female members of the Chinese Antarctic Expedition (who spent the 2000 or 2001 austral winter at the Great Wall Station) . The changes of serum thyroid hormone i. e. total thyroxine (TT4) and free T4 (FT4) , total triodothyronine (TT3) and freeT3 ( FT3 ) , thyroid stimulating hormone ( TSH ) and plasma catecholamine, including norepinephrine (NE) , epinephrine ( E) and dopamine ( DA ) , were investigated by Chemoluminescence Immunoassay (CLIA) and High Performance Liquid Chromatography with electrochemical detection (HPLC-ECD) . Samples were taken at different time; (1)1 day before departure to Antarctica (16th expedition 1999/12/ 09; 17th expedition 2000/12/06). (2) 1 day after returned to China after living 54 weeks in Antarctica ( 16th expedition 2000/12/25 ; 17th expedition 2001/12/25 ). Comparing the data of before departure and returned, results showed that there was a significant decrease in the contents of TT4 (P <0. 01) with no significant change in the content of TT3 , FT3 and FT4. It was also found that the content of TSH increased significantly (P <0. 001) ; No significant changes of plasma NE and DA were found but the content of E decreased significantly ( P < 0. 001) . The results indicated that the special Antarctic environment led to a restrain effect on the thyroid function and the level of plasma E in Antarctic expedition members. Both the thyroid and adrenal medulla system were associated in response to the Antarctic systemic stress. 展开更多
关键词 ANTARCTICA expedition members thyroid hormone catecholamine.
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防风多糖药物血清对神经元兴奋性损伤的保护作用及递质释放的影响
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作者 张丹 杨晓茜 +3 位作者 宋瑞 孙晋浩 徐涛 李文杰 《中国临床解剖学杂志》 北大核心 2025年第5期548-554,563,共8页
目的探讨防风多糖(SP)对谷氨酸(Glu)诱导的PC12细胞兴奋性损伤的神经保护作用及对儿茶酚胺(CA)类递质储存和释放的影响。方法给予15 mM Glu处理PC12细胞,建立神经元兴奋性损伤细胞模型;经SD大鼠灌服SP制备含药血清并加入至PC12细胞培养... 目的探讨防风多糖(SP)对谷氨酸(Glu)诱导的PC12细胞兴奋性损伤的神经保护作用及对儿茶酚胺(CA)类递质储存和释放的影响。方法给予15 mM Glu处理PC12细胞,建立神经元兴奋性损伤细胞模型;经SD大鼠灌服SP制备含药血清并加入至PC12细胞培养液内。通过MTT和DCFH-DA探针分别检测SP药物血清对PC12细胞活性和活性氧(ROS)水平的影响。采用单细胞安培法(SCA)和胞内囊泡碰撞的电化学方法(IVIEC)检测SP药物血清对PC12细胞单囊泡CA储存、分泌及胞吐动力学的影响;经透射电镜观察囊泡超微结构的变化。结果SP含药血清显著提高Glu损伤PC12细胞后的细胞活性;降低ROS含量;并在单个囊泡水平上增加CA的储存和和释放,增大囊泡及其致密核心体积。结论SP通过减轻氧化应激发挥对Glu兴奋性损伤的神经保护作用,并通过上调单囊泡内CA的储存和释放,调控CA类神经递质释放稳态。 展开更多
关键词 防风多糖 谷氨酸 氧化应激 电化学 儿茶酚胺
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UPLC-MS/MS法同时测定血液中儿茶酚胺及其代谢物 被引量:1
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作者 金珊珊 常靖 +3 位作者 吴世豪 董林沛 辛国斌 王瑞花 《分析测试学报》 北大核心 2025年第7期1378-1384,共7页
建立了超高效液相色谱-串联质谱(UPLC-MS/MS)同时测定血液中儿茶酚胺(CAs)及其3种代谢物的检测方法。该方法仅需100μL血样,经超滤离心管净化,固相萃取法提取,采用HSS PFP色谱柱分离,以乙腈-0.1%甲酸水溶液作为流动相梯度洗脱。电喷雾... 建立了超高效液相色谱-串联质谱(UPLC-MS/MS)同时测定血液中儿茶酚胺(CAs)及其3种代谢物的检测方法。该方法仅需100μL血样,经超滤离心管净化,固相萃取法提取,采用HSS PFP色谱柱分离,以乙腈-0.1%甲酸水溶液作为流动相梯度洗脱。电喷雾正离子多反应监测(MRM)模式检测,内标法定量。结果表明,CAs及其代谢物在0.5~50 ng/mL质量浓度范围内线性良好(r2>0.99),方法检出限和定量下限分别为0.2ng/mL和0.5 ng/mL。6种目标物在1、10、50 ng/mL 3个加标水平下的回收率为68.9%~101%,基质效应为86.2%~102%,相对标准偏差(RSD)为2.3%~10%。所建方法为临床诊断、肾上腺素中毒案件的检验鉴定提供了有效的技术手段。 展开更多
关键词 法医毒物分析 UPLC-MS/MS 血液 儿茶酚胺
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Pheochromocytoma presenting with vomiting and heart failure:A case report
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作者 Han Cheng Ling-Tong Gu Jing Yang 《World Journal of Cardiology》 2025年第8期119-125,共7页
BACKGROUND Pheochromocytoma,a rare catecholamine-secreting tumor,typically presents with the classic triad of headache,palpitations,and diaphoresis,often accompanied by cardiovascular manifestations.While vomiting occ... BACKGROUND Pheochromocytoma,a rare catecholamine-secreting tumor,typically presents with the classic triad of headache,palpitations,and diaphoresis,often accompanied by cardiovascular manifestations.While vomiting occurs in approximately 34.5%of cases,it is rarely the predominant and persistent presenting symptom.Pheochro-mocytoma-induced cardiomyopathy leading to heart failure is a recognized but uncommon complication.Due to its heterogeneous presentations,misdiagnosis and diagnostic delay are frequent.CASE SUMMARY A 53-year-old female presented predominantly with persistent and refractory vomiting as her chief complaint,accompanied by signs of acute heart failure[left ventricular ejection fraction(LVEF)30%].Initial evaluation at a primary hospital,including coronary angiography(revealing only mild stenosis),led to a misdia-gnosis of coronary artery disease.Despite standard anti-thrombotic,anti-heart failure,and anti-emetic therapy,her vomiting persisted and heart failure did not resolve.Subsequent hospitalization revealed dramatic paroxysmal hypertension(202/129 mmHg to 97/51 mmHg)and fever.Significantly elevated plasma meta-nephrines and normetanephrine,combined with abdominal computed tomogra-phy and magnetic resonance imaging,confirmed a right adrenal pheochromo-cytoma.This diagnosis was significantly delayed due to the atypical prominence of gastrointestinal symptoms masking the underlying endocrine crisis.CONCLUSION This case highlights a highly atypical presentation of pheochromocytoma domi-nated by refractory vomiting and complicated by acute catecholamine-induced cardiomyopathy.It emphatically underscores that pheochromocytoma must be considered in the differential diagnosis for patients presenting with unexplained,treatment-resistant vomiting,particularly when co-existing with acute heart failure.The presence of labile hypertension,even if not initially evident,provides a crucial diagnostic clue.Prompt biochemical screening(catecholamine metabolites)and adrenal imaging are essential to prevent diagnostic delay and enable timely,life-saving surgical intervention. 展开更多
关键词 PHEOCHROMOCYTOMA VOMIT Heart failure catecholamine Cardiomyopathy Case report
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儿童血管迷走性晕厥相关生物标志物的研究进展
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作者 武文娟 李淑芬 《医学综述》 2025年第15期1847-1850,1857,共5页
血管迷走性晕厥是儿童和青少年最常见的晕厥类型,其发生涉及自主神经调节失衡、血流动力学异常及神经体液因素等多系统的交互作用。近年来,生物标志物在儿童血管迷走性晕厥的诊断、分型和治疗评估中展现出重要价值,其潜在的生物标志物... 血管迷走性晕厥是儿童和青少年最常见的晕厥类型,其发生涉及自主神经调节失衡、血流动力学异常及神经体液因素等多系统的交互作用。近年来,生物标志物在儿童血管迷走性晕厥的诊断、分型和治疗评估中展现出重要价值,其潜在的生物标志物包括儿茶酚胺、抗利尿激素、血清铁、铁蛋白及血常规参数、维生素D等,这些生物标志物可能参与自主神经调节失衡、血管张力异常等关键病理环节。系统分析这些生物标志物有助于优化血管迷走性晕厥的诊断策略和干预措施,并为进一步研究提供方向。 展开更多
关键词 血管迷走性晕厥 神经源性晕厥 儿茶酚胺 维生素D
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Takotsubo综合征的回顾和研究进展
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作者 秦昆阳 《实用心电与临床诊疗》 2025年第5期769-776,共8页
Takotsubo综合征是一种好发于中老年女性,由精神或躯体诱因引起儿茶酚胺类物质大量分泌,导致心尖球囊样改变的可逆性心肌病。自该病被首次报道至今已有30余年,其诊断标准、病理生理机制及治疗方案等均在不断演进与迭代,最新的国际专家... Takotsubo综合征是一种好发于中老年女性,由精神或躯体诱因引起儿茶酚胺类物质大量分泌,导致心尖球囊样改变的可逆性心肌病。自该病被首次报道至今已有30余年,其诊断标准、病理生理机制及治疗方案等均在不断演进与迭代,最新的国际专家共识已于2024年发布。Takotsubo综合征的病理生理机制是心肌顿抑导致射血分数下降的心力衰竭,应针对其多样化的诱因及并发症制定个体化的治疗方案。本文就Takotsubo综合征经典的研究理论及最新的研究进展进行综述,侧重分析其典型心电图特征,以及用于鉴别诊断的心电图差异。 展开更多
关键词 Takotsubo综合征 心肌病 心血管病学 儿茶酚胺 左心衰竭
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嗜铬细胞瘤误诊为糖尿病、间质瘤临床分析
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作者 刘经纬 梁君峰 +1 位作者 李明兴 宋士强 《临床误诊误治》 2025年第13期1-5,共5页
目的分析嗜铬细胞瘤的临床特点、误诊原因及防范措施。方法回顾分析2020年10月至2024年1月收治曾发生误诊的2例嗜铬细胞瘤病例资料。结果1例以多尿、多饮、口干、晕厥就诊,有肾结石病史、便秘病史多年,初诊为2型糖尿病,予以相应治疗7 d... 目的分析嗜铬细胞瘤的临床特点、误诊原因及防范措施。方法回顾分析2020年10月至2024年1月收治曾发生误诊的2例嗜铬细胞瘤病例资料。结果1例以多尿、多饮、口干、晕厥就诊,有肾结石病史、便秘病史多年,初诊为2型糖尿病,予以相应治疗7 d后突发大汗、心悸、头痛,阵发性高血压,腹部超声提示肾上腺占位可能,腹部CT示左肾上腺类圆形软组织密度影,增强扫描不均匀延迟强化;查血儿茶酚胺升高,确诊肾上腺嗜铬细胞瘤,误诊时间1年。确诊后予腹腔镜左肾上腺嗜铬细胞瘤切除术,术后病理证实诊断。随访2个月患者情况良好。1例因体检发现上腹部包块就诊,无明显症状,初诊为腹部间质瘤,行腹腔镜探查术,术中转开腹探查,游离肿瘤时血压急骤升高,考虑异位嗜铬细胞瘤,中止手术,查血尿儿茶酚胺及代谢物水平升高,再结合腹部CT结果,确诊异位嗜铬细胞瘤,予全麻下剖腹探查联合后腹腔肿瘤切除术、肠粘连松解术,术后病理证实诊断。误诊时间5 d。术后随访2个月患者情况良好。结论嗜铬细胞瘤临床表现多种多样,初诊误诊率较高。临床医师需提高对本病的重视程度,仔细询问病史,认真鉴别诊断,及早行血尿儿茶酚胺类激素检测及腹部CT检查,以提高本病临床诊断率。 展开更多
关键词 嗜铬细胞瘤 高血压 误诊 2型糖尿病 间质瘤 儿茶酚胺 诊断
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Determination of urine catecholamines and metanephrines by reversed-phase liquid chromatography-tandem mass spectrometry 被引量:6
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作者 CHEUK Man-Yung LO Yun-Chuen POON Wing-Tat 《色谱》 CAS CSCD 北大核心 2017年第10期1042-1047,共6页
The measurement of urine catecholamine and metanephrine concentrations is important for biochemical screening and diagnosis of pheochromocytoma.The goal of this work was to develop a simple liquid chromatography-tande... The measurement of urine catecholamine and metanephrine concentrations is important for biochemical screening and diagnosis of pheochromocytoma.The goal of this work was to develop a simple liquid chromatography-tandem mass spectrometry(LC-MS/MS)method for determining catecholamines and metanephrines in urine to replace an existing liquid chromatographic method using electrochemical detection.Urine samples were prepared using Oasis weak-cation-exchange cartridges.The eluate was analyzed on an Agilent ZORBAX Eclipse Plus Phenyl-Hexyl column in 3 min.Adrenaline,noradrenaline,dopamine,metanephrine,normetanephrine,and their deuterated internal standards were monitored in positive electrospray ionization mode by multiple reaction monitoring(MRM).No evidence of ion suppression was observed.The assay was linear up to 5μmol/L for adrenaline,5μmol/L for noradrenaline,6.1μmol/L for dopamine,5.6μmol/L for metanephrine,and 34.6μmol/L for normetanephrine,with lower limits of quantification of 5,5,12,6 and 7nmol/L,respectively.The intra-day and inter-day precisions for all analytes ranged from 0.59%to 4.64%and1.98%to 4.80%,respectively.External quality assurance samples were assayed and showed excellent agreement with the target values.This simple method provides an improved assay for determining urine catecholamines and metanephrines. 展开更多
关键词 liquid chromatography-tandem mass SPECTROMETRY (LC-MS/MS) METANEPHRINES catecholamineS PHEOCHROMOCYTOMA URINE
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Relationship between catecholamine level and gene polymorphism ofβ1 adrenergic receptor G1165C in children with EV71 infection in hand foot and mouth disease 被引量:3
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作者 Zhi-Xian Lei Bang-Tao Li +19 位作者 Hong-Ai Li Xiao-Ming Li Man-Fang Xie Ting Huang Qi Wang Ya-Zhou Wang Qiu-Yu Lin Li-Rong Zhou Nai-Chao Feng Xin Li Dao-Mou Zhu Yuan-Ping Hai Lan Cui Ya-Qin Zhang Zhi-Wen Liu Shou-Ye Wu Yong-Zhao Chen Ke-Qing Zhu Xiao-Jie He Wei Xiang 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2017年第5期453-456,共4页
Objective:To investigate the relationship between the levels of plasma adrenaline and norepinephrine and gene polymorphism ofβ1 adrenergic receptor G1165 C in children with enterovirus 71(EV71)infection in hand foot ... Objective:To investigate the relationship between the levels of plasma adrenaline and norepinephrine and gene polymorphism ofβ1 adrenergic receptor G1165 C in children with enterovirus 71(EV71)infection in hand foot and mouth disease(HFMD).Methods:The polymerase chain reaction(PCR)was used to detect the expression of gene polymorphism ofβ1 adrenergic receptor G1165 C in vitro.The levels of plasma adrenaline and norepinephrine were measured by enzyme-linked immunosorbent assay(ELISA).Results:The plasma norepinephrine level of severe group was significantly higher than the mild group in children with EV71 infection in HFMD(P<0.05);however,the levels of plasma adrenalinein in two groups had no statistical differences(P>0.05);There was no significant difference in the distribution ofβ1 adrenergic receptor G1165 C genotype and allele between EV71 infection group and healthy control group(P>0.05).Further analysis of EV71 infection group by dividing it into mild and severe groups showed that there was no significant difference in the distribution of genotype and allele between these two groups as well(P>0.05).There was no significant difference in the levels of epinephrine and norepinephrine in different genotypes of EV71 infection group(P>0.05),and in the levels of plasma epinephrine and norepinephrine in the mild and severe groups(P>0.05).Conclusions:As the disease gets worse,the plasma norepinephrine level has a rising trend in children with EV71 infection in HFMD,which is an important indicator to evaluate the progress of the disease.However,the gene polymorphism of eptor G1165 C have no significant correlation,not only with the susceptibility and severitβ1 adrenergic recy of EV71 infection in hand,foot and mouth disease,but also with the levels of catecholamine. 展开更多
关键词 catecholamine β1 adrenergic receptor Gene polymorphism Enterovirus 71
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EFFECTS OF ALFENTANIL AND ESMOLOL ON HEMODYNAMIC AND CATECHOLAMINE RESPONSE TO TRACHEAL INTUBATION 被引量:2
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作者 龚志毅 罗爱伦 《Chinese Medical Sciences Journal》 CAS CSCD 1999年第3期189-192,共4页
Objective.To compare the effects of alfentanil and esmolol on hemodynamic and catecholamine response to tracheal intubation. Methods.Thirty five adult patients were randomly allocated to on... Objective.To compare the effects of alfentanil and esmolol on hemodynamic and catecholamine response to tracheal intubation. Methods.Thirty five adult patients were randomly allocated to one of three groups,Group A(control group),Group B(esmolol group)and Group C(alfentanil group).The patients received either 2 mg/kg esmolol(in Group B)or 30 μg/kg alfentanil(in Group C)before intubation.Tracheal intubation was performed with 4 mg/kg thiopental and 0 1 mg/kg vecuronium and 3% isoflurane.Systolic blood pressure(SBP),diastolic blood pressure(DBP),mean blood pressure(MBP),heart rate(HR),norepinephrine(NE),epinephrine(E)and dopamine(DA)were measured before and after intubation. Results.The control group had a baseline SBP of 149±23 mmHg while Groups B,C had a baseline SBP of 148±23,and 150±21mmHg,respectively(P>0 05).Three min after tracheal intubation,the control group SBP increased to 160±30 mmHg and Group B remained at the baseline level,147±5 mmHg,and Group C significantly decreased to 91±22 mmHg(P<0 01).Two min after intubation HR in Group B increased significantly but 3 min after intubation HR in Groups B and C were significantly lower than that of control group(P<0 05).NE in Groups A and B increased significantly to 5 75±3 51 and 6 75±3 30 nmol/L 3 min after intubation(P<0 01).In Group C,3 min after intubation NE was not significantly different from the baseline but E decreased significantly(P<0 01). Conclusion.2 mg/kg esmolol can moderate the hemodynamic response to tracheal intubation to a certain extent and 30μg/kg alfentanil can completely attenuate the hemodynamic and catecholamine responses. 展开更多
关键词 anesthesia intubation response catecholamine
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Capillary electrophoresis with direct chemiluminescence detection for the analysis of catecholamines in human urine 被引量:1
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作者 Cheng Quan Wang Hui Wang Yan Ming Liu 《Chinese Chemical Letters》 SCIE CAS CSCD 2007年第4期452-454,共3页
A rapid and sensitive method for the analysis of three catecholamines by capillary electrophoresis (CE) with direct chemiluminescence (CL) detection is described. The detection limits (S/N= 3) were 1.3 × 10... A rapid and sensitive method for the analysis of three catecholamines by capillary electrophoresis (CE) with direct chemiluminescence (CL) detection is described. The detection limits (S/N= 3) were 1.3 × 10^-8 g/mL for isoprenaline, 1.0 × 10^-8g/mL for epinephrine and 2.8 × 10^-8 g/mL for dopamine. The proposed method was successfully applied to the analysis of catecholamines in urine samples of cigarette smokers and nonsmokers. The results showed that there is a close relation between the release of dopamine in human body fluids and cigarette smoking/nonsmoking. 展开更多
关键词 Capillary electrophoresis catecholamineS Chemiluminescence detection URINE
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Effect of Catecholamine on Central Serous Chorioretinopathy 被引量:1
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作者 孙京华 谭俊锋 +3 位作者 王志涛 杨红 朱雪菲 李伶俐 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2003年第3期313-316,共4页
The role of catecholamine (CA) in the pathogenesis and development of macular edema of central serous chorioretinopathy (CSC) was studied, and its relations with visual acuity were investigated Plasma concentrations... The role of catecholamine (CA) in the pathogenesis and development of macular edema of central serous chorioretinopathy (CSC) was studied, and its relations with visual acuity were investigated Plasma concentrations of epinephrine (E) and norepinephrine (NE) were determined in 30 consecutive eyes with CSC Central macular thickness analysis was done by RTA and all the data were compared with normal eyes and analyzed with SAS software package Plasma concentrations of E and NE were increased to (569±123) ng/L and (721±104) ng/L respectively in active CSC patients, significantly higher than those in normal subjects ( P< 0 01), and decreased to normal in convalescent stage RTA analysis revealed that the retinal thickness of CSC patients was increased at active and recovery stage as compared with normal subjects; and the plasma concentration of E was significantly correlated with central macular thickness( t =2 173, P< 0 05) Also, central macular thickness measured by RTA was significantly correlated with the visual acuity ( r = -0 8046 , P< 0 001) in CSC eyes RTA analysis might be useful to quantitatively detect and evaluate prognosis in CSC patients The plasma concentration of E, which was highly correlated with macular edema, might play an important role in the early damage and the pathogenesis of CSC 展开更多
关键词 catecholamine EPINEPHRINE central serous chorioretinopathy retinal thickness visual acuity
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The role of DJ-1 complexes and catecholamine metabolism: relevance for familial and idiopathic Parkinson's disease 被引量:1
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作者 Dominik Piston Matthew E.Gegg 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第5期815-816,共2页
Autosomal recessive mutations in the PARK7 gene,which encodes for the protein DJ-1,result in a loss of function and are a cause of familial Parkinson’s disease(PD),while increased wild-type DJ-1protein levels are a... Autosomal recessive mutations in the PARK7 gene,which encodes for the protein DJ-1,result in a loss of function and are a cause of familial Parkinson’s disease(PD),while increased wild-type DJ-1protein levels are associated with some forms of cancer.Several functions of DJ-1 have been described,with the greatest evidence indicating that DJ-1 is a redox-sensitive protein involved in the regulation of oxidative stress and cell survival. 展开更多
关键词 The role of DJ-1 complexes and catecholamine metabolism relevance for familial and idiopathic Parkinson’s disease GBA DA
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