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心脏再同步治疗除颤器植入后适应性单左心室起搏对心功能的影响 被引量:2
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作者 时向民 李健 +1 位作者 李世兴 单兆亮 《岭南心血管病杂志》 CAS 2021年第5期538-541,546,共5页
目的观察心力衰竭患者心脏再同步治疗除颤器(cardiac resynchronization therapy-defibrillator,CRT-D)植入后适应性单左心室起搏对心功能的影响。方法2015年3月至2018年10月在解放军总医院行CRT-D植入的扩张型心肌病患者,男性4例,女性1... 目的观察心力衰竭患者心脏再同步治疗除颤器(cardiac resynchronization therapy-defibrillator,CRT-D)植入后适应性单左心室起搏对心功能的影响。方法2015年3月至2018年10月在解放军总医院行CRT-D植入的扩张型心肌病患者,男性4例,女性1例,年龄(55.4±7.3)岁,病史1~5年,纽约心脏协会(New York Heart Association,NYHA)心功能分级:Ⅱ、Ⅲ、Ⅳ级分别为1例、3例、1例。术前超声心动图(UCG)示左心室射血分数(left ventricular ejection fraction,LVEF)<35%,均有中-重度二尖瓣反流,心电图为窦性心律伴左束支传导阻滞(LBBB)。5例患者均植入带有Adaptive CRT功能的CRT-D,4例采用左心室四极电极,1例左心室双极电极,植入冠状窦后静脉或侧后静脉,术后开启Adaptive CRT功能。结果5例患者均表现出适应性单左心室起搏模式,术后6个月随访时与术前相比,QRS波缩短[(124.4±9.7)ms vs.(164.2±15.9)ms,P<0.05],左心室舒张末期内径(LVEDD)降低[(60.0±11.1)mm vs.(70.0±5.3)mm,P<0.05],LVEF增加(41.6%±7.5%vs.27.0%±6.2%,P<0.05),二尖瓣反流均为轻度,NT-脑钠肽前体(NT-proBNP)浓度降低[(624±321)pg/mL vs.(1415±711)pg/mL,P<0.05],NYHA心功能分级提高(术后均为Ⅱ级)(Ⅱ级比例:100%vs.20%,P<0.05),总心室起搏为97.8%±0.4%,单左心室起搏为81.8%±18.9%,其中3例大于95%,另两例分别为65.6%,47%。结论适应性单左心室起搏融合自身右心室激动可有效改善心力衰竭患者心功能,可能是一种更为生理的起搏模式。 展开更多
关键词 心脏再同步治疗除颤器 单左心室起搏 心力衰竭 左束支传导阻滞
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脂多糖致衰老大鼠急性肺损伤及心肌组织ATP酶等的变化 被引量:3
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作者 张健 杜烨玮 +1 位作者 孙仁宇 王士雯 《中国医学科学院学报》 CAS CSCD 北大核心 2003年第3期320-323,共4页
目的观察给衰老大鼠静脉或左心室内注入脂多糖(lipopolysaccharide,LPS)后,是否发生急性肺损伤(acutelunginjury,ALI)以及心肌组织ATP酶等的改变情况。方法雄性Wistar大鼠40只复制成衰老模型。然后随机分成对照组(静脉注射生理盐水,n=8)... 目的观察给衰老大鼠静脉或左心室内注入脂多糖(lipopolysaccharide,LPS)后,是否发生急性肺损伤(acutelunginjury,ALI)以及心肌组织ATP酶等的改变情况。方法雄性Wistar大鼠40只复制成衰老模型。然后随机分成对照组(静脉注射生理盐水,n=8),ALI组(静脉注射5mg/kg体重LPS,n=16),及LPS组(左心室内注入相同剂量LPS,n=16)。注射后2h或6h收集血并取肺、心。制备肺、心组织匀浆。测肺湿/干重量比,用比色法测定蛋白、乳酸(LA)、一氧化氮(NO)和丙二醛(MDA)含量以及谷胱甘肽过氧化物酶(GSH-PX)、Na+-K+-ATPase和Ca2+-Mg2+-ATPase活性。结果ALI组大鼠在静脉注射LPS后2h,肺泡灌洗液中蛋白含量及肺湿/干重量比显著升高(P<0.01);血中LA、NO2-/NO3-和MDA含量也显著升高(P<0.01);同时,肺组织中NO2-/NO3-含量显著升高(P<0.01),而GSH-PX及Na+-K+-ATPase活性均显著下降(P<0.01)。上述变化持续至注射后6h时。但在心肌组织中,直至注射LPS后6h才出现MDA含量的显著升高(P<0.01),和GSH-PX、Na+-K+-ATPase及Ca2+-Mg2+-ATPase活性的显著下降(P<0.01)。而在LPS组,注射LPS后2h的血和2h、6h时的肺组织NO2-/NO3-含量均显著升高(P<0.05);注射后2h时肺组织中Na+-K+-ATPase活性显著下降(P<0.05)。其它指标无显著改变。结论给衰老大鼠静脉注? 展开更多
关键词 急性肺损伤 脂多糖 心肌受损 衰老
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Effect of intestinal ischemia-reperfusion injury on protein levels of leptin and orexin-A in peripheral blood and central secretory tissues 被引量:31
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作者 JiLin Guang-TaoYan Xiu-HuaHao Lu-HuanWang KaiZhang HuiXue 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第7期1000-1004,共5页
AIM: To explore the effect of intestinal ischemia-reperfusion injury on protein levels of leptin and orexin-A in peripheral blood and their central secretory tissues and to find out the role leptin and orexin-A play i... AIM: To explore the effect of intestinal ischemia-reperfusion injury on protein levels of leptin and orexin-A in peripheral blood and their central secretory tissues and to find out the role leptin and orexin-A play in acute inflammatory responses.METHODS: An intestinal ischemia-reperfusion (I/R)injury model of rats was established and rats were divided randomly into six groups: sham-operation group, 60 min ischemia/30 min reperfusion group (I60'R30'), I60'R90',I60'R150', I60'R240' and I60'R360', 9 rats each group.Two highly-sensitive radioimmunoassays for leptin and orexin-A were established and used to check the change of their concentrations in peripheral blood and central secretory tissues before and after intestinal I/R injury.RESULTS: Compared with the serum leptin level before injury, it decreased significantly in I60'R30' group and increased significantly in I60'R360' group; compared to sham-operation group after injury, serum leptin level increased significantly in I60'R360' group; compared to sham-operation group after injury, adipose leptin levels decreased significantly in I60'R30' and I60'R90' groups,while increased significantly in I60'R360' group. There was no significant difference between the expression levels of orexin-A before and after I/R injury.CONCLUSION: Leptin has a time-dependent response and orexin-A has a delayed response to acute inflammatory stimuli such as intestinal I/R injury and they may participate in metabolic disorders in injury as inflammatory cytokines. 展开更多
关键词 ISCHEMIA-REPERFUSION Intestinal LEPTIN OrexinA RADIOIMMUNOASSAY Inflammation Acute Cytokine
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Preventive effect of Ganfujian granule on experimental hepatocarcinoma in rats 被引量:17
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作者 YanQian Chang-QuanLing 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第5期755-757,共3页
AIM:To investigate the inhibitory effect of dietary and medicinal formula Ganfujian granule on diethylnitrosamine (DEN)-induced hepatocarcinoma in rats.METHODS: Male SD rats had free access to water containing 0.1g/L ... AIM:To investigate the inhibitory effect of dietary and medicinal formula Ganfujian granule on diethylnitrosamine (DEN)-induced hepatocarcinoma in rats.METHODS: Male SD rats had free access to water containing 0.1g/L DEN for 16 weeks, during which the rats fed with standard diet or administration of Ganfujian granule (30.4g/Kg in diet). At weeks 4,8,12 and 16 of hepatocarcinogenesis 5 rats of each group were sacrificed, and at week 20 another 30 rats were sacrificed from each group. The end point for survival observation was at week 28.Immunochemistry methods were used to examine the effect of Ganfujian granule on the process of hepatocarcinogenesis including proliferation of hepatocytes and cell cycle modulation.RESULTS:Ganfujian granule could reduce and delay the incidence of hepatocarcinoma in rats and prolong the survival of animals. In addition, Ganfujian granule had a marked inhibitory effect on high expression of cyclin dependent kinase (CDK4) during the whole process of hepatocarcinogenesis and cyclin D1 at week 16 and the number of proliferating cell nuclear antigen (PCNA) positive cells in different stages of hepatocarcinogenesis.CONCLUSION: Ganfujian granule can reduce and delay the incidence of hepatocarcinoma in rats by exerting direct or indirect effects on cell cycle and inhibiting uncontrolled proliferation of hepatocytes. 展开更多
关键词 肝服煎 颗粒剂 肝细胞癌 中医药疗法 药理作用 肿瘤抑制 动物模型
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Enhanced anti-apoptosis and gut epithelium protection function of acidic fibroblast growth factor after cancelling of its mitogenic activity 被引量:9
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作者 Xiao-BingFu Xiao-KunLi +2 位作者 TongWang BiaoCheng Zhi-YongSheng 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第24期3590-3596,共7页
AIM: Mitogenic and non-mitogenic activities of fibroblast growth factor (FGF) are coupled to a range of biological functions, from cell proliferation and differentiation to the onset of many diseases. Recent reports h... AIM: Mitogenic and non-mitogenic activities of fibroblast growth factor (FGF) are coupled to a range of biological functions, from cell proliferation and differentiation to the onset of many diseases. Recent reports have shown that acidic fibroblast growth factor (aFGF) has a powerful antiapoptosis function, which may have potentially therapeutical effect on gut ischemia and reperfusion injuries. However,whether this function depends on its mitogenic or nonmitogenic activity remains unclear. In this study, we identified the source of its anti-apoptosis function with a mutant,aFGF28-154 and observed its effect on reducing gut ischemia and reperfusion injury.METHODS: aFGF28-154 was generated by amplification of appropriate DNA fragments followed by subcloning the products into pET-3c vectors, then they were expressed in BL21 (DE3) cells and purified on an M2 agarose affinity column.This mutant aFGF28-154 maintained its non-mitogenic activity and lost its mitogenic activity. With a dexamethasone (DEX)-induced mouse thymocyte apoptosis model in vitro and in vivo, we studied the anti-apoptotic function of aFGF28-154. Also, in vivo study was performed to further confirm whether aFGF28-154 could significantly reduce apoptosis in gut epithelium after gut ischemia-reperfusion injury in rats. Based on these studies, the possible signal transduction pathways involved were studied.RESULTS: With a dexamethasone (DEX)-induced mouse thymocyte apoptosis model in vitro and in vivo, we found that the anti-apoptotic function of aFGF28-154 was significantly enhanced when compared with the wild type aFGF. In vivo study further confirmed that aFGF28-154 significantly reduced apoptosis in gut epithelium after gut ischemiareperfusion injury in rats. The mechanisms of anti-apoptosis function of aFGF28-154 did not depend on its mitogenic activity and were mainly associated with its non-mitogenic activities, including the intracellular calcium ion balance protection, ERK1/2 activation sustaining and cell o/de balance.CONCLUSION: These findings emphasize the importance of non-mitogenic effects of aFGF, and have implications for its therapeutic use in preventing apoptosis and other injuries in tissues and internal organs triggered by ischemia-reperfusion injury. 展开更多
关键词 抗凋亡作用 内脏上皮细胞 保护功能 酸性纤维原细胞 生长因素 消除作用 有丝分裂 活动性 消化系统
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Leiomyosarcoma of Inferior Vena Cava: Report of 7 Cases and Literature Review 被引量:5
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作者 ZHENGWei SONGShaobai JIANGYanyong LIANGFaqi LIRong 《The Chinese-German Journal of Clinical Oncology》 CAS 2004年第1期60-61,共2页
关键词 下腔静脉平滑肌肉瘤 临床表现 病理特点 数字减影血管造影 外科治疗
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Expression of tissue inhibitor of matrix metalloproteinases-1 during aging in rat liver 被引量:4
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作者 Yu-MeiZhang Xiang-MeiChen DiWu Suo-ZhuShi ZhongYin RuiDing YangLü 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第24期3696-3700,共5页
AIM: To investigate the expression and role of tissue inhibitor of matrix metalloproteinases-1 (TIMP-1) during natural aging in rat liver and to detect the expression of matrix metalloproteinase-2 (MMP-2) and MMP-9. M... AIM: To investigate the expression and role of tissue inhibitor of matrix metalloproteinases-1 (TIMP-1) during natural aging in rat liver and to detect the expression of matrix metalloproteinase-2 (MMP-2) and MMP-9. METHODS: The rats were divided into 3-mo-old group (n=5), 10-mo-old group (n=5) and 24-mo-old group (n=5). Histopathologic changes of liver were observed with HE and Masson stain. The location and protein expressions of TIMP-1 were determined by immunohistochemistry and Western blot; message RNA (mRNA) levels were measured in livers from rats of various ages by semi-quantitative reverse transcriptional polymerase chain reaction (RT PCR). In addition, the expression of MMP-2 and MMP-9 was assessed by RT-PCR and Western blot. RESULTS: Histologic examination showed that the aging liver had excessive fatty degeneration and collagen deposition. Immunohistochemical staining showed that TIMP-1 related antigen in livers was located in cytoplasm. The protein expression of TTMP-1 was significantly higher in the oldest animals and the mRNA expression was increased significantly in the 24-mo-old rats (t= 4.61, P= 0.002<0.05, 24-vs 10-mo-old rats; t=4.31, P=0.003<0.05, 24- vs 3-mo-old rats). The expression of MMP-2 and MMP-9 had no change during aging; the ratios TIMP-1/MMP-2 and TIMP-1/MMP-9 in aging liver were significantly higher than those in maturation and young livers. CONCLUSION: TIMP-1 may play an important role in the process of liver aging. 展开更多
关键词 TIMP-1 AGING Rat liver
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A new strategy to prevent cancer recurrence and metastasis after operation:research and application of heat shock protein/peptides complex vaccine 被引量:3
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作者 陈继营 袁玫 《中国临床康复》 CSCD 2002年第6期913-914,共2页
关键词 肿瘤治疗学 术后复发 肿瘤转移 预防 热休克蛋白 肽复合物 肿瘤疫苗
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Application of atomic force microscopy in blood research 被引量:1
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作者 Xiao-LongJi Ya-MinMa +3 位作者 TongYin Ming-ShiShen XinXu WeiGuan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第11期1709-1711,共3页
AIM: To find suitable solutions having lesser granules and keeping erythrocytes in normal shapes under atomic force microscopy (AFM). METHODS: Eight kinds of solutions, 1% formaldehyde, PBS buffer (pH7.2), citrate buf... AIM: To find suitable solutions having lesser granules and keeping erythrocytes in normal shapes under atomic force microscopy (AFM). METHODS: Eight kinds of solutions, 1% formaldehyde, PBS buffer (pH7.2), citrate buffer (pH6.0), 0.9% NaCl, 5% dextrose, TAE, 1640 medium and 5% EDTA-K2, were selected from commonly used laboratory solutions, and venous blood from a healthy human volunteer was drawn and anticoagulated with EDTA-K2. Before scanned by AFM (NanoScopeIIIa SPM, Digital Instruments, Santa Barbara, CA), a kind of intermixture was deposited on freshly cleaved mica and then dried in the constant temperature cabinet (37 ℃). RESULTS: One percent formaldehyde, citrate buffer, 5% dextrose, TAE, were found to keep human erythrocytes in normal shape with few particles. Processed by these solutions, fine structures of human erythrocyte membrane were obtained. CONCLUSION: One percent formaldehyde, citrate buffer, 5% dextrose and TAE may be applied to dispose erythrocytes in AFM. The results may offer meaningful data for clinical diagnosis of blood by AFM. 展开更多
关键词 Atomic force microscopy SOLUTION ERYTHROCYTE Fine structures
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Modifications in combined liver-small bowel transplantation in pigs 被引量:1
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作者 FengJiang Zhen-YuYin +3 位作者 Xiao-DongNi You-ShengLi NingLi Jie-ShouLi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2003年第9期2125-2127,共3页
AIM: To introduce combined liver-small bowel transplantation in pigs.METHODS: Eighteen transplantations in 36 large white pigs were performed. Three modifications in combined liver-small bowel transplantation model we... AIM: To introduce combined liver-small bowel transplantation in pigs.METHODS: Eighteen transplantations in 36 large white pigs were performed. Three modifications in combined liver-small bowel transplantation model were applied: Veno-venous bypass was not used. Preservation of the donor duodenum and head of pancreas in continuity with the combined graft to avoid biliary reconstruction. The splenic vein of donor was anastomosed end-to-end with the portal vein of recipients by the formation of a 'cuff'.RESULTS: Without immunosuppressive therapy, 72-hour survival rate of the transplanted animals was 72% (13/18).Five of 18 pigs operated died of respiratory failure (3 cases)and bleeding during hepatectomy (2 cases). The longest survival time of animals was 6 days.CONCLUSION: Our surgical modifications are feasible and reliable, which have made the transplantation in pigs simpler and less aggressive, and thus these can be used for preclinical study. 展开更多
关键词 肝移植 小肠移植 外科手术 动物实验
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The Alteration of AFP mRNA Concentration in Peripheral Blood in Patients with Hepatocellular Carcinoma during Transhepatic Arteral Chemotherapy and Embolization
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作者 LiuYing-di WangHong-zhi LiangMin LiangHao SunXiao-hua ChengLiu-fang 《胃肠病学》 2000年第B08期85-85,共1页
关键词 AFP MRNA 外周血 肝细胞癌 动脉切除术 化学疗法 动脉栓塞 肿瘤 消化系统
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P53 GENE MUTATIONS IN NON-SMALL CELL LUNG CANCER DETECTED BY POLYMERASE CHAIN REACTION SINGLE-STRAND CONFORMATION POLYMORPHISM ANALYSIS
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作者 赵永良 吴德昌 +3 位作者 项晓琼 张宝仁 周乃康 胡迎春 《Chinese Medical Sciences Journal》 CAS CSCD 1999年第3期134-137,共4页
Mutations of the p53 tumor suppressor gene are the most frequent genetic alterations detected in human lung cancer. To assess the pathogenic significance of p53 gene alterations in Chinese non small cell lung cancer(... Mutations of the p53 tumor suppressor gene are the most frequent genetic alterations detected in human lung cancer. To assess the pathogenic significance of p53 gene alterations in Chinese non small cell lung cancer(NSCLC),74 paired samples of primary lung cancer and normal lung tissue far away from the cancer were analyzed for mutations of the p53 gene(exons 5 8) using exon specific PCR, single strand conformation polymorphism (PCR SSCP). p53 mutations were observed in 55 4%(41/74) of the samples. No linkages were detected between the incidence of p53 mutations and histological type, lymph node metastasis,age or sex. Significant association between p53 mutations and degree of differentiation in adenocarcinomas, not in squamous cell carcinomas, was observed. The frequency of p53 mutations in smokers(65 3%) was higher than in nonsmokers(33 3%) and reached statistical significance.We also found p53 mutations in 6/7 samples which had tissue invasion and distant metastasis.These results suggest that smoking could be an important factor in lung carcinogenesis,p53 mutation is a worse prognosis indicator in adenocarcinomas and related to high aggressive behavior of human lung cancer. 展开更多
关键词 p53 mutation lung cancer PCR SSCP analysis
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The Effect of Combining Fast Neutron and Photon Irradiation on the Human Osteosarcoma OS-732 Cell Line
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作者 LinchunFeng LinMa JingxiangHuang DongYang YingxuanWang MingxueSun JinhuaTang WeikeChang ChengxiangLiu 《Chinese Journal of Clinical Oncology》 CSCD 2005年第3期654-657,共4页
OBJECTIVE To determine the lethal effect of combining fast neutron with photon radiation on the OS-732 cell line. METHODS We examined the effect of irradiation by fast neutrons, photons and a mixed beam (fast neutrons... OBJECTIVE To determine the lethal effect of combining fast neutron with photon radiation on the OS-732 cell line. METHODS We examined the effect of irradiation by fast neutrons, photons and a mixed beam (fast neutrons plus photons) on the lethality and colony forming ability of the OS-732 cell line at different times. RESULTS Following a single irradiation close, the lethality was markedly strong at 24, 48 and 72 h in the group treated with fast neutrons alone and in the mixed beam group in which there was a high proportion of fast neutrons. CONCLUSION The lethal effect of a fast neutron and mixed beam with a high proportion of fast neutrons on the OS-732 cell line is highly significant. These studies provide guidance for the clinical application of fast neutrons for osteosarcoma treatment. 展开更多
关键词 中子 光子照射 骨肉瘤 OS-732 肿瘤细胞
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Comparison of loci following nuclear tracting through channel—point and extra—channel tissue
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作者 ZHOUZHang-ling TIANJia-he 等 《中国临床康复》 CSCD 2002年第14期2183-2184,共2页
关键词 经穴组织 经外组织 核素示踪
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不同局麻药对大鼠心室肌细胞内钙的影响
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作者 ZHUYi 《世界急危重病医学杂志》 2004年第5期352-353,共2页
该研究从细胞水平比较了消旋布比卡因、左旋布比卡因和罗哌卡因对心肌细胞的直接抑制作用。从细胞内钙浓度抑制的角度对三种局麻药的心肌毒性进行了比较,对局麻药心肌毒性机理研究有一定帮助,并对临床应用有一定指导意义。
关键词 局麻药 大鼠 细胞内钙 心肌毒性 罗哌卡因 布比卡因
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纳洛酮对大鼠神经元细胞的保护作用
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作者 SONGYang 《世界急危重病医学杂志》 2004年第5期351-351,共1页
纳络酮应用研究对脓毒血症(sepsis)器官保护作用少有涉及。临床中常见纳络酮对多脏器功能障碍患者的中枢神经系统功能有保护作用,机理尚不清楚。该研究建立了脂多糖对神经元细胞毒性的实验模型,观察纳洛酮对神经元细胞损害的保护作用... 纳络酮应用研究对脓毒血症(sepsis)器官保护作用少有涉及。临床中常见纳络酮对多脏器功能障碍患者的中枢神经系统功能有保护作用,机理尚不清楚。该研究建立了脂多糖对神经元细胞毒性的实验模型,观察纳洛酮对神经元细胞损害的保护作用。虽为实验研究,选题源于临床,对纳络酮应用于神经细胞保护有一定的指导意义。 展开更多
关键词 纳洛酮 大鼠 神经元细胞 保护作用 脓毒血症
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A RARE 10 PRIMARY CANCERS
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作者 李方 石廷章 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2000年第2期147-147,共1页
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Preliminary Studies on the Relationship Between Vitamin D Receptor Genepolymorphism and Osteoporosis in Chinese Women
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作者 ZhangHong-Hong TaoGuo-Shu 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 1998年第2期196-196,共1页
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Retrospective Study on the Risk Factors in patients with Nosocomial Bacterial L—Form In—fection
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作者 GuanJianlong SunYuan 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 1999年第2期151-151,共1页
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高龄股骨粗隆间骨折病人围手术期护理
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作者 杨明玉 唐泓源 +1 位作者 郑晓缺 杨珊 《护理研究(下半月)》 2005年第4期693-693,共1页
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