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    find Author "王梅芳" 6 results
    • 抗結核治療穩定吸收過程中并發肺栓塞一例

      Release date:2024-01-06 03:59 Export PDF Favorites Scan
    • 以多顱神經病變起病繼發多器官受累的結節病一例

      目的 報告1例多顱神經病變繼發多器官受累的結節病患者的診療過程,結合國內外相關文獻進行分析,加強臨床醫師對該疾病的認識及重視,提高早診早治率,減少漏診及誤診。方法 對1例多顱神經病變繼發多器官受累的結節病患者的臨床資料結合國內外文獻進行分析和總結。結果 1例因“視物模糊、口角歪斜、長期咳嗽咳痰”多次入院的51歲女性患者,結合臨床癥狀、體征、影像學特點及病理檢查,診斷為結節病,治療后隨訪癥狀好轉。結論 對于臨床上遇到多個系統癥狀短期內接連發生并因此多次住院患者,常規對癥治療效果不佳且病情仍在不斷進展并排除其他相關疾病時,應考慮受累非典型系統的結節病可能,同時也為結節病的治療提供臨床策略。

      Release date:2025-05-16 09:27 Export PDF Favorites Scan
    • Roles of PGC-1α and Nrf2 Synergistic Regulating γ-Glutamylcysteine Synthetase in Rats with Chronic Obstructive Pulmonary Disease

      Objective To explore the regulation of peroxisome proliferator-activated receptor γ coactivator 1α( PGC-1α) and NF-E2-related factor 2( Nrf2) on expression of γ-glutamylcysteine synthetase ( γ-GCS) , and their roles in chronic obstructive pulmonary disease( COPD) . Methods Twenty-four SD rats were randomly divided into a COPD group and a normal control group. COPD model was established by intratracheal instillation of lipopolysaccharide ( LPS) and daily exposure to cigarette smog in the COPD group. The lung function was measured and the pathological changes were observed. The protein and mRNA expressions of PGC-1α, Nrf2, and γ-GCS in lung tissue were measured by immunohistochemistry, Western blot, in site hybridization ( ISH) , and reverse transcription-polymerase chain reaction ( RT-PCR ) ,respectively. Results In the COPD group, the pulmonary function ( FEV0. 3, FEV0. 3 /FVC, PEF) damage and lung pathological changes were conformed as morphological characteristics of COPD. The mRNA of PGC-1α and Nrf2 expressed in lung tissues of two group rats in the region consistent with γ-GCS mRNA. The protein and mRNA expressions of PGC-1αand γ-GCS were markedly increased in the COPD group( all P lt;0. 05) ,and the protein expression of Nrf2 was obviously up-regulated ( P lt; 0. 01) , while Nrf2 mRNA had no significant difference between the two groups( P gt;0. 05 ) . Linear correlation analysis showed that the level ofPGC-1αprotein was positively correlated with the levels of Nrf2 protein and mRNA ( r = 0. 775, 0. 515, all P lt; 0. 01) , and the levels of PGC-1αand Nrf2 protein were positively correlated with the levels of γ-GCS protein ( r = 0. 531, 0. 575, all P lt; 0. 01) and mRNA ( r = 0. 616, 0. 634, all P lt; 0. 01) . Conclusions PGC-1α, which may serve as a co-activator of Nrf2, can up-regulate the expression of γ-GCS gene cooperatively with Nrf2 through a common pathway, which might involve in the oxidative and antioxidative mechanism in the pathogenesis of COPD.

      Release date:2016-09-14 11:25 Export PDF Favorites Scan
    • 成人肺炎性肌纖維母細胞瘤1例并文獻復習

      Release date:2025-06-25 01:52 Export PDF Favorites Scan
    • The relationship between IRGM polymorphism and pneumoconiosis susceptibility

      ObjectiveTo investigate the relationship between immunity related GTPase M gene (IRGM) polymorphism and pneumoconiosis susceptibility.MethodsTwo hundred and forty-eight pneumoconiosis patients were selected as a case group, 275 non-pneumoconiosis workers with similar age, sex, nationality, type of work and working age were selected as a control group. The genotypes and alleles of three single nucleotide polymorphisms (SNP) of IRGM were detected by Sanger sequencing in case group and control group. SNPstats software was used to analyze the correlation between single SNP and pneumoconiosis, and SHEsis software was used to analyze the linkage imbalance and haplotype of each locus.ResultsThe distribution frequency of IRGM rs4958846 TT genotype in the case group was higher than that of the control group. The distribution frequency of TC and CC genotype in control group was higher than that of the case group. The distribution frequency of T allele in the case group was higher than that of the control group. The distribution frequency of C allele in the control group was higher than that of the case group. All of the differences were statistical significant (P<0.05). There was no statistical significance for the distribution difference between the two groups in terms of genotype and allele at IRGM rs4958842 and rs4958843 (P>0.05). After linkage disequilibrium analysis to three gene loci at rs4958842, rs4958843 and rs4958846 of IRGM, there was linkage disequilibrium between each other gene loci (D'>0.7, r2>0.3). Haplotype analysis was conducted on three genetic loci and established four kinds of haplotypes, the frequency distribution of ACT and ACC haplotypes had statistical significances between the two groups (P<0.05), and the other haplotype had no significant correlation with the susceptibility of pneumoconiosis (P>0.05).ConclusionT allele and ACT haplotype of IRGM rs4958846 may be associated with pneumoconiosis susceptibility.

      Release date:2020-09-27 06:38 Export PDF Favorites Scan
    • 肺栓塞合并矛盾栓塞致大面積腦梗死一例并文獻復習

      目的 分析肺栓塞合并矛盾栓塞的病例特點,提高臨床醫生對矛盾栓塞的認識,減少誤診、漏診,對該疾病做到早發現、早診斷、早治療,降低患者的死亡風險。方法在“知網數據庫”及“萬方數據庫”檢索1998—2023年肺栓塞合并矛盾栓塞的文獻,結合十堰市太和醫院收治的1例患者,匯總分析相關臨床資料。結果 肺栓塞合并矛盾栓塞患者共99例,其中91例為臨床診斷病例,8例為尸檢確診病例。其中男51例,女48例,年齡15~77歲。矛盾栓塞最常見部位為腦47例(47.5%),其次是四肢動脈18例(18.2%),腎臟11例(11.1%)。右向左分流的通路主要為卵圓孔未閉。91例臨床診斷病例中,13例(14.3%)患者死亡。結論 面對肺栓塞/靜脈血栓栓塞患者及反復發生動脈栓塞的患者,應警惕卵圓孔未閉等因素存在造成矛盾栓塞的可能,診療過程中應密切關注患者病情變化,更加仔細詢問相關病史,加強篩查,減少漏診、誤診,降低患者死亡風險。

      Release date:2024-07-29 01:12 Export PDF Favorites Scan
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