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床边血气分析仪检测血生物化学指标的检测时间和准确性 被引量:6
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作者 黄焰霞 陈光建 张磊 《上海医学》 CAS 北大核心 2018年第10期616-617,共2页
ICU是医院综合性救治危重患者的场所,收入ICU的患者大多有病情危重、病情变化快的特点,临床医师需在最短时问内收集病史资料和相关信息,分析出危及患者生命的主要问题。目前大多ICU配备床边血气分析仪,检测迅速,可在2min内得出检... ICU是医院综合性救治危重患者的场所,收入ICU的患者大多有病情危重、病情变化快的特点,临床医师需在最短时问内收集病史资料和相关信息,分析出危及患者生命的主要问题。目前大多ICU配备床边血气分析仪,检测迅速,可在2min内得出检测结果,能让临床医师在最短时间内了解患者的血pH值、氧分压、二氧化碳分压、碳酸氢根、碱剩余等指标。随着科技的进步,目前血气分析仪可同时测定钾、钠、钙离子,以及血红蛋白、血细胞比容、血糖、乳酸等血生物化学指标。 展开更多
关键词 生物化学指标 气分析仪 检测结果 危重患者 二氧化碳分压 临床医师 细胞比容 ICU
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神经元特异性烯醇化酶与缺血缺氧性脑损害
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作者 曹绪政 赵庆杰 《沈阳部队医药》 2002年第5期433-434,共2页
烯醇化酶(enolase)是糖酵解过程中的一种关键酶,催化2-磷酸甘油脱水生成磷酸烯醇式丙酮酸。烯醇化酶及其同工酶均为胞质二聚体,由α、β、γ三种亚基组成,包括五种同工酶,即αα、ββ、γγ、αβ、αγ。脑组织内有αα、αγ、γγ... 烯醇化酶(enolase)是糖酵解过程中的一种关键酶,催化2-磷酸甘油脱水生成磷酸烯醇式丙酮酸。烯醇化酶及其同工酶均为胞质二聚体,由α、β、γ三种亚基组成,包括五种同工酶,即αα、ββ、γγ、αβ、αγ。脑组织内有αα、αγ、γγ三种同工酶存在,其中γγ型特异地存在于神经元和神经内分泌细胞的胞质中,故名为神经元特异性烯醇化酶(neu-ron-specific enolase,NSE)。本文综述缺血缺氧性脑损害患者中 NSE 的变化。 展开更多
关键词 神经元特异性烯醇化酶 缺氧性脑损害 生物血指标 脑缺
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红细胞平均体积、血小板压积及血小板计数在妇科人乳头瘤病毒感染及其病变中的检测价值 被引量:2
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作者 雷声云 《血栓与止血学》 CAS 2022年第1期73-74,76,共3页
目的探讨血生物指标在妇科人乳头瘤病毒(HPV)感染及其病变中的检测价值。方法以186例非妊娠患者为对象,以同期180例健康人为对照组。根据宫颈上皮病变(CIN)病理结果将患者分为慢性炎症组(n=131)、CINⅠ级组(n=16)、CINⅡ级组(n=14)、CI... 目的探讨血生物指标在妇科人乳头瘤病毒(HPV)感染及其病变中的检测价值。方法以186例非妊娠患者为对象,以同期180例健康人为对照组。根据宫颈上皮病变(CIN)病理结果将患者分为慢性炎症组(n=131)、CINⅠ级组(n=16)、CINⅡ级组(n=14)、CINⅢ级组(n=17)、宫颈癌组(n=8)。检测受试者血细胞及微量元素。结果慢性炎症组红细胞平均体积(MCV)、血小板压积(PCT)、血小板计数(PLT)水平高于对照组,平均血小板体积(MPV)、平均红细胞血红蛋白浓度(MCHC)水平低于对照组(P<0.05);CINⅠ组PLT、PCT水平高于对照组,MPV水平低于对照组(P<0.05);CINⅡ组、CINⅢ组MCHC、MPV水平低于对照组,PLT、PCT水平高于对照组(P<0.05);宫颈癌组MCHC水平低于对照组,PLT、PCT、MPV、MCV水平高于对照组(P<0.05);宫颈癌组MCV水平高于慢性炎组、CINⅠ、CINⅡ组,MPV水平低于上述组(P<0.05)。对照组Fe水平高于慢性炎组、CINⅠ组、CINⅡ组、CINⅢ组(P<0.05);宫颈癌组Fe水平低于慢性炎组、CINⅡ组(P<0.05)。慢性炎组Ca水平低于对照组(P<0.05)。结论动态监测宫颈癌、CIN患者、HPV感染患者的血细胞及微量元素含量有助于判断HPV感染患者病情的变化。 展开更多
关键词 生物指标 人乳头瘤病毒 病变
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外感发热预后与PA、A/G、TC、Apo-B关系初探
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作者 汤小虎 唐辉 《中国中医急症》 2003年第2期140-140,158,共2页
目的探讨外感发热预后(痊愈、复热、遗热)与相关血生化指标(PA、A/G、TC、Apo-B)的关系,为临床提供诊疗思路。方法对外感发热患者进行中西医结合治疗并于治疗前检测其前白蛋白(PA)、白球蛋白比值(A/G)、总胆固醇(TC)、载脂蛋白B(Apo-B)... 目的探讨外感发热预后(痊愈、复热、遗热)与相关血生化指标(PA、A/G、TC、Apo-B)的关系,为临床提供诊疗思路。方法对外感发热患者进行中西医结合治疗并于治疗前检测其前白蛋白(PA)、白球蛋白比值(A/G)、总胆固醇(TC)、载脂蛋白B(Apo-B)水平。结果与正常值比较,痊愈者(53例)PA正常,A/G、TC、Apo-B显著降低;复热者(6例)4项指标均降低,以PA、A/G降低更为明显;遗热者(4例)4项指标均降低,以TC、Apo-B降低更为明显,复热者TC较痊愈者差异无显著性,而遗热者TC较前两者均显著降低。结论外感发热患者血蛋白、血脂多降低,其中PA水平正常者预后良好,蛋白降低明显者预后多为复热,血脂降低明显者预后多为遗热,临床诊治外感发热时当注意这一生化指标的水平。 展开更多
关键词 外感发热 预后 痊愈 复热 遗热 生物化学指标 白球蛋白 前白蛋白 总胆固醇 载脂蛋白B 中医
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胰腺炎性肌纤维母细胞瘤伴有胰腺浆液性囊腺瘤一例 被引量:2
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作者 赵建国 王震侠 +2 位作者 孟兴凯 赵海平 阿斯楞 《中华胰腺病杂志》 CAS 2016年第4期247-248,共2页
患者女性,46岁。因常规体检时发现胰腺占位性病变而人院。既往体健,体检无异常发现。实验室检查:CA19-95.1U/L,CEA0.86μg/L,其余血生物化学指标均在正常范围之内。腹部CT示胃和胰腺之间有约18mm×40mm大小的混合密度肿块... 患者女性,46岁。因常规体检时发现胰腺占位性病变而人院。既往体健,体检无异常发现。实验室检查:CA19-95.1U/L,CEA0.86μg/L,其余血生物化学指标均在正常范围之内。腹部CT示胃和胰腺之间有约18mm×40mm大小的混合密度肿块,肿块偏右侧为实性,可见强化,偏左侧见圆形低密度区,直径约18mm,未见强化(图1)。内镜超声见胰腺体部一无回声囊性肿块,约19.3mm×23.6mm, 展开更多
关键词 胰腺浆液性囊腺瘤 炎性肌纤维母细胞瘤 胰腺占位性病变 生物化学指标 囊性肿块 常规体检 实验室检查 异常发现
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经皮肝穿刺活组织检查术安全性和有效性的研究进展 被引量:1
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作者 周哲 周璐 王邦茂 《中华消化杂志》 CAS CSCD 北大核心 2017年第10期711-713,共3页
经皮肝穿刺活组织检查术(percutaneous liver biopsy,PLB)是慢性肝病诊断中的一种重要检查手段。当无创检查难以明确肝病的诊断,或已明确诊断但需调整治疗方案时,建议做肝脏活组织检查。在一些慢性肝病的进展期,血生物化学指标及... 经皮肝穿刺活组织检查术(percutaneous liver biopsy,PLB)是慢性肝病诊断中的一种重要检查手段。当无创检查难以明确肝病的诊断,或已明确诊断但需调整治疗方案时,建议做肝脏活组织检查。在一些慢性肝病的进展期,血生物化学指标及影像学表现常变化不大,此时通过观察肝组织的病理改变情况可进一步判断治疗效果是否有效、疾病有无进展和是否需要调整治疗方案。 展开更多
关键词 活组织检查术 经皮肝穿刺 有效性 安全性 肝脏活组织检查 生物化学指标 肝病诊断 biopsy
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Effects of heat stress on serum insulin, adipokines, AMP-activated protein kinase, and heat shock signal molecules in dairy cows 被引量:11
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作者 Li MIN Jian-bo CHENG +3 位作者 Bao-lu SHI Hong-jian YANG Nan ZHENG Jia-qi WANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2015年第6期541-548,共8页
Heat stress affects feed intake, milk production, and endocrine status in dairy cows. The temperaturehumidity index(THI) is employed as an index to evaluate the degree of heat stress in dairy cows. However, it is di... Heat stress affects feed intake, milk production, and endocrine status in dairy cows. The temperaturehumidity index(THI) is employed as an index to evaluate the degree of heat stress in dairy cows. However, it is difficult to ascertain whether THI is the most appropriate measurement of heat stress in dairy cows. This experiment was conducted to investigate the effects of heat stress on serum insulin, adipokines(leptin and adiponectin), AMP-activated protein kinase(AMPK), and heat shock signal molecules(heat shock transcription factor(HSF) and heat shock proteins(HSP)) in dairy cows and to research biomarkers to be used for better understanding the meaning of THI as a bioclimatic index. To achieve these objectives, two experiments were performed. The first experiment: eighteen lactating Holstein dairy cows were used. The treatments were: heat stress(HS, THI average=81.7, n=9) and cooling(CL, THI average=53.4, n=9). Samples of HS were obtained on August 16, 2013, and samples of CL were collected on April 7, 2014 in natural conditions. The second experiment: HS treatment cows(n=9) from the first experiment were fed for 8 weeks from August 16, 2013 to October 12, 2013. Samples for moderate heat stress, mild heat stress, and no heat stress were obtained, respectively, according to the physical alterations of the THI. Results showed that heat stress significantly increased the serum adiponectin, AMPK, HSF, HSP27, HSP70, and HSP90(P〈0.05). Adiponectin is strongly associated with AMPK. The increases of adiponectin and AMPK may be one of the mechanisms to maintain homeostasis in heat-stressed dairy cows. When heat stress treatment lasted 8 weeks, a higher expression of HSF and HSP70 was observed under moderate heat stress. Serum HSF and HSP70 are sensitive and accurate in heat stress and they could be potential indicators of animal response to heat stress. We recommend serum HSF and HSP70 as meaningful biomarkers to supplement the THI and evaluate moderate heat stress in dairy cows in the future. 展开更多
关键词 Heat stress Dairy cows SERUM Temperature-humidity index(THI) Biomarkers
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Acute toxicity study of Aspidopterys obcordata aqueous extract in Sprague-Dawley rats 被引量:3
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作者 Li Yihang Li Guang +4 位作者 Song Meifang Li Xuelan Zhan Xia Lu Juan Chen Xi 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2016年第3期377-381,共5页
OBJECTIVE: To examine the acute toxicity of an aqueous extract of Aspidopterys obcordata(A. obcordata) in Sprague Dawley rats.METHODS: The rats were orally administered a dose of 5000 mg/kg body weight and observed co... OBJECTIVE: To examine the acute toxicity of an aqueous extract of Aspidopterys obcordata(A. obcordata) in Sprague Dawley rats.METHODS: The rats were orally administered a dose of 5000 mg/kg body weight and observed continuously for 6 h and then daily for 14 days. Control rats were administered distilled water. The effect of the extract on general behavior, body weight, and food and water intake were measured.After 14 days, the rats were sacrificed and their organs(liver, heart, spleen, lungs, kidney, adrenal glands, ovaries, and testes) were removed for macroscopic examination. The body and organ weights in addition to hematology(e.g., hemoglobin and white blood cell counts) and clinical blood biochemistry(e.g., albumin and bilirubin) were also examined.RESULTS: There were no deaths recorded, and the rats treated with A. obcordata showed no signs of toxicity. All measured parameters in rats treated with A. obcordata were unaffected when compared with those in control rats. The acute toxicity(LD_(50))was estimated to be > 5000 mg/kg body weight.CONCLUSION: Our results demonstrate the safety of an acute oral administration of an aqueous extract of A. obcordata in rats and indicate that future subacute and long-term toxicity testing of A. obcordata is warranted. 展开更多
关键词 Aspidopterys obcordata Dai medicine Toxicity tests ACUTE Kidney calculi
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Biological indicators of sub-optimal health status 被引量:1
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作者 Limin Wang Xin Zhao +5 位作者 Jiaxu Chen Xiaoling Guo Xin Liang Danhui Yi Huating Cui Yueyun Liu 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2013年第5期647-650,共4页
OBJECTIVE:To investigate biological indicators of sub-optimal health status and provide means of objective assessment of sub-optimal health status.METHODS:We set the unified standards for diagnosing a SHS.We tested va... OBJECTIVE:To investigate biological indicators of sub-optimal health status and provide means of objective assessment of sub-optimal health status.METHODS:We set the unified standards for diagnosing a SHS.We tested various laboratory indicators in 407 cases that we selected randomly from2807 subjects and collected 15 mL of fasting venous blood from each case.We measured serum immunoglobulin A(IgA)and immunoglobulin G(IgG)concentrations,serum beta endorphins(β-EP),cortisol(C),testosterone(T),plasma adrenocorticotropic hormone(ACTH)and serum T lymphocyte subsets CD3+and CD4+.RESULTS:Mean serum testosterone concentrations and their ratio to cortisol(C)concentrations weresignificantly higher in the healthy group than in those with sub-optimal health status(P<0.01).Mean serum CD3+concentrations were significantly higher in those with sub-optimal health status than in the healthy group(P<0.05).CONCLUSION:Decreased serum testosterone/cortisol ratio may be an objective indication of sub-optimal health status.Changes in neuroendocrine and immunological indicators may explain some of the symptoms,including malaise and poor work performance,attributable to persistent or relapsing fatigue in subjects with sub-optimal health status. 展开更多
关键词 Testosterone Hydrocortisone Sub-optimal health status Biological indicator
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