1.Rhabdomyolosis and its pathogenesis
World Journal of Emergency Medicine 2012;3(1):11-15
BACKGROUND: Rhabdomyolysis may cause severe damage to the human body because of acute renal failure, fatal heart rhythm disturbances, hypovolemic shock, disturbances of electrolyte balance, metabolic acidosis, hyperthermia, disseminated intravascular coagulation, etc. Drugs and toxins are the most common factors for the disease. This article aimed to review the prognosis of rhabdomyolysis. DATA SOURCES: Based on the reported studies of cell and molecular biology, we reviewed the clinical presentations, laboratory findings, and mechanisms of rhabdomyolysis in the Pubmed. RESULTS: The clinical symptoms of rhabdomyolysis were dependent on the severity of the condition and whether kidney failure develops. Since the necrosis and dissolution of muscle cells, entocytes such as myoglobin, creatine phosphokinase (CPK), electrolytes, proteins and non-protein substances were released into the plasma, the detection of the entocytes may contribute to the early diagnosis of rhabdomyolysis. CONCLUSION: Despite the etiology of the disease is multifactorial, the potential causes of rhabdomyolysis share the same pathophysiological pathway involving an increase in intracel ular calcium.
2.The heredity of research in neonatal respiratory distress syndrome
Yuheng ZHANG ; Yayu ZHANG ; Hua MEI
Chinese Pediatric Emergency Medicine 2016;23(4):259-262
Neonatal respiratory distress syndrome(NRDS)is the most critical disease in neonatal pe-riod.Studies have proved that genetic factors play an important role in the pathogenesis of NRDS.More and more proteins and genes which are associated with NRDS are researched.This article mainly reviewed the re-search of surfactant protein,ATP-binding cassette transporters A3,mannose-binding lectin,thyroid transcrip-tion factor-1and NRDS.
5.Analysis on TORCH tests in 6 027 cases of pregnant women,puerperae and neonates
Rui DING ; Zhixian ZHANG ; Hua ZENG ; Mei CHEN ; Lunshan WANG
International Journal of Laboratory Medicine 2015;(4):485-486
Objective To analyze TORCH infection situation in 6 027 cases of pregnant women,puerperae and neonates.Methods The TORCH IgM and IgG was detected by using ELISA for 6 027 cases of pregnant women,puerperae and neonates,and the positive rates of the antibodies to variant TORCH pathogens were analyzed.Results The positive rates of HSVⅠ-IgM,HSVⅡ-IgM,RV-IgM,TOXO-IgM and CMV-IgM were 0.02%,0.02%,0.12%,0.12% and 0.20% respectively.The positive rates of HSVⅠ-IgG,HSVⅡ-IgM,RV-IgM,TOXO-IgM,and CMV-IgM were 63.32%,13.31%,52.83%,12.68% and 58.57% respective-ly.Positive rate of CMV-IgM in neonates was higher than that in pregnant women,the difference was statistically significant(P <0.05).There were totally 28 cases of neonataes detected with acute CMV infection.Conclusion TORCH screening in pregnant women,puerperae and neonates helps the detection of infection disease in perinatal period.
6.Research in perioperative nursing methods in patients with OSAHS and type 2 diabetes mellitus
Hua ZHUANG ; Hong ZHANG ; Limei WANG ; Mei LI ; Chune ZHOU
Chinese Journal of Practical Nursing 2013;29(22):17-20
Objective To study the perioperative nursing methods in patients with OSAHS and type 2 diabetes mellitus.Methods From March 2009 to December 2010,a total of 46 patients with OSAHS and type 2 diabetes mellitus were randomly divided into the control group and the experimental group with 23 cases in each group.Conventional care was given to the control group,while the experimental group received systematic,phased and individualized nursing.The sleep quality before and after the operation was compared.The oropharynx wound healing and possible complications,pain were observed after operation.Results In the control group,there was one patient with bleeding during operation,one patient happened blood lost after operation and 2 patients had postoperative infection.The hyperglycemia was found in 3 patients and hypoglycemia occurred in 2 patients.But in the experimental group,all of the patients did not suffer complication.The scores of sleep quality on the day before surgery were significantly higher than those scores on admission,and the scores on discharge from hospital were significantly lower than those scores on admission.There were statistical differences.The scores of the experimental group were significantly improved compared to those of the control group.The score of pain was the highest at the day of surgery,and then gradually decreased.The score of pain of the experimental group was significantly lower than that of the control group,and the difference was statistically significant.Conclusions This comprehensive nursing method during operation period for patients with OSAHS and type 2 diabetes mellitus not only can reduce risk of postoperative complication,but also can improve operation efficacy,quality of nursing and life quality of patients as well as can speed recovery.It approved that this standardized,systematic nursing method during the whole period is practical and effective in OSAHS and type 2 diabetes mellitus treatment and care.
7.Enrichment of T cells in the tumor and peripheral blood of prostate cancer patients and its significance
Mei YANG ; Ying-Ying ZHANG ; Xing-Hua PAN ;
Chinese Journal of Primary Medicine and Pharmacy 2006;0(09):-
Objective To investigate whether CD4~+CD25~(high)regulatory T cells(tregs)were increased in the tumor tissue and peripheral blood of prostate cancer patients.Methods The prevalence of CD4~+CD25~(high)regulatory T cells inside the prostate tumor was detected compared with benign tissue from the same prostate.Furthermore,the frequency of CD4~+CD25~(high)regulatory T cells in peripheral blood was detected in prostate cancer patients compared with normal donors.Results Moreover,CD4~+CD25~(high)regulatory T cells from blood and supernatants from cultured prostate tumor tissue samples exhibited immunosuppressive function in vitro.CD4~+CD25~(high)T normal peripheral blood cells were found for the ratio was(0.5?0.1)%.Lower than the proportion of T cells in peripheral blood of patients with CD4~+CD25~(high)was(2.3?0.7)%,P
8.Congenital aortic arch twist abnormality with thoracic aorta aneurysm: a case report.
Wei-hua ZHU ; Wen-bin ZHANG ; Xian-mei HUANG
Chinese Journal of Pediatrics 2005;43(7):540-540
Abnormalities, Multiple
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diagnosis
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diagnostic imaging
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Aorta, Thoracic
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abnormalities
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diagnostic imaging
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Aortic Aneurysm, Thoracic
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congenital
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diagnosis
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diagnostic imaging
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Aortic Diseases
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congenital
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diagnosis
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diagnostic imaging
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Child
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Diagnosis, Differential
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Humans
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Male
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Radiography
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Rare Diseases
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X-Rays
10.Efficacy and safety of a bFGF inhibitor,tadenan in the treatment of benign prostatic hyperplasia:a multicenter trial in China
Jie JIN ; Hua MEI ; Yuanfang ZHANG ; Al ET
Chinese Journal of Urology 2000;0(01):-
Objective To further confirm the Efficacy and safety of tadenan (Pygeum africunum extract) in the treatment of benign prostatic hyperplasia (BPH) in larger population in China. Methods In this open multicenter study,a total of 3 508 patients with symptomatic BPH received oral tadenan of 50 mg twice daily for 8 weeks. Results IPSS,maximum urinary flow and post voiding volume were 19.57? 14.93 ,(13.52?5.36)ml/s and (44.58?30.95)ml four weeks after the treatment of tadenan and were 13.31?11.86,(15.58?5.98)ml/s and (32.64?24.23)ml eight weeks after the treatment,both improved significantly comparing to those before the treatment ( P