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EVALUATION OF CIRRHOTIC LIVER WITH PERFUSION-WEIGHTED MAGNETIC RESONANCE IMAGING:A PRELIMINARY EXPERIMENTAL STUDY IN ANIMAL MODELS WITH HALF-LIVER CIRRHOSIS 被引量:6
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作者 Zheng-han Yang Xiao-hua Ye +5 位作者 Ye Tan Min Zhang Ming-zhu Zhou Jing-xia Xie Min Chen Cheng Zhou 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第4期252-257,共6页
Objective To investigate the role of peffusion-weighted magnetic resonance imaging (MRI) in evaluation of cirrhotic fiver. Methods With a 4F catheter, 1% diluted carbon tetrachloride ( 1 ml/kg) was selectively in... Objective To investigate the role of peffusion-weighted magnetic resonance imaging (MRI) in evaluation of cirrhotic fiver. Methods With a 4F catheter, 1% diluted carbon tetrachloride ( 1 ml/kg) was selectively injected into fight or left hepatic artery of 12 dogs fortnightly. The half fiver into which carbon tetrachloride was injected was called as study side (SS), while the other half fiver without carbon tetrachloride injection was called as study control side (SCS). Conventional and peffusion-weighted MRI were performed in every 4 weeks. Via a 4F catheter, 5ml gadolinium diethylentriamine pentaaceti acid (Gd-DTPA) dilution was injected into superior mesenteric artery at the 5th scan. The signal intensity-thne curves of SS, SCS, and portal vein were completed in MR workstation. The maximal relative signal increase ( MRSI), peak time ( tp), and slope of the curves were measured. Results On conventional MR images, no abnormalities of externality and signal intensity were observed in both SS and SCS of fiver at each stage. The mean tp, MP, SI, and slope of intensity-time curves in normal fiver were 10. 56 seconds, 1.01, and 10. 23 arbitrary unit (au)/s, respectively. Three parameters of curves didn't show obvious change in SCS of fiver at every stage. Abnormal perfusion curves occurred in SS of fiver at the 12th week after the 1st injection. The abnormality of perfusion curve in SS was more and more serious as the times of injection increased. The mean tp, IVlRSI, and slope intensity-time curves in SS of fiver were 19.45 seconds, 0. 43, and 3. 60 au/s respectively at the 24th week. Conclusion Perfusion-weighted imaging can potentially provide information about portal peffusion of hepatic parenchyma, and to some degree, reflect the severity of cirrhosis. 展开更多
关键词 liver cirrhosis animal model magnetic resonance imaging perfusion imaging
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Invasive group B streptococcal infection in a patient with post splenectomy for hypersplenism secondary to liver cirrhosis and portal hypertension 被引量:6
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作者 Tomoya Okazaki Toru Hifumi +10 位作者 Arisa Manabe Hikari Matsumura Satoshi Egawa Hideyuki Hamaya Nastuyo Shinohara Koshiro Takano Hajime Shishido Yuko Abe Kenya Kawakita Masanobu Hagiike Yasuhiro Kuroda 《World Journal of Emergency Medicine》 CAS 2016年第1期68-70,共3页
BACKGROUND:Splenectomy in patients with liver cirrhosis(LC)is expected to become more common owing to its efficacy on portal hemodynamics.In this report we describe an alarming case of group B streptococcus(GBS)infect... BACKGROUND:Splenectomy in patients with liver cirrhosis(LC)is expected to become more common owing to its efficacy on portal hemodynamics.In this report we describe an alarming case of group B streptococcus(GBS)infection after splenectomy in a patient with LC.METHODS:A 72-year-old woman with a history of LC was admitted to our emergency department because of respiratory failure.The patient had received left lateral segmentectomy of the liver and splenectomy three months before admission.Pulmonary examination revealed significant wheezing during inspiration and expiration,but no crackles and stridor.Chest radiography and CT showed no infiltrates.A presumptive diagnosis of bronchial asthma caused by upper respiratory infection was made.Four days after admission,GBS infection was confirmed by blood culture and penicillin G was administered.Antibiotics were given intravenously for a total of 12 days.RESULTS:The patient was discharged on the 12th day after admission.CONCLUSIONS:Although efficacy of splenectomy in patients with LC has been reported,immune status should be evaluated for a longer period.Patients who have undergone splenectomy are highly susceptible to bacteria;moreover,LC itself is an independent risk factor for mortality in patients with sepsis.Since prophylaxis against GBS has not been established,immediate action should be taken.Emergency physicians should be aware of invasive GBS infection in the context of the critical risk factors related to splenectomy and LC,particularly the expected increase of splenectomy performed in LC patients. 展开更多
关键词 Group B streptococcal infection SPLENECTOMY Liver cirrhosis
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The immunocytochemical localization of insulin-like growth factor Ⅱ in human cirrhosis
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作者 刘彦仿 苏勤 Charles E.Rogler 《Journal of Medical Colleges of PLA(China)》 CAS 1992年第3期279-282,共4页
Sections of 30 cases of human cirrhosis were stained with rabbit anti-insulin-likegrowth factor Ⅱ(IGF Ⅱ)by double PAP method.By the serological examination 15 patientsshowed HBV infection and sections of 14 eases we... Sections of 30 cases of human cirrhosis were stained with rabbit anti-insulin-likegrowth factor Ⅱ(IGF Ⅱ)by double PAP method.By the serological examination 15 patientsshowed HBV infection and sections of 14 eases were HBsAg postively with a total rate of 67%(20 cases).The IGF Ⅱ was positive in the cytoplasm of all the liver and ductular cells.Binucle-ated,polypoid liver cells and the peripheral cells of the lobules or nodules were distinctly posi-tive,The liver cells which were strongly positive were a kind of thin polygonal cells with asmall oval or a round deeply stained nucleus in each.They might exist sporadically in the lob-ules or in the marginal portion of a nodule.These liver cells are quite different from the so-called oval cells which are derived from the proliferating ductules and are generally believed tobe responsible for the pathogensis of hepatoma. 展开更多
关键词 LIVER cirrhosis INSULIN-LIKE GROWTH FACTOR IMMUNOHISTOCHEMISTRY
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Distribution of HBV DNA and HBsAg in the liver of patients with liver cirrhosis and its significance
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作者 张晓东 王文亮 +1 位作者 刘彦仿 王伯沄 《Journal of Medical Colleges of PLA(China)》 CAS 1992年第2期136-140,共5页
Hepatitis B virus(HBV)DNA and HBsAg were detected in 51 human paraf- fin-embedded sections of liver cirrhosis by the double labelling technique of in situ hybfidiza- tion and PAP method.The results showed that the pos... Hepatitis B virus(HBV)DNA and HBsAg were detected in 51 human paraf- fin-embedded sections of liver cirrhosis by the double labelling technique of in situ hybfidiza- tion and PAP method.The results showed that the positive sections were 21(41.2%)for HBV DNA,43(84.3%)for HBsAg and 19(37.3%)for both HBV DNA and HBsAg.HBV DNA-positive grains were localized predominantly in the cytoplasm of hepatic cells or in both nucleus and cytoplasm,a few only in the nucleus or the inner side of the cell membrane.In active cirrhosis and inactive cirrhosis,the positive rates of HBV DNA were 52.8% and 13.3%,respectively,and for both HBV DNA and HBsAg,they were 47.2% and 13.3% restively.The positive rate is higher in active cirrhosis than in inactive cirrhosis(P<0.05).The results further indicated that the infection of HBV and the existence and persistent action of HBV DNA in the liver tissues are one of the important factors of the development of liver cirrhosis. 展开更多
关键词 liver cirrhosis hepatitis B virus DNA VIRAL hepatitis B surface antigens DNA probes IMMUNOHISTOCHEMISTRY human
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Expression of HBxAg in human chronic hepatitis,cirrhosis and primary hepatic carcinoma and its significance
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作者 王文亮 W.Thomas London Mark A.Feitelson 《Journal of Medical Colleges of PLA(China)》 CAS 1992年第2期114-120,共7页
The specimens of this study were obtained from 110 cases of chronic hepatitis,108cirrhosis and 110 primary hepatic carcinoma(PHC).Formalin-fixed and paraffin-embedded seetions were stained by ABC method forHBxAg,and b... The specimens of this study were obtained from 110 cases of chronic hepatitis,108cirrhosis and 110 primary hepatic carcinoma(PHC).Formalin-fixed and paraffin-embedded seetions were stained by ABC method forHBxAg,and by PAP method for HRsAg and HBcAgOf the 110 cases of chronic hepatitis,72(65.5%)were positive HBxAg in the liver cells,66(60%)were postitive in HBsAg and 35(31.8%)in HBcAg.Among the 108 eases of drrhosis,84(77.8%)revealed to be HBxAg positive in the liver cells,73(67.6%)were demonstrated to beHBsAg-positive and 18(16.7%)were shown to be HBcAg-positive.Among the 110 eases of pri-mary hepatic carcinoma,64(58.2%)showed HBxAg-positive reaction in cancerous tissues.Therates of positive HRsAg and HBcAg in tumor tissues were 15.5% and 10.9%,respectively.Six-ty-three(78.8%)of 80 cases of the non-cancerous hepatic tissues displayed HBxAg positivenessand the rates of positive HRsAg and HBcAg in the non-tumor tissues were 47(58.8%)and 21(2.6.3%),respectively.The above-mentioned results sugared that the detection rote of HBxAg inchronic hepatitis,cirrhosis and PHC was higher than that of HBsAg and HBcAg.This studydemonstrates a dose relationship between chronic hepatitis,cirrhosis,PHC and chronic persistentinfection of hepatitis B virus(HBV).Persistent chronic HBV infection plays an important role inthe pathogenesis of chronic hepatitis, cirrhosis and PHC.It is possible that the detection ofHBxAg with anti-HBx could be an additional new diagnostic marker for HBV infection.Howev-er,the role of HBxAg in the pathogenesis of chronic liver diseases needs to be furtherinvestigated. 展开更多
关键词 HEPATITIS B cirrhosis liver neoplasms HEPATITIS B ANTIGENS HEPATITIS B surface ANTIGENS HEPATITIS B core ANTIGEN HEPATITIS B X antign immunohistochemistry HUMAN
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Distribution and significance of HBV DNA and HBAg in human primary hepatocellular carcinoma and liver cirrhosis
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作者 韩慧霞 王文亮 +1 位作者 隋延仿 朱新生 《Journal of Medical Colleges of PLA(China)》 CAS 1995年第2期125-129,共5页
In order to investigate the relationship between HBV and hepatocellular carcinoma(HCC),hepatitis B virus DNA(HBV DNA),HBxAg and HBcAg were detected in 44 paraffin-embedded samples of HCC tissue(17 cases with cancer-su... In order to investigate the relationship between HBV and hepatocellular carcinoma(HCC),hepatitis B virus DNA(HBV DNA),HBxAg and HBcAg were detected in 44 paraffin-embedded samples of HCC tissue(17 cases with cancer-surrounding hepatic tissues) and 42 case 展开更多
关键词 HEPATOCELLULAR CARCINOMA LIVER cirrhosis n situ hybridization HEPATITIS B virus DNA HEPATITIS B antigens immunohistochemistry
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Variation of Apolipoprotein A-I in Cirrhosis and its Clinical Value
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作者 沈国钧 胡景 +1 位作者 万柏珍 段苏友 《医学研究生学报》 CAS 1990年第3期273-276,共4页
The serum apolipoprotein A- I (apo A-I) Concentrations in 39 patients with posthepatitis cirrhosis were reported to be 0.87±0.27 g/L lower than that of controls 1.15±0.14 g/L P【0.01. The, decrease of apo. A... The serum apolipoprotein A- I (apo A-I) Concentrations in 39 patients with posthepatitis cirrhosis were reported to be 0.87±0.27 g/L lower than that of controls 1.15±0.14 g/L P【0.01. The, decrease of apo. A-I was correlated with the severityof impaired liver function. Apo A- I concentrations in serum correlated positively with decrease of serum albumin (r=0.503 P【 0.01) and negatively with serum bilirubin increase (r=- 0.508 P 【0.01) . The data indicate that decreasing of apo A- I concentration may be regarded as one of the reliable indices reflecting the degree of liver function impairment. 展开更多
关键词 APOLIPOPROTEIN cirrhosis
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Traditional Chinese Medicine nursing protocols for liver cirrhosis
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作者 《中西医结合护理(中英文)》 2020年第5期289-296,共8页
Liver cirrhosis, a chronic progressive liver disease, is an increasing cause of morbidity and mortality in developed countries, caused by different mechanisms of liver damage that can result in neuroinflammation and f... Liver cirrhosis, a chronic progressive liver disease, is an increasing cause of morbidity and mortality in developed countries, caused by different mechanisms of liver damage that can result in neuroinflammation and fibrogenesis. Recently the basic and clinical research on chronic liver diseases has achieved great progress in the field of modern medicine and integrated Chinese and Western medicine, and produced new evidences for preventing and treating liver fibrosis. This article primarily summarized the key points of common syndromes, Traditional Chinese Medicine(TCM) nursing methods and healthy guidance of liver cirrhosis, aiming at maintaining and developing the strengths of TCM, improving its efficacy and standardizing its behavior. 展开更多
关键词 cirrhosis NURSING MEDICINE
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北京协和医院风湿免疫科填补原发性胆汁性肝硬化研究空白
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作者 陈明雁 《协和医学杂志》 2014年第3期306-306,共1页
原发性胆汁性肝硬化(primary biliary cirrhosis,PBC)是一种以肝脏为主要靶器官的慢性系统性自身免疫病,其病理特征为肝内小胆管非化脓性进行性破坏伴门脉区淋巴细胞浸润,长期持续性肝内胆汁淤积最终导致肝纤维化和肝硬化。PBC多见于... 原发性胆汁性肝硬化(primary biliary cirrhosis,PBC)是一种以肝脏为主要靶器官的慢性系统性自身免疫病,其病理特征为肝内小胆管非化脓性进行性破坏伴门脉区淋巴细胞浸润,长期持续性肝内胆汁淤积最终导致肝纤维化和肝硬化。PBC多见于中老年女性,男女发病比例为1∶10。欧洲流行病学资料表明,PBC的发病率为0.7~49/100万,患病率为6.7~402/100万。随着实验室诊断技术的提高和医生对疾病认识的提高,中国PBC发病率和患病率逐年上升。 展开更多
关键词 肝内小胆管 自身免疫病 长期持续性 研究空白 慢性系统性 实验室诊断 靶器官 肝纤维化 cirrhosis 熊去氧胆酸
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Epidemiology of Hepatitis B and Associated Liver Diseases in China 被引量:17
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作者 Yao Zhang Hua Zhang +1 位作者 Au Elizabeth Xiao-qing Liu 《Chinese Medical Sciences Journal》 CAS CSCD 2012年第4期243-248,共6页
Hepatitis B virus (HBV) infection has long been a critical public health challenge in China. National surveys revealed a prevalence of approximate 10% for chronic HBV infection in general population. HBV has been the ... Hepatitis B virus (HBV) infection has long been a critical public health challenge in China. National surveys revealed a prevalence of approximate 10% for chronic HBV infection in general population. HBV has been the leading cause of chronic hepatitis, cirrhosis, and liver cancers in Chinese population and a common pathogen of acute viral hepatitis. Meanwhile, the epidemic provided important opportunities to research the natural history, public health impact, and therapeutic and preventive interventions for HBV in China. In this review, we summarized the selected key epidemiological studies since 1970s regarding HBV infection and its associated liver diseases in China, and provided considerations for future research, prevention and treatment of HBV. 展开更多
关键词 hepatitis B EPIDEMIOLOGY cirrhosis hepatocellular carcinoma
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MOSSBAUER STUDIES OF HEMOGLOBIN AND THE IMMUNE FUNCTION OF RBC OF THE PATIENTS WITH HEPATIC DISEASES
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作者 孙云汉 王全兴 +6 位作者 龙建秋 龚国川 刘荣川 夏元复 倪新蕾 陆轻铀 黄润生 《Nuclear Science and Techniques》 SCIE CAS CSCD 1992年第2期112-115,共4页
Red blood cells (RBC) of the patients with cirrhosis and with primary liver cancer were studied by using Mossbauer spectroscopy. The measurements of RBC from normal adults were made as control. Results showed that the... Red blood cells (RBC) of the patients with cirrhosis and with primary liver cancer were studied by using Mossbauer spectroscopy. The measurements of RBC from normal adults were made as control. Results showed that the subspectrum representing deoxy-Hb either disappeared or diminished, but no other subspectrum was detected in the samples from the patients. In addition, the immune function of RBC of these two types of patients was measured by using immune-adherence haemagglutination (IAHA), which indicated that its immune function was significantly lower than that of normal adults (P【0.01). These experimental results showed that the components of hemoglobin in RBC are correlated with the immune function of RBC. 展开更多
关键词 MOSSBAUER Spectroscopy Red BLOOD cell cirrhosis Primary liver cancer
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Ultrasound Elastography of Ethanol-induced Hepatic Lesions:In Vitro Study
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作者 Li-gang Cui Jin-hua Shao +2 位作者 Jin-rui Wang Jing Bai Yi-zhuo Zhang 《Chinese Medical Sciences Journal》 CAS CSCD 2009年第2期81-85,共5页
Objective To study the value of ultrasound elastography in evaluation of ethanol-induced lesions of liver. Methods Alcohol with a dose of 2 ml was injected into a fresh porcine liver under ultrasound guidance to creat... Objective To study the value of ultrasound elastography in evaluation of ethanol-induced lesions of liver. Methods Alcohol with a dose of 2 ml was injected into a fresh porcine liver under ultrasound guidance to create stiff necrosis. Then freehand elastography of the lesion from the identical scan plane was obtained with SONOLINE Antares system using VF10-5 probe at about every 30 seconds till 6 minutes later. The original high quality radiofrequency data were acquired through an ultrasound research interface which was provided by the ultrasound system. Then, corresponding elastograms were produced offline using cross-correlation technique and compared with gross pathology findings. Results Gray-scale sonogram showed a hyperechoic area with acoustic shadow below appeared immediately after alcohol injection. The hyperechoic area tended to be diffuse and its boundary to be illegible with time. On the contrary, the ethanol-induced lesion in elastogram appeared as a low swain hard region surrounded by high strain soft hepatic tissues, with clear but irregular boundaries. Sequential elastograms with the sketched lesion boundaries showed that the lesion area increased in the first 3 minutes after ethanol injection, and then reached a plateau which corresponding to gross specimen. Conclusion Ultrasound elastography is capable of detecting and evaluating the diffusion of ethanol-induced hepatic lesion, and more sensitive and accurate than routine sonography. 展开更多
关键词 ELASTOGRAPHY ULTRASOUND hepatic cirrhosis ETHANOL
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The determination and significance of C/EBP in cells of liver cancer and different liver tissues
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作者 徐砺新 隋延仿 +4 位作者 王文亮 张荣美 刘彦仿 胡敏 顾建人 《Journal of Medical Colleges of PLA(China)》 CAS 1993年第4期363-367,共5页
C/EBP is a sequence-specific DNA-binding protein.In order to identify its distribu-tion,localization and function,immunocytochemical technique(ABC method)was done usinganti-C/EBP polypeptide antibodies 1103~#,425~# in... C/EBP is a sequence-specific DNA-binding protein.In order to identify its distribu-tion,localization and function,immunocytochemical technique(ABC method)was done usinganti-C/EBP polypeptide antibodies 1103~#,425~# in liver specimens from 20 normal adult,5neonatal,6 patients with hepatitis,25 patients with liver cirrhosis,80 patients with hepatocellu-lar carcinoma(40 cases were associated with surrounding nontumorous tissues)and 26 patientswith cholangiocarcinoma(15 cases were associated with surrounding nontumorous tissues).Theresults showed that C/EBP was diffusely distributed in nuclei and cytoplasm of differentiated liv-er cells and very low or undetectable in liver cancer cells.The expression of C/EBP was in pro-portion to differentiated degree of tumor cells,and was obviously weaker than that in surround-ing nontumorous tissues.C/EBP positive staining has also been found in regenerating epithelialcells of bile ductules.The results suggested that C/EBP might play an important role in estab-lishing and maintaining the differentiation of liver cells and might exert an inhibiting effect againsttransformation of liver cells and proliferation of neoplastic tissue. 展开更多
关键词 C/EBP HEPATOMA liver cirrhosis IMMUNOCYTOCHEMISTRY differentiation proliferration
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