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高渗氯化钠羟乙基淀粉40注射液对中重度创伤性脑损伤手术患者的脑保护作用 被引量:10
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作者 高礼 张山 +2 位作者 孟雅静 张毅 李艳丽 《临床麻醉学杂志》 CAS CSCD 北大核心 2015年第9期842-845,共4页
目的 探讨高渗氯化钠羟乙基淀粉40注射液(HSH40)对中重度创伤性脑损伤(TBI)手术患者的脑保护作用。方法选择脑外伤手术患者60例,格拉斯哥昏迷评分(glasgow coma scale,GCS)8~10分,随机均分为:HSH40组和甘露醇组,打开硬脑膜前30 ... 目的 探讨高渗氯化钠羟乙基淀粉40注射液(HSH40)对中重度创伤性脑损伤(TBI)手术患者的脑保护作用。方法选择脑外伤手术患者60例,格拉斯哥昏迷评分(glasgow coma scale,GCS)8~10分,随机均分为:HSH40组和甘露醇组,打开硬脑膜前30 min分别输注HSH405ml/kg和甘露醇5ml/kg。记录液体输注前(T0)、输注结束后30 min(T1)、60 min(T2)、120 min(T3)的PaO2、SaO2、动脉血红蛋白含量(Hba)、颈内静脉球氧分压(PjvO2)、颈内静脉球氧饱和度(SjvO2)、颈内静脉球血红蛋白含量(Hbv)。根据Fick公式计算动脉血氧含量(CaO2)、颈内静脉血氧含量(CjvO2)、脑动脉-颈内静脉球氧含量差(Ca-jvDO2),并计算脑氧摄取率(CERO2);于手术前(a1)、液体输注结束后即刻(a2)、术后2h(a3)、1d(a4)抽取外周静脉血,检测神经损伤标志物S100β蛋白含量。采用GOS量表和Barthel指数评定患者神经功能预后。结果与T0时比较,T2、T3时两组SjvO2明显升高、T1~T3时两组Ca-jvDO2和HSH40组CERO2明显降低(P〈0.05)。与甘露醇组比较,T2、T3时HSH40组SjvO2明显升高(P〈0.05);T1~T3时Ca-jvDO2和CERO2明显降低(P〈0.05)。a3时甘露醇组和a4时两组S100β蛋白含量明显高于a1时(P〈0.01),且a3时HSH40组S100β蛋白含量明显低于甘露醇组(P〈0.05),HSH40组Barthel指数评定完全自理和轻度缺陷患者18例(60%),明显高于甘露醇组12例(40%)(P〈0.05)。中、重度缺陷患者12例(40%),明显低于甘露醇组18例(60%)(P〈0.05)。结论 HSH40注射液和甘露醇均可减少创伤性脑损伤手术患者的脑组织耗氧和S100β蛋白含量,改善GOS评分及Barthel指数,两者均有脑保护作用,且前者保护作用更为显著。 展开更多
关键词 高渗氯化钠羟乙基淀粉40注射液 甘露醇 创伤性脑损伤 脑氧代谢 S100Β
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Basic flbroblast growth factor protects auditory neurons and hair cells from noise exposure and glutamate neurotoxicity
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作者 翟所强 王大君 +4 位作者 王嘉陵 Han Dongyi YANG Weiyan 《中华耳科学杂志》 CSCD 2003年第1期1-7,共8页
The purpose of the present study was to determine protectivie effects of basic fibroblast growth factor (bFGF) on cochlear neurons and hair cells in vitro and in vivo. In experiment I, cultured spiral ganglion neurons... The purpose of the present study was to determine protectivie effects of basic fibroblast growth factor (bFGF) on cochlear neurons and hair cells in vitro and in vivo. In experiment I, cultured spiral ganglion neurons (SGNs) prepared from P3 mice were exposed to 20mM glutamate for 2 hours before the culture medium was replaced with fresh medium containing 0, 25, 50, and 100 ng/ml bFGF, respectively. Fourteen days later, all cultures were fixed with 4% paraformaldehyde, and stained with 1% toluidine blue. The number of surviving SGNs were counted and the length of SGNs neurites were measured. Exposure to 20 mM glutamate for 24 hours resulted in an inhibition on neurite outgrowth of SGNs and elevated cell death. Treatment of the cultures with bFGF led to promotion of neurite outgrowth and elevated number of surviving SGNs. Effects of bFGF were dose dependent with the highest potency at 100 ng/ml. In experiment Ⅱ, in vivo studies were carried out with guinea pigs in which bFGF or artificial perilymph was perfused into the cochlea to assess possible protective effects of bFGF on cochlear hair cells and compound action potentials(CAP). The CAPs were measured before, immediatly and 48 hours after exposure to noise. Significant differences in CAP were observed (p<0. 05 ) among the bFGF perfused group, control group(t =3. 896 ) and artificial perilymph perfused group (t =2. 520) at 48 hours after noise exposure, Cochleae were removed and hair cell Loss was analyzed in surface preparations prepared from all experimental animals. Acoustic trauma caused loss of 651 and 687 inner hair cells in the control and artificial perilymph perfused group, respectively. In sharp contrast, only 31 inner hair cells were lost in the bFGF perfused ears. Similarly, more outer hair cells died in the control and perilymph perfuesed group (41830 and 41968, respectively) than in the group treated with bFGF (34258). Our results demonstrate that bFGF protected SGNs against glutmate neurotoxicity in vitro. In addition, treatment with bFGF also protected hair cells from acoustic trauma. 展开更多
关键词 Basic fibroblast growth factor COCHLEA Spiral ganglion neurons excitotoxicity acoustic trau- ma hair cells
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重金属污染土壤毒性的大型蚤法诊断 被引量:6
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作者 李永进 李培军 +2 位作者 杨桂芬 张海荣 王丽文 《农业环境科学学报》 CAS CSCD 北大核心 2003年第2期159-162,共4页
采用清洁土壤人工投加污染物的方法,应用大型蚤对4种重金属污染的草甸棕壤进行了毒性的诊断。实验确立了4种重金属在草甸棕壤中的IC50———Cd157.71mg·kg-1、Zn182.29mg·kg-1、Cu185.09mg·kg-1、Pb1223.29mg·kg-1... 采用清洁土壤人工投加污染物的方法,应用大型蚤对4种重金属污染的草甸棕壤进行了毒性的诊断。实验确立了4种重金属在草甸棕壤中的IC50———Cd157.71mg·kg-1、Zn182.29mg·kg-1、Cu185.09mg·kg-1、Pb1223.29mg·kg-1。对复合污染的研究表明,重金属间存在明显的协同作用。 展开更多
关键词 重金属污染 土壤 毒性 诊断
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沉积物中痕量砷的测定
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作者 沈玉曼 林铁 《贵州师范大学学报(自然科学版)》 CAS 1995年第1期44-47,共4页
本文用HNO3—H2SO4—HClO4对样品进行消解后,采用硝酸银—乙醇—聚乙烯酸作为吸收剂,代替了二乙氨基二硫代甲酸银法中以有毒试剂氯仿作吸收剂,结合较易掌握的锌还原法,对江河中沉积物进行测定,具有简单、方便、无毒... 本文用HNO3—H2SO4—HClO4对样品进行消解后,采用硝酸银—乙醇—聚乙烯酸作为吸收剂,代替了二乙氨基二硫代甲酸银法中以有毒试剂氯仿作吸收剂,结合较易掌握的锌还原法,对江河中沉积物进行测定,具有简单、方便、无毒、灵敏度高等特点。 展开更多
关键词 沉积物 吸收剂 痕量分析
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