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        west china medical publishers
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        find Author "廖槐" 2 results
        • Expression of Aquaporin-1 in the Pleura in Rats and the Role of Aquaporin-1 in the Pleural Fluid Turnover

          Objective To investigate the expression of aquaporin-1( AQP1 ) in visceral and parietal pleura in SD rats and to examine the effect of AQP1 on pleural fluid turnover. Methods Five groups( n = 24 ) of SD rats were randomly assigned to received intrapleural injection of dexamethasone,lipopolysaccharide, erythromycin, hypertonic saline and normal saline, respectively. The AQP1 protein in pleural was detected with immunohistochemistry. The mRNA expression of AQP1 under stimulations at different time points was measured by real time RT-PCR. Results AQP1 was immunolocalized predominantly to the microvessels and mesothelial cells of visceral and parietal pleura. The extent of AQP1expression in parietal pleura was less than that in visceral pleura[ ( 4. 14 ±1. 12) ×104 copy /μg vs ( 7. 43 ±2. 02) ×104 copy / μg, P lt;0. 05] . AQP1 expression increased at all phases in the dexamethasone group andthe hypertonic saline group, whereas decreased in the erythromycin group and the lipopolysaccharide group.Conclusion The stimulations of dexamethasone, lipopolysaccharide, erythromycin and hypertonic saline can significantly change the AQP1 expression in pleura, which indicate that AQP1 may contribute to the accumulation and clearance of pleuritic fluids.

          Release date:2016-09-14 11:23 Export PDF Favorites Scan
        • 帕博利珠單抗致免疫相關性肺炎一例及診治分析

          目的 提高免疫檢查點抑制劑相關性肺炎(CIP)的早期診斷與治療。方法 對 1 例接受程序性死亡蛋白-1 單抗治療的晚期肺腺癌患者繼發免疫相關性肺炎的臨床表現、影像學、微生物學、支氣管鏡檢查、病理診斷及治療過程進行回顧分析。結果 該例患者經過支氣管鏡冷凍肺活檢病理顯示為機化性肺炎,早期診斷 CIP,臨床分級 2 級,予停用免疫檢查點抑制劑,同時給予口服強的松(按 1 mg·kg–1·d–1)治療 2 周后癥狀好轉,復查胸部 CT 見肺部病灶較前大部分吸收。結論 CIP 臨床表現多樣化,早期診斷困難;支氣管鏡檢查尤其是經支氣管鏡冷凍肺活檢有助早期 CIP 明確診斷,CIP 使用糖皮質激素治療效果好。

          Release date:2021-11-18 04:57 Export PDF Favorites Scan
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