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        west china medical publishers
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        find Author "王雪梅" 6 results
        • Recent advance on photosensitive occipital lobe epilepsy

          Photosensitive occipital lobe epilepsy (POLE) is a rare idiopathic reflex focal epilepsy that can occur in all age groups. It is characterized by occipital lobe seizures induced by flashing stimuli (flashing sunlight, video games, TV commercials and programs, etc.). Photoparoxysmal response on EEG is induced by intermittent photic stimulation; Ictal EEG shows rapid spike rhythms are originated from the occipital region. There are no obvious abnormalities in brain image. POLE responds well to anti-seizure medications and has a good prognosis. This article reviews the research progress on POLE in order to improve the clinician’s understanding and reduce the rates of missed diagnosis and misdiagnosis.

          Release date:2024-07-03 08:46 Export PDF Favorites Scan
        • 醫源性十二指腸損傷11例診治體會

          Release date:2016-08-29 03:19 Export PDF Favorites Scan
        • 自然殺傷/T細胞淋巴瘤的生物學行為和臨床及診斷研究進展

          自然殺傷(NK)/T細胞淋巴瘤(NKTCL)作為非霍奇金淋巴瘤(NHL)的獨立類型,在亞洲、拉丁美洲地區發病率明顯高于西方國家。其發病與EB病毒(EBV)感染關系密切,而遺傳因素、農藥、化學溶劑等與其發病有一定相關性。病理組織學上以血管中心和多形淋巴網狀內皮細胞的破壞性浸潤為特征,表達T或NK細胞抗原,以及T細胞內抗原-1、粒酶B、穿孔素等細胞毒顆粒相關蛋白,組織標本中絕大部分EBV編碼的小分子RNA檢測陽性。臨床上以中軸區受累為多見,早期病變常局限,進展期則呈侵襲性生長、少數可發生遠處轉移。目前診斷主要依靠組織標本的病理學檢查,CD2+、CD3ε+及CD56+可作為診斷該腫瘤較特異的免疫組織化學標記;同時,EBV相關成分及白介素-9、白介素-10和γ-干擾素等相關細胞因子和蛋白的檢出對診斷具有積極幫助,卟啉鈣黏蛋白15則可望成為診斷NK細胞來源腫瘤的新的重要標記。近年來,影像學檢查、尤其18氟標記脫氧葡萄糖正電子發射型計算機斷層掃描顯像儀對診斷的價值更加受到重視,有利于與B細胞來源淋巴瘤鑒別,并對NKTCL的分期及預后判斷有一定價值。

          Release date:2016-09-08 09:13 Export PDF Favorites Scan
        • 奧曲肽治療膽瘺7例報告

          Release date:2016-08-28 05:30 Export PDF Favorites Scan
        • Analysis of HPV infection among 8 944 females of health examination in West China Hospital of Sichuan University

          Objective To investigate HPV infection, genotype distribution of HPV infection among 8 944 females of health examination in West China Hospital of Sichuan University. Methods We enrolled 8 944 females of health examination in West China Hospital of Sichuan University from January to September in 2016. HPV genotyping was performed by Luminex fluorescence technique. Excel 2007 and SPSS 17.0 softwares were used to analyze the infection and genotype distribution of HPV. Results The HPV infection rate of 8 944 health examination women was 14.4% (1 291/8 944). Among them, there were 1 025 cases of single infection, the infection rate was 11.5% (1 025/8 944); there were 266 cases of multiple infection, the infection rate was 3.0% (266/8 944). The infection rates of 20 to 25 years and ≥66 years groups in single and multiple infection were higher than other age groups. In the single and multiple infections, the most common genotypes were HPV52, 53, 16 and 58. Infection rate of HPV52 was the highest in single infection, which had two increased age groups including 31 to 35 years and 61 to 65 years old. Infection rate of HPV52 and HPV16 were increased in 20 to 25 years old group of multiple infections. Conclusion In view of the prevalence of HPV infection among health examination females and the genotype distribution, we recommend incorporating HPV52, 53 and 58 into future vaccine screening.

          Release date:2017-06-16 02:25 Export PDF Favorites Scan
        • The investigation of genotypes of HCV and clinical characteristics in HCV patients in West China Hospital of Sichuan University

          Objective To investigate HCV genotypes in HCV patients in West China Hospital of Sichuan University, and to analyze the major genotypes and clinical characteristics. Methods From March 2011 to September 2016, 4 520 HCV patients who were successfully genotyped HCV genotypes were enrolled in West China Hospital of Sichuan University. The genotypes distributions and the characteristics of laboratory characteristics of liver function, the viral loading were all analyzed. In addition, the genotypes in HCC patients, liver cirrhosis, HBC/HCV co-infection were also analyzed. Results HCV genotypes of HCV patients were divided into five genotypes of 1, 2, 3, 4, 6 and 23 subtypes, including predominant genotypes/subtypes 1b, 1*, 3b, 2a, 3a and 6a, accounting for 66.42%, 8.01%, 6.57%, 4.54%, 4.29%, and 3.41%, respectively. Subtype 1b was the predominant subtype for both sex. In male patients, the levels of ALT were highest in 6a subtype, while in female, the levels of ALT were highest in 3a subtype. For the 94 liver cirrhosis patients, 42 patients were 1b subtypes; as for the 6 HCC patients, 1b and 3b subtypes were the only detected. Conclusion HCV genotypes/subtypes of HCV patients in West China Hospital of Sichuan University have unique characteristics of distribution, while the predominant genotype/subtypes are 1b,1*, 3b, 2a, 3a, 6a.

          Release date:2017-05-18 02:12 Export PDF Favorites Scan
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