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亚急性心肌梗死患者死亡诱因及预见性护理
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作者 佘燕萍 张志娟 《医学理论与实践》 2004年第8期943-944,共2页
目的 :探讨急性心肌梗死患者在病程第 2~ 3周亚急性期[1] 发生临床猝死的诱因及如何做出预见性的护理。方法 :通过对 7例亚急性心肌梗死患者的诱发因素、临床表现、抢救经过等进行分析。结果 :7例临床猝死患者均有诱发因素。结论 :对... 目的 :探讨急性心肌梗死患者在病程第 2~ 3周亚急性期[1] 发生临床猝死的诱因及如何做出预见性的护理。方法 :通过对 7例亚急性心肌梗死患者的诱发因素、临床表现、抢救经过等进行分析。结果 :7例临床猝死患者均有诱发因素。结论 :对于亚急性期心肌梗死患者也应注意评估患者的各方面的情况 ,制定周密的护理计划 ,预防临床猝死的发生 。 展开更多
关键词 亚急性心肌梗死 死亡诱因 预见性护理 护理计划
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急性心肌梗死死亡诱因的预防和护理 被引量:5
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作者 喻中会 唐永芬 《现代医药卫生》 2008年第1期127-128,共2页
急性心肌梗死(AMI)是在冠状动脉粥样硬化基础上.伴有斑块破裂、出血、血栓形成或冠状动脉痉挛等原因引起管腔急性闭塞,导致管脉血流中断或急剧减少.使相应的心肌发生持续而严重的急性缺血,最终导致心肌缺血性坏死。在临床上AMI常... 急性心肌梗死(AMI)是在冠状动脉粥样硬化基础上.伴有斑块破裂、出血、血栓形成或冠状动脉痉挛等原因引起管腔急性闭塞,导致管脉血流中断或急剧减少.使相应的心肌发生持续而严重的急性缺血,最终导致心肌缺血性坏死。在临床上AMI常合并并发症,病情反复发作或加重。多数患者有诱因,所以.处理这些诱发因素.做好预防和护理对AMI的治愈非常重要.现将我科2005年2月~2007年2月收治的AMI患者30例的预防与护理体会介绍如下。 展开更多
关键词 急性心肌梗死 死亡诱因 护理 预防 冠状动脉粥样硬化 AMI患者 心肌缺血性坏死 管腔急性闭塞
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38例老年急性心肌梗死死亡诱因分析 被引量:1
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作者 卢艳 《临床医药实践》 2003年第10期784-785,共2页
老年患者(年龄≥70岁)急性心肌梗死(AMI)起病急、变化快、处理棘手、病死率高.其死亡原因复杂而多变,常见并发症有:心律失常、心力衰竭、心源性休克及心脏破裂等,是主要的直接致死原因.随着急性心肌梗死后再通治疗及介入性心脏病学的开... 老年患者(年龄≥70岁)急性心肌梗死(AMI)起病急、变化快、处理棘手、病死率高.其死亡原因复杂而多变,常见并发症有:心律失常、心力衰竭、心源性休克及心脏破裂等,是主要的直接致死原因.随着急性心肌梗死后再通治疗及介入性心脏病学的开展,抗心律失常药、血管扩张剂的广泛应用,AMI患者中死于上述急性并发症的已明显降低. 展开更多
关键词 老年 急性心肌梗死 死亡诱因 液体摄入量 过度用力 情绪因素 神经因素 护理措施
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6例冠心病患者死亡诱因的回顾分析
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作者 冯继贞 《护士进修杂志》 北大核心 1989年第11期36-37,共2页
冠心病患者最终死亡原因是严重的心律失常和心力衰竭,常常有些诱因致使这些改变。本院1983~1988年收治冠心病患者中6例死亡者,都有明显的致死诱因,其中2例有情绪波动,1例肺部感染,1例过度活动,2例暴饮暴食。通过回顾分析,认为这些诱因... 冠心病患者最终死亡原因是严重的心律失常和心力衰竭,常常有些诱因致使这些改变。本院1983~1988年收治冠心病患者中6例死亡者,都有明显的致死诱因,其中2例有情绪波动,1例肺部感染,1例过度活动,2例暴饮暴食。通过回顾分析,认为这些诱因是不容忽视的,认识其重要性,并加以预防,一些冠心病患者的死亡是可以避免的。 展开更多
关键词 冠心病 死亡诱因 回顾性分析
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48例转入或重回重症监护室死亡患者的相关因素分析 被引量:12
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作者 何征宇 皋源 王祥瑞 《中国危重病急救医学》 CAS CSCD 北大核心 2006年第12期740-742,共3页
目的分析由普通病房转入或重回重症监护室(ICU)后患者的死亡原因,探讨降低ICU患者病死率的方法。方法将本院2002年11月—2004年10月期间ICU内死亡患者分为对照组(39例)、转入组(25例)和重回组(23例),分别对其急性生理学与慢性健康状况... 目的分析由普通病房转入或重回重症监护室(ICU)后患者的死亡原因,探讨降低ICU患者病死率的方法。方法将本院2002年11月—2004年10月期间ICU内死亡患者分为对照组(39例)、转入组(25例)和重回组(23例),分别对其急性生理学与慢性健康状况评分系统(APACHE)评分、死亡诱因以及治疗过程进行分类统计和汇总。结果对照组患者入ICU的总病死率较转入组和重回组低,差异均有显著性(P均<0.05)。对照组患者死亡直接诱因前3位分别为失血性休克/严重创伤、中枢神经系统损伤或疾病以及心功能障碍;转入组为严重感染、呼吸功能障碍、心功能障碍或失血性休克/严重创伤;重回组为呼吸功能障碍、心功能障碍和严重感染。对照组、转入组和重回组患者入ICU时APACHE评分分别为(18.67±3.28)分、(20.84±4.16)分和(20.39±3.15)分,均明显高于本院ICU患者入ICU的APACHE评分(4.28±1.52)分,P均<0.01;重回ICU患者前一次出ICU时的APACHE评分(12.83±2.76)分明显高于本院ICU患者出ICU的评分(3.28±3.42)分,P<0.01。结论加强对普通病房危重患者呼吸、循环系统的监测及早期干预治疗,提高对转出ICU患者当前状态和预后发展的评估水平,对降低转入或重回ICU患者病死率具有重要的作用。 展开更多
关键词 重症监护室 死亡 相关因素 死亡诱因
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140例军队高级干部住院死亡病因分析
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作者 曾光盛 黄翠瑶 陈青山 《华南国防医学杂志》 CAS 1996年第1期84-85,共2页
军队高级干部住院死亡病因分析对军队高级干部保健、防病、治病及开展老年医学的研究等方面均具有重要意义。本文通过对140例军队高级干部住院死亡病因分析,着重探讨军队高级干部死亡的主要原因。 临床资料 1985~1993年,我院共收治军... 军队高级干部住院死亡病因分析对军队高级干部保健、防病、治病及开展老年医学的研究等方面均具有重要意义。本文通过对140例军队高级干部住院死亡病因分析,着重探讨军队高级干部死亡的主要原因。 临床资料 1985~1993年,我院共收治军队高级干部3765例。其中死亡140例,年龄在53~93岁30例。 展开更多
关键词 军队高级干部 病因分析 住院死亡 恶性肿瘤 脑血管意外 心脏疾病 并存疾病 死亡诱因 老年人 急性心肌梗塞
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老人便秘如何选泻药
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作者 屠惠明 《江苏卫生保健(今日保健)》 2016年第7期33-33,共1页
慢性便秘是困扰老年人的常见病之一。长期受便秘困扰,会出现腹胀嗳气、头晕头涨、烦躁失眠、易怒、呕吐、腹痛等,严重者可诱发痔疮、肛裂、肠梗阻、疝气,甚至心绞痛、心肌梗死、心律失常、高血压、脑卒中等疾病。有资料显示:在死于... 慢性便秘是困扰老年人的常见病之一。长期受便秘困扰,会出现腹胀嗳气、头晕头涨、烦躁失眠、易怒、呕吐、腹痛等,严重者可诱发痔疮、肛裂、肠梗阻、疝气,甚至心绞痛、心肌梗死、心律失常、高血压、脑卒中等疾病。有资料显示:在死于老年心脏病的患者中约有10%的死亡诱因就是便秘。 展开更多
关键词 慢性便秘 泻药 老人 老年心脏病 心肌梗死 心律失常 死亡诱因 常见病
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Expression Profiles of TRAIL Receptors and Their Clinical Significance in Human Hepatocellular Carcinoma 被引量:1
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作者 何松青 陈孝平 +4 位作者 赵永忠 张万广 王海平 杨彩虹 王少发 《The Chinese-German Journal of Clinical Oncology》 CAS 2003年第1期25-29,59,共6页
Objective To investigate the expression profiles and their clinical significance of TRAIL receptors (TRAILR) in human hepatocellular carcinoma (HCC). Methods The expression profiles of TRAILR were determined in 60 s... Objective To investigate the expression profiles and their clinical significance of TRAIL receptors (TRAILR) in human hepatocellular carcinoma (HCC). Methods The expression profiles of TRAILR were determined in 60 samples from hepatocellular carcinoma, 20 from normal liver tissue and two HCC cell lines HepG2, SMMC-7721 by in situ hybridization. Results Both DR4 and DR5 were present in all HCC tissues as well as normal hepatic tissues. In contrast, 54 HCC tissues did not express DcR1 and 25 did not express DcR2. But both DcR were detectable in all of the normal liver tissues. The expression patterns of DR and DcR in HCC samples (higher DR expression level and lower DcR expression level) were quite different from those in normal tissue. DR5, DR4, and DcR2 expressed in both cell lines, while no DcR1 expression was detected. The expression level of DR was correlated with HCC differentiation and stage. The weaker expression was more commonly found in HCC with poor differentiation and late stage, while the stronger expression was more common in HCC with middle to high-differentiation and early stage. No relationship was found between DR and gender, age, negative or positive HBsAg, tumor size, grade or metastasis. Multidrug resistance cell lines expressed lower level DR. Conclusion TRAILR expression was prevalent and discrepancy of receptor types was exited in HCC. Loss of DcR1 may contribute for TRAIL therapy for HCC. Key words TRAILR - apoptosis - hepatocellular carcinoma Supported by the Major Fundation of Ministry of Health, NO. 2001–2003 展开更多
关键词 TRAILR APOPTOSIS hepatocellular carcinoma
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Trends on gastrointestinal bleeding and mortality:Where are we standing? 被引量:4
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作者 Ahmed Mahmoud El-Tawil 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第11期1154-1158,共5页
Bleeding from the gastrointestinal tract and its management are associated with significant morbidity and mortality.The predisposing factors that led to the occurrence of these hemorrhagic instances are largely linked... Bleeding from the gastrointestinal tract and its management are associated with significant morbidity and mortality.The predisposing factors that led to the occurrence of these hemorrhagic instances are largely linked to the life style of the affected persons.Designing a new strategy aimed at educating the publics and improving their awareness of the problem could effectively help in eradicating this problem with no associated risks and in bringing the mortality rates down to almost zero. 展开更多
关键词 Gastrointestinal bleeding Peptic ulcer Esoph-ageal varices Helminthic infestation Bowel cancer Mor-tality MORBIDITY Predicting factors Age Sex
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Apoptosis signaling pathways and lymphocyte homeostasis 被引量:14
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作者 Guangwu Xu Yufang Shi 《Cell Research》 SCIE CAS CSCD 2007年第9期759-771,共13页
It has been almost three decades since the term "apoptosis" was first coined to describe a unique form of cell death that involves orderly, gene-dependent cell disintegration. It is now well accepted that apoptosis ... It has been almost three decades since the term "apoptosis" was first coined to describe a unique form of cell death that involves orderly, gene-dependent cell disintegration. It is now well accepted that apoptosis is an essential life process for metazoan animals and is critical for the formation and function of tissues and organs. In the adult mammalian body, apoptosis is especially important for proper functioning of the immune system. In recent years, along with the rapid advancement of molecular and cellular biology, great progress has been made in understanding the mechanisms leading to apoptosis. It is generally accepted that there are two major pathways ofapoptotic cell death induction: extrin- sic signaling through death receptors that leads to the formation of the death-inducing signaling complex (DISC), and intrinsic signaling mainly through mitochondria which leads to the formation of the apoptosome. Formation of the DISC or apoptosome, respectively, activates initiator and common effector caspases that execute the apoptosis process. In the immune system, both pathways operate; however, it is not known whether they are sufficient to maintain lymphocyte homeostasis. Recently, new apoptotic mechanisms including caspase-independent pathways and granzyme-initiated pathways have been shown to exist in lymphocytes. This review will summarize our understanding of the mechanisms that control the homeostasis of various lymphocyte populations. 展开更多
关键词 APOPTOSIS lymphocyte homeostasis death-inducing signaling complex APOPTOSOME signaling
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TRAIL receptor mediates inflammatory cytokine release in an NF-κB-dependent manner 被引量:14
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作者 Wanhu Tang Weimin Wang Yaxi Zhang Shilian Liu Yanxin Liu Dexian Zheng 《Cell Research》 SCIE CAS CSCD 2009年第6期758-767,共10页
In the present article, we report that DR4 or DR5 overexpression dramatically activates the release of the inflammatory cytokines IL-8, TNF-α, CCL20, MIP-2 and MIP-1β in an NF-κB-dependent manner in 293T, MDA-MB-23... In the present article, we report that DR4 or DR5 overexpression dramatically activates the release of the inflammatory cytokines IL-8, TNF-α, CCL20, MIP-2 and MIP-1β in an NF-κB-dependent manner in 293T, MDA-MB-231 and HCT-116 cells. We showed that death receptor-mediated signals were extracellular domain-independent, whereas the effect of overexpression of the DR4 intracellular domain was much less potent. The TRADD-TRAF2-NIK- IKKα/β signaling cascade, which plays an essential role in TNF-induced NF-κB activation, was found to be involved in tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) receptor-mediated signal transduction. The FADD-caspase signaling pathway, which has been reported to be mostly related to apoptosis, was identified as being essential for DR4 or DR5 overexpression-mediated NF-κB activation and cytokine secretion and crosstalks with the TRADD-TRAF2-NIK-IKKα/β signaling cascade. Furthermore, a DR5 agonistic antibody (AD5-10) triggered the inflammatory cytokine release. These data, together with previous reports, provide strong evidence that TRAIL and TRAIL receptors play an important role in inflammation. 展开更多
关键词 TRAIL receptor INFLAMMATION CYTOKINE NF-ΚB
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Following a TRAIL: Update on a ligand and its five receptors 被引量:27
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作者 Fiona C. KIMBERLEY Gavin R. SCREATON 《Cell Research》 SCIE CAS CSCD 2004年第5期359-372,共14页
Identification of tumour necrosis factor apoptosis inducing ligand (TRAIL), a TNF family ligand, sparked a torrent of research, following an initial observation that it could kill tumour cells, but spare normal cells.... Identification of tumour necrosis factor apoptosis inducing ligand (TRAIL), a TNF family ligand, sparked a torrent of research, following an initial observation that it could kill tumour cells, but spare normal cells. Almost a decade after its discovery, and with five known receptors, the true physiological role of TRAIL is still debated and its anti-tumorigenic properties limited by potential toxicity. This review takes a comprehensive look at the story of this enigmatic ligand, addressing its remaining potential as a therapeutic and providing an overview of the TRAIL receptors themselves. 展开更多
关键词 TRAIL apoptosis cancer.
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TRAIL-induced apoptosis of hepatocellular carcinoma cells is augmented by targeted therapies 被引量:9
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作者 Bruno Christian Koehler Toni Urbanik +5 位作者 Binje Vick Regina Johanna Boger Steffen Heeger Peter R Galle Marcus Schuchmann Henning Schulze-Bergkamen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第47期5924-5935,共12页
AIM:To analyze the effect of chemotherapeutic drugs and specific kinase inhibitors,in combination with the death receptor ligand tumor necrosis factor-related apoptosis inducing ligand(TRAIL),on overcoming TRAIL resis... AIM:To analyze the effect of chemotherapeutic drugs and specific kinase inhibitors,in combination with the death receptor ligand tumor necrosis factor-related apoptosis inducing ligand(TRAIL),on overcoming TRAIL resistance in hepatocellular carcinoma(HCC)and to study the efficacy of agonistic TRAIL antibodies,as well as the commitment of antiapoptotic BCL-2 proteins, in TRAIL-induced apoptosis. METHODS:Surface expression of TRAIL receptors (TRAIL-R1-4)and expression levels of the antiapoptotic BCL-2 proteins MCL-1 and BCL-xL were analyzed by flow cytometry and Western blotting,respectively. Knock-down of MCL-1 and BCL-xL was performed by transfecting specific small interfering RNAs.HCC cellswere treated with kinase inhibitors and chemotherapeutic drugs.Apoptosis induction and cell viability were analyzed via flow cytometry and 3-(4,5-Dimethyl-thiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. RESULTS:TRAIL-R1 and-R2 were profoundly expressed on the HCC cell lines Huh7 and Hep-G2. However,treatment of Huh7 and Hep-G2 with TRAIL and agonistic antibodies only induced minor apoptosis rates.Apoptosis resistance towards TRAIL could be considerably reduced by adding the chemotherapeutic drugs 5-fluorouracil and doxorubicin as well as the kinase inhibitors LY294002[inhibition of phosphoinositol- 3-kinase(PI3K)],AG1478(epidermal growth factor receptor kinase),PD98059(MEK1),rapamycin(mam- malian target of rapamycin)and the multi-kinase inhibitor Sorafenib.Furthermore,the antiapoptotic BCL-2 proteins MCL-1 and BCL-xL play a major role in TRAIL resistance:knock-down by RNA interference increased TRAIL-induced apoptosis of HCC cells.Additionally, knock-down of MCL-1 and BCL-xL led to a significant sensitization of HCC cells towards inhibition of both c-Jun N-terminal kinase and PI3K.CONCLUSION:Our data identify the blockage of survival kinases,combination with chemotherapeutic drugs and targeting of antiapoptotic BCL-2 proteins as promising ways to overcome TRAIL resistance in HCC. 展开更多
关键词 Hepatocellular carcinoma APOPTOSIS Tumor necrosis factor-related apoptosis inducing ligand BCL-XL MCL-1 5-FLUOROURACIL Doxorubicin SORAFENIB Phosphoinositol-3-kinase (Mitogen-activated protein kinase)/(extracellular signal regulated kinase) kinase c-Jun N-terminal kinase
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Recombinant adenoviral vector expressing the tumor necrosis factor-related apoptosis-inducing ligand gene suppresses human pancreatic cancer growth
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作者 Rui Tian Renyi Qin Zhiyong Du Wei Xia Chengjian Shi 《The Chinese-German Journal of Clinical Oncology》 CAS 2007年第5期464-468,共5页
Objective: To investigate the antitumor effect of tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) gene transfection mediated by adenovirus into human pancreatic carcinoma cell line Panc-1, and the mech... Objective: To investigate the antitumor effect of tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) gene transfection mediated by adenovirus into human pancreatic carcinoma cell line Panc-1, and the mechanisms involved in this effect. Methods: TRAIL gene was transfected into pancreatic cancer cell line Panc-1 by an adenovirus vector (Ad-TRAIL). Level of TRAIL mRNA expression was determined using RT-PCR, and TRAIL protein synthesis was evaluated with Western blot. Cell-growth activities were determined by MTT assay. The bystander effect was observed by co-culturing the Panc-1 cells with the transfected TRAIL gene at different ratios. Apoptosis in pancreatic cancer cells was detected by flow cytometry. Procaspase-8 and procaspase-3 were determined by Western blot. Results: The stable overexpression of TRAIL was de-tected in Panc-1 cells transfected by Ad-TRAIL. Ad-TRAIL significantly inhibited of cell viability of Panc-1 cells. Furthermore, co-culture of cancer cells transfected with TRAIL with that nontransfected resulted in the cell death of both cells by bystander effect. Moreover, the percentage of apoptotic cells was significantly higher in the Ad-TRAIL-treatment group compared to the control groups (P < 0.01). And there was a diminished amount of procaspase-8 and procaspase-3 after infection with Ad-TRAIL. Conclusion: The overexpression of TRAIL gene in Panc-1 cells by Ad-TRAIL exerts its antitumor effects, and the mechanisms involved in this effect may be proapoptosis and bystander effect. 展开更多
关键词 pancreatic carcinoma adenovirus vector TRAIL APOPTOSIS bystander effect
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Expression of human TNF-related apoptosis-inducing ligand extracellular region in E. coli
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作者 唐蓓 HE +1 位作者 Fengtian 《Journal of Chongqing University》 CAS 2002年第2期54-56,共3页
This study is conducted to clone the cDNA encoding human TNF-related apoptosis-inducing ligand (hTRAIL) extracellular region (amino acids 41-281, hTRAIL41-281) and to express it in E.coli. The hTRAIL41-281 cDNA is amp... This study is conducted to clone the cDNA encoding human TNF-related apoptosis-inducing ligand (hTRAIL) extracellular region (amino acids 41-281, hTRAIL41-281) and to express it in E.coli. The hTRAIL41-281 cDNA is amplified by reverse transcription (RT) PCR from total RNA derived from human acute promyelocytic leukemia cell line HL-60. After sequenced, the cDNA is cloned into the vector pQE-80L and transformed into E.coli DH5 to express the recombinant hTRAIL41-281 (rhTRAIL41-281) induced by IPTG. The recombinant protein is analyzed by SDS-PAGE. The cloned cDNA is consistent with the cDNA sequence encoding hTRAIL41-281 reported in GenBankTM. After inducing, the hTRAIL41-281 protein is expressed, and the mass of the recombinant protein is about 30 % of total bacteria protein, which demonstrates that the cDNA encoding hTRAIL41-281 is successfully cloned and expressed in E.coli. 展开更多
关键词 TRAIL cDNA cloning Prokaryotic expression
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