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Research Progresses in the Inhibitory Effect of Bone Mesenchymal Stem Cell-Derived Exosome on Blood-Brain Barrier Disruption following Intracerebral Hemorrhage in Rats 被引量:1
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作者 Gang Yang Zhanwei Ruan +10 位作者 Chenbing Wang Chao Gu Junjie Lv Shaojun Yang lulu weng Feng Ding Long Ai Donghai Yuan Fei Chen Jiangli Chen Gaofeng Shao 《Journal of Biosciences and Medicines》 2021年第9期125-137,共13页
Mesenchymal Stem Cells (MSCs) are a type of non-hematopoietic progenitor cells which have self-replication capacity and multilineage differentiation. They have widely applied in studies of various diseases due to thei... Mesenchymal Stem Cells (MSCs) are a type of non-hematopoietic progenitor cells which have self-replication capacity and multilineage differentiation. They have widely applied in studies of various diseases due to their effects in damaged tissue repair, neuroprotection and immunoregulation. MSCs can secret exosomes through multiple ways in the physiological or pathological state. Many researches’ results on MSC-Exo show that it possesses many functions similar to MSCs, such as immunoregulation and regeneration promotion of damaged tissues. Hence, MSC-Exo is believed to have considerable research potentials in regenerative medicines. This study reviewed the research progresses on biological characteristics and functions of MSC-Exo. 展开更多
关键词 Bone Mesenchymal Stem Cell-Derived Exosome Blood-Brain Barrier Intracerebral Hemorrhage
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Analysis on Emergency Microsurgical Treatment for Cerebral Hernia Caused by Intracranial Anterior Circulation Aneurysm with Intracranial Hematoma
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作者 Gang Yang Junjie Lv +4 位作者 Shaojun Yang Chao Gu Chenbing Wang lulu weng Feng Ding 《Open Journal of Emergency Medicine》 2021年第3期49-59,共11页
<b><span style="font-family:Verdana;">Objective</span></b><span style="font-family:""><span style="font-family:Verdana;">: This study is to discus... <b><span style="font-family:Verdana;">Objective</span></b><span style="font-family:""><span style="font-family:Verdana;">: This study is to discuss CT performances and direct surgical strategy as well as therapeutic effect of patients who have rupture hemorrhage of intracranial anterior circulation aneurysm with complications of intracranial hematoma and cerebral hernia. </span><b><span style="font-family:Verdana;">Methods</span></b><span style="font-family:Verdana;">: CT performances and treatment of 14 patients who have rupture hemorrhage of intracranial anterior circulation aneurysm with complications of intracranial hematoma and cerebral hernia in our hospital from March, 2019 to March, 2021 were reviewed. The relationship between hematoma caused by intracranial anterior circulation aneurysm and position of the aneurysm was analyzed. Besides, surgical</span><span><span style="font-family:Verdana;"> processing keys were discussed. </span><b><span style="font-family:Verdana;">Results</span></b><span style="font-family:Verdana;">: For all selected patients</span></span><span style="font-family:Verdana;">, intracranial hemorrhage is proved to be caused by rupture of aneurysm. Among them, there are 2 cases of anterior communicating aneurysms, 3 cases of posterior communicating aneurysms, and 9 cases of middle cerebral aneurysms.</span><span style="font-family:Verdana;"> According to exploration, we found 1 case of multiple </span><span style="font-family:Verdana;">aneurysm, which is the combination of a middle cerebral aneurysm (the responsible aneurysm) and ipsilateral posterior communicating aneurysm. There were two cases of intraoperative rupture. In this study, 3 patients died. According to GOS grading at 3 months after the operation, there were 1 case of V-grade (good recovery), 3 cases of IV-grade (self-maintenance), 5 cases of III-grade (severe disabled), 2 cases of II-grade (persistent vegetative state) and 3 cases of I-grade (died). </span><b><span style="font-family:Verdana;">Conclusions</span></b><span 展开更多
关键词 Anterior Circulation Aneurysm Intracranial Hematoma Cerebral Hernia MICROSURGERY
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早期无镇静方案在呼吸危重症患者中的应用研究 被引量:12
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作者 黄进宝 兰长青 +5 位作者 李红艳 陈磊 潘建光 陈璐璐 翁恒 曾奕明 《中华结核和呼吸杂志》 CAS CSCD 北大核心 2017年第3期188-192,共5页
目的 探讨早期无镇静方案在呼吸重症监护病房(RICU)气管插管机械通气患者中的应用价值.方法 采用前瞻性随机对照研究,将2013年8月至2016年1月入住福州肺科医院RICU的70例机械通气患者按照随机数字表法分为两组:观察组35例,实施早期... 目的 探讨早期无镇静方案在呼吸重症监护病房(RICU)气管插管机械通气患者中的应用价值.方法 采用前瞻性随机对照研究,将2013年8月至2016年1月入住福州肺科医院RICU的70例机械通气患者按照随机数字表法分为两组:观察组35例,实施早期无镇静方案;对照组35例,实施每日中断镇静方案.比较两组的机械通气时间、住RICU时间和总住院时间、RICU病死率和医院内病死率、镇静剂和镇痛剂用量、医疗费用、各种并发症和不良事件发生率,并对比两组机械通气48 h重要器官损害指标及炎症指标.结果 观察组机械通气时间[(7±5)d]、住RICU时间[(9±7)d]、总住院时间[(17±14)d]、咪达唑仑人均剂量[(99±104)mg]、医疗费用[住RICU费用5.3(8.4)元和总住院费用7.2(19.5)元]、呼吸机相关性肺炎发生率(23%,8/35)、气管切开率(14%,5/35)和消化道不良反应发生率(17%,5/35)均低于对照组[机械通气时间(11±9)d、住RICU时间(18±9)d、总住院时间(29±22)d、咪达唑仑人均剂量(482±337)mg、住RICU费用8.8(17.3)万元、总住院费用15.4(23.4)万元、呼吸机相关性肺炎发生率46%(16/35)、气管切开率37%(13/35)、消化道不良反应发生率40%(14/35)],差异有统计学意义(均P〈0.05).两组RICU病死率、医院内病死率、非计划拔管等不良事件比较差异均无统计学意义(均P〉0.05).两组机械通气48 h心、肝、肾功能损害指标及乳酸、CRP水平比较差异均无统计学意义(均P〉0.05).结论 早期无镇静策略可以缩短RICU患者机械通气时间、RICU停留时间和总住院时间,且未增加各种并发症及不良事件的发生风险. 展开更多
关键词 呼吸 人工 重症监护 麻醉和镇痛 咪达唑仑
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Unilateral Bone Window Cerebral Falx Incision of Bilateral Frontal Lobes Cerebral Contusion and Laceration under Neuroendoscopy and Literature Review 被引量:3
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作者 Gang Yang Shaojun Yang +2 位作者 Chao Gu Chenbing Wang lulu weng 《Open Journal of Modern Neurosurgery》 2021年第3期164-170,共7页
<b><span style="font-family:Verdana;">Background: </span></b><span style="font-family:Verdana;">Bilateral frontal lobes cerebral contusion and laceration is one unique... <b><span style="font-family:Verdana;">Background: </span></b><span style="font-family:Verdana;">Bilateral frontal lobes cerebral contusion and laceration is one unique brain injury in neurosurgery department. It is characteristic of recessive attacking and develops quickly. The unilateral cerebral falx incision is a new minimally invasive surgery </span><span style="font-family:Verdana;">that </span><span style="font-family:""><span style="font-family:Verdana;">can solve bilateral frontal lobes cerebral contusion and laceration in one surgery. However, it has some limitations in removal of contralateral frontal hematoma and hemostasis due to the limited field of view under the microscope. The unilateral bone window cerebral falx incision of bilateral frontal lobes cerebral contusion and laceration under a neuroendoscopy can acquire a good illumination and field of view. This is beneficial to complete removal of contralateral hematoma, effective hemostasis and retaining brain tissue functions to the maximum extent. </span><b><span style="font-family:Verdana;">Case Presentation:</span></b><span style="font-family:Verdana;"> The patient, a 55-year-old man, was hospitalized for “consciousness disorder by 12 h because of car accident”. </span><b><span style="font-family:Verdana;">Physical Examination: </span></b><span style="font-family:Verdana;">Coma, GCS score of E1V2M5, bilateral pupil diameter of 2 mm, presence of light response, contusion of scalp at the left top, peripheral dysphoria and bilateral Bartter syndrome negative. The patient has a history of non-traumatic cerebral stroke 3 years ago.</span><b><span style="font-family:Verdana;"> Head CT: </span></b><span style="font-family:Verdana;">Longitudinal fracture of frontal parietal occipital bone, bilateral frontal lobes contusion and laceration, subarachnoid hemorrhage. </span><b><span style="font-family:Verdana;">Diagnosis:</span></b><span style="font-family:Verdana;"> Bilateral frontal lobes contusion and laceration, longitudinal fracture of frontal par 展开更多
关键词 NEUROENDOSCOPY Cerebral Falx Incision Bilateral Frontal Lobes Cerebral Contusion and Laceration
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