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Application of 16s rDNA Sequencing in the Analysis of Pathogenic Bacteria in Sputum of Severe Bacterial Pneumonia
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作者 Jun Zheng Juan Zhu +4 位作者 Bin chen Lingxiu chen Tian Gao xinping chen Tao Huang 《Advances in Microbiology》 2021年第2期109-116,共8页
<b>Objective:</b> 120 patients with severe pneumonia who were kept in the comprehensive ICU of our hospital in 2018 were selected, and 16s rDNA sequencing was performed to analyze the composition of pathog... <b>Objective:</b> 120 patients with severe pneumonia who were kept in the comprehensive ICU of our hospital in 2018 were selected, and 16s rDNA sequencing was performed to analyze the composition of pathogenic bacteria in the sputum of severe pneumonia. <b>Methods:</b> The sputum samples of patients with severe bacterial pneumonia were collected, and the diversity of pathogens in the samples was analyzed by polymerase chain reaction (PCR) amplification and high-throughput sequencing (16s rDNA PCR-DGGE). <b>Results:</b> Sequence showed that sputum samples contained a relatively large number of species, and there were many species that were not detected by sequencing. The dominant bacteria were <i>Streptococcus, Sphingomonas, Corynebacterium, Denatobacteria, Aquobacteria, Acinetobacteria, Prevotella, Klebsiella, Pseudomonas</i>, etc. <b>Conclusion:</b> Bacteria caused by sputum of severe bacterial pneumonia are complex and diverse, which provides new methods and ideas for individualized treatment of patients with severe pneumonia. 展开更多
关键词 Bacterial Severe Pneumonia SPUTUM The Pathogenic Bacterium 16s rDNA Sequencing
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Application of 16S rDNA Sequencing Technology in the Analysis of Pathogenic Bacteria in Sputum of Severe Pneumonia
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作者 Jun Zheng Juan Zhu +4 位作者 Bin chen Lingxiu chen Tian Gao xinping chen Feiyan Li 《Advances in Microbiology》 2021年第3期157-164,共8页
The diagnosis of pathogenic bacteria in severe pneumonia is difficult and the prognosis is poor. Its outcome is closely related to bacterial pathogenicity and the timeliness and pertinence of antibiotic treatment. The... The diagnosis of pathogenic bacteria in severe pneumonia is difficult and the prognosis is poor. Its outcome is closely related to bacterial pathogenicity and the timeliness and pertinence of antibiotic treatment. Therefore, early diagnosis is of great significance to the prognosis of patients. Sputum examination and culture is the gold standard for the diagnosis of pathogens of severe pneumonia. However, due to the long time of bacterial culture, the early use of antibiotics, the change of bacteria species, mixed infection and other problems, the results of bacterial culture in sputum are often false negative. With the continuous application of new molecular biology techniques in clinical detection, the classification of bacteria and microorganisms has deepened from the identification of phenotypic characteristics to the classification of gene characteristics. Sequencing analysis with 16S rDNA sequencing technology has the characteristics of high sequencing flux, large amount of data obtained, short cycle, and can more comprehensively reflect the species composition of microbial community, real species distribution and abundance information. In this paper, 16S rDNA sequencing technology was used to analyze the bacterial population composition in the sputum of severe pneumonia, and to explore a new method of etiological diagnosis. 展开更多
关键词 Bacterial Severe Pneumonia SPUTUM The Pathogenic Bacterium 16S rDNA Sequencing
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Advances in the Correlation between Intestinal Microbiota and Breast Cancer Development 被引量:1
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作者 Yonglan Jiang xinping chen Shengmiao Fu 《Journal of Cancer Therapy》 2020年第12期758-771,共14页
The intestinal microbiota has a symbiotic relationship with humans. It participates in some important physiological activities in the human body and has an important impact on human health. It has become a hot topic o... The intestinal microbiota has a symbiotic relationship with humans. It participates in some important physiological activities in the human body and has an important impact on human health. It has become a hot topic of research by scientists in recent years. Among them, the research on the correlation </span><span style="font-family:Verdana;">between intestinal microbiota and cancer has increased rapidly. At present, the incidence rate of breast cancer is increasing, which seriously endangers the health of women. More and more studies have found that the occurrence of breast cancer is related to intestinal microbiota, and its possible mechanism inc</span><span style="font-family:Verdana;">ludes intestinal microbiota dysbiosis, estrogen metabolism changes, immun</span><span style="font-family:Verdana;">e regulation, and the participation of intestinal microbiota metabolites, etc. With the further development of high-throughput sequencing technology, th</span><span style="font-family:Verdana;">e research on the correlation between intestinal microbiota and breast cancer</span><span style="font-family:Verdana;"> has become more in-depth, from a structural level confined to microorganisms to a more comprehensive system structure and function level. These research results provide a new research direction for the treatment of breast cancer. In order to further study the interaction between intestinal microbes and breast cancer, this </span><span style="font-family:Verdana;">article will comprehensively describe the intestinal microbiota and breast cancer from four aspects: intestinal microbial dysbiosis, altered estrogen metabolism, immune regulation, and intestinal microbial metabolites. It also reviews the application research of intestinal microbiota in breast cancer treatment, including the influence of intestinal microbiota on the effects of breast cancer radiotherapy and chemotherapy, probiotic therapy, and dietotherapy. 展开更多
关键词 Breast Cancer Microbial Dysbiosis Estrogen Metabolism Immune Response Microbial Metabolism
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Comparison of Hematological Parameters and Critical Value Analysis in the Prevention and Control of Thalassaemia in Hainan Li and Han Nationalities
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作者 Junjie Hu xinping chen +2 位作者 Xiaojuan Li Weihua Xu Shengmiao Fu 《Open Journal of Blood Diseases》 2021年第2期46-56,共11页
<b><span style="font-family:Verdana;">Objective</span></b><b><span style="font-family:Verdana;">:</span></b><b><span style="font-family... <b><span style="font-family:Verdana;">Objective</span></b><b><span style="font-family:Verdana;">:</span></b><b><span style="font-family:""> </span></b><span style="font-family:""><span style="font-family:Verdana;">To compare the distribution of “mean corpuscular hemoglobin”-MCV, “mean corpuscular volume”-MCH, “hemoglobin”-HGB, “hemoglobin A”-HbA and “hemoglobin A2”-HbA2 in </span><i><span style="font-family:Verdana;">α</span></i><span style="font-family:Verdana;"> and </span><i><span style="font-family:Verdana;">β</span></i><span style="font-family:Verdana;"> thalassemia hematology screening between Li and Han nationality, and analyze the best diagnostic cut-off value. </span><b><span style="font-family:Verdana;">Methods</span></b></span><b><span style="font-family:Verdana;">:</span></b><b><span style="font-family:""> </span></b><span style="font-family:""><span style="font-family:Verdana;">Select 7816 middle school students from Li nationality area as the research object, collect peripheral blood for blood cell analysis, hemoglobin electrophoresis and thalassaemia gene detection, and compare the difference in hematological parameters of common thalassemia genotype between Li and Han nationalities. Taking the genetic test results as the gold standard, construct the receiver operator characteristic curve (ROC curve) of relevant hematology parameters, calculate the Youden index and take its maximum diagnostic cut-off point as the best critical value.</span><b><span style="font-family:Verdana;"> Results</span></b></span><b><span style="font-family:Verdana;">:</span></b><b><span style="font-family:""> </span></b><span style="font-family:""><span style="font-family:Verdana;">Comparison of hematological parameters of common thalassemia genotypes showed that the average value of MCH and MCV of -</span><i><span style="font-family:Verdana;">α</span></i><span style="font-family:Verdana;">3.7/-</span><i><span style="font-family:Verdana;">α</span></i><span style="font-family:Verdana;">4.2 type in Li n 展开更多
关键词 Blood Cell Analysis Hemoglobin Electrophoresis Gene Detection ROC Curve
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200例耳硬化症手术患者临床特征分析 被引量:11
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作者 郝欣平 陈树斌 +4 位作者 于子龙 梁凤和 王杰 石颖 李永新 《临床耳鼻咽喉头颈外科杂志》 CAS 北大核心 2017年第20期1545-1547,1553,共4页
目的:通过总结耳硬化症患者的临床表现、听力学及影像学在耳硬化症诊断中的评估作用,统计术后的听力学改善情况,增强对耳硬化症的认识,并为耳硬化症患者个性化的手术治疗咨询提供依据。方法:行镫骨底板开窗+Piston人工听骨植入手术的耳... 目的:通过总结耳硬化症患者的临床表现、听力学及影像学在耳硬化症诊断中的评估作用,统计术后的听力学改善情况,增强对耳硬化症的认识,并为耳硬化症患者个性化的手术治疗咨询提供依据。方法:行镫骨底板开窗+Piston人工听骨植入手术的耳硬化症患者200例,收集患者的年龄、性别、临床表现及伴随症状、纯音测听、声导抗的类型、卡哈切迹是否存在、盖莱实验的结果、高分辨率颞骨CT的表现等资料。术后3~6个月复查听力。结果:73%的患者伴耳鸣,4%伴耳闷胀感。卡哈切迹出现率80.79%,盖莱实验阴性率92.09%,颞骨CT阳性率45.66%。68%的患者鼓室导抗图为A型,As型曲线仅占22%。统计分析其中56例激光镫骨手术的听力改善情况,术后在250Hz、500Hz、1kHz、2kHz、4kHz骨气导差分别为25.54、16.25、13.75、6.34、15.96dB。与术前相比,这5个频率的骨气导差改善具有显著性差异。250Hz、500Hz、1kHz、2kHz骨导阈值分别改善2.05、1.51、3.75、3.93dB,而在4kHz骨导阈值却增加1.34dB。与术前相比,骨导阈值在250Hz、1kHz、2kHz的改善具有显著性差异,而在500Hz以及4kHz不存在显著性差异。结论:对于耳硬化症的诊断,需要结合病史、纯音测听、卡哈切迹、盖莱实验、高分辨率颞骨CT等综合判断。镫骨底板开窗+Piston人工听骨植入技术不仅可以改善患者的气导听阈值,还可以改善250Hz、1kHz、2kHz的骨导听阈值。 展开更多
关键词 耳硬化症 诊断 气导 骨导
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SLCO1B1 &ApoE Gene Polymorphism Analysis of the Li People in Hainan Island and Its Clinical Significance 被引量:4
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作者 Heqiu Ruan Linlin Zhan +4 位作者 Zihe Wang Mengjuan Xia Zhichao Ma Shengmiao Fu xinping chen 《Journal of Biomedical Science and Engineering》 2021年第3期130-141,共12页
Objective: To analyze the distribution characteristics and clinical significance of SLCO1B1 and ApoE gene polymorphisms of the Li people in Hainan Island. Method: Selecting 502 high school students of the Li people fr... Objective: To analyze the distribution characteristics and clinical significance of SLCO1B1 and ApoE gene polymorphisms of the Li people in Hainan Island. Method: Selecting 502 high school students of the Li people from five cities and counties in Hainan Island (namely, Qiongzhong County, Dongfang City, Ledong County, Baoting County and Wuzhishan City) as research subjects in September, 2019;Applying PCR-fluorescence probe method to detect SLCO1B1 and ApoE genotypes of the Li people in Hainan Island, and statistically analyzing the distribution characteristics of gene frequency and the distribution differences in gene polymorphisms between different genders. Meanwhile, detecting the SLCO1B1 and ApoE gene of 527 people from the Han people in five regions mentioned before, so as to analyze the distribution differences of the SLCO1B1 and ApoE gene between the Han people and the Li people. Results: The frequency of each genotype of SLCO1B1 in the Li people in Hainan Island is: *1a/*1a 6.77%, *1a/*1b 27.09%, *1b/1b 41.63%, *1a/*5 0.00%, *1a/*15 4.78%, *1b/15 16.93%., *5/*5 0.00%, *5/*15 0.00%, *15/*15 2.79%;And that of ApoE is: e2/e2 0.40%, e2/e3 17.73%, e2/e4 2.39%, e3/e3 65.54%, e3/e4 12.55%, e4/e4 1.39%. There is no significant difference (P > 0.05) in other genotypes except weak metabolic genotypes (*5/*5, *5/*15 and *15/*15) between the Han and the Li peoples. Conclusion: The gene frequency of SLCO1B1 weak metabolic genotype is dramatically higher in the Li people of Hainan Island than that of the Han people in both Hainan Island and Central and South China, but there is no significant difference in ApoE gene frequency among them. Therefore, clinicians should adjust the dosage of statins and select the types of lipid-lowering drugs according to the differences in patients’ genotypes, and strengthen the management of patients with ApoE4 risk gene. 展开更多
关键词 The Li People in Hainan Island SLCO1B1 APOE Gene Polymorphisms Statin Medicine
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Analysis of Clinical Characteristics and Diagnostic Value of Fungal Serology in Patients with Invasive Candidiasis 被引量:2
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作者 Heqiu Ruan Weihua Xu +3 位作者 Mengjuan Xia Zhichao Ma Shengmiao Fu xinping chen 《Open Journal of Medical Microbiology》 2020年第4期222-232,共11页
<b><span style="font-family:Verdana;">Objective</span></b><span style="font-family:Verdana;">:</span><span style="font-family:""><span st... <b><span style="font-family:Verdana;">Objective</span></b><span style="font-family:Verdana;">:</span><span style="font-family:""><span style="font-family:Verdana;"> To evaluate the diagnostic value of (1 - 3)-</span><i><span style="font-family:Verdana;">β</span></i><span style="font-family:Verdana;">-D glucan and mannan assay for invasive candidiasis. </span><b><span style="font-family:Verdana;">Methods</span></b></span><span style="font-family:Verdana;">:</span><span style="font-family:""><span style="font-family:Verdana;"> A retrospective study was conducted on 32 cases in the disease group (18 proven invasive candidiasis and 14 probable invasive candidiasis) and 48 cases in the control group. The subjects were recruited from January 2018 to March 2019 in Clinical Laboratory of Hainan General Hospital. All subjects were detected by (1 - 3)-</span><i><span style="font-family:Verdana;">β</span></i><span style="font-family:Verdana;">-D glucan and mannan assay. </span><b><span style="font-family:Verdana;">Results</span></b></span><span style="font-family:Verdana;">:</span><span style="font-family:""><span style="font-family:Verdana;"> The mean concentration of (1 - 3)-</span><i><span style="font-family:Verdana;">β</span></i><span style="font-family:Verdana;">-D glucan in the disease group was 97.45 (43.23, 224.35) pg/ml and it was significantly higher than the mean concentration of the control group which was 49.85(41.91, 56.07) pg/ml (</span><i><span style="font-family:Verdana;">P</span></i><span style="font-family:Verdana;"> = 0.005). The mean concentration of mannan in the disease group and the control group were 161.36 (34.96, 224.49) pg/ml and 25.80 (25.00, 29.31) pg/ml, respectively, which were significantly different (</span><i><span style="font-family:Verdana;">P</span></i><span style="font-family:Verdana;"> < 0.001). The sensitivity, specificity, positive predictive value and negative predictive value of (1 - 3)-</span><i><span style="font-family:Verdana;">β</span></i><span style="font-family:Verdana;" 展开更多
关键词 Invasive Candidiasis MANNAN (1 - 3)-β-D Glucan Combination of Serological Tests
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三明市药品供应保障改革政策分析 被引量:4
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作者 张新平 陈海红 方鹏骞 《中华医院管理杂志》 CSCD 北大核心 2017年第4期263-266,共4页
重点分析了三明药品供应保障改革的政策背景、目标、关键政策举措,以及政策目标与关键政策举措之间的关系;分析政策实施的3个阶段及阶段性成效,以及政策发展的机遇与挑战,为三明药品供应保障模式的可持续发展、深水区的医院改革提... 重点分析了三明药品供应保障改革的政策背景、目标、关键政策举措,以及政策目标与关键政策举措之间的关系;分析政策实施的3个阶段及阶段性成效,以及政策发展的机遇与挑战,为三明药品供应保障模式的可持续发展、深水区的医院改革提供政策依据与建议。 展开更多
关键词 三明市 药品供应保障 改革 政策分析 可持续性
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Mutation Analysis of STR Locus on 23 Autosomes in Hainan Population 被引量:1
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作者 Weihua Xu Nie Yao +4 位作者 Xiaojuan Li Zhichao Ma Hongtao Zhou Shengmiao Fu xinping chen 《Forensic Medicine and Anatomy Research》 2022年第1期1-6,共6页
<span>[Objective] To analyze the mutation signature and regularity of STR locus on 23 autosomes in paternity testing cases in Hainan. [Methods] A total of 2715 paternity testing cases accepted by the Forensic Me... <span>[Objective] To analyze the mutation signature and regularity of STR locus on 23 autosomes in paternity testing cases in Hainan. [Methods] A total of 2715 paternity testing cases accepted by the Forensic Medical Identification Centre of our hospital from 2017 to 2020 derived from counties and cities in Hainan Province were collected, the cases containing gene mutations were selected, the mutation rate and details of each locus were counted, and the mutation regu-larity of 23 STR loci was analyzed. [Results] Of the 2715 cases identified as “support”, 1487 were triplet cases and 1640 were dyad cases, totaling 4614 meioses;There were 50 gene mutation events (including 17 triplet mutations and 33 dyad mutations), with an average mutation rate of 0.0047% and a cumulative mutation rate of 1.0837%. A total of 19 of the 23 STR loci were mutated, with a mutation rate of 0.1301% at the D12S391 locus and 0.0217% at five loci, TPOX, D1S1656, D2S441, D22S1045, and PentaD, while no muta-tion events were found at four loci, D19S433, TH01, D13S317, and D7S820. Of the 50 mutation events, 47 were one-step mutations, 1 was two-step, and 2 were three-step. There were 35 paternal mutations (13 triplets and 22 dyads), 6 maternal mutations (4 triplets and 2 dyads), and 9 indeterminate pater-nal/maternal mutations, with a paternal to maternal mutation ratio of 5.83:1. [Conclusion] The mutation rate of D12S391 locus is the highest, and the muta-tion rate of TPOX, D1S1656, D2S441, D22S1045 and PentaD loci is the lowest in Hainan population, and paternal mutations are more than maternal muta-tions. In the paternity test, if 1 - 3 STR loci do not conform to the genetic law, especially when the mutant locus is homozygous or the next of kin is identi-fied, it is necessary to use other kits to review and increase the number of loci or use the second-generation sequencing technology to confirm, carefully de-termine the mutation and ensure the accuracy of the identification conclusion.</span> 展开更多
关键词 STR Locus Paternity Testing MUTATION
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Consistency Analysis of Detection Results of Two Herpes Simplex Virus (HSV) Type II Nucleic Acid Detection Kits
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作者 Weihua Xu Wei Gong xinping chen 《Open Journal of Medical Microbiology》 CAS 2022年第3期96-100,共5页
Objective: The objective of the study is to verify the clinical validity of the following kits with the comparative experimental analysis and evaluate whether their performance can meet the clinical requirements, i.e.... Objective: The objective of the study is to verify the clinical validity of the following kits with the comparative experimental analysis and evaluate whether their performance can meet the clinical requirements, i.e. Class III in vitro diagnostic reagent “Herpes Simplex Virus (HSV) Type II Nucleic Acid Detection Kit (PCR-Fluorescence Probe Method)” of Daan Gene Co., Ltd. (Daan kit for short) and “Herpes Simplex Virus (HSV) Type II Nucleic Acid Detection Kit (Fluorescence PCR Method)” of Wuhan Biot Gene Co., Ltd. (Biot kit for short). Method: In the study process, the samples were divided into positive and negative groups according to the control test results, and the clinical application performance of Daan kit and Biot kit was evaluated by comparing their test results. Results: The results show that two kits indicate the same test results, i.e. 26 positive and 107 negative samples in a total of 133 male urethral discharge samples, and 32 positive and 238 negative samples in a total of 270 female cervical secretion samples. Conclusion: It can be concluded from the clinical test that Daan and Biot Herpes Simplex Virus (HSV) Type II Nuc- leic Acid Test Kits are reliable, accurate, safe, convenient for use, stable and high-value in the clinical application. 展开更多
关键词 Herpes Simplex Virus (HSV) Type II Nucleic Acid Detection Kits Consistency Analysis
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High Expression of hsMAD2 in the Villi of Spontaneously Aborted Embryo with Chromosomal Abnormality
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作者 Zaochang Wang Junjie Hu +4 位作者 Wang He Humin Gong Weihua Xu Zhichao Ma xinping chen 《Open Journal of Obstetrics and Gynecology》 2021年第6期763-772,共10页
<strong>Objective</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</strong... <strong>Objective</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</strong></span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> To investigate the changes of hsMAD2 protein and gene expression levels during chromosome segregation of human embryos. </span><b><span style="font-family:Verdana;">Method</span></b></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">:</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> The embryos of spontaneous abortion were collected in our hospital from 2009 to 2013, the chromosomal numbers of the embryonic villi were subsequently detected by fluorescence in situ hybridization (FISH). The patients were then divided into the normal and abnormal groups based on the chromosome number. The hsMAD2 protein and gene expression levels in the villi tissues of the two embryo groups were detected by western blotting and qRT-PCR, respectively. The hsMAD2 protein and gene levels in the embryonic villus tissue of the patient were detected. </span><b><span style="font-family:Verdana;">Results</span></b></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">:</span></b></span></span><span><span><b><span style="font-family:""> </span></b></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">From 2009 to 2013, we collected 50 embryos from spontaneous abortion patients. The chromosome abnormality and no abnormality were 36 cases (abnormal number of 28 cases (56.0%) and chimerism in 8 cases (16.0%)) and 14 cases (28.0%), respectively.</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">The expres 展开更多
关键词 Spontaneous Abortion Embryonic Villi Chromosomal Abnormality hsMAD2
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肝癌栓塞术后低钾血症的风险评估与护理对策研究 被引量:11
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作者 黄道琼 陈蕾蕾 +2 位作者 李新萍 郑梦静 陈瑜 《介入放射学杂志》 CSCD 北大核心 2017年第7期665-667,共3页
目的评估肝癌TACE治疗后发生低钾血症的风险因素,并根据危险因素制定相应的护理对策。方法回顾2014年8月—2015年2月救治214例肝癌行TACE的患者临床资料,分析引起低钾血症的危险因素。结果本组23例(10.7%)患者发生低钾血症,引起低钾血... 目的评估肝癌TACE治疗后发生低钾血症的风险因素,并根据危险因素制定相应的护理对策。方法回顾2014年8月—2015年2月救治214例肝癌行TACE的患者临床资料,分析引起低钾血症的危险因素。结果本组23例(10.7%)患者发生低钾血症,引起低钾血症主要危险因素为:厌食、水化、呕吐、放腹水、出汗。经积极对症处理后,22例(22/23,95.6%)血钾恢复正常,1例出现肝性脑病昏迷、肝肾综合征,家属放弃治疗自动出院。结论厌食、呕吐、水化、放腹水、出汗是TACE术后低钾血症的危险因素。低钾风险量表有利于制定护理对策。 展开更多
关键词 肝癌 动脉化疗栓塞 低钾血症 护理
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