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一种新型肠传性病毒性肝炎的临床流行病学及病毒学的初步研究 被引量:93
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作者 骆抗先 章廉 +9 位作者 王珊珊 聂军 葛娅 陈志英 俞守义 刘银燕 杨守昌 梁蔚芳 何海棠 焦成松 《中华肝脏病杂志》 CAS CSCD 1998年第3期161-163,共3页
目的阐明长期单项血清转氨酶增高为主要特征的肝损害病人的病因、传播和病变。方法对381例病人行流行病学调查、临床观察、肝活组织检查以及血清和粪便的聚合酶链反应检测。结果根据临床和检测结果可排除中毒引起,已知肝炎病毒的血清标... 目的阐明长期单项血清转氨酶增高为主要特征的肝损害病人的病因、传播和病变。方法对381例病人行流行病学调查、临床观察、肝活组织检查以及血清和粪便的聚合酶链反应检测。结果根据临床和检测结果可排除中毒引起,已知肝炎病毒的血清标志物均阴性。症状轻微,病程多呈急性,少数可超过6个月。肝组织呈汇管区炎。散在发病后进行3次人群普查,3个月累计发病率占流行人群的60.7%。由病人的急性期血清和潜伏期粪便提取DNA,检出与一种新近报告的输血传播性病毒(TTV)有同源性的基因片段。结论可能是另一种肠道传播型肝炎病毒引起的非甲非戊型病毒性肝炎。 展开更多
关键词 病毒性肝炎 非甲非戊型 临床流行病学 病毒学
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一种新型肠传性病毒性肝炎的流行病学、临床、病理和病毒学的初步研究 被引量:31
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作者 骆抗先 章廉 +9 位作者 王珊珊 聂军 葛娅 陈志英 俞守义 刘银燕 杨守昌 梁蔚芳 何海棠 焦成松 《第一军医大学学报》 CSCD 1998年第2期87-90,共4页
背景单项血清肝酶增高的病因长期不明,某校学生中发生381例以此为主要特征的肝损害病人。目的为初步阐明这一疾病的病因、传播和病变。方法流行病学调查、临床观察、肝活组织检查以及血清和粪便的聚合酯链反应检测。结果根据临床和检... 背景单项血清肝酶增高的病因长期不明,某校学生中发生381例以此为主要特征的肝损害病人。目的为初步阐明这一疾病的病因、传播和病变。方法流行病学调查、临床观察、肝活组织检查以及血清和粪便的聚合酯链反应检测。结果根据临床和检测结果可排除中毒引起,已知肝炎病毒的血清标志物均明性。症状轻微,病程多急性、少数可超过6个月。肝组织呈汇管区炎。散在发病后进行3次人群普查,3个月累计发病率占流行人群的60.7%。分析认为经日常生活接触和多次小范围的食物传播。采取以切断传播为主的预防措施,2个月后流行控制。由病人的急性期血清和潜伏期粪便提取DNA,检出与一种新近报告的血传性病毒(TTV)有同源性的基因片段。结论可能是另一种肠传型肝炎病毒引起的非甲非戊型病毒性肝炎。 展开更多
关键词 病毒性肝炎 胃肠道传播 流行病学 病理学
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Enteric transmission of transfusion-transmitted virus
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作者 骆抗先 章廉 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第11期81-84,109-110,共6页
Objective To detect the virus in the feces and sera of patients in an outbreak of enterically transmitted non-A,non-E hepatitis,and this review covers the epidemiologic features and experimental infection of this nove... Objective To detect the virus in the feces and sera of patients in an outbreak of enterically transmitted non-A,non-E hepatitis,and this review covers the epidemiologic features and experimental infection of this novel virus.Data sources Data sources come from our own work on this subject,published and unpublished.Study selection Mainly our own work is included,and related literature is collected.Results In an outbreak of enterically transmitted non-A-E hepatitis among students,a total of 381 cases (60.7%)were documented.Viral fragments identical to transfusion transmitted virus(TTV)were detected in both serum and stool samples.Asymptomatic virus carriers among the staff had positive serum(32.1%)and feces(24.6%),clearly a potential source of infection.This viral infection prevalence in 2 remote villages in northern and southern China was 9.2% and 10.6%,respectively,suggesting that China is an endemic area.In this study,groups of 3 Rhesus monkeys were infected via oral or intravenous inoculation with patient feces.Two additional monkeys were infected by passage.The virus was detected in serum,peripheral blood mononuclear cell(PBMC),liver,spleen and small intestine,while the virus positive single strand,which might be a replicative intermediate,was only in liver,intestine and PBMC of all animals.Conclusions This nonenveloped DNA virus might be transmitted both by blood and enteric routes.Considering its wide distribution and high prevalence,we suppose that nonparenteral transmission is more important. 展开更多
关键词 transfusion-transmitted virus · enteric transmission · viral hepatitis
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从我国肠道传播的非甲非乙型肝炎病人粪便中分离出一株小RNA病毒 被引量:1
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作者 黄如统 魏君 +2 位作者 田辛 李德荣 殷书荣 《军事医学》 CAS CSCD 北大核心 1989年第4期273-277,共5页
从我国新疆肠道传播的非甲非乙型肝炎(NANBH)患者的急性期粪便中,用细胞培养分离到一株致细胞病变(CPE)和有血凝活性的病毒.分离的病毒能被新疆NANBH病人急性期混合血清所中和,在血凝抑制试验中病毒血凝能被病人血清所抑制,在免疫电镜... 从我国新疆肠道传播的非甲非乙型肝炎(NANBH)患者的急性期粪便中,用细胞培养分离到一株致细胞病变(CPE)和有血凝活性的病毒.分离的病毒能被新疆NANBH病人急性期混合血清所中和,在血凝抑制试验中病毒血凝能被病人血清所抑制,在免疫电镜检测中可与1∶160稀释的新疆NANBH病人血清起凝聚作用,而与甲型肝炎病人急性期混合血清仅在中和试验和免疫电镜中存在低滴度交叉现象,在血凝抑制试验中无交叉反应.在电镜下观察细胞培养物可见到直径为30~34nm圆形病毒颗粒,与病人粪便中见到的病毒颗粒相似.理化试验结果显示分离的病毒属无包膜的、耐酸的RNA病毒,在56℃水浴中作用30min,感染力降低.应用微量中和试验和血凝抑制试验测定5例患者双份血清的结果表明,有2例抗体有4倍或4倍以上升高.我国用细胞培养方法分离出肠道传播的NANB H病原体获得成功,这对该病毒的分子生物学研究、特异性诊断、流行病学调查以及防治都有重要意义. 展开更多
关键词 肠道传播 非甲非乙型肝炎 细胞培养 病原体分离 小RNA病毒
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Effects of combined pre- and post-natal protein deprivation on the myenteric plexus of the esophagus of weanling rats:A histochemical,quantitative and ultrastructural study 被引量:1
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作者 Edson A Liberti Ricardo BV Fontes +2 位作者 Verginia M Fuggi Laura BM Maifrino Romeu R Souza 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第26期3598-3604,共7页
AIM: To evaluate the effects of protein deprivation on the myenteric plexus of the esophagus of weanling rats. METHODS: Pregnant female Wistar rats were divided into 2 groups: nourished (N),receiving normal diet,and u... AIM: To evaluate the effects of protein deprivation on the myenteric plexus of the esophagus of weanling rats. METHODS: Pregnant female Wistar rats were divided into 2 groups: nourished (N),receiving normal diet,and undernourished (D),receiving a protein-deprived diet,which continued after birth. At twenty-one days of age,13 esophagi from each group were submitted to light microscopy and morphometrical analysis employing the NADH diaphorase,NADPH diaphorase and acetylcholinesterase techniques. Three other esophagi from each group were evaluated with transmission electron microscopy (TEM). RESULTS: In both the NADH- and the NADPH-reactive mounts,the neurons of the N mounts were more intensely stained,while in the D esophagi only the larger neurons were reactive. Many myenteric neurons of N were intensely reactive for AChE activity but only a few neurons of D exhibited these aspects. Ultrastructural analysis revealed that the granular reticulum of N showed large numbers of ribosomes aligned on the outer surface of its regularly arranged membrane while the ribosomes of D were disposed in clusters. The chromatin was more homogeneously scattered inside the neuron nucleus of N as well as the granular component of the nucleolus was evidently more developed in this group. Statistically significant differences between N and D groups were detected in the total estimated number of neurons stained by the NADPH technique. CONCLUSION: The morphological and quantitative data shows that feeding with protein-deprived diet in 21-d old rats induces a delay in the development of the myenteric neurons of the esophagus. 展开更多
关键词 enteric nervous system Myenteric plexus Nutrition Microscopy Electron transmission Esopha-gus Rat WISTAR
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标准桃金娘油肠溶胶囊联合头孢米诺治疗急性化脓性鼻窦炎的疗效观察 被引量:6
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作者 柴伟 黄辉 《现代药物与临床》 CAS 2015年第9期1107-1110,共4页
目的探究标准桃金娘油肠溶胶囊联合头孢米诺治疗急性化脓性鼻窦炎的临床疗效。方法选取2012年1月—2014年12月亳州市人民医院耳鼻喉科收治的急性化脓性鼻窦炎患者80例,随机分为对照组和治疗组,每组各40例。对照组患者静脉滴注注射用头... 目的探究标准桃金娘油肠溶胶囊联合头孢米诺治疗急性化脓性鼻窦炎的临床疗效。方法选取2012年1月—2014年12月亳州市人民医院耳鼻喉科收治的急性化脓性鼻窦炎患者80例,随机分为对照组和治疗组,每组各40例。对照组患者静脉滴注注射用头孢米诺钠,1 g/次,加到20 m L生理盐水中,2次/d。治疗组在对照组基础上口服标准桃金娘油肠溶胶囊,1粒/次,3次/d。两组均连续治疗6周。观察两组的临床疗效,同时比较两组治疗前后鼻腔黏膜纤毛传输时间的变化。随访3个月,计算两组的复发率。结果治疗后,对照组和治疗组的总有效率分别为77.5%、92.5%,两组比较差异有统计学意义(P<0.05)。治疗1、6周后两组鼻腔黏膜纤毛传输时间均有明显下降,同组治疗前后差异具有统计学意义(P<0.05);且治疗组的下降程度优于对照组,两组比较差异具有统计学意义(P<0.05)。对照组和治疗组的复发率分别为15%、5%,两组比较差异具有统计学意义(P<0.05)。结论标准桃金娘油肠溶胶囊联合头孢米治疗急性化脓性鼻窦炎的具有较好的临床疗效,明显缩短了鼻腔黏膜纤毛传输时间,具有较高的临床推广应用价值。 展开更多
关键词 标准桃金娘油肠溶胶囊 注射用头孢米诺钠 急性化脓性鼻窦炎 鼻腔黏膜纤毛传输时间
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Effects of perinatal protein deprivation and recovery on esophageal myenteric plexus
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作者 Flavio M Greggio Ricardo BV Fontes +3 位作者 Laura B Maifrino Patricia Castelucci Romeu Rodrigues de Souza Edson A Liberti 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第5期563-570,共8页
AIM:To evaluate effects of preand postnatal protein deprivation and postnatal recovery on the myenteric plexus of the rat esophagus. METHODS: Three groups of young Wistar rats (aged 42 d) were studied: normalfed (N42)... AIM:To evaluate effects of preand postnatal protein deprivation and postnatal recovery on the myenteric plexus of the rat esophagus. METHODS: Three groups of young Wistar rats (aged 42 d) were studied: normalfed (N42), proteindeprived (D42), and proteinrecovered (R42). The myenteric neurons of their esophagi were evaluated by histochemical reactions for nicotinamide adenine dinucleotide (NADH), nitrergic neurons (NADPH)diaphorase and acetylcholinesterase (AChE), immunohistochemical reaction for vasoactive intestinal polypeptide (VIP), and ultrastructural analysis by transmission electron microscopy.RESULTS: The cytoplasms of large and medium neurons from the N42 and R42 groups were intensely reactive for NADH. Only a few large neurons from the D42 group exhibited this aspect. NADPH detected in the D42 group exhibited low reactivity. The AChE reactivity was diffuse in neurons from the D42 and R42 groups. The density of large and small varicosities detected by immunohistochemical staining of VIP was low in ganglia from the D42 group. In many neurons from the D42 group, the double membrane of the nuclear envelope and the perinuclear cisterna were not detectable. NADH and NADPH histochemistry revealed no group differences in the prof ile of nerve cell perikarya (ranging from 200 to 400 μm2).CONCLUSION: Protein deprivation causes a delay in neuronal maturation but postnatal recovery can almost completely restore the normal morphology of myenteric neurons. 展开更多
关键词 ESOPHAGUS enteric nervous system Myenteric plexus PROTEINS Light microscopy transmission electron microscopy
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