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find Keyword "分离" 64 results
  • 德湿康、溃疡粉联合防漏膏治疗结肠造口皮肤黏膜分离的疗效及护理

    【摘要】 目的 观察德湿康、溃疡粉联合防漏膏治疗结肠造口皮肤黏膜分离的临床疗效。 方法 2008年8月-2010年8月,对21例直肠癌Miles术后造口皮肤黏膜分离患者,采用聚维酮碘溶液对造口皮肤黏膜分离处周围皮肤消毒,表浅伤口洒予溃疡粉,较深伤口施填德湿康敷料,并涂抹防漏膏,粘贴造口袋等措施予以治疗及护理。 结果 21例造口皮肤黏膜分离患者均痊愈,无伤口感染发生。 结论 湿性愈合敷料联合防漏膏治疗结肠造口皮肤黏膜分离,其吸收渗液多,肉芽生长快,可防止肠内容物污染伤口,有效地促进伤口愈合。

    Release date:2016-08-26 02:18 Export PDF Favorites Scan
  • Isolation and Culture of Adult Rat Liver and Identification of The Markers for Hepatic Oval Cells

    Objective To study a simple and practical method of isolation, culture and identification of hepatic oval cells from adult rat. Methods Wistar adult rats were fed by 2-acetaminofluorere (AAF) and were stimulated by partial hepatectomy to activate the proliferation of hepatic oval cells. After operation 12 days, the livers were resected for isolating oval cells. Hepatic tissue was digested by 0.10% collagenase Ⅳ and the obtained heterogeneous liver cells were then isolated and purified by density gradient centrifugation. The expressions of albumin and CK19 mRNA in hepatic oval cells were analyzed by immuno-fluorescence and RT-PCR. Results The survival rate of the newly isolated oval cells was more than 90%. The hepatic stem cells were shown by immuno-fluorescence of stem cell’s antigen c-kit. The expressions of mRNA CK19 and albumin of the oval cell were also detected by PCR. The proliferation activity of the newly isolated oval cells was significantly high and they could be induced to differentiate into both hepatic and bile ductal cells by some growth factors. Conclusion The successful development of the simple and feasible isolation and purification procedure as well as the identification method for hepatic oval cells may provide a fundamental for further studies about bionomics of the hepatic stem cell and the relation between stem cells and hepatic carcinoma.

    Release date:2016-08-28 04:08 Export PDF Favorites Scan
  • Application of Autologous Plateletpheresis Technology in Cardiovascular Surgery

    Cardiopulmonary bypass(CPB) is associated with thrombocytopenia and platelet dysfunction. The primary cause of acquired platelet defect is thought to be activation and release of alpha granules during CPB. Before CPB, platelet-rich plasma (PRP) was prepared by obtaining the required amount of patient’s whole blood by autologous plateletpheresis. PRP could be reinfused after operation in order to protect the function and quantities of the platelets. On the other hand, PRP could be made into autologous platelet gel (APG). APG contains supraphysiologic amounts of growth factors, and has adequate tensile strength and adhesive ability. Therefore, it can be used for hemostasis in operation, sealing wound and enhancing incision or dehiscent sternal wounds healing.

    Release date:2016-08-30 06:25 Export PDF Favorites Scan
  • ISOLATION AND IDENTIFICATION OF REGULATORY T CELLS IN PERIPHERAL BLOOD OF RHESUS MONKEYS

    Objective To establish a method to isolate the CD4+CD25+ regulatory T cells (Tregs) and to identify the purity and function of these cells. Methods The peripheral blood (8 mL) were collected from the great saphenous vein of 10 rhesus monkeys (4 females and 6 males, aged 4-5 years, and weighing 5-8 kg). The mononuclear cells were isolated with density gradient centrifugation. CD4+ T cells were separated by the Magnetic cell sorting (MACS) negative selection and MACS positive selection. The cell yield rate, the cell viability, and the cell purity were compared between MACS negative selection and MACS positive selection. In CD4+ MACS negative selection, the anti-biotin MicroBeads and biotin-antibody cocktai in CD4+CD25+ Tregs isolation kit non-human primate were used, and in MACS positive selection, the anti-APC MicroBeads in CD4+CD25+ Tregs isolation kit non-human primate and CD4-APC were used. The CD4+ T cells separated by positive selection were selected to obtain CD4+CD25 Tregs with CD25 MicroBeads. The purity, activity, the FoxP3 level, and the suppressive function to concanavalin A (ConA) activated autologous CD4+CD24- effective T cells (Teffs) of CD4+CD25+ Tregs were detected by flow cytometry. Results After CD4+ T cells were separated by MACS negative selection and MACS positive selection, the cell viabilities were all up to 95%, showing no significant difference (P gt; 0.05). The cell yield rate and purity of CD4+ T cells by positive selection were significantly higher than those of CD4+ T cells by negative selection (P lt; 0.05). CD4+CD25+ Tregs can be successfully isolated by MACS double positive selection. The classifying purity was 76.2% ± 8.6%; the cell activity was 93.3% ± 4.7%; and the level of FoxP3 was 74.2% ± 6.9%. The CD4+CD25+ Tregs had suppressive effect on ConA activated autologous CD4+CD25- Teffs. Conclusion MACS double positive selection can be used to isolate high-purity CD4+CD25+ Tregs from the peripheral blood of rhesus monkeys and the process does not influence the activity of CD4+CD25+ Tregs.

    Release date:2016-08-31 04:21 Export PDF Favorites Scan
  • PROGRESS IN ISOLATION AND PURIFICATION OF PORCINE ISLETS

    Objective To review the common methods of isolation and purification of porcine islets and research progress. Methods Domestic and abroad literature concerning the isolation and purification of porcine islets was reviewed and analyzed thoroughly. Results The efficacy of the isolation and purification depends on the selection of donor, the procurement and cryopreservation of high-quality donor pancreas, and the selection and improvement of the operation. Conclusion The shortage of transplanted islets could be resolved by the establishment of standardized and optimal process, which may also promote the development of porcine islet xenograft.

    Release date:2016-08-31 04:24 Export PDF Favorites Scan
  • IMPROVED METHODS OF ISOLATION AND PURIFICATION OF RAT ISLETS AND ITS VIABILITY RESEARCH

    Objective The purity and activity of islets will greatly affect the outcome of xenotransplantation therapy of type 1 diabetes mell itus. To set up an improved method of the isolation and purification of rat islets, which can obtain highpurity,high-yield, and high-viabil ity islets. Methods Ten healthy and adult male SD rats, weighing 250-300 g were used asorgan donors. Collagenase V was perfused into pancreas via pancreatic duct. Pancreas was digested with collagenase in water bath at 38℃ about 15 minutes, islet purification was performed using two techniques: with Ficoll 400 density gradient (group A), and Ficoll-Paque™ PLUS (group B). Dithizone (DTZ) was util ized for identifying islets, counting islets equivalent quantity (IEQ) and islets’ purity. Trypan blue staining was used to detect the viabil ity of islets. Islets of group B was encapsulated with alginate/poly-L-lysine/alginate (APA). Islets function of microencapsulated and nonmicroencapsulated was evaluated by the insul in release test. Results DTZ staining showed that islets shape were round, ell ipse and irregular with a clear edge and a diameter range of 50-300 μm. The IEQ values were 338.04 ± 76.61 and 834.80 ± 54.00 in groups A and B, respectively, showing significant difference (P lt; 0.05). The purities were 88.31% ± 2.67% and 95.63% ± 1.96% in groups A and B, respectively, showing no significant difference (P gt; 0.05). The activities of islets were 67.40% ± 5.15% and 86.05% ± 2.52% in groups A and B, showing significant difference (P lt; 0.05). Islet APA microcapsules had round shape, unified size, and its diameter was between 1.5 and 2.0 mm. Each microcapsule was encapsulated of 1 to 3 islets. The result of insul in release assay was that the concentrations of insul in secretion with islets of microencapsulated and nonmicroencapsulated were (5.53 ± 1.64) ng/ mL and (4.76 ± 0.26) ng/mL in low glucose, and its concentrations of insul in secretion in high glucose were (11.95 ± 2.07) ng/ mL and (14.34 ± 3.18) ng/mL. Stimulated insul in secretion in high glucose was 2 times more than that in low glucose (P lt; 0.05), but there was no significant difference (P gt; 0.05) in the stimulation index between group A (2.16 ± 0.30) and group B (3.01 ± 0.59). Conclusion The method of islets isolation and purification using Ficoll-Paque™ PLUS own the virtues of more convenient, high islet yield, and high islet purity. Both microencapsulated and nonmicroencapsulated islets show high-viabil ity while culture in vitro.

    Release date:2016-08-31 05:47 Export PDF Favorites Scan
  • 螺钉固定并植骨融合治疗复发性下胫腓关节分离

    目的 总结采用螺钉固定并植骨融合治疗复发性下胫腓关节分离的疗效。 方法 2004 年7 月-2008 年12 月,采用螺钉固定并植骨融合治疗复发性下胫腓关节分离29 例29 踝。男19 例,女10 例;年龄16 ~ 68 岁,平均34 岁。受伤至初次治疗时间1 ~ 7 d,平均3 d。手法复位石膏固定后复发20 例;经螺钉固定后去除内固定复发4 例,螺钉断裂复发5 例。复发时间2 ~ 6 个月,平均3.5 个月。 结果 术后切口均Ⅰ期愈合。29 例均获随访,随访时间6 ~ 24个月,平均13 个月。移植髂骨块均愈合良好,未出现断钉现象,无复发。术后6 个月下胫腓间距、踝距关节间隙、踝关节背伸(中立位0° 法)、跖屈与术前比较,差异均有统计学意义(P lt; 0.01)。按Sarkision 疗效评定标准:优12 例,良15 例,可2 例,优良率93.1%。 结论 螺钉固定并植骨融合是治疗复发性下胫腓关节分离简便、有效的方法之一。

    Release date:2016-08-31 05:48 Export PDF Favorites Scan
  • PROGRESS OF ISOLATION AND PURIFICATION OF PANCREATIC ISLETS

    Objective To review the general approaches in isolation and purification of pancreatic islets and progress in several aspects. Methods The latest l iterature concerning acquisition of pancreatic islets was reviewed and analyzed interms of the choice of pancreatic islet donors, the digestion and isolation of pancreas, the purification of islet and the assay of outcome. Results The profile of the isolation and purification depends on the selection of reagents and methods of operation in every step and l inkup between every step. Conclusion Pancreatic islet transplantation is the most effective method to treat type 1 diabetes, the problem of inadequate sources of pancreatic islets could be resolved by the optimal process and the establ ishment of standardized operation.

    Release date:2016-09-01 09:04 Export PDF Favorites Scan
  • 人工胸壁重建在联体婴儿分离手术中的应用

    目的 总结1 例人工胸壁重建在联体婴儿分离手术中的应用。 方法 2007 年7 月22 日,对1 对胸腹联体婴儿实施分离手术,术中应用聚丙烯网加钛合金板加聚丙烯网的“三明治”结构进行胸壁重建。患婴A 和B 均为女性,出生后83 d 入院。出生时呈面对面联体,共用一胎盘、脐带,CT 和MRI 示患婴胸腹联体,肝脏相连,分别有独立肛门,共用1 个心包。入院45 d 术前准备后行分离手术,体重7 600 g,体桥长约16 cm,宽9 cm。 结果 患婴A 术后第2 天胸部伤口皮肤皮缘张力过大,裂口约8.0 cm × 5.5 cm,于术后107 d 行二期植皮,目前胸部仍有约6 cm × 4 cm 皮肤缺损;其下人工胸壁复合体有肉芽组织生长,与胸壁组织融合生长,形成密闭胸腔;术后随访1 年,存活良好。患婴B 肺部严重感染,术后78 d 抢救无效死亡;术后尸检示:人工胸壁复合体与胸部组织有良好的组织相容性,结构间隙及内外均有肉芽组织生长,形成一体。 结论 聚丙烯网加钛合金板加聚丙烯网的“三明治”结构复合体是对大范围骨性胸壁缺损人工修复的良好材料,是胸腹联体婴儿分离手术成功的重要一环。

    Release date:2016-09-01 09:07 Export PDF Favorites Scan
  • IMPROVED METHOD FOR OPTIMIZED ISOLATION AND PURIFICATION OF RAT ISLETS AND IDENTIFICATION OF FUNCTION

    【Abstract】 Objective To explore good methods for isolation and purification of rat islets. Methods The isletswere isolated from male SD rat pancreata by a collagenase perfusion method and purified by a modified method: added 4 kinds of Euro-Ficoll of different densities (F1: D=1.132, F2: D=1.108, F4: D=1.069, F5: D=1.023), discontinuous density gradient centrifuge the tube at 2 000 r/min for 20 minutes at 4℃ , then the islets between F1 and F2 were collected. The purity of islets was assessed by dithizone staining with islets counted and scored for size. Islets viabil ity was assessed by fluorescin diacetate / propidium iodide. The function of purified islets was judged by the test of insul in release and islets transplantation. Results After an improved method for optimized isolation and purification, (920±122) IEQ purified islets were obtained from one rat. Both the purity and viabil ity of islets were over 90%. The amount of insul in secretion was (18.25±0.32) mU/L and (36.70±3.57) mU/Lat 2.2 mmol/ L and 22.2 mmol/L concentration of glucose respectively, there was significant difference between the two phases(P lt; 0.05). The insul in release index was 2.01±0.15. Under 1 000 IEQ islets transplantation, the normal glucose level could beremained in diabetic rats. Conclusion High purity and high viabil ity islet cells can be got through improved collagenase perfusion and centrifugation on gradients method.

    Release date:2016-09-01 09:09 Export PDF Favorites Scan
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