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find Author "刘婕" 2 results
  • 腹膜透析相关性腹膜炎致病菌的耐药性分析

    目的:探讨腹膜透析相关性腹膜炎的致病菌及其耐药性。方法:回顾性分析的93例腹膜透析相关性腹膜炎的致病菌及其耐药性。结果:34例培养阳性, 透出液培养阳性率为36.6%, 其中革兰阳性球菌14例, 革兰阴性杆菌17例, 真菌4例。革兰阴性杆菌对氨苄西林的耐药率最高,达83.3%,亚胺培南耐药性最低,达20.0%。革兰阳性球菌对青霉素、环丙沙星的耐药率高,分别为81.8%、71.4%。 结论:提高腹膜透析液细菌培养阳性率有助于腹膜透析相关性腹膜炎的治疗;在经验用药基础上,应依据细菌培养、药敏,选择治疗腹膜透析相关性腹膜炎的敏感、有效抗菌素,真菌性腹膜炎治疗效果仍差,应尽早拔管。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • Effects of removing superficial layer of cartilage on the surface morphology and mechanical behavior of cartilage

    Superficial cartilage defect is an important factor that causes osteoarthritis. Therefore, it is very important to investigate the influence of superficial cartilage defects on its surface morphology and mechanical properties. In this study, the knee joint cartilage samples of adult pig were prepared, which were treated by enzymolysis with chymotrypsin and physical removal with electric friction pen, respectively. Normal cartilage and surface treated cartilage were divided into five groups: control group (normal cartilage group), chymotrypsin immersion group, chymotrypsin wiping group, removal 10% group with electric friction pen, and removal 20% group with electric friction pen. The surface morphology and structure of five groups of samples were characterized by laser spectrum confocal microscopy and environmental field scanning electron microscopy, and the mechanical properties of each group of samples were evaluated by tensile tests. The results show that the surface arithmetic mean height and fracture strength of the control group were the smallest, and the fracture strain was the largest. The surface arithmetic mean height and fracture strength of the removal 20% group with electric friction pen were the largest, and the fracture strain was the smallest. The surface arithmetic mean height, fracture strength and fracture strain values of the other three groups were all between the above two groups, but the surface arithmetic mean height and fracture strength of the removal 10% group with electric friction pen, the chymotrypsin wiping group and the chymotrypsin soaking group decreased successively, and the fracture strain increased successively. In addition, we carried out a study on the elastic modulus of different groups, and the results showed that the elastic modulus of the control group was the smallest, and the elastic modulus of the removal 20% group with electric friction pen was the largest. The above study revealed that the defect of the superficial area of cartilage changed its surface morphology and structure, and reduced its mechanical properties. The research results are of great significance for the prevention and repair of cartilage injury.

    Release date:2024-04-24 09:50 Export PDF Favorites Scan
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