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find Author "廖槐" 2 results
  • Expression of Aquaporin-1 in the Pleura in Rats and the Role of Aquaporin-1 in the Pleural Fluid Turnover

    Objective To investigate the expression of aquaporin-1( AQP1 ) in visceral and parietal pleura in SD rats and to examine the effect of AQP1 on pleural fluid turnover. Methods Five groups( n = 24 ) of SD rats were randomly assigned to received intrapleural injection of dexamethasone,lipopolysaccharide, erythromycin, hypertonic saline and normal saline, respectively. The AQP1 protein in pleural was detected with immunohistochemistry. The mRNA expression of AQP1 under stimulations at different time points was measured by real time RT-PCR. Results AQP1 was immunolocalized predominantly to the microvessels and mesothelial cells of visceral and parietal pleura. The extent of AQP1expression in parietal pleura was less than that in visceral pleura[ ( 4. 14 ±1. 12) ×104 copy /μg vs ( 7. 43 ±2. 02) ×104 copy / μg, P lt;0. 05] . AQP1 expression increased at all phases in the dexamethasone group andthe hypertonic saline group, whereas decreased in the erythromycin group and the lipopolysaccharide group.Conclusion The stimulations of dexamethasone, lipopolysaccharide, erythromycin and hypertonic saline can significantly change the AQP1 expression in pleura, which indicate that AQP1 may contribute to the accumulation and clearance of pleuritic fluids.

    Release date:2016-09-14 11:23 Export PDF Favorites Scan
  • 帕博利珠单抗致免疫相关性肺炎一例及诊治分析

    目的 提高免疫检查点抑制剂相关性肺炎(CIP)的早期诊断与治疗。方法 对 1 例接受程序性死亡蛋白-1 单抗治疗的晚期肺腺癌患者继发免疫相关性肺炎的临床表现、影像学、微生物学、支气管镜检查、病理诊断及治疗过程进行回顾分析。结果 该例患者经过支气管镜冷冻肺活检病理显示为机化性肺炎,早期诊断 CIP,临床分级 2 级,予停用免疫检查点抑制剂,同时给予口服强的松(按 1 mg·kg–1·d–1)治疗 2 周后症状好转,复查胸部 CT 见肺部病灶较前大部分吸收。结论 CIP 临床表现多样化,早期诊断困难;支气管镜检查尤其是经支气管镜冷冻肺活检有助早期 CIP 明确诊断,CIP 使用糖皮质激素治疗效果好。

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