气压治疗仪联合那屈肝素预防剖宫产术后下肢静脉栓塞的临床研究

摘要 目的：探究气压治疗仪联合那屈肝素预防剖宫产术后下肢静脉栓塞（DVT）的临床效果。方法：选取2021年1月～2022年8月长沙市妇幼保健院收治的172例剖宫产孕妇,以随机数字表法按1:1比例分为联合组、常规组,各86例。常规组采用那屈肝素预治疗,联合组采用气压治疗仪联合那屈肝素治疗。比较两组DVT发生率;术前、术后5 d凝血功能指标[凝血酶时间（TT）、纤维蛋白原（FIB）、活化部分凝血活酶时间（APTT）、凝血酶原时间（PT）]、血液流变学指标[全血高切黏度、血浆黏度、全血低切黏度];术前、术后1 d、5 d大小腿腿围;术前、术后1 d、3 d、5 d疼痛视觉模拟量表（VAS）评分。结果：联合组DVT发生率3.49%较常规组11.63%低（P＜0.05）;术后5 d联合组PT、APTT、TT较常规组高,FIB较常规组低（P＜0.05）;术后5 d联合组全血高切黏度、血浆黏度、全血低切黏度较常规组低（P＜0.05）;术后1 d、5 d联合组大小腿腿围较常规组低（P＜0.05）;术后1 d、3 d、5 d联合组VAS评分较常规组低（P＜0.05）。结论：气压治疗仪联合那屈肝素能有效改善剖宫产产妇术后凝血功能及血液流变学,缓解下肢肿胀,减轻术后疼痛,减少DVT的发生。     

Phloem loading and its development related to plant evolution from trees to herbs

Summary Minor vein structure in various taxonomic groups was described in a previous paper (Gamalei 1989). Here, these results are used to correlate minor vein structure with plant evolutionary, ecological and growth form schemes. The following pattern emerges: reductive evolution from evergreen trees to annual herbs is accompanied by gradually increasing symplastic isolation of the mesophyll and the phloem. This evolutionary tendency is confirmed by the ecological spreading and life-form distribution of modern plants with different types of minor vein structure. The meaning of this phenomenon is discussed. Chilling sensitivity of plasmodesmal translocation is considered to be the main reason. It is suggested that phloem loading for assimilate transport is double-routed. The symplastic route is more ancient and more economical for loading. The apoplastic pathway becomes the main or the only route under unfavorable conditions. The existence of a symplast/apoplast regulatory loading mechanism is suggested. The two loading routes differ in their selectivity for products of photosynthesis which changes their symplast/apoplast ratio which, in turn, determines the composition of the sieve tube exudate. The latter will influence growth and morphogenesis. Correlated changes of structure and function related to photosynthesis, loading, translocation and growth, are analysed with respect to life-form evolution. The influence of the pathway of loading on other processes is discussed.     

Endothelial specific granules in the umbilical veins of the postnatal rabbit

Summary A remarkable increase in number of endothelial specific granules was observed in the rabbit umbilical veins between 2 and 5 days after birth. Electron microscopy indicated that the granules were segregated in the Golgi complex of the endothelial cells and released into the vascular lumen during the postnatal obliteration stage of this vessel.Incubation of the postnatal vessels in Ringer solution containing a histamine releasing compound induced remarkable morphological alterations of these cytoplasmic components; a reduction of their osmiophilia, swelling with a widened space separating the granular matrix from the limiting membrane, fusion to each other and expulsion of their contents into the vascular lumen, as in mast cell degranulation by this drug, were noted.High-performance liquid chromatography of the homogenized vessels demonstrated appreciable concentrations of histamine in the postnatal samples. There was a correlation between the histamine concentration and the quantity of granules in the respective postnatal samples.The present study strongly suggests that the granules are reservoirs of histamine and have an important role in the obliteration of this vessel.This work was supported in part by Grant in Aid for Scientific Research (# 448087) to S. Fujimoto from the Ministry of Education of Japan     

The autonomic innervation of rat jugular vein

Summary The autonomic innervation of rat jugular vein was studied using glyoxylic acid fluorescence and acetylcholinesterase histochemical methods. The rat jugular vein is provided with both adrenergic and cholinergic nerve fibers organized in plexuses located at the adventitial-medial border. The existence of these nerve plexuses does not seem to support biochemical findings that suggest a lack of innervation in the rat jugular vein and which propose this blood vessel as a model for the analysis of drug-smooth muscle cell interaction without the interference of neuronal uptake mechanisms.     

Human Neutrophil Flow Chamber Adhesion Assay

Neutrophil firm adhesion to endothelial cells plays a critical role in inflammation in both health and disease. The process of neutrophil firm adhesion involves many different adhesion molecules including members of the β₂ integrin family and their counter-receptors of the ICAM family. Recently, naturally occurring genetic variants in both β₂ integrins and ICAMs are reported to be associated with autoimmune disease. Thus, the quantitative adhesive capacity of neutrophils from individuals with varying allelic forms of these adhesion molecules is important to study in relation to mechanisms underlying development of autoimmunity. Adhesion studies in flow chamber systems can create an environment with fluid shear stress similar to that observed in the blood vessel environment in vivo. Here, we present a method using a flow chamber assay system to study the quantitative adhesive properties of human peripheral blood neutrophils to human umbilical vein endothelial cell (HUVEC) and to purified ligand substrates. With this method, the neutrophil adhesive capacities from donors with different allelic variants in adhesion receptors can be assessed and compared. This method can also be modified to assess adhesion of other primary cell types or cell lines.     

Improved design of peptides exhibiting angiogenic activities for clinical applications

Vascularization is one of the key steps for engraftment in regenerative medicine. Previously one of the authors had discovered peptides exhibiting significant angiogenic activities designated AGP and elucidated the active core. For neovascularization basic fibroblast growth factor is used although permeation can be envisaged. The original AGPs did not suffer from this although their half-life times are short because of decomposition by endogenous enzymes. Several new AGP-libraries have been constructed and their enzymatic resistance has been investigated by the use of human umbilical vein endothelial cells to find candidates for clinical applications.     

高寒植物叶片性状对模拟降水变化的响应

降水变化对高寒草甸生态系统产生了显著影响,植物叶片性状特别是叶脉特征对降水变化非常敏感,然而高寒植物叶片性状特征如何响应降水变化还知之较少。采用集雨棚模拟增减50%降水的条件,以高寒草甸8种主要植物叶片为研究对象,研究了降水变化对叶片的叶脉率、叶脉密度、叶片大小、比叶质量、叶片总有机碳含量、叶片全氮含量、叶片碳同位素相对含量和碳氮比等叶片性状的影响。发现增水显著增加了植物的叶片大小、稳定碳同位素千分值、总有机碳含量、全氮含量,但显著降低了叶脉密度;而减水显著降低了叶片大小、稳定碳同位素千分值。植物叶片性状各指标对降水变化的响应存在协同变化和相互制约。不同水分生态类型的植物对降水变化的响应存在差异,中生植物通过增加叶片大小和减少叶脉密度积极应对降水的增加,矮生嵩草的叶片大小分别增加了200.3%,叶脉密度减小了17.5%,而旱中生植物通过减少叶片大小和增加叶脉密度应对降水的减少,垂穗披碱草和异针茅的叶片大小分别减少54.9%和30.7%,其叶脉密度分别增加25%和22.4%。羽状叶脉植物增加叶脉密度和稳定碳同位素千分值以适应增水条件,花苜蓿、异叶米口袋的叶脉密度的增加了7.8%和4.0%,稳定碳同位素千分值增加2.5%和3.3%,但增水条件下平行叶脉植物的叶脉密度不变或降低和稳定碳同位素千分值保持不变;减水增加了平行叶脉植物叶脉密度并减低了稳定碳同位素千分值,异针茅的叶脉密度增加了22.4%,稳定碳同位素千分值减小2.9%,而对羽状叶脉植物的叶脉密度和稳定碳同位素千分值减少或不变。植物叶片性状对增水的敏感性显著大于对减水的敏感性,增水的效应约为减水的2倍;叶片大小的敏感性显著大于其它叶片性状,约为其它叶片性状的10倍。因此,植物在应对短期降水变化时,植物形态可塑性的作用凸显,放大或缩小叶片大小是植物应对降水变化的最有效的途径,但是不同水分生态类型和叶脉类型植物可塑性的方向存在显著差异。     

新生儿首次呼吸前后脐带动静脉血液氧和二氧化碳变化探索呼吸调控机制的初步报告II—同一个新生儿同一时间的脐带动静脉血液氧和二氧化碳分压差值个体化分析*

目的: 为探讨新生儿自主呼吸产生机制,前文已对新生儿出生后自主呼吸开始前脐带动静脉氧气和二氧化碳差值进行了人群组间分析;而本部分则对相关信息进行个体化分析。方法: 在产前经所有胎儿父母签署知情同意书,新生儿出生后还没有呼吸之前在脐带动脉和脐带静脉分别连续逐搏取血,仅有3例同时采集到Pua和Puv血液样本进行血气分析测定,计算分析脐带静脉和脐带动脉的异同和动态变化。结果: 虽然准备了数十产妇,但仅有3例同时采集到Pua和Puv血液样本,同一时间的PuvO₂显著高于PuaO₂（P均<0.01）,平均相差（24.17±7.09） mmHg;而PuvCO₂显著低于PuaCO₂（P均<0.01）,平均相差（-7.67±3.70） mmHg。在同一时间的Puv-uaO₂显著高于Puv-uaCO₂（P<0.05）。结论: 新生儿出生后自主呼吸前,全部氧气供应由脐带静脉运输,只要胎盘开始剥离则新生儿的PuaO₂随时间（心跳次数）逐渐降低,当PuaO₂达到触发呼吸阈值（最低值）诱发第一次吸气开始其自主呼吸。     

Accurate modelling of unsteady flows in collapsible tubes

The context of this paper is the development of a general and efficient numerical haemodynamic tool to help clinicians and researchers in understanding of physiological flow phenomena. We propose an accurate one-dimensional Runge–Kutta discontinuous Galerkin (RK-DG) method coupled with lumped parameter models for the boundary conditions. The suggested model has already been successfully applied to haemodynamics in arteries and is now extended for the flow in collapsible tubes such as veins. The main difference with cardiovascular simulations is that the flow may become supercritical and elastic jumps may appear with the numerical consequence that scheme may not remain monotone if no limiting procedure is introduced. We show that our second-order RK-DG method equipped with an approximate Roe's Riemann solver and a slope-limiting procedure allows us to capture elastic jumps accurately. Moreover, this paper demonstrates that the complex physics associated with such flows is more accurately modelled than with traditional methods such as finite difference methods or finite volumes. We present various benchmark problems that show the flexibility and applicability of the numerical method. Our solutions are compared with analytical solutions when they are available and with solutions obtained using other numerical methods. Finally, to illustrate the clinical interest, we study the emptying process in a calf vein squeezed by contracting skeletal muscle in a normal and pathological subject. We compare our results with experimental simulations and discuss the sensitivity to parameters of our model.