中青年肺心病90例临床分析

５５岁以下中青年肺心病９０例与同期收治的６０岁以上老年肺心病９０例作对照,发现中青年组有如下特点：①原发疾病两组均以慢性支气管炎多见,但中青年组肺结核、支气管扩张常见,合并高血压、冠心病少见。②主要症状、体征以咯血、杵状指、体温大于３７℃多见,神志改变、早搏较老年组少见。③白细胞总数增高、痰培养Ｇ＋球菌多见。Ｇ－杆菌少见。④血气分析低氧血症多见。⑤心电图以右室肥厚多见,与Ｘ线右室肥厚多相一致。⑥多脏器衰竭（ＭＳＯＦ）为主要死因     

布地奈德联合高渗盐水治疗毛细管支气管炎临床疗效研究

目的:探讨雾化吸入布地奈德联合高渗盐水治疗毛细管支气管炎临床效果。方法:选取2012年10到2014年10月100例毛细管支气管炎患者为研究对象,分成2组,有明确细菌感染者,给予敏感抗生素头孢呋辛钠80 mg/kg,每日2次,或美洛西林钠80-100 mg/kg,每日2次,此外给予对症治疗,如止咳化痰(羚贝止咳糖浆)。对照组50例,予高渗盐水治疗,吸入0.9%氯化钠注射液2 m L和吸入用布地奈德混悬液(普米克令舒)1 mg/次混合液,观察50例,吸入3%氯化钠注射液2 m L配合吸入用布地奈德混悬液(普米克令舒)1 mg/次,观察治疗后相关指标变化情况。结果:疗效观察,对照组显效率62%,总有效率82%,观察组显效率78%,总有效率92%,两组比较差异有统计学意义(P0.05);肺功能上,两组治疗前后在FEV1、FVC、PEF、FVC/FEV1对比差异明显(P均0.05),组间对比差异明显(P0.05);两组治疗后在咳嗽、哮鸣音、胸闷气短、住院时间比较差异有统计学意义(P均0.05)。结论:雾化吸入布地奈德联合高渗盐水治疗毛细管支气管炎临床效果显著。     

老年慢性支气管炎急性加重期105例痰需氧菌培养及药敏结果分析

目的分析慢性支气管炎急性加重期病原菌的类型、分布以及药物敏感性试验的情况。方法收集2004年1月至2007年12月我所住院的慢性支气管炎急性加重期患者共送检168例次痰标本进行培养和药物敏感试验。结果从痰液中共检出156株需氧菌,其中革兰阴性菌93株（59．62％）,革兰阳性菌41株（26．28％）,真菌22株（14．1％）;在革兰阴性菌中,以克雷伯菌属为主,占总分离率的21．15％（33／156）,其次是铜绿假单胞菌,分离出24株（15．38％）;革兰阳性菌则以金黄色葡萄球菌及肺炎链球菌居多。感染以革兰阴性杆菌为主,对11种临床常用的抗生素敏感率较高的是亚胺培南,其次是氨基糖苷类。结论本试验可提高对慢性支气管炎的临床诊断,根据其病原学特点合理使用抗菌药物。     

Interaction of clinical isolates of nonencapsulated Haemophilus influenzae with mammalian extracellular matrix proteins

The adherence of clinical isolates of nonencapsulated Haemophilus influenzae strains from patients with chronic bronchitis to distinct immobilized extracellular matrix components was determined. With selected strains the induction of plasmin formation by these isolates was studied. The strains could be divided into two groups: strains that showed a very high level of adherence to laminin and type I collagen, as well as adhesion to fibronectin and strains that showed only a moderate level of adhesion to laminin and a low level of adhesion to fibronectin. Plasmin formation was demonstrated for three out of eight isolates. Persisting and nonpersisting strains did not differ quantitatively or qualitatively with respect to the level of adhesiveness to the distinct matrix proteins and in their ability to induce plasmin formation.     

痰热清注射液对老年慢性支气管炎急性发作的疗效和免疫功能的影响

目的:探讨痰热清注射液治疗老年慢性支气管炎急性发作的临床疗效,观察患者治疗前后细胞因子的变化。方法:选择我院2011年1月至2012年6月收治的老年慢性支气管炎急性发作的患者80例,随机分为研究组和对照组,各40例。两组均给予常规吸氧、解痉、平喘化痰等药物治疗,同时给予头孢呋辛静脉滴注,2次/d;研究组同时给予痰热清注射液静脉滴注,1次/d,7d为一个疗程,共2个疗程。治疗前后应用酶联免疫吸附法测量两组血清肿瘤坏死因子a(Tumor necrosis factor-a,TNF-a)、白介素-6(Interleukin-6,IL-6)、IL-8水平。结果:1研究组患者咳嗽改善时间、呼吸困难改善时间和肺部湿啰音改善时间明显短于对照组(P0.05)。研究组总有效率明显高于对照组(P0.05)。2治疗后两组血清IL-6、IL-8、TNF-a水平明显降低(P0.05);研究组血清IL-6、IL-8、TNF-a水平明显低于对照组(P0.05)。结论:痰热清治疗老年慢性支气管炎急性发作可以有效改善患者临床症状,调节免疫功能,降低炎症反应,治疗效果较好。     

Comparative proteome analysis of tracheal tissues in response to infectious bronchitis coronavirus,Newcastle disease virus,and avian influenza virus H9 subtype virus infection

Infectious bronchitis coronavirus (IBV), Newcastle disease virus (NDV), and avian influenza virus (AIV) H9 subtype are major pathogens of chickens causing serious respiratory tract disease and heavy economic losses. To better understand the replication features of these viruses in their target organs and molecular pathogenesis of these different viruses, comparative proteomic analysis was performed to investigate the proteome changes of primary target organ during IBV, NDV, and AIV H9 infections, using 2D‐DIGE followed MALDI‐TOF/TOF‐MS. In total, 44, 39, 41, 48, and 38 proteins were identified in the tracheal tissues of the chickens inoculated with IBV (ck/CH/LDL/97I, H120), NDV (La Sota), and AIV H9, and between ck/CH/LDL/97I and H120, respectively. Bioinformatics analysis showed that IBV, NDV, and AIV H9 induced similar core host responses involved in biosynthetic, catabolic, metabolic, signal transduction, transport, cytoskeleton organization, macromolecular complex assembly, cell death, response to stress, and immune system process. Comparative analysis of host response induced by different viruses indicated differences in protein expression changes induced by IBV, NDV, and AIV H9 may be responsible for the specific pathogenesis of these different viruses. Our result reveals specific host response to IBV, NDV, and AIVH9 infections and provides insights into the distinct pathogenic mechanisms of these avian respiratory viruses.     

氧驱动雾化吸入治疗婴幼儿毛细支气管炎的疗效观察

目的探讨硫酸特布他林、布地奈德联合雾化吸入对婴幼儿毛细支气管炎的疗效。方法将142例患者随机分为试验组（72例）与对照组（70例）。对照组进行抗病毒吸氧、止咳化痰等常规治疗;试验组在常规治疗的基础上,加用雾化吸入硫酸特布他林、布地奈德雾化液,比较两组疗效。结果试验组的疗效明显优于对照组（P〈0.01）。结论硫酸特布他林雾化液、布地奈德混悬液吸入能较快地改善呼吸功能,有效改善毛细支气管炎患儿症状,值得在基层医院推广。     

A Newer Method for Isolation of the 7S Globulin in Soybean Seeds

The effects of freezing on the proteolysis of beef during storage at 4°C after being thawed was investigated.

A sarcoplasmic 32-kDa protein in frozen as well as unfrozen beef decreased rapidly during storage at 4°C, and a more than 100-kDa protein appeared in both beef samples. And the increment of peptides in the frozen beef during the storage at 4°C was larger than that in the unfrozen beef, suggesting that the proteolysis was faster during the storage of the former than the latter. However, its increment in the frozen beef for 10 weeks during the storage at 4°C became smaller than that of the one frozen for less than 5 weeks.

To discover an indicator for evaluation of the conditioning of frozen and unfrozen beef, peptides produced during the storage of beef at 4°C were surveyed. A peptide, APPPPAEVPEVHEEV, was detected and seemed to be available as an indicator in the conditioning of beef.     

表达绿色荧光蛋白的重组鸡传染性支气管炎病毒的构建

为探讨鸡传染性支气管炎病毒(IBV)作为载体表达外源基因的可行性,本研究根据IBV H120疫苗株的全基因组序列设计引物,采用RT-PCR方法分10个片段对其基因组进行扩增,并克隆至pMD19-T载体中;同时构建IBV基因组5a基因编码区被增强型绿色荧光蛋白(EGFP)基因替换的重组质粒。采用体外拼接策略,将BsaI酶切处理的10个基因片段顺序连接,构建5a基因编码区被EGFP基因替换的基因组全长cDNA,其5’端具有完整的T7 RNA聚合酶启动子核心序列,3’端具有polyA尾巴结构。然后通过T7 RNA聚合酶体外转录系统合成病毒基因组RNA,脂质体转染BHK-21细胞进行病毒拯救。结果表明成功的从基因组全长cDNA拯救出重组病毒H120-5a/EGFP株,其在鸡胚中能有效的复制和传代,并表达绿色荧光蛋白;5a基因的缺失并不影响病毒对鸡胚的致病性。本研究为进一步开展IBV的分子致病机理、载体疫苗等研究奠定了基础。