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多域整合治疗复杂原发性肺肉瘤样癌1例 被引量:1
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作者 霍小森 邹珩 +4 位作者 董延妍 李媛 边灵杰 李磊 王洪武 《中国肺癌杂志》 CAS CSCD 北大核心 2024年第2期157-160,共4页
肺肉瘤样癌(pulmonary sarcomatoid carcinoma,PSC)是一类罕见的、恶性程度较高的肺部肿瘤,分为多形性癌、梭形细胞癌、巨细胞癌、癌肉瘤和肺母细胞瘤5种病理类型。PSC发病隐匿,临床症状和体征无特异性,与肿瘤生长和侵袭部位密切相关,... 肺肉瘤样癌(pulmonary sarcomatoid carcinoma,PSC)是一类罕见的、恶性程度较高的肺部肿瘤,分为多形性癌、梭形细胞癌、巨细胞癌、癌肉瘤和肺母细胞瘤5种病理类型。PSC发病隐匿,临床症状和体征无特异性,与肿瘤生长和侵袭部位密切相关,可表现为刺激性咳嗽、痰中带血丝、呼吸困难或胸痛等。PSC易早期出现转移,多数患者就诊时已是局部进展期或晚期,中位生存时间为9个月。我呼吸病中心诊治1例致中央气道狭窄90%的原发性PSC患者;通过血管介入和气管镜下介入联合治疗的方法拯救了患者生命,延长了生存时间,术后随访19个月,效果满意,现报道如下,以供临床借鉴。 展开更多
关键词 肺肉瘤样癌 肺肿瘤 中央气道狭窄
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气管镜介入治疗肺部手术后发生的支气管胸膜瘘的回顾性分析
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作者 霍小森 李媛 +5 位作者 董延妍 边灵杰 安鹏 邹珩 李磊 王洪武 《中国肺癌杂志》 CAS CSCD 北大核心 2024年第3期187-192,共6页
背景与目的 气管镜介入技术作为近年来发展的新技术,具有创伤小、安全性高及可重复性的优点。本研究旨在探讨肺部恶性肿瘤和良性疾病手术后发生的支气管胸膜瘘(bronchopleural fistula,BPF)的临床特征和气管镜下介入治疗的临床疗效,为BP... 背景与目的 气管镜介入技术作为近年来发展的新技术,具有创伤小、安全性高及可重复性的优点。本研究旨在探讨肺部恶性肿瘤和良性疾病手术后发生的支气管胸膜瘘(bronchopleural fistula,BPF)的临床特征和气管镜下介入治疗的临床疗效,为BPF的防治提供参考方法。方法收集2020年6月至2023年9月北京中医药大学东直门医院呼吸病中心诊治的BPF患者64例,总结BPF发生部位及瘘口特点,并采用气管镜介入治疗。对瘘口较小者(≤5mm)进行黏膜下注射聚桂醇及氰基丙烯酸异丁酯、医用生物蛋白胶或硅胶假体封堵相结合治疗;对瘘口较大者(>5 mm)分别置入不同类型的气道金属覆膜支架和心脏封堵器;观察术前、术后的卡氏体能状态(Karnofsky performance status,KPS)评分、气促评分(shortbreath scale,SS)、体温、胸腔引流液量和白细胞计数。结果64例患者实施全肺、肺叶或肺段切除96个,发生瘘的部位65处,瘘口74个;右肺瘘口数量(63.5%)明显多于左侧(36.5%),且右下叶支气管瘘最为常见(40.5%)。术后患者的KPS评分明显升高,而SS评分、体温、胸腔引流液量和白细胞计数明显降低,与术前比较均有统计学差异(P<0.05)。电话或住院随访1-38个月,中位生存时间为21个月。完全缓解33例(51.6%),临床完全缓解7例(10.9%),部分缓解18例(28.1%),无效6例(9.4%),总有效率为90.6%。结论肺部手术后发生的BPF临床症状较严重,常危及生命,气管镜下介入治疗BPF是一种快速有效的治疗方法。 展开更多
关键词 肺部手术 支气管胸膜瘘 气管镜介入治疗
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气管镜下介入治疗弥漫性气管混合性鳞状细胞和腺性乳头状瘤1例并文献复习
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作者 霍小森 张瑶 +6 位作者 董延妍 李磊 邹珩 安鹏 边灵杰 李媛 王洪武 《中国肺癌杂志》 CAS CSCD 北大核心 2024年第9期711-716,共6页
肺混合性鳞状细胞和腺性乳头状瘤(mixed squamous cell and glandular papilloma,MSCGP)是肺乳头状瘤的一种亚型,依据生长部位分为中央型和外周型,以中央型较为多见,其临床表现主要与肿瘤生长部位有关。外科手术切除是肺MSCGP的主要治... 肺混合性鳞状细胞和腺性乳头状瘤(mixed squamous cell and glandular papilloma,MSCGP)是肺乳头状瘤的一种亚型,依据生长部位分为中央型和外周型,以中央型较为多见,其临床表现主要与肿瘤生长部位有关。外科手术切除是肺MSCGP的主要治疗方式。气管内MSCGP接受气管镜下介入治疗能够获得满意的效果。现报道北京中医药大学东直门医院呼吸病中心收治的气管镜下介入治疗1例弥漫性气管MSCGP病例,以期了解其临床特征,为该类疾病的诊疗提供临床参考。 展开更多
关键词 肺肿瘤 混合性鳞状细胞和腺性乳头状瘤 气管镜下介入治疗
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Lotus Leaf‑Derived Gradient Hierarchical Porous C/MoS2 Morphology Genetic Composites with Wideband and Tunable Electromagnetic Absorption Performance 被引量:24
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作者 Fei Pan Zhicheng Liu +4 位作者 Baiwen Deng yanyan dong Xiaojie Zhu Chuang Huang Wei Lu 《Nano-Micro Letters》 SCIE EI CAS CSCD 2021年第3期22-38,共17页
Inspired by the nature,lotus leaf-derived gradient hierarchical porous C/MoS2 morphology genetic composites(GHPCM)were successfully fabricated through an in situ strategy.The biological microstructure of lotus leaf wa... Inspired by the nature,lotus leaf-derived gradient hierarchical porous C/MoS2 morphology genetic composites(GHPCM)were successfully fabricated through an in situ strategy.The biological microstructure of lotus leaf was well preserved after treatment.Different pores with gradient pore sizes ranging from 300 to 5μm were hierarchically distributed in the composites.In addition,the surface states of lotus leaf resulted in the Janus-like morphologies of MoS2.The GHPCM exhibit excellent electromagnetic wave absorption performance,with the minimum reflection loss of−50.1 dB at a thickness of 2.4 mm and the maximum effective bandwidth of 6.0 GHz at a thickness of 2.2 mm.The outstanding performance could be attributed to the synergy of conductive loss,polarization loss,and impedance matching.In particularly,we provided a brand-new dielectric sum-quotient model to analyze the electromagnetic performance of the non-magnetic material system.It suggests that the specific sum and quotient of permittivity are the key to keep reflection loss below−10 dB within a certain frequency range.Furthermore,based on the concept of material genetic engineering,the dielectric constant could be taken into account to seek for suitable materials with designable electromagnetic absorption performance. 展开更多
关键词 Morphology genetic materials Lotus leaf Electromagnetic wave absorption Gradient hierarchical porous structure Dielectric sum-quotient model
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Heterointerface Engineering of β‑Chitin/Carbon Nano‑Onions/Ni-P Composites with Boosted Maxwell‑Wagner‑Sillars Effect for Highly Efficient Electromagnetic Wave Response and Thermal Management 被引量:9
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作者 Fei Pan Lei Cai +7 位作者 Yuyang Shi yanyan dong Xiaojie Zhu Jie Cheng Haojie Jiang Xiao Wang Yifeng Jiang Wei Lu 《Nano-Micro Letters》 SCIE EI CAS CSCD 2022年第5期206-223,共18页
The rational construction of microstructure and composition with enhanced Maxwell-Wagner-Sillars effect(MWSE)is still a challenging direction for reinforcing electromagnetic wave(EMW)absorption performance,and the rel... The rational construction of microstructure and composition with enhanced Maxwell-Wagner-Sillars effect(MWSE)is still a challenging direction for reinforcing electromagnetic wave(EMW)absorption performance,and the related EMW attenuation mechanism has rarely been elucidated.Herein,MWSE boostedβ-chitin/carbon nano-onions/Ni–P composites is prepared according to the heterointerface engineering strategy via facile layer-by-layer electrostatic assembly and electroless plating techniques.The heterogeneous interface is reinforced from the aspect of porous skeleton,nanomaterials and multilayer construction.The composites exhibit competitive EMW response mechanism between the conductive loss and the polarization/magnetic loss,as describing like the story of“The Hare and the Tortoise”.As a result,the composites not only achieve a minimum reflection loss(RL_(min))of−50.83 dB and an effective bandwidth of 6.8 GHz,but also present remarkable EMW interference shielding effectiveness of 66.66 dB.In addition,diverse functions such as good thermal insulation,infrared shielding and photothermal performance were also achieved in the hybrid composites as a result of intrinsic morphology and chemicophysics properties.Therefore,we believe that the boosted MWSE open up a novel orientation toward developing multifunctional composites with high-efficient EMW response and thermal management. 展开更多
关键词 β-chitin Nano onion carbon Electromagnetic wave absorption Electromagnetic interference shielding Photothermal
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Macroscopic Electromagnetic Cooperative Network‑Enhanced MXene/Ni Chains Aerogel‑Based Microwave Absorber with Ultra‑Low Matching Thickness 被引量:9
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作者 Fei Pan Yanping Rao +7 位作者 Dan Batalu Lei Cai yanyan dong Xiaojie Zhu Yuyang Shi Zhong Shi Yaowen Liu Wei Lu 《Nano-Micro Letters》 SCIE EI CAS CSCD 2022年第8期283-299,共17页
Electromagnetic cooperative strategy has been presented as a mainstream approach that can effectively optimize the matching thickness of dielectric loss dominant system.However,it is still challenging for dielectric–... Electromagnetic cooperative strategy has been presented as a mainstream approach that can effectively optimize the matching thickness of dielectric loss dominant system.However,it is still challenging for dielectric–magnetic loss coexisting-type absorber to develop electromagnetic wave(EMW)performance with ultra-low matching thickness(≤1 mm).Breaking the limitation of traditional electromagnetic response at microscopic/mesoscopic scale,a ficus microcarpa-like magnetic aerogel with macroscopical electromagnetic cooperative effect was fabricated through highly oriented self-assembly engineering.The highly oriented Ni chains with unique macroscopic morphology(~1 cm in length)were achieved via a special magnetic field-induced growth.Strong magnetic coupling was observed in the Ni chains confirmed by the micromagnetic simulation.The deductive calculation validates that maintaining high value of electromagnetic parameters at high frequencies is the prerequisites of ultrathin absorber.The electromagnetic cooperative networks with uninterrupted and dual pathways spread through the entire aerogel skeleton,resulting in the impressive permittivity even at high frequencies.Consequently,the aerogel exhibits a remarkable EMW performance at an ultrathin thickness of 1 mm.Thus,based on the modulation of electromagnetic parameters,this work proposed a macroscopic ordered structure with the electromagnetic cooperative effect useful to develop a suitable strategy for achieving ultrathin EMW absorbers. 展开更多
关键词 Electromagnetic wave absorption Ti_(3)CNT_(x)MXene Highly oriented Ni chains Electromagnetic cooperation Magnetic coupling
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Baicalein suppresses Coxsackievirus B3 replication by inhibiting caspase-1 and viral protease 2A
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作者 yanyan dong Enze Shao +12 位作者 Siwei Li Ruiqi Wang Dan Wang Lixin Wang Hong Yang Yingxia He Tian Luan Yang Chen Yao Wang Lexun Lin Yan Wang Zhaohua Zhong Wenran Zhao 《Virologica Sinica》 SCIE CAS CSCD 2024年第4期685-693,共9页
Myocarditis is an inflammatory disease of the cardiac muscle and one of the primary causes of dilated cardiomyopathy.Group B coxsackievirus(CVB)is one of the leading causative pathogens of viral myocarditis,which prim... Myocarditis is an inflammatory disease of the cardiac muscle and one of the primary causes of dilated cardiomyopathy.Group B coxsackievirus(CVB)is one of the leading causative pathogens of viral myocarditis,which primarily affects children and young adults.Due to the lack of vaccines,the development of antiviral medicines is crucial to controlling CVB infection and the progression of myocarditis.In this study,we investigated the antiviral effect of baicalein,a flavonoid extracted from Scutellaria baicaleinsis.Our results demonstrated that baicalein treatment significantly reduced cytopathic effect and increased cell viability in CVB3-infected cells.In addition,significant reductions in viral protein 3D,viral RNA,and viral particles were observed in CVB3-infected cells treated with baicalein.We found that baicalein exerted its inhibitory effect in the early stages of CVB3 infection.Baicalein also suppressed viral replication in the myocardium and effectively alleviated myocarditis induced by CVB3 infection.Our study revealed that baicalein exerts its antiviral effect by inhibiting the activity of caspase-1 and viral protease 2A.Taken together,our findings demonstrate that baicalein has antiviral activity against CVB3 infection and may serve as a potential therapeutic option for the myocarditis caused by enterovirus infection. 展开更多
关键词 BAICALEIN Coxsackievirus B(CVB) MYOCARDITIS 2A protease CASPASE-1
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双支架联合治疗晚期肺癌致中心气道狭窄及上腔静脉综合征一例 被引量:1
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作者 霍小森 刘言 +5 位作者 董延妍 边灵杰 李媛 李磊 安鹏 王洪武 《中华介入放射学电子杂志》 2023年第3期292-294,共3页
恶性中心气道狭窄(malignant central airway obstruction,MCAO)是指因原发或转移的恶性肿瘤侵及气管、隆突、左右主支气管或右中间支气管引起的管腔狭窄[1];患者会出现不同程度的呼吸困难,严重者可导致窒息、甚至危及生命。按照中心气... 恶性中心气道狭窄(malignant central airway obstruction,MCAO)是指因原发或转移的恶性肿瘤侵及气管、隆突、左右主支气管或右中间支气管引起的管腔狭窄[1];患者会出现不同程度的呼吸困难,严重者可导致窒息、甚至危及生命。按照中心气道病变位置将MCAO分为管内型、管壁型、管外型和混合型[2]。管外型和混合型MCAO的瘤体组织可向管腔外生长并侵及纵隔结构;由于上腔静脉具有管壁薄、内部血流压力低的特点,因此一旦上纵隔受到肿瘤侵犯,就容易导致上腔静脉受压,出现头痛、头晕、颜面部水肿和呼吸困难等上腔静脉综合征(superior vena cava syndrome,SVCS)表现。对于MCAO,支气管镜下气道消瘤和/或气道支架置入术可以快速缓解呼吸困难[3,4];对于恶性肿瘤所致SVCS则可通过血管腔内支架置入术来缓解症状[5]。然而,晚期肺癌同时侵及中心气道和上腔静脉导致MCAO合并SVCS的病例罕见报道,其治疗方法亦无统一共识。现报道我科气道支架和上腔静脉支架联合置入治疗晚期非小细胞肺癌导致中心气道狭窄和上腔静脉综合征1例,效果满意,以供临床借鉴。 展开更多
关键词 晚期肺癌 中心气道狭窄 上腔静脉综合征 支架
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Mixed-dimensional hierarchical configuration of 2D Ni_(2)P nanosheets anchored on 1D silk-derived carbon fiber for extraordinary electromagnetic wave absorption 被引量:6
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作者 Fei Pan Lei Cai +3 位作者 yanyan dong Xiaojie Zhu Yuyang Shi Wei Lu 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2022年第6期85-94,共10页
Considering a series of electromagnetic pollution problems brought by the development of electronic communication technology,more attention has been paid to the research of electromagnetic wave(EMW)absorbing materials... Considering a series of electromagnetic pollution problems brought by the development of electronic communication technology,more attention has been paid to the research of electromagnetic wave(EMW)absorbing materials with unique composition and structure.Herein,under the inspiration of mixeddimensional hierarchical structure,2D Ni_(2)P nanosheets anchored on 1D silk-derived carbon fiber is successfully fabricated as a gratifying resistor-dielectric type absorber.By a controllable pyrolyzation strategy and disproportionated reaction,high-density 2D Ni_(2)P nanosheets were grown vertically and cross-linked on the surface of 1D silk-derived carbon fiber.The sample exhibited superior EMW absorption performance with maximum reflection loss value of–56.9 d B at the thickness of 2.32 mm and the effective absorption bandwidth can reach to 7.2 GHz at the thickness of 1.93 mm.In addition,the pure Ni_(2)P shows remarkable dielectric characteristic and EMW absorption ability as well.The integration of dualconductive loss,enhanced polarization relaxation loss and the multiple scattering in the composites was proved to contribute to the good EMW absorption performance.Therefore,this work confirms the great potentials of Ni_(2)P as a high-efficient EMW absorbing materials and light a new way in construction of multidimensional absorber. 展开更多
关键词 BIOMASS Metal phosphates Mixed-dimensional hierarchical structure Impedance match Electromagnetic wave absorption
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Smart Cotton Fabric with CO_(2)-Responsive Wettability for Controlled Oil/Water Separation 被引量:3
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作者 Liping Liang yanyan dong +1 位作者 Hongfang Wang Xu Meng 《Advanced Fiber Materials》 CAS 2019年第3期222-230,共9页
Stimuli-responsive materials with switchable wettability have promising practical applications in oil/water separation.A novel CO_(2)-responsive cotton fabric for controlled oil/water separation was fabricated based o... Stimuli-responsive materials with switchable wettability have promising practical applications in oil/water separation.A novel CO_(2)-responsive cotton fabric for controlled oil/water separation was fabricated based on mussel-inspired reaction and polymerized with 2-(dimethylamino)ethyl methacrylate(DMAEMA).As expected,the modified fabric exhibited switchable hydrophilicity and hydrophobicity after CO_(2)/N_(2) alternation,and it could be used for gravity-driven CO_(2)-controlled oil/water separation.Water was selectively penetrated through the fabric and separated from oil after treating by CO_(2).A reversed wettability could be generated through simply treated with N2.It is expected that the as-prepared fabrics could be applied in smart oil/water separation due to the attractive properties of CO_(2)-switchable system. 展开更多
关键词 Bioinspired fabric Fiber CO_(2)-responsiv Oil/water separation
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