检索结果-南通市图书馆

Insect Science 2007年第3期14卷 241-249页

作者： HONG-JIAO CAI ZHI-sheng li MIN-sheng you Institute of Applied Ecology Research Centre for Biodiversity and Eco-Safety Fujian Agriculture and Forestry University Fuzhou China

Field trials were carried out from June to August in 2004 at Wuyishan （Wuyi Mountains）, Fujian province, China, to determine the effects of habitat diversification on arthropod communities. Two Chinese cabbage, Brassica chinensis, field 1 （F1） and field 2 （F2） surrounded by diverse vegetable cultivars were selected, while a monoculture of Chinese cabbage served as the control field （CK）. The results showed that：（i） when comparing insect abundance of each order between different habitats, significantly higher numbers of lepidopterous insects （39.76% from the each order） and lower densities of Hymenoptera （19.82%） were found in CK than in F1 and F2; （ii） compared with CK, F1 and F2 had a lower percentage of species richness and an abundance of herbivorous insects, but increased richness, abundance and biodiversity of predatory insects; （iii） no differences were observed in neutral insects＇ guild between different fields; and （iv） the dominant species for each guild depends on the habitat types and sampling dates. This study suggests that intercropping could conceivably be used in these habitats to increase the population of natural predators, thus achieving desirable and ecologically friendly results in vegetable fields.

关键词： arthropod community community composition community architecture diversity habitat

The current status of multivisceral transplantation

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Hepatobiliary & Pancreatic Diseases International 2009年第4期8卷 345-350页

作者： Mao, Qi li, you-sheng li, Jie-Shou Nanjing Univ Sch Med Jinling Hosp Res Inst Gen Surg Nanjing 210002 Peoples R China

BACKGROUND: Multivisceral transplantation (MVTx) is concurrent transplantation of the stomach, spleen, pancreaticoduodenal complex, and intestine, with (MVTx) or without (modified MVTx) the liver. MVTx has been performed more frequently worldwide, and the survival of patients approximates that of patients who have undergone transplantation of other solid organs. This review introduces the recent development in MVTx. DATA SOURCES: Two English-language medical databases, MEDliNE and SPRINGERliNK, were searched for articles on 'multivisceral transplantation', graft procurement', 'immunosuppression,' and related topics. RESULT: MVTx has been the optimal therapy for the intestine with liver failure and/or failure of several other organs, despite many difficulties in preventing rejection and infection. CONCLUSION: Further study is needed to improve the long-term survival of recipients and reduce the complications.

关键词： multivisceral transplantation immunosuppression graft procurement abdominal wall

Damage control surgery for severe pancreatic trauma

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Hepatobiliary & Pancreatic Diseases International 2007年第6期6卷 569-571页

作者： Wang, Ge-Fei li, you-sheng li, Jie-Shou Nanjing Univ Sch Med Jinling Hosp Res Inst Gen Surg Nanjing 210002 Peoples R China

Pancreatic trauma as a challenge before and during explorative laparotomy is associated with multiple visceral injuries or critical conditions. Its optimal management remains *** current concept of damage control surg... 详细信息

关键词： Damage control surgery for severe pancreatic trauma

Immunological protection of small bowel by simultaneously transplanted liver graft in pigs

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Hepatobiliary & Pancreatic Diseases International 2009年第4期8卷 363-369页

作者： Yin, Zhen-Yu li, Ning Wang, Xiao-Ming Ni, Xiao-Dong Jiang, Feng li, you-sheng li, Jie-Shou Nanjing Univ Sch Med Jinling Hosp Inst Gen Surg Nanjing 210002 Peoples R China Xiamen Univ Zhongshan Hosp Dept Hepatobiliary Surg Xiamen 361004 Peoples R China

BACKGROUND: A simultaneously transplanted liver shields a bowel graft from immunologic attack in small animals, while the possible immuno-tolerance induced by the liver in liver and small bowel transplantation (LSBT) is uncertain in large animal models. To investigate the clinically suspected beneficial effect of the liver on small bowel allograft, we developed a new model of composite LSBT in the pig. METHODS: Seventy outbred long-white pigs were randomized into four groups. LSBT without immunosuppressive treatment (n=10, group A); LSBT with routine immunosuppressive treatment (n=10, group B); LSBT with a lower dose of immunosuppressive treatment (n=10, group C); and small bowel segment allotransplantation without immunosuppressive treatment (n=10, group D). RESULTS: There was no remarkable difference in survival time between groups A and D (10.33 vs. 12.89 days, P>0.05), but the initial time of acute rejection of the intestinal graft in group A was clearly delayed when compared to group D (8.22 vs. 4.33 days, P0.05), initial acute rejection time (25.40 vs. 22.13 days, P>0.05) or rejection score did not differ between groups B and C within one postoperative month. CONCLUSIONS: Compared to isolated segment small bowel allotransplantation, the intestinal graft in LSBT (group A) had a delayed initial time of acute rejection and a lower postoperative acute rejection score, and a lower dose of immunosuppressive treatment led to persistent graft immuno-tolerance in LSBT. Thus the simultaneously transplanted liver graft may reduce the risk of intestinal

关键词： liver transplantation small bowel transplantation porcine allotransplantation rejection immuno-tolerance

Endoscopic monitoring in small bowel transplantation

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World Journal of Gastroenterology 1997年第3期3卷 9-10页

作者： li you sheng, li Jie Shou, li Ning, JIANG Zhi Wei, li Yuan Xin and li Xiao Hua

AIM To investigate the role of endoscopic monitoring in small bowel transplantation. METHODS This study consisted of two parts: the experimental study and clinical study. In the experimental study, white outbred pigs underwent segmental small bowel allotransplantation. The proximal and distal intestine were brought out as stomas (Thiry Vella loop). The grafts, treated with or without immunosuppression, were monitored by endoscopy via stomas. In the clinical study, a female patient with short bowel syndrome received whole small bowel allotransplantation. The graft was monitored by endoscopy via distal stoma. RESULTS The most common endoscopic findings of graft rejection following small bowel allotransplantation were mucosal erythema, erosion and ulceration. Diffuse ulceration with bleeding was seen in late phase of rejection. CONCLUSION Endoscopic monitoring is essential to small bowel transplantation.

关键词： small intestine/transplantation graft rejection endoscopy intestinal mucosa/pathology

从加速康复外科到预康复——理念更新与临床实践模式转变

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中国实用外科杂志 2024年第2期44卷 155-159页

作者：李幼生上海交通大学医学院附属第九人民医院普通外科上海200011

加速康复外科(ERAS)可有效提高手术安全性、缩短住院时间、降低医疗费用。ERAS主要强调围手术期及术后干预。然而,术前病人各项功能及相关能力差与术后并发症和死亡率增加有关,提高病人术前各项功能及相关能力可以改善术后恢复。包括运... 详细信息

加速康复外科(ERAS)可有效提高手术安全性、缩短住院时间、降低医疗费用。ERAS主要强调围手术期及术后干预。然而,术前病人各项功能及相关能力差与术后并发症和死亡率增加有关,提高病人术前各项功能及相关能力可以改善术后恢复。包括运动、营养和心理社会成分在内的术前多模式预康复可作为对ERAS方案的有益补充,目标是增强病人的能力、降低术后发病率,提高术后恢复率,最终通过持续行为改变和并发症管理以期改善病人长期预后。

关键词：加速康复外科预康复衰弱医学营养治疗

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围手术期目标导向液体治疗——在争论中前行

中华胃肠外科杂志 2012年第6期15卷 540-543页

作者：李幼生南京军区南京总医院普通外科解放军普通外科研究所 210002

液体治疗是围手术期处理争论最多的问题之一．目前常规和围手术期液体治疗还是基于50年代与60年代提出的限制性与开放性液体治疗理论．但总体而言液体量均超负荷．导致患者围手术并发症与病死率增加。基于个体化的围手术期液体目标导向... 详细信息

液体治疗是围手术期处理争论最多的问题之一．目前常规和围手术期液体治疗还是基于50年代与60年代提出的限制性与开放性液体治疗理论．但总体而言液体量均超负荷．导致患者围手术并发症与病死率增加。基于个体化的围手术期液体目标导向治疗已成为高危患者围手术液体治疗的重要组成。

关键词：目标导向治疗加速康复外科围手术期处理液体治疗

Recovery of the allografted small intestine functions

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World Journal of Gastroenterology 1997年第2期3卷 10-11页

作者： JIANG Zhi Wei, li Jie Shou, li Nin, li you sheng, liU Fang Lan, sheng Xue Qin and CHENG Yong Min Subject headings Nutritional support small intestine/transplantation small intestine/physiopathology

AIM To investigate the recovery of the allografted small intestine functions after a clinical small bowel transplantation (SBT). METHODS The structure of the graft was evaluated by endoscopic biopsy and histopathologic examination. The graft functions were assessed by D xylose absorption, barium studies, nitrogen balance calculation, and blood and stool cultures. Recipient nutritional status was judged by measurement of body weight and serum protein concentrations. RESULTS The recipient stopped TPN and resumed oral nutrition 100 days after SBT. On oral diet the patient maintained a normal nutritional status, gained weight by 3kg and held a normal serum albumin concentration (40 2g/L±0 2g/L). Satisfactory D xylose absorption was obtained 8 weeks after operation. Nitrogen balance of gut was positive and increased gradually. Serial mucosal biopsy showed normal structures 2 weeks after grafting, without evidence of rejection and graft vesus host diseases (GVHD). On the 10th day and 38th day by barium studies, the grafted small bowel motility showed normal patterns of peristalsis and transit. No bacterial translocations were found. CONCLUSION The functions of the grafted small intestine were recovered satisfactorily 100 days after transplantation, indicating a successful clinical SBT.

关键词： the alografted functions Recovery

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后基因组时代营养代谢与支持研究

中华医学杂志 2005年第36期85卷 2544-2546页

作者：李幼生黎介寿南京军区南京总医院全军普通外科研究所 210002

随着20世纪90年代人类基因组测序草图的完成,生命科学进入了后基因组时代.现代生物技术对生命科学的发展产生了深远的影响,营养代谢与支持作为生命科学的重要组成部分与现代生物技术的结合更为密切,所取得的进展已影响到人类的疾病治疗... 详细信息

随着20世纪90年代人类基因组测序草图的完成,生命科学进入了后基因组时代.现代生物技术对生命科学的发展产生了深远的影响,营养代谢与支持作为生命科学的重要组成部分与现代生物技术的结合更为密切,所取得的进展已影响到人类的疾病治疗模式与健康.现就后基因组时代营养代谢与支持的发展现状及发展方向谈一下我们的观点和体会。

关键词：后基因组时代营养代谢人类基因组测序 20世纪90年代现代生物技术生命科学治疗模式

从放射性盆腔病概念的产生看疾病整体治疗的重要性

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医学研究生学报 2016年第5期29卷 449-452页

作者：李幼生南京军区南京总医院解放军普通外科研究所南京210002

放疗已成为肿瘤多学科治疗的重要组成,尽管放疗技术在不断发展,但其不良反应仍十分常见。文中介绍放射性盆腔病概念的产生,即由传统概念放射性肠炎转变为盆腔放射病,2015年,为更能正确反映疾病过程及病理特征,又提出了放射性盆腔病(Radi... 详细信息

放疗已成为肿瘤多学科治疗的重要组成,尽管放疗技术在不断发展,但其不良反应仍十分常见。文中介绍放射性盆腔病概念的产生,即由传统概念放射性肠炎转变为盆腔放射病,2015年,为更能正确反映疾病过程及病理特征,又提出了放射性盆腔病(Radiation pelvicopathy)的概念,旨在强调盆腔放射性损伤的整体治疗。

关键词：放射性盆腔病放射性肠炎整体治疗