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Treatment of Nausea and Vomiting During Chemotherapy. 化疗期间恶心和呕吐的治疗。
Pub Date : 2011-01-01 DOI: 10.17925/ohr.2011.07.2.91
Karen M Mustian, Katie Devine, Julie L Ryan, Michelle C Janelsins, Lisa K Sprod, Luke J Peppone, Grace D Candelario, Supriya G Mohile, Gary R Morrow

Nausea and vomiting are two of the most troubling side effects patients experience during chemotherapy. While newly available treatments have improved our ability to manage nausea and vomiting, anticipatory and delayed nausea and vomiting are still a major problem for patients receiving chemotherapy. Many cancer patients will delay or refuse future chemotherapy treatments and contemplate stopping chemotherapy altogether because of their fear of experiencing further nausea and vomiting. The purpose of this article is to provide an overview of the patho-psychophysiology of chemotherapy-induced nausea and vomiting and the recommended guidelines for treatment.

恶心和呕吐是化疗期间患者最头疼的两种副作用。虽然新的治疗方法提高了我们控制恶心和呕吐的能力,但预期性和延迟性恶心和呕吐仍然是化疗患者面临的主要问题。许多癌症患者会因为害怕再次出现恶心和呕吐而推迟或拒绝今后的化疗,甚至考虑完全停止化疗。本文旨在概述化疗引起的恶心和呕吐的病理心理生理学以及推荐的治疗指南。
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引用次数: 0
Platelet Activation Following Exposure to Anti-ABO Antibodies-An In Vitro Study. 暴露于抗abo抗体后血小板活化-一项体外研究。
Pub Date : 2011-01-01 DOI: 10.17925/ohr.2011.07.1.72
Majed A Refaai, Kelly F Henrichs, Sherry L Spinelli, Richard P Phipps, Edward Masel, Brian H Smith, Charles W Francis, Neil Blumberg

Since platelets possess A and B antigen, mismatched ABO platelets could, theoretically, become activated or hypofunctional by exposure to anti-A or anti-B antibodies found in transfused or recipient plasma. Following normal baseline platelet aggregation to adenosine diphosphate (ADP), platelets from normal donors of different blood types were incubated at 37°C for 10 minutes with 50μl of normal saline (NS), O plasma, or AB plasma. Aggregation was then induced with ADP. No significant changes from baseline were seen in platelet aggregation studies following incubation with NS. However, platelet aggregations of type A and type B platelets were significantly inhibited when incubated with O plasma (mean of 41 and 22%, respectively). Our findings indicate that mediators in group O plasma, very likely anti-A and anti-B antibodies, cause impaired platelet aggregation of ABO non-identical platelets.

由于血小板具有A和B抗原,理论上,不匹配的ABO血小板可能由于暴露于输血或受体血浆中发现的抗A或抗B抗体而被激活或功能低下。在正常基线血小板聚集到二磷酸腺苷(ADP)后,将不同血型的正常献血者的血小板与50μl生理盐水(NS)、O型血浆或AB型血浆在37℃下孵育10分钟。然后用ADP诱导细胞聚集。与NS孵育后的血小板聚集研究相比,未见明显变化。然而,与O型血浆孵育时,A型和B型血小板聚集明显受到抑制(平均分别为41%和22%)。我们的研究结果表明,O组血浆中的介质,很可能是抗a和抗b抗体,导致ABO不相同血小板的血小板聚集受损。
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引用次数: 4
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US oncology & hematology
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