Prenatal diagnosis of congenital cystic adenomatoid malformation of the lung by fetal lung biopsy

A case of type III congenital cystic adenomatoid malformation of the lung was successfully diagnosed prenatally by fetal lung biopsy. We performed this procedure at 22 weeks of gestation, using a biopsy gun system under ultrasound guidance. The pregnancy was undisturbed by the procedure but as the condition was incompatible with life, an abortion was performed. The diagnosis was confirmed at post-mortem examination. Fetal lung biopsy appears to be a useful method for prenatal diagnosis of fetal lung disorders.     

Sonographic diagnosis of cystic adenomatoid malformation in-utero

Routine ultrasound examination at 30 weeks gestation revealed an intrapulmonary cystic mass in an otherwise normal fetus. Following delivery at term, the diagnosis of congenital cystic adenomatoid malformation of the right lung was confirmed, and an elective right middle lobectomy successfully performed at nine days of age.     

气态甲醛对大鼠肺组织影响的病理学观察

为了研究大鼠吸入甲醛后其肺组织病理结构的改变并探讨其损伤机理,以雌性Wisar大鼠为实验材料,采用动式吸入方式染毒15d(暴露组甲醛浓度32～37mg·m-3,每日暴露4h)后,取肺组织进行光镜及透射电镜观察.光镜观察结果表明,甲醛暴露后,大鼠肺组织主要表现为间质性肺炎和肺泡性肺炎的病理学特点,肺泡壁毛细血管扩张、充血、出血严重,个别区域可见大量炎细胞浸润,肺内细支气管和肺泡腔内见大量血细胞,部分肺泡腔内有透明膜形成,内含脱落的肺泡上皮细胞.电镜观察结果表明,甲醛暴露后,大鼠肺泡上皮细胞损伤严重,线粒体嵴断裂、肿胀、空泡化,部分肺泡上皮细胞胞膜溶解,细胞器丢失,细胞坏死、脱落.推测甲醛吸入可致大鼠肺病理损伤,损伤机理可能与自由基损害和醛糖还原酶(AR)表达变化有关.     

学龄儿童肺功能水平影响因素的研究

用逐步回归分析方法对与室内、外空气污染和机体状况等有关的因素对广州市学龄儿童肺功能 (FVC、FEV1 、PEFR和 FEF2 5～ 75 )水平的影响进行研究。结果提示 ,影响肺功能水平的主要因素是内因 ,身高的影响最明显 ,呼吸系统疾病或症状发生与肺功能水平下降有关 ;室外空气污染使肺功能水平下降 ,SO2 、NOx 和 PM2 .5 的影响明显 ,PM2 .5 的影响明显大于 PM1 0 和 TSP;居室或厨房通风不良、家庭烹饪用不洁燃料对儿童肺功能的生长不利 ;被动吸烟对女性儿童肺功能有不利影响。对各种影响因素 ,PEFR和 FEF2 5～ 75 比 FVC和 FEV1 更为敏感     

兰州市空气污染对儿童肺功能影响的前瞻性研究

从不同的角度阐述了室内外空气污染对儿童肺功能 ,特别是小气道功能的影响及其影响程度的前瞻性研究结果。并通过多因素、多指标的综合分析 ,揭示了一些影响儿童肺功能的主要因素。指出了从保护人体健康的角度来说 ,好的环境空气质量和良好的室内空气质量同样重要     

Prenatal diagnosis in three cases of iniencephaly with unusual postmortem findings

Iniencephaly is a rare and lethal congenital malformation of the neural tube characterized by occipital bone defect, cervical dysraphism, fixed retroflexion of the fetal head and severe lordosis of the cervicothoracic spine. The etiology is unknown. Prenatally diagnosed cases of iniencephaly are rare because careful and early ultrasonographic evaluation is necessary. We present three cases of iniencephaly prenatally diagnosed by sonography at 20–22 weeks' gestation in which therapeutic abortion was induced. The sonographic findings were compatible with the postmortem findings. The present cases of iniencephaly were found to carry unusual associated malformations such as two lobes in the right lung and chorangiosis of the placenta. Only hypoplastic lungs have been reported by previous authors. We also studied the 677C→T mutation on the methylenetetrahydrofolate reductase gene in the parents in one of the present cases. The mother was found to be heterozygous for the 677CT polymorphism. Copyright © 2001 John Wiley & Sons, Ltd.     

宁东能源化工基地大气PM2.5中硝基多环芳烃污染特征及呼吸暴露风险

利用大气主动采样技术对宁东能源化工基地大气PM_(2.5)中硝基多环芳烃(NPAHs)的污染特征、一次排放和二次形成源贡献及呼吸暴露风险进行了观测研究.结果表明,宁东能源化工基地大气PM_(2.5)中Σ _(12)NPAHs质量浓度在2. 06～37. 14ng·m~(-3)之间,其中基于能源产业的宝丰采样点冬、夏季采样期Σ _(12)NPAHs的平均质量浓度分别为(25. 57±5. 76) ng·m~(-3)和(6. 22±1. 74) ng·m~(-3).以化工、电力产业为主的英力特采样点冬、夏季Σ _(12)NPAHs平均质量浓度分别为(7. 13±1. 44)ng·m~(-3)和(2. 58±0. 39) ng·m~(-3),两采样点均表现出冬季高于夏季的季节特征,推测为冬季取暖造成较高的NPAHs一次排放所致.宝丰采样点Σ _(12)NPAHs浓度水平明显高于英力特,可能与宝丰的煤炭开采及焦炭生产的能源产业较化工产业造成更高的NPAHs一次排放相关,因而造成了Σ _(12)NPAHs浓度水平的空间差异.两个采样点PM_(2.5)中Σ _(12)NPAHs浓度的夜昼比表明,夏季Σ _(12)NPAHs浓度日间明显高于夜间而冬季则相反,表明夏季日间较夜间存在更活跃的大气光化学反应,较夜间贡献更多二次形成的NPAHs. NPAHs族谱特征的时空差异表现为:宝丰和英力特采样点冬夏季均以一次排放标识物2N-FLO和6N-CHR为主要占比,其中宝丰采样点冬季2N-FLO和6N-CHR总占比为46%,夏季为73%,英力特采样点冬季总占为59%,夏季为55%.但英力特采样点夏季二次形成的标识物3N-PHE浓度占比较宝丰更高,表明基于化工产业的英力特较宝丰存在更高的前体物排放,由此贡献更多二次形成的NPAHs.本研究还借助Σ _(12)NPAHs/Σ _(16)PAHs比值对NPAHs可能的来源贡献进行了分析研究,结果表明宁东能源化工基地夏季较高的温度促进了PAHs的降解以及NPAHs的二次形成,较冬季贡献更多二次形成源的NPAHs.基于BaP等效毒性因子评价法估算了PM_(2.5)中Σ _5NPAHs的呼吸暴露肺癌风险,结果表明,宝丰采样点PM_(2.5)中Σ _5NPAHs的肺癌风险值冬季为(3. 06×10~(-5)±1. 36×10~(-5)),夏季为(1. 79×10~(-5)±0. 80×10~(-5)),英力特采样点冬季为(2. 85×10~(-5)±1. 20×10~(-5)),夏季为(1. 86×10~(-5)±0. 83×10~(-5)).宝丰和英力特肺癌风险值均高于Cal/EPA规定的1. 00×10~(-5)的限值,表明宁东能源化工基地人群存在一定程度的大气PM_(2.5)中NPAHs呼吸暴露肺癌风险.     

SO2长期吸入对大鼠肺组织基因表达谱的影响

采用Affymetrix的基因芯片(RAE230A)技术,研究了SO2长期动态吸入(14mg/m3,1h/d,共30d)后大鼠肺组织基因表达谱的改变.结果表明,与对照组(CK)相比,SO2长期吸入后大鼠肺组织表达上调的基因有173个,其中包括79个已知基因和94个新基因,而表达下调的基因有85个,其中包括46个已知基因和39个新基因.表明:(1)长期吸入SO2的大鼠肺基因表达谱与其CK相比,表达有差异的基因涉及到脂肪酸代谢、免疫、炎症、氧化应激、原癌基因、肿瘤抑制基因和细胞外基质等,表明低剂量长期吸入SO2在体内的机理非常复杂;(2)SO2高剂量短期吸入与低剂量长期吸入后,大鼠肺组织基因表达谱的改变很不一致,表明二者在体内的作用机理不同;(3)SO2可引起多种基因的表达发生改变,这意味着多种基因的表达是易变的、不稳定的,在肺组织中可能存在着SO2诱发的表达不稳定型基因组.表1参19