1
|
Gao Y, Qiu HB, Zhou S, Wang ZN, Zhang JC, Zhang ZL, Qian ZX, Wang HB, Yu SH, Luo YF, Wang YD, Liu Z, Wang WC, Jia M, Zhang LM, Zhang Y, Jin Y, Zhang Y, Liu Y, Zhou ZH, Su Y, Li HQ, Xiao WM, Huang K, He P, Li G, Fu ZH, Liu S, Lin NX, Cheng FJ. Accumulated Clinical Experiences from Successful Treatment of 1377 Severe and Critically Ill COVID-19 Cases. Curr Med Sci 2020; 40:597-601. [PMID: 32767260 PMCID: PMC7412779 DOI: 10.1007/s11596-020-2221-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 06/30/2020] [Indexed: 12/13/2022]
Abstract
In late December 2019, COVID-19 was firstly recognized in Wuhan, China and spread rapidly to all of the provinces of China. The West Campus of Wuhan Union Hospital, the designated hospital to admit and treat the severe and critically ill COVID-19 cases, has treated a large number of such patients with great success and obtained lots of valuable experiences based on the Chinese guideline (V7.0). To standardize and share the treatment procedures of severe and critically ill cases, Wuhan Union Hospital has established a working group and formulated an operational recommendation, including the monitoring, early warning indicators, and several treatment principles for severe and critically ill cases. The treatment experiences may provide some constructive suggestions for treating the severe and critically ill COVID-19 cases all over the world.
Collapse
Affiliation(s)
- Yong Gao
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Hai-Bo Qiu
- Zhongda Hospital of Southeast University, Nanjing, 210009, China
| | - Shu Zhou
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Zhen-Ning Wang
- The First Affiliated Hospital of China Medical University, Shenyang, 110001, China
| | - Jian-Chu Zhang
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Zheng-Liang Zhang
- The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China
| | - Zhao-Xin Qian
- Xiangya Hospital of Zhongnan University, Changsha, 410008, China
| | - Hong-Bo Wang
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Shi-Huan Yu
- The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China
| | - Yi-Feng Luo
- The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China
| | - Ya-Dan Wang
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Zhuang Liu
- Beijing Friendship Hospital of Capital Medical University, Beijing, 100050, China
| | - Wei-Ci Wang
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Ming Jia
- Beijing Anzhen Hospital of Capital Medical University, Beijing, 100029, China
| | - Li-Ming Zhang
- Beijing Chaoyang Hospital of Capital Medical University, Beijing, 100020, China
| | - Yu Zhang
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Yang Jin
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Yong Zhang
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Yong Liu
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Zi-Hua Zhou
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Ying Su
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Hui-Qing Li
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Wei-Min Xiao
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Kai Huang
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Ping He
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Gang Li
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Zhao-Hui Fu
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Shi Liu
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Neng-Xing Lin
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Fan-Jun Cheng
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
| |
Collapse
|
2
|
Zhu TT, Zhang WF, Luo P, Qian ZX, Li F, Zhang Z, Hu CP. LOX-1 promotes right ventricular hypertrophy in hypoxia-exposed rats. Life Sci 2017; 174:35-42. [DOI: 10.1016/j.lfs.2017.02.016] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 02/19/2017] [Accepted: 02/28/2017] [Indexed: 12/12/2022]
|
3
|
Long TY, Jing R, Kuang F, Huang L, Qian ZX, Yang TL. CIRBP protects H9C2 cells against myocardial ischemia through inhibition of NF-κB pathway. ACTA ACUST UNITED AC 2017; 50:e5861. [PMID: 28355355 PMCID: PMC5423751 DOI: 10.1590/1414-431x20175861] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Accepted: 01/24/2017] [Indexed: 12/31/2022]
Abstract
Myocardial ischemia is a major cause of death and remains a disease with extremely deficient clinical therapies and a major problem worldwide. Cold inducible RNA-binding protein (CIRBP) is reported to be involved in multiple pathological processes, including myocardial ischemia. However, the molecular mechanisms of myocardial ischemia remain elusive. Here, we first overexpressed CIRBP by transfection of pc-CIRBP (pcDNA3.1 containing coding sequenced for CIRBP) and silenced CIRBP by transfection of small interfering RNA targeting CIRBP (siCIRBP). pcDNA3.1 and the negative control of siCIRBP (siNC) were transfected into H9C2 cells to act as controls. We then constructed a cell model of myocardial ischemia through culturing cells in serum-free medium with hypoxia in H9C2 cells. Subsequently, AlamarBlue assay, flow cytometry and western blot analysis were used, respectively, to assess cell viability, reactive oxygen species (ROS) level and apoptosis, and expression levels of IκBα, p65 and Bcl-3. We demonstrated that CIRBP overexpression promoted cell proliferation (P<0.001), inhibited cell apoptosis (P<0.05), reduced ROS level (P<0.001), down-regulated phosphorylated levels of IκBα and p65 (P<0.01 or P<0.001), and up-regulated expression of Bcl-3 (P<0.001) in H9C2 cells with myocardial ischemia. The influence of CIRBP knockdown yielded opposite results. Our study revealed that CIRBP could protect H9C2 cells against myocardial ischemia through inhibition of NF-κB pathway.
Collapse
Affiliation(s)
- T Y Long
- Cardiovascular Department, The Xiangya Hospital of Central South University, Changsha City, Hunan Province, China
| | - R Jing
- Cardiovascular Department, The Xiangya Hospital of Central South University, Changsha City, Hunan Province, China
| | - F Kuang
- Department of Cardiac Surgery, The First Affiliated Hospital of Xiamen University, Xiamen City, Fujian Province, China
| | - L Huang
- Department of Cardiac Surgery, Shenzhen Hospital of Peking University, Shenzhen City, Guangdong Province, China
| | - Z X Qian
- Department of Emergency, The Xiangya Hospital of Central South University, Changsha City, Hunan Province, China
| | - T L Yang
- Cardiovascular Department, The Xiangya Hospital of Central South University, Changsha City, Hunan Province, China
| |
Collapse
|
4
|
Luo P, Zhang WF, Qian ZX, Xiao LF, Wang H, Zhu TT, Li F, Hu CP, Zhang Z. MiR-590-5p-meidated LOX-1 upregulation promotes Angiotensin II-induced endothelial cell apoptosis. Biochem Biophys Res Commun 2016; 471:402-8. [DOI: 10.1016/j.bbrc.2016.02.074] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Accepted: 02/18/2016] [Indexed: 02/07/2023]
|
5
|
Huang QL, Qian ZX, Li H. A comparative study of the urinary trypsinogen-2, trypsinogen activation peptide, and the computed tomography severity index as early predictors of the severity of acute pancreatitis. Hepatogastroenterology 2010; 57:1295-1299. [PMID: 21410075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND/AIMS The aim of the study was to establish the value of urinary trypsinogen-2 in predicting the severity of acute pancreatitis (AP) and to compare it with the accuracy of the urinary trypsinogen activation peptide (TAP) and the computed tomography severity index (CTSI). METHODOLOGY The study population consisted of 187 consecutive patients with AP, of whom 38 had severe disease. The predictive values of urinary trypsinogen-2, TAP and CTSI were assessed within 24 h of the onset of symptoms. RESULTS The mean values of predictive markers in the mild and severe pancreatitis groups were: urinary trypsinogen-2, 59/90 and 25/13 (p < 0.001); urinary TAP, 13.2 +/- 3.3nmol/l and 66.2 +/- 19.3 nmol/l (p < 0.001); and computed tomography severity index, 1.42 +/- 1.1 and 5.31 +/- 2.6 (p < 0.001). The sensitivity, specificity, positive predictive value, negative predictive value, and positive and negative likelihood ratios were calculated for the urinary trypsinogen-2 (65.7%, 66.4%, 33.3%, 88.4%, 1.9, and 0.51), for TAP (greater than 35 nmol/l: 63.2%, 65.8%, 32.0%, 87.5%, 1.9, and 0.58) and for CTSI (greater than 3: 47.4%, 95.3%, 69.2%, 87.7%, 9.0 and 0.55). To differentiate between severe and mild AP, urinary trypsinogen-2 (AUC 0.724) was slightly better than TAP (AUC 0.722), and they were both clearly better than CTSI (AUC 0.597) (p < 0.05). Urinary trypsinogen-2 had significantly lower cost (p < 0.001) than TAP and computed tomography. CONCLUSION Urinary trypsinogen-2 was superior to CTSI and was as good as or even better than urinary TAP in the early prediction of severity in AP. This suggests that this simple and quick method deserves routine clinical application.
Collapse
Affiliation(s)
- Qiu-Lin Huang
- Department of General Surgery, First Affiliated Hospital, University of South China, Hengyang 421001, PR China
| | | | | |
Collapse
|
6
|
Qian ZX, Huang H, Lin XJ. [Protective effects of tetramethylpyrazine on rat myocardial cells infected by Coxsackie virus B3 and its signal transduction mechanism]. Zhongguo Dang Dai Er Ke Za Zhi 2009; 11:687-690. [PMID: 19695203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
OBJECTIVE To study the protective effects of tetramethylpyrazine (TMPZ) on rat myocardial cells infected by Coxsackie virus B3 (CVB3) and its signal transduction mechanism. METHODS The cultured myocardial cells of neonatal Sprague-Dawley rats were randomly treated with CVB3, CVB3+TMPZ (100 micromol/L), TMPZ (100 micromol/L) (negative control) or DMEM (blank control). After treatment, the beating rate of myocardial cells and the LDH activity in the culture fluid were measured. Cell viability was ascertained with MTT assay. Western blot was used to study the expression of nuclear factor kappa-B (NF-kappaB) protein in myocardial cells. RESULTS The beating rate of myocardial cells in the untreated CVB3 infection group was significantly lower than that in the TMPZ-treated CVB3 infection group (32.0+/-3.6 bpm vs 84.3+/-3.5 bpm, P<0.01). The LDH activity and NF-kappaB expression in the TMPZ-treated CVB3 infection group was significantly reduced when compared with untreated CVB3 infection group (P<0.05, P<0.01, respectively). Cell viability 7 days after CVB3 infection in the TMPZ-treated group was higher than that in the untreated CVB3 infection group (86.7+/-2.7% vs 35.3+/-3.4%; P<0.01). CONCLUSIONS TMPZ can provide protective effects on rat myocardial cells infected by CVB3, possibly by an inhibition of the activity of NF-kappaB in myocardial cells.
Collapse
Affiliation(s)
- Zhao-Xin Qian
- Department of Emergency, Xiangya Hospital, Central South University, Changsha, China.
| | | | | |
Collapse
|
7
|
Zhang WH, Qian ZX, Wang HH, Cai K, Lin YL. [Regulatory effect of ventral tegmental area on sleep-wakefulness in rats]. Sheng Li Xue Bao 1995; 47:195-200. [PMID: 7652596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Experiments were performed on 31 male SD rats. The results were as follows: (1) The time of waking was increased during the second and third hours after microinjection of 3.3 and 6.6 nmol bromocriptine into bilateral VTA (P < 0.01), but the 1.33 nmol group was without significant effect. (2) The time of waking was decreased during the second and third hours after microinjection of 2 and 4 nmol SCH23390 into VTA (P < 0.01 and P < 0.05 respectively), while 3.4 nmol sulpiride group was without effect. (3) One week after administration of kainic acid (0.3 microgram), the rats presented less time of waking in the day (P < 0.05), while sleep-wakefulness cycle at night showed no change. The results suggest that bromocriptine could increase wakefulness by activating VTA DA neurons via D1 receptor and that the DA neurons might exert a tonic effect for maintaining the wakefulness at the daytime.
Collapse
Affiliation(s)
- W H Zhang
- Department of Physiology, Shanghai Second Medical University
| | | | | | | | | |
Collapse
|
8
|
Song HQ, Qian ZX, Su RK. Coulomb instability of hot nuclei with derivative scalar coupling. Phys Rev C Nucl Phys 1994; 49:2924-2931. [PMID: 9969569 DOI: 10.1103/physrevc.49.2924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
|
9
|
Qian ZX, Zhang HG, Lin YL. [Effects of bromocriptine microinjection into VTA on the DOPAC level in nucleus accumbens]. Sheng Li Xue Bao 1993; 45:479-85. [PMID: 8146671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The experiment was performed in sodium pentobarbital anesthetized male SD rats. In vivo differential pulse voltammetry (DPV) was used to monitor a metabolite of dopamine-3,4-dihydroxyphenylacetic acid (DOPAC) level in the ipsilateral nucleus accumbens following microinjection of bromocriptine (2.5 micrograms/0.5 microliters, n = 5) into left ventral tegmental area (VTA). The results indicated that after microinjection the amplitude of DOPAC peak increased gradually and reached to 128% and 143% compared to the control at the 50th and 80th min respectively (P < 0.01). The duration of the effect was about two hours. One hundred and eighty min after injection, the amplitude of DOPAC decreased to 111% of control (P > 0.05). SCH23390 (2 nmol/0.5 microliters, n = 4), a selective D1 antagonist was given into left VTA 40 min prior to microinjection of bromocriptine. In this group, the above-mentioned effect of bromocriptine was blocked, the amplitude of DOPAC peak showed no increase. The results suggest that the microinjection of bromocriptine into VTA induces an increase of activity of mesolimbic dopaminergic neurons probably mediated by D1 receptor.
Collapse
Affiliation(s)
- Z X Qian
- Department of Physiology, Shanghai Second Medical University
| | | | | |
Collapse
|
10
|
Qian ZX, Song HQ, Su RK. Thermodynamical properties of relativistic nuclear matter with derivative scalar coupling. Phys Rev C Nucl Phys 1993; 48:154-158. [PMID: 9968805 DOI: 10.1103/physrevc.48.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
|
11
|
Song HQ, Qian ZX, Su RK. Coulomb instability of hot nuclei in quantum hadrodynamics. Phys Rev C Nucl Phys 1993; 47:2001-2007. [PMID: 9968655 DOI: 10.1103/physrevc.47.2001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
|
12
|
Qian ZX, Su CG, Su RK. Temperature and density effects on the one-pion exchange potential. Phys Rev C Nucl Phys 1993; 47:877-880. [PMID: 9968507 DOI: 10.1103/physrevc.47.877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
|
13
|
Su RK, Qian ZX. Fluctuation effects of meson fields on quantum hadrodynamics at finite temperature. Phys Rev C Nucl Phys 1992; 46:1528-1534. [PMID: 9968262 DOI: 10.1103/physrevc.46.1528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
|
14
|
Abstract
From 1957 to 1985, 842 patients were diagnosed as having thoracic hydatid cysts; 810 cysts were intrathoracic, 29 occurred on the "liver roof," 2 were cardiac, and 1 was on the chest wall. A total of 1,010 surgical procedures were performed in 807 patients (35 refused operation). There was a total operative mortality of 0.6% (5 deaths). Procedures became more conservative as experience was gained, and 79% of the procedures were endocystectomies. Intact endocystectomy (Barrett's technique) without preliminary aspiration was the approach of choice. Careful protection of the operating field, suturing of all the bronchial openings, and capitonnage were the keys to successful treatment. One hundred six patients with intact endocystectomies done before July, 1975, were followed for 3 to 20 years. Ruptures occurred during cyst manipulation in 35 patients (33%). Recurrence after operation was seen in 2 patients (1.9%). There were no deaths among the patients undergoing intact endocystectomy. In comparison, we followed 136 patients who underwent aspiration endocystectomy and the recurrence rate was 3.7% (5 patients).
Collapse
Affiliation(s)
- Z X Qian
- Department of Thoracocardiac Surgery, First Teaching Hospital, Xinjiang Medical College, Urümqi, Xinjiang Uighur Autonomous Region, The People's Republic of China
| |
Collapse
|
15
|
Shen ZQ, Feng XH, Qian ZX, Liu RL, Yang CR. Application of biotin-avidin system, determination of circulating immune complexes, and evaluation of antibody response in different hydatidosis patients. Am J Trop Med Hyg 1988; 39:93-6. [PMID: 3400804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
The avidin-biotin-peroxidase complex enzyme-linked immunosorbent assay (ABC-ELISA) and standard ELISA were used for the detection of Echinococcus granulosus antibody in sera of 101 patients operated on for hydatid disease, 40 patients with miscellaneous nonhydatid diseases, and 61 normal subjects. Sensitivity and specificity of the two procedures were comparable and the geometric mean antibody titer detected with ABC-ELISA was higher than with standard ELISA. The ABC-ELISA is a sensitive, specific, simple, and convenient method for diagnosing hydatidosis.
Collapse
Affiliation(s)
- Z Q Shen
- Department of Thoracocardiac Surgery, First Affiliated Hospital, Xinjiang Medical College, People's Republic of China
| | | | | | | | | |
Collapse
|
16
|
Qian ZX. [Hydatid cyst of the heart: report of 2 cases]. Zhonghua Wai Ke Za Zhi 1983; 21:626-7. [PMID: 6676002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
|
17
|
Qian ZX, Guo SY, Tang GX, Liu RL, Wu MB, Qiao J, Kur B. Immediate and long-term results of surgical treatment of intrathoracic hydatid cysts. Chin Med J (Engl) 1980; 93:569-72. [PMID: 6772410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
|
18
|
Qian ZX, Guo SY, Tang GX, Liu RL, Wu MB, Qiao J, Kur B. Evaluation of Barrett's technique in 167 cases of pulmonary hydatid cyst. Chin Med J (Engl) 1980; 93:577-80. [PMID: 6772412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
|
19
|
Qian ZX. [Evaluation of Barrett technique in 180 cases of pulmonary hydatid cyst (author's transl)]. Zhonghua Wai Ke Za Zhi 1980; 18:217-9. [PMID: 7472067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
|