辅助生殖治疗中单卵双胎发生的研究进展

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随着不育不孕治疗手段的盛行,世界各地的多胎妊娠率显著提高。与正常妊娠相比,经辅助生殖技术治疗后单卵双胎发生率显著增加。单卵双胎因伴随高风险的并发症而备受关注。然而,单卵双胎发生的相关因素及其发生机制仍未明确。本文概述了单卵双胎的概念、类型、并发症、辅助生殖技术中影响单卵双胎发生的相关因素及发生机制假说,并提出了单卵双胎研究过程中急需解决的一些问题。 With the prevalence of treatment of infertility infertility, multiple pregnancy rates around the world increased significantly. Compared with normal pregnancy, the incidence of monozygotic twins increased significantly after assisted reproductive technology. Monozygotic twins are of concern because of the high risk of complications. However, the related factors and their mechanisms of monozygotic twins are still not clear. This article summarizes the concepts, types and complications of monozygotic twins, the related factors affecting the occurrence of monozygotic twins and the mechanism hypothesis in assisted reproductive technology, and puts forward some problems which are urgently needed to be solved in the study of monozygotic twins.
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细胞因子与慢性心力衰竭(CHF)的发生、发展密切相关[1].白细胞介素18(IL-18)是新近发现的细胞因子,与免疫反应、肿瘤等疾病的关系报道较多.本研究测定48例CHF患者血浆IL-18水平,现将结果报道如下。
患者女性,36岁.因体检中发现心电图异常Q波收入我院.无胸痛、胸闷、心悸、气短等不良主诉.查体:血压100/60 mm Hg(1 mm Hg=0.133 kPa),无颈静脉怒张,双肺呼吸音清.心界不大,心率71次/min,心律齐,于胸骨左缘3、4肋间可闻及Ⅲ级收缩期吹风样杂音.腹部无压痛,肝、脾未触及.双下肢无水肿.入院后行下列辅助检查:心电图示Ⅱ、Ⅲ、aVF异常Q波;超声心动图示各腔室大小正常,