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Efficacy and safety of endoscopic papillary balloon dilation for the removal of bile duct stones: Data from a “real-life” multicenter study on Dilation-Assisted Stone Extraction 被引量:3
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作者 Roberto Di Mitri Filippo Mocciaro +5 位作者 Socrate Pallio Giulia Maria Pecoraro Andrea Tortora Claudio Zulli Simona Attardo Attilio Maurano 《World Journal of Gastrointestinal Endoscopy》 CAS 2016年第18期646-652,共7页
AIM To report data on Dilation-Assisted Stone Extraction(DASE) use in clinical practice and its efficacy and safety trough three Italian referral centers for biliopancreatic diseases treatment. METHODS From January 20... AIM To report data on Dilation-Assisted Stone Extraction(DASE) use in clinical practice and its efficacy and safety trough three Italian referral centers for biliopancreatic diseases treatment. METHODS From January 2011 to December 2015 we collected data on 120 patients treated with DASE. Technical success was obtained when the endoscopist was able to place the balloon trough the papilla inflating the balloon until the final diameter for an adequate time(at least 30 s). Clinical success was obtained after complete stone removal(no remaining stones were visible at the cholangiogram).RESULTS Forty-nine male(40.8%) and 71 female(59%) were enrolled. The mean age was 67.8 years ± 15.7. The mean common bile duct(CBD) dilation was 19.2 mm± 3.9 and the mean size of stones 15.8 ± 2.9. DASE was applied as first approach in 38%(62% after initial failure of stones extraction). Technical and clinical success was of 91% and 87% respectively. In those in which DASE failed alternative treatment were adopted. After DASE 18% of patients experienced a complication(bleeding 9%, pancreatitis 8%, perforation 0.8%). At univariable analysis, elective endoscopic retrograde cholangiopancreatography(P = 0.031), DASE as first approach(P = 0.032), and cannulation of major papilla followed by guidewire insertion(P = 0.004) were related to low risk of complications. Pre-cut was related to an increased risk of complications(P = 0.01). CONCLUSION DASE allowed a higher first-session success rate and can be consider a valid alternative to endoscopic sphincterotomy not only for bigger CBD stones. 展开更多
关键词 ENDOSCOPIC retrograde CHOLANGIOPANCREATOGRAPHY dilation-assisted stone extraction Common bile duct stone ENDOSCOPIC SPHINCTEROTOMY ENDOSCOPIC papillary balloon DILATION
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Dilation assisted stone extraction for complex biliary lithiasis:Technical aspects and practical principles
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作者 Giuseppe Grande Silvia Cocca +9 位作者 Helga Bertani Angelo Caruso Flavia Pigo' Santi Mangiafico Salvatore Russo Marinella Lupo Graziella Masciangelo Paolo Cantu' Raffaele Manta Rita Conigliaro 《World Journal of Gastrointestinal Endoscopy》 2021年第2期33-44,共12页
Common bile duct stones are frequently diagnosed worldwide and are one of the main indications for endoscopic retrograde cholangio-pancreatography.Endoscopic sphincterotomy(EST)has been used for the removal of bile du... Common bile duct stones are frequently diagnosed worldwide and are one of the main indications for endoscopic retrograde cholangio-pancreatography.Endoscopic sphincterotomy(EST)has been used for the removal of bile duct stones for the past 40 years,providing a wide opening to allow extraction.Up to 15%of patients present with complicated choledocholithiasis.In this context,additional therapeutic approaches have been proposed such as endoscopic mechanical lithotripsy,intraductal or extracorporeal lithotripsy,or endoscopic papillary large balloon dilation(EPLBD).EPLBD combined with EST was introduced in 2003 to facilitate the passage of large or multiple bile duct stones using a balloon greater than 12 mm in diameter.EPLBD without EST was introduced as a simplified technique in 2009.Dilation-assisted stone extraction(DASE)is the combination of two techniques:EPLBD and sub-maximal EST.Several studies have reported this technique as safe and effective in patients with large bile duct stones,without any increased risk of adverse events such as pancreatitis,bleeding,or perforation.Nevertheless,it is difficult to analyze the outcomes of DASE because there are no standard techniques and definitions between studies.The purpose of this paper is to provide technical guidance and specific information about the main issues regarding DASE,based on current literature and daily clinical experience in biliary referral centers. 展开更多
关键词 dilation-assisted stone extraction Endoscopic papillary large balloon dilation Macrolithiasis Difficult choledochiolithiasis stone treatment Common bile duct stones Endoscopic retrograde cholangiopancreatography
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Comparison of the mechanisms of microwave roasting and conventional roasting and of their effects on vanadium extraction from stone coal 被引量:4
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作者 Yi-zhong Yuan Yi-min Zhang +1 位作者 Tao Liu Tie-jun Chen 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2015年第5期476-482,共7页
Experiments comparing microwave blank roasting and conventional blank roasting for typical vanadium-bearing stone coal from Hubei Province in central China, in which vanadium is present in muscovite, were conducted to... Experiments comparing microwave blank roasting and conventional blank roasting for typical vanadium-bearing stone coal from Hubei Province in central China, in which vanadium is present in muscovite, were conducted to investigate the effects of roasting tempera- ture, roasting time, H2SO4 concentration, and leaching time on vanadium extraction. The results show that the vanadium leaching efficiency is 84% when the sample is roasted at 800℃ for 30 min by microwave irradiation and the H2SO4 concentration, liquid/solid ratio, leaching temperature, and leaching time are set as 20vo1%, 1.5:1 mL.g-1, 95℃, and 8 h, respectively. However, the vanadium leaching efficiency achieved for the sample subjected to conventional roasting at 900℃ for 60 min is just 71% under the same leaching conditions. Scanning electron microscopy (SEM) analysis shows that the microwave roasted samples contain more cracks and that the particles are more porous compared to the conventionally roasted samples. According to the results of X-ray diffraction (XRD) and Fourier-transform infrared (FTIR) analyses, neither of these roasting methods could completely destroy the mica lattice structure under the experimental conditions; however, both methods deformed the muscovite structure and facilitated the leaching process. Comparing with conventional roasting, microwave roasting causes a greater deformation of the mineral structure at a lower temperature for a shorter roasting time. 展开更多
关键词 vanadium metallurgy extraction stone coal microwave roasting LEACHING vanadium oxides
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Extracting vanadium from stone-coal by oxygen pressure acid leaching and solvent extraction 被引量:20
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作者 邓志敢 魏昶 +3 位作者 樊刚 李旻廷 李存兄 李兴彬 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2010年第S1期118-122,共5页
Vanadium extraction from stone-coal was investigated by oxygen pressure acid leaching and solvent extraction.The mineralogy of the stone-coal from Tongren City of Guizhou Province,China,was investigated by various det... Vanadium extraction from stone-coal was investigated by oxygen pressure acid leaching and solvent extraction.The mineralogy of the stone-coal from Tongren City of Guizhou Province,China,was investigated by various determination methods. The effects of leaching time,leaching temperature,leaching agent concentration,leaching L/S ratio,granularity of material,additive consumption were investigated based on the mineralogy.The results show that under the conditions of leaching time of 3-4 h, temperature of 150℃,sulfuric acid consumption of 25%?30%,ratio of liquid to solid of 1.2:1,the granularity less than 0.074 mm, additive consumption of 3%-5%,and oxygen pressure of 1.2 MPa,and the vanadium leaching rate can be more than 92%by the method of two-step pressurized acid leaching.The powdery V2O5 product with 99.52%in V2O5 content is obtained by the flowsheet of acid recovery,removing iron by reduction process,solvent extraction,precipitating vanadium with ammonium water,and pyrolysis from the stone-coal oxygen pressure acid-leaching solution.The total recovery efficiency of vanadium is above 85%,which is more than 20%higher than that obtained in the conventional process.Furthermore,the new process does not cause air pollution since no HCl or Cl2 is released by calcination of the raw material. 展开更多
关键词 stone-coal extracting vanadium oxygen pressure acid leaching acid recovery solvent extraction
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Effect of vanadium occurrence state on the choice of extracting vanadium technology from stone coal 被引量:37
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作者 WANG Mingyu XIANG Xiaoyan ZHANG Liping XIAO Liansheng 《Rare Metals》 SCIE EI CAS CSCD 2008年第2期112-115,共4页
The extraction technology of vanadium from stone coal by means of no-salt-roasting and dilute acid solution leaching treatment has the advantages of low pollution, low investment, as well as high vanadium leaching eff... The extraction technology of vanadium from stone coal by means of no-salt-roasting and dilute acid solution leaching treatment has the advantages of low pollution, low investment, as well as high vanadium leaching efficiency, which makes it the best technology for extending application. In the present study, the effects of vanadium occurrence state in stone coal, roasting temperature and additive agent on the leaching efficiency of vanadium were studied. The results indicate that the effect of vanadium occurrence state on the extracting vanadium technology is obvious. If the vanadium component in stone coal existed in amorphous phase form, this type of stone coal can be treated by no-slat-roasting and dilute acid solution leaching technology; while the vanadium-bearing crystalline phase existed in stone coal, the roasting additive must be added to destroy this crystalline form so as to acquire high vanadium leaching rate. 展开更多
关键词 VANADIUM extraction ROASTING acid leaching stone coal
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A new process of extracting vanadium from stone coal 被引量:10
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作者 Yan-hua Liu Chao Yang +1 位作者 Pei-you Li Shi-qi Li 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2010年第4期381-388,共8页
A new process of extracting vanadium from the stone coal vanadium ore in Fangshankou, Dtmhuang area of Gansu Province, China was introduced. Various leaching experiments were carried out, and the results show that the... A new process of extracting vanadium from the stone coal vanadium ore in Fangshankou, Dtmhuang area of Gansu Province, China was introduced. Various leaching experiments were carried out, and the results show that the vanadium ore in Fangshankou is difficult to process due to its high consumption of acid and the high leaching rate of impurities. However, the leaching rate can be up to 80% and the content of V2O5 in the residue can be between 0.22%-0.25% in the process of ore fme grinding→oxidation roasting→mixing and ripening→aqueous leaching→P2O4 solvent extraction→sulfuric acid stripping→oxidation and precipitation→decomposition by heat. Also, the quality of flaky V205 produced by this process can meet the requirements of GB3283--87. The total leaching rate of vanadium is 70%. Also, three types of wastes are easy to treat. The vanadium extraction process is better in relation to the aspect of environmental protection than the sodium method. 展开更多
关键词 stone coal VANADIUM extraction LEACHING solvent extraction V2O5
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A review on vanadium extraction techniques from major vanadium-containing resources 被引量:5
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作者 Yin-Hui Wang Yi-Fan Wang +7 位作者 Yu-Ting Li Chang Wu Xiu-Li Han Ning-Ning Zhao Ze-Kun Zhang Lei Dai Ling Wang Zhang-Xing He 《Rare Metals》 SCIE EI CAS CSCD 2024年第9期4115-4131,共17页
The critical role of vanadium in metallurgy and the increasing commercialization of vanadium redox flow batteries have contributed to a rise in market demand for vanadium,emphasizing the need to ensure the sustainabil... The critical role of vanadium in metallurgy and the increasing commercialization of vanadium redox flow batteries have contributed to a rise in market demand for vanadium,emphasizing the need to ensure the sustainability of vanadium production.Converter vanadium slag and stone coal,generated during the smelting process of vanadium–titanium magnetite,serve as primary raw materials for vanadium extraction.This paper reviews the process mineralogy of converter vanadium slag and stone coal,encompassing the chemical and physical phase compositions of the raw materials and the state of vanadium occurrence.The aim is to establish a theoretical foundation for the mechanistic study of the vanadium extraction techniques and to provide a reference for the optimization of the process afterward.This paper systematically summarizes the current vanadium extraction technology from converter vanadium slag,covering roasting,direct leaching,sub-molten salt method,and the technology and research status of vanadium extraction from stone coal.Most importantly,it identifies key issues in the current vanadium extraction techniques and challenges faced in actual production,based on the analysis of the current vanadium extraction process and mechanism research.The forward feasibility and prospects for the development of vanadium extraction technology are outlined. 展开更多
关键词 Converter vanadium slag stone coal Process mineralogy Vanadium extraction process Mechanism research
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Antilithic Effects of Extracts from Urtica dentata Hand on Calcium Oxalate Urinary Stones in Rats 被引量:4
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作者 向明 张莎莎 +4 位作者 鲁憬莉 李璐璐 侯文睿 谢明星 曾莹 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2011年第5期673-677,共5页
This study examined the potential antilithic effects of a traditional Chinese medicine Urtica dentata Hand (UDH) in experimental rats and screened the optimal extract of UDH as a possible therapeutic agent for kidne... This study examined the potential antilithic effects of a traditional Chinese medicine Urtica dentata Hand (UDH) in experimental rats and screened the optimal extract of UDH as a possible therapeutic agent for kidney stones. The rat model of urinary calcium oxalate stones was induced by intragastric (i.g.) administration of 2 mL of 1.25% ethylene glycol (EG) and 1% ammonium chloride (AC) for 28 days and was confirmed by Color Doppler ultrasound imaging. The rats in different experimental groups were then intragastrically given petroleum ether extract (PEE), N-butanol extract (NBE), aqueous extract (AqE) of UDH, Jieshitong (positive control drug), and saline, respectively. Treatment with NBE significantly reduced the elevated levels of urinary calcium, uric acid, phosphate, as well as increased urinary output. Accordingly, the increased calcium, oxalate levels and the number of calcium oxalate crystals deposits were remarkably reverted in the renal tissue of NBE-treated rats. In addition, NBE also prevented the impairment of renal function to decrease the contents of blood urea nitrogen (BUN) and creatinine. Taken together, these data suggest that NBE of UDH has a beneficial effect on calcium oxalate urinary stones in rats by flushing the stones out and protecting renal function. 展开更多
关键词 hyperoxaluria calcium oxalate urinary stones extracts Urtica dentata Hand ethylene glycol ammonium chloride
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Comparison of the efficacy and safety of basket catheters and balloon catheters for endoscopic pancreatic duct stone clearance
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作者 Si-Huai Xiong Yuan-Chen Wang +5 位作者 Ji-Yao Guo Lei Wang Tian-Yu Shi Liang-Hao Hu Zhuan Liao Wen-Bin Zou 《Hepatobiliary & Pancreatic Diseases International》 2025年第3期323-330,共8页
Background:The choice of a basket or a balloon catheter during endoscopic retrograde cholangiopancreatography(ERCP)for the clearance of pancreatic duct stones in patients with chronic pancreatitis(CP)remains controver... Background:The choice of a basket or a balloon catheter during endoscopic retrograde cholangiopancreatography(ERCP)for the clearance of pancreatic duct stones in patients with chronic pancreatitis(CP)remains controversial.This study compared the efficacy and safety of these two devices for pancreatic duct stone extractions.Methods:We compared the efficacy and safety of basket and balloon catheters for pancreatic stone extractions.We enrolled CP patients who underwent ERCP for the first time at Changhai Hospital,Naval Medical University between February 2012 and December 2021.After propensity score matching(1:1),101 patients were included in each group.The primary outcome was the rate of pancreatic stone clearance.Secondary outcomes included the rate of adverse events during hospitalization,long-term pain relief,and quality of life after one year follow-up period.Results:The rate of complete clearance was comparable between the two groups(86.1%vs.84.2%,P=0.692).In patients with stones≥2 cm before extracorporeal shock wave lithotripsy(ESWL),the rate of complete clearance was significantly higher in the balloon catheter group when compared to the basket catheter group[100%(19/19)vs.70.0%(14/20),P=0.031].In the multivariate logistic analysis,ESWL prior to stone extraction was the only independent predictor of complete clearance[with ESWL 58.4%(264/452)vs.without ESWL 41.6%(188/452),odds ratio=2.3,95%confidence interval:1.2–4.3;P=0.013].No significant differences between groups were found regarding the rates of adverse events during hospitalization,quality of life,and pain relief after one year of follow-up.Conclusions:Basket and balloon catheters showed similar efficacy and safety for pancreatic stone extractions.However,the balloon catheter was superior to the basket catheter if the pancreatic stone size was≥2 cm before ESWL. 展开更多
关键词 Pancreatic stone Endoscopic retrograde CHOLANGIOPANCREATOGRAPHY Basket catheter Balloon catheter stone extraction
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Bioleaching of vanadium from barren stone coal and its effect on the transition of vanadium speciation and mineral phase 被引量:5
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作者 Xin Wang Hai Lin +1 位作者 Ying-bo Dong Gan-yu Li 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2018年第3期253-261,共9页
This study determined the optimal conditions required to obtain maximum vanadium extraction and examined the transition of mineral phases and vanadium speciation during the bioleaching process. Parameters including th... This study determined the optimal conditions required to obtain maximum vanadium extraction and examined the transition of mineral phases and vanadium speciation during the bioleaching process. Parameters including the initial p H value, initial Fe^(2+) concentration, solid load, and inoculum quantity were examined. The results revealed that 48.92 wt% of the vanadium was extracted through bioleaching under optimal conditions. Comparatively, the chemical leaching yield(H_2SO_4, pH 2.0) showed a slower and milder increase in vanadium yield. The vanadium bioleaching yield was 35.11 wt% greater than the chemical leaching yield. The Community Bureau of Reference(BCR) sequential extraction results revealed that 88.62 wt% of vanadium existed in the residual fraction. The bacteria substantially changed the distribution of the vanadium speciation during the leaching process, and the residual fraction decreased to 48.44 wt%. The X-ray diffraction(XRD) and Fourier transform infrared(FTIR) results provided evidence that the crystal lattice structure of muscovite was destroyed by the bacteria. 展开更多
关键词 BIOLEACHING stone coal BCR-sequential extraction VANADIUM SPECIATION MINERAL phase
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Mechanical lithotripsy and/or stenting in management of difficult common bile duct stones 被引量:6
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作者 Adem Akcakaya Orhan Veli Ozkan +4 位作者 Gurhan Bas Atilla Karakelleoglu Orhan Kocaman Ismail Okan Mustafa Sahin 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2009年第5期524-528,共5页
BACKGROUND:Mechanical lithotripsy and/or stent insertion is the alternative therapeutic approach in difficult endoscopic retrograde cholangiopancreatography (ERCP)case.This study was designed to investigate the approp... BACKGROUND:Mechanical lithotripsy and/or stent insertion is the alternative therapeutic approach in difficult endoscopic retrograde cholangiopancreatography (ERCP)case.This study was designed to investigate the appropriate treatment for extraction of bile duct stones in difficult cases of ERCP. METHODS:Between 2000 and 2008,744 ERCP procedures were performed in 592 patients with choledocholithiasis in our endoscopy unit.The demographic features,and clinical and laboratory findings were collected from a prospectively held database.Bile duct calculi were extracted by basket and/or balloon catheter following ERCP and sphincterotomy.Patients with retained stones were regarded as difficult cases.These patients were treated with mechanical lithotripsy and those with incomplete clearance of stones underwent stent placement. RESULTS:Two hundred and forty-five patients(41%) were male and 347(59%)were female with a mean age of 58 years(range 19-95 years).Stones were impacted in 27 patients(5%).Stone extraction was performed by basket and/or balloon catheter in 610 ERCP procedures,and lithotripsy was performed in 70 ERCP procedures.Forty- four patients underwent stent insertion,and 20 underwent stent replacement.Morbidity occurred in 39 patients (5%),with no mortality associated with the procedure.Hemorrhage occurred in 9 patients and basket impaction in 4.Mild pancreatitis and cholangitis developed in 12 and 11 patients,respectively. CONCLUSION:Difficult cases of bile duct stones can be treated successfully with lithotripsy,and a stent should be applied when the common bile duct cannot be cleared completely. 展开更多
关键词 common bile duct stone endoscopic retrograde cholangiopancreatography stone extraction mechanical lithotripsy STENTING
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Enhanced properties of stone coal-based composite phase change materials for thermal energy storage 被引量:2
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作者 Baoshan Xie Huan Ma +1 位作者 Chuanchang Li Jian Chen 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CSCD 2024年第1期206-215,共10页
Phase change materials (PCMs) can be incorporated with low-cost minerals to synthesize composites for thermal energy storage in building applications.Stone coal (SC) after vanadium extraction treatment shows potential... Phase change materials (PCMs) can be incorporated with low-cost minerals to synthesize composites for thermal energy storage in building applications.Stone coal (SC) after vanadium extraction treatment shows potential for secondary utilization in composite preparation.We prepared SC-based composite PCMs with SC as a matrix,stearic acid (SA) as a PCM,and expanded graphite (EG) as an additive.The combined roasting and acid leaching treatment of raw SC was conducted to understand the effect of vanadium extraction on promoting loading capacity.Results showed that the combined treatment of roasting at 900℃ and leaching increased the SC loading of the composite by 6.2%by improving the specific surface area.The loading capacity and thermal conductivity of the composite obviously increased by 127%and 48.19%,respectively,due to the contribution of 3wt% EG.These data were supported by the high load of 66.69%and thermal conductivity of 0.59 W·m^(-1)·K-1of the designed composite.The obtained composite exhibited a phase change temperature of 52.17℃,melting latent heat of 121.5 J·g^(-1),and good chemical compatibility.The SC-based composite has prospects in building applications exploiting the secondary utilization of minerals. 展开更多
关键词 thermal energy storage phase change material stone coal vanadium extraction secondary utilization
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Calcified roasting-acid leaching process of vanadium from low-grade vanadium-containing stone coal 被引量:17
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作者 WANG Taiying XU Longjun +1 位作者 LIU Chenlun ZHANG Zhaodi 《Chinese Journal Of Geochemistry》 EI CAS CSCD 2014年第2期163-167,共5页
The low-grade vanadium-containing stone coal used in this experiment was collected from Wuxi Country, Chongqing City, China. The experiment focused on the vanadium recovery from roasted residue through optimizing the ... The low-grade vanadium-containing stone coal used in this experiment was collected from Wuxi Country, Chongqing City, China. The experiment focused on the vanadium recovery from roasted residue through optimizing the process conditions of an effective and environmentally-friendly technology, named calcified roasting-sulfuric acid leaching technology. By single-factor experiments and orthogonal experiments, the effects of roasting temperature, roasting time, sulfuric acid concentration and leaching time on the leaching ratio of vanadium were analyzed. The results showed that the leaching ratio of vanadium reached 85.5% under the proper technological conditions of roasting temperature=950℃, roasting time=4 h, 40% concentration of sulfuric acid and leaching time=6 h. 展开更多
关键词 含钒石煤 钙化焙烧 酸浸工艺 低品位 硫酸浓度 正交实验 焙烧时间 浸出时间
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Study on the Therapeutic Effect of Ethanol Extract of Plantago Asiatica on Renal Calcium Oxalate Calculi in Rats
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作者 HULizhong LIUYanmin +1 位作者 LIJing NILili 《外文科技期刊数据库(文摘版)医药卫生》 2022年第6期172-176,共5页
Objective: to observe the therapeutic effect of plantain on calcium oxalate stone in urinary system of rats. Methods: rats were randomly divided into four groups: normal group, calcium oxalate stone model group, Paish... Objective: to observe the therapeutic effect of plantain on calcium oxalate stone in urinary system of rats. Methods: rats were randomly divided into four groups: normal group, calcium oxalate stone model group, Paishi granule treatment group and Plantago asiatica treatment group. Except for normal group, the other three groups were all given model-making agents (1% ethylene glycol and 2% ammonium chloride) for gastric lavage and model-making. Paishi granule treatment group and Plantago asiatica treatment group were treated with drugs while model-making. At the end of the experiment, the contents of calcium ions (Ca2+) and magnesium ions (Mg2+) in urine and calcium ions and urea nitrogen (BUN) in serum of rats in each group were detected. Results: compared with the model group, Plantago asiatica treatment group and Paishi granule treatment group can improve the life and mental state of rats, increase the micturition volume of rats, increase the excretion of calcium ions and magnesium ions in urine, and reduce the content of calcium ions and urea nitrogen in serum. Conclusion: the ethanol extract of Plantago asiatica can inhibit the formation of calcium oxalate stone by promoting the excretion of Ca2+, Mg2+ and BUN in urine and body, which is beneficial to the treatment of renal calcium oxalate stone in rats. 展开更多
关键词 PLANTAIN alcohol extract calcium oxalate stone
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Utilization of Date Stone as Natural Renewable Resources for Biosorption of Copper(ll) and Lead(ll) from Natural Water
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《材料科学与工程(中英文B版)》 2012年第2期126-130,共5页
关键词 天然水 吸附铜 可再生资源 金属污染物 石材表面 沙特阿拉伯 静电吸引 理化参数
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腹腔镜胆总管探查取石联合胆囊切除术后一期缝合与T管引流临床疗效比较的荟萃分析 被引量:1
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作者 王平 包卉 宋振顺 《外科理论与实践》 2025年第2期151-158,共8页
目的:系统评价腹腔镜下胆总管探查取石联合胆囊切除术后一期缝合与T管引流两种胆总管闭合方式在治疗胆总管结石合并胆囊结石的优缺点。方法:通过计算机检索PubMed、中国期刊全文数据库、中国万方数据库、中国维普数据库等,检索时间2012... 目的:系统评价腹腔镜下胆总管探查取石联合胆囊切除术后一期缝合与T管引流两种胆总管闭合方式在治疗胆总管结石合并胆囊结石的优缺点。方法:通过计算机检索PubMed、中国期刊全文数据库、中国万方数据库、中国维普数据库等,检索时间2012年1月1日至2021年12月31日,按照纳入及排除标准筛选研究文献,采用Review Manager 5.4软件进行荟萃分析。结果:共纳入10篇文献,收集1589例病人,其中一期缝合组783例,T管引流组806例。荟萃分析结果显示:一期缝合能缩短手术时间[MD=-15.59,95%CI:(-23.74,-7.45),P=0.0002],减少手术中出血量[MD=-6.49,95%CI:(-12.74,-0.24),P=0.04],提早恢复胃肠道功能[MD=-0.39,95%CI:(-0.60,-0.19),P=0.0002],减少术后住院时间[MD=-1.41,95%CI:(-2.19,-0.62),P=0.0004],减少住院费用[SMD=-0.66,95%CI:(-1.21,-0.12),P=0.02]。结论:两种胆总管闭合方式在治疗胆总管结石合并胆囊结石都是安全有效的。但一期缝合组相比于T管引流组,具有手术时间短、术中出血量少、术后住院时间短、住院费用低等优点,值得临床推广。 展开更多
关键词 胆总管结石 腹腔镜胆总管探查取石 一期缝合 T管引流
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腹腔镜胆总管一期缝合与内镜取石在治疗继发性胆总管结石中的手术效果及术后胆道感染发生率比较
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作者 王昭辉 郭东雅 刘艳杰 《西南医科大学学报》 2025年第5期529-533,共5页
目的比较腹腔镜胆总管一期缝合与内镜取石在治疗继发性胆总管结石中的手术效果及术后胆道感染发生率。方法选择2024年1月至2024年12月期间,我院继发性胆总管结石患者120例,按照手术方法的不同分为对照组(内镜取石术治疗,70例)和研究组(... 目的比较腹腔镜胆总管一期缝合与内镜取石在治疗继发性胆总管结石中的手术效果及术后胆道感染发生率。方法选择2024年1月至2024年12月期间,我院继发性胆总管结石患者120例,按照手术方法的不同分为对照组(内镜取石术治疗,70例)和研究组(腹腔镜胆总管一期缝合治疗,50例),比较两组手术效果、并发症发生情况,并探讨并发症的影响因素。结果研究组手术时间、术中出血量、胃肠道功能恢复时间、腹腔引流管拔管时间显著短于对照组(P<0.05)。两组患者术后白细胞、总胆红素(total bilirubin,TBIL)及丙氨酸氨基转移酶(alanine aminotransferase,ALT)均显著低于术前(P<0.05);治疗后两组患者白细胞、TBIL和ALT间差异无统计学意义(P>0.05)。研究组住院总时间和住院总花费显著低于对照组(P<0.05)。研究组术后残余结石、胆瘘、胆道感染等总并发症发生率显著低于对照组(8.00%vs 21.43%,P<0.05)。有并发症患者胆总管直径<1 cm、最大结石直径≥0.65 cm、手术方式为内镜取石比例大于无并发症患者(P<0.05)。Logistic回归分析结果显示,胆总管直径<1 cm、最大结石直径≥0.65 cm是术后患者并发症的独立危险因素(P<0.05)。结论腹腔镜胆总管一期缝合与内镜取石治疗继发性胆总管结石的疗效相似,但前者术后康复更快、住院周期更短、治疗成本更低,且并发症发生率更低。 展开更多
关键词 继发性胆总管结石 内镜取石 腹腔镜胆总管一期缝合 胆道感染 疗效
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钒资源现状与石煤钒矿提钒新工艺进展 被引量:7
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作者 瞿金为 马娜 +2 位作者 胡月芳 翁小影 豆志河 《矿产综合利用》 2025年第1期194-199,共6页
钒的主要赋存矿物有钒钛磁铁矿、石煤钒矿和钒铅矿等。目前石煤钒矿的提钒工艺主要是钠化焙烧-水浸和钙化焙烧-酸浸。钠化焙烧-水浸工艺的提钒率较低,且在焙烧过程中产生大量有毒有害气体,污染环境。钙化焙烧-酸浸工艺的过程中虽然没有... 钒的主要赋存矿物有钒钛磁铁矿、石煤钒矿和钒铅矿等。目前石煤钒矿的提钒工艺主要是钠化焙烧-水浸和钙化焙烧-酸浸。钠化焙烧-水浸工艺的提钒率较低,且在焙烧过程中产生大量有毒有害气体,污染环境。钙化焙烧-酸浸工艺的过程中虽然没有产生废气,但酸浸溶液中杂质很多,影响了钒产品的质量。基于石煤钒矿提钒的必要性,介绍了石煤钒矿提钒的新技术,如:二氧化锰氧化浸出石煤钒矿,石煤钒矿焙烧浸出综合利用,石煤钒矿硫酸低温熟化-柱浸提钒,助浸剂强化浸出石煤钒矿,石煤钒矿清洁焙烧提钒新工艺。讨论了新工艺的优缺点,并提出了石煤钒矿提钒的一些建议。 展开更多
关键词 钒资源 石煤钒矿 提钒 浸出率
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基于磷酸盐辅助浸出的石煤短流程提钒工艺研究
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作者 朱振洲 吴金朋 +2 位作者 高晨龙 王伟 焦树强 《钢铁钒钛》 北大核心 2025年第3期18-24,共7页
针对湖北某石煤钒矿的矿相分析及传统处理流程,开发了一种磷酸盐辅助浸出的短流程提钒工艺,采用硫酸熟化-磷酸盐辅助浸出-溶剂萃取-氨水沉钒提钒工艺进行了提钒试验。研究了水浸pH、磷铁摩尔比、浸出时间、浸出温度对钒、铁浸出率的影... 针对湖北某石煤钒矿的矿相分析及传统处理流程,开发了一种磷酸盐辅助浸出的短流程提钒工艺,采用硫酸熟化-磷酸盐辅助浸出-溶剂萃取-氨水沉钒提钒工艺进行了提钒试验。研究了水浸pH、磷铁摩尔比、浸出时间、浸出温度对钒、铁浸出率的影响。结果表明,将粒度小于0.074 mm的原料在200℃和浓硫酸用量0.15 mL/g的条件下熟化2 h得到熟化样品,该熟化样品在水浸pH值2.5、磷铁摩尔比1.5:1、浸出时间1 h、浸出温度70℃的试验条件下,钒的浸出率可达93.44%,铁的浸出率为38.19%。采用P204萃取-硫酸反萃进行2段萃取-反萃,结合氨水沉钒工艺,成功制备出纯度大于99%的粉状五氧化二钒产品。该工艺提高了钒的浸出率,为石煤提钒提供了新的技术路线。 展开更多
关键词 石煤提钒 除铁 萃取 沉钒
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石煤酸浸提钒尾渣资源化利用试验研究
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作者 李鑫源 刘有才 +3 位作者 符剑刚 张作庆 邓惠贤 柏景涛 《矿冶工程》 北大核心 2025年第3期110-114,124,共6页
针对湘西某石煤酸浸提钒后尾渣堆存占用土地资源、造成巨大环境安全隐患等问题,提出了尾渣深度炭灰分离的资源化利用方案。采用筛分-浮选的方法,通过筛分得到灰分大于94%的粗粒级灰分矿物后,对筛下细粒级矿物进行浮选,闭路浮选所得富炭... 针对湘西某石煤酸浸提钒后尾渣堆存占用土地资源、造成巨大环境安全隐患等问题,提出了尾渣深度炭灰分离的资源化利用方案。采用筛分-浮选的方法,通过筛分得到灰分大于94%的粗粒级灰分矿物后,对筛下细粒级矿物进行浮选,闭路浮选所得富炭精矿固定碳含量可达32.86%,高位发热量为9832 kJ/kg,可满足锅炉掺烧煤的热值要求,可燃体回收率为73.50%;尾矿灰分96.14%,产率78.42%,烧失量为4.98%,浸出毒性检测结果显示高灰分尾矿产品危害成分含量均未超出限值。简单的经济估算结果表明,该技术方案具有一定经济可行性。 展开更多
关键词 石煤提钒 尾渣 浮选 资源化利用 灰分
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