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VAT Neutrality and Corporate Social Responsibility:Evidence from China’s 2018 VAT Credit Refund Reform
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作者 Ningning Zhang Xiaoyan Guan 《Proceedings of Business and Economic Studies》 2025年第6期127-134,共8页
Taking China’s 2018 value-added tax(VAT)credit refund reform as an exogenous shock to improve VAT neutrality,we use a difference-in-differences approach to explore how the reform affected corporate social responsibil... Taking China’s 2018 value-added tax(VAT)credit refund reform as an exogenous shock to improve VAT neutrality,we use a difference-in-differences approach to explore how the reform affected corporate social responsibility(CSR).We find that the reform motivated firms to improve CSR performance.The reform has a“resource”effect,increasing internal funds and reducing financing costs,thereby enhancing firms’ability to undertake CSR.The reform also has a“reputation”effect,stimulating firms’willingness to engage in CSR to improve their reputations.CSR following the reform increases firm values and reduces bankruptcy risk.Our study provides fresh insights into VAT neutrality theory and is a reference for tax reform in emerging economies. 展开更多
关键词 Corporate social responsibility Reputation effect Resource effect vat credit refund reform vat neutrality
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Vat photopolymerization of silica-based ceramic cores using high solid loading slurry with performance optimization
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作者 Yong-kang Yang Bo-ran Wang +4 位作者 Zi-qi Jia Shu-xin Niu Xin Li Ya-jie Guo Xi-qing Xu 《China Foundry》 2025年第5期555-564,共10页
Vat photopolymerization(VPP)3D printing is an optimized technology for complex-shaped ceramic cores,in which the solid loading of ceramic slurries greatly infiuences the microstructure and property of the final cerami... Vat photopolymerization(VPP)3D printing is an optimized technology for complex-shaped ceramic cores,in which the solid loading of ceramic slurries greatly infiuences the microstructure and property of the final ceramic parts.However,the high solid loading of slurries is highly limited by the high viscosity.In this study,silica-based ceramic core slurries with solid loading up to 68vol.%were achieved by the composition design to optimize the performance,considering the curing,rheological,and double bond conversion rate.The slurries demonstrate superior curing and rheological performance with mass ratio of monomers being 3:2 and mass fraction of BYK111 being 4wt.%.Afterwards,the impact of solid loading on the morphology and mechanical properties was investigated.As the solid loading increases,the microstructure becomes gradually dense,leading to an improved flexural strength of 19.5 MPa.Additionally,the sintering shrinkage becomes more uniform,satisfying the casting requirements effectively.This work serves as a guide for the preparation of ceramic slurries with a high solid loading. 展开更多
关键词 ceramic core additive manufacturing mechanical performance solid loading VISCOSITY vat photopolymerization
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Research Progress on Additive Manufacturing Technology and Equipment for the Vat Polymerization of Ceramic Cores of Aeroengine Blades
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作者 Haoqin Yang Zhongde Shan +7 位作者 Runmou Wu Dandan Yan Jianpei Shi Jian Huang Haoming Shi Shijie Dong Xinliang Fang Tianxiong Hu 《Additive Manufacturing Frontiers》 2025年第2期134-148,共15页
As a key process in the manufacturing of hollow turbine blades for aeroengines,ceramic-core stereolithography(SL)is vital for the structural design and precise performance control of hollow turbine blades for aeroengi... As a key process in the manufacturing of hollow turbine blades for aeroengines,ceramic-core stereolithography(SL)is vital for the structural design and precise performance control of hollow turbine blades for aeroengines.Based on SL and digital light processing(DLP),ceramic SL has technical advantages such as high flexibility,short process flow,and integrated structure-performance manufacturing,making it ideal for manufacturing complex hollow ceramic cores.Currently,ceramic cores produced using this technology still encounter several challenges such as low bending strength,low dimensional accuracy,significant sintering shrinkage,and poor surface quality,which limit the innovative development and engineering applications of the additive manufacturing of UV-cured ceramics.This paper reviews the development of additive manufacturing technology and equipment for the vat polymerization of ceramic cores used in aeroengine blades and summarizes the principles and characteristics of vat polymerization for manufacturing ceramic cores.It also highlights research progress in lightweight structural design methods for ceramic cores,ceramic slurry preparation processes,SL processes,debinding and sintering processes,integration of forming system equipment,and verification of aeroengine blade casting.A comprehensive performance control strategy for the SL of ceramic cores is proposed,and future development directions and trends in ceramic-core fabrication using SL technology are discussed. 展开更多
关键词 Structure design Material system vat polymerization Property control Equipment integration
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Vat photopolymerization 3D printing of ceramic cores:Advances,challenges,and prospects
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作者 Xiang Li Hai-jun Su +7 位作者 Dong Dong Hao Jiang Ya-wen Ma Zhong-lin Shen Yi-nuo Guo Yun Zhang Zhuo Zhang Min Guo 《China Foundry》 2025年第5期493-506,共14页
To meet the evolving demands of aeroengine development,the structural and performance requirements for ceramic cores have become increasingly stringent.Vat photopolymerization 3D printing,owing to its moldless,fiexibl... To meet the evolving demands of aeroengine development,the structural and performance requirements for ceramic cores have become increasingly stringent.Vat photopolymerization 3D printing,owing to its moldless,fiexible manufacturing,and other advantages,demonstrates significant potential in the preparation of ceramic cores with intricate structures.However,its practical application still faces multiple challenges,including layered structures and property anisotropy,defects such as cracks and collapse during printing and sintering,forming inaccuracies,and difficulties in controlling surface roughness.Recent advances have focused on optimizing slurry formulation and rheology,improving curing behavior,introducing auxiliary powders and additives,tailoring forming parameters,and optimizing the sintering process.Nevertheless,effectively suppressing lamellar defects,achieving superior dimensional accuracy,and maintaining high surface quality in complex structures remain the core scientific and technical issues to be solved.Future research should concentrate on refining curing mechanisms,advancing powder design and organic system optimization,and regulating the coupled processes of forming,debinding,and sintering to accelerate the application of VPP 3D printed ceramic cores in aerospace manufacturing. 展开更多
关键词 vat photopolymerization ceramic cores layered structures forming accuracy
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Vat photopolymerization 3D printing of Al_(2)O_(3) ceramic cores with TPMS micro lattice structure
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作者 Xiao-fei Zhai Jing-yi Chen +4 位作者 Xue-qin Zhang Yuan-hong Qian Rong Chen Wei Zhang Ru-jie He 《China Foundry》 2025年第5期565-573,共9页
The complex ceramic core used for hollow turbine blades requires a high porosity and a high fiexural strength. For a better balance between porosity and fiexural strength, ceramic materials with porous structures are ... The complex ceramic core used for hollow turbine blades requires a high porosity and a high fiexural strength. For a better balance between porosity and fiexural strength, ceramic materials with porous structures are preferred. In order to achieve the transition from disordered pore formation to ordered pore formation, Al_(2)O_(3) ceramic cores with triply periodic minimal surface(TPMS) micro lattice structures with different structural configurations(gyroid, diamond, and neovius) and different volume fractions of lattice structures(30, 40, and 50, vol.%) were designed and prepared by vat photopolymerization 3D printing. The effects of structural configuration and volume fraction of the lattice structure on the following structural shrinkage, microstructure, and flexural strength were investigated. The shrinkage relationship of the three lattice configurations is: neovius>diamond>gyroid. Besides, it is found that with an increase in the volume fraction of the 3D printed Al_(2)O_(3) ceramic micro lattice structures, their fiexural strength correspondingly increases ranging from 54.95 MPa to 139.1 MPa. The maximum average fiexural strength of the 3D printed Al_(2)O_(3) ceramic micro lattice structures is obtained when the structural configuration is diamond and with a volume fraction of 50vol.%, which is 139.1 MPa. Even when the volume fraction of the lattice structure is 30vol.%, that is to say the porosity is 70%, the fiexural strength is as high as 50-70 MPa, which can still be maintained at a high level. In addition, when the volume fraction of the lattice structure is a certain value, the sample with diamond configuration has a higher strength. The internal pore morphology, pore size, and porosity of the cores are precisely controlled, achieving both a high porosity and a high strength. Therefore, this study maintains high porosity and high strength simultaneously, providing a new lattice structure design idea for 3D printed ceramic cores. 展开更多
关键词 alumina ceramic cores vat photopolymerization 3D printing micro lattice microstructure mechanical property
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针对性护理对肋骨骨折合并肺撕裂伤VATS患者术后康复及肺功能的影响
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作者 王普琼 周雪兰 曾明祥 《中华灾害救援医学》 2025年第7期848-852,共5页
目的探讨针对性护理干预在多发肋骨骨折合并肺撕裂伤行电视辅助胸腔镜手术(VATS)患者中的临床价值。方法回顾性分析2023年1月至2024年12月于南部战区总医院和广东三九脑科医院进行VATS治疗的80例多发肋骨骨断裂合并肺撕裂伤患者的临床... 目的探讨针对性护理干预在多发肋骨骨折合并肺撕裂伤行电视辅助胸腔镜手术(VATS)患者中的临床价值。方法回顾性分析2023年1月至2024年12月于南部战区总医院和广东三九脑科医院进行VATS治疗的80例多发肋骨骨断裂合并肺撕裂伤患者的临床资料。根据护理干预措施的差异,分为观察组(实施针对性护理干预,40例)和对照组(实施常规护理干预,40例)。比较两组患者手术相关指标、术后康复指标、肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、最大自主通气量(MMV)]、护理满意度。结果观察组患者在手术时间(P=0.009)、术中出血量(P=0.001)、术后引流量(P=0.011)、引流管留置时间(P<0.001)、住院时间(P=0.001)、骨折愈合时间(P<0.001)上,均显著低于对照组。干预前,两组患者FVC(P=0.243)、FEV1(P=0.193)、MMV(P=0.133)水平相比,无显著差异。干预后,两组患者以上肺功能指标均显著升高改善;且干预后观察组患者在FVC(P=0.011)、FEV1(P<0.001)、MMV(P<0.001)水平均显著高于对照组。观察组患者的护理满意度为95.00%(38/40),显著高于对照组患者的77.50%(31/40),P=0.023。结论在多发肋骨骨断裂合并肺撕裂伤行VATS急诊手术的患者中,实施针对性护理干预可有效缩短手术时间,减少术中出血量,促进术后康复,改善患者肺功能,提高护理满意度。 展开更多
关键词 护理 多发肋骨骨折合并肺撕裂伤 电视辅助胸腔镜手术
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Vibration-assisted vat photopolymerization for pixelated-aliasing-free surface fabrication
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作者 Han Xu Renzhi Hu +3 位作者 Shuai Chen Junhong Zhu Chi Zhou Yong Chen 《International Journal of Extreme Manufacturing》 SCIE EI CAS CSCD 2024年第3期440-456,共17页
Mask image projection-based vat photopolymerization(MIP-VPP)offers advantages like low cost,high resolution,and a wide material range,making it popular in industry and education.Recently,MIP-VPP employing liquid cryst... Mask image projection-based vat photopolymerization(MIP-VPP)offers advantages like low cost,high resolution,and a wide material range,making it popular in industry and education.Recently,MIP-VPP employing liquid crystal displays(LCDs)has gained traction,increasingly replacing digital micromirror devices,particularly among hobbyists and in educational settings,and is now beginning to be used in industrial environments.However,LCD-based MIP-VPPsuffers from pronounced pixelated aliasing arising from LCD’s discrete image pixels and itsdirect-contact configuration in MIP-VPP machines,leading to rough surfaces on the 3D-printed parts.Here,we propose a vibration-assisted MIP-VPP method that utilizes a microscalevibration to uniformize the light intensity distribution of the LCD-based mask image on VPP’s building platform.By maintaining the same fabrication speed,our technique generates asmoother,non-pixelated mask image,reducing the roughness on flat surfaces and boundary segments of 3D-printed parts.Through light intensity modeling and simulation,we derived an optimal vibration pattern for LCD mask images,subsequently validated by experiments.We assessed the surface texture,boundary integrity,and dimensional accuracy of componentsproduced using the vibration-assisted approach.The notably smoother surfaces and improved boundary roughness enhance the printing quality of MIP-VPP,enabling its promisingapplications in sectors like the production of 3D-printed optical devices and others. 展开更多
关键词 additive manufacturing vat photopolymerization piezo vibration sub-pixel resolution ALIASING
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New approach to preparing near zero shrinkage alumina ceramic cores with excellent properties by vat photopolymerization
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作者 Xiang Li Haijun Su +7 位作者 Dong Dong Hao Jiang Yuan Liu Zhonglin Shen Yinuo Guo Shuqi Hao Zhuo Zhang Min Guo 《Journal of Materials Science & Technology》 CSCD 2024年第26期61-72,共12页
Vat photopolymerization(VPP)3D printing technology has broken through mold limitations and shown great potential to manufacture complex-structured ceramic cores for turbine blades.However,improving dimensional accurac... Vat photopolymerization(VPP)3D printing technology has broken through mold limitations and shown great potential to manufacture complex-structured ceramic cores for turbine blades.However,improving dimensional accuracy is difficult for the VPP 3D printed parts due to the high contraction deformation.Reducing shrinkage is a key challenge for developing 3D-printed ceramic cores.In this study,3D-printed alumina ceramic cores with near-zero shrinkage in the X direction were achieved for the first time using a novel approach that was called atmosphere-controlled in-situ oxidation of aluminum powder.The in-situ oxidation reaction of the aluminum powder was creatively tuned by changing the atmosphere transition temperature from argon to air.Then,the microstructure and properties of the ceramic core could be controlled by the liquid-phase sintering with the participation of atmosphere-protected molten aluminum.As a result,the pore size of the ceramic cores was significantly increased by almost ten times,but the bonding strength of the grains was also increased.In addition,the powder consolidation generated by the action of molten aluminum was considered to be an important reason for reducing the linear shrinkage of ceramic cores.Under the optimized parameters,the linear shrinkage of the ceramic cores was as low as 0.3%in the X direction.The high apparent porosity(45.02%)and flexural strength(72.7 MPa)of the alumina ceramic cores were realized at the same time.The in-situ control of sintering by changing the atmosphere will be a creative method for regulating the properties of ceramic materials. 展开更多
关键词 Near-zero shrinkage vat photopolymerization Alumina ceramic cores Post-processing regime Aluminum powder
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Uniportal Video-Assisted Thoracic Surgery (U-VATS): Experiences and Challenges in Oncologic Patients in the Dominican Republic
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作者 Hernán Oliu Lambert Natalia Altagracia de la Cruz de Oliu +1 位作者 Ana María Nazario Dolz Orestes Noel Mederos Curbelo 《Open Journal of Thoracic Surgery》 2024年第3期55-67,共13页
Introduction: Uniportal Video-Assisted Thoracic Surgery (U-VATS) has appeared as a promising, minimally invasive approach for thoracic oncology, offering benefits such as reduced trauma, shorter recovery times, and lo... Introduction: Uniportal Video-Assisted Thoracic Surgery (U-VATS) has appeared as a promising, minimally invasive approach for thoracic oncology, offering benefits such as reduced trauma, shorter recovery times, and lower complication rates. However, its adoption in resource-limited settings faces challenges, primarily due to limited access to specialized equipment, training, and infrastructure. Methods: This retrospective study evaluated the outcomes of 138 oncologic patients who underwent U-VATS between 2020 and 2024 at two centers in the Dominican Republic. Patients included those with primary lung cancer, pulmonary metastases, or masses requiring diagnostic biopsy. Data was extracted from patient records including epidemiological variables and clinical variables, treatments, and complications. A descriptive analysis was performed to summarize the data. Frequencies and percentages were calculated to report demographic and clinical characteristics, types of procedures, and postoperative outcomes. Results: The study population was predominantly middle-aged, with a near-equal gender distribution. Most patients underwent lung biopsies (63%), followed by lobectomies (22.5%) and metastasectomies (14.5%). The overall complication rate was low, with only 2.1% experiencing wound infections or atelectasis. The majority (87%) were discharged within 24 hours. These findings underscore U-VATS as a safe and effective choice for thoracic oncology in this setting. Conclusions: U-VATS shows promising outcomes in oncologic patients in the Dominican Republic, proving its feasibility and safety in a resource-limited environment. However, widespread adoption requires investment in infrastructure, training, and insurance coverage. Phased implementation, public-private partnerships, and cost-benefit analyses could support broader accessibility and integration of U-VATS, potentially improving patient outcomes and reducing healthcare costs in similar settings. 展开更多
关键词 Uniportal vatS Thoracic Oncology LOBECTOMY Dominican Republic Minimally Invasive
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Vat Photopolymerization versus Conventional Colloidal Processing Methods in Structural Ceramics:Progress,Challenges,and Future Perspectives
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作者 Yehua Li Pengfei Sheng +5 位作者 Lifu Lin Liang Wang Donglin Lu Kunji Lin Haidong Wu Shanghua Wu 《Additive Manufacturing Frontiers》 2024年第1期3-32,共30页
Additive manufacturing(AM)has become a versatile and diverse technology that has a significant impact on manufacturing processes.Therefore,ceramic materials have been developed rapidly for use in AM processes.Vat phot... Additive manufacturing(AM)has become a versatile and diverse technology that has a significant impact on manufacturing processes.Therefore,ceramic materials have been developed rapidly for use in AM processes.Vat photopolymerization(VPP)is an AM method that enables the production of dense ceramic components with increased dimensional accuracy.In particular,it facilitates the fabrication of small and intricately shaped parts.This review summarizes the research advancements in ceramics prepared via VPP.Special attention is paid to the current status of relevant areas,such as slurry preparation and process optimization,as well as the form-ing mechanisms,debinding,sintering,performance characterization,and use of VPP-based ceramics.Moreover,earlier studies performed by our research group on numerous VPP-based ceramic aspects are considered.In ad-dition,a concise overview of the differences in forming principles,mechanical performance,advantages,and disadvantages between VPP-based ceramics and conventional colloidal-forming ceramics is presented.Finally,the challenges and prospects of VPP-based ceramics are discussed. 展开更多
关键词 vat photopolymerization Conventional colloidal forming Structural ceramic Slurry Debinding and sintering Mechanical properties
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Consideration of the Application and Risk Prevention of VAT Tax Rebate Policy for Construction Enterprises at the End of the Period
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作者 Liangliang Wu 《Proceedings of Business and Economic Studies》 2024年第5期138-144,共7页
The“Announcement on Deepening the Value-Added Tax Reform”clearly outlines the preferential policy regarding incremental retention tax rebates.With the advancement of value-added tax(VAT)reform and the improvement of... The“Announcement on Deepening the Value-Added Tax Reform”clearly outlines the preferential policy regarding incremental retention tax rebates.With the advancement of value-added tax(VAT)reform and the improvement of VAT legislation in China,VAT tax planning for construction enterprises,particularly related to retained tax credits,has become routine.This paper,focusing on the characteristics of construction enterprises,analyzes VAT retained tax credits at the end of the period,the status of tax refunds,practical issues,and related processes,and offers suggestions for policy application and risk prevention. 展开更多
关键词 Construction enterprises vat retained tax credit refunds Planning Risk prevention
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Failure Behavior and Mechanism of Vat Photopolymerization Additively Manufactured Al_(2)O_(3) Ceramic Lattice Structures
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作者 Keqiang Zhang Xueqin Zhang +3 位作者 Qiaoyu Meng Bin Zhang Zhaoliang Qu Rujie He 《Additive Manufacturing Frontiers》 2024年第4期166-177,共12页
Vat photopolymerization additive manufacturing produces lightweight load-bearing ceramic lattice structures that have flexibility,time-efficiency,and high precision,compared to conventional technology.However,understa... Vat photopolymerization additive manufacturing produces lightweight load-bearing ceramic lattice structures that have flexibility,time-efficiency,and high precision,compared to conventional technology.However,understanding the compression behavior and failure mechanism of such structures under loading remains a challenge.In this study,considering the correlation between the strut angle and bearing capacity,body-centered tetragonal(BCT)lattice structures with varying angles are designed based on a body-centered cubic(BCC)structure.BCT Al_(2)O_(3) ceramic lattice structures with varying angles are fabricated by vat photopolymerization.The mechanical properties,deformation process,and failure mechanism of the Al_(2)O_(3) ceramic lattice structures are characterized through a combination of ex-and in-situ X-ray computed tomography(X-CT)compression testing and analyzed using a finite element method(FEM)at macro-and micro-levels.The results demonstrate that as the angle increases,the stress concentration gradually expands from the node to the strut,resulting in an increased loadbearing capacity.Additionally,the failure mode of the Al_(2)O_(3) ceramic lattice structures is identified as diagonal slip shear failure.These findings provide a greater understanding of ceramic lattice structure failures and design optimization approaches. 展开更多
关键词 Ceramic lattice structure vat photopolymerization additive manufacturing Ex-and in-situ X-ray computed tomography(X-CT) Compression behavior Failure mechanism
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不同模式神经阻滞联合全麻在老年VATS术后中的镇痛效果及安全性对比观察 被引量:2
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作者 张倩 冯硕 +2 位作者 刘悦 边佳佳 麻婷婷 《转化医学杂志》 2024年第3期451-454,共4页
目的 观察不同模式神经阻滞联合全麻在老年电视辅助胸腔镜(VATS)术后中的镇痛效果及安全性差异。方法 将在河北中石油中心医院胸外科择期行全麻下VATS肺叶切除术的80例患者分为3组。T组27例患者行胸椎旁神经阻滞(TPVB),E组26例患者行竖... 目的 观察不同模式神经阻滞联合全麻在老年电视辅助胸腔镜(VATS)术后中的镇痛效果及安全性差异。方法 将在河北中石油中心医院胸外科择期行全麻下VATS肺叶切除术的80例患者分为3组。T组27例患者行胸椎旁神经阻滞(TPVB),E组26例患者行竖脊肌平面阻滞(ESPB),I组27例患者行肋间神经阻滞(ICNB),术毕使用静脉自控镇痛(PCIA)。比较3组镇痛效果、炎症因子[白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)、IL-10]及安全性。结果 E组和T组术后镇痛泵首次按压时间长于I组,术后48 h内镇痛泵有效按压次数少于I组(均P <0.05)。3组术后4、8、12、24 h静息和咳嗽时疼痛视觉模拟法(VAS)评分均较术后2 h升高(P <0.05)。E组和T组术后8、12、24h静息时疼痛VAS评分及术后4、8、12、24h咳嗽时疼痛VAS评分均低于I组(P <0.05)。3组术后12、24h炎症因子水平均较术前升高(P <0.05)。E组和T组术后炎症因子水平低于I组(P <0.05)。T组术后炎症因子水平低于E组(P <0.05)。结论 TPVB与ESPB用于老年VATS术后镇痛效果相似,TPVB对机体炎症反应的抑制作用更强,且未增加不良反应。 展开更多
关键词 竖脊肌平面阻滞 肋间神经阻滞 胸椎旁神经阻滞 胸外科手术 电视辅助 镇痛 安全性 疗效比较研究
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Ⅰ期肺腺癌VATS肺叶切除与亚肺叶切除预后比较 被引量:27
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作者 刘洋 钟声逸 +4 位作者 何绮华 张剑嵘 陈学炜 郭敏章 何建行 《中国肺癌杂志》 CAS CSCD 北大核心 2017年第1期47-54,共8页
背景与目的美国国立综合癌症网络(National Comprehensive Cancer Network,NCCN)指南推荐,大部分可手术切除的肺癌首选电视辅助胸腔镜手术(video-assisted thoracoscopic surgery,VATS)解剖性肺叶切除。而研究证实肺段切除I期肺癌对肺... 背景与目的美国国立综合癌症网络(National Comprehensive Cancer Network,NCCN)指南推荐,大部分可手术切除的肺癌首选电视辅助胸腔镜手术(video-assisted thoracoscopic surgery,VATS)解剖性肺叶切除。而研究证实肺段切除I期肺癌对肺功能的保护优于肺叶切除。目前,临床上对I期肺腺癌VATS亚肺叶切除能否获得与肺叶切除同等疗效仍未确定,现分析两种手术方式治疗I期肺腺癌预后的比较。方法回顾性研究2009年1月-2011年12月广州医科大学附属第一医院收治的I期肺腺癌患者,其中VATS肺叶切除222例,亚肺叶切除36例;对两组患者使用倾向评分匹配(propensity score matching,PSM),比较两组患者的临床病理特征及生存预后。结果两组匹配患者35例,匹配后VATS肺叶切除组与亚肺叶切除组的术后无病生存期(disease free survival,DFS)分别为49.3个月、42.7个月,差异无统计学意义(P=0.137);两组术后总生存期(overall survival,OS)分别为50.3个月、49.0个月,差异无统计学意义(P=0.122)。分期分层结果示,Ia期肺叶切除和亚肺叶切除两组术后DFS差异无统计学意义;而Ib期肺叶切除和亚肺叶切除两组术后DFS差异有统计学意义。结论 Ia期肺腺癌VATS亚肺叶切除的生存预后不亚于肺叶切除,Ib期肺腺癌建议选择VATS肺叶切除治疗。 展开更多
关键词 vatS 肺肿瘤 亚肺叶切除 肺叶切除 预后
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PAG淬火介质温度对60Si2CrVAT弹簧钢力学性能的影响 被引量:5
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作者 张在玉 梁益龙 +2 位作者 雷磊 姜云 杨明 《金属热处理》 CAS CSCD 北大核心 2016年第7期150-153,共4页
采用KHR-A便携式冷却介质性能检测仪对不同温度13%PAG淬火介质的淬火冷却性能进行了测量,研究了60Si2Cr VAT弹簧钢经不同温度13%PAG介质淬火后显微组织及力学性能的变化。结果表明:不同温度13%PAG对冷速的影响主要体现在高温阶段即未发... 采用KHR-A便携式冷却介质性能检测仪对不同温度13%PAG淬火介质的淬火冷却性能进行了测量,研究了60Si2Cr VAT弹簧钢经不同温度13%PAG介质淬火后显微组织及力学性能的变化。结果表明:不同温度13%PAG对冷速的影响主要体现在高温阶段即未发生马氏体转变前的温度段,而在低温阶段冷速相差较小,且冷速随介质温度升高而降低。弹簧钢热处理试验表明,随介质温度升高,淬火后残留奥氏体量增加;经440℃回火后,马氏体板条块显现地越明显,尺寸增大,马氏体板条宽度也随之增加;硬度、抗拉强度呈减小趋势,塑性增加。 展开更多
关键词 60Si2Cr vat弹簧钢 PAG淬火介质温度 冷却速率 显微组织 力学性能
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PAG淬火介质对60Si2CrVAT弹簧钢力学性能的影响 被引量:4
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作者 徐军 梁益龙 +2 位作者 姜云 龙绍檑 钟丽琼 《材料热处理学报》 EI CAS CSCD 北大核心 2015年第12期134-139,共6页
60Si2Cr VAT弹簧钢分别采用不同浓度PAG淬火介质和淬火油进行淬火,并在440℃和480℃的温度下进行回火处理,利用透射电镜和拉伸试验机等方法研究了该弹簧钢在不同淬火介质中淬火回火后的微观结构和力学性能的变化。结果表明,PAG淬火介质... 60Si2Cr VAT弹簧钢分别采用不同浓度PAG淬火介质和淬火油进行淬火,并在440℃和480℃的温度下进行回火处理,利用透射电镜和拉伸试验机等方法研究了该弹簧钢在不同淬火介质中淬火回火后的微观结构和力学性能的变化。结果表明,PAG淬火介质对其强度和塑性的影响显著。随着PAG浓度的增加,冷却速度降低,马氏体板条数量减少,板条宽度变大,强度和塑性呈现先增后降的趋势;冷速最快的5%PAG淬火回火后,针状的ε-碳化物未完全分解,容易在其尖端引起应力集中,使得力学性能较低;冷速最慢的油淬回火后,由于碳化物沿原奥氏体晶界和马氏体板条界析出,固溶度的下降,马氏体板条宽度的变大及数量的减少,最终也使得其强度、塑性和冲击韧性降低;只有冷速适中的13%PAG淬火后得到的综合力学性能最佳。 展开更多
关键词 60Si2Cr vat弹簧钢 PAG淬火介质 力学性能 碳化物 微观结构
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VATS与开胸肺癌根治术治疗Ⅰ期非小细胞肺癌近期效果比较 被引量:15
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作者 侯伟 李佳 高小见 《现代肿瘤医学》 CAS 2017年第3期371-374,共4页
目的:对比分析电视辅助胸腔镜手术(video-assisted thoracic surgery,VATS)与开胸肺癌根治术对Ⅰ期非小细胞肺癌(NSCLC)的临床近期疗效。方法:选择Ⅰ期NSCLC 75例,分为VATS组(n=36)和开胸组(n=39),对两组手术、实验室、生活质量指标进... 目的:对比分析电视辅助胸腔镜手术(video-assisted thoracic surgery,VATS)与开胸肺癌根治术对Ⅰ期非小细胞肺癌(NSCLC)的临床近期疗效。方法:选择Ⅰ期NSCLC 75例,分为VATS组(n=36)和开胸组(n=39),对两组手术、实验室、生活质量指标进行比较。结果:术中出血量、引流量、术后首次下床时间、术后住院时间:胸腔镜组为(102±28.9)ml、(254±56.3)ml、(2±0.8)d、(10±2.3)d明显低于开胸组(174±25.7)ml、(405±46.8)ml、(4±0.9)d、(13±1.7)d,差异有统计学意义(P<0.05)。淋巴结清扫、术后复发、转移两组无明显差异(P>0.05)。超敏C反应蛋白两组均较术前增高,而胸腔镜组术后3d(9.32±1.75)mg/L明显低于开胸组(10.57±2.25)mg/L(P<0.05)。两组FEV1均较术前降低,但胸腔镜组(1.67±0.14)L/min明显高于开胸组(1.59±0.18)L/min(P<0.05)。两组术后生活质量得分均较术前高,但胸腔镜组(117.6±6.43)分明显高于开胸组(113.2±4.83)分(P<0.05)。结论:VATS治疗Ⅰ期NSCLC创伤小,术后生活质量高于常规开胸术。 展开更多
关键词 vatS 肺癌根治术 NSCLC 生活质量
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VATS配合NUSS术治疗先天性漏斗胸的近期疗效研究 被引量:4
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作者 饶新辉 刘汉云 +2 位作者 梁锦崧 陈刚 李坚 《海南医学院学报》 CAS 2015年第8期1079-1081,共3页
目的:探讨电视辅助胸腔镜手术(VATS)联合漏斗胸微创矫正术(NUSS)治疗先天性漏斗胸的近期疗效及术后并发症的发生情况。方法:选取本院收治的先天性漏斗胸的患者96例,随机分为研究组和对照组;研究组采用VATS配合NUSS术治疗,对照组采用,记... 目的:探讨电视辅助胸腔镜手术(VATS)联合漏斗胸微创矫正术(NUSS)治疗先天性漏斗胸的近期疗效及术后并发症的发生情况。方法:选取本院收治的先天性漏斗胸的患者96例,随机分为研究组和对照组;研究组采用VATS配合NUSS术治疗,对照组采用,记录两组NUSS围术期的血压、心率、手术时间、出血量、住院时间以及ICU滞留时间,术后对患者进行3个月随访,统计早期疗效及术后并发症发生情况。结果:研究组患者围术期手术时间、出血量、住院时间明显少于对照组,差异具有统计学意义(P<0.05);血压、心率、ICU滞留时间比较,差异无统计学意义(P>0.05);研究组疗效优良率、M-SSQ总分均明显高于对照组,差异具有统计学意义(P<0.05);研究组术后并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论:VATS联合NUSS术治疗先天性漏斗胸的近期疗效较好,术后并发症少,安全有效。 展开更多
关键词 电视辅助胸腔镜手术(vatS) NUSS 先天性漏斗胸 并发症
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Tubeless VATS技术治疗自发性气胸的临床应用 被引量:8
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作者 刘永志 陈剑 +2 位作者 刘建 郭昆亮 王啸 《吉林医学》 CAS 2018年第11期2061-2064,共4页
目的:总结Tubeless VATS技术治疗自发性气胸的经验。方法:回顾性分析应用Tubeless VATS技术治疗自发性气胸6例。结果:本组6例均顺利完成手术,无中转插管,无中转开胸,术中肺萎陷良好,均在单孔胸腔镜下完成手术。手术时间40~80 min,平均57... 目的:总结Tubeless VATS技术治疗自发性气胸的经验。方法:回顾性分析应用Tubeless VATS技术治疗自发性气胸6例。结果:本组6例均顺利完成手术,无中转插管,无中转开胸,术中肺萎陷良好,均在单孔胸腔镜下完成手术。手术时间40~80 min,平均57. 5 min;术后苏醒时间5~22 min,平均11. 7 min;术后均无声嘶、呛咳、咽部疼痛、尿潴留;术后4 h、8 h、24 h、48 h疼痛VAS评分均在3级以下;住院时间4~6 d,平均4. 5 d,术后2~5 d出院,平均3. 2 d。出院前及出院1个月后复查胸部CT肺复张良好,无气胸复发。结论:Tubeless VATS技术治疗自发性气胸是安全可靠的,最大限度地减少患者的不适及痛苦,缩短住院日,节约医疗资源,为更多患者提供更好的服务,符合ERAS倡导的理念,值得临床推广及应用。 展开更多
关键词 TUBELESS vatS 自发性气胸 胸腔镜手术
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经鼻高流量吸氧在老年肺癌患者VATS术后急性低氧血症中的应用 被引量:11
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作者 杨艳 夏广惠 +1 位作者 杜成 荣芸 《临床肺科杂志》 2019年第5期919-922,925,共5页
目的探讨经鼻导管高流量吸氧(HFNC)在老年肺癌患者VATS术后急性低氧血症中的应用。方法选取2017年07月至2018年05月入住我院ICU行VATS术后急性低氧血症的老年肺癌患者60例,随机分为试验组30例和对照组30例,试验组采用HFNC氧疗方式,对照... 目的探讨经鼻导管高流量吸氧(HFNC)在老年肺癌患者VATS术后急性低氧血症中的应用。方法选取2017年07月至2018年05月入住我院ICU行VATS术后急性低氧血症的老年肺癌患者60例,随机分为试验组30例和对照组30例,试验组采用HFNC氧疗方式,对照组采用储氧面罩,比较2组患者进行治疗前、治疗后6h、12h、24h及治疗结束后2h的心率、呼吸、SPO_2、PH、PaO_2、PaCO_2、氧合指数(PaO_2/FiO_2)的变化,比较2组患者在治疗进程当中患者舒适度、无创正压通气(NPPV)使用率、再次插管率、呼吸机使用率和ICU入住时间的差别。结果应用HFNC治疗后的6h、12h、24h及结束后较治疗前PH、SPO_2、PaO_2及PaO_2/FiO_2升高,PCO_2及心率、呼吸频率降低,试验组与对照组对比2组患者的心率、呼吸、SPO_2、PH、PaO_2、PaCO_2、PaO_2/FiO_2,差异有统计学意义(P<0.05);试验组ICU入住时间为(2.73±0.58)d,对照组为(4.13±1.48)d,2组比较差异有统计学意义(t=4.822,P<0.05);试验组患者呼吸机使用率为13.33%,对照组为60%,2组比较差异有统计学意义(P<0.05)。结论 HFNC在肺癌术后低氧血症的老年患者中应用,舒适性好、耐受性高,可有效的改善低氧血症,降低二氧化碳潴留,降低术后老年患者的呼吸机使用率,缩短ICU入住时间。 展开更多
关键词 经鼻高流量吸氧 老年肺癌患者 vatS术后急性低氧血症 ICU入住时间 再插管率
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