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乳癌改良根治术三种插管全麻方法的麻醉效果比较 被引量:1
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作者 杨吉武 朱新运 +4 位作者 杨俊 邹柳华 熊文辉 秦勇 王曦 《现代医院》 2010年第12期27-28,共2页
目的研究乳腺癌改良根治术三种插管全麻方法,评选最佳方案。方法选择90例乳腺癌患者,采用随机方法分组,分为全凭吸入全麻(VCA)、硬膜外吸入复合全麻(VECA)、静脉吸入复合全麻(VI-CA),比较三组血流动力学、术后苏醒情况及拔管时间。结果 ... 目的研究乳腺癌改良根治术三种插管全麻方法,评选最佳方案。方法选择90例乳腺癌患者,采用随机方法分组,分为全凭吸入全麻(VCA)、硬膜外吸入复合全麻(VECA)、静脉吸入复合全麻(VI-CA),比较三组血流动力学、术后苏醒情况及拔管时间。结果 各组麻醉诱导后、切皮时平均动脉压(MAP)、心率(HR)无明显变化(p<0.05),手术结束后,VCA组MAP稍升高、HR稍增快。VECA和VICA组,血流动力学无明显变化,术后苏醒较快,拔管时间较早。静脉吸入复合全麻(VICA)组苏醒质量最佳。结论乳癌改良根治术可选择(VECA)、(VICA)麻醉。VICA更安全有效,苏醒快。 展开更多
关键词 乳腺癌改良根治术 气管插管 血流动力学 醒恢复 VCA VECA VICA
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Influence of MBBR carrier geometrical properties and biofilm thickness restraint on biofilm properties,effluent particle size distribution,settling velocity distribution,and settling behaviour 被引量:4
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作者 Raheleh Arabgol Peter A.Vanrolleghem Robert Delatolla 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2022年第12期138-149,共12页
The relatively poor settling characteristics of particles produced in moving bed biofilm reactor(MBBR)outline the importance of developing a fundamental understanding of the characterization and settleability of MBBR-... The relatively poor settling characteristics of particles produced in moving bed biofilm reactor(MBBR)outline the importance of developing a fundamental understanding of the characterization and settleability of MBBR-produced solids.The influence of carrier geometric properties and different levels of biofilm thickness on biofilm characteristics,solids production,particle size distribution(PSD),and particle settling velocity distribution(PSVD)is evaluated in this study.The analytical Vi CAs method is applied to the MBBR effluent to assess the distribution of particle settling velocities.This method is combined with microscopy imaging to relate particle size distribution to settling velocity.Three conventionally loaded MBBR systems are studied at a similar loading rate of 6.0 g/(m^(2)·day)and with different carrier types.The AnoxK^(TM)K5 carrier,a commonly used carrier,is compared to so-called thickness-restraint carriers,AnoxK^(TM)Z-carriers that are newly designed carriers to limit the biofilm thickness.Moreover,two levels of biofilm thickness,200μm and 400μm,are studied using AnoxK^(TM)Z-200 and Z-400 carriers.Statistical analysis confirms that K5 carriers demonstrated a significantly different biofilm mass,thickness,and density,in addition to distinct trends in PSD and PSVD in comparison with Z-carriers.However,in comparison of thickness-restraint carriers,Z-200 carrier results did not vary significantly compared to the Z-400 carrier.The K5 carriers showed the lowest production of suspended solids(0.7±0.3 gTSS/day),thickest biofilm(281.1±8.7μm)and lowest biofilm density(65.0±1.5 kg/m^(3)).The K5 effluent solids also showed enhanced settling behaviour,consisting of larger particles with faster settling velocities. 展开更多
关键词 MBBR Particle size distribution(PSD) Particle settling velocity distribution(PSVD) Settling behaviour vicas z-carriers
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社区干预对高血压的影响
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作者 黄中红 杨洪江 +1 位作者 王成桓 那开宪 《全科医学杂志》 2003年第1期21-24,共4页
目的 探讨北京朝阳区管庄东里社区经社区干预后,高血压发病率、控制率、死亡率变化。方法 采用MONICA方案,按年度、性别、年龄分别计算高血压的发病率,知晓率、治疗率、控制率及统计学显著性,回归系数b乘100近似年百分率变化。结果 ... 目的 探讨北京朝阳区管庄东里社区经社区干预后,高血压发病率、控制率、死亡率变化。方法 采用MONICA方案,按年度、性别、年龄分别计算高血压的发病率,知晓率、治疗率、控制率及统计学显著性,回归系数b乘100近似年百分率变化。结果 1997年—2002年管庄东里社区经过5年社区综合干预后,高血压控制率,治疗率、知晓率明显升高,分别上升22.3%、52.9%、56.5%,死亡率下降0.38%,具有统计学显著性。结论 进行社区人群高血压综合防治是有效的。 展开更多
关键词 社区干预 高血压 影响 发病率 控制率 死亡率 M凹VICA方案 社区人群
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乳癌手术麻醉方法的临床分析
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作者 云虹 胡晓云 《保健医学研究与实践》 2009年第1期33-34,共2页
目的对3种乳癌手术麻醉方法进行比较,以选择合理的麻醉方法。方法对800例乳癌手术病人的三种麻醉的方法、麻醉选择、麻醉并发症、麻醉注意事项等进行了分析总结。结果硬膜外阻滞麻醉(EPA)穿刺成功226例(98.15%),阻滞效果满意208例(90.04... 目的对3种乳癌手术麻醉方法进行比较,以选择合理的麻醉方法。方法对800例乳癌手术病人的三种麻醉的方法、麻醉选择、麻醉并发症、麻醉注意事项等进行了分析总结。结果硬膜外阻滞麻醉(EPA)穿刺成功226例(98.15%),阻滞效果满意208例(90.04%),出现轻度并发症4例;静脉吸入复合麻醉(VICA)气管插管成功率100%,95例(20.43%)气管内插管时心血管反应较显著;全身静脉麻醉(TIA)94例(90.38%)心血管反应较显著,62例(59.62%)术中舌根后坠需置咽喉通气道或托起下颌维持呼吸道通畅。结论EPA、VICA发生并发症少于TIA,乳癌手术麻醉应选择EPA、VICA,TIA慎用。 展开更多
关键词 乳腺癌 EPA VICA TIA
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Formation of (2E)-4-Hydroxy-2-nonenal and (2E)-4-Hydroxy-2-hexenal by Plant Enzymes: A Review Suggests a Role in the Physiology of Plants
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作者 Harold W. Gardner 《Advances in Enzyme Research》 CAS 2016年第2期56-61,共6页
It is demonstrated that (3Z)-nonenal (NON) and (3Z)-hexenal (HEX) are oxidized in a cascade by lipoxygenase (LOX) and hydroperoxide peroxygenase (HP peroxygenase) into (2E)-4-hydroxy-2- nonenal (HNE) and (2E)-4-hydrox... It is demonstrated that (3Z)-nonenal (NON) and (3Z)-hexenal (HEX) are oxidized in a cascade by lipoxygenase (LOX) and hydroperoxide peroxygenase (HP peroxygenase) into (2E)-4-hydroxy-2- nonenal (HNE) and (2E)-4-hydroxy-2-hexenal (HHE), respectively. In turn, HNE inactivates LOX terminating the cascade. The hydroxy-alkenals produced serve to inhibit plant pathogens, which initiated the cascade. In addition to LOX, other unknown oxygenases may be involved in the cascade. 展开更多
关键词 (3Z)-Nonenal (3Z)-Hexenal (2E)-4-Hydroxy-2-nonenal (2E)-4-Hydroxy-2-hexenal (2E)-4-Hydroperoxy-2-hexenal LIPOXYGENASE Hydroperoxide Peroxygenase Hydroperoxide Lyase (2E)-4-Hydroperoxy-2-Nonenal 3 4-Epoxynonanal (2E)-4-Oxo-2-nonenal Glycine max Vica faba Plant Pathogen
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