Objective:To explore the effect of TCD foaming test in screening patent foramen ovale in migraine patients,as well as in the treatment effect.Methods:From September 2019 to August 2020,236 patients with migraine and 3...Objective:To explore the effect of TCD foaming test in screening patent foramen ovale in migraine patients,as well as in the treatment effect.Methods:From September 2019 to August 2020,236 patients with migraine and 362 patients with normal physical examination were treated in our hospital.According to the random number table method,60 patients with migraine were selected as the observation group,and 60 patients with normal physical examination were selected as the control group.48 cases of PFO were confirmed by TCD foaming test Among the patients with migraine,36 patients received interventional occlusion therapy.The therapeutic effect and VAS score of the two groups were analyzed.Results:Through TCD foaming test,the proportion of PFO in the observation group was 80%,and that in the control group was 13.33%.The proportion of PFO in the observation group was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=53.5714,P<0.01);The symptoms disappeared in 30 patients and improved in 4 patients;Among the 36 patients who received interventional occlusion therapy,the VAS score of patients before and after the operation was significantly changed,and the proportion of patients whose pain disappeared after the operation was 83.33%,which was significantly lower than that before the operation,and the difference was comparable(χ^(2)=51.4286,P<0.01).Conclusion:TCD foaming test for PFO screening has strong applicability,not only safe and convenient,will not cause trauma to patients,and through interventional occlusion treatment,can significantly improve the clinical symptoms of migraine patients and cure patients.展开更多
High-temperature and high-salt reservoirs are often accompanied by serious gas channeling in gas flooding,which will greatly affect the effect of gas injection development,so in-situ foaming of temperature-resistant a...High-temperature and high-salt reservoirs are often accompanied by serious gas channeling in gas flooding,which will greatly affect the effect of gas injection development,so in-situ foaming of temperature-resistant and salt-resistant foaming agents is commonly used to control gas channeling.The feasibility of the compound system of dodecyl hydroxyl sulfobetaine(HSB12)andα-olefin sulfonate(AOS)as foaming agent for sandstone reservoir was studied at 130℃and 22×10^(4)mg/L.The results showed that the foaming agent(HSB12 and AOS were compounded in a 6:1 mass ratio,in this article,this foaming agent is simply referred to as SA61)had good solubility in 22×10^(4)mg/L simulated formation water.Besides,the foaming volume of SA61 and HSB12 was similar,but the foam decay half-life of SA61was 10-25 times higher than that of HSB12.The foaming performance of SA61 on the surface of quartz sand remained above 90%of that before adsorption.The strong interaction between HSB12 and AOS in the compound system SA61 was demonstrated by surface rheological measurements and NMR studies of surfactants.The results of co re flow test showed that SA61 had better mobility control ability than HSB12under the same surfactant concentration.In addition,SA61 showed a selective mobility reduction in2005.30 and 632.00 mD cores.The above research results can guide the selection and application of foaming agent in clastic reservoir.展开更多
Objective:to describe the clinical features of bilateral multiple pulmonary arteriovenous fistulas(PAF)with paroxysmal aphasia as the first symptom.Methods:we collected the clinical history and examination data of a p...Objective:to describe the clinical features of bilateral multiple pulmonary arteriovenous fistulas(PAF)with paroxysmal aphasia as the first symptom.Methods:we collected the clinical history and examination data of a patient with paroxysmal aphasia.In order to trace the etiology,we performed chest computed tomography(CT)and pulmonary CT angiography(CIA).Results:the patient had paroxysmal aphasia with dizziness,brain magnetic resonance imaging(MRI)showed cerebral infarction,the transcranial Doppler(TCD)foaming test was positive,transesophageal ultrasound showed no patent foramen ovale,and chest CT and CIA showed bilateral multiple PAF.Conclusion:bilateral multiple PAF are rare in clinic.When patients have paroxysmal neurological symptoms,the possibility of PAF leading to embolism should be considered.展开更多
文摘Objective:To explore the effect of TCD foaming test in screening patent foramen ovale in migraine patients,as well as in the treatment effect.Methods:From September 2019 to August 2020,236 patients with migraine and 362 patients with normal physical examination were treated in our hospital.According to the random number table method,60 patients with migraine were selected as the observation group,and 60 patients with normal physical examination were selected as the control group.48 cases of PFO were confirmed by TCD foaming test Among the patients with migraine,36 patients received interventional occlusion therapy.The therapeutic effect and VAS score of the two groups were analyzed.Results:Through TCD foaming test,the proportion of PFO in the observation group was 80%,and that in the control group was 13.33%.The proportion of PFO in the observation group was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=53.5714,P<0.01);The symptoms disappeared in 30 patients and improved in 4 patients;Among the 36 patients who received interventional occlusion therapy,the VAS score of patients before and after the operation was significantly changed,and the proportion of patients whose pain disappeared after the operation was 83.33%,which was significantly lower than that before the operation,and the difference was comparable(χ^(2)=51.4286,P<0.01).Conclusion:TCD foaming test for PFO screening has strong applicability,not only safe and convenient,will not cause trauma to patients,and through interventional occlusion treatment,can significantly improve the clinical symptoms of migraine patients and cure patients.
基金financial support from the Major Scientific and Technological Projects of CNPC(Award No.ZD2019-183-007)。
文摘High-temperature and high-salt reservoirs are often accompanied by serious gas channeling in gas flooding,which will greatly affect the effect of gas injection development,so in-situ foaming of temperature-resistant and salt-resistant foaming agents is commonly used to control gas channeling.The feasibility of the compound system of dodecyl hydroxyl sulfobetaine(HSB12)andα-olefin sulfonate(AOS)as foaming agent for sandstone reservoir was studied at 130℃and 22×10^(4)mg/L.The results showed that the foaming agent(HSB12 and AOS were compounded in a 6:1 mass ratio,in this article,this foaming agent is simply referred to as SA61)had good solubility in 22×10^(4)mg/L simulated formation water.Besides,the foaming volume of SA61 and HSB12 was similar,but the foam decay half-life of SA61was 10-25 times higher than that of HSB12.The foaming performance of SA61 on the surface of quartz sand remained above 90%of that before adsorption.The strong interaction between HSB12 and AOS in the compound system SA61 was demonstrated by surface rheological measurements and NMR studies of surfactants.The results of co re flow test showed that SA61 had better mobility control ability than HSB12under the same surfactant concentration.In addition,SA61 showed a selective mobility reduction in2005.30 and 632.00 mD cores.The above research results can guide the selection and application of foaming agent in clastic reservoir.
基金funded by the Scientific Research Program of the Hubei Provincial Department of Education in 2019(Q20192103)the 2019 National College Students'innovation and Entrepreneurship Training Project(201910929012).
文摘Objective:to describe the clinical features of bilateral multiple pulmonary arteriovenous fistulas(PAF)with paroxysmal aphasia as the first symptom.Methods:we collected the clinical history and examination data of a patient with paroxysmal aphasia.In order to trace the etiology,we performed chest computed tomography(CT)and pulmonary CT angiography(CIA).Results:the patient had paroxysmal aphasia with dizziness,brain magnetic resonance imaging(MRI)showed cerebral infarction,the transcranial Doppler(TCD)foaming test was positive,transesophageal ultrasound showed no patent foramen ovale,and chest CT and CIA showed bilateral multiple PAF.Conclusion:bilateral multiple PAF are rare in clinic.When patients have paroxysmal neurological symptoms,the possibility of PAF leading to embolism should be considered.
