目的探讨肱骨近端锁定钢板联合同种异体骨移植增强固定治疗肱骨近端疏松粉碎性骨折的临床效果。方法选取2020年10月至2022年12月上饶市广信区人民医院收治的86例肱骨近端骨质疏松粉碎性骨折患者作为研究对象,采用随机数字表法分为对照...目的探讨肱骨近端锁定钢板联合同种异体骨移植增强固定治疗肱骨近端疏松粉碎性骨折的临床效果。方法选取2020年10月至2022年12月上饶市广信区人民医院收治的86例肱骨近端骨质疏松粉碎性骨折患者作为研究对象,采用随机数字表法分为对照组与研究组,每组43例。对照组实施肱骨近端锁定钢板固定术式,研究组实施锁定钢板联合同种异体骨移植增强固定术式。比较两组术后恢复情况、影像学参数、肩关节功能、疼痛程度及术后并发症发生情况。结果研究组骨折愈合时间、骨痂出现时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组颈干角大于对照组,肱骨头丢失高度低于对照组,差异有统计学意义(P<0.05)。术后,两组疼痛、活动度、肌力、日常活动评分均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05)。术后1、2、4个月,两组视觉模拟评分法(visual analog scale,VAS)评分均低于前一时间点,且研究组均低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论肱骨近端骨质疏松粉碎性骨折实行锁定钢板联合同种异体骨移植增强固定,可促进骨折愈合,改善肩关节功能,减少并发症的发生。展开更多
Carbon dioxide is an important medium of the global carbon cycle,and has the dual properties of realizing the conversion of organic matter in the ecosystem and causing the greenhouse effect.The fixed or available carb...Carbon dioxide is an important medium of the global carbon cycle,and has the dual properties of realizing the conversion of organic matter in the ecosystem and causing the greenhouse effect.The fixed or available carbon dioxide in the atmosphere is defined as"gray carbon",while the carbon dioxide that cannot be fixed or used and remains in the atmosphere is called"black carbon".Carbon neutral is the consensus of human development,but its implementation still faces many challenges in politics,resources,technology,market,and energy structure,etc.It is proposed that carbon replacement,carbon emission reduction,carbon sequestration,and carbon cycle are the four main approaches to achieve carbon neutral,among which carbon replacement is the backbone.New energy has become the leading role of the third energy conversion and will dominate carbon neutral in the future.Nowadays,solar energy,wind energy,hydropower,nuclear energy and hydrogen energy are the main forces of new energy,helping the power sector to achieve low carbon emissions."Green hydrogen"is the reserve force of new energy,helping further reduce carbon emissions in industrial and transportation fields.Artificial carbon conversion technology is a bridge connecting new energy and fossil energy,effectively reducing the carbon emissions of fossil energy.It is predicted that the peak value of China’s carbon dioxide emissions will reach 110×10^(8) t in 2030.The study predicts that China’s carbon emissions will drop to 22×10^(8) t,33×10^(8) t and 44×10^(8) t,respectively,in 2060 according to three scenarios of high,medium,and low levels.To realize carbon neutral in China,seven implementation suggestions have been put forward to build a new"three small and one large"energy structure in China and promote the realization of China’s energy independence strategy.展开更多
In view of complex geological characteristics and alternating loading conditions associated with cyclic large amount of gas injection and withdrawal in underground gas storage(UGS) of China, a series of key gas storag...In view of complex geological characteristics and alternating loading conditions associated with cyclic large amount of gas injection and withdrawal in underground gas storage(UGS) of China, a series of key gas storage construction technologies were established, mainly including UGS site selection and evaluation, key index design, well drilling and completion, surface engineering and operational risk warning and assessment, etc. The effect of field application was discussed and summarized. Firstly, trap dynamic sealing capacity evaluation technology for conversion of UGS from the fault depleted or partially depleted gas reservoirs. A key index design method mainly based on the effective gas storage capacity design for water flooded heterogeneous gas reservoirs was proposed. To effectively guide the engineering construction of UGS, the safe well drilling, high quality cementing and high pressure and large flow surface injection and production engineering optimization suitable for long-term alternate loading condition and ultra-deep and ultra-low temperature formation were developed. The core surface equipment like high pressure gas injection compressor can be manufactured by our own. Last, the full-system operational risk warning and assessment technology for UGS was set up. The above 5 key technologies have been utilized in site selection, development scheme design, engineering construction and annual operations of 6 UGS groups, e.g. the Hutubi UGS in Xinjiang. To date, designed main indexes are highly consistent with actural performance, the 6 UGS groups have the load capacity of over 7.5 billion cubic meters of working gas volume and all the storage facilities have been running efficiently and safely.展开更多
Based on more than 20-year operation of gas storages with complex geological conditions and a series of research findings, the pressure-bearing dynamics mechanism of geological body is revealed. With the discovery of ...Based on more than 20-year operation of gas storages with complex geological conditions and a series of research findings, the pressure-bearing dynamics mechanism of geological body is revealed. With the discovery of gas-water flowing law of multi-cycle relative permeability hysteresis and differential utilization in zones, the extreme utilization theory targeting at the maximum amount of stored gas, maximum injection-production capacity and maximum efficiency in space utilization is proposed to support the three-in-one evaluation method of the maximum pressure-bearing capacity of geological body, maximum well production capacity and maximum peak shaving capacity of storage space. This study realizes the full potential of gas storage(storage capacity) at maximum pressure, maximum formation-wellbore coordinate production, optimum well spacing density match with finite-time unsteady flow, and peaking shaving capacity at minimum pressure, achieving perfect balance between security and capacity. Operation in gas storages, such as Hutubi in Xinjiang, Xiangguosi in Xinan, and Shuang6 in Liaohe, proves that extreme utilization theory has promoted high quality development of gas storages in China.展开更多
By conducting relative permeability experiments of multi-cycle gas-water displacement and imbibition on natural cores,we discuss relative permeability hysteresis effect in underground gas storage during multi-cycle in...By conducting relative permeability experiments of multi-cycle gas-water displacement and imbibition on natural cores,we discuss relative permeability hysteresis effect in underground gas storage during multi-cycle injection and production.A correction method for relative permeability hysteresis in numerical simulation of water-invaded gas storage has been worked out using the Carlson and Killough models.A geologic model of water-invaded sandstone gas storage with medium-low permeability is built to investigate the impacts of relative permeability hysteresis on fluid distribution and production performance during multi-cycle injection and production of the gas storage.The study shows that relative permeability hysteresis effect occurs during high-speed injection and production in gas storage converted from water-invaded gas reservoir,and leads to increase of gas-water transition zone width and thickness,shrinkage of the area of high-efficiency gas storage,and decrease of the peak value variation of pore volume containing gas,and then reduces the storage capacity,working gas volume,and high-efficiency operation span of the gas storage.Numerical simulations exhibit large prediction errors of performance indexes if this hysteresis effect is not considered.Killough and Carlson methods can be used to correct the relative permeability hysteresis effect in water-invaded underground gas storage to improve the prediction accuracy.The Killough method has better adaptability to the example model.展开更多
文摘目的探讨肱骨近端锁定钢板联合同种异体骨移植增强固定治疗肱骨近端疏松粉碎性骨折的临床效果。方法选取2020年10月至2022年12月上饶市广信区人民医院收治的86例肱骨近端骨质疏松粉碎性骨折患者作为研究对象,采用随机数字表法分为对照组与研究组,每组43例。对照组实施肱骨近端锁定钢板固定术式,研究组实施锁定钢板联合同种异体骨移植增强固定术式。比较两组术后恢复情况、影像学参数、肩关节功能、疼痛程度及术后并发症发生情况。结果研究组骨折愈合时间、骨痂出现时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组颈干角大于对照组,肱骨头丢失高度低于对照组,差异有统计学意义(P<0.05)。术后,两组疼痛、活动度、肌力、日常活动评分均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05)。术后1、2、4个月,两组视觉模拟评分法(visual analog scale,VAS)评分均低于前一时间点,且研究组均低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论肱骨近端骨质疏松粉碎性骨折实行锁定钢板联合同种异体骨移植增强固定,可促进骨折愈合,改善肩关节功能,减少并发症的发生。
文摘Carbon dioxide is an important medium of the global carbon cycle,and has the dual properties of realizing the conversion of organic matter in the ecosystem and causing the greenhouse effect.The fixed or available carbon dioxide in the atmosphere is defined as"gray carbon",while the carbon dioxide that cannot be fixed or used and remains in the atmosphere is called"black carbon".Carbon neutral is the consensus of human development,but its implementation still faces many challenges in politics,resources,technology,market,and energy structure,etc.It is proposed that carbon replacement,carbon emission reduction,carbon sequestration,and carbon cycle are the four main approaches to achieve carbon neutral,among which carbon replacement is the backbone.New energy has become the leading role of the third energy conversion and will dominate carbon neutral in the future.Nowadays,solar energy,wind energy,hydropower,nuclear energy and hydrogen energy are the main forces of new energy,helping the power sector to achieve low carbon emissions."Green hydrogen"is the reserve force of new energy,helping further reduce carbon emissions in industrial and transportation fields.Artificial carbon conversion technology is a bridge connecting new energy and fossil energy,effectively reducing the carbon emissions of fossil energy.It is predicted that the peak value of China’s carbon dioxide emissions will reach 110×10^(8) t in 2030.The study predicts that China’s carbon emissions will drop to 22×10^(8) t,33×10^(8) t and 44×10^(8) t,respectively,in 2060 according to three scenarios of high,medium,and low levels.To realize carbon neutral in China,seven implementation suggestions have been put forward to build a new"three small and one large"energy structure in China and promote the realization of China’s energy independence strategy.
基金Supported by the CNPC Science and Technology Major Project(2015E-4002)
文摘In view of complex geological characteristics and alternating loading conditions associated with cyclic large amount of gas injection and withdrawal in underground gas storage(UGS) of China, a series of key gas storage construction technologies were established, mainly including UGS site selection and evaluation, key index design, well drilling and completion, surface engineering and operational risk warning and assessment, etc. The effect of field application was discussed and summarized. Firstly, trap dynamic sealing capacity evaluation technology for conversion of UGS from the fault depleted or partially depleted gas reservoirs. A key index design method mainly based on the effective gas storage capacity design for water flooded heterogeneous gas reservoirs was proposed. To effectively guide the engineering construction of UGS, the safe well drilling, high quality cementing and high pressure and large flow surface injection and production engineering optimization suitable for long-term alternate loading condition and ultra-deep and ultra-low temperature formation were developed. The core surface equipment like high pressure gas injection compressor can be manufactured by our own. Last, the full-system operational risk warning and assessment technology for UGS was set up. The above 5 key technologies have been utilized in site selection, development scheme design, engineering construction and annual operations of 6 UGS groups, e.g. the Hutubi UGS in Xinjiang. To date, designed main indexes are highly consistent with actural performance, the 6 UGS groups have the load capacity of over 7.5 billion cubic meters of working gas volume and all the storage facilities have been running efficiently and safely.
基金Supported by the PetroChina Scientific Research and Technology Development Project (2022DJ83)。
文摘Based on more than 20-year operation of gas storages with complex geological conditions and a series of research findings, the pressure-bearing dynamics mechanism of geological body is revealed. With the discovery of gas-water flowing law of multi-cycle relative permeability hysteresis and differential utilization in zones, the extreme utilization theory targeting at the maximum amount of stored gas, maximum injection-production capacity and maximum efficiency in space utilization is proposed to support the three-in-one evaluation method of the maximum pressure-bearing capacity of geological body, maximum well production capacity and maximum peak shaving capacity of storage space. This study realizes the full potential of gas storage(storage capacity) at maximum pressure, maximum formation-wellbore coordinate production, optimum well spacing density match with finite-time unsteady flow, and peaking shaving capacity at minimum pressure, achieving perfect balance between security and capacity. Operation in gas storages, such as Hutubi in Xinjiang, Xiangguosi in Xinan, and Shuang6 in Liaohe, proves that extreme utilization theory has promoted high quality development of gas storages in China.
基金Supported by the Petro China Science and Technology Major Project(2015E-4002)。
文摘By conducting relative permeability experiments of multi-cycle gas-water displacement and imbibition on natural cores,we discuss relative permeability hysteresis effect in underground gas storage during multi-cycle injection and production.A correction method for relative permeability hysteresis in numerical simulation of water-invaded gas storage has been worked out using the Carlson and Killough models.A geologic model of water-invaded sandstone gas storage with medium-low permeability is built to investigate the impacts of relative permeability hysteresis on fluid distribution and production performance during multi-cycle injection and production of the gas storage.The study shows that relative permeability hysteresis effect occurs during high-speed injection and production in gas storage converted from water-invaded gas reservoir,and leads to increase of gas-water transition zone width and thickness,shrinkage of the area of high-efficiency gas storage,and decrease of the peak value variation of pore volume containing gas,and then reduces the storage capacity,working gas volume,and high-efficiency operation span of the gas storage.Numerical simulations exhibit large prediction errors of performance indexes if this hysteresis effect is not considered.Killough and Carlson methods can be used to correct the relative permeability hysteresis effect in water-invaded underground gas storage to improve the prediction accuracy.The Killough method has better adaptability to the example model.
