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二尖瓣口血流充盈类型对慢性心力衰竭预后判断的价值 被引量:1
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作者 郑哲岚 Meissner Achim +2 位作者 Hausmann Beate alexander hermann Simon Ruediger 《中华超声影像学杂志》 CSCD 2003年第10期603-607,共5页
目的 评价超声心动图在临床随访中对慢性心力衰竭 (心衰 )患者预后的判断价值。方法慢性心衰患者 90例 ,平均随访时间为 (18.8± 7.9)月。随访期间 14例死于心衰 ,12例接受心脏移植 ,5例猝死 ,2例死于心肌梗死。依限制性充盈指数 (... 目的 评价超声心动图在临床随访中对慢性心力衰竭 (心衰 )患者预后的判断价值。方法慢性心衰患者 90例 ,平均随访时间为 (18.8± 7.9)月。随访期间 14例死于心衰 ,12例接受心脏移植 ,5例猝死 ,2例死于心肌梗死。依限制性充盈指数 (restrictivefillingindex ,RFI)对患者进行限制性和非限制性充盈的分组。结果 限制性充盈组的心功能更差 ,心源性致死发生率高。根据Kaplan Meier方法 ,则RFI≥ 1的限制性充盈组和RFI <1的非限制性充盈组的 1年和 2年生存率分别为 52 %对 94%和 2 8%对 92 % ,差异有非常显著性意义。Cox多变量模型最终的模型选择RFI为最有效的对慢性心衰发生心源性致死的预后判定的指标 (χ2 =8.80 17;P =0 .0 0 3 0 )。结论 由多普勒参数导出的限制性充盈指数RFI被证实为简单。 展开更多
关键词 二尖瓣 血流充盈 类型 慢性心力衰竭 预后 超声心动图 血液动力学
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Evaluating the morphology of the degradation layer of pure magnesium via 3D imaging at resolutions below 40 nm 被引量:1
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作者 Berit Zeller-Plumhoff Daniel Laipple +7 位作者 Hanna Slominska Kamila Iskhakova Elena Longo alexander hermann Silja Flenner Imke Greving Malte Storm Regine Willumeit-Romer 《Bioactive Materials》 SCIE 2021年第12期4368-4376,共9页
Magnesium is attractive for the application as a temporary bone implant due to its inherent biodegradability,non-toxicity and suitable mechanical properties.The degradation process of magnesium in physiological enviro... Magnesium is attractive for the application as a temporary bone implant due to its inherent biodegradability,non-toxicity and suitable mechanical properties.The degradation process of magnesium in physiological environments is complex and is thought to be a diffusion-limited transport problem.We use a multi-scale imaging approach using micro computed tomography and transmission X-ray microscopy(TXM)at resolutions below 40 nm.Thus,we are able to evaluate the nanoporosity of the degradation layer and infer its impact on the degradation process of pure magnesium in two physiological solutions.Magnesium samples were degraded in simulated body fluid(SBF)or Dulbecco’s modified Eagle’s medium(DMEM)with 10%fetal bovine serum(FBS)for one to four weeks.TXM reveals the three-dimensional interconnected pore network within the degradation layer for both solutions.The pore network morphology and degradation layer composition are similar for all samples.By contrast,the degradation layer thickness in samples degraded in SBF was significantly higher and more inhomogeneous than in DMEM+10%FBS.Distinct features could be observed within the degradation layer of samples degraded in SBF,suggesting the formation of microgalvanic cells,which are not present in samples degraded in DMEM+10%FBS.The results suggest that the nanoporosity of the degradation layer and the resulting ion diffusion processes therein have a limited influence on the overall degradation process.This indicates that the influence of organic components on the dampening of the degradation rate by the suppression of microgalvanic degradation is much greater in the present study. 展开更多
关键词 Magnesium degradation POROSITY Transmission X-ray microscopy 3D imaging
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