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超声引导经胸穿刺活检周围型肺病变的影响因素及临床价值 被引量:4
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作者 卜锐 夏要友 +4 位作者 夏春娟 陆健斐 王燕 李卓原 赵鹤仙 《中国现代医学杂志》 CAS 2020年第18期72-76,共5页
目的探讨超声引导经胸穿刺活检周围型肺病变的影响因素、穿刺技巧及安全性。方法回顾性分析177例可疑周围型肺病变患者行超声引导经胸穿刺活检的病理结果,分析患者年龄、性别、穿刺体位、穿刺部位、病灶大小、穿刺角度、穿刺针数及穿刺... 目的探讨超声引导经胸穿刺活检周围型肺病变的影响因素、穿刺技巧及安全性。方法回顾性分析177例可疑周围型肺病变患者行超声引导经胸穿刺活检的病理结果,分析患者年龄、性别、穿刺体位、穿刺部位、病灶大小、穿刺角度、穿刺针数及穿刺针型号对穿刺有效率的影响。结果病理做出明确诊断患者153例,穿刺无效24例,穿刺有效率为86.44%。病灶大小>50mm及26~50mm的患者穿刺有效率高于病灶大小<26mm(P<0.05),患者穿刺时体位采取坐位、平卧位者的穿刺有效率高于侧卧位(P<0.05),穿刺针型号16G穿刺有效率高于18G(P<0.05)。患者性别、穿刺部位、穿刺角度及穿刺针数比较,差异无统计学意义(P>0.05)。177例患者穿刺术后并发症总发病率为5.65%(10/177),其中气胸3例(1.69%)、胸膜反应5例(2.82%)、咳血痰2例(1.13%)。结论病灶大小、穿刺时患者体位是影响超声引导经胸穿刺活检有效率的主要因素,应规范各项操作,为周围型肺病变的临床诊疗提供可靠的依据。 展开更多
关键词 超声疗法 穿刺术 周围型肺病变
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Fabrication and analysis of TIG welding-brazing butt joints of in-situ TiB2/7050 composite and TA2
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作者 Huan-huan Sun Yi-bo Ren +4 位作者 Yang Feng Hao-qiang Ba Dong Chen chun-juan xia Hao-wei Wang 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2021年第3期1062-1070,共9页
Lightweight hybrid structures of Al MMCs and titanium alloy dissimilar materials have great prospect in the defence industry application. So, it is necessary to join Al MMCs with Ti metal to achieve this structural de... Lightweight hybrid structures of Al MMCs and titanium alloy dissimilar materials have great prospect in the defence industry application. So, it is necessary to join Al MMCs with Ti metal to achieve this structural design. In this work, in-situ Ti B_(2)/7050 composite and TA2 were firstly attempted to join by TIG welding-brazing technique. The result was that the intact welding-brazing butt joint was successfully fabricated. The joint presents dual characteristics, being a brazing on TA2 side and a welding on Ti B_(2)/7050 side. At brazing joint side, ER4043 filler metal effectively wets on TA2 under TIG heating condition,and a continuous interfacial reaction layer with 1 e3 mm is formed at welded metal/TA2 interface. The whole interfacial reaction layers are composed of Ti(Al Si)3 intermetallic compounds(IMCs), but their morphologies at the different regions present obvious distinguishes. The microhardness of the reaction layers is as much as 141 e190 HV. At welding joints side, the fusion zone appears the equixaed crystal structure, and the grain sizes are much smaller than those of welded metal, which is attributed to the effect of Ti B2 particulates from the melted Ti B_(2)/7050 on acceleration formation and inhibiting growth for the new crystal nucleus. The tensile test results show that average tensile strength of the optimal welding-brazing joint is able to achieve 138 MPa. The failure of the tensile joint occurs by quasi-cleavage pattern, and the cracks initiate from the IMCs layer at the groove surface of TA2 and propagate into the welded metal. 展开更多
关键词 In-situ TiB2/7050 composite TA2 TIG welding-brazing FABRICATION Analysis
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