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超早期、早期胃镜检查对上消化道出血患者止血效果的影响 被引量:6
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作者 张亚娟 孟凡涛 +1 位作者 姜飒 郑瑞精 《世界华人消化杂志》 CAS 2018年第26期1551-1555,共5页
目的比较超早期、早期胃镜检查对上消化道出血患者止血效果的影响.方法选择110例上消化道出血患者,根据患者胃镜检查时间分为超早期组(发病8 h内入院并行胃镜检查, 48例)与早期组(发病8-24 h内入院并行胃镜检查, 62例).比较两组的病变出... 目的比较超早期、早期胃镜检查对上消化道出血患者止血效果的影响.方法选择110例上消化道出血患者,根据患者胃镜检查时间分为超早期组(发病8 h内入院并行胃镜检查, 48例)与早期组(发病8-24 h内入院并行胃镜检查, 62例).比较两组的病变出血Forrest分级、出血检出率、活动性出血检出率、止血成功率、出血量、输血率、住院时间、再出血率.结果两组病变出血的Forrest分级无统计学意义(P>0.05).两组出血检出率、活动性出血检出率的差异均无统计学意义(P>0.05),止血成功率分别为91.67%和93.55%,差异无统计学意义(P>0.05).超早期组出血量、住院时间及输血率分别为174.58 mL±13.14mL、5.71d±1.65d、4.17%,显著低于早期组的184.65mL±16.24mL、7.02d±2.01d、8.06%(P <0.05).两组再出血率的差异无统计学意义(P>0.05).结论超早期、早期胃镜检查均可高效检出上消化道出血患者的出血灶并止血,而超早期胃镜检查可减少患者出血量与输血率,住院时间更短,效果更佳. 展开更多
关键词 上消化道出血 超早期 早期 胃镜检查 止血效果
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Gold self-relay catalysis for accessing functionalized cyclopentenones bearing an allcarbon quaternary stereocenter 被引量:1
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作者 fan-tao meng Jing-Long Chen +4 位作者 Xiao-Yan Qin Tian-Shu Zhang Shu-Jiang Tu Bo Jiang Wen-Juan Hao 《Organic Chemistry Frontiers》 SCIE EI 2022年第1期140-146,共7页
A new gold(I)self-relay catalysis consisting of a 3,3-rearrangement,Nazarov cyclization and Michael addition cascade of 1,3-enyne acetates with aurones and their derived azadienes is reported,and used to produce a ser... A new gold(I)self-relay catalysis consisting of a 3,3-rearrangement,Nazarov cyclization and Michael addition cascade of 1,3-enyne acetates with aurones and their derived azadienes is reported,and used to produce a series of densely functionalized cyclopentenones bearing a cyclic quaternary stereocenter in moderate to good yields under mild conditions.This tandem protocol demonstrates high regioselectivity,broad substrate flexibility and good functional group tolerance of substrates without inert atmosphere protection,providing a catalytic and convergent approach for creating all-carbon stereoscopic centers. 展开更多
关键词 CATALYSIS QUATERNARY functional
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Gold Self-Relay Catalysis Enabling[3,3]-Sigmatropic Rearrange-ment/Nazarov Cyclization and Allylic Alkylation Cascade for Constructing All-Carbon Quaternary Stereocenters
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作者 fan-tao meng Xiao-Yan Qin +4 位作者 Jing Li Tian-Shu Zhang Shu-Jiang Tu Bo Jiang Wen-Juan Hao 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2022年第6期687-692,共6页
Molecular scaffolds endowed with all-carbon quaternary stereocenter are ubiquitous in natural products and significant bioactive molecules.However,efficient construction of this type of structure units is full of chal... Molecular scaffolds endowed with all-carbon quaternary stereocenter are ubiquitous in natural products and significant bioactive molecules.However,efficient construction of this type of structure units is full of challenge due to their congested chemical envi-ronment.Herein,we report a new gold(Ⅰ)self-relay catalysis merging[3,3]-sigmatropic rearrangement/Nazarov cyclization with al-lylic alkylation starting from 1,3-enyne acetates and allylic alcohols,producing a wide range of synthetically important allyl cyclo-pentenones with an all-carbon quaternary stereocenter in good yields under mild conditions.This protocol demonstrates the precise control of regioselectivity,high functional group tolerance of substrates and the low loading of gold catalyst without inert atmos-phere protection,providing a catalytic and efficient entry to all-carbon quaternary stereocenters. 展开更多
关键词 ALLYLATION Domino reactions CARBOCYCLES Gold self-relay catalysis 1 3-Enynes
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