目的探讨杂交技术治疗B型主动脉夹层(type B aortic dissection,TBAD)的单中心近远期预后。方法回顾性分析2006年1月至2018年8月在广东省人民医院应用杂交技术治疗TBAD的258例患者资料,男性238例(92.2%),年龄(52.4±10.3)岁。主要...目的探讨杂交技术治疗B型主动脉夹层(type B aortic dissection,TBAD)的单中心近远期预后。方法回顾性分析2006年1月至2018年8月在广东省人民医院应用杂交技术治疗TBAD的258例患者资料,男性238例(92.2%),年龄(52.4±10.3)岁。主要不良事件定义为全因死亡、再次主动脉手术、卒中、脊髓缺血、主动脉破裂、逆撕A型夹层及血管移植物感染;近期结局定义为术后30 d或院内事件。通过Kaplan-Meier分析评估远期生存率及桥血管通畅率。结果手术成功率98.8%(255/258),近期主要不良事件发生率13.6%(35/258),其中全因死亡18例(7.0%)、再手术3例(1.2%)、卒中13例(5.0%)、脊髓缺血5例(1.9%)、主动脉破裂12例(4.7%)、逆撕A型夹层4例(1.6%)。平均随访(46.1±35.8)个月,随访期间新增主要不良事件37例(15.4%),其中全因死亡22例(9.2%)、再手术13例(5.4%)、卒中6例(2.5%)、主动脉破裂9例(3.8%)、逆撕A型夹层2例(0.8%)、血管移植物感染3例(1.3%)。术后1年、5年和10年生存率为(90.1±1.9)%、(83.9±2.6)%和(77.1±3.8)%,桥血管通畅率为(98.3±0.8)%、(96.2±1.3)%和(87.9±4.5)%。结论杂交技术是治疗TBAD的有效方法,但近远期并发症发生率较高,需要密切随访。展开更多
The emergence and rapid development of Artificial Intelligence Generated Content(AIGC)technology is revolutionizing human communication and cultural landscapes.This paper explores the impact of AIGC on society,identif...The emergence and rapid development of Artificial Intelligence Generated Content(AIGC)technology is revolutionizing human communication and cultural landscapes.This paper explores the impact of AIGC on society,identifying three distinct cultural paradigms:AIGC Blended Culture,AIGC Based Culture,and AIGC Polluted Culture.AIGC Blended Culture represents a synergistic collaboration between AI and human creativity,enhancing content creation efficiency,promoting cross-cultural communication,and enriching human experiences.AIGC Based Culture signifies a shift where AI becomes the core driver of cultural production and dissemination.This leads to innovative cultural industry models,expanded development fields,and improved cultural product quality and diversity.However,AIGC Polluted Culture arises from the misuse of AIGC to produce or disseminate harmful content.The paper proposes countermeasures and recommendations to maximize the benefits of AIGC while mitigating potential risks.This involves fostering collaboration between AI and humans,focusing on talent cultivation,establishing and improving laws and regulations,and developing solutions to detect and mitigate harmful content.Additionally,promoting responsible innovation and ethical AI development is crucial.In conclusion,AIGC represents a transformative force reshaping human communication and culture.While offering immense opportunities for innovation and efficiency,it also presents challenges that require careful consideration and proactive measures to ensure its positive and sustainable impact on society.展开更多
文摘目的探讨杂交技术治疗B型主动脉夹层(type B aortic dissection,TBAD)的单中心近远期预后。方法回顾性分析2006年1月至2018年8月在广东省人民医院应用杂交技术治疗TBAD的258例患者资料,男性238例(92.2%),年龄(52.4±10.3)岁。主要不良事件定义为全因死亡、再次主动脉手术、卒中、脊髓缺血、主动脉破裂、逆撕A型夹层及血管移植物感染;近期结局定义为术后30 d或院内事件。通过Kaplan-Meier分析评估远期生存率及桥血管通畅率。结果手术成功率98.8%(255/258),近期主要不良事件发生率13.6%(35/258),其中全因死亡18例(7.0%)、再手术3例(1.2%)、卒中13例(5.0%)、脊髓缺血5例(1.9%)、主动脉破裂12例(4.7%)、逆撕A型夹层4例(1.6%)。平均随访(46.1±35.8)个月,随访期间新增主要不良事件37例(15.4%),其中全因死亡22例(9.2%)、再手术13例(5.4%)、卒中6例(2.5%)、主动脉破裂9例(3.8%)、逆撕A型夹层2例(0.8%)、血管移植物感染3例(1.3%)。术后1年、5年和10年生存率为(90.1±1.9)%、(83.9±2.6)%和(77.1±3.8)%,桥血管通畅率为(98.3±0.8)%、(96.2±1.3)%和(87.9±4.5)%。结论杂交技术是治疗TBAD的有效方法,但近远期并发症发生率较高,需要密切随访。
文摘The emergence and rapid development of Artificial Intelligence Generated Content(AIGC)technology is revolutionizing human communication and cultural landscapes.This paper explores the impact of AIGC on society,identifying three distinct cultural paradigms:AIGC Blended Culture,AIGC Based Culture,and AIGC Polluted Culture.AIGC Blended Culture represents a synergistic collaboration between AI and human creativity,enhancing content creation efficiency,promoting cross-cultural communication,and enriching human experiences.AIGC Based Culture signifies a shift where AI becomes the core driver of cultural production and dissemination.This leads to innovative cultural industry models,expanded development fields,and improved cultural product quality and diversity.However,AIGC Polluted Culture arises from the misuse of AIGC to produce or disseminate harmful content.The paper proposes countermeasures and recommendations to maximize the benefits of AIGC while mitigating potential risks.This involves fostering collaboration between AI and humans,focusing on talent cultivation,establishing and improving laws and regulations,and developing solutions to detect and mitigate harmful content.Additionally,promoting responsible innovation and ethical AI development is crucial.In conclusion,AIGC represents a transformative force reshaping human communication and culture.While offering immense opportunities for innovation and efficiency,it also presents challenges that require careful consideration and proactive measures to ensure its positive and sustainable impact on society.
