万古霉素与美罗培南鞘内注射对高血压脑出血后颅内感染的疗效分析

目的对比高血压脑出血后颅内感染患者行万古霉素、美罗培南鞘内注射的疗效。方法选取2016年2月—2019年2月于中国人民解放军陆军第71集团军医院诊疗的62例高血压脑出血术后颅内感染患者。根据不同的治疗方式将患者分为万古霉素组和美罗培南组,比较两组患者脑脊液中蛋白质、白细胞、葡萄糖及相关炎症指标、不良反应情况。结果万古霉素组治疗前后脑脊液中蛋白质、白细胞及葡萄糖的差值均高于美罗培南组(P<0.05);万古霉素组治疗前后脑脊液中白细胞介素-6、肿瘤坏死因子-α、C反应蛋白水平及血清降钙素原、神经元特异性烯醇化酶的差值均高于美罗培南组(P<0.05);万古霉素组总有效率高于美罗培南组(P<0.05),两组总不良反应率比较,差异无统计学意义(P>0.05)。结论与美罗培南鞘内注射治疗相比,万古霉素鞘内注射治疗可显著改善高血压脑出血后颅内感染患者脑脊液中蛋白质、葡萄糖、白细胞含量,抗炎效果更理想,能够获得更高治疗有效率,且药物不良反应较少。

The first offshore natural gas hydrate production test in South China Sea

Natural gas hydrates (NGH)is one of key future clean energy resources.Its industrialized development will help remit the huge demand of global natural gas,relieve the increasing pressure of the environment, and play a vital role in the green sustainable growth of human societies.Based on nearly two decades' studying on the reservoir characteristics in the South China Sea (SCS)and the knowledge of reservoir system,the China Geological Survey (CGS)conducted the first production test on an optimal target selected in Shenhu area SCS in 2017.Guided by the "three-phase control"exploitation theory which focused on formation stabilization,technologies such as formation fluid extraction,well drilling and completing, reservoir stimulating,sand controlling,environmental monitoring,monitoring and preventing of secondary formation of hydrates were applied.The test lasted for 60 days from May 10^th when starting to pump, drop pressure and ignite to well killing on July 9^th,with gas production of 3.09×10^5 m^3 in total,which is a world record with the longest continuous duration of gas production and maximal gas yield.This successful test brings a significant breakthrough on safety control of NGH production.

The second natural gas hydrate production test in the South China Sea

Clayey silt reservoirs bearing natural gas hydrates(NGH)are considered to be the hydrate-bearing reservoirs that boast the highest reserves but tend to be the most difficult to exploit.They are proved to be exploitable by the first NGH production test conducted in the South China Sea in 2017.Based on the understanding of the first production test,the China Geological Survey determined the optimal target NGH reservoirs for production test and conducted a detailed assessment,numerical and experimental simulation,and onshore testing of the reservoirs.After that,it conducted the second offshore NGH production test in 1225 m deep Shenhu Area,South China Sea(also referred to as the second production test)from October 2019 to April 2020.During the second production test,a series of technical challenges of drilling horizontal wells in shallow soft strata in deep sea were met,including wellhead stability,directional drilling of a horizontal well,reservoir stimulation and sand control,and accurate depressurization.As a result,30 days of continuous gas production was achieved,with a cumulative gas production of 86.14×104 m3.Thus,the average daily gas production is 2.87×10^4 m^3,which is 5.57 times as much as that obtained in the first production test.Therefore,both the cumulative gas production and the daily gas production were highly improved compared to the first production test.As indicated by the monitoring results of the second production test,there was no anomaly in methane content in the seafloor,seawater,and atmosphere throughout the whole production test.This successful production test further indicates that safe and effective NGH exploitation is feasible in clayey silt NGH reservoirs.The industrialization of hydrates consists of five stages in general,namely theoretical research and simulation experiments,exploratory production test,experimental production test,productive production test,and commercial production.The second production test serves as an important step from the exploratory production test to experimental production test.

Coexistence of natural gas hydrate,free gas and water in the gas hydrate system in the Shenhu Area,South China Sea

Shenhu Area is located in the Baiyun Sag of Pearl River Mouth Basin,which is on the northern continental slope of the South China Sea.Gas hydrates in this area have been intensively investigated,achieving a wide coverage of the three-dimensional seismic survey,a large number of boreholes,and detailed data of the seismic survey,logging,and core analysis.In the beginning of 2020,China has successfully conducted the second offshore production test of gas hydrates in this area.In this paper,studies were made on the structure of the hydrate system for the production test,based on detailed logging data and core analysis of this area.As to the results of nuclear magnetic resonance(NMR)logging and sonic logging of Well GMGS6-SH02 drilled during the GMGS6 Expedition,the hydrate system on which the production well located can be divided into three layers:(1)207.8–253.4 mbsf,45.6 m thick,gas hydrate layer,with gas hydrate saturation of 0–54.5%(31%av.);(2)253.4–278 mbsf,24.6 m thick,mixing layer consisting of gas hydrates,free gas,and water,with gas hydrate saturation of 0–22%(10%av.)and free gas saturation of 0–32%(13%av.);(3)278–297 mbsf,19 m thick,with free gas saturation of less than 7%.Moreover,the pore water freshening identified in the sediment cores,taken from the depth below the theoretically calculated base of methane hydrate stability zone,indicates the occurrence of gas hydrate.All these data reveal that gas hydrates,free gas,and water coexist in the mixing layer from different aspects.

Preliminary results of environmental monitoring of the natural gas hydrate production test in the South China Sea

Natural gas hydrate (NGH)is considered as one of the new clean energy sources of the 21st century with the highest potential.The environmental issues of NGH production have attracted the close attention of scientists in various countries.From May 10 to July 9,2017,the first offshore NGH production test in the South China Sea (SCS)was conducted by the China Geological Survey.In addition,environmental security has also been effectively guaranteed via a comprehensive environmental monitoring system built during the NGH production test.The monitoring system considered sea-surface atmosphere methane and carbon dioxide concentrations,dissolved methane in the sea water column,and the seafloor physical oceanography and marine chemistry environment.The whole process was monitored via multiple means, in multiple layers,in all domains,and in real time.After the production test,an environmental investigation was promptly conducted to evaluate the environmental impact of the NGH production test. The monitoring results showed that the dissolved methane concentration in seawater and the near-seabed environment characteristics after the test were consistent with the background values,indicating that the NGH production test did not cause environmental problems such as methane leakage.

Sediment permeability change on natural gas hydrate dissociation induced by depressurization

The permeability of a natural gas hydrate reservoir is a critical parameter associated with gas hydrate production.Upon producing gas from a hydrate reservoir via depressurization,the permeability of sediments changes in two ways with hydrate dissociation,increasing with more pore space released from hydrate and decreasing due to pore compression by stronger effective stress related to depressurization.In order to study the evolution of sediment permeability during the production process with the depressurization method,an improved pore network model(PNM)method is developed to establish the permeability change model.In this model,permeability change induced by hydrate dissociation is investigated under hydrate occurrence morphology of pore filling and grain coating.The results obtained show that hydrate occurrence in sediment pore is with significant influence on permeability change.Within a reasonable degree of pore compression in field trial,the effect of pore space release on the reservoir permeability is greater than that of pore compression.The permeability of hydrate containing sediments keeps increasing in the course of gas production,no matter with what hydrate occurrence in sediment pore.

Distributed optical fiber acoustic sensor for in situ monitoring of marine natural gas hydrates production for the first time in the Shenhu Area,China

The distributed acoustic sensor(DAS)uses a single optical cable as the sensing unit,which can capture the acoustic and vibration signals along the optical cable in real-time.So it is suitable for monitoring downhole production activities in the process of oil and gas development.The authors applied the DAS system in a gas production well in the South China Sea for in situ monitoring of the whole wellbore for the first time and obtained the distributed acoustic signals along the whole wellbore.These signals can clearly distinguish the vertical section,curve section,and horizontal production section.The collected acoustic signal with the frequency of approximately 50 Hz caused by the electric submersible pump exhibit a signal-to-noise ratio higher than 27 dB.By analyzing the acoustic signals in the production section,it can be located the layers with high gas production rates.Once an accurate physical model is built in the future,the gas production profile will be obtained.In addition,the DAS system can track the trajectory of downhole tools in the wellbore to guide the operation.Through the velocity analysis of the typical signals,the type of fluids in the wellbore can be distinguished.The successful application of the system provides a promising whole wellbore acoustic monitoring tool for the production of marine gas hydrate,with a good application prospect.

Change trend of natural gas hydrates in permafrost on the Qinghai-Tibet Plateau(1960-2050)under the background of global warming and their impacts on carbon emissions

Global warming and the response to it have become a topic of concern in today’s society and are also a research focus in the global scientific community.As the world’s third pole,the global warming amplifier,and the starting region of China’s climate change,the Qinghai-Tibet Plateau is extremely sensitive to climate change.The permafrost on the Qinghai-Tibet Plateau is rich in natural gas hydrates(NGHs)resources.Under the background of global warming,whether the NGHs will be disassociated and enter the atmosphere as the air temperature rises has become a major concern of both the public and the scientific community.Given this,this study reviewed the trend of global warming and accordingly summarized the characteristics of the temperature increase in the Qinghai-Tibet Plateau.Based on this as well as the distribution characteristics of the NGHs in the permafrost on the Qinghai-Tibet Plateau,this study investigated the changes in the response of the NGHs to global warming,aiming to clarify the impacts of global warming on the NGHs in the permafrost of the plateau.A noticeable response to global warming has been observed in the Qinghai-Tibet Plateau.Over the past decades,the increase in the mean annual air temperature of the plateau was increasingly high and more recently.Specifically,the mean annual air temperature of the plateau changed at a rate of approximately 0.308-0.420℃/10a and increased by approximately 1.54-2.10℃in the past decades.Moreover,the annual mean ground temperature of the shallow permafrost on the plateau increased by approximately 1.155-1.575℃and the permafrost area decreased by approximately 0.34×10^(6)km^(2) from about 1.4×10^(6)km^(2) to 1.06×10^(6)km^(2) in the past decades.As indicated by simulated calculation results,the thickness of the NGH-bearing permafrost on the Qinghai-Tibet Plateau has decreased by 29-39 m in the past 50 years,with the equivalent of(1.69-2.27)×10^(10)-(1.12-1.51)×10^(12)m^(3) of methane(CH_(4))being released due to NGHs dissociation.It is predicted that the thickness of the NGH-bearing permafrost will decrease by 23 m and 27 m,and dissociated and released NGHs will be the equivalent of(1.34-88.8)×10^(10)m^(3) and(1.57-104)×10^(10)m^(3)of CH_(4),respectively by 2030 and 2050.Considering the positive feedback mechanism of NGHs on global warming and the fact that CH_(4) has a higher greenhouse effect than carbon dioxide,the NGHs in the permafrost on the Qinghai-Tibet Plateau will emit more CH_(4) into the atmosphere,which is an important trend of NGHs under the background of global warming.Therefore,the NGHs are destructive as a time bomb and may lead to a waste of efforts that mankind has made in carbon emission reduction and carbon neutrality.Accordingly,this study suggests that human beings should make more efforts to conduct the exploration and exploitation of the NGHs in the permafrost of the Qinghai-Tibet Plateau,accelerate research on the techniques and equipment for NGHs extraction,storage,and transportation,and exploit the permafrost-associated NGHs while thawing them.The purpose is to reduce carbon emissions into the atmosphere and mitigate the atmospheric greenhouse effect,thus contributing to the global goal of peak carbon dioxide emissions and carbon neutrality.