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不同肝素钠抗凝治疗方案在肝衰竭患者血浆置换中的比较研究 被引量:3
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作者 高飞 李烨 +4 位作者 曾晖 王静 王欢 曾艳丽 颜萍平 《中国现代医学杂志》 CAS 北大核心 2022年第3期70-73,共4页
目的探讨肝衰竭患者血浆置换中安全有效的肝素钠抗凝治疗方案。方法选取2018年1月—8月河南省人民医院感染性疾病科收治的肝衰竭行血浆置换患者114例为研究对象。根据不同抗凝治疗方案分为肝素钠全量组(A组),仅采用首次剂量肝素钠组(B... 目的探讨肝衰竭患者血浆置换中安全有效的肝素钠抗凝治疗方案。方法选取2018年1月—8月河南省人民医院感染性疾病科收治的肝衰竭行血浆置换患者114例为研究对象。根据不同抗凝治疗方案分为肝素钠全量组(A组),仅采用首次剂量肝素钠组(B组),以及不采用首次剂量、采用术中持续匀速泵入肝素钠组(C组)。比较3组患者血浆置换治疗前后的白细胞(WBC)、血小板(PLT)、肌酐、尿素、天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、总胆红素(TBIL)、白蛋白(Alb)、前白蛋白(PA)、D-二聚体、二氧化碳结合力(CO2CP)、血红蛋白(Hb)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)及纤维蛋白原(FBG),以及血滤器及管道凝血情况。结果 3组患者WBC、PLT、肌酐、尿素、AST、ALT、TBIL、Alb、PA、D-二聚体、CO2CP治疗前后的差值比较,差异无统计学意义(P>0.05);3组患者的Hb、PT、APTT及FBG治疗前后的差值比较,差异有统计学意义(P <0.05);3组患者血滤器凝血发生情况为:A组1级1例,发生率为2.5%;B组1级1例,2级1例,发生率为5.0%;C组2级2例,发生率为5.9%,3组比较,差异无统计学意义(P>0.05)。3组患者均未发生管道凝血。结论血浆置换中不采用首次剂量、持续匀速泵入小剂量肝素钠、治疗结束前30 min停止使用的抗凝方案,对肝衰竭患者凝血情况的发生及凝血功能的影响最小,且不影响患者治疗效果。 展开更多
关键词 肝衰竭 血浆置换 肝素钠 抗凝治疗
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Effect of relative humidity on the desulfurization performance of calcium-based desulfurizer
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作者 Juan Lǖ Yu Fu +3 位作者 Haiyan Yu huanwang Zhe Wang Haiyan Chen 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2024年第4期179-188,共10页
Low desulfurization efficiency impedes the wide application of dry desulfurization technology,which is a low-cost and simple process,and one significant solution is the development and manufacture of high-performance ... Low desulfurization efficiency impedes the wide application of dry desulfurization technology,which is a low-cost and simple process,and one significant solution is the development and manufacture of high-performance desulfurizers.In this study,firstly,a steam jet mill was used to digest quicklime;then,we utilized numerical simulation to study the flow field distribution and analyze the driving factors of quicklime digestion;and lastly,the desulfurization performance of the desulfurizer was evaluated under different relative humidities.The results show that the desulfurizer prepared via the steam jet mill had better apparent activity than traditional desulfurizers.Also,the entire jet flow field of the steam jet mill is in a supersonic and highly turbulent flow state,with high crushing intensity and good particle acceleration performance.Sufficient contact with the nascent surface maximizes the formation of slaked lime.The experiments demonstrated that the operating time with 100%desulfurization efficiency and the“break-through”time for the desulfurizer prepared via the steam jet mill is longer than that of traditional desulfurizers,and has significant advantages,especially at low flue gas relative humidity.Compared with traditional desulfurizers,the desulfurizer prepared via steam jet mill expands the range of acceptable flue gas temperature,and the failure temperature is 1.625 times that of traditional desulfurizers.This work breaks through the technical bottleneck of low dry desulfurization efficiency,which is an important step in pushing forward the application of dry desulfurization. 展开更多
关键词 Dry desulfurization Relative humidity Desulfurization efficiency High-efficiency desulfurizer Quicklime digestion
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