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胸痛特征诊断冠心病的准确性 被引量:4
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作者 盖兢泾 张闯 +1 位作者 金琴花 盖鲁粤 《中华老年多器官疾病杂志》 2021年第3期202-205,共4页
目的探讨胸痛特征诊断冠心病的准确性。方法连续入组2012年6月至2016年6月经过冠状动脉造影(CAG)和冠状动脉血流储备分数(FFR)检查的住院患者240例,根据临床病史的描述将患者分成无胸痛组(55例),不典型胸痛组(79例),典型劳力心绞痛组(64... 目的探讨胸痛特征诊断冠心病的准确性。方法连续入组2012年6月至2016年6月经过冠状动脉造影(CAG)和冠状动脉血流储备分数(FFR)检查的住院患者240例,根据临床病史的描述将患者分成无胸痛组(55例),不典型胸痛组(79例),典型劳力心绞痛组(64例)和支架植入组(42例)。将不同胸痛性质与CAG和FFR进行相关比较。采用SPSS 19.0软件对数据进行统计分析。根据数据类型不同采用方差分析或χ^(2)检验。结果无胸痛组CAG确定的狭窄平均为(70.82±13.39)%,不典型胸痛组(69.62±9.96)%,典型劳力心绞痛组(73.52±12.87)%,支架植入组(67.98±14.27)%,差异无统计学意义(P>0.05)。无胸痛组FFR(0.84±0.08),不典型胸痛组(0.84±0.08),典型劳力心绞痛组(0.79±0.11),支架植入组(0.82±0.08),差异有统计学意义(P<0.05);不典型胸痛组和典型劳力心绞痛组比较,差异有统计学意义(P<0.05)。以CAG确定的狭窄判断FFR的准确性很高,CAG确定的狭窄72.00%,其受试者工作特征曲线下面积为0.854,约登指数为0.60,灵敏度87%,特异度73%。结论典型心绞痛诊断冠状动脉狭窄和心肌缺血的准确性很高。典型心绞痛,冠状动脉狭窄>80.00%,FFR<0.80可作为再血管化治疗的参考。 展开更多
关键词 胸痛 心绞痛 冠状动脉造影 冠状动脉血流储备分数
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再血管化年代冠心病死亡原因分析
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作者 盖兢泾 韩志奇 +1 位作者 金琴花 盖鲁粤 《中华老年多器官疾病杂志》 2020年第12期919-924,共6页
目的探讨再血管化年代冠心病死亡的原因。方法连续入选解放军总医院第一医学中心心血管内科2008年1月至2014年1月行冠状动脉造影(CAG)的住院患者。依据CAG将患者分为3组:冠状动脉搭桥(CABG)组,优化药物治疗(OMT)组及经皮冠状动脉介入治... 目的探讨再血管化年代冠心病死亡的原因。方法连续入选解放军总医院第一医学中心心血管内科2008年1月至2014年1月行冠状动脉造影(CAG)的住院患者。依据CAG将患者分为3组:冠状动脉搭桥(CABG)组,优化药物治疗(OMT)组及经皮冠状动脉介入治疗(PCI)组。自2017年开始,采用电话随访、查阅既往住院病历随访或门诊随访。死亡事件为随访终点。分析所有死亡患者的死亡原因,并对3组间数据进行比较。应用SPSS 19.0软件对数据进行统计分析。结果共入选1645例患者,随访中死亡113例。CABG组、OMT组及PCI组分别死亡28例(24.78%)、22例(19.47%)、63例(55.75%),差异无统计学意义(P>0.05)。各组死亡患者生前基础临床资料除Syntax积分外,其余指标差异均无统计学意义(均P>0.05)。CABG组、OMT组、PCI组死亡患者Syntax积分依次降低,分别为(33.45±17.89)分,(31.23±12.99)分,(21.35±11.65)分。死亡原因从高到低依次为:急性心肌梗死40例(35.40%),猝死21例(18.58%),癌症17例(15.04%),心力衰竭14例(12.39%),多器官衰竭11例(9.73%),脑血管死亡6例(5.31%),支架血栓3例(2.65%),出血1例(0.88%)。PCI组急性心肌梗死和猝死发生率明显高于其他2组,但差异无统计学意义(P>0.05)。将死亡事件分为非心血管死亡、迁延心血管死亡和意外死亡3类。非心血管死亡主要是癌症和脑血管意外,占21.23%;迁延心血管死亡主要包括心力衰竭和多器官衰竭,占22.12%;意外死亡主要包括急性心肌梗死、猝死和急性支架血栓,占56.64%。3类间差异无统计学意义(P>0.05)。结论PCI后急性心肌梗死、猝死和支架血栓多见。癌症是第二位的死亡原因。多器官衰竭和心力衰竭预后很差。随着抗血小板药物、抗凝药物和溶栓药物的广泛应用,脑出血问题值得关注。 展开更多
关键词 冠心病 冠状动脉旁路手术 经皮冠状动脉介入 优化药物治疗 死亡率
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燃气轮机及燃气轮机油的发展 被引量:2
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作者 郑延波 李鹏 +3 位作者 刘中国 孙大新 金琴华 檀丰泽 《润滑油》 CAS 2019年第2期6-9,共4页
文章概述了燃气轮机的工况特点,介绍了燃气轮机在天然气发电和分布式能源领域的应用,中国燃气轮机技术发展历程,中国燃机的市场发展现状以及燃气轮机的发展趋势,并且对代表现在较高水平的三菱日立燃气轮机油的规格进行了介绍,最后对燃... 文章概述了燃气轮机的工况特点,介绍了燃气轮机在天然气发电和分布式能源领域的应用,中国燃气轮机技术发展历程,中国燃机的市场发展现状以及燃气轮机的发展趋势,并且对代表现在较高水平的三菱日立燃气轮机油的规格进行了介绍,最后对燃气轮机及燃气轮机油发展趋势进行了展望。燃机制造技术未来发展上呈现功率大、排放低、效率高、设备可靠性高的趋势。燃气轮机油的发展趋势是油品具有超长寿命,产生超低油泥。 展开更多
关键词 燃气轮机 燃气轮机油 三菱日立规格
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Determination of the Lattice Parameters of a Si Nanobelt in a Tensile Test Process Using an MEMS Actuator
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作者 曾鸿江 李铁 +2 位作者 金钦华 许钫钫 王跃林 《Chinese Physics Letters》 SCIE CAS CSCD 2012年第12期141-144,共4页
We present an experimental method for in-situ observation of the lattice behavior of a single crystal silicon nanobelt during uniaxial tensile testing.An in-situ silicon nanobelt tensile testing device for transmissio... We present an experimental method for in-situ observation of the lattice behavior of a single crystal silicon nanobelt during uniaxial tensile testing.An in-situ silicon nanobelt tensile testing device for transmission electron microscopy is developed.Atomic behavior and lattice parameters of the nanobelt are studied using selected area electron diffraction.A statistical and least square methods are used for reducing the measurement errors of the lattice parameters.The results suggest that the trends of the lattice parameters during the tensile test are in agreement with the increasing tensile stress in the silicon nanobelt.Furthermore,the local strain calculated from lattice parameters and the average strain of the nanobelt are compared. 展开更多
关键词 diffraction. strain BELT
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基于光学相干断层成像的多模态成像及其衍生技术在冠状动脉介入治疗中的应用进展
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作者 崔建国 金琴花 陈韵岱 《中国介入心脏病学杂志》 2022年第3期203-207,共5页
光学相干断层成像(OCT)为目前分辨率最高的血管内影像工具,在冠状动脉粥样硬化性心脏病介入治疗过程中应用越来越广泛。随着技术的进步,发展出了多种基于或者衍生于OCT的新影像技术,弥补其在组织穿透性、功能学、生化信息以及信息分析... 光学相干断层成像(OCT)为目前分辨率最高的血管内影像工具,在冠状动脉粥样硬化性心脏病介入治疗过程中应用越来越广泛。随着技术的进步,发展出了多种基于或者衍生于OCT的新影像技术,弥补其在组织穿透性、功能学、生化信息以及信息分析流程等方面的不足。本文就基于或者结合OCT的新影像技术及其应用进展进行综述。 展开更多
关键词 光学相干断层成像 造影融合功能 近红外光谱 斑块衰减指数 近红外荧光分子成像
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Transplantation of autologous adipose-derived stem cells ameliorates cardiac function in rabbits with myocardial infarction 被引量:18
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作者 ZHANG Duan-zhen GAI Lu-yue +3 位作者 LIU Hong-wei jin qin-hua HUANG Jian-hua ZHU Xian-yang 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第4期300-307,共8页
Background Adipose-derived stem cells (ADSCs) are capable of differentiating into cardiomyogenic and endothelial cells in vitro. We tested the hypothesis that transplantation of ADSCs into myocardial scar may regene... Background Adipose-derived stem cells (ADSCs) are capable of differentiating into cardiomyogenic and endothelial cells in vitro. We tested the hypothesis that transplantation of ADSCs into myocardial scar may regenerate infracted myocardium and restore cardiac function. Methods ADSCs were isolated from the fatty tissue of New Zealand white rabbits and cultured in Iscove's modified dulbecco's medium. Three weeks after ligation of left anterior descending coronary artery of rabbits, either a graft of untreated ADSCs (UASCs, n=14), 5-azacytidine-pretreated ADSCs (AASCs, n=13), or phosphate buffer saline (n=13) were injected into the infarct region. Transmural scar size, cardiac function, and immunohistochemistry were performed 5 weeks after cell transplantation. Results ADSCs in culture demonstrated a fibroblast-like appearance and expressed CD29, CD44 and CD105. Five weeks after cell transplantation, transmural scar size in AASC-implanted hearts was smaller than that of the other hearts. Many ADSCs were differentiated into cardiomyocytes. The AASCs in the prescar appeared more myotube-like. AASCs in the middle of the scar and UASCs, in contrast, were poorly differentiated. Some ADSCs were differentiated into endothelial cells and participate in vessel-like structures formation. All the ADSC-implanted hearts had a greater capillary density in the infarct region than did the control hearts. Statistical analyses revealed significant improvement in left ventricular ejection fraction, myocardial performance index, end-diastolic pressure, and peak +dP/dt, in two groups of ADSC-implanted hearts relative to the control hearts. AASC-implanted hearts had higher peak -dP/dt values than did control, higher ejection fraction and peak +dP/dt values than did UASC-implanted hearts. Conclusions ADSCs transplanted into the myocardial scar tissue formed cardiac islands and vessel-like structures, induced angiogenesis and improved cardiac function. 5-Azacytidine pretreatment before implantation is desirable for augmenting myogenesis. Transplantation of 5-azacytidine-treated ADSCs into the myocardial scar was more efficient than that of untreated ADSCs in preservation of cardiac function. 展开更多
关键词 ADIPOSE stem cells TRANSPLANTATION myocardial infarction NEOVASCULARIZATION
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Optical coherence tomography assessment of edge dissections after drug-eluting stent implantation in coronary artery 被引量:5
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作者 GUO Jun CHEN Yun-dai +9 位作者 TIAN Feng LIU Hong-bin CHEN Lian SUN Zhi-jun REN Yi-hong jin qin-hua LIU Chang-fu HAN Bao-shi GAI Lu-yue YANG Ting-shu 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第6期1047-1050,共4页
Background Edge dissections after coronary stent implantation are associated with increased short-term risk of major adverse cardiovascular events. The incidence and outcome of edge dissections after coronary stent im... Background Edge dissections after coronary stent implantation are associated with increased short-term risk of major adverse cardiovascular events. The incidence and outcome of edge dissections after coronary stent implantation were reportedly different using different imaging techniques. We used optical coherence tomography (OCT) to assess the incidence, morphological findings and related factors of edge dissections after drug-eluting stent (DES) implantation. Methods Totally 42 patients with 43 de novo lesions in 43 native arteries undergoing DES implantation with OCT imaging were enrolled in this study. Results Nine edge dissections were detected in 43 arteries after DES implantation. There were four morphological patterns of stent edge dissections indentified in this study: (1) superficial intimal tears (n=3), (2) subintimal dissections (n=4), (3) split of media (n=1), (4) disruption of the fibrotic cap of plaque (n=1). Stent edge expansion and stent expansion were both higher in the group with dissections than those in the group without dissections (1.682±0.425 vs. 1.229±0.285, P=0.0290; 1.507±0.445 vs. 1.174±0.265, P=0.0072). Conclusions The incidence of stent edge dissections detected by OCT was 21%. Stent edge dissection is related with stent edge expansion and stent expansion. 展开更多
关键词 optical coherence tomography STENT dissections
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