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CT门静脉成像指导内镜治疗胃底静脉曲张疗效 被引量:4
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作者 宋明全 孙学国 +4 位作者 李倩 单体栋 沈剑华 刘福国 江月萍 《世界华人消化杂志》 CAS 2021年第1期41-47,共7页
背景目前内镜治疗已成为治疗食管胃静脉曲张(gastroesophageal variceal,GOV)的重要手段,尤其是内镜下精准食管胃静脉曲张断流术(endoscopic selective varices devascularition,ESVD)在临床中得到较广泛应用.该技术要求术前精准判断GO... 背景目前内镜治疗已成为治疗食管胃静脉曲张(gastroesophageal variceal,GOV)的重要手段,尤其是内镜下精准食管胃静脉曲张断流术(endoscopic selective varices devascularition,ESVD)在临床中得到较广泛应用.该技术要求术前精准判断GOV的来源及去路血管,内镜治疗术中精准封堵靶血管,要求最大程度地止血并预防术后出血.但是如何术前寻找封堵的GOV的来源血管即靶血管,目前尚缺乏临床指南指导也没有统一的标准,对于内镜医生是个需要解决的难题.目的观察CT门静脉成像(CT portography,CTP)指导内镜胃底曲张静脉组织胶血管内注射治疗,精准断流的临床疗效.方法单中心回顾性分析68例肝硬化食管胃底静脉曲张患者,其中38例病人内镜治疗前进行了CTP,为CTP指导治疗组;同期治疗前未行CTP的对照组病人30例.比较2组治疗后的改善率,用胶量,以及再出血率.结果38例CTP指导治疗组患者和对照组患者治疗前后肝功能均无差异;CTP指导治疗组患者治疗前后Child-Pugh分级无差异,对照组治疗前后Child-Pugh有显著差异(P<0.001);CTP组用胶量1.2 mL±0.4 mL较对照组2.0±0.6 mL明显减少(P<0.001);CTP组套扎环数7.2±2.7环比对照组8.7±2.7环减少(P<0.05);CTP组3 mo内再出血率5.3%(2/38)较对照组23.3%(7/30)减少(P<0.05);CPT组改善率65.8%(25/38),优于对照组为53.3%(16/30)(P<0.001).结论CTP指导内镜胃底曲张静脉组织胶血管内注射治疗胃底静脉曲张疗效及安全性较好,有较好的指导作用. 展开更多
关键词 肝硬化 食管和胃静脉曲张 曲张静脉破裂出血 CT门静脉成像 内镜下精准食管胃静脉曲张断流术 组织胶
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Effect of telehealth interventions on major cardiovascular outcomes: a metaanalysis of randomized controlled trials 被引量:3
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作者 Xiang GU Ye ZHU +8 位作者 Yi ZHANG Lei SUN Zheng-Yu BAO jian-hua shen Fu-Kun CHEN Hong-Xiao LI Shu-Hang MIAO Jing-Wu WANG Qing-Qing SHI 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第8期501-508,共8页
关键词 随机对照试验 心血管疾病 远程医疗 计算机检索 敏感性分析 PUBMED 随机效应模型 CVD
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Catalytic effects of V_(2)O_(5) on oxidative pyrolysis of spent cation exchange resin
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作者 Qi SONG jian-hua shen +3 位作者 Yong YANG Yao YANG Bin-bo JIANG Zu-wei LIAO 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2021年第2期94-105,共12页
Pyrolysis is a cost-effective and safe method for the disposal of radioactive spent resins.In this work,the catalytic effects of V_(2)O_(5) on the pyrolysis of cation exchange resin are investigated for the first time... Pyrolysis is a cost-effective and safe method for the disposal of radioactive spent resins.In this work,the catalytic effects of V_(2)O_(5) on the pyrolysis of cation exchange resin are investigated for the first time.The results show that it is a better catalyst than others so far studied and achieves a lowering of final pyrolysis temperature and residual rate simultaneously when aided by physical blending.The maximum reductions of the final pyrolysis temperature and the residual rate are 173℃and 11.9%(in weight),respectively.Under the action of V_(2)O_(5),low-temperature(445℃)removal of partial sulfonic acid groups occurs and the pyrolysis of the resin copolymer matrix is promoted.This is demonstrated by the analysis of pyrolysis residues at different temperatures by X-ray photoelectron spectroscopy(XPS)and element analysis.The catalytic activity of V_(2)O_(5) is determined by effects both at acid sites and oxidation-reduction centers via H2-TPR(temperature programmed reduction),V_(2)-TPD(temperature programmed desorption),CV_(2)-TPD,and NH3-TPD.The catalytic effect of oxidation-reduction centers in V_(2)O_(5) is achieved by close contact with the sulfur bond through chemisorption under the effect of acid sites.V_(2)O_(5) is also believed to be the reason for the removal of partial sulfonic acid groups at lower temperatures(445℃).V_(2)O_(5) is an effective catalyst for spent resin pyrolysis and can be further applied in industry. 展开更多
关键词 Waste disposal Cation exchange resin V2O5 CATALYSIS Oxidative pyrolysis
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