加速康复外科(enhanced recovery after surgery,ERAS)是围手术期治疗基于循证医学的模式转变,目标是缩短患者的术后康复时间,降低术后并发症,同时节约医疗成本。临床实践证明,ERAS方案是有益且可行,其效果在结直肠手术中尤为显著。本...加速康复外科(enhanced recovery after surgery,ERAS)是围手术期治疗基于循证医学的模式转变,目标是缩短患者的术后康复时间,降低术后并发症,同时节约医疗成本。临床实践证明,ERAS方案是有益且可行,其效果在结直肠手术中尤为显著。本研究对ERAS的发展、核心内容及其在不同腹部肿瘤外科和特定患者群中的应用情况进行综述。展开更多
The Qaidam Basin on the Qinghai-Tibet Plateau is well endowed with a variety of critical metals,such as Li and Rb.However,little is known about the distribution,source,and enrichment mechanisms of these elements.In th...The Qaidam Basin on the Qinghai-Tibet Plateau is well endowed with a variety of critical metals,such as Li and Rb.However,little is known about the distribution,source,and enrichment mechanisms of these elements.In this paper,we present results of systematic geochemical and H-O-B isotopic analyses of brines in the Tertiary and Quaternary sediments of the Qaidam basin.The results reveal that the paleobrines from oil-bearing anticlines at Dafengshan,Nanyishan,Youquanzi,Jiandingshan,and Jianshishan are significantly enriched in Li and Rb,whose contents are 81.1-128.9 mg L^(-1)and 4.5-29.2 mg L^(-1),respectively,reaching levels of economic significance.High Rb contents(up to 12.5 mg L^(-1))and well-endowment of Li also characterize the Dongtai,Xitai,Yiliping,and Senie salt lakes in the Qaidam Basin.The Tertiary paleobrine average inδD andδ18O at-40.7‰and 2.84‰,respectively.The paleobrine with the highest Li and Rb hasδD andδ^(18)O values close to magmatic water.Theδ^(11)B values are lower than those of river water but close to those of geothermal fluids,suggesting that replenishment by deep magmatic hydrothermal fluid is most likely the key mechanism for the anomalous enrichment of these elements in the paleobrines,though evaporation and water-rock reactions have contributed to the critical metal mineralization.The anomalous enrichment of Li and Rb in modern salt lake brines is closely related to the input of volcanic geothermal water.The relatively high Li and Rb contents of intercrystalline brines in salt lakes of the western Qaidam Basin and the increase of Li and Rb contents with increasing depth were caused by upwelling of local paleobrines along the fault zones.展开更多
On May 21,2021,a local case of coronavirus disease 2019(COVID-19)was confirmed in a 75-year-old woman(experienced onset of symptoms on May 18)in Liwan District,Guangzhou City,Guangdong Province,China.The number of inf...On May 21,2021,a local case of coronavirus disease 2019(COVID-19)was confirmed in a 75-year-old woman(experienced onset of symptoms on May 18)in Liwan District,Guangzhou City,Guangdong Province,China.The number of infections has increased in the following 10 days and led to 5 generations of transmission.展开更多
文摘加速康复外科(enhanced recovery after surgery,ERAS)是围手术期治疗基于循证医学的模式转变,目标是缩短患者的术后康复时间,降低术后并发症,同时节约医疗成本。临床实践证明,ERAS方案是有益且可行,其效果在结直肠手术中尤为显著。本研究对ERAS的发展、核心内容及其在不同腹部肿瘤外科和特定患者群中的应用情况进行综述。
基金supported by the National Natural Science Foundation of China(Grant Nos.41972258,U1407128,and 41402229)the Talent Program of Youth Innovation Promotion Association of the Chinese Academy of Sciences(Grant No.2020428)+1 种基金the Natural Science Foundation of Qinghai Province(Grant No.2021-ZJ-980Q)the Second Comprehensive Scientific Expedition to the Qinghai-Tibet Plateau(Grant No.2019QZKK0805)。
文摘The Qaidam Basin on the Qinghai-Tibet Plateau is well endowed with a variety of critical metals,such as Li and Rb.However,little is known about the distribution,source,and enrichment mechanisms of these elements.In this paper,we present results of systematic geochemical and H-O-B isotopic analyses of brines in the Tertiary and Quaternary sediments of the Qaidam basin.The results reveal that the paleobrines from oil-bearing anticlines at Dafengshan,Nanyishan,Youquanzi,Jiandingshan,and Jianshishan are significantly enriched in Li and Rb,whose contents are 81.1-128.9 mg L^(-1)and 4.5-29.2 mg L^(-1),respectively,reaching levels of economic significance.High Rb contents(up to 12.5 mg L^(-1))and well-endowment of Li also characterize the Dongtai,Xitai,Yiliping,and Senie salt lakes in the Qaidam Basin.The Tertiary paleobrine average inδD andδ18O at-40.7‰and 2.84‰,respectively.The paleobrine with the highest Li and Rb hasδD andδ^(18)O values close to magmatic water.Theδ^(11)B values are lower than those of river water but close to those of geothermal fluids,suggesting that replenishment by deep magmatic hydrothermal fluid is most likely the key mechanism for the anomalous enrichment of these elements in the paleobrines,though evaporation and water-rock reactions have contributed to the critical metal mineralization.The anomalous enrichment of Li and Rb in modern salt lake brines is closely related to the input of volcanic geothermal water.The relatively high Li and Rb contents of intercrystalline brines in salt lakes of the western Qaidam Basin and the increase of Li and Rb contents with increasing depth were caused by upwelling of local paleobrines along the fault zones.
基金The Key-Area Research and Development Program of Guangdong Province(2019B111103001,2020B111107001)The National Natural Science Foundation of China(No.82041030).
文摘On May 21,2021,a local case of coronavirus disease 2019(COVID-19)was confirmed in a 75-year-old woman(experienced onset of symptoms on May 18)in Liwan District,Guangzhou City,Guangdong Province,China.The number of infections has increased in the following 10 days and led to 5 generations of transmission.
