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目标导向血流动力学管理对高危心血管患者术后心肌损伤的影响 被引量:2
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作者 欧阳杰 纳雪晴 +5 位作者 屈启才 陶建平 周臣 陈建春 马军 思永玉 《中国现代医学杂志》 CAS 2020年第19期54-58,共5页
目的研究目标导向血流动力学管理对高危心血管患者术后心肌损伤的影响。方法选取择期行开腹手术的高危心血管患者44例作为研究对象。随机分为两组:传统管理组和目标管理组,常规监测并快速诱导插管,术中管理:传统管理组由主治以上麻醉医... 目的研究目标导向血流动力学管理对高危心血管患者术后心肌损伤的影响。方法选取择期行开腹手术的高危心血管患者44例作为研究对象。随机分为两组:传统管理组和目标管理组,常规监测并快速诱导插管,术中管理:传统管理组由主治以上麻醉医生根有创动脉血压(ABP)和中心静脉压(CVP),以经验调控输液量及给予血管活性药物或正性肌力药物;目标管理组行心排量监测,根据心指数(CI)、每博量变化值(△SV)、舒张压(DBP)等指标按设定流程调控输液量及给予血管活性药物和正性肌力药物。分别记录两组一般情况、术前、术后24 h、术后48 h心肌损伤标志物水平,住院期间心肌梗死发生情况以及术后30 d预后情况。结果不同时间点两组患者肌钙蛋白T、CKMB及BNP均有差异(P<0.05)。组间肌钙蛋白T有差异(P<0.05);两组患者肌钙蛋白T和BNP变化趋势有差异(P<0.05);两组住院期间心梗发生率和术后30 d存活率比较,差异无统计学意义(P>0.05)。结论应用CI联合△SV对高危心血管患者进行血流动力学管理,可降低其术后肌钙蛋白T水平。 展开更多
关键词 目标导向治疗 心肌损伤 肌钙蛋白T 围手术期
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Fabrication of hierarchical ZnIn2S4@CNO nanosheets for photocatalytic hydrogen production and CO2 photoreduction 被引量:2
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作者 Kai Zhu jie ou-yang +5 位作者 Qian Zeng Sugang Meng Wei Teng Yanhua Song Sheng Tang Yanjuan Cui 《Chinese Journal of Catalysis》 SCIE EI CAS CSCD 北大核心 2020年第3期454-463,共10页
Photocatalytic H2 production and CO2 reduction have attracted considerable attention for clean energy development.In this work,we designed an efficient photocatalyst by integrating lamellar oxygen-doped carbon nitride... Photocatalytic H2 production and CO2 reduction have attracted considerable attention for clean energy development.In this work,we designed an efficient photocatalyst by integrating lamellar oxygen-doped carbon nitride(CNO)nanosheets into ZnIn2S4(ZIS)microflowers by a one-step hydrothermal method.A well-fitted 2D hierarchical hybrid heterostructure was fabricated.Under visible light irradiation,the ZIS@CNO composite with 40 wt%CNO(ZC 40%)showed the highest hydrogen evolution rate from water(188.4μmol·h-1),which was approximately 2.1 times higher than those of CNO and ZIS(88.6 and 90.2μmol·h-1,respectively).Furthermore,the selective CO production rates of ZC 40%(12.69μmol·h-1)were 2.2 and 14.0 times higher than those of ZIS(5.85μmol·h-1)and CNO(0.91μmol·h-1),respectively,and the CH4 production rate of ZC 40%was 1.18μmol·h-1.This enhanced photocatalytic activity of CNO@ZIS is due mainly to the formation of a heterostructure that can promote the transfer of photoinduced electrons and holes between CNO and ZIS,thereby efficiently avoiding recombination of electron-hole pairs. 展开更多
关键词 ZnIn2S4 Oxygen doped carbon nitride PHOTOCATALYSIS H2 production CO2 reduction
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Relationship of plasma proadrenomedullin and cortisol levels with systemic inflammatory response and target organ damage in children with sepsis after burn
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作者 Xing Wei jie ou-yang Chen Zhou 《Journal of Hainan Medical University》 2017年第15期129-132,共4页
Objective: To study the relationship of plasma proadrenomedullin (pro-ADM) and cortisol (Cor) levels with systemic inflammatory response and target organ damage in children with sepsis after burn. Methods: A total of ... Objective: To study the relationship of plasma proadrenomedullin (pro-ADM) and cortisol (Cor) levels with systemic inflammatory response and target organ damage in children with sepsis after burn. Methods: A total of 30 children with sepsis after burn who were treated in the hospital between August 2014 and August 2016 were collected as observation group, and 30 normal children who received vaccination in the hospital during the same period were collected as normal control group. The pro-ADM and Cor levels in plasma as well as the levels of inflammatory factors, myocardial injury markers and intestinal barrier function indexes in serum of the two groups were determined. Pearson test was used to assess the correlation of plasma pro-ADM and Cor levels with systemic inflammatory response and target organ damage in patients with sepsis after burn. Results: Plasma pro-ADM and Cor levels in observation group were higher than those in normal control group. Serum inflammatory cytokines IL-1, IL-6, IL-10 and TNF-α levels in observation group were higher than those in normal control group;serum myocardial injury markers CK-MB, cTnⅠ and NT-proBNP levels were higher than those in normal control group;serum intestinal barrier function indexes ET, DAO and D-L levels were higher than those in normal control group. Conclusion: Plasma pro-ADM and Cor levels increase in patients with sepsis after burn, and are highly consistent with systemic inflammatory response and target organ injury. 展开更多
关键词 SEPSIS Proadrenomedullin CORTISOL SYSTEMIC INFLAMMATORY response Target ORGAN injury
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