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床旁超声评估新型冠状病毒肺炎患者静脉血栓栓塞症风险的初步探讨 被引量:2
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作者 屈亚莉 吕朝阳 +4 位作者 雷冰心 李硕 尹莉 曹文 郭瑞君 《心肺血管病杂志》 2020年第7期757-761,共5页
目的:初步探讨床旁危重症超声在评估新型冠状病毒肺炎(COVID-19)患者静脉血栓栓塞症风险中的应用价值。方法:按照纳入标准筛选出进行了床旁超声检查的COVID-19患者50例,记为A组,统计Caprini评分以及静脉血栓的比例;②统计截至目前筛查... 目的:初步探讨床旁危重症超声在评估新型冠状病毒肺炎(COVID-19)患者静脉血栓栓塞症风险中的应用价值。方法:按照纳入标准筛选出进行了床旁超声检查的COVID-19患者50例,记为A组,统计Caprini评分以及静脉血栓的比例;②统计截至目前筛查出下肢静脉血栓阳性的患者39例,记为B组,统计D-Dimer、hs-CRP、的情况,以及右心功能情况(包括右心房左右径、右心室基底内径、肺动脉及三尖瓣反流情况)。③初步统计131例COVID-19患者的心脏超声情况(右心房大小、肺动脉宽度、肺动脉反流情况、三尖瓣反流情况、有无心脏或肺动脉血栓等情况)。结果:A组患者Caprini的平均评分(6.1±1.3)分,A组50例患者中存在静脉血栓者37例,占74%,其中1例合并肺动脉、下腔静脉及肝静脉血栓;②B组39例患者中D-Dimer 17.6(10.7,43.9)mg/L,平均hs-CRP 473.5(76.4,536.2)ng/L、BNP 175.6(635.2,723.1)ng/L,右心房左右径(47.5±9.3)mm,右心室基底内径(46.9±7.9)mm,均明显增高;肺动脉瓣或三尖瓣反流者23例,占59%;③统计的131例患者的心脏超声情况:右心房增大者10例(7.6%),肺动脉增宽或反流25例(19.1%)、三尖瓣反流者40例(30.5%)、发现心脏及肺动脉血栓者4例(3.1%),90例患者(68.7%)出现左心室舒张功能减低。结论:COVID-19危重症者存在较高的静脉血栓栓塞的风险;②COVID-19患者右心功能减退,各参数均明显增高,且存在较高下肢静脉发生率,高度怀疑COVID-19患者存在肺栓塞的较高风险。③初步统计发现的患者出现左心室舒张功能减低,COVID-19或者药物应用与心肌损伤的相关性尚有待下一步的研究。 展开更多
关键词 新型冠状病毒肺炎 床旁超声 危重症超声 血栓 肺栓塞
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ZIF-67 derived C&Co counter electrode in dye-sensitized solar cells
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作者 SUN Zhenfan HE Yunxiao +1 位作者 QIAO Xiaodong lei bingxin 《分子科学学报》 CAS 2024年第3期239-246,共8页
ZIF-67 containing cobalt cation was selected as the research object,and the carbon-containing cobalt matrix nanocomposite(C&Co)was obtained after heat treatment in a nitrogen atmosphere at the appropriate temperat... ZIF-67 containing cobalt cation was selected as the research object,and the carbon-containing cobalt matrix nanocomposite(C&Co)was obtained after heat treatment in a nitrogen atmosphere at the appropriate temperature.The nanostructures and morphologies of the nanocomposite were analyzed by X-ray diffraction,field emission scanning electron microscopy,transmission electron microscopy,and X-ray photoelectron spectroscopy.The electrochemical response was comprehensively characterized by cyclic voltammetry,electrochemical impedance spectroscopy,and Tafel polarization.The electrochemical analysis of the C&Co nanocomposite electrode shows that the electrode has an obvious electrocatalytic activity for the reduction of the triiodide compound.The conversion efficiency of dye-sensitized solar cells prepared with C&Co nanocomposite electrode shows 5.3%under the condition of AM1.5G simulated sunlight irradiation,which shows great application potential in Pt-free electrode materials. 展开更多
关键词 dye-sensitized solar cells counter electrode MOFS C&Co nanocomposite
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