目的:探讨机器人辅助腹腔镜下腔静脉癌栓切除术联合肝尾状叶切除术治疗301Ⅱ~Ⅲ级下腔静脉癌栓的可行性和有效性。方法:回顾性分析2021年1月至2022年6月于解放军总医院第一医学中心行机器人辅助腹腔镜下腔静脉癌栓切除术的5例患者的临...目的:探讨机器人辅助腹腔镜下腔静脉癌栓切除术联合肝尾状叶切除术治疗301Ⅱ~Ⅲ级下腔静脉癌栓的可行性和有效性。方法:回顾性分析2021年1月至2022年6月于解放军总医院第一医学中心行机器人辅助腹腔镜下腔静脉癌栓切除术的5例患者的临床资料,所有患者术中均联合部分肝尾状叶切除以显露肝后段下腔静脉。其中男性2例,女性3例,中位年龄61(60~75)岁;中位体质量指数24.8(21.7~25.3)kg/m2。根据301分级,Ⅱ级癌栓患者1例,Ⅲ级癌栓患者4例。下腔静脉癌栓中位高度10.8(10.4~13.1)cm,癌栓中位最大径2.0(1.5~3.9)cm。结果:5例患者手术均顺利完成,无中转开放。中位手术时间510(290~795)m i n,中位失血量1500(900~2000)ml。患者术后中位重症监护室(intensive care unit,ICU)住院时间4(0~7)d,中位总住院时间11(6~13)d。术后出现Ⅰ级并发症2例,Ⅱ级并发症3例,无围术期死亡病例。出院时该5例患者的肝、肾功能均降至基线水平。中位随访时间8.3(2.5~16.1)个月,无肿瘤复发、进展、转移等情况。结论:对于肾肿瘤伴高度毗邻第二肝门的粗大下腔静脉癌栓的患者,术中切除肝尾状叶能够更好地显露肝后段下腔静脉,有利于术中尽早控制癌栓近心端下腔静脉,从而提高手术的安全性。展开更多
A large amount of igneous rocks in NE China formed in an extensional setting during Late Mesozoic. However, there is still controversy about how the Mongol-Okhotsk Ocean and the Paleo-Pacific Ocean effected the lithos...A large amount of igneous rocks in NE China formed in an extensional setting during Late Mesozoic. However, there is still controversy about how the Mongol-Okhotsk Ocean and the Paleo-Pacific Ocean effected the lithosphere in NE China. In this paper, we carried out a comprehensive study for andesites from the Keyihe area using LA-ICP-MS zircon UPb dating and geochemical and Hf isotopic analysis to investigate the petrogenesis and tectonic setting of these andesites. The U-Pb dating yields an Early Cretaceous crystallization age of 128.3±0.4 Ma. Geochemically, the andesites contain high Sr(686-930 ppm) and HREE contents, low Y(11.9-19.8 ppm) and Yb(1.08-1.52 ppm) contents, and they therefore have high Sr/Y(42-63) and La/Yb(24-36) ratios, showing the characteristics of adakitic rocks. Moreover, they exhibit high K2O/Na2O ratios(0.57-0.81), low Mg O contents(0.77-3.06 wt%), low Mg# value(17-49) and negative εHf(t) values(-1.7 to-8.5) with no negative Eu anomalies, indicating that they are not related to the oceanic plate subduction. Based on the geochemical and isotopic data provided in this paper and regional geological data, it can be concluded that the Keyihe adakitic rocks were affected by the Mongol-Okhotsk tectonic regime, forming in a transition setting from crustal thickening to regional extension thinning. They were derived from the partial melting of the thickened lower crust. The closure of the Mongol-Okhotsk Ocean may finish in early Early Cretaceous, followed by the collisional orogenic process. The southern part region of its suture belt was in a post-orogenic extensional setting in the late Early Cretaceous.展开更多
In this study, zircon U-Pb ages, geochemical and Lu-Hf isotopic data are presented for the newly identified volcanic rocks which were considered as Bainaimiao group in Bainaimiao Arc Belt(BAB), Inner Mongolia, which c...In this study, zircon U-Pb ages, geochemical and Lu-Hf isotopic data are presented for the newly identified volcanic rocks which were considered as Bainaimiao group in Bainaimiao Arc Belt(BAB), Inner Mongolia, which could provide important constraints on the evolution of the northern part of North China Block(NCB) and BAB. Basalt to basaltic andesite and andesite to dacite were collected from two sections, which showed eruption ages of 278.2±4.1 Ma and 258.3±3.0 Ma respectively. All samples are characterized by high abundances in Al2O3, LREEs, and LILEs, but depleted in HFSEs. Together with high Mg# ratios and low K/tholeiite to calc-alkaline series, these features indicated that basalt to andesite was likely derived from relatively low degree partial melting of the subduction-fluid related mantle in the spinel phase. And dacite was mainly from the partial melting of crust, then affected by mantle. All samples barely went through fractional crystallization process with the slight Eu anomaly. Compared with the contemporary basalt in NCB, rocks in BAB have a complex composition of zircon and a more positive εHf(t) value(-6.6-6.4), indicating that they had different magma sources of rocks. Though with different basements, NCB and BAB have become an integrated whole before 278 Ma. Therefore, it could be concluded that NCB and BAB belonged to the active continental margin and the PAO had not closed yet until late Permian and then it disappeared gradually and the CAOB developed into a condition of syn-post collision.展开更多
Objective The North China Craton（NCC）is almost continuously widespread TTGs of 3.8–2.5 Ga,and the intrusive peak appears at^2.53 Ga,indicating that the Neoarchean is the most important period of continental growth ...Objective The North China Craton（NCC）is almost continuously widespread TTGs of 3.8–2.5 Ga,and the intrusive peak appears at^2.53 Ga,indicating that the Neoarchean is the most important period of continental growth in the NCC（Wan Yusheng et al.,2017）.Recently studies reveal that the TTGs were formed during-2.7 Ga and 2.6–2.5 Ga in southern Jilin Province,NE of the NCC（Wang Chaoyang et al.展开更多
GC-GIS system is a geochemical data processing system based on fractal theory. The system realized quantity statistics function by calling Surfer and MapInfo software, and it is compiled with Visual Basic language. Th...GC-GIS system is a geochemical data processing system based on fractal theory. The system realized quantity statistics function by calling Surfer and MapInfo software, and it is compiled with Visual Basic language. This system is designed to integrate the functions both quantity statistics of Surfer and spatial data management of MapInfo. A new algorithm of fractal is added up to GC-GIS. Taking example for Weichang region of Hebei to test the system, the processing results show that the model can match the real distribution of mine well.展开更多
文摘目的:探讨机器人辅助腹腔镜下腔静脉癌栓切除术联合肝尾状叶切除术治疗301Ⅱ~Ⅲ级下腔静脉癌栓的可行性和有效性。方法:回顾性分析2021年1月至2022年6月于解放军总医院第一医学中心行机器人辅助腹腔镜下腔静脉癌栓切除术的5例患者的临床资料,所有患者术中均联合部分肝尾状叶切除以显露肝后段下腔静脉。其中男性2例,女性3例,中位年龄61(60~75)岁;中位体质量指数24.8(21.7~25.3)kg/m2。根据301分级,Ⅱ级癌栓患者1例,Ⅲ级癌栓患者4例。下腔静脉癌栓中位高度10.8(10.4~13.1)cm,癌栓中位最大径2.0(1.5~3.9)cm。结果:5例患者手术均顺利完成,无中转开放。中位手术时间510(290~795)m i n,中位失血量1500(900~2000)ml。患者术后中位重症监护室(intensive care unit,ICU)住院时间4(0~7)d,中位总住院时间11(6~13)d。术后出现Ⅰ级并发症2例,Ⅱ级并发症3例,无围术期死亡病例。出院时该5例患者的肝、肾功能均降至基线水平。中位随访时间8.3(2.5~16.1)个月,无肿瘤复发、进展、转移等情况。结论:对于肾肿瘤伴高度毗邻第二肝门的粗大下腔静脉癌栓的患者,术中切除肝尾状叶能够更好地显露肝后段下腔静脉,有利于术中尽早控制癌栓近心端下腔静脉,从而提高手术的安全性。
基金supported by the National Natural Science Foundation of China (Grant No. 41872234 and 41340024)Self-determined Foundation of Key Laboratory of Mineral Resources Evaluation in Northeast Asia, Ministry of Land and Resources (Grant No. DBYZZ-18-08)Graduate Innovation Fund of Jilin University
文摘A large amount of igneous rocks in NE China formed in an extensional setting during Late Mesozoic. However, there is still controversy about how the Mongol-Okhotsk Ocean and the Paleo-Pacific Ocean effected the lithosphere in NE China. In this paper, we carried out a comprehensive study for andesites from the Keyihe area using LA-ICP-MS zircon UPb dating and geochemical and Hf isotopic analysis to investigate the petrogenesis and tectonic setting of these andesites. The U-Pb dating yields an Early Cretaceous crystallization age of 128.3±0.4 Ma. Geochemically, the andesites contain high Sr(686-930 ppm) and HREE contents, low Y(11.9-19.8 ppm) and Yb(1.08-1.52 ppm) contents, and they therefore have high Sr/Y(42-63) and La/Yb(24-36) ratios, showing the characteristics of adakitic rocks. Moreover, they exhibit high K2O/Na2O ratios(0.57-0.81), low Mg O contents(0.77-3.06 wt%), low Mg# value(17-49) and negative εHf(t) values(-1.7 to-8.5) with no negative Eu anomalies, indicating that they are not related to the oceanic plate subduction. Based on the geochemical and isotopic data provided in this paper and regional geological data, it can be concluded that the Keyihe adakitic rocks were affected by the Mongol-Okhotsk tectonic regime, forming in a transition setting from crustal thickening to regional extension thinning. They were derived from the partial melting of the thickened lower crust. The closure of the Mongol-Okhotsk Ocean may finish in early Early Cretaceous, followed by the collisional orogenic process. The southern part region of its suture belt was in a post-orogenic extensional setting in the late Early Cretaceous.
基金supported by the National Natural Science Foundation of China (41872203, 41872194)the China Geological Survey Project (DD2016041–16,DD20190038–2)
文摘In this study, zircon U-Pb ages, geochemical and Lu-Hf isotopic data are presented for the newly identified volcanic rocks which were considered as Bainaimiao group in Bainaimiao Arc Belt(BAB), Inner Mongolia, which could provide important constraints on the evolution of the northern part of North China Block(NCB) and BAB. Basalt to basaltic andesite and andesite to dacite were collected from two sections, which showed eruption ages of 278.2±4.1 Ma and 258.3±3.0 Ma respectively. All samples are characterized by high abundances in Al2O3, LREEs, and LILEs, but depleted in HFSEs. Together with high Mg# ratios and low K/tholeiite to calc-alkaline series, these features indicated that basalt to andesite was likely derived from relatively low degree partial melting of the subduction-fluid related mantle in the spinel phase. And dacite was mainly from the partial melting of crust, then affected by mantle. All samples barely went through fractional crystallization process with the slight Eu anomaly. Compared with the contemporary basalt in NCB, rocks in BAB have a complex composition of zircon and a more positive εHf(t) value(-6.6-6.4), indicating that they had different magma sources of rocks. Though with different basements, NCB and BAB have become an integrated whole before 278 Ma. Therefore, it could be concluded that NCB and BAB belonged to the active continental margin and the PAO had not closed yet until late Permian and then it disappeared gradually and the CAOB developed into a condition of syn-post collision.
基金supported by the National Science Foundation of China(grant No.41272223)China Geological Survey(grants No.12120114028001,121201004000150017-28 and 121201004000160901-7)Graduate Innovation Fund of Jilin University
文摘Objective The North China Craton（NCC）is almost continuously widespread TTGs of 3.8–2.5 Ga,and the intrusive peak appears at^2.53 Ga,indicating that the Neoarchean is the most important period of continental growth in the NCC（Wan Yusheng et al.,2017）.Recently studies reveal that the TTGs were formed during-2.7 Ga and 2.6–2.5 Ga in southern Jilin Province,NE of the NCC（Wang Chaoyang et al.
文摘GC-GIS system is a geochemical data processing system based on fractal theory. The system realized quantity statistics function by calling Surfer and MapInfo software, and it is compiled with Visual Basic language. This system is designed to integrate the functions both quantity statistics of Surfer and spatial data management of MapInfo. A new algorithm of fractal is added up to GC-GIS. Taking example for Weichang region of Hebei to test the system, the processing results show that the model can match the real distribution of mine well.
