目的比较早期与晚期支架内血栓(ST)致4b型急性心肌梗死(AMI)患者院内及出院1年生存及预后情况。方法入选2015年1月—2018年2月冠状动脉造影确定ST致4b型AMI患者共302例。根据ST发生时间分为早期ST组(≤30 d)26例和晚期ST组(>30 d)276...目的比较早期与晚期支架内血栓(ST)致4b型急性心肌梗死(AMI)患者院内及出院1年生存及预后情况。方法入选2015年1月—2018年2月冠状动脉造影确定ST致4b型AMI患者共302例。根据ST发生时间分为早期ST组(≤30 d)26例和晚期ST组(>30 d)276例,对比2组患者住院期间及出院1年内的终点事件。主要研究终点包括心源性死亡和再发AMI;次要研究终点包括靶病变血运重建(TLR)、再次ST、心力衰竭及卒中。采用Kaplan-Meier法绘制生存曲线并比较2组患者无终点事件发生率;采用Cox回归分析4b型AMI患者发生终点事件的危险因素。结果住院期间2组主要研究终点事件发生率差异无统计学意义(7.7%vs.3.3%,P=0.243);早期ST组院内心力衰竭发生率高于晚期ST组(11.5%vs.1.4%,P=0.016),其他次要终点事件发生率差异无统计学意义(P>0.05)。平均随访1年,早期ST组主要(20.0%vs.5.9%,P<0.05)及次要(36.0%vs.11.5%,P<0.05)研究终点事件发生率均高于晚期ST组。Kaplan-Meier生存分析表明,早期ST组1年累积无主要(P=0.022)及次要(P<0.001)终点事件发生率均低于晚期ST组。Cox回归分析表明高血压、冠状动脉旁路移植术史是4b型AMI患者发生主要终点事件的独立危险因素,术中植入主动脉内气囊泵(IABP)、缩短支架内血栓至球囊扩张(ST to B)时间是其发生次要终点事件的独立保护因素。结论与晚期ST致4b型AMI患者相比,早期ST患者院内结局相似,长期预后差。术中植入IABP、缩短ST to B时间可能改善4b型AMI患者预后。展开更多
As an important part of the early Mesozoic granites in the South Qinling tectonic belt(SQTB),the Guangtoushan pluton provides a material basis for research on the composition of magma sources and the effects of perite...As an important part of the early Mesozoic granites in the South Qinling tectonic belt(SQTB),the Guangtoushan pluton provides a material basis for research on the composition of magma sources and the effects of peritectic assemblage entrainment(PAE)on the changes in the granite composition.As shown by the results of LA-ICP-MS zircon U-Pb dating,the Guangtoushan pluton was emplaced during the Late Triassic(214-212 Ma)and was formed in the post-collision stage between the SQTB and the Yangtze plate.The collected samples had high SiO_(2)content and low Cr and Ni contents,indicating that the magmas did not undergo significant crust-mantle mixing during their evolution.The Guangtoushan granitoids were distributed along the trend line of magmatic fractional crystallization in the F-An-Or diagram.This result,combined with the relatively homogeneous Sr-Nd isotopic composition,implies that the Guangtoushan pluton underwent slight assimilation and contamination.As can be inferred from the comparison between the compositions of the Guangtoushan granitoids and various fluid-absent experimental melts,the magma sources of the Guangtoushan granitoids contain a variety of materials,such as graywackes,pyroclastic graywackes,and pelites and are not derived from lower crustal mafic rocks.The correlation between the maficity and the major and trace elements further indicates that the strongly peraluminous granitoids from the Guangtoushan pluton was formed by the partial melting of biotite-bearing crustal rocks and its magmatic evolution was accompanied by the entrainment of clinopyroxenes and accessory minerals.展开更多
探究不同栅格分辨率下崩岗易发性评价对崩岗防控具有重要意义.为开展相关研究,以赣州市石城县为例,利用地理探测器选取降雨侵蚀力、可蚀性、岩石种类、植被高度、叶面积指数、高程、坡度、归一化植被指数指标作为评价指标,划分出15、30...探究不同栅格分辨率下崩岗易发性评价对崩岗防控具有重要意义.为开展相关研究,以赣州市石城县为例,利用地理探测器选取降雨侵蚀力、可蚀性、岩石种类、植被高度、叶面积指数、高程、坡度、归一化植被指数指标作为评价指标,划分出15、30、60、90、120 m 5种分辨率的栅格单元,以频率比(FR)为联接方法,构建频率比-随机森林(FR-RF)模型开展崩岗易发性评价.结果显示:栅格单元空间分辨率对崩岗易发性评价有一定影响,5种不同栅格分辨率下易发性结果的AUC值依次为0.840、0.830、0.830、0.820、0.810,基于随机森林模型下15 m分辨率栅格单元更适用于研究区的崩岗易发性评价(AUC值为0.840);研究区较高易发区以及高易发区主要分布在北部区域.研究结果可以为赣南地区的崩岗易发性评价提供重要参考.展开更多
文摘目的比较早期与晚期支架内血栓(ST)致4b型急性心肌梗死(AMI)患者院内及出院1年生存及预后情况。方法入选2015年1月—2018年2月冠状动脉造影确定ST致4b型AMI患者共302例。根据ST发生时间分为早期ST组(≤30 d)26例和晚期ST组(>30 d)276例,对比2组患者住院期间及出院1年内的终点事件。主要研究终点包括心源性死亡和再发AMI;次要研究终点包括靶病变血运重建(TLR)、再次ST、心力衰竭及卒中。采用Kaplan-Meier法绘制生存曲线并比较2组患者无终点事件发生率;采用Cox回归分析4b型AMI患者发生终点事件的危险因素。结果住院期间2组主要研究终点事件发生率差异无统计学意义(7.7%vs.3.3%,P=0.243);早期ST组院内心力衰竭发生率高于晚期ST组(11.5%vs.1.4%,P=0.016),其他次要终点事件发生率差异无统计学意义(P>0.05)。平均随访1年,早期ST组主要(20.0%vs.5.9%,P<0.05)及次要(36.0%vs.11.5%,P<0.05)研究终点事件发生率均高于晚期ST组。Kaplan-Meier生存分析表明,早期ST组1年累积无主要(P=0.022)及次要(P<0.001)终点事件发生率均低于晚期ST组。Cox回归分析表明高血压、冠状动脉旁路移植术史是4b型AMI患者发生主要终点事件的独立危险因素,术中植入主动脉内气囊泵(IABP)、缩短支架内血栓至球囊扩张(ST to B)时间是其发生次要终点事件的独立保护因素。结论与晚期ST致4b型AMI患者相比,早期ST患者院内结局相似,长期预后差。术中植入IABP、缩短ST to B时间可能改善4b型AMI患者预后。
基金funded by the State Key Program of National Natural Science of China(Grant No.41730426)the National Natural Science Foundation of China(Grant Nos.41872066,41702069 and 41602040)the Research Fund of Hebei Provincial Bureau of Geology and Mineral Resources(454-0601-YBN-DXXP)。
文摘As an important part of the early Mesozoic granites in the South Qinling tectonic belt(SQTB),the Guangtoushan pluton provides a material basis for research on the composition of magma sources and the effects of peritectic assemblage entrainment(PAE)on the changes in the granite composition.As shown by the results of LA-ICP-MS zircon U-Pb dating,the Guangtoushan pluton was emplaced during the Late Triassic(214-212 Ma)and was formed in the post-collision stage between the SQTB and the Yangtze plate.The collected samples had high SiO_(2)content and low Cr and Ni contents,indicating that the magmas did not undergo significant crust-mantle mixing during their evolution.The Guangtoushan granitoids were distributed along the trend line of magmatic fractional crystallization in the F-An-Or diagram.This result,combined with the relatively homogeneous Sr-Nd isotopic composition,implies that the Guangtoushan pluton underwent slight assimilation and contamination.As can be inferred from the comparison between the compositions of the Guangtoushan granitoids and various fluid-absent experimental melts,the magma sources of the Guangtoushan granitoids contain a variety of materials,such as graywackes,pyroclastic graywackes,and pelites and are not derived from lower crustal mafic rocks.The correlation between the maficity and the major and trace elements further indicates that the strongly peraluminous granitoids from the Guangtoushan pluton was formed by the partial melting of biotite-bearing crustal rocks and its magmatic evolution was accompanied by the entrainment of clinopyroxenes and accessory minerals.
文摘探究不同栅格分辨率下崩岗易发性评价对崩岗防控具有重要意义.为开展相关研究,以赣州市石城县为例,利用地理探测器选取降雨侵蚀力、可蚀性、岩石种类、植被高度、叶面积指数、高程、坡度、归一化植被指数指标作为评价指标,划分出15、30、60、90、120 m 5种分辨率的栅格单元,以频率比(FR)为联接方法,构建频率比-随机森林(FR-RF)模型开展崩岗易发性评价.结果显示:栅格单元空间分辨率对崩岗易发性评价有一定影响,5种不同栅格分辨率下易发性结果的AUC值依次为0.840、0.830、0.830、0.820、0.810,基于随机森林模型下15 m分辨率栅格单元更适用于研究区的崩岗易发性评价(AUC值为0.840);研究区较高易发区以及高易发区主要分布在北部区域.研究结果可以为赣南地区的崩岗易发性评价提供重要参考.
基金The Key-Area Research and Development Program of Guangdong Province(2022B0111130004)National Natural Science Foundation of China(52272257)Innovation Team of Jiangsu Province(JSSCTD202241)。
