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不同类型主动脉瓣病变对行主动脉瓣置换患者围术期左心室心肌肥厚情况的影响
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作者 张聪 满红 +4 位作者 王莹莹 许丹 梁久莉 李春梅 徐丽微 《中国临床实用医学》 2024年第1期40-45,共6页
目的探讨不同类型主动脉瓣病变对行主动脉瓣置换(AVR)患者围术期左心室心肌肥厚情况的影响。方法本研究为回顾性病例对照研究,选取2020年5月至2023年6月北部战区总医院心血管外科收治的248例重度慢性主动脉瓣病变患者,男126例,女122例,... 目的探讨不同类型主动脉瓣病变对行主动脉瓣置换(AVR)患者围术期左心室心肌肥厚情况的影响。方法本研究为回顾性病例对照研究,选取2020年5月至2023年6月北部战区总医院心血管外科收治的248例重度慢性主动脉瓣病变患者,男126例,女122例,年龄(68.20±7.53)岁,年龄范围60~75岁,根据瓣膜病变类型将患者分为瓣膜狭窄组(n=80)、瓣膜关闭不全组(n=80)及狭窄合并关闭不全组(n=88),瓣膜狭窄组为患者主动脉瓣重度狭窄,瓣膜关闭不全组为患者主动脉瓣重度关闭不全,狭窄合并关闭不全组为患者主动脉瓣重度狭窄合并主动脉瓣重度关闭不全;比较手术前后三组患者肾小球滤过率(GFR)、左心室质量指数(LVMI)、血清胱抑素C(Cys C)水平。结果术后7 d,瓣膜狭窄组、瓣膜关闭不全组及狭窄合并关闭不全组患者Cys C[(1.15±0.27)mg/L、(1.94±0.36)mg/L、(1.29±0.36)mg/L]、LVMI[(127.19±9.51)g/m^(2)、(144.90±6.25)g/m^(2)、(129.20±4.25)g/m^(2)]水平比较,差异有统计学意义(P<0.05)。瓣膜狭窄组Cys C水平低于瓣膜关闭不全组,狭窄合并关闭不全组Cys C水平低于瓣膜关闭不全组,瓣膜狭窄组LVMI水平低于瓣膜关闭不全组,狭窄合并关闭不全组LVMI水平低于瓣膜关闭不全组,差异有统计学意义(P<0.05)。结论AVR术后早期主动脉瓣关闭不全患者心肌肥厚加重情况较瓣膜狭窄患者及瓣膜狭窄合并关闭不全组患者严重。 展开更多
关键词 左心室质量指数 主动脉瓣置换 左心室心肌肥厚 胱抑素C
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Thermal Feature Analysis of a New Hot-Air Anti-Icing Structure
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作者 liang jiuli XUAN Yimin LIAN Wenlei 《Journal of Thermal Science》 SCIE EI CAS CSCD 2023年第3期911-921,共11页
Ice accretion on surfaces of the aircraft and engine is a serious threat to the flight safety.In this paper,a novel hot air anti-icing method is proposed based on the porous foam.Taking the NACA0012 airfoil as an exam... Ice accretion on surfaces of the aircraft and engine is a serious threat to the flight safety.In this paper,a novel hot air anti-icing method is proposed based on the porous foam.Taking the NACA0012 airfoil as an example,the traditional thermal protection structure is proved to exist the deficiency in balancing the heat exchange caused by route loss of the heat.By dividing the hot chamber into multiple regions to fill with various foam metal,flow resistance characteristics and heat transfer characteristics for this protection mode are analyzed in order to derive the maximized benefit in anti-icing process.The calculation results reveal that,under the same condition,the region filled with foamed copper not only improves the temperature uniformity on the anti-icing area,but also achieves a better protection effect for enhancing heat transfer between the tube and the hot gas,averagely above 20℃higher than it without porous foam filling in surface temperature.Additionally,the minimum mass flow rate of the protection hot air is reduced by 16.7%.The gratifying efficiency of the porous filler in fortifying heat transfer confirms the potential of replacing the efficient but complex heat transfer design with simple structure filled with foam metal. 展开更多
关键词 ice accretion hot air anti-icing foam metal heat transfer
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