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PCI单独与联合PTCRA治疗冠心病的疗效分析 被引量:9
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作者 冯莉萍 刘成伟 +1 位作者 周桃 许蓓 《中国现代医学杂志》 CAS 2020年第19期63-67,共5页
目的探讨冠状动脉腔内斑块旋磨术(PTCRA)联合经皮冠脉介入术(PCI)治疗冠状动脉粥样硬化性心脏病(CHD)患者的临床疗效及对患者血管损伤、远期再狭窄率的影响。方法选取2014年7月—2017年6月武汉亚洲心脏病医院实施PCI治疗的CHD患者107例... 目的探讨冠状动脉腔内斑块旋磨术(PTCRA)联合经皮冠脉介入术(PCI)治疗冠状动脉粥样硬化性心脏病(CHD)患者的临床疗效及对患者血管损伤、远期再狭窄率的影响。方法选取2014年7月—2017年6月武汉亚洲心脏病医院实施PCI治疗的CHD患者107例进行回顾性分析。根据患者是否实施PTCRA分为PTCRA组62例(PCI联合PTCRA手术治疗),对照组45例(仅PCI治疗)。两组基础治疗措施保持一致,比较两组患者的临床疗效。结果PTCRA组的置入支架数目、平均支架直径、平均支架长度与对照组比较,差异无统计学意义(P>0.05);PTCRA组的手术成功率98.39%与对照组95.56%比较,差异无统计学意义(P>0.05);两组术前的病变血管直径、血管狭窄率比较,差异无统计学意义(P>0.05);两组术后的病变血管直径、血管狭窄率比较,差异有统计学意义(P<0.05),PTCRA组患者的病变血管直径大于对照组,血管狭窄率低于对照组;PTCRA组患者的血管损伤率6.45%与对照组的4.44%比较,差异无统计学意义(P>0.05);术后6个月PTCRA组患者的主要不良心血管事件(MACE)发生率6.45%与对照组20.00%比较,差异有统计学意义(P<0.05)。患者2年心脏无病生存率为(71±7)%;患者2年靶血管血运重建率(TVR)为(19.3±7.0)%。结论PCI联合PTCRA治疗CHD患者有利于降低手术后病变血管的狭窄率,降低术后MACE的发生率,同时不会增加术中血管损伤。 展开更多
关键词 冠状动脉粥样硬化性心脏病 冠状动脉腔内斑块旋磨术 经皮冠脉介入术 血管损伤 远期再狭窄率
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Preparation of Al-Cu-Fe-(Sn,Si) quasicrystalline bulks by laser multilayer cladding
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作者 li-ping feng Eric Fleury Guo-sheng Zhang 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2012年第5期434-440,共7页
(A165Cu20Fe15)100-xSnx (x=0, 12, 20, 30) and A157SitoCulsFe15 powders were cladded on a medium carbon steel (45# steel) substrate by laser multilayer cladding, respectively. The phases and properties of the prod... (A165Cu20Fe15)100-xSnx (x=0, 12, 20, 30) and A157SitoCulsFe15 powders were cladded on a medium carbon steel (45# steel) substrate by laser multilayer cladding, respectively. The phases and properties of the produced quasicrystalline bulks were investigated. It was found that the main phases in the A165Cu2oFe15 sample were crystalline L-Al13Fe4 and icosahedral quasicrystal together with a small volume fraction of 0-A12Cu phase. The volume fraction of icosahedral phase decreased as the Sn content in the (A165Cu20Fe18)100-xSnx samples increased owing to the formation of β-CuSn phase. The increase of Sn content improved the brittleness of the quasicrystal samples. The morphology of the solidification microstructure in the Al57Si10Cu18Fe15 sample changed from elongated shape to spherical shape due to the addition of Si. The nanohardness of the laser multilayer cladded quasicrystal samples was equal to that of the as-cast sample prepared by vacuum quenching. In terms of hardness, the laser cladded A157Si10Cu18Fe15 quasicrystalline alloy has the highest value among all the investigated samples. 展开更多
关键词 QUASICRYSTALS laser cladding phase composition morphology mechanical properties nanohardness
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