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低分子肝素对脓毒血症患者凝血功能和肾功能的影响 被引量:28
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作者 齐中意 彭湘鹤 +2 位作者 颜璐 胡婷 刘景诗 《解放军预防医学杂志》 CAS 2018年第1期84-86,106,共4页
目的分析低分子肝素对脓毒血症患者凝血功能、肾功能的影响。方法回顾性选取2015年1月至2016年12月我院收治的重症脓毒血症患者74例,根据抗凝方法不同分为无肝素组(35例)和低分子肝素组(39例),无肝素组在血液净化治疗过程中不使用肝素,... 目的分析低分子肝素对脓毒血症患者凝血功能、肾功能的影响。方法回顾性选取2015年1月至2016年12月我院收治的重症脓毒血症患者74例,根据抗凝方法不同分为无肝素组(35例)和低分子肝素组(39例),无肝素组在血液净化治疗过程中不使用肝素,低分子肝素组在血液净化治疗过程中使用低分子肝素钠抗凝。观察两组患者治疗后急性生理学和慢性健康状况评分系统(APACHEⅢ)评分、血栓前体蛋白(Tp P)、血清炎症因子、肾功能指标、凝血功能指标水平变化情况。结果两组患者治疗后凝血功能指标凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)、纤维蛋白原(Fg)、血小板(PLT)水平,肾功能指标尿素氮(BUN)、肌酐(Scr)水平,炎症指标IL-6、TNF-α及血栓前体蛋白(Tp P)水平均较治疗前下降(P<0.05),但治疗后组间凝血功能、肾功能、炎症因子、Tp P水平、28 d APACHEⅢ预计死亡率、实际死亡数及实际病死率比较均无统计学差异(P>0.05)。结论无肝素/低分子肝素连续性血液净化均可改善重症脓毒血症患者凝血、肾功能及炎性相关指标,减轻病情,提高存活率。 展开更多
关键词 低分子肝素 连续性血液净化 脓毒血症 凝血功能
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A MICROSTRUCTURE-BASED ANALYSIS FOR CYCLIC PLASTICITY OF DUAL-PHASE PEARLITIC RAIL STEELS
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作者 peng xianghe Chang Jian 《Acta Mechanica Solida Sinica》 SCIE EI 2001年第4期334-343,共10页
Based on the assumption that a representative element of apearlitic steel is an aggregate of numerous spherical pearliticcolonies with randomly distributed orientations, and that each colonyis com- posed of many paral... Based on the assumption that a representative element of apearlitic steel is an aggregate of numerous spherical pearliticcolonies with randomly distributed orientations, and that each colonyis com- posed of many parallel fine lamellas of ferrite andcementite, a description for the dual-phase pearlitic steel isobtained by making use of a microstructure-based constitutiveequation for a single dual-phase pearlitic colony and the Hill'sself-consistent scheme. The elastoplastic response of dual-phasepearlitic steel BS11 subjected to asymmetrically cyclic loading isanalyzed, and a comparison with the experimental results showssatisfacto- ry agreement. The non-proportional cyclic plasticity ofBS11 is also analyzed, in which stress develops along a semi-circlein a biaxial tension/compression and shear stress plane, as istypically experienced by the sur- face elements in rolling andsliding contact. 展开更多
关键词 pearlitic steel lamellar dual-phase material Hill's self-consistent scheme cyclic plasticity
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COUPLED ELECTRICAL-THERMAL-MECHANICAL ANALYSIS FOR ELECTRICAL/LASER HEATING ASSISTED BLANKING
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作者 peng xianghe QIN Yi 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2006年第2期294-299,共6页
A coupled electrical-thermal-mechanical analysis is conducted for electrical/laser heating assisted blanking. Two novel localized-heating methods, electrical heating and laser-heating, recently proposed for small-part... A coupled electrical-thermal-mechanical analysis is conducted for electrical/laser heating assisted blanking. Two novel localized-heating methods, electrical heating and laser-heating, recently proposed for small-part blanking, are investigated with FE simulations. Results show that electrical heating would result in an advantageous distribution of temperature in a 316 stainless steel work-material. A desired temperature distribution may also be achievable for a copper work-material, if laser beam is used. Both electrical heating and laser-heating enable to reduce the blanking force and increase the aspect ratio achievable by blanking. The simulation also demonstrates that both electrical heating and laser-heating can result in desired temperature-distributions at sufficiently high heating-rates, ease of implementation and application. Comparatively, electrical heating could generate more favorable temperature distribution for small-part blanking. 展开更多
关键词 BLANKING Electrical heating Laser-heating
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The first principles investigation of ferrite magnetic response with mismatch stress
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作者 HUANG JunPing peng xianghe HU XianZhi 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS 2014年第3期512-520,共9页
The quasi-ferrite model is proposed and an appropriate PBE exchange functional with the spin density functional theory (SDFT) is selected for the calculation of the relation between magnetic moment and residual stre... The quasi-ferrite model is proposed and an appropriate PBE exchange functional with the spin density functional theory (SDFT) is selected for the calculation of the relation between magnetic moment and residual stress in ferrite using a quantum mechanics code. The relationship between ferrite magnetism and the carbon content is determined, and then a ferrite interstitial solid solution (ISS) model in a low carbon concentration state is replaced with an a-Fe model in the case of majority magnetic calculation. The band structure of the loaded α-Fe is compared with that of the unloaded a-Fe. The comparison shows that the energy of Fe atomic 3d orbital changes a little, while the energy of electron orbital of iron core below 3d almost keeps un- changed. The relationship between the magnetic moment and the stress appears intermittent due to the Bragg total reflection. The change in the magnetic moment due to lattice mismatch is much larger than that caused by mechanical loading. 展开更多
关键词 the first-principles calculation SDFT quasi-ferrite lattice mismatch residual stress
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