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支气管肺泡灌洗技术在儿童重症支原体肺炎中的临床应用研究 被引量:16
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作者 萨日娜 王爱琼 +2 位作者 李晓安 王佳 武荣 《中国内镜杂志》 2020年第9期79-85,共7页
目的探讨支气管肺泡灌洗技术在儿童重症肺炎支原体肺炎(SMPP)治疗中的作用。方法选取2018年12月-2019年8月该院儿科行支气管肺泡灌洗治疗的SMPP患儿47例作为研究对象(治疗组),另选取2018年3月-2018年11月于该院儿科住院治疗的有相同支... 目的探讨支气管肺泡灌洗技术在儿童重症肺炎支原体肺炎(SMPP)治疗中的作用。方法选取2018年12月-2019年8月该院儿科行支气管肺泡灌洗治疗的SMPP患儿47例作为研究对象(治疗组),另选取2018年3月-2018年11月于该院儿科住院治疗的有相同支气管镜适应证、病历资料完整、未进行支气管肺泡灌洗的47例SMPP患儿作为对照组,分析两组患儿临床症状、肺部体征改善时间、应用糖皮质激素时间、住院时间、住院费用和肺部超声恢复情况。结果治疗组患儿体温降至正常时间、肺部体征改善时间、应用糖皮质激素时间和住院天数明显少于对照组,两组比较,差异均有统计学意义(P<0.05)。治疗组患儿出院时肺部超声恢复情况优于对照组,两组比较,差异有统计学意义(P<0.05)。但两组患儿住院费用比较,差异无统计学意义(P>0.05)。结论SMPP患儿在常规治疗基础上适时应用支气管肺泡灌洗技术,可清除黏液分泌物、减轻炎症反应,保持气道通畅,明显缩短病程,有助于肺部病变恢复,在临床上具有重要的意义。 展开更多
关键词 重症肺炎支原体肺炎 肺炎支原体 支气管镜 支气管肺泡灌洗技术 儿童
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Collisionless tool orientation smoothing above blade stream surface using NURBS envelope 被引量:2
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作者 Jing-hua XU Shu-you ZHANG +1 位作者 Jian-rong TAN ri-na sa 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2013年第3期187-197,共11页
In five-axis machining,tool orientation above a blade stream surface may lead to tool collision and a decrease in workpiece rigidity.Hence,collisionless tool orientation smoothing(TOS)becomes an important issue.On the... In five-axis machining,tool orientation above a blade stream surface may lead to tool collision and a decrease in workpiece rigidity.Hence,collisionless tool orientation smoothing(TOS)becomes an important issue.On the basis of a constant scallop height tool path,the triangular facets in the faces,vertices format are constructed from cutter contact(CC)using the Voronoi incremental algorithm.The cutter location(CL)points candidate set is represented by an oblique elliptic cone whose vertex lies at CC using NURBS envelope.Whether the CL point is above its CC is judged by the dot product between the normal vector and the point on triangulation nearest to the CL point.The curvatures at CC are obtained by fitting a moving least square(MLS) quadratic patch to the local neighborhood of a vertex and calculating eigenvectors and eigenvalues of the Hessian matrix.Triangular surface elastic energy is employed as the weight in selection from the NURBS envelope.The collision is judged by NURBS surface intersection.TOS can then be expressed by selecting a CL point for each CC point and converted into a numerical control(NC)code automatically according to the postprocessor type of the machine center.The proposed method is verified by finishing of a cryogenic turboexpander impeller of air separation equipment. 展开更多
关键词 Tool orientation smoothing(TOS) Blade stream surface Triangular facet NURBS envelope Surface elastic energy
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Molecular Insight into the Therapeutic Promise of Xuebijing Injection against Coronavirus Disease 2019 被引量:1
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作者 Dan Zhang Jin-Tao Lv +4 位作者 Bing Zhang ri-na sa Bing-Bing Ma Xiao-Meng Zhang Zhi-Jian Lin 《World Journal of Traditional Chinese Medicine》 2020年第2期203-215,共13页
Background:The potential human-to-human transmission of the coronavirus pneumonia(coronavirus disease 2019[COVID-19])has caused an outbreak of acute respiratory illness.Xuebijing injection is recommended as first-line... Background:The potential human-to-human transmission of the coronavirus pneumonia(coronavirus disease 2019[COVID-19])has caused an outbreak of acute respiratory illness.Xuebijing injection is recommended as first-line treatment for the severe and critical patients with COVID-19.The aim of present study is to interpret the pharmacological mechanisms and molecular connections of Xuebijing injection against COVID-19 by utilizing the approaches of network pharmacology and molecular docking.Materials and Methods:Active ingredients of Xuebijing injection were collected by Traditional Chinese Medicine Systems Pharmacology(TCMSP)database,and putative therapeutic targets were screened from TCMSP,Swiss Target Prediction,and STITCH databases.Moreover,the protein–protein interactions,topological analysis,and pathway enrichment were established to distinguish the hub targets and pathways by employing STRING database,Cytoscape software,DAVID database,respectively.In addition,the potential interaction and binding activity of candidate ingredients in Xuebijing injection with core targets were revealed by molecular docking simulation(Auto Dock software).Results:A total of 115 bioactive components in Xuebijing injection were collected,and416 targets including AKT1,TP53,VEGFA,ALB,TNF and so on were responsible for treating COVID-19.Bioinformatics analysis revealed that matching core targets were closely associated with the inhibition of cytokine storm for its clinical beneficial effects in severe cases.The results of enrichment analysis indicated that PI3 K-Akt signaling pathway,human T-cell leukemia virus type 1 infection,mitogen-activated protein kinase signaling pathway,tuberculosis,focal adhesion,TNF signaling pathway,and small-cell lung cancer were represented pathways of Xuebijing injection against COVID-19 in terms of lung inflammation,virus infection,and lung injury.Meanwhile,the active ingredients of Xuebijing injection exerted superior binding activities with 3 CLpro and angiotensin-converting enzyme 2 as observed via molecular docking simulation.Conclusions:Through the comprehensive analysis of network pharmacology,the current research preliminarily elaborated the molecular regulation of therapeutic mechanisms for Xuebijing injection against COVID-19 and binding activity between active components and core targets,which provided scientific evidence to facilitate the development of Xuebijing injection and clinical treatment for COVID-19. 展开更多
关键词 Coronavirus disease 2019 molecular docking network pharmacology therapeutic mechanism Xuebijing injection
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