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绝经后初发系统性红斑狼疮患者的临床分析
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作者 汝露 达展云 《重庆医学》 CAS 2024年第10期1512-1518,共7页
目的探讨绝经后初发系统性红斑狼疮(SLE)患者的临床特点。方法回顾性分析2015年1月至2021年3月该院住院治疗且首次发病的289例SLE患者病例资料,以女性患者发病时是否绝经分为绝经组(n=56)和育龄组(n=205),将男性患者作为男性组(n=28)。... 目的探讨绝经后初发系统性红斑狼疮(SLE)患者的临床特点。方法回顾性分析2015年1月至2021年3月该院住院治疗且首次发病的289例SLE患者病例资料,以女性患者发病时是否绝经分为绝经组(n=56)和育龄组(n=205),将男性患者作为男性组(n=28)。分析比较3组一般资料、首发症状、临床表现、实验室指标、SLE疾病活动指数(SLEDAI)的差异。结果绝经组发病年龄40~<50岁5例,50~<60岁31例,60~<70岁14例,≥70岁6例,其中37例发生于绝经后5年以上。与育龄组比较,绝经组发病年龄更大,发病时合并其他疾病数量更多,发热、水肿、胸闷气急为首发症状的发生率及体重减轻、乏力、肌痛肌无力发生率更高,皮疹、肾损害发生率及WBC降低、血红蛋白降低、补体C3和C4降低发生率更低,SLEDAI评分和SLEDAI评分>20分患者比例更低(P<0.05)。与男性组比较,绝经组发病年龄更大,发热、水肿、胸闷气急为首发症状的发生率及体重减轻、乏力、肌痛肌无力发生率更高,尿面泡沫增多为首发症状的发生率及肾损害发生率更低(P<0.05)。绝经组最常见实验室异常为ANA≥1∶80,其次为抗核小体抗体(+)、抗双链DNA(ds-DNA)抗体(+)、红细胞沉降率增快、抗SSA抗体(+)、补体C3降低。多变量logistic回归分析结果显示,育龄组较绝经组体重减轻、肌痛肌无力发生风险更低,肾损害发生风险更高(P<0.05);男性组较绝经组肾损害发生风险更高,补体C4降低发生风险更低(P<0.05)。结论绝经后初发SLE患者的首发症状、临床表现不典型,器官受损较轻,SLEDAI评分较低。 展开更多
关键词 系统性红斑狼疮 绝经后发病 临床特点 器官损害 疾病活动度
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Desulfurization of rejected electrolytic manganese metal by electroslag remelting furnace with a water-cooled electrode
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作者 ru lu Ran-ran Yu +3 位作者 Guang-qiang Li Yu Liu Qiang Wang Hai-chuan Wang 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2023年第7期1411-1425,共15页
Remelting rejected electrolytic manganese metal (EMM) scrap was investigated by electroslag remelting (ESR) process through industrial experiment. The results indicated that the ANF-6 slag (70 wt.% CaF_(2) + 30 wt.% A... Remelting rejected electrolytic manganese metal (EMM) scrap was investigated by electroslag remelting (ESR) process through industrial experiment. The results indicated that the ANF-6 slag (70 wt.% CaF_(2) + 30 wt.% Al_(2)O_(3)) and deoxidizer could promote the desulfurization of ESR manganese in an air atmosphere. Under an air atmosphere, the sulfur in the ingot decreased to 0.0534 wt.% with a desulfurization ratio of ESR manganese of 53.2% by using ANF-6 slag and water-cooled copper electrode electroslag remelting rejected EMM scrap, suggesting its efficient removal. The electroslag ingots exhibited uneven chemical composition in an air atmosphere and cooling condition of the ESR process. The metal manganese could be oxidized by electroslag remelting of rejected EMM scrap in an air atmosphere with MnO content in the final slag of 21.9 wt.%. Besides, the activity of MnO in slag increased with increasing remelting temperature, resulting in a reduction in the slag–manganese sulfur partition ratio and desulfurization ratio. Moreover, with the accumulation of sulfur in slag and the oxidation of metallic manganese liquid, the slag showed a lower cleanliness and more oxidation, leading to an increase in sulfur and oxygen content in the electroslag ingot with the increase in ingot height. 展开更多
关键词 Rejected electrolytic manganese metal scrap DESULFURIZATION Electroslag remelting THERMODYNAMICS
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Effects of slag composition and additive type on desulfurization of rejected electrolytic manganese metal scrap by Na2O-containing electroslag 被引量:1
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作者 ru lu Guang-qiang Li +3 位作者 Chang Liu Yun-ming Gao Yu-fei Chen Qiang Wang 《Journal of Iron and Steel Research International》 SCIE EI CSCD 2021年第12期1515-1529,共15页
The recycling rate of rejected electrolytic manganese metal(EMM)scrap can be increased by inhibiting the manganese metal(MM)vaporization during the remelting process with electroslag.However,if the latter is achieved ... The recycling rate of rejected electrolytic manganese metal(EMM)scrap can be increased by inhibiting the manganese metal(MM)vaporization during the remelting process with electroslag.However,if the latter is achieved by reducing the remelting temperature,the desulfurization behavior will deteriorate.Therefore,Na_(2)O-containing electroslag and metallic additive were used to increase the rejected EMM scrap recovery ratio.The respective high-temperature experiment was conducted in a MoSi_(2) electrical resistance furnace filled with fluid argon at 1673 K using five different types of electroslag with the Na_(2)O content ranging from 5.81%to 15.71%.High-purity metallic magnesium and magnesium calcium alloy additives were used as deoxidizers.The addition of Na_(2)O and metallic additives effectively promoted the desulfurization and deoxidization of MM.The removal of sulfur and oxygen by the interaction between Na_(2)O-containing electroslag melt and molten MM with metallic additive was analyzed from the thermodynamic and kinetic standpoints.The effect of Na_(2)O-containing electroslag volatilization on desulfurization and deoxidization was considered.With an increase in Na_(2)O content in the slag,the mass loss rates of Na_(2)O and electroslag rose,as well as the final sulfur partition ratio.If the Na_(2)O content volatilized in the slag melt did not exceed 10.44%,the sulfur removal ratio was increased by high sulfide capacity and CaO activity in all slags due to the addition of Na_(2)O.The rejected EMM scrap deoxidization ratio grew with the increased activity of CaO and reduced activity of Al_(2)O_(3) in the molten slag,caused by the increased Na_(2)O content in the molten slag.The addition of metallic Mg and Mg-Ca alloy indirectly promoted desulfurization and deoxidization by reducing the MnO content in the rejected EMM scrap and growing slag oxidability.The Mg-Ca alloy could also react with dissolved sulfur and oxygen,directly promoting desulfurization and deoxidization processes.The Na_(2)O content in slag should not exceed 10.44%to ensure the high desulfurization and deoxidization abilities,fluidity and low volatilization of slag. 展开更多
关键词 Rejected electrolytic manganese metal DESULFURIZATION DEOXIDIZATION Additive Na2O content Thermodynamic
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