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de Winter综合征心电图动态演变为急性前壁ST段抬高型心肌梗死的回顾性分析 被引量:13
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作者 沈灯 邱慧敏 +1 位作者 叶璐 刘宗军 《实用心电学杂志》 2021年第2期98-103,共6页
目的探讨de Winter综合征进展至急性前壁ST段抬高型心肌梗死(ST segment elevation myocardial infarction,STEMI)患者的人群特征及危险因素。方法回顾性分析156例诊断为急性前壁STEMI的患者(典型前壁STEMI组),以及13例由de Winter综合... 目的探讨de Winter综合征进展至急性前壁ST段抬高型心肌梗死(ST segment elevation myocardial infarction,STEMI)患者的人群特征及危险因素。方法回顾性分析156例诊断为急性前壁STEMI的患者(典型前壁STEMI组),以及13例由de Winter综合征进展至急性前壁STEMI患者(de Winter进展组)的临床资料(年龄、性别、既往史、心脏彩超等结果以及临床不良事件)。对两组的基线特征进行比较。结果从de Winter心电图进展至ST段抬高的中位数时间是29.6 min;不同于典型前壁STEMI组,de Winter进展组患者均为青年男性[(61±16)岁vs.(36±12)岁,P<0.01],且de Winter进展组高脂血症发生率更低(71.8%vs.23.1%,P<0.01);冠脉造影结果显示,de Winter进展组罪犯血管均为前降支,TIMI血流0~1级(完全或次全闭塞)。结论de Winter综合征心电图为高危心电图表现,而进展性de Winter综合征为de Winter综合征的一个亚型,且多见于青年男性,对于这类患者应尽早行冠脉介入治疗。 展开更多
关键词 de Winter综合征 心电图 急性前壁ST段抬高型心肌梗死
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Mathematical Modeling of Multi-sized Argon Gas Bubbles Motion and Its Impact on Melt Flow in Continuous Casting Mold of Steel 被引量:2
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作者 Chong-lin LIU Zhi-guo LUO +3 位作者 Tao ZHANG shen deng Nan WANG Zong-shu ZOU 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2014年第4期403-407,共5页
The 3D turbulence k-ε model flow of the steel melt (continuous phase) and the trajectories of individual gas bubbles (dispersed phase) in a continuous casting mold were simulated using an Eulerian-Lagrangian appr... The 3D turbulence k-ε model flow of the steel melt (continuous phase) and the trajectories of individual gas bubbles (dispersed phase) in a continuous casting mold were simulated using an Eulerian-Lagrangian approach. In order to investigate the effect of bubble size distribution, the radii of bubbles are set with an initial value of 0. 1- 2.5 mm which follows the normal distribution. The presented results indicate that, in the submerged entry nozzle (SEN), the distribution of void fraction is only near the wall. Due to the fact that the bubbles motion is only limited to the wall, the deoxidization products have no access to contacting the wall, which prevents clogging. In the mold, the bubbles with a radius of 0. 25--2.5 mm will move to the top surface. Larger bubbles issuing out of the ports will attack the menis- cus and induce the fluid flows upwards in the top surface near the nozzle. It may induce mold powder entrapment into the mold. The bubbles with a radius of 0.1--0.25 mm will move to the zone near the narrow surface and the wide surface. These small bubbles will probably be trapped by the solidification front. Most of the bubbles moving to the narrow surface will flow with the ascending flow, while others will flow with the descending flow. 展开更多
关键词 continuous casting BUBBLE multi-sized distribution dispersed phase void fraction
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