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床旁经胸超声心动图对暴发性心肌炎与心肌梗死后行VA-ECMO支持患者的左心功能评估 被引量:1
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作者 杨薇 徐明 +1 位作者 王得恩 章向成 《湖南师范大学学报(医学版)》 2023年第1期52-56,共5页
目的:利用床旁经胸超声心动图对暴发性心肌炎与心肌梗死后行VA-ECMO支持患者的左心收缩功能进行评估,探讨床旁超声心动图在VA-ECMO支持治疗时的应用价值.方法:回顾性分析在我院行VA-ECMO支持的患者32例,选取心源性休克并成功撤机的患者1... 目的:利用床旁经胸超声心动图对暴发性心肌炎与心肌梗死后行VA-ECMO支持患者的左心收缩功能进行评估,探讨床旁超声心动图在VA-ECMO支持治疗时的应用价值.方法:回顾性分析在我院行VA-ECMO支持的患者32例,选取心源性休克并成功撤机的患者16例,分为暴发性心肌炎(8例)、心肌梗死(8例)两组,对两组内和两组间的一般临床资料以及VA-ECMO支持建立前、建立后24h和成功撤机后的左房内径(LAD)、左室舒张末期内径(LVDD)及射血分数(LVEF)进行对比.结果:(1)一般临床资料比较:较心肌梗死组平均年龄(64.1±6.9岁),暴发性心肌炎组的平均年龄(34.2±9.0岁)更小.(2)组内比较:暴发性心肌炎组LVDD在VA-ECMO支持建立前平均水平(42.9±9.5)mm低于建立后24h平均水平(46.7±8.8)mm;成功撤机后LVEF平均水平(51.5±21.3)%高于建立后24h平均水平(33.9±18.4)%.心肌梗死组在VA-ECMO支持建立前、建立后24h、成功撤机后的LAD、LVDD及LVEF组内比较均无统计学差异.(3)两组间对比:暴发性心肌炎组LAD在VA-ECMO支持建立前、建立后24h和成功撤机后均低于急性心肌梗死组;VA-ECMO支持建立前心肌梗死组LVDD平均水平大于暴发性心肌炎组;成功撤机后暴发性心肌炎组的LVEF高于急性心肌梗死组.结论:VA-ECMO支持可以明显改善暴发性心肌炎组患者的LVEF,暴发性心肌炎对心功能的影响可能可逆;VA-ECMO支持对心肌梗死组LAD、LVDD、LVEF的改善不明显,但可以为其他目的的治疗争取一段时间;暴发性心肌炎组LAD在VA-ECMO支持建立前、建立后24h和成功撤机后转出ICU前均低于急性心肌梗死组;年龄、LAD、LVDD可能影响心功能的恢复. 展开更多
关键词 VA-ECMO 超声心动图 左心功能 暴发性心肌炎 心肌梗死
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Exhumation history of the Huangshan granite pluton,southern Anhui Province:New insights from fission-track analysis 被引量:5
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作者 ZHENG Yong YU XinQi +5 位作者 YUAN WanMing wang de'en JIANG GongBing ZHU DeLai wang Cheng JIA YingYing 《Science China Earth Sciences》 SCIE EI CAS 2011年第4期528-539,共12页
The dating of the uplift onset of the Huangshan pluton in the southern part of Anhui Province associated with the collision between paleo-Pacific Block and the Eurasian Block is a fundamental issue to better understan... The dating of the uplift onset of the Huangshan pluton in the southern part of Anhui Province associated with the collision between paleo-Pacific Block and the Eurasian Block is a fundamental issue to better understand the uplift mechanisms and the regional tectonic evolution. Х^2 values of seven zircon fission track (ZFF) samples collected from the south part of the Huangshan pluton were all 〈5%. Based on the grain ages of four typical ZFr samples, three thermal overprints ranging in 113-123, 72-95 and 49-66 Ma were distinguished respectively using the binomial peak-fitting method in accordance with the tectonic thermal events after south China shifted into circum-Pacific tectonic region. Apatite fission track (AFT) study of the Huangshan pluton shows ages lie between 15±3 and 56±6 Ma with all Х^2 values 〉5%, and all are significantly younger than their host rock formation ages, indicating that the samples have experienced post-formation thermal history. Based on the AFT resuits and topography characteristics in the Huangshan pluton, three zones with different denudation intensities caused by the differential uplift of the fault blocks were recognized in this paper, indicating that denudation was driven by the increase in elevation significantly. Modeling of the AFT data shows that the earlier cooling phase took place in the early Cenozoic and involved 3.3, 3.8 and 6.0℃/Ma of cooling rates equivalent to the exhumation rates of 90, 104 and 167 m/Ma in different fault blocks. The last phase of cooling took place from -10 Ma with average cooling rate of -5.6℃/Ma, equivalent to average denudation rates of -156 m/Ma. The fission track results imply that the regional compression field plays an important role for the differential exhumation between individual fault blocks of the Huangshan pluton. 展开更多
关键词 Huangshan pluton thermal overprints apatite fission track cooling fault block
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