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血友病合并慢性骨髓炎1例
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作者 王舒发 张小舟 汪锴 《临床骨科杂志》 2023年第6期841-841,共1页
患者,男,52岁,左下肢无明显诱因出现皮肤渗血、溃烂伴红肿、疼痛、皮温升高1年余,于2018年4月26日至孝感市中心医院门诊就诊。诊断为“血友病、化脓性骨髓炎”。门诊给予伤口抗感染换药治疗后症状缓解。近2个月来患者再次出现上述症状,... 患者,男,52岁,左下肢无明显诱因出现皮肤渗血、溃烂伴红肿、疼痛、皮温升高1年余,于2018年4月26日至孝感市中心医院门诊就诊。诊断为“血友病、化脓性骨髓炎”。门诊给予伤口抗感染换药治疗后症状缓解。近2个月来患者再次出现上述症状,且逐渐加重后再次来院就诊,予以局部伤口换药及间断注射冷沉淀、凝血因子Ⅶ等治疗后,伤口仍无法愈合,门诊以“血友病、慢性骨髓炎”收入血液内科住院治疗。 展开更多
关键词 血友病 慢性骨髓炎
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孟底沟水电站导流洞堵头全工况稳定性分析及长度优化 被引量:1
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作者 李焕焕 傅少君 +1 位作者 王书法 李刚 《科学技术与工程》 北大核心 2021年第11期4607-4613,共7页
孟底沟水电站导流洞堵头段断层、节理裂隙发育,地质条件较差,堵头挡水水头高,边界条件复杂,且封堵工期紧张,急需对导流洞开挖、施工及运行全过程稳定性进行研究。采用三维非线性有限元法,模拟导流洞洞室开挖、衬砌施工、堵头施工以及堵... 孟底沟水电站导流洞堵头段断层、节理裂隙发育,地质条件较差,堵头挡水水头高,边界条件复杂,且封堵工期紧张,急需对导流洞开挖、施工及运行全过程稳定性进行研究。采用三维非线性有限元法,模拟导流洞洞室开挖、衬砌施工、堵头施工以及堵头运行全过程,得出以下结论:①洞室开挖过程中,围岩基本稳定,局部围岩较差的部位存在局部失稳的可能,建议局部采取锚固、灌浆等措施;②运行期围岩、堵头整体稳定,衬砌结构满足抗压强度要求,局部衬砌拉应力超过抗拉强度,需加强配筋;③长度40 m与50 m的堵头上游段推力分担比基本一致,建议堵头长度在40 m以上。研究成果可为孟底沟水电站导流洞堵头的设计施工提供参考。 展开更多
关键词 导流隧洞堵头 有限元法 稳定性分析 孟底沟水电站
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胫骨平台骨折伤残鉴定的回顾性研究 被引量:1
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作者 柯技 单良 +1 位作者 王树法 刘泉 《中国刑警学院学报》 2020年第2期114-118,共5页
探讨道路交通事故中发生胫骨平台骨折的Schatzker分型与所致伤残等级的相关性,为法医学鉴定胫骨平台骨折伤残等级提供可靠依据。收集106例道路交通事故胫骨平台骨折的案例资料进行回顾性分析,并析出伤残等级结果的影响因素:道路交通事... 探讨道路交通事故中发生胫骨平台骨折的Schatzker分型与所致伤残等级的相关性,为法医学鉴定胫骨平台骨折伤残等级提供可靠依据。收集106例道路交通事故胫骨平台骨折的案例资料进行回顾性分析,并析出伤残等级结果的影响因素:道路交通事故中发生胫骨平台骨折Schatzker分型与伤残等级鉴定结果高度相关;Schatzker分型、年龄≥50岁、手术治疗史、有MRI检查结果等均影响最终伤残等级鉴定,临床法医实践中应综合分析以上因素。胫骨平台骨折伤残评定应在建立测量关节活动度的标准操作流程基础上,以MRI检查为主要依据,充分考虑骨折诊断方法、手术方式、被鉴定人年龄、性别和关节活动测量结果来综合评定,以提高胫骨平台骨折伤残鉴定的准确性。 展开更多
关键词 道路交通事故 胫骨平台骨折 伤残评定
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Impacts of landscape and climatic factors on snow cover in the Altai Mountains,China 被引量:4
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作者 ZHONG Xin-Yue ZHANG Tingjun +8 位作者 SU Hang XIAO Xiong-Xin wang shu-fa HU Yuan-Tao wang Hui-Juan ZHENG Lei ZHANG Wei XU Min wang Jian 《Advances in Climate Change Research》 SCIE CSCD 2021年第1期95-107,共13页
Snow properties and their changes are crucial to better understanding of hydrological processes,soil thermal regimes,and surface energy balances.Reliable data and information on snow depth and snow water equivalent(SW... Snow properties and their changes are crucial to better understanding of hydrological processes,soil thermal regimes,and surface energy balances.Reliable data and information on snow depth and snow water equivalent(SWE)are also crucial for water resource assessments and socio-economic development at local and regional scales.However,these data are extremely limited and unreliable in northern Xinjiang,China.This study thus aims to investigate spatial variations of snow depth,SWE,and snow density based on winter snowfield surveys during 2015 through 2017 in the Altai Mountains,northwestern China.The results indicated that snow depth(25-114 cm)and SWE(40-290 mm)were greater in the alpine Kanas-Hemu region,and shallow snow accumulated(9-42 cm for snow depth,26-106 mm for SWE)on the piedmont sloping plain.While there was no remarkable regional difference in the distribution of snow density.Snow property distributions were strongly controlled by topography and vegetation.Elevation and latitude were the most important factors affecting snow depth and SWE,while snow density was strongly affected by longitude across the Altai Mountains in China.The influence of topography on snow property distributions was spatially heterogenous.Mean snow depth increased from 13.7 to 31.2 cm and SWE from 28.5 to 79.9 mm,respectively,with elevation increased from 400 to 1000 m a.s.l.on the piedmont sloping plain.Snow depth decreased to about 15.1 cm and SWE to about 28.5 mm from 1000 to 1800 m a.s.l.,then again increased to about 98.1 cm and 271.7 mm on peaks(-2000 m a.s.l.)in the alpine Kanas-Hemu.Leeward slopes were easier to accumulate snow cover,especially on north-,east-,and southeast-facing slopes.Canopy interception was also the cause of the difference in snow distribution.Snow depth,SWE,and snow density in forests were reduced by 8%-53%,2%-67%and-4%to+48%,respectively,compared with surrounding open areas.Especially when snow depth was less than 40 cm,snow depth and SWE differences in forests were more exaggerated.This study provides a basic data set of spatial distributions and variations of snow depth,SWE and snow density in the Altai Mountains,which can be used as an input parameter in climate or hydrological models.These first-hand observations will help to better understand the relationship between snow,topography and climate in mountainous regions across northern China and other high-mountain Asian regions. 展开更多
关键词 Altai Mountains Snow cover TOPOGRAPHY VEGETATION Climate factor
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