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儿童消化道择期手术后非计划再手术原因分析及其预后
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作者 王增萌 陈亚军 +3 位作者 彭春辉 庞文博 吴东阳 王凯 《中华普通外科杂志》 CSCD 北大核心 2022年第12期925-929,共5页
目的分析儿童消化道择期手术患儿术后发生非计划再手术的原因及其预后。方法回顾性分析2012年1月至2019年12月北京儿童医院普外科39例消化道择期手术后发生非计划再手术患儿的临床资料,分析原发疾病诊断、首次术式及手术级别、非计划再... 目的分析儿童消化道择期手术患儿术后发生非计划再手术的原因及其预后。方法回顾性分析2012年1月至2019年12月北京儿童医院普外科39例消化道择期手术后发生非计划再手术患儿的临床资料,分析原发疾病诊断、首次术式及手术级别、非计划再手术原因、非计划再手术术式以及患儿的预后。结果39例患儿的原发病包括胆道疾病、肛门和结直肠疾病及小肠疾病,其中二级手术4例(10%),三、四级手术35例(90%)。首次术式包括胆道-小肠手术19例(49%),单纯小肠手术11例(28%),肛门和结直肠手术9例(23%)。非计划再手术的直接原因包括吻合口漏(胆-肠、肠-肠)10例(26%),粘连性肠梗阻8例(20%),术后小肠套叠5例(13%),切口并发症(感染、裂开、切口疝)5例(13%),术后出血3例(8%),其他(首次手术损伤、术式选择缺陷)8例(20%)。术后24例患儿(62%)痊愈出院,9例患儿(23%)因非计划再手术导致需要进一步手术治疗,5例患儿(13%)死亡,1例(3%)发生短肠综合征。结论儿童消化道择期手术后非计划再手术大多发生于复杂手术,非计划再手术最常见的直接原因为吻合口漏、粘连性肠梗阻,非计划再手术对患儿的预后造成不良影响。 展开更多
关键词 再手术 消化系统外科手术 儿童 预后
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Morphable three-dimensional electronic mesofliers capable of on-demand unfolding 被引量:3
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作者 Ziyao Ji Jianzhong Zhao +12 位作者 Honglie Song Shiwei Xu wenbo pang Xiaonan Hu Fan Zhang Tianqi Jin Yumeng Shuai Yu Lan Di Cheng Wenwen Man Renheng Bo Zhaoguo Xue Yihui Zhang 《Science China Materials》 SCIE EI CAS CSCD 2022年第8期2309-2318,共10页
Development of miniaturized three-dimensional(3 D)fliers with integrated functional components has important implications to a diverse range of engineering areas.Among the various active and passive miniaturized 3 D f... Development of miniaturized three-dimensional(3 D)fliers with integrated functional components has important implications to a diverse range of engineering areas.Among the various active and passive miniaturized 3 D fliers reported previously,a class of 3 D electronic fliers inspired by wind-dispersed seeds show promising potentials,owing to the lightweight and noiseless features,aside from the stable rotational fall associated with a low falling velocity.While on-demand shape-morphing capabilities are essential for those 3 D electronic fliers,the realization of such miniaturized systems remains very challenging,due to the lack of fast-response 3 D actuators that can be seamlessly integrated with 3 D electronic fliers.Here we develop a type of morphable3 D mesofliers with shape memory polymer(SMP)-based electrothermal actuators,capable of large degree of actuation deformations,with a fast response(e.g.,~1 s).Integration of functional components,including sensors,controllers,and chip batteries,enables development of intelligent 3 D mesoflier systems that can achieve the on-demand unfolding,triggered by the processing of real-time sensed information(e.g.,acceleration and humidity data).Such intelligent electronic mesofliers are capable of both the low-air-drag rising and the low-velocity falling,and thereby,can be used to measure the humidity fields in a wide 3 D space by simple hand throwing,according to our demonstrations.The developed electronic mesofliers can also be integrated with other types of physical/chemical sensors for uses in different application scenarios. 展开更多
关键词 bioinspired mesofliers mechanically guided 3D assembly shape morphing low-air-drag throwing low-velocity falling flexible electronics
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Controlled mechanical assembly of complex 3D mesostructures and strain sensors by tensile buckling 被引量:5
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作者 Xiaogang Guo Xueju Wang +5 位作者 Dapeng Ou Jilong Ye wenbo pang Yonggang Huang John A.Rogers Yihui Zhang 《npj Flexible Electronics》 SCIE 2018年第1期120-126,共7页
Recent research establishes methods of controlled mechanical assembly as versatile routes to three-dimensional(3D)mesostructures from patterned 2D films,with demonstrated applicability to a broad range of materials(e.... Recent research establishes methods of controlled mechanical assembly as versatile routes to three-dimensional(3D)mesostructures from patterned 2D films,with demonstrated applicability to a broad range of materials(e.g.,semiconductors,polymers,metals,and their combinations)and length scales(e.g.,from sub-microscale to centimeter scale).Previously reported schemes use pre-stretched elastomeric substrates as assembly platforms to induce compressive buckling of 2D precursor structures,thereby enabling their controlled transformation into 3D architectures.Here,we introduce tensile buckling as a different,complementary strategy that bypasses the need for a pre-stretched platform,thereby simplifying the assembly process and opening routes to additional classes of 3D geometries unobtainable with compressive buckling.A few basic principles in mechanics serve as guidelines for the design of 2D precursor structures that achieve large out-of-plane motions and associated 3D transformations due to tensile buckling.Experimental and computational studies of nearly 20 examples demonstrate the utility of this approach in the assembly of complex 3D mesostructures with characteristic dimensions from micron to millimeter scales.The results also establish the use of nonlinear mechanics modeling as a mechanism for designing systems that yield desired 3D geometries.A strain sensor that offers visible readout and large detectable strain range through a collection of mechanically triggered electrical switches and LEDs serves as an application example. 展开更多
关键词 STRAIN BUCKLING thereby
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