目的探究经皮肝穿刺门静脉Angiojet血栓抽吸联合置管溶栓治疗门静脉血栓(PVT)的疗效与安全性。方法回顾性分析我院收治的31例PVT患者的临床资料,所有患者均接受经皮肝穿刺门静脉Angiojet血栓抽吸联合置管溶栓治疗。记录患者抽栓时间、...目的探究经皮肝穿刺门静脉Angiojet血栓抽吸联合置管溶栓治疗门静脉血栓(PVT)的疗效与安全性。方法回顾性分析我院收治的31例PVT患者的临床资料,所有患者均接受经皮肝穿刺门静脉Angiojet血栓抽吸联合置管溶栓治疗。记录患者抽栓时间、溶栓时间、尿激酶用量,比较术前与术后1 d PVT分级和实验室检查结果,评价PVT清除率分级及并发症发生情况。术后随访12个月,评估患者门静脉通畅情况。结果所有患者均成功实施手术,抽栓时间(247.97±34.09)s,溶栓时间(4.16±0.93)d,尿激酶用量(203.87±17.06)万U。术后PVT清除率分级:11例(35.5%)为Ⅱ级,20例(64.5%)为Ⅲ级。与术前相比,术后1 d PVT分级明显改善(P<0.01)。术后1 d血红蛋白、谷丙转氨酶、谷草转氨酶、总胆红素、尿素氮、肌酐与术前比较,差异无统计学意义(P>0.05)。治疗期间,出现血红蛋白尿16例,穿刺点出血9例,血栓抽吸过程中出现心悸1例,未出现腹腔出血、肾功能衰竭等严重并发症。随访12个月,1例患者术后8个月再发消化道出血,门静脉CTV示血栓复发;其余患者均未新增血栓。结论经皮肝穿刺门静脉Angiojet血栓抽吸联合置管溶栓治疗PVT安全可行,能有效恢复门静脉血流,改善患者预后。展开更多
An equivalent electrical network method is presented in this paper to analyze the cooling characteristics of a laser diode module (LDM).And a modified equivalent model of a thermoelectric cooler (TEC) with an adjuncti...An equivalent electrical network method is presented in this paper to analyze the cooling characteristics of a laser diode module (LDM).And a modified equivalent model of a thermoelectric cooler (TEC) with an adjunctive thermal resistance and a contact resistance is proposed.The performance of a commercial TEC has been simulated.The thermal analysis of a LDM incorporated with a TEC has been performed by using an equivalent circuit model of the LDM.In the analysis the change of LD current,TEC current,and the ambient temperature are all considered.It shows that the equivalent circuit approach is an effective tool for the qualitative analysis of TEC and LDM.展开更多
文摘目的探究经皮肝穿刺门静脉Angiojet血栓抽吸联合置管溶栓治疗门静脉血栓(PVT)的疗效与安全性。方法回顾性分析我院收治的31例PVT患者的临床资料,所有患者均接受经皮肝穿刺门静脉Angiojet血栓抽吸联合置管溶栓治疗。记录患者抽栓时间、溶栓时间、尿激酶用量,比较术前与术后1 d PVT分级和实验室检查结果,评价PVT清除率分级及并发症发生情况。术后随访12个月,评估患者门静脉通畅情况。结果所有患者均成功实施手术,抽栓时间(247.97±34.09)s,溶栓时间(4.16±0.93)d,尿激酶用量(203.87±17.06)万U。术后PVT清除率分级:11例(35.5%)为Ⅱ级,20例(64.5%)为Ⅲ级。与术前相比,术后1 d PVT分级明显改善(P<0.01)。术后1 d血红蛋白、谷丙转氨酶、谷草转氨酶、总胆红素、尿素氮、肌酐与术前比较,差异无统计学意义(P>0.05)。治疗期间,出现血红蛋白尿16例,穿刺点出血9例,血栓抽吸过程中出现心悸1例,未出现腹腔出血、肾功能衰竭等严重并发症。随访12个月,1例患者术后8个月再发消化道出血,门静脉CTV示血栓复发;其余患者均未新增血栓。结论经皮肝穿刺门静脉Angiojet血栓抽吸联合置管溶栓治疗PVT安全可行,能有效恢复门静脉血流,改善患者预后。
文摘An equivalent electrical network method is presented in this paper to analyze the cooling characteristics of a laser diode module (LDM).And a modified equivalent model of a thermoelectric cooler (TEC) with an adjunctive thermal resistance and a contact resistance is proposed.The performance of a commercial TEC has been simulated.The thermal analysis of a LDM incorporated with a TEC has been performed by using an equivalent circuit model of the LDM.In the analysis the change of LD current,TEC current,and the ambient temperature are all considered.It shows that the equivalent circuit approach is an effective tool for the qualitative analysis of TEC and LDM.