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肺结核空洞伴曲霉菌感染并咯血的外科治疗 被引量:10
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作者 胡汶斌 张六伢 +5 位作者 张康 韩晓亮 苏超 袁顺达 陈雪芳 刘祖平 《中国内镜杂志》 2019年第1期6-9,共4页
目的探讨外科手术治疗肺结核空洞伴曲霉菌感染并咯血的原则、方法及疗效。方法回顾性分析该院2013年1月-2016年12月收治的施行外科手术治疗肺结核空洞伴曲霉菌感染并咯血的25例患者临床资料。行胸腔镜辅助小切口治疗23例,标准后外侧切口... 目的探讨外科手术治疗肺结核空洞伴曲霉菌感染并咯血的原则、方法及疗效。方法回顾性分析该院2013年1月-2016年12月收治的施行外科手术治疗肺结核空洞伴曲霉菌感染并咯血的25例患者临床资料。行胸腔镜辅助小切口治疗23例,标准后外侧切口2例。其中,右肺上叶切除13例,右肺下叶切除2例,左肺上叶切除6例,左肺下叶切除1例,左全肺切除1例,右肺上叶合并右肺下叶背段切除1例,右肺上中叶合并右肺下叶背段切除1例,全组未作胸廓成形术。结果围手术期死亡1例,为健肺肺部感染导致呼吸衰竭。局限性肺不张8例,心律失常7例,胸腔渗血1例,反复少量咯血1例,均采用相应治疗痊愈,复查胸部CT肺复张良好。术后失访2例,其余22例随访3~36个月,咯血、痰血消失,痰抗酸杆菌涂片均转阴,咳嗽、咳痰、胸闷和胸痛等症状明显缓解,生活质量提高,效果满意。结论外科手术治疗肺结核空洞伴曲霉菌感染并咯血的效果确切,安全可行,对于符合指征的患者应不失时机地进行手术治疗。 展开更多
关键词 肺结核 结核空洞 曲霉菌 咯血
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Effect of pre-existing shear bands on mechanical properties and serration behaviors in bulk metallic glasses
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作者 Xu-dong Yuan Sheng-hai Wang +7 位作者 Kai-kai Song xiao-liang han Yu-sheng Qin Dong-fang Li Xue-lian Li Bo Song Hui Xing Li Wang 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2017年第4期402-410,共9页
Pre-existing(multiple)shear bands were introduced into the ductile Zr56Co28Al16 and Zr65Ni10Cu15Al10bulk metallic glasses(BMGs)through the lateral-deformation,respectively.It was found that the pre-exiting shear b... Pre-existing(multiple)shear bands were introduced into the ductile Zr56Co28Al16 and Zr65Ni10Cu15Al10bulk metallic glasses(BMGs)through the lateral-deformation,respectively.It was found that the pre-exiting shear bands can further enhance the compressive plasticity of ductile BMGs.According to the serration analysis on the plastic deformation of the as-cast and the pre-deformed samples,the serration events in the stress-strain curves during deformation display a self-organized critical(SOC)behavior.Compared with the as-cast BMGs,a larger power-law scaling exponent calculated based on serrated flow behaviors becomes larger for the pre-deformed BMGs,implying that the shear banding stability of BMGs is effectively enhanced.This should be caused by the pronounced interactions of shear bands during plastic deformation for the pre-deformed BMGs.However,by introducing a large amount of multiple shear bands into the glassy matrix,it also becomes easier for shear bands to propagate along the pre-existing shear bands,leading to a lower cut-off elastic energy density for the pre-deformed BMGs.More multiple shear bands with stronger interactions for the pre-deformed BMGs could provide a larger chance to activate the shear-band cracking but less local elastic energies are remained for the subsequent crack-linking. 展开更多
关键词 Bulk metallic glass Shear band Serration Ductility Pre-deformation
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Non-invasive detection of pancreatic cancer by measuring DNA methylation of Basonuclin 1 and Septin 9 in plasma 被引量:2
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作者 Xiao-Bin Li Jun Ma +9 位作者 Zi-Wen Liu Wen-Fei He Zong-Ze Li Ming Cui Huang Hao Guang-Peng Zhou Lei You James Wang xiao-liang han Yu-Pei Zhao 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第12期1504-1506,共3页
Pancreatic cancer (PC), a deadly malignancy with an overall 5-year survival rate of 5% to 15%, is ranked as the seventh leading cause of cancer death in the world in spite of its low occurrence rate.[1,2] Early detect... Pancreatic cancer (PC), a deadly malignancy with an overall 5-year survival rate of 5% to 15%, is ranked as the seventh leading cause of cancer death in the world in spite of its low occurrence rate.[1,2] Early detection appears to be the most effective approach to improve the overall survival of patients with PC. However, the difficulty in early detection of PC is a lack of specific symptoms and reliable biomarkers. Currently, carbohydrate antigen 19-9 (CA 19-9) is a serum biomarker that is widely used in PC detection. However, 10% of patients with PC cannot produce CA 19-9 and serum CA 19-9 is frequently absent in patients with early-stage cancer. Furthermore, CA 19-9 is often found to be elevated in benign conditions or in other cancers, making its utility limited. Therefore, it is important to identify new diagnostic biomarkers to improve PC detection. 展开更多
关键词 Non-invasive detection PANCREATIC cancer MEASURING DNA METHYLATION
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