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腹直肌鞘联合腹横筋膜平面神经阻滞对脾切除患者术后恢复的影响 被引量:5
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作者 朱敬丽 王雪婷 +3 位作者 龚婧 孙海彬 赵小晴 高伟 《中国现代医学杂志》 CAS 2019年第22期72-77,共6页
目的研究超声引导下腹直肌鞘联合腹横筋膜平面神经阻滞对脾切除患者术后疼痛缓解和恢复的影响。方法选取2018年3月—2018年7月于哈尔滨医科大学附属第二医院择期开腹脾切除术患者150例。患者随机分为对照组、左旋布比卡因组及左旋布比... 目的研究超声引导下腹直肌鞘联合腹横筋膜平面神经阻滞对脾切除患者术后疼痛缓解和恢复的影响。方法选取2018年3月—2018年7月于哈尔滨医科大学附属第二医院择期开腹脾切除术患者150例。患者随机分为对照组、左旋布比卡因组及左旋布比卡因联合吗啡组。所有患者进行超声引导下腹直肌鞘联合腹横筋膜平面神经阻滞,对照组注射生理盐水,左旋布比卡因组注射左旋布比卡因,左旋布比卡因联合吗啡组注射左旋布比卡因联合吗啡。记录术中阿片类药物的用量、手术持续时间、麻醉苏醒时间、术后疼痛评分、术后首次使用镇痛药的时间、吗啡的用量,以及术后首次排气、排便、进食及离床的时间,对患者术后恶心呕吐发生率和患者满意度进行调查。结果左旋布比卡因组和左旋布比卡因联合吗啡组瑞芬太尼使用量、术后苏醒时间较对照组少(P<0.05);左旋布比卡因联合吗啡组静息和咳嗽状态下VAS评分低于对照组(P<0.05),术后4~72 h,左旋布比卡因联合吗啡组静息VAS低于左旋布比卡因组(P<0.05),左旋布比卡因联合吗啡组咳嗽VAS低于左旋布比卡因组(P<0.05);对照组首次使用镇痛药的时间较左旋布比卡因组和左旋布比卡因联合吗啡组短(P<0.05);左旋布比卡因联合吗啡组吗啡总消耗量较对照组少(P<0.05),对照组较左旋布比卡因组少(P<0.05);左旋布比卡因组和左旋布比卡因联合吗啡组术后首次排气、排便和离床时间较对照组短(P<0.05);左旋布比卡因联合吗啡组首次进食时间、止吐药用量较对照组少(P<0.05);左旋布比卡因联合吗啡组满意度评分较左旋布比卡因组和对照组高(P<0.05)。结论使用左旋布比卡因联合吗啡进行腹直肌鞘联合腹横筋膜平面神经阻滞可以缓解术后疼痛,减少术后镇痛药的使用,并促进患者康复。 展开更多
关键词 脾切除术 腹直肌鞘神经阻滞 腹横筋膜平面神经阻滞
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Therapeutic experience of an 89-year-old high-risk patient with incarcerated cholecystolithiasis:A case report and literature review 被引量:1
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作者 Zong-Ming Zhang Chong Zhang +25 位作者 Zhuo Liu Li-Min Liu Ming-Wen Zhu Yue Zhao Bai-Jiang Wan Hai Deng Hai-Yan Yang Jia-Hong Liao Hong-Yan Zhu Xue Wen Li-Li Liu Man wang Xiao-Ting Ma Miao-MiaoZhang Jiao-Jiao Liu Tian-Tian Liu Niu-Niu Huang Pei-Ying Yuan Yu-Jiao Gao Jing Zhao Xi-Ai Guo FangLiao Feng-Yuan Li xue-ting wang Rui-Jiao Yuan Fang Wu 《World Journal of Clinical Cases》 SCIE 2020年第20期4908-4916,共9页
BACKGROUND The global pandemic of coronavirus disease 2019 pneumonia poses a particular challenge to the emergency surgical treatment of elderly patients with high-risk acute abdominal diseases.Elderly patients are a ... BACKGROUND The global pandemic of coronavirus disease 2019 pneumonia poses a particular challenge to the emergency surgical treatment of elderly patients with high-risk acute abdominal diseases.Elderly patients are a high-risk group for surgical treatment.If the incarceration of gallstones cannot be relieved,emergency surgery is unavoidable.CASE SUMMARY We report an 89-year-old male patient with acute gangrenous cholecystitis and septic shock induced by incarcerated cholecystolithiasis.He had several coexisting,high-risk underlying diseases,had a history of radical gastrectomy for gastric cancer,and was taking aspirin before the operation.Nevertheless,he underwent emergency laparoscopic cholecystectomy,with maintenance of postoperative heart and lung function,successfully recovered,and was discharged on day 8 after the operation.CONCLUSION Emergency surgery for elderly patients with acute abdominal disease is safe and feasible during the coronavirus disease 2019 pandemic,the key is to abide strictly by the hospital's epidemic prevention regulations,fully implement the epidemic prevention procedure for emergency surgery,fully prepare before the operation,accurately perform the operation,and carefully manage the patient postoperatively. 展开更多
关键词 Extremely elderly patient Cholecystolithiasis incarceration Acute gangrenous cholecystitis Acute abdominal diseases COVID-19 Case report
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Research progress of optoelectronic devices based on two-dimensional MoS_(2) materials 被引量:3
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作者 Liang-Rui Zou Dan-Dan Sang +5 位作者 Yu Yao xue-ting wang Yuan-Yuan Zheng Nai-Zhou wang Cong wang Qing-Lin wang 《Rare Metals》 SCIE EI CAS CSCD 2023年第1期17-38,共22页
Molybdenum disulfide(MoS_(2))is a widely used optoelectronic material with exceptional electrical,magnetic,optical,and mechanical properties.Due to the quantum confinement effect,high absorption coefficient,high surfa... Molybdenum disulfide(MoS_(2))is a widely used optoelectronic material with exceptional electrical,magnetic,optical,and mechanical properties.Due to the quantum confinement effect,high absorption coefficient,high surface-volume ratio,and tunable bandgap,nanoMoS_(2)-based devices exhibit size-dependent and novel optoelectronic properties,such as excellent photoluminescence and high anisotropic electrical,mechanical,and thermal properties.This review focuses mainly on the latest progress of optoelectronic device applications based on two-dimensional(2D)nano-MoS_(2).Various advanced devices,such as sensors,photodetectors,light-emitting diodes(LEDs),memory applications,and field-effect transistors(FETs)are considered.The review will provide a new perspective in promoting the development of 2D nanomaterial-based photoelectric applications. 展开更多
关键词 MoS_(2) OPTOELECTRONICS DEVICES NANO MATERIALS
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Two-dimensional MoS_(2)/diamond based heterojunctions for excellent optoelectronic devices:current situation and new perspectives
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作者 Liang-Rui Zou Xiao-Dan Lyu +9 位作者 Dan-Dan Sang Yu Yao Shun-Hao Ge xue-ting wang Chuan-Dong Zhou Hai-Long Fu Hong-Zhu Xi Jian-Chao Fan Cong wang Qing-Lin wang 《Rare Metals》 SCIE EI CAS CSCD 2023年第10期3201-3211,共11页
Two-dimensional(2D)semiconductor molybdenum disulfide(MoS_(2))can be used as n-channel and is considered as a key candidate material to advance the promising development of optoelectronic device.The high thermal condu... Two-dimensional(2D)semiconductor molybdenum disulfide(MoS_(2))can be used as n-channel and is considered as a key candidate material to advance the promising development of optoelectronic device.The high thermal conductivity,breakdown voltage,carrier mobility,and high saturation velocity of diamond offer the possibility of making it high-frequency device material in hightemperature and high-power fields.The addition of 2D MoS_(2)nanolayers and nanosheets to diamond thin film to form heterojunction can improve the carrier transport performance of the optoelectronic device in harsh environments.In this perspective,the prospects of 2D MoS_(2)/diamond heterojunction for challenges and new designs of optoelectronic applications are discussed,including photodetectors,memories,transistors,light emission diodes,and electron field emission devices to further explore the development of 2D material device field in complex environments. 展开更多
关键词 MoS_(2) OPTOELECTRONICS HETEROJUNCTION DIAMOND Extreme environment
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