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颈动脉内膜剥脱术治疗颈动脉狭窄支架术后再狭窄的临床研究 被引量:16
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作者 李春辉 朱骁 +4 位作者 陈涛 程学荣 罗刚 喻坚柏 龚金兵 《中国现代医学杂志》 CAS 2019年第5期87-91,共5页
目的探讨颈动脉内膜剥脱术(CEA)在颈动脉狭窄支架成型术(CAS)后再狭窄治疗缺血性脑卒中的围术期安全性及近中期效果。方法回顾性分析2016年1月—2017年12月湖南中医药大学第一附属医院56例行CEA或CAS治疗的颈动脉中重度狭窄患者,其中颈... 目的探讨颈动脉内膜剥脱术(CEA)在颈动脉狭窄支架成型术(CAS)后再狭窄治疗缺血性脑卒中的围术期安全性及近中期效果。方法回顾性分析2016年1月—2017年12月湖南中医药大学第一附属医院56例行CEA或CAS治疗的颈动脉中重度狭窄患者,其中颈动脉狭窄支架术后再狭窄9例(治疗组),颈动脉中重度狭窄47例(对照组)。记录两组患者手术切口长度、动脉切开长度、手术时间、血管阻断时间及围术期相关并发症;随访6~30个月,记录两组患者包括死亡在内的不良反应发生率。结果两组患者手术时间、血管阻断时间、围术期并发症及术后近中期效果比较,差异无统计学意义(P>0.05);治疗组切口长度及颈动脉切开长度较对照组长(P<0.05)。结论 CEA治疗颈动脉狭窄支架术后再狭窄安全有效。充分的术前评估、术中电生理监测、娴熟的显微手术技巧及术后管理是提高CEA安全性、降低手术风险及并发症的关键。 展开更多
关键词 卒中 颈动脉狭窄 支架
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Evaluation of latest TMPA and CMORPH satellite precipitation products over Yellow River Basin 被引量:2
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作者 Shan-hu Jiang Meng Zhou +2 位作者 Li-liang Ren xue-rong cheng Peng-ju Zhang 《Water Science and Engineering》 EI CAS CSCD 2016年第2期87-96,共10页
The main objective of this study was to evaluate four latest global high-resolution satellite precipitation products(TMPA 3B42 RT, CMORPH,TMPA 3B42V7, and CMORPH_adj) against gauge observations of the Yellow River Bas... The main objective of this study was to evaluate four latest global high-resolution satellite precipitation products(TMPA 3B42 RT, CMORPH,TMPA 3B42V7, and CMORPH_adj) against gauge observations of the Yellow River Basin from March 2000 to December 2012. The assessment was conducted with several commonly used statistical indices at daily and monthly scales. Results indicate that 3B42V7 and CMORPH_adj perform better than the near real-time products(3B42RT and CMORPH), particularly the 3B42V7 product. The adjustment by gauge data significantly reduces the systematic biases in the research products. Regarding the near real-time datasets, 3B42 RT overestimates rainfall over the whole basin, while CMORPH presents a mixed pattern with negative and positive values of relative bias in low- and high-latitude regions,respectively, and CMORPH performs better than 3B42 RT on the whole. According to the spatial distribution of statistical indices, these values are optimized in the southeast and decrease toward the northwest, and the trend is similar for the spatial distribution of the mean annual precipitation during the period from 2000 to 2012. This study also reveals that all the four products can effectively detect rainfall events. This study provides useful information about four mainstream satellite products in the Yellow River Basin, and the findings can facilitate the use of global precipitation measurement(GPM) data in the future. 展开更多
关键词 SATELLITE PRECIPITATION TMPA CMORPH YELLOW RIVER BASIN
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