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破裂脑动脉瘤不同时机夹闭术后的颅内压监测研究 被引量:2
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作者 许雅纹 方文华 +5 位作者 蔡嘉伟 王芳玉 林章雅 林元相 余良宏 康德智 《中国当代医药》 2020年第12期4-7,28,共5页
目的探讨破裂脑动脉瘤不同时机夹闭术后患者的颅内压(ICP)变化特点。方法回顾性分析2014年10月~2016年9月我院收治的满足纳入和排除标准的49例成人破裂脑动脉瘤患者的临床资料,按照动脉瘤夹闭手术时间分为早期(发病≤3 d)手术组(26例)... 目的探讨破裂脑动脉瘤不同时机夹闭术后患者的颅内压(ICP)变化特点。方法回顾性分析2014年10月~2016年9月我院收治的满足纳入和排除标准的49例成人破裂脑动脉瘤患者的临床资料,按照动脉瘤夹闭手术时间分为早期(发病≤3 d)手术组(26例)和延迟(发病4~21 d)手术组(23例),两组均在术后行持续ICP监测及以ICP为导向的综合治疗。比较、分析两组患者术后ICP变化特点及其临床意义。以随访12个月的死亡率和改良Rankin量表(mRS)评分评价两组患者的预后。结果两组患者的影像学特征方面、预后情况比较,差异无统计学意义(P>0.05)。早期手术组患者术后ICP总体平均值为(15.21±3.71)mmHg,高于延迟手术组的(14.12±4.13)mmHg,差异有统计学意义(P<0.05)。早期手术组患者术后ICP平均值呈现先缓慢增高而后下降的趋势,术后第3、5天均高于术后第1天,其中以术后第5天最高,而术后第7天则降低,且低于术后第1天,差异有统计学意义(P<0.05);延迟手术组患者术后第2天ICP平均值增高之后即开始下降,术后第6、7天均低于术后第1天,其中以术后第7天为最低,差异有统计学意义(P<0.05);两组患者术后第7天的ICP平均值比较,差异无统计学意义(P>0.05)。结论发病3 d内早期手术的破裂脑动脉瘤患者术后总体ICP高于延迟手术组。早期手术和延迟手术术后ICP均呈先增高而后下降的趋势,早期手术最高峰在第5天,而延迟手术术后第2天最高。两种手术时机术后患者的ICP在经过治疗后均能够下降至较低水平。这一规律有助于破裂脑动脉瘤术后ICP增高临床诊疗策略的制定。 展开更多
关键词 脑动脉瘤 蛛网膜下腔出血 颅内压监测 预后
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我国海水养殖生态经济效率研究的知识图谱分析
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作者 余粮红 高强 史磊 《中国渔业经济》 2019年第6期80-87,共8页
利用CiteSpace可视化文献分析工具,对1980-2017年CNKI数据库中海水养殖生态经济效率研究的相关文献进行分析,梳理研究内容,绘制知识图谱。研究发现:①我国海水养殖生态经济效率研究的主题集中于"生态效率""循环经济&quo... 利用CiteSpace可视化文献分析工具,对1980-2017年CNKI数据库中海水养殖生态经济效率研究的相关文献进行分析,梳理研究内容,绘制知识图谱。研究发现:①我国海水养殖生态经济效率研究的主题集中于"生态效率""循环经济";②我国海水养殖生态经济效率研究的发文时间呈现出"平稳保持、迅速增长、波动增长"三个阶段性特征;③现有研究遵循海水养殖生态经济效率的测算评价、影响因素、优化路径的逻辑思路,存在视角单一、深度不足、方法趋同等问题。未来研究应进一步拓宽研究视角、深化研究内容、改进研究方法。 展开更多
关键词 海水养殖 生态经济效率 知识图谱
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Wavefront correction of Ti:sapphire terawatt laser with varying precision of phase conjugation between deformable mirror and wavefront sensor
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作者 於亮红 梁晓燕 +4 位作者 任志君 王利 许毅 陆效明 于国浩 《Chinese Physics B》 SCIE EI CAS CSCD 2012年第1期192-198,共7页
The phase conjugation between the deformable mirror and the wavefront sensor in the aberration correction of a terawatt Ti:sapphire laser is studied experimentally and theoretically in this paper. At varying values o... The phase conjugation between the deformable mirror and the wavefront sensor in the aberration correction of a terawatt Ti:sapphire laser is studied experimentally and theoretically in this paper. At varying values of phase- conjugation precision, we focus the corresponding beams into spots of the same size of 5.1 μm × 5.3 μm with a f/4 parabola in the 32 TW/36 fs Ti:sapphire laser system. The results show that the precision of conjugation can induce an intensity modulation but does not significantly affect the wavefront correction. 展开更多
关键词 adaptive optics wave front correction phase conjugation deformable mirror
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Efficient Spherical Wavefront Correction near the Focus for the 0.89 PW/29.0 fs Ti:Sapphire Laser Beam
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作者 任志君 梁晓燕 +4 位作者 於亮红 陆效明 冷雨欣 李儒新 徐至展 《Chinese Physics Letters》 SCIE CAS CSCD 2011年第2期85-88,共4页
We demonstrate a new loop system of the spherical wavefront(SW)correction near the beam focus to effectively improve the focusability of 0.89 PW/29.0 fs Ti:sapphire chirped pulse amplification laser.After wavefront co... We demonstrate a new loop system of the spherical wavefront(SW)correction near the beam focus to effectively improve the focusability of 0.89 PW/29.0 fs Ti:sapphire chirped pulse amplification laser.After wavefront correction,the Strehl ratio is improved to reach 0.91,and the focal spot size using the f/4 off-axis parabola is reduced to 6.34 x 6.94μm^(2)(corresponding to 1.63 x 1.78 times diffraction limitation).With full peak power of 0.89 PW,the peak intensity of 2.59 x 10^(21)W/cm^(2)is obtained.The experimental results show that the SW correction scheme near the beam focus is comparatively simple,economic and high-efficient. 展开更多
关键词 CORRECTION BEAM SPHERICAL
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Combined monitoring of evoked potentials during microsurgery for lesions adjacent to the brainstem and intracranial aneurysms 被引量:20
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作者 KANG De-zhi WU Zan-yi +4 位作者 LAN Qing yu liang-hong LIN Zhang-ya WANG Chen-yang LIN yuan-xiang 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第18期1567-1573,共7页
Background Neurophysiologic monitoring during surgery is to prevent permanent neurological injury resulting from surgical manipulation. To improve the accuracy and sensitivity of intraoperative neuromonitoring, combin... Background Neurophysiologic monitoring during surgery is to prevent permanent neurological injury resulting from surgical manipulation. To improve the accuracy and sensitivity of intraoperative neuromonitoring, combined monitoring of transcranial electrical stimulation motor evoked potentials (TES-MEPs), somatosensory evoked potentials (SSEPs) and brainstem auditory evoked potentials (BAEPs) was attempted in microsurgery for lesions adjacent to the brainstem and intracranial aneurysms. Methods Monitoring of combined TES-MEPs with SSEPs was attempted in 68 consecutive patients with lesions adjacent to the brainstem as well as intracranial aneurysms. Among them, 31 patients (31 operations, 28 of posterior cranial fossa tumors, 3 of posterior circulation aneurysms) were also subjected to monitoring of BAEPs. The correlation of monitoring results and clinical outcome was studied prospectively. Results Combined monitoring of evoked potentials (EPs) was done in 64 (94.1%) of the 68 patients. MEPs monitoring was impossible for 4 patients (5.9%). No complication was observed during the combined monitoring in all the patients. In 45 (66.2%) of the 68 patients, EPs were stable, and they were neurologically intact. Motor dysfunction was detected by MEPs in 8 patients, SSEPs in 5, and BAEPs in 4, respectively. Conclusions A close relationship exists between postoperative motor function and the results of TES-MEPs monitoring TES-MEPs are superior to SSEPs and BAEPs in detecting motor dysfunction, but combined EPs serve as a safe, effective and invasive method for intraoperative monitoring of the function of the motor nervous system. Monitoring of combined EPs during microsurgery for lesions adjacent to the brainstem and intracranial aneurysms may detect potentially hazardous maneuvers and improve the safety of subsequent procedures. 展开更多
关键词 motor evoked potential transcranial electrical stimulation somatosensory evoked potential brainstem auditory evoked potential BRAINSTEM intracranial aneurysm
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