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恙虫病并发多器官功能障碍综合征及死亡预测因素研究 被引量:14
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作者 韩焕钦 杜谕君 +3 位作者 张丽敏 邓威 张武英 陈长虹 《中国现代医学杂志》 CAS 2018年第15期71-74,共4页
目的探讨恙虫病并发多器官功能障碍综合征(MODS)的临床特征,及其发生和导致死亡的预测因素。方法回顾性分析恙虫病268例,其中MODS 17例。对比MODS组与非MODS组临床资料的差异并对各因素进行多因素Logistic回归分析;分析MODS患者各个器... 目的探讨恙虫病并发多器官功能障碍综合征(MODS)的临床特征,及其发生和导致死亡的预测因素。方法回顾性分析恙虫病268例,其中MODS 17例。对比MODS组与非MODS组临床资料的差异并对各因素进行多因素Logistic回归分析;分析MODS患者各个器官功能衰竭的情况,对比MODS死亡组和存活组临床资料的差异。结果恙虫病MODS组白细胞增多、血小板减少、血肌酐升高、降钙素原>0.5μg/L者比例高于非MODS组,差异有统计学意义(P<0.05);多因素Logistic回归分析显示血小板减少(O^R=19.014,95%CI:4.239,85.280)、血肌酐升高(O^R=113.286,95%CI:29.3914,36.649)为MODS发生的预测因素(P<0.05)。MODS患者各个器官功能衰竭早期或衰竭期发生率由高自低依次为:凝血功能、肺、外周循环、心脏、脑、肝、肾、胃肠道、代谢;MODS死亡组急性呼吸窘迫综合征或急性肺损伤的发生率高于存活组,差异有统计学意义(P<0.05)。结论血小板减少、血肌酐升高有预警恙虫病MODS发生的价值;恙虫病MODS患者发生急性呼吸窘迫综合征或急性肺损伤提示可能预后不良。 展开更多
关键词 恙虫病 多器官功能障碍综合征 死亡 预测因素
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Microstructural evolution and creep deformation behavior of novel Ti-22Al-25Nb-1Mo-1V-1Zr-0.2Si(at.%) orthorhombic alloy 被引量:5
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作者 Yong-sheng HE Rui HU +4 位作者 Wen-zhong LUO Tao HE Yun-jin LAI yu-jun du Xiang-hong LIU 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2019年第2期313-321,共9页
The microstructural evolution and creep deformation behavior which were adjusted and controlled by age treatment of a novel Ti-22Al-25Nb-1Mo-1V-1Zr-0.2Si(mole fraction,%)alloy,were investigated.The microstructures wer... The microstructural evolution and creep deformation behavior which were adjusted and controlled by age treatment of a novel Ti-22Al-25Nb-1Mo-1V-1Zr-0.2Si(mole fraction,%)alloy,were investigated.The microstructures were obtained at different heat treatment temperatures and analyzed by SEM and TEM techniques.The creep behavior of the alloy was studied at 650℃,150 MPa for 100 h in air.The results showed that the initial microstructure mainly contained lath-likeα2,B2,and O phases.The precipitated O phase was sensitive to aging temperature.With the aging temperature increasing,the thickness of the precipitated O phase was also increased,and the length was shortened.The creep resistance of this alloy was relevant to the morphology and volume faction of the lamellar O phase.The increase of lamellar O phase in thickness was the main reason for the improved creep properties. 展开更多
关键词 Ti2AlNb-based alloy microstructure evolution heat treatment creep deformation behavior
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Microstructure and mechanical properties of a new Ti2AlNbbased alloy after aging treatment 被引量:2
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作者 Yong-Sheng He Rui Hu +4 位作者 Wen-Zhong Luo Tao He Yun-Jin Lai yu-jun du Xiang-Hong Liu 《Rare Metals》 SCIE EI CAS CSCD 2018年第11期942-951,共10页
A new TiAlNb-based alloy with the composition of Ti-22Al-25Nb-1Mo-1V-1Zr-0.2Si(at%) was fabricated in the sequence of arc melting, forging, solid solution and aging. Present paper focuses on the effects of aging tempe... A new TiAlNb-based alloy with the composition of Ti-22Al-25Nb-1Mo-1V-1Zr-0.2Si(at%) was fabricated in the sequence of arc melting, forging, solid solution and aging. Present paper focuses on the effects of aging temperatures(700, 750, 800, 850 and 900 ℃) on microstructure, room-temperature tensile properties as well as tensile properties at 650 ℃ and creep properties at650 ℃/150 MPa. It is obvious that the aging treatment promotes the precipitation of O lathes from B2 matrix.With aging temperature increasing, the content of O phase decreases and its size increases gradually, which leads to the decrease in tensile strengths both at room temperature and 650 ℃ and a little increase in ductility. For creep properties, the sample aged at 700 ℃ shows the best creep resistance due to its extremely high O phase content. Aging at 800 ℃ leads to the decrease in the content of O phase and softening of the alloy significantly. However, with aging temperature further increasing from 800 to 900 ℃,the precipitated O phase will be coarsened gradually, which strengthens the alloy again. 展开更多
关键词 Ti_2AlNb alloy AGING MICROSTRUCTURE Tensile property Creep property
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