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早期诊断对老年肺栓塞患者的临床价值 被引量:7
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作者 尹建华 朱见伟 +4 位作者 顾立超 仲亚飞 杨瑶 姜楠 杨丽君 《实用临床医药杂志》 CAS 2019年第17期103-106,共4页
目的探讨早期诊断对老年肺栓塞患者的临床价值。方法选取老年肺栓塞患者115例设为A组,另选取同期检查的非老年肺栓塞患者115例设为B组。A组患者年龄≥60周岁,男56例、女59例;B组患者年龄<60周岁,男57例、女58例。结果A组的男性(48.7... 目的探讨早期诊断对老年肺栓塞患者的临床价值。方法选取老年肺栓塞患者115例设为A组,另选取同期检查的非老年肺栓塞患者115例设为B组。A组患者年龄≥60周岁,男56例、女59例;B组患者年龄<60周岁,男57例、女58例。结果A组的男性(48.70%)、女性(51.30%)比例与B组的男性(49.57%)、女性(50.43%)比例无显著差异(P>0.05);A组患者年龄(74.31±1.23)岁、30d内病死率(21.74%)、30d后病死率(42.61%)、溶栓治疗率(9.57%)显著高于B组的年龄(50.38±1.08)岁、30d内病死率(10.43%)、30d后病死率(13.91%)、溶栓治疗率(3.49%)(P<0.05);A组患者的合并肿瘤发生率(11.30%)与B组患者的合并肿瘤发生率(12.17%)无显著差异(P>0.05);A组患者的心律失常(31.30%)、肺炎(33.91%)、心功能不全(36.52%)、慢性阻塞性肺病(26.96%)、肾功能不全(37.39%)、高血压病(65.21%)、低蛋白血症(18.26%)、糖尿病(32.17%)、高血脂症(16.52%)的发生率均显著高于B组患者的心律失常(17.39%)、肺炎(1.74%)、心功能不全(5.22%)、慢性阻塞性肺病(1.74%)、肾功能不全(0.87%)、高血压病(27.83%)、低蛋白血症(1.74%)、糖尿病(5.22%)、高血脂症(2.61%)的发生率(P<0.05);A组患者血压、脉博、心肌肌钙蛋白Ⅰ、血尿酸水平均显著高于B组,动脉血氧饱和度显著低于B组(P<0.05);A组D-二聚体(5.89±1.23)mg/L、血清白蛋白(24.13±0.23)g/L与B组D-二聚体(4.03±0.41)mg/L、血清白蛋白(24.09±0.01)g/L比较,差异无统计学意义(P>0.05)。结论早期诊断对老年肺栓塞患者的临床治疗具有较高的价值,通过早期诊断进行高危风险指标的确定,可为及时采取治疗措施提供参考依据。 展开更多
关键词 早期诊断 老年患者 肺栓塞 临床治疗 心肌肌钙蛋白Ⅰ 血尿酸
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基于MATLAB的微型燃气轮机建模与仿真研究 被引量:3
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作者 钟亚飞 延伟东 《发电设备》 2019年第5期325-330,共6页
利用MATLAB软件中GUI程序,建立了包括微型燃气轮机进气管、压气机、换热器、燃烧室、透平、发电机等部件和性能参数换算模块的整体模型。计算了微型燃气轮机在不同环境温度、不同海拔高度下的发电量和发电效率,将发电量和扭矩等参数的... 利用MATLAB软件中GUI程序,建立了包括微型燃气轮机进气管、压气机、换热器、燃烧室、透平、发电机等部件和性能参数换算模块的整体模型。计算了微型燃气轮机在不同环境温度、不同海拔高度下的发电量和发电效率,将发电量和扭矩等参数的测量值换算成标准大气条件下对应的数值,并将仿真结果和C30微型燃气轮机的标准数据进行了对比。结果表明:该模型计算准确,可用于研究环境变化对微型燃气轮机性能的影响规律,以及评估微型燃气轮机性能的优劣,为新型燃气轮机的研发和优化设计奠定了基础。 展开更多
关键词 微型燃气轮机 MATLAB 参数换算 整体模型
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Modal Analysis and Vortex Trajectory Description for Tip Leakage Flow of a Transonic Turbine Cascade
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作者 YANG Yi MA Hongwei +1 位作者 zhong yafei ZHANG Qingdian 《Journal of Thermal Science》 SCIE EI CAS CSCD 2023年第3期1105-1123,共19页
Tip leakage vortex(TLV),which develops from the clearance between the turbine blade and casing,has been studied for decades.Nevertheless,some associated phenomena,such as its unsteady behaviors,are still not well unde... Tip leakage vortex(TLV),which develops from the clearance between the turbine blade and casing,has been studied for decades.Nevertheless,some associated phenomena,such as its unsteady behaviors,are still not well understood.In the present work,an unsteady simulation of a transonic turbine cascade was conducted by using a validated unsteady Reynolds averaged Navier-Stokes(URANS)technique with the k-ωshear stress transport(SST)turbulence model.Typical three-dimensional vortical topology in the tip region of this transonic turbine blade was depicted based on the vortex and shock wave identification.Afterwards,quantitative descriptions of TLV transient parameters,including core position,radius,intensity,wandering motion amplitude and their statistical analysis were also provided via an ellipse fitting method.Combined with the turbulent parameters in the tip region,it is recognized that the breakdown of TLV does not occur upstream of the trailing edge,and the TLV wandering,especially the spanwise motion is a dominant unsteady feature as migrating downstream.To mathematically extract underlying flow features of tip leakage flow(TLF),two data-driven modal analysis techniques,namely proper orthogonal decomposition(POD)and dynamic mode decomposition(DMD),are presented to complement one another to reveal underlying flow feature.Observation of modes distribution allowed qualitative identification of shockwaves,vortical cluster and corresponding transient interaction.Results of POD show that the dominant unsteady structures in the tip region exhibit various morphology with moving downstream.In the front part near the leading edge,the oscillation of separation bubble and bifurcation of passage vortex paly a dominant role;while in the middle part of the tip region,the corresponding factors are the wandering of TLV and unsteady interaction between shock waves and TLF/TLV.In the vicinity of the trailing edge,the instability induced by the mixing of large-scale vortices serves as the main factor in the context of flow unsteadiness.Both the POD and DMD methods can decompose the dominant frequency of TLV evolution and its harmonic frequencies;however,the DMD method presents a superiority in segregating the high-frequency components and their corresponding unsteady structures. 展开更多
关键词 transonic turbine cascade tip leakage vortex unsteady behavior modal analysis
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