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中国大陆地区挪威疥43例回顾性分析 被引量:10
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作者 王桂祯 郭长峰 +3 位作者 阮辉辉 庄育刚 陈艳清 彭沪 《同济大学学报(医学版)》 CAS 2020年第2期251-254,共4页
目的总结我国大陆地区1990-2017年报道的挪威疥病例,探讨其流行特点、临床特征和诊疗情况。方法检索1990年1月-2017年12月中英文文献数据库中所有关于"挪威疥"的病例报道文献,统计分析所有患者的基本特征、病史、临床表现、... 目的总结我国大陆地区1990-2017年报道的挪威疥病例,探讨其流行特点、临床特征和诊疗情况。方法检索1990年1月-2017年12月中英文文献数据库中所有关于"挪威疥"的病例报道文献,统计分析所有患者的基本特征、病史、临床表现、实验室检查、治疗以及预后等相关信息。结果文献检索获得病例报道39篇,共43例;平均发病年龄(53.7±27.2)岁,男性25例,女性18例,病程数周到1年。多数患者(40例,93%)长期卧床或合并严重的基础疾病,临床表现为"角化性痂皮或鳞屑",最常见于手足部位,多伴剧烈瘙痒。所有患者均经病原学检查确诊,30例误诊,最常误诊为湿疹和红皮病。治疗主要以硫乳膏、克罗米通等杀虫制剂为主,大多预后良好(38例痊愈、3例显著好转)。结论挪威疥是一种病情严重的疥螨寄生性皮肤病,传染性大,临床误诊率高,对患者健康及其家庭影响甚大。提高认识,仔细问诊病史,熟悉皮损特点,及时开展病原学检查,有利于疾病的早期诊治和流行病学防控。 展开更多
关键词 疥疮 挪威疥 流行病学 诊断 治疗
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高通量测序诊断多重真菌与细菌感染所致重症肺炎1例 被引量:10
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作者 王桂祯 吕迪 +1 位作者 庄育刚 彭沪 《中国真菌学杂志》 CSCD 2019年第3期171-173,共3页
报道1例高通量测序诊断多重真菌与细菌感染性重症肺炎。患者男,67岁,咳嗽咳痰伴发热1周,胸闷2 d。体检:体温39℃,双肺呼吸音粗,可听及明显湿啰音及喘鸣音,未及胸膜摩擦音。实验室检验示白细胞、C-反应蛋白、降钙素原、血糖、血酮体及D-... 报道1例高通量测序诊断多重真菌与细菌感染性重症肺炎。患者男,67岁,咳嗽咳痰伴发热1周,胸闷2 d。体检:体温39℃,双肺呼吸音粗,可听及明显湿啰音及喘鸣音,未及胸膜摩擦音。实验室检验示白细胞、C-反应蛋白、降钙素原、血糖、血酮体及D-葡聚糖升高。肺部CT示双肺多发肺炎。痰液高通量测序联合病原学检查提示白念珠菌、曲霉菌、肺炎链球菌等多种真菌与细菌混合感染。诊断:重症肺炎。治疗:予利奈唑胺、替加环素联合伏立康唑抗感染,机械通气、补液、降糖、化痰等对症支持治疗。2周后体温恢复正常、病情好转,23 d后病愈出院。 展开更多
关键词 肺炎 高通量测序 曲霉菌 鲍曼不动杆菌 肺炎链球菌
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Blends of Poly(lactic acid) with Thermoplastic Acetylated Starch 被引量:2
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作者 ZHANG Kun-yu RAN Xiang-hai +2 位作者 zhuang yu-gang YAO Bin DONG Li-song 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2009年第5期748-753,共6页
Blends of poly(lactic acid)(PLA) and thermoplastic acetylated starch(ATPS) were prepared by means of the melt mixing method. The results show that PLA and ATPS were partially miscible, which was confirmed with t... Blends of poly(lactic acid)(PLA) and thermoplastic acetylated starch(ATPS) were prepared by means of the melt mixing method. The results show that PLA and ATPS were partially miscible, which was confirmed with the measurement of Tg by dynamic mechanical analysis(DMA) and differrential scanning calorimetry(DSC). The mechanical and thermal properties of the blends were improved. With increasing the ATPS content, the elongation at break and impact strength were increased. The elongation at break increased from 5% of neat PLA to 25% of the blend PLA/ATPS40. It was found that the cold crystallization behavior of PLA changed evidently by addition of ATPS. The cold crystallization temperature(Tcc) of each of PLA/ATPS blends was found to shift to a lower temperature and the width of exothermic peak became narrow compared with that of neat PLA. The thermogravimetry analysis(TGA) results showed that the peak of derivative weight for ATPS moved to higher temperature with increasing PLA content in PLA/ATPS blends. It can be concluded that PLA could increase the thermal stability of ATPS. The rheological measurement reveals the melt elasticity and viscosity of the blends decreased with the increased concentration of ATPS, which was favorable to the processing properties of PLA. 展开更多
关键词 Poly(lactic acid) Thermoplastic acetylated starch BLEND
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