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重症肺炎患儿中性粒细胞弹性蛋白酶、血管细胞黏附分子-1的表达及其预后价值分析 被引量:12
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作者 赵志红 齐凤芹 《中国现代医学杂志》 CAS 北大核心 2022年第16期19-24,共6页
目的探讨重症肺炎患儿中性粒细胞弹性蛋白酶(NE)、血管细胞黏附分子-1(VCAM-1)表达及其预后价值。方法选取2020年1月—2022年1月聊城市第二人民医院收治的108例重症肺炎患儿作为研究组。另选取同期该院体检的96例健康儿童作为对照组。... 目的探讨重症肺炎患儿中性粒细胞弹性蛋白酶(NE)、血管细胞黏附分子-1(VCAM-1)表达及其预后价值。方法选取2020年1月—2022年1月聊城市第二人民医院收治的108例重症肺炎患儿作为研究组。另选取同期该院体检的96例健康儿童作为对照组。比较两组血清NE、VCAM-1水平。随访21 d后统计重症肺炎患儿生存情况,采用单因素分析影响重症肺炎患儿死亡的因素,并对影响患儿死亡的因素进行一般多因素Logistic回归分析,采用Pearson相关性分析血清NE、VCAM-1水平与重症肺炎患儿的儿童危重病例评分(PCIS)的相关性,采用受试者工作特征曲线(ROC)分析血清NE、VCAM-1水平预测重症肺炎患儿死亡的价值。结果研究组NE、VCAM-1水平高于对照组(P<0.05)。死亡组与存活组性别、年龄、肺不张、胸腔积液、治疗药物、体温、心率、呼吸频率、空腹血糖、白细胞计数、中性粒细胞、肿瘤坏死因子α、降钙素原、乳酸脱氢酶比较,差异无统计学意义(P>0.05)。死亡组休克、病变累及多个肺叶构成比及APACHEⅡ评分,C反应蛋白、NE、VCAM-1水平高于存活组(P<0.05)。一般多因素Logistic回归分析结果显示:血清NE[O^R=3.762(95%CI:1.513,9.354)]、VCAM-1[O^R=3.622(95%CI:1.457,9.006)]、APACHEⅡ评分[O^R=3.267(95%CI:1.314,8.124)]、病变累及多个肺叶[O^R=3.200(95%CI:1.287,7.955)]是影响重症肺炎患儿死亡的危险因素(P<0.05)。Pearson相关性分析显示,血清NE、VCAM-1水平与重症肺炎患儿PCIS均呈负相关(r=-0.373和-0.544,均P<0.05)。血清NE、VCAM-1联合预测的敏感性、特异性和AUC分别为80.00%(95%CI:0.593,0.933)、97.59%(95%CI:0.916,0.998)、0.919(95%CI:0.851,0.963)。结论重症肺炎患儿血清NE、VCAM-1水平均异常升高,两者与预后密切相关,临床检测血清NE、VCAM-1水平可以作为预测患儿死亡的敏感指标。 展开更多
关键词 重症肺炎 儿童 中性粒细胞弹性蛋白酶 血管细胞黏附分子-1 预后
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Systemic embolism with left atrial thrombus occurring four years after left atrial appendage closure in a patient with atrial fibrillation
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作者 zhi-hong zhao Sai-hua Wang +2 位作者 Qiang Huan Luo-ning Zhu Zhong-ping Ning 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2022年第2期152-154,共3页
Dear editor,The left atrial appendage(LAA)is the most common site for thrombus formation in patients with atrial fibrillation(AF).[1]We present the case of a patient with AF who underwent LAA closure(LAAC)with Watchma... Dear editor,The left atrial appendage(LAA)is the most common site for thrombus formation in patients with atrial fibrillation(AF).[1]We present the case of a patient with AF who underwent LAA closure(LAAC)with Watchman(Atritech,Boston Scientific,USA),in whom extracranial systemic embolic events(SEEs)with left atrial thrombus were observed after 4 years,and discuss relevant literature to improve the understanding of SEEs. 展开更多
关键词 ATRIAL THROMBUS FIBRILLATION
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Mitigating corrosion of deposit-covered carbon steel in solution containing sulfate-reducing bacteria by purging nitrogen
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作者 Zheng-rong Ye Jie Yang +5 位作者 Zheng-bin Wang Xiang Zhou Wei-dong Jiang Ran Yi Xiao-dong Cui zhi-hong zhao 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2023年第9期1879-1887,共9页
The corrosion behavior of a carbon steel covered by sand deposits in the solution containing sulfate-reducing bacteria(SRB)under nitrogen purging conditions was studied by electrochemical measurements and surface anal... The corrosion behavior of a carbon steel covered by sand deposits in the solution containing sulfate-reducing bacteria(SRB)under nitrogen purging conditions was studied by electrochemical measurements and surface analyses,aiming at clarifying the mitigation effects of nitrogen purging on SRB-involved under-deposit corrosion.The electrochemical results show that the variation trend of polarization resistance with immersion time is unchanged,but the corrosion current density is the lowest in the presence of SRB and deposits under nitrogen purging conditions,as compared to that without purging nitrogen,which are confirmed by the cross-sectional corrosion morphology observation after removing the sand deposits.Moreover,it is found that there are no positive synergistic effects between SRB and deposits on corrosion under nitrogen purging conditions,corresponding to the corrosion mitigation.Such mitigation on corrosion can be attributed to the less amount of SRB-produced H2S exhausted by purging nitrogen,which is supported by X-ray photoelectron spectrometry analyses.Therefore,purging nitrogen to the solution could be a practically effective way to mitigate the corrosion of deposit-covered carbon steels in SRB-containing solutions. 展开更多
关键词 Carbon steel DEPOSIT Sulfate-reducing bacteria Nitrogen purging Corrosion mitigation
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