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肺淋巴管肌瘤病伴气胸胸腔镜手术治疗1例及文献复习
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作者 陆志斌 王黎 +2 位作者 何思东 周存荣 潘春峰 《中华胸部外科电子杂志》 2024年第1期67-70,共4页
肺淋巴管肌瘤病(pulmonary lymphangioleiomyomatosis,PLAM)是一种较少见的且不明原因的弥漫性肺部疾病,发病人群多集中于育龄期女性[1]。因该病比较罕见,且无特异性的首发症状,临床中常出现误诊或漏诊现象,随着疾病进展恶化,患者可出... 肺淋巴管肌瘤病(pulmonary lymphangioleiomyomatosis,PLAM)是一种较少见的且不明原因的弥漫性肺部疾病,发病人群多集中于育龄期女性[1]。因该病比较罕见,且无特异性的首发症状,临床中常出现误诊或漏诊现象,随着疾病进展恶化,患者可出现肺功能严重受损、呼吸衰竭等不良预后。目前,对于肺淋巴管肌瘤病尚无有效的控制和治愈方法,临床多依据患者的症状使用包括西罗莫司、抗雌激素治疗、羟氯喹、他汀类等药物治疗,合并气胸、乳糜胸时可手术治疗,终末期可选择肺移植治疗,但诸多治疗方式的效果仍较差[2]。本文将2021年11月江苏省人民医院浦口分院收治的1例肺淋巴管肌瘤病患者的临床表现、诊断、治疗过程及相应病例资料进行报道分析并结合肺淋巴管肌瘤病的文献进行学习,以期提高对该病的重视度,为临床实践提供一定参考。 展开更多
关键词 肺淋巴管肌瘤病 双侧反复气胸 胸腔镜手术
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Si-DLC films deposited by a novel method equipped with a co-potential auxiliary cathode for anti-corrosion and anti-wear application 被引量:6
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作者 Xubing Wei Shaomiao Shi +2 位作者 Chuangming Ning zhibin lu Guangan Zhang 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2022年第14期114-128,共15页
A novel DLC film deposition method was proposed to realize the deposition of DLC film on the surface of complex shaped workpiece.Meanwhile,Si-DLC film was deposited on the surface of M2 high-speed steel(HSS M2)and 304... A novel DLC film deposition method was proposed to realize the deposition of DLC film on the surface of complex shaped workpiece.Meanwhile,Si-DLC film was deposited on the surface of M2 high-speed steel(HSS M2)and 304 stainless steel(304SS),and the microstructure,surface roughness,mechanical properties,corrosion resistance and tribological properties of Si-DLC films were characterized in detail.Results show that Si-DLC film at different axial positions of the auxiliary cathode possesses similar microstructure,film thickness and surface roughness,and the as-deposited Si-DLC film shows the low intrinsic stress of<0.3 GPa.Compared with the 304SS substrate,the Si-DLC film presents more noble corrosion potential,lower corrosion current density and higher polarization resistance,exhibiting higher corrosion resistance.Moreover,the Si-DLC film exhibits higher hardness,elastic factor and plastic factor than HSS M2 substrate and the corresponding adhesive strength is more than 10 N.The Si-DLC film sliding against GCr15 steel ball shows a lower friction coefficient than that of HSS M2 substrate and the wear rate of GCr15 steel ball sliding against the Si-DLC is lower than that of HSS M2 substrate.In addition,this novel method was used to deposit Si-DLC film on gears,drills and bearings without rotating sample racks.As a consequence,this method possesses great potential and can be generalized for the deposition of DLC film on the surface of complex shape workpiece. 展开更多
关键词 Si-DLC film Co-potential auxiliary cathode Tribology Corrosion Complex shaped workpiece
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