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Comparison of efficacy of lung ultrasound and chest X-ray in diagnosing pulmonary edema and pleural effusion in ICU patients: A single centre, prospective, observational study
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作者 Kunal Tewari Sumanth Pelluru +5 位作者 Deepak Mishra Nitin Pahuja Akash Ray Mohapatra Jyotsna Sharma Om Bahadur Thapa Manjot Multani 《Open Journal of Anesthesiology》 2024年第3期41-50,共10页
Background and Aims While chest X-ray (CXR) has been a conventional tool in intensive care units (ICUs) to identify lung pathologies, computed tomography (CT) scan remains the gold standard. Use of lung ultrasound (LU... Background and Aims While chest X-ray (CXR) has been a conventional tool in intensive care units (ICUs) to identify lung pathologies, computed tomography (CT) scan remains the gold standard. Use of lung ultrasound (LUS) in resource-rich ICUs is still under investigation. The present study compares the utility of LUS to that of CXR in identifying pulmonary edema and pleural effusion in ICU patients. In addition, consolidation and pneumothorax were analyzed as secondary outcome measures. Material and Methods This is a prospective, single centric, observational study. Patients admitted in ICU were examined for lung pathologies, using LUS by a trained intensivist;and CXR done within 4 hours of each other. The final diagnosis was ascertained by an independent senior radiologist, based on the complete medical chart including clinical findings and the results of thoracic CT, if available. The results were compared and analyzed. Results Sensitivity, specificity and diagnostic accuracy of LUS was 95%, 94.4%, 94.67% for pleural effusion;and 98.33%, 97.78%, 98.00% for pulmonary edema respectively. Corresponding values with CXR were 48.33%, 76.67%, 65.33% for pleural effusion;and 36.67%, 82.22% and 64.00% for pulmonary edema respectively. Sensitivity, specificity and diagnostic accuracy of LUS was 91.30%, 96.85%, 96.00% for consolidation;and 100.00%, 79.02%, 80.00% for pneumothorax respectively. Corresponding values with CXR were 60.87%, 81.10%, 78.00% for consolidation;and 71.3%, 97.20%, 96.00% for pneumothorax respectively. Conclusion LUS has better diagnostic accuracy in diagnosis of pleural effusion and pulmonary edema when compared with CXR and is thus recommended as an effective alternative for diagnosis of these conditions in acute care settings. Our study recommends that a thoracic CT scan can be avoided in most of such cases. 展开更多
关键词 chest x ray (CxR) CONSOLIDATION Pulmonary edema Pleural effusion Lung ultrasound (LUS) PNEUMOTHORAx
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The Characteristics and Dynamic Changes of X Ray Chest Film in 50 Patients with Severe Acute Respiratory Syndrome
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作者 马俊义 李智岗 +2 位作者 赵增毅 孙武装 王颖 《Chinese Journal of Integrated Traditional and Western Medicine》 2003年第4期296-298,共3页
关键词 in The Characteristics and Dynamic Changes of x ray chest Film in 50 Patients with Severe Acute Respiratory Syndrome SARS
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BACKGROUND RECTIFICATION AND FEATURE EXTRACTION OF IMAGE IN A SPOT WELD OF AL ALLOY X-RAY DETECTION
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作者 T.Gang J.Zhang M.B.Zhang and F.X.Liu (1)AWPT National Key.,HIT,Harbin 15001,China 2)State 159 Factory,China) 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 2000年第1期75-79,共5页
A primary study on Processing in X - ray inspection of spot weld for aluminum alloy spot welding,in- cluding for background simulation,acquisition of ideal binary image, and extraction and identifi- cation of defec... A primary study on Processing in X - ray inspection of spot weld for aluminum alloy spot welding,in- cluding for background simulation,acquisition of ideal binary image, and extraction and identifi- cation of defect features was presented. 展开更多
关键词 x - ray detection image processing spot weld aluminium alloy
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1,4-二苯基-6-苯基氨基-1,3,5-三嗪-2(1H)-硫酮的合成与晶体结构
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作者 朱晓彤 张荣丽 +2 位作者 刘永民 徐洲 姜波 《徐州医学院学报》 CAS 2013年第3期151-154,共4页
目的研究1,4-二苯基-6-苯基氨基-1,3,5-三嗪-2(1H)-硫酮(分子式C2,H16N4S,相对分子质量356.44)的合成方法和其单晶结构。方法先将一定量的苄脒、氢氧化钠和N,N-二甲基甲酰胺(DMF)混合放入10ml反应器中搅拌10min,然后将一... 目的研究1,4-二苯基-6-苯基氨基-1,3,5-三嗪-2(1H)-硫酮(分子式C2,H16N4S,相对分子质量356.44)的合成方法和其单晶结构。方法先将一定量的苄脒、氢氧化钠和N,N-二甲基甲酰胺(DMF)混合放入10ml反应器中搅拌10min,然后将一定量的苯基异硫氰酸酯加入反应器中,预搅拌20S后,在110℃温度下微波辐射(MWI)15min,高产率得到目标化合物。化合物的结构通过核磁共振氢谱(^1HNMR)、红外光谱(IR)和高分辨率气相色谱质谱(HRMS)验证,并通过X—ray单晶衍射进一步确定了产物的结构。结果合成的标题化合物C21H16N4S结构通过单晶X射线衍射分析确定,单斜晶系,空间群C2/c,a=22.94(2),b=9.5092(15),c=22.027(2)A,d=90°,D=110.473(2)°,^γ=90°,R=0.0465andwR:0.0758。分子中新形成的1,3,5-三嗪-2(1H)-硫酮环是个平面结构;它与相邻的苯环接近于共平面,二者的二面角为7.36(0.17);而它与相邻的N一取代苯环近似于垂直,二者的二面角为85.31(0.13)。结论提供了一种1,3,5-三嗪衍生物的绿色合成方法,并经过单晶衍生确定了其分子结构及分子结构中各个六员环之间的关系。 展开更多
关键词 1 3 5-三嗪衍生物 合成 微波辐射 xray单晶衍射
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Chest X-ray imaging of patients with SARS 被引量:2
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作者 陆普选 周伯平 +8 位作者 陈心春 袁明远 龚小龙 杨根东 刘锦清 袁本通 郑广平 杨桂林 王火生 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第7期972-975,共4页
Objective To investigate the chest X ray manifestations of SARS cases Methods A retrospective study was conducted among 52 clinically confirmed SARS patients from February 9 to May 10, 2003 Chest X ray scanning... Objective To investigate the chest X ray manifestations of SARS cases Methods A retrospective study was conducted among 52 clinically confirmed SARS patients from February 9 to May 10, 2003 Chest X ray scanning was performed at a interval of 1-3 days according to the requirements The manifestations and special features of SARS in X ray were analyzed Results Small or large patchy shadows with intensive density in both lungs were observed in 31 cases, ground glass like opacification in 16, small patchy shadows in one lung lobe or one lung segment in 18, nodular shadows in one lung segment in 1, and increased lung marking in lung interstitial tissues in 2 Rapidly changing consolidations revealed in chest X ray images were found to be associated with SARS infections, and they were not affected by treatment with antibiotics Conclusion Chest X ray provides a sensitive and specific method for the diagnosis and treatment of SARS, and those present with symptoms and signs should undergo chest X ray scanning every 1-3 days 展开更多
关键词 coronavirus SARS · chest x ray
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MICROSTRUCTURAL CHANGE OF YSZ-SUPPORTED YBaCuO SUPPERCONDUCTING FILM BY PROTON BEAM BOMBARDMENTS
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作者 王广厚 罗成林 +7 位作者 潘国强 颜石乾 韩民 杨森祖 李元 吉争鸣 孙志坚 吴培亨 《Nuclear Science and Techniques》 SCIE CAS CSCD 1990年第3期129-136,共8页
Microstructural change of YBaCuO film/YSZ substrate with and without proton irradiation has been studied by scanning electron microscope and X- ray diffraction techniques. Structural analysis has shown that conversion... Microstructural change of YBaCuO film/YSZ substrate with and without proton irradiation has been studied by scanning electron microscope and X- ray diffraction techniques. Structural analysis has shown that conversion from tetragonal to orthorhombic phases, reduction of nonsuperconducting phase and preferential rearrangement of crystal grains are all favorable to the improvement of superconductivity in the YBaCuO film supported by YSZ substrate by proton beam bombardment. 展开更多
关键词 YBACUO superconducting FILM PROTON irradiation Scanning electron MICROSCOPE x - ray diffraction Conversion of PHASES
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New Advances in Structural Studies of Barium Rare-Earth Fluor-Carbonate Minerals
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作者 Shen Jinchuan Mi JinxiaoChina University of Geosciences , Wuhan 430074 《Journal of Earth Science》 SCIE CAS CSCD 1992年第1期21-28,共8页
This paper summarizes the new developments in the study of barium rare-earth fluor-carbonate mineral structures .The second order superstructure of cebaite -(Ce ) was solved by using high power X-ray single crystal di... This paper summarizes the new developments in the study of barium rare-earth fluor-carbonate mineral structures .The second order superstructure of cebaite -(Ce ) was solved by using high power X-ray single crystal diffractometer . Five kinds of coordination forms were found . All atoms in the cell , including C and F , were properly located . In the process of study in a cordylite-(Ce ), a new mineral was discovered , whose chemical formula is (Ca0.5□0.5) BaCe2 (CO3)4F . It is isostructural with baiyuneboite - (Ce ), but different in composition (Na in baiyuneboite- (Ce ) is substituted by Ca disorderly ) . On the basis of the studies a proposal to re-define cordylite-(Ce )as a mineral group name is put forth by the authors . Finally a new type of twinning of huanghoite-(Ce ) was found on the systematical absence of diffraction data by means of a single crystal diffractometer . 展开更多
关键词 rare - earth mineral crystal structure cordylite -(Ce) cebaite - (Ce) baiyuneboite - (Ce) huanghoite - (Ce) x - ray analysis .
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Chest X ray changes in severe acute respiratory syndrome cases after discontinuation of glucocorticosteroids treatment
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作者 姚婉贞 陈亚红 +9 位作者 张立强 王筱宏 孙永昌 孙威 韩江莉 张福春 郑亚安 孙伯章 贺蓓 赵鸣武 《Chinese Medical Journal》 SCIE CAS CSCD 2004年第1期143-144,共2页
关键词 severe acute respiratory syndrome·glucocorticosteroids·chest x ray
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CT Manifestations of Lung Changes and Complications in Patients with Severe Acute Respiratory Syndrome
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作者 张雪哲 王武 +4 位作者 卢延 黄振国 洪闻 尚燕宁 任安 《Chinese Journal of Integrated Traditional and Western Medicine》 2003年第4期254-258,共5页
Objective:To investigate the rol e of CT scanning in diagnosing severe acute respiratory syndrome(SARS). Methods: One hundred and twelve times of spiral CT scanning, 106 t imes on the chest with standard pulmonary and... Objective:To investigate the rol e of CT scanning in diagnosing severe acute respiratory syndrome(SARS). Methods: One hundred and twelve times of spiral CT scanning, 106 t imes on the chest with standard pulmonary and mediastinal window, 5 on the brain and once on the abdomen, were performed in 82 patients (37 males and 45 females ) of SARS. Results: Bilateral shadows showed in 66 patients (80.48%) and unil ateral shadow in 16 (19.52%). The lung CT findings were sub pleural focal con solidation in 26 patients (31.70%), flaky cloudy opacity in 53 (64.63%), large a rea consolidation in 9 (10.97%), ground glass blurry shadow in 31 (37.80%), a lveolar substantive shadow in 14 (17.07%) and interstitial changes in 16 (19.51% ). The pulmonary CT signs of SARS were relatively characterized by: (1) The lesi ons tending to multiply occur, mostly to be bilaterally distributed and commonly involved in the lower lung field. (2) The lung shadows mostly showed as sub pleural focal consolidation, flaky cloudy shadow, large area consolidation, grou nd glass blurry shadow, and often accompanied with signs of broncho inflat ion. (3) Having opacified nodular shadows in the alveolar cavities. (4) Rapid pr ogressions or changes on the size, amount, and distribution of the lesions likel y to be found in dynamic observation of chest X ray and CT scanning, i.e., ma rkedly dynamic changes found within 24 to 48 hrs. Lesions with these characteris tics may be recognized as pulmonary changes possibly induced by SARS. Complicati ons were found in 6 patients (7.31%), including tuberculosis of lung and brain a ccompanied with pneumomediastinum in one patient, secondary infection of lung in 2, pneumothorax in 1, pulmonary fungus in 1, and pyothorax in 1.Conclusion: CT scanning is a sensitive method for diagnosis of SAR S, by which more accurate assessment of the abnormal changes of lung and occurre nce of complications in SARS patients can be made. 展开更多
关键词 severe acute respiratory syndrome comput erized x ray tomography chest COMPLICATION
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Wool Surface Modification and Its Adhesion with Nano Finishing Agent
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作者 李龙 王卫 《Journal of Donghua University(English Edition)》 EI CAS 2009年第6期629-633,共5页
The launderability of wool fabrics treated by nano finoshing agent influences directly the functional endurance of he treated wool fabric. In order to investigate the effect of wool fibers surface modification on the ... The launderability of wool fabrics treated by nano finoshing agent influences directly the functional endurance of he treated wool fabric. In order to investigate the effect of wool fibers surface modification on the functional erdurance of nano finishinp wool fibers, in this paper, for the first time wool fibers were chemically modified by using NaClO aqueous and KMnO4 aqueous, and then chemically modified wool fibers and native wool fibers were treated using nano ZnO finishing agent, respectively. The launderability of wool fibers treated by nano finishing agent was investigated. The experimental results show that the chemically modified wool fibers have a good launderaility after being treated by nano ZnO finishing agent treating. The surface morphologies of wool fibers were observed by using SEM. It is got that there is a strong adbesion between nano ZnO and wool surface through XPS analysis. 展开更多
关键词 wool modification nano finishing agent x - ray photoelectron spectroscopy launderability
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The Different Patterns of Coronary Artery Calcification in Acute and Chronic Coronary Syndromes Determined by Electron Beam Computed Tomography
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作者 杜志民 罗初凡 +5 位作者 胡承恒 李怡 伍贵富 李向民 冯君 马虹 《South China Journal of Cardiology》 CAS 2002年第2期63-71,76,共10页
Objectives To compare the different patterns of coronary artery calcification (CAC) in acute and chronic coronary syndromes utilizing electron beam computed tomography. Background Pathologic, angiographic, and intraco... Objectives To compare the different patterns of coronary artery calcification (CAC) in acute and chronic coronary syndromes utilizing electron beam computed tomography. Background Pathologic, angiographic, and intracoronary ultrasound studies revealed sharp differences in the plaque morphology between patients with acute versus chronic coronary syndromes. Whether there are different patterns of coronary artery calcification in patients with stable angina pectoris (SAP) and in those with unstable angina pectoris (UAP) or acute myocardial infarction (AMI), however, remains unclear. Methods Two hundred and sixty - four patients, including 67 with SAP, 94 with UAP and 103 with AMI were studied with electron beam computed tomography for analysis of coronary artery calcification and with selective coronary angiography for determination of atherosclerotic lesions. CAC prevalence and calcium score were compared among three groups, and relation of CAC to the severity of atherosclerotic disease in the SAP and UAP patients was separately analyzed. Results Prevalence of CAC was 100 % in the SAP patients, significantly higher than the 87. 23 % in UAP patients and 86. 41 % among the patients with AMI ( P < 0. 05) . More patients and arteries in the SAP group had severe forms of calcium than those in the UAP and AMI group ( P < 0. 01), and the mean LN [CS + 1] (natural logarithm transformation of calcium score) of the SAP patients was much greater than that of the UAP and AMI patients (P < 0.001). The distribution of vessels with various CAC by luminal stenosis was different between SAP and UAP patients. The average CAC extent of the infarct - related arteries was less severe than that of the noninfarct - related arteries. Conclusions U-tilizing electron beam computed tomography, we demonstrated that there exist different patterns of coronary artery calcification in patients with acute versus chronic coronary syndromes, which may provide insight into the differences observed in the clinical and pathologic development between these two types of coronary artery disease. 展开更多
关键词 Coronary artery disease Calci-fication Tomography/x - ray computed
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线团-刚棒-线团三嵌段分子有序纳米结构的自组装 被引量:2
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作者 田立荣 钟克利 +1 位作者 陈铁 金龙一 《高分子通报》 CAS CSCD 北大核心 2011年第11期7-14,共8页
目前,在纳米科学和仿生化学等方面的一个非常吸引人的课题是构建一种新颖的、复杂的大分子或超分子体系,并通过设计连接有机嵌段单元使其具有很好的形状和功能。在线团-刚棒-线团三嵌段分子体系中,刚棒嵌段的各向异性和连接嵌段的微相... 目前,在纳米科学和仿生化学等方面的一个非常吸引人的课题是构建一种新颖的、复杂的大分子或超分子体系,并通过设计连接有机嵌段单元使其具有很好的形状和功能。在线团-刚棒-线团三嵌段分子体系中,刚棒嵌段的各向异性和连接嵌段的微相分离作用导致分子自组装形成各种有序聚集体,并且通过改变柔性链体积分数、分子长度、柔性链横截面积、刚棒中心侧链、刚棒形状等参数可以调控其自组装的聚集形态。本文详细总结了各种参数对线团-刚棒-线团三嵌段分子自组装结构所产生的影响,探讨了这些参数与构建超分子结构之间的关系,对今后设计合成具有自组装功能的分子具有指导性意义。 展开更多
关键词 线团-刚棒-线团三嵌段分子 自组装 超分子 纳米结构 xray衍射
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