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Frontal Sinus Fractures: Management at the Yalgado Ouedraogo University Hospital Centre (Burkina Faso)
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作者 Arsène Coulibaly Patrik Gane-Bang +2 位作者 Joseph Wend-Toin Biogo Ibraïma Traoré Tarcissus Konsem 《Open Journal of Stomatology》 2024年第1期42-54,共13页
Introduction: Frontal sinus fractures are potentially serious. They are defined as a solution of continuity, open or closed, of one or both bone tables of the frontal sinus. This study aims to report on the management... Introduction: Frontal sinus fractures are potentially serious. They are defined as a solution of continuity, open or closed, of one or both bone tables of the frontal sinus. This study aims to report on the management of them at the Yalgado OUEDRAOGO University Hospital Centre. Methodology: It is a descriptive cross-sectional study with retrospective collection from January 01, 2016 to December 31, 2018. Patients with frontal sinus fractures were managed at the Yalgado OUEDRAOGO University Hospital Centre through CT-scan proof. Results: Over three years, a total of 102 cases of frontal sinus fractures were collected with 29.9 years as average age. There were 96 men. Workers in the informal sector and pupils/students represented 58.90% of patients. The residence of the patients was urban in 68.80% of cases and rural in 31.40%. Road traffic accidents (RTAs) happened in 90.20%, and involved 2-wheelers in 98.20%. None of these drivers was wearing a helmet. The type III frontal fracture of Ioannides et al. represented 51.9% of cases. In 89.21% of cases, other facial and/or cranioencephalic injuries were compounded to frontal sinus fractures. No surgical management was observed in 82 (80.39%) patients and surgical management in 20 (19.61%) patients. The outcome was favourable, but sequelae and/or complications were noted in 10 patients who had surgery and 30 patients who did not. Conclusion: These results enforce helmet wearing for all riders of two-wheeled machines. In addition, vaccinations to prevent meningitis in frontal sinus fractures with dural breach should be systematic. 展开更多
关键词 MANAGEMENT frontal Sinus Fracture Burkina Faso
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Forecast Error and Predictability for the Warm-sector and the Frontal Rainstorm in South China 被引量:1
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作者 孙璐 王秋萍 +4 位作者 陈思远 高彦青 张旭鹏 时洋 马旭林 《Journal of Tropical Meteorology》 SCIE 2023年第1期128-141,共14页
In south China, warm-sector rainstorms are significantly different from the traditional frontal rainstorms due to complex mechanism, which brings great challenges to their forecast. In this study, based on ensemble fo... In south China, warm-sector rainstorms are significantly different from the traditional frontal rainstorms due to complex mechanism, which brings great challenges to their forecast. In this study, based on ensemble forecasting, the high-resolution mesoscale numerical forecast model WRF was used to investigate the effect of initial errors on a warmsector rainstorm and a frontal rainstorm under the same circulation in south China, respectively. We analyzed the sensitivity of forecast errors to the initial errors and their evolution characteristics for the warm-sector and the frontal rainstorm. Additionally, the difference of the predictability was compared via adjusting the initial values of the GOOD member and the BAD member. Compared with the frontal rainstorm, the warm-sector rainstorm was more sensitive to initial error, which increased faster in the warm-sector. Furthermore, the magnitude of error in the warm-sector rainstorm was obviously larger than that of the frontal rainstorm, while the spatial scale of the error was smaller. Similarly, both types of the rainstorm were limited by practical predictability and inherent predictability, while the nonlinear increase characteristics occurred to be more distinct in the warm-sector rainstorm, resulting in the lower inherent predictability.The comparison between the warm-sector rainstorm and the frontal rainstorm revealed that the forecast field was closer to the real situation derived from more accurate initial errors, but only the increase rate in the frontal rainstorm was restrained evidently. 展开更多
关键词 warm-sector rainstorm frontal rainstorm error evolution PREDICTABILITY
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Functional role of frontal electroencephalogram alpha asymmetry in the resting state in patients with depression:A review
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作者 Yu-Hong Xie Ye-Min Zhang +2 位作者 Fan-Fan Fan Xi-Yan Song Lei Liu 《World Journal of Clinical Cases》 SCIE 2023年第9期1903-1917,共15页
Depression is a psychological disorder that affects the general public worldwide.It is particularly important to make an objective and accurate diagnosis of depression,and the measurement methods of brain activity hav... Depression is a psychological disorder that affects the general public worldwide.It is particularly important to make an objective and accurate diagnosis of depression,and the measurement methods of brain activity have gradually received increasing attention.Resting electroencephalogram(EEG)alpha asymmetry in patients with depression shows changes in activation of the alpha frequency band of the left and right frontal cortices.In this paper,we review the findings of the relationship between frontal EEG alpha asymmetry in the resting state and depression.Based on worldwide studies,we found the following:(1)Compared with individuals without depression,those with depression showed greater right frontal EEG alpha asymmetry in the resting state.However,the pattern of frontal EEG alpha asymmetry in the resting state in depressive individuals seemed to disappear with age;(2)Compared with individuals without maternal depression,those with maternal depression showed greater right frontal EEG alpha asymmetry in the resting state,which indicated that genetic or experience-based influences have an impact on frontal EEG alpha asymmetry at rest;and(3)Frontal EEG alpha asymmetry in the resting state was stable,and little or no change occurred after antidepressant treatment.Finally,we concluded that the contrasting results may be due to differences in methodology,clinical characteristics,and participant characteristics. 展开更多
关键词 DEPRESSION frontal electroencephalogram alpha asymmetry frontal asymmetry Resting state Neurological indicator
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Comparison of Microphysical Characteristics of Warm-sector,Frontal and Shear-line Heavy Rainfall During the Pre-summer Rainy Season in South China
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作者 夏丰 刘显通 +6 位作者 胡胜 黎慧琦 饶晓娜 林青 肖辉 冯璐 赖睿泽 《Journal of Tropical Meteorology》 SCIE 2023年第2期204-215,共12页
Warm-sector heavy rainfall(WR),shear-line heavy rainfall(SR),and frontal heavy rainfall(FR)are three types of rainfall that frequently occur during the pre-summer rainy season in south China.In this research,we invest... Warm-sector heavy rainfall(WR),shear-line heavy rainfall(SR),and frontal heavy rainfall(FR)are three types of rainfall that frequently occur during the pre-summer rainy season in south China.In this research,we investigated the differences in microphysical characteristics of heavy rainfall events during the period of 10-15 May 2022 based on the combined observations from 11 S-band polarimetric radars in south China.The conclusions are as follows:(1)WR has the highest radar echo top height,the strongest radar echo at all altitudes,the highest lightning density,and the most active ice-phase process,which suggests that the convection is the most vigorous in the WR,moderate in the FR,and the weakest in the SR.(2)Three types of rainfall are all marine-type precipitation,the massweighted mean diameter(Dm,mm)and the intercept parameter(Nw,mm^(-1) m^(-3))of the raindrops in the WR are the largest.(3)The WR possesses the highest proportion of graupel compared with the FR and SR,and stronger updrafts and more abundant water vapor supply may lead to larger raindrops during the melting and collision-coalescence processes.(4)Over all the heights,liquid and ice water content in the WR are higher than those in the SR and FR,the ratio of ice to liquid water content in the WR is as high as 27%when ZH exceeds 50 dBZ,definitely higher than that in the SR and FR,indicating that the active ice-phase process existing in the WR is conducive to the formation of heavy rainfall. 展开更多
关键词 microphysical characteristic S-band polarimetric radar warm-sector heavy rainfall frontal heavy rainfall shear-line heavy rainfall
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Recognition for Frontal Emergency Stops Dangerous Activity Using Nano IoT Sensor and Transfer Learning
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作者 Wei Sun Zhanhe Du 《Intelligent Automation & Soft Computing》 SCIE 2023年第7期1181-1195,共15页
Currently,it is difficult to extract the depth feature of the frontal emergency stops dangerous activity signal,which leads to a decline in the accuracy and efficiency of the frontal emergency stops the dangerous acti... Currently,it is difficult to extract the depth feature of the frontal emergency stops dangerous activity signal,which leads to a decline in the accuracy and efficiency of the frontal emergency stops the dangerous activ-ity.Therefore,a recognition for frontal emergency stops dangerous activity algorithm based on Nano Internet of Things Sensor(NIoTS)and transfer learning is proposed.First,the NIoTS is installed in the athlete’s leg muscles to collect activity signals.Second,the noise component in the activity signal is removed using the de-noising method based on mathematical morphology.Finally,the depth feature of the activity signal is extracted through the deep transfer learning model,and the Euclidean distance between the extracted feature and the depth feature of the frontal emergency stops dangerous activity signal is compared.If the European distance is small,it can be judged as the frontal emergency stops dangerous activity,and the frontal emergency stops dangerous activity recognition is realized.The results show that the average time delay of activity signal acquisition of the algorithm is low,the signal-to-noise ratio of the action signal is high,and the activity signal mean square error is low.The variance of the frontal emergency stops dangerous activity recognition does not exceed 0.5.The difference between the appearance time of the dangerous activity and the recognition time of the algorithm is 0.15 s,it can accurately and quickly recognize the frontal emergency stops the dangerous activity. 展开更多
关键词 frontal emergency stops RECOGNITION nano internet of things sensor transfer learning dangerous activity distinguish
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Proposed Simple, Efficient Free Hand Technique for Frontal External Ventricular Drain (EVD) in Case of Small Ventricle: A Report of New Technique
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作者 Fawaz Eljili Marhoom Abdelradi Emad Ibrahim Ahmed 《Open Journal of Modern Neurosurgery》 2023年第3期121-128,共8页
Background: EVD is a common procedure done in neurosurgery and the residents should master it and this is what exactly means that it should be simple, safe, fast and accurate. EVD can be done through many entry points... Background: EVD is a common procedure done in neurosurgery and the residents should master it and this is what exactly means that it should be simple, safe, fast and accurate. EVD can be done through many entry points to the different part of the lateral ventricle but the famous site is the anterior horn of the lateral ventricle which is commonly approached through Kocher’s point which is a famous point for all neurosurgeon by its measurements of allocation. The commonest problem with EVD insertion into the anterior horn is the navigation of the ventricular cavity with the right trajectory and so the location of the catheter tip in the right place near the foramen of monro to ensure CSF draining. Size of the ventricle plays significant role in the success of the procedure especially free hand technique. The more dilated ventricle, the more chance to hit the ventricular cavity especially from the first trial and vice versa. In case of small ventricle, the procedure with free hand technique seems more complicated and the chance to hit the ventricle from the first trial may reduce especially with non-expert surgeon but may succeed in the following trials with increased risk of complications with more trials. Purpose: Most EVD’s are placed with freehand technique which depends on the operator skills to navigate the ventricle with right trajectory and hit the ventricle from the first trial, because many trials may complicate the procedure and produce undesirable side effects. So the key in this free hand technique is how to ensure the success from the first trial. In case of small anterior horn of the lateral ventricle, the procedure is even more difficult with the free hand technique and the classic Kocher point needs an expert to get the right trajectory to navigate such small ventricle. Our point idea came from this prospective and aimed at raising the success of the procedure especially in the first attempt with simple technique. Method: It is a new entry point for EVD insertion through frontal burr hole gained by the intersection of two lines: the first is running vertically from the ipsilateral medial canthus downward and the second is running horizontal along the coronal suture which is usually palpable as ridge on the scalp extended lateral from the bregma. Burr hole is done just anterior to this intersection and catheter is placed in a perpendicular trajectory toward the ventricular cavity. Result: It has been used in about (n = 50 cases) fulfilling the criteria of radiological small ventricle as defined and they were candidates for EVD insertion by free hand technique. Only 3 cases (6%) out of the 50 cases failed in the first attempt but succeeded in the following trial. So high rate of success in first trial is seen in the most of cases using this technique during a period of one year of our practice without significant side effects seen. Conclusion: Our study is not conclusive and needs further studies for more evaluation. It was a suggested point other than the classic Kocher point in case of free hand EVD insertion in small ventricle. We recommend to try it and report any advantages or disadvantages to the literature. 展开更多
关键词 frontal Ventriculostomy Freehand EVD Small Ventricle EVD frontal Horn EVD
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Comparison of Microphysical Characteristics Between Warm-sector and Frontal Heavy Rainfall in the South of China
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作者 冯璐 胡胜 +5 位作者 刘显通 黎慧琦 肖辉 李晓惠 赖瑞泽 林青 《Journal of Tropical Meteorology》 SCIE 2023年第1期87-100,共14页
During the April-June raining season,warm-sector heavy rainfall(WR) and frontal heavy rainfall(FR) often occur in the south of China,causing natural disasters.In this study,the microphysical characteristics of WR and ... During the April-June raining season,warm-sector heavy rainfall(WR) and frontal heavy rainfall(FR) often occur in the south of China,causing natural disasters.In this study,the microphysical characteristics of WR and FR events from 2016 to 2022 are analyzed by using 2-dimensional video disdrometer(2DVD) data in the south of China.The microphysical characteristics of WR and FR events are quite different.Compared with FR events,WR events have higher concentration of D<5.3 mm(especially D <1 mm),leading to higher rain rates.The mean values of Dmand lgNwof WR events are higher than that of FR events.The microphysical characteristics in different rain rate classes(C1:R~5-20 mm h-1,C2:R~20-50 mm h-1,C3:R~50-100 mm h^(-1),and C4:R> 100 mm h^(-1)) for WR and FR events are also different.Raindrops from C3 contribute the most to the precipitation of WR events,and raindrops from C2 contribute the most to the precipitation of FR events.For C2 and C3,compared with FR events,WR events have higher concentration of D <1 mm and D~3-4.5 mm.Moreover,the shape and slope(μ-A) relationships and the radar reflectivity and rain rate(Z-R) relationships of WR and FR events are quite different in each rain rate class.The investigation of the difference in microphysical characteristics between WR and FR events provide useful information for radar-based quantitative precipitation estimation and numerical prediction. 展开更多
关键词 warm-sector heavy rainfall frontal heavy rainfall raindrop size distribution(DSD) 2-dimensional video disdrometer(2DVD) the south of China
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额窦相关头痛患者额隐窝气房发育的影像学特点分析
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作者 刘承耀 王向东 +4 位作者 许庆刚 崔世磊 刘仲燕 赵岩 张罗 《中国耳鼻咽喉头颈外科》 CSCD 2024年第4期242-247,共6页
目的根据国际额窦解剖分类(International Frontal Sinus Anatomy Classification,IFAC)确定额窦相关头痛患者额隐窝气房变异的出现率,探讨额隐窝气房变异在额窦相关头痛发病中的作用。方法回顾46例额窦相关头痛接受鼻内镜手术治疗患者... 目的根据国际额窦解剖分类(International Frontal Sinus Anatomy Classification,IFAC)确定额窦相关头痛患者额隐窝气房变异的出现率,探讨额隐窝气房变异在额窦相关头痛发病中的作用。方法回顾46例额窦相关头痛接受鼻内镜手术治疗患者的鼻窦CT,分析其额隐窝引流区域的额隐窝相关气房,并分析中鼻道变异和鼻窦受累情况。观察其在头痛与否之间表达是否有差异。结果92侧鼻窦CT中,鼻丘气房(agger nasi cell,ANC)出现率为100%(92/92),其次筛泡上气房(supra bulla cell,SBC)为78.3%(72/92),鼻丘上气房(supra agger cell,SAC)为67.4%(62/92),筛泡上额气房(supra bulla frontal cell,SBFC)为27.2%(25/92),鼻丘上额气房(supra agger frontal cell,SAFC)为20.7%(19/92),额窦间隔气房(frontal septal cell,FSC)为8.7%(8/92),眶上筛房(supraorbital ethmoid cell,SOEC)为0%(0/92)。在传统的额窦引流区域,IFAC分类中的SBFC(P=0.0108)和SAC(P=0.0104)和SAFC(P=0.0088)与额窦相关头痛的发生有显著相关。中鼻道变异如泡状中鼻甲也表现出和额窦相关头痛的发生明显相关(P=0.0390)。结论在额隐窝引流通道中,SAC、SAFC、SBFC及泡状中鼻甲的发育异常均与额窦相关性头痛具有明显的相关。 展开更多
关键词 额窦 头痛 额隐窝 国际额窦解剖分类 泡状中鼻甲
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鼻内镜下Draf Ⅱ-Ⅲ型额窦开放手术在颅脑外伤术后反复额窦感染并窦道形成中的应用
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作者 吕操 黄晓斌 +4 位作者 陈杰 兰忠 涂艺 杨晓红 白忠 《中国耳鼻咽喉头颈外科》 CSCD 2024年第4期248-250,共3页
目的探讨鼻内镜下DrafⅡ-Ⅲ型额窦开放手术在颅脑外伤术后反复额窦感染并窦道形成中的应用。方法8例颅脑外伤术后反复额窦感染的患者,主要表现为头痛、额部反复感染、流脓、窦道形成,发病时间平均43.25个月。患者在鼻内镜下行DrafⅡ-Ⅲ... 目的探讨鼻内镜下DrafⅡ-Ⅲ型额窦开放手术在颅脑外伤术后反复额窦感染并窦道形成中的应用。方法8例颅脑外伤术后反复额窦感染的患者,主要表现为头痛、额部反复感染、流脓、窦道形成,发病时间平均43.25个月。患者在鼻内镜下行DrafⅡ-Ⅲ型额窦开放术,其中DrafⅡa型2例,DrafⅡb型5例,DrafⅢ型1例,术中扩大开放额窦口,见额窦内有骨蜡堵塞额窦口,取出骨蜡,额窦引流通畅。全部患者未做面部切口。结果术后8例患者额部感染明显减轻,治愈出院,术中、术后未发生脑脊液鼻漏或颅内感染。出院后,于1、3、6、12个月进行门诊随访复查,见额窦口保持通畅,额部未再发生感染,瘘口逐渐愈合。结论鼻内镜下采用DrafⅡ-Ⅲ型额窦开放术式,是处理颅脑外伤术后额窦反复感染并窦道形成的有效手术方式。 展开更多
关键词 内窥镜检查 鼻窦炎 额窦 颅脑损伤 感染
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强迫症反应抑制缺陷(综述)
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作者 张晨 范青 《中国心理卫生杂志》 CSCD 北大核心 2024年第4期306-311,共6页
强迫症是一种常见的高致残性精神障碍,伴随多种认知功能的缺陷。其中,反应抑制缺陷可能是强迫症的一种潜在的内表型,对于理解强迫症的病理生理机制和开发新的临床治疗方法具有重要意义。本文综述了强迫症反应抑制缺陷及其神经机制和临... 强迫症是一种常见的高致残性精神障碍,伴随多种认知功能的缺陷。其中,反应抑制缺陷可能是强迫症的一种潜在的内表型,对于理解强迫症的病理生理机制和开发新的临床治疗方法具有重要意义。本文综述了强迫症反应抑制缺陷及其神经机制和临床干预效果,以期为进一步理解强迫症反应抑制缺陷和促进强迫症的临床诊疗提供依据。 展开更多
关键词 强迫症 反应抑制 额叶-基底神经节模型 综述
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基于SNPP/VIIRS卫星数据的海温锋检测算法研究
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作者 于杰 管磊 《中国海洋大学学报(自然科学版)》 CAS CSCD 北大核心 2024年第9期21-29,共9页
本文采用SNPP/VIIRS(Suomi national polar-orbiting partnership/Visible infrared imaging radiometer suite)卫星海表温度数据对锋面检测算法进行对比分析,包括Sobel算法、Canny算法、引力模型法、直方图分析法和熵算法。通过分析上... 本文采用SNPP/VIIRS(Suomi national polar-orbiting partnership/Visible infrared imaging radiometer suite)卫星海表温度数据对锋面检测算法进行对比分析,包括Sobel算法、Canny算法、引力模型法、直方图分析法和熵算法。通过分析上述算法中间结果、单日海温锋检测结果以及月度锋面概率分布的差别与特征,再结合各算法特点发现,在锋面识别中由于各算法的底层逻辑不同,造成了对海温锋定义难以统一的问题,因此各算法检测出的海温锋各有特点,适合不同的研究和应用需求,实际应用时要根据研究需要和实际情况选择合适的算法。各算法的特点为:Canny算法、引力模型法、Sobel算法、熵算法对强锋面的检测能力依次递减,对弱锋面的检测能力依次递增,抗噪性递减,直方图分析法检测出的锋面表现出较强的连续性,锋面光滑、清晰且连贯,抗噪性较好;各算法适用场合为:以梯度计算为基础的Sobel算法或者其他梯度类算法适用于精确计算温度变化程度的应用场景,Canny算法适用于强锋面的研究,引力模型法适用于应用噪声较大的数据检测锋面或者强锋面的检测,熵算法适用于弱锋面的检测,直方图分析法比较适合分析连续的长锋面。 展开更多
关键词 卫星 海表温度 海温锋 锋面检测算法
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经眉弓锁孔入路完全神经内镜下手术治疗外伤性额叶血肿的疗效
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作者 王璨 周龙 +2 位作者 蔡强 陈谦学 喻军华 《中国临床神经外科杂志》 2024年第3期148-150,180,共4页
目的探讨经眉弓锁孔入路完全神经内镜下手术治疗外伤性额叶血肿的疗效。方法回顾性分析2022年1月至2022年12月经眉弓锁孔入路完全神经内镜下手术治疗的7例外伤性额叶血肿的临床资料。结果入院时GCS评分6~13分,平均(10.4±2.7)分;出... 目的探讨经眉弓锁孔入路完全神经内镜下手术治疗外伤性额叶血肿的疗效。方法回顾性分析2022年1月至2022年12月经眉弓锁孔入路完全神经内镜下手术治疗的7例外伤性额叶血肿的临床资料。结果入院时GCS评分6~13分,平均(10.4±2.7)分;出血量30~40 ml,平均(37.9±3.9)ml。骨窗大小约2 cm×3 cm;手术时间62~80 min,平均(70.3±6.1)min。出院时,6例GCS评分15分,1例13分。出院后随访1年,1例术后9个月出现癫痫发作,口服丙戊酸钠缓释片控制良好,其余6例正常生活。结论经眉弓锁孔入路完全内镜下手术治疗外伤性额叶血肿具有微创、高效、操作方便等优点,但需严格把握适应证,对脑疝病人不适用。 展开更多
关键词 颅脑损伤 额叶血肿 神经内镜手术 经眉弓锁孔入路 疗效
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经外侧裂-岛叶入路显微手术与经额叶入路血肿清除术对高血压性基底节区脑出血患者神经功能损伤的影响
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作者 罗铸 李伦走 +2 位作者 黄章峰 李科良 张传东 《中国实用神经疾病杂志》 2024年第6期727-731,共5页
目的探讨高血压性基底节区脑出血患者应用经外侧裂-岛叶入路显微手术与经额叶入路血肿清除术对神经功能损伤的影响。方法回顾性分析广西河池市人民医院2019-01—2022-12收治的121例高血压性基底节区脑出血患者的临床资料,分为A组61例(... 目的探讨高血压性基底节区脑出血患者应用经外侧裂-岛叶入路显微手术与经额叶入路血肿清除术对神经功能损伤的影响。方法回顾性分析广西河池市人民医院2019-01—2022-12收治的121例高血压性基底节区脑出血患者的临床资料,分为A组61例(经外侧裂-岛叶入路显微手术)与B组60例(经额叶入路血肿清除术)。比较2组患者神经功能损伤指标水平及其他相关指标。结果2组患者手术时间、住院时间比较无统计学差异(P>0.05);A组术后意识恢复时间(5.11±0.89)h,短于B组的(6.03±0.73)h,术中出血量(37.21±4.27)mL,少于B组的(39.82±4.41)mL,48 h血肿清除率(90.06±3.44)%,大于B组的(88.69±4.02)%,差异均有统计学意义(t=6.178、3.299、2.017,P<0.05);A组临床总有效率98.36%(60/61),高于B组的86.67%(52/60)(χ^(2)=4.460,P=0.035);术后3 d,2组患者S-100β蛋白(S-100β)、神经元特异性烯醇化酶(NSE)、胶质纤维酸性蛋白(GFAP)水平均较术前下降,且A组低于B组(P<0.05);2组患者术后并发症发生率比较无统计学差异(P>0.05);术后3个月,A组格拉斯哥预后量表(GOS)评分高于B组(P<0.05);2组患者术后6个月GOS评分比较无明显差异(P>0.05)。结论相比于经额叶入路血肿清除术,应用经外侧裂-岛叶入路显微手术可更有效促进高血压性基底节区脑出血患者神经功能损伤恢复,减少术中出血量,提高血肿清除率及临床疗效,且能够显著改善患者近期预后。 展开更多
关键词 高血压性基底节区脑出血 经额叶入路 经外侧裂-岛叶入路 血肿清除术 神经功能损伤
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不同入路神经内镜下血肿清除术治疗高血压脑出血的效果分析
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作者 余飞 左延卿 +1 位作者 陈节 高凤云 《长春中医药大学学报》 2024年第9期1033-1037,共5页
目的探讨不同入路神经内镜下血肿清除术治疗高血压脑出血的效果。方法选取82例高血压脑出血患者,根据手术方法的不同分为经额入路组和经颞入路组,各41例。经额入路组和经颞入路组分别经额叶、颞叶入路行神经内镜下血肿清除术,2组术后均... 目的探讨不同入路神经内镜下血肿清除术治疗高血压脑出血的效果。方法选取82例高血压脑出血患者,根据手术方法的不同分为经额入路组和经颞入路组,各41例。经额入路组和经颞入路组分别经额叶、颞叶入路行神经内镜下血肿清除术,2组术后均随访3个月。比较2组术后3个月的疗效;术前,术后1周、3周的神经功能及意识状态,术前、术后24 h的炎症介质,术前、术后3 d的神经营养因子和随访期间的并发症发生情况。结果较经颞入路组,经额入路组术后引流时间更短,血肿清除率更高(P<0.05);较术前,2组术后1周、3周的美国国立卫生研究院卒中量表(NIHSS)评分逐渐降低,格拉斯哥昏迷评分法(GCS)评分逐渐升高(P<0.05);与术后1周比较,经额入路组术后3周的NIHSS评分、GCS评分均优于经颞入路组(P<0.05);较术前,2组术后24 h的血清C反应蛋白(CRP)、肿瘤坏死因子α(TNF)、降钙素原(PCT)、白细胞介素-6(IL-6)水平升高(P<0.05);较术前,2组术后3 d的血清血清脑源性神经营养因子(BDNF)、胶质纤维酸性蛋白(GFAP)、神经生长因子(NGF)水平升高,且经额入路组高于经颞入路组(P<0.05);血清烯醇化酶(NSE)水平降低,且经额入路组低于经颞入路组(P<0.05)。结论经额和经颞叶入路神经内镜下血肿清除术治疗高血压脑出血均可发挥良好的疗效和安全性,且二者均对炎症介质的影响较小,但相比经颞叶入路,经额叶入路可缩短患者术后引流时间,提高血肿清除率,并可调节患者机体神经营养因子水平,改善患者神经功能及意识状态。 展开更多
关键词 高血压脑出血 经颞入路 经额入路 神经内镜 血肿清除术 神经功能 炎症介质 神经营养因子
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经额定位联合颅内压监测下微创手术治疗基底节区脑出血的疗效观察
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作者 覃成箭 张坤源 +6 位作者 郑传华 邓显东 罗中彬 燕鹏 梁洪岖 吕浩 罗起胜 《海南医学》 CAS 2024年第3期339-344,共6页
目的探讨经额简易定位软通道联合颅内压监测下微创手术治疗椭圆形基底节区脑出血的效果。方法回顾性分析2019年1月至2021年12月右江民族医学院附属医院神经外科在简易定位后经额软通道微创手术治疗的70例椭圆形基底节区脑出血患者的临... 目的探讨经额简易定位软通道联合颅内压监测下微创手术治疗椭圆形基底节区脑出血的效果。方法回顾性分析2019年1月至2021年12月右江民族医学院附属医院神经外科在简易定位后经额软通道微创手术治疗的70例椭圆形基底节区脑出血患者的临床资料,根据术前是否行颅内压(ICP)监测传感器置入术将其分为监测组26例和对照组44例,比较两组患者的一般资料、血肿清除率、术后甘露醇使用时间、术后住院时间、术后出血率、术后颅内感染率、术后1个月格拉斯哥预后分级(GOS)评分、预后良好率、术后3个月改良Rankin量表(mRS)评分等指标之间的差异。结果两组患者的年龄、性别、出血量、是否中线移位、是否破入脑室等一般资料比较差异均无统计学意义(P>0.05);监测组患者的血肿清除率为(58.72±13.61)%,明显高于对照组的(50.58±15.50)%,差异有统计学意义(P<0.05);监测组患者的术后甘露醇使用时间和住院时间分别为(3.00±2.06)d、(11.31±3.82)d,明显短于对照组的(8.23±4.29)d、(14.73±6.01)d,差异均有统计学意义(P<0.05);两组患者的术后出血率、术后颅内感染率比较差异均无统计学意义(P>0.05);监测组患者术后1个月的GOS评分为(3.96±0.96)分,明显高于对照组的(3.39±1.08)分,预后良好率为69.23%,明显高于对照组的38.64%,差异均有统计学意义(P<0.05);监测组患者术后3个月的mRS评分为(0.88±1.18)分,明显低于对照组的(2.39±1.40)分,差异有统计学意义(P<0.05)。结论在经额简易定位软通道联合颅内压监测下进行椭圆形基底节区脑出血微创手术治疗,血肿清除率较高,能有效改善患者的预后。 展开更多
关键词 经额简易定位软通道 有创颅内压监测 微创 椭圆形基底节区脑出血 疗效
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不同坐姿乘员在自动驾驶汽车碰撞中的损伤仿真实验
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作者 武和全 李羿辉 +1 位作者 刘瑾 张申奥 《汽车安全与节能学报》 CAS CSCD 北大核心 2024年第4期484-491,共8页
为研究不同坐姿乘员在自动驾驶汽车中的碰撞安全性,筛选了7种具有代表性的乘员姿态(包括头部、上肢和躯干的变化)进行正面碰撞的仿真实验,对其乘员运动学和所受载荷进行了对比分析,研究其姿态对乘员碰撞损伤的影响。结果表明:在正面碰... 为研究不同坐姿乘员在自动驾驶汽车中的碰撞安全性,筛选了7种具有代表性的乘员姿态(包括头部、上肢和躯干的变化)进行正面碰撞的仿真实验,对其乘员运动学和所受载荷进行了对比分析,研究其姿态对乘员碰撞损伤的影响。结果表明:在正面碰撞仿真实验中,倚靠姿态乘员的综合损伤风险与其他姿态相比更高,较交谈姿态,倚靠姿态乘员胸部压缩量增大了45.5%,肋骨骨折严重,内脏器官应变提高了48.8%,左倾姿态乘员损伤风险则明显降低,其头部损伤风险减少了49.1%,胸部损伤降低了14.4%。基于此,提出乘员在碰撞前可通过调整自身姿态来规避部分损伤的策略,以提高乘员在自动驾驶汽车中的碰撞安全性。 展开更多
关键词 自动驾驶汽车 正面碰撞 仿真实验 乘员损伤风险 乘员非标坐姿
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手持式心电采集仪的使用技巧
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作者 景永明 荆凡釿 +1 位作者 黄训华 樊好义 《实用心电学杂志》 2024年第2期154-157,共4页
手持式心电采集仪是一款简易的双极单导联心电图记录设备,只需双手拇指紧捏正、负两极,就能方便地记录出标准Ⅰ导联心电图,多用于监测心律失常。它属于家用医疗器械,颇受广大中老年朋友的欢迎。基于单极导联与双极导联的本质及其内在联... 手持式心电采集仪是一款简易的双极单导联心电图记录设备,只需双手拇指紧捏正、负两极,就能方便地记录出标准Ⅰ导联心电图,多用于监测心律失常。它属于家用医疗器械,颇受广大中老年朋友的欢迎。基于单极导联与双极导联的本质及其内在联系,本文衍生出标准导联与加压单极导联的记录方法;同时,在深入探究CR导联与Wilson导联内在联系的基础上,创造性地提出了手持式心电采集仪直采CR胸导联心电图的方法。理论和实践均表明,加压单极肢体导联的等效记录法与CR胸导联的双极记录法不仅能满足临床需要,而且还有其独到之处。该方法能充分发挥家用医疗器械的医用价值,值得推广普及。 展开更多
关键词 心电图机 手持式心电采集仪 双极导联 单极导联 CR胸导联 Wilson胸导联 额面六轴系统 横面六轴系统
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微型电动汽车正面碰撞约束系统匹配研究 被引量:1
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作者 徐珍珍 尹辉俊 +4 位作者 易超 解维杰 陈月亮 凡沙沙 陈涛 《广西科技大学学报》 CAS 2024年第1期26-33,共8页
目前对微型电动汽车相关研究逐渐增多,但碰撞安全性能方面的研究相对较少。基于国内某款微型电动汽车在进行49 km/h正面碰撞后车内Hybrid Ⅲ 50th男性假人伤害程度较高的问题,对该车约束系统的参数匹配进行优化处理。参考相关规范对驾... 目前对微型电动汽车相关研究逐渐增多,但碰撞安全性能方面的研究相对较少。基于国内某款微型电动汽车在进行49 km/h正面碰撞后车内Hybrid Ⅲ 50th男性假人伤害程度较高的问题,对该车约束系统的参数匹配进行优化处理。参考相关规范对驾乘人员的保护要求,以仿真分析结果中的头部伤害指标HIC、头部累积3 ms合成加速度、加权综合损伤数值WIC为研究指标,进行极差分析来综合选取参数及水平值;通过正交试验进行优化设计仿真,最终得出最佳约束系统的最佳参数匹配方式,使得微型电动汽车在发生碰撞事故时驾驶员头部位置的伤害得到降低,同时维持或降低胸部和下肢伤害水平,综合损伤也得到降低。结果表明优化后的该约束系统可达到对驾驶员最优的保护效果。 展开更多
关键词 微型电动汽车 正面碰撞 约束系统 参数匹配 极差分析 正交试验
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Analysis on the Characteristic of Frontal Precipitation Weather Situation in Jilin Area 被引量:1
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作者 马虹旭 杨仲江 +1 位作者 王伟 孙杰 《Meteorological and Environmental Research》 CAS 2010年第7期56-60,共5页
By analyzing and studying a lot of weather charts and the weather condition of several typical cases,some kinds of unconventional high-altitude and ground weather situations whether the ground cold,warm front had the ... By analyzing and studying a lot of weather charts and the weather condition of several typical cases,some kinds of unconventional high-altitude and ground weather situations whether the ground cold,warm front had the precipitation in Jilin area were summarized.The results showed that the temperature field was the main element field which affected the weather variation.The analysis and research on the movement condition of cold,warm air in the different temperature-pressure field configuration in the high-altitude was the key of frontal precipitation weather forecast. 展开更多
关键词 frontal precipitation Temperature-pressure field Movement of cold and warm air Jilin China
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“小骨片”支架成形术修补额窦大缺损的初步探讨
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作者 仇琰凯 柳羲 +3 位作者 张帆 吕行 王跃华 刘利 《临床神经外科杂志》 2024年第2期178-181,共4页
目的探究“小骨片”支架成形术在修补额窦(FS)大缺损的应用。方法回顾性研究哈尔滨医科大学附属第一医院神经外科2021年5月—2023年8月间收治的10例行前额底入路并使用“小骨片”支架进行FS重建的患者。结果10例患者中,2例颅咽管瘤、1... 目的探究“小骨片”支架成形术在修补额窦(FS)大缺损的应用。方法回顾性研究哈尔滨医科大学附属第一医院神经外科2021年5月—2023年8月间收治的10例行前额底入路并使用“小骨片”支架进行FS重建的患者。结果10例患者中,2例颅咽管瘤、1例垂体瘤、1例胶质瘤、1例动脉瘤、5例脑膜瘤;4例患者彻底清除FS黏膜,6例患者黏膜无特殊处理,术后随访1~26个月,平均10.3个月,随访显示所有患者均无脑脊液漏、术后感染或粘液囊肿。结论“小骨片”支架成形术简单、有效,可以恢复FS的形态,保留生理功能,避免术后并发症。 展开更多
关键词 神经外科前颅底手术 额窦缺损 支撑骨片 额窦重建
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