We report a case of acute uncontrolled gastrointestinal bleeding in a patient with liver cirrhosis.The upper and lower endoscopy were negative for bleeding lesions. We decided to perform the examination of the small b...We report a case of acute uncontrolled gastrointestinal bleeding in a patient with liver cirrhosis.The upper and lower endoscopy were negative for bleeding lesions. We decided to perform the examination of the small bowel using single-balloon enteroscopy.The lower enteroscopy revealed signs of bleeding from varices of the ileum.In this report,we showed that the injection of a sclerosant solution can be accomplished using a freehand technique via the single balloon enteroscopy.展开更多
Colonoscopy is a safe and routinely performed diagnostic and therapeutic procedure for different colorectal diseases. Although the most common complications are bleeding and perforation, extracolonic or visceral injur...Colonoscopy is a safe and routinely performed diagnostic and therapeutic procedure for different colorectal diseases. Although the most common complications are bleeding and perforation, extracolonic or visceral injuries have also been described. Splenic rupture is a rare complication following colonoscopy, with few cases reported. We report a 60-year-old female who presented to surgical consultation 8 h after a diagnostic colonoscopy. Clinical, laboratory and imaging findings were suggestive for a massive hemoperitoneum. At surgery, an almost complete splenic disruption was evident, and an urgent splenectomy was performed. After an uneventful postoperative period, she was discharged home. Splenic injury following colonoscopy is considered infrequent. Direct trauma and excessive traction of the splenocolic ligament can explain the occurrence of this complication. Many times the diagnosis is delayed because the symptoms are due to colonic insuffl ation, so the most frequent treatment is an urgent splenectomy. A high index of suspicion needs an early diagnosis and adequate therapy.展开更多
The elemental composition,heat expansibility and breaking characteristics of limestone have been investigated with the use of an energy spectrum analyzer,a SEM,an optical microscope and an experimental heat swelling p...The elemental composition,heat expansibility and breaking characteristics of limestone have been investigated with the use of an energy spectrum analyzer,a SEM,an optical microscope and an experimental heat swelling power system.The results show that 1) the heat expansibility of limestone has anisotropic properties,and 2) the heat expansion rate in the direction perpendicular to stratification is eight times greater than the rate parallel to stratification.The changes in heat expansibility as a function of heating temperature is essentially coincident with that of swelling and breaking of mineral particles and the appearance of cracks,indicating that the reason for causing the heat expansion of rock are the structural changes of limestone caused by thermal stress,crystal transformation and mineral decomposition.The apparent destruction of limestone under high temperatures is largely characterized by rock stratification breaks.When the limestone is heated beyond a certain limit,the rock destroys into crazed cracks.展开更多
Fault zone trapped waves （FZTWs） mainly travel along the fractured fault zone （FZ） which is of low velocity and high attenuation. FZTWs often carry significant information about a fault＇s internal structure, so i...Fault zone trapped waves （FZTWs） mainly travel along the fractured fault zone （FZ） which is of low velocity and high attenuation. FZTWs often carry significant information about a fault＇s internal structure, so it is important to understand their wave field characteristics for FZ structure inversion. Most previous simulations are based on vertical faults, while in this paper we implement the FZTW simulations on vertical or inclined faults and compare their wave fields in both time and frequency domains. The results show that the existence of fault zone and inclined angle of fault can significantly influence the features of waves near faults. In amplitude, a fault zone can generate a larger amplitude of waves. The velocity contrast between two wails of fault may lead to amplification of amplitudes in the low velocity fault wall. In frequency, a fault zone tends to influence the waves in the low frequency range. In a pattern of particle polarization of FZTWs, it tends to be single direction for vertical faults but fork to multiple directions for inclined faults, which might provide a new way to study the fault zone with FZTWs. These conclusions may be valuable for FZ structure inversion, and will enhance the knowledge on near-fault strong ground motions.展开更多
文摘We report a case of acute uncontrolled gastrointestinal bleeding in a patient with liver cirrhosis.The upper and lower endoscopy were negative for bleeding lesions. We decided to perform the examination of the small bowel using single-balloon enteroscopy.The lower enteroscopy revealed signs of bleeding from varices of the ileum.In this report,we showed that the injection of a sclerosant solution can be accomplished using a freehand technique via the single balloon enteroscopy.
文摘Colonoscopy is a safe and routinely performed diagnostic and therapeutic procedure for different colorectal diseases. Although the most common complications are bleeding and perforation, extracolonic or visceral injuries have also been described. Splenic rupture is a rare complication following colonoscopy, with few cases reported. We report a 60-year-old female who presented to surgical consultation 8 h after a diagnostic colonoscopy. Clinical, laboratory and imaging findings were suggestive for a massive hemoperitoneum. At surgery, an almost complete splenic disruption was evident, and an urgent splenectomy was performed. After an uneventful postoperative period, she was discharged home. Splenic injury following colonoscopy is considered infrequent. Direct trauma and excessive traction of the splenocolic ligament can explain the occurrence of this complication. Many times the diagnosis is delayed because the symptoms are due to colonic insuffl ation, so the most frequent treatment is an urgent splenectomy. A high index of suspicion needs an early diagnosis and adequate therapy.
基金Project 50574037 supported by the National Natural Science Foundation of China
文摘The elemental composition,heat expansibility and breaking characteristics of limestone have been investigated with the use of an energy spectrum analyzer,a SEM,an optical microscope and an experimental heat swelling power system.The results show that 1) the heat expansibility of limestone has anisotropic properties,and 2) the heat expansion rate in the direction perpendicular to stratification is eight times greater than the rate parallel to stratification.The changes in heat expansibility as a function of heating temperature is essentially coincident with that of swelling and breaking of mineral particles and the appearance of cracks,indicating that the reason for causing the heat expansion of rock are the structural changes of limestone caused by thermal stress,crystal transformation and mineral decomposition.The apparent destruction of limestone under high temperatures is largely characterized by rock stratification breaks.When the limestone is heated beyond a certain limit,the rock destroys into crazed cracks.
基金sponsored by the Key Basic Scientific Research Program of Institute of Earth Science,CEA(0213241302)
文摘Fault zone trapped waves （FZTWs） mainly travel along the fractured fault zone （FZ） which is of low velocity and high attenuation. FZTWs often carry significant information about a fault＇s internal structure, so it is important to understand their wave field characteristics for FZ structure inversion. Most previous simulations are based on vertical faults, while in this paper we implement the FZTW simulations on vertical or inclined faults and compare their wave fields in both time and frequency domains. The results show that the existence of fault zone and inclined angle of fault can significantly influence the features of waves near faults. In amplitude, a fault zone can generate a larger amplitude of waves. The velocity contrast between two wails of fault may lead to amplification of amplitudes in the low velocity fault wall. In frequency, a fault zone tends to influence the waves in the low frequency range. In a pattern of particle polarization of FZTWs, it tends to be single direction for vertical faults but fork to multiple directions for inclined faults, which might provide a new way to study the fault zone with FZTWs. These conclusions may be valuable for FZ structure inversion, and will enhance the knowledge on near-fault strong ground motions.
