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中高流量颅内-外血管搭桥术治疗复杂性颅内动脉瘤的疗效及桥血管的选择研究 被引量:14
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作者 林锦胡 王君宇 +4 位作者 陈风华 唐云红 陈远兵 李健 黄军 《中华神经医学杂志》 CAS CSCD 北大核心 2019年第2期144-149,共6页
目的探讨中高流量颅内-外血管搭桥术治疗复杂性颅内动脉瘤的疗效以及桥血管在该治疗方式中的选择心得。方法回顾性收集中南大学湘雅医院神经外科自2010年8月至2017年10月行中高流量颅内-外血管搭桥术治疗的79例复杂性颅内动脉瘤患者的... 目的探讨中高流量颅内-外血管搭桥术治疗复杂性颅内动脉瘤的疗效以及桥血管在该治疗方式中的选择心得。方法回顾性收集中南大学湘雅医院神经外科自2010年8月至2017年10月行中高流量颅内-外血管搭桥术治疗的79例复杂性颅内动脉瘤患者的临床资料,其中桥血管分别为桡动脉(21例)、小腿段大隐静脉(29例)或大腿段大隐静脉(29例)。以出院时格拉斯哥预后评分(GOS)及随访时改良Rankin量表(mRS)评分为依据评价疗效,并分析不同类型桥血管的闭塞情况的差异。结果所有患者术后第1天CT血管成像(CTA)均显示桥血管通畅。6例患者桥血管发生闭塞,其中2例(桥血管为小腿段大隐静脉)分别在术后第3、4天闭塞,无症状;2例(桥血管为桡动脉)分别在术后第5、25天闭塞,出现肢体肌力下降;2例(桥血管为小腿段大隐静脉)在术后6个月闭塞,但无症状。4例患者术后因脑梗死(1例)或脑血管痉挛(3例)出现脑缺血症状。出院时GOS评分及随访mRS评分显示78例患者症状改善、预后良好,1例患者症状无改善、植物生存。结论中高流量颅内-外血管搭桥术治疗颅内复杂性动脉瘤有效,而桥血管应根据术前评估结果进行个体化选择。 展开更多
关键词 颅内-外血管搭桥术 颅内动脉瘤 中高流量 桥血管
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Case History of the Disastrous Debris Flows of Tianmo Watershed in Bomi County, Tibet, China: Some Mitigation Suggestions 被引量:23
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作者 GE Yong-gang CUI Peng +2 位作者 SU Feng-huan ZHANG Jian-qiang CHEN Xing-zhang 《Journal of Mountain Science》 SCIE CSCD 2014年第5期1253-1265,共13页
Debris flows and landslides, extensively developing and frequently occurring along Parlung Zangbo, seriously damage the Highway from Sichuan to Tiebt(G318) at Bomi County. The disastrous debris flows of the Tianmo Wat... Debris flows and landslides, extensively developing and frequently occurring along Parlung Zangbo, seriously damage the Highway from Sichuan to Tiebt(G318) at Bomi County. The disastrous debris flows of the Tianmo Watershed on Sept. 4, 2007, July 25, 2010 and Sept. 4, 2010, blocked Parlung Zangbo River and produced dammed lakes, whose outburst flow made 50 m high terrace collapse at the opposite bank due to intense scouring on the foot of the terrace. As a result, the traffic was interrupted for 16 days in 2010 because that 900 m highway base was destructed and 430 m ruined. These debris flows were initiated by the glacial melting which was induced by continuous higher temperature and the following intensive rainfall, and expanded by moraines along channels and then blocked Parlung Zangbo. At the outlet of watershed,the density, velocity and peak discharge of debris flow was 2.06 t/m3, 12.7 m/s and 3334 m3/s, respectively. When the discharge at the outlet and the deposition volume into river exceeds 2125 m3/s and 126×103 m3, respectively, debris flow will completely blocked Parlung Zangbo. Moreover,if the shear stress of river flow on the foot of terrace and the inclination angel of terrace overruns 0. 377 N/m2 and 26°, respectively, the unconsolidated terrace will be eroded by outburst flow and collapse. It was strongly recommended for mitigation that identify and evade disastrous debris flows, reduce the junction angel of channels between river and watershed, build protecting wall for highway base and keep appropriate distance between highway and the edge of unconsolidated terrace. 展开更多
关键词 Debris Flow Characteristics Hazard Chain Formation Condition Tianmo Watershed
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Impacts of precipitation variation and soil and water conservation measures on runoff and sediment yield in the Loess Plateau Gully Region, China 被引量:8
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作者 XIA Lu SONG Xiao-yu +3 位作者 FU Na MENG Chun-fang LI Huai-you LI Yao-lin 《Journal of Mountain Science》 SCIE CSCD 2017年第10期2028-2041,共14页
The Loess Plateau of China has experienced a lengthy drought and severe soil erosion.Changes in precipitation and land use largely determine the dynamics of runoff and sediment yield in this region. Trend and mutation... The Loess Plateau of China has experienced a lengthy drought and severe soil erosion.Changes in precipitation and land use largely determine the dynamics of runoff and sediment yield in this region. Trend and mutation analyses were performed on hydrological data(1981–2012) from the Yanwachuan watershed in the Loess Plateau Gully Region to study the evolution characteristics of runoff and sediment yield. A time-series contrasting method also was used to evaluate the effects of precipitation and soil and water conservation(SWC) on runoff and sediment yield. Annual sediment yield declined markedly from 1981 to 2012 although there was no significant change in annual precipitation and annual runoff. Change points of annual runoff and annual sediment yield occurred in 1996 and 1997,respectively. Compared with that in the baseline period(1981–1996), annual runoff and annual sediment yield in the change period(1997–2012)decreased by 17.0% and 76.0%, respectively, but annual precipitation increased by 6.3%. Runoff decreased in the flood season and normal season, but increased in the dry season, while sediment yield significantly declined in the whole study period. The SWC measures contributed significantly to the reduction of annual runoff(137.9%) and annual sediment yield(135%) and were more important than precipitation. Biological measures(forestland and grassland) accounted for 61.04% of total runoff reduction, while engineering measures(terraces and dams) accounted for 102.84% of total sediment yield reduction. Furthermore, SWC measures had positive ecological effects. This study provides a scientific basis for soil erosion control on the Loess Plateau. 展开更多
关键词 Quantitative impact Trend analysis Evolution characteristics Runoff and sediment yield Rainfall Land use change
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Sediment Delivery across Multiple Spatio-temporal Scales in an Agriculture Watershed of the Chinese Loess Plateau
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作者 ZHENG Ming-guo LI Run-kui +1 位作者 HE Ji-jun CUI Ming 《Journal of Mountain Science》 SCIE CSCD 2015年第5期1241-1253,共13页
There is a consensus that sediment delivery ratio in the Chinese Loess Plateau is close to 1at the inter-annual timescale. However, little information is available about the sediment delivery at finer timescales. We e... There is a consensus that sediment delivery ratio in the Chinese Loess Plateau is close to 1at the inter-annual timescale. However, little information is available about the sediment delivery at finer timescales. We evaluated the sediment delivery from plots to watersheds at the event or intra-annual, annual, and inter-annual timescales within the Wudinghe river basin, a 30,261 km2 basin in the Loess Plateau. We calculated the ratio of sediment output to sediment input and presented the temporal change of the channel morphology to determine whether sediment deposition occurs.Although a single flood event frequently has a sediment yield exceeding 10,000 t km-2, sediment deposition rarely occurs except during some small runoff events(sediment yield < 5000 t km-2) or dry years(sediment yield < 10,000 t km-2) when moving from slopes up to the main channels of the Wudinghe River. This observation suggests a sediment delivery ratio close to 1 even at the event or intra-annual and the annual timescales, but not necessarily at the interannual timescale. Such a high sediment delivery ratio can be related to hyper-concentrated flows, which have very strong sediment transport capacity even at low flow strength. Because hyper-concentrated flows are well-developed in the whole Loess Plateau, a sediment delivery ratio close to 1 below the interannual timescale possibly remains true for other rivers in the Loess Plateau. 展开更多
关键词 Sediment delivery ratio Spatial scale Soil erosion Sediment yield Loess Plateau
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