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低浓度氧气和纯氧对全麻下行气管插管择期手术患儿肺交换功能的影响 被引量:2
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作者 王伟华 屈晓威 《中国临床研究》 CAS 2016年第7期935-937,共3页
目的研究低浓度氧气和纯氧对全麻下行气管插管择期手术患儿肺交换功能的影响。方法选取2014年2月至10月期间接诊的80例全麻下行气管插管择期手术患儿作为研究对象,将其随机分为两组,各40例。研究组患儿采用氧浓度为22%的低浓度氧辅助治... 目的研究低浓度氧气和纯氧对全麻下行气管插管择期手术患儿肺交换功能的影响。方法选取2014年2月至10月期间接诊的80例全麻下行气管插管择期手术患儿作为研究对象,将其随机分为两组,各40例。研究组患儿采用氧浓度为22%的低浓度氧辅助治疗(Fi O2=22%),对照组患儿采用氧浓度为100%的纯氧辅助治疗(Fi O2=100%)。治疗前后检测并记录两组患儿的平均动脉压(MAP)、心率(HR)、脉搏氧饱和度(Sp O2)、动脉血氧分压(Pa O2)、动脉血二氧化碳分压(Pa CO2)、氧合指数(Pa O2/Fi O2)、肺泡动脉氧压差(PA-a O2)、呼吸指数(RI)、动脉肺泡氧分压比(Pa O2/PAO2)等肺交换指标值及带管时间、ICU时间、住院时间等相关治疗时间,并对结果进行比较。结果在T1时间点,两组患儿的MAP、HR差异均无统计学意义(P均>0.05);经过治疗,T2时间点两组患儿的MAP、HR较T1时间点均有明显下降(P均<0.05),但两组T2时间点的MAP、HR比较差异无统计学意义(P均>0.05)。在T2时间点,研究组患儿的Sp O2、Pa O2、PA-a O2、RI、Pa O2/PAO2等指标与对照组患儿相比差异均具有统计学意义(P均<0.01),而两组患儿的Pa CO2及Pa O2/Fi O2比较差异无统计学意义(P均>0.05)。研究组患儿的带管时间、ICU时间及住院时间等均明显短于对照组(P均<0.05)。结论对于肺交换功能正常的患儿,在麻醉过程中吸入22%低浓度的氧气,不会导致低氧血症的发生,反而避免了由于吸入高浓度氧对肺交换功能的影响。 展开更多
关键词 低浓度氧气 纯氧 全身麻醉 气管插管择期手术 肺交换功能
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Indoor Nitrogen Oxides Occurrence, Modeling and Prediction
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作者 Ingrid Senitkova 《Journal of Civil Engineering and Architecture》 2012年第6期751-755,共5页
Outdoor air quality, building materials, HVAC (Heating, Ventilation, Air Conditioning) systems and people activity are important factors in human exposition of polluted indoor air. The degree of signification varies... Outdoor air quality, building materials, HVAC (Heating, Ventilation, Air Conditioning) systems and people activity are important factors in human exposition of polluted indoor air. The degree of signification varies in dependence on pollution character and its sources. Buildings eliminate significantly people exposition of outdoor pollutants, but on the other hand, buildings are significant source of indoor pollution. The contamination of indoor air is largely from the use of gas for heating and cooking appliances. A comprehensive analysis of indoor air pollution by nitrogen oxides shows that the extent of indoor air pollution and consequent exposure varies as a result of many factors mainly the differing dislribution of appliances and their level of use. This study aims to formulate a mathematical model for the production of nitrogen oxides indoors. The physical processes that determine the concentrations of indoor nitrogen oxides as a function of outdoor concentrations, indoor emission rates and building characteristics have been mathematically described. The mathematical model developed has been parameterized for typical Slovak residences. The modeling of the occurrence of indoor nitrogen oxides and verification of the model is presented in this paper. 展开更多
关键词 Indoors nitrogen oxides OCCURRENCE PREDICTION MODELING verification.
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A deep stratospheric intrusion associated with an intense cut-off low event over East Asia 被引量:10
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作者 LI Dan BIAN JianChun FAN QiuJun 《Science China Earth Sciences》 SCIE EI CAS CSCD 2015年第1期116-128,共13页
European Centre for Medium-Range Weather Forecasts Re-Analysis Interim(ERA-Interim)reanalysis data and satellite data,and trajectory model were applied to analyze the dynamical,thermo-dynamical,and chemical structure ... European Centre for Medium-Range Weather Forecasts Re-Analysis Interim(ERA-Interim)reanalysis data and satellite data,and trajectory model were applied to analyze the dynamical,thermo-dynamical,and chemical structure in the upper troposphere and lower stratosphere(UTLS)of an intense cut-off low(COL)event occurring over East Asia during June 19-23,2010,and to characterize the process and transport pathway of deep stratospheric intrusion.The Atmospheric Infrared Sounder(AIRS)ozone data and the Global Positioning System Ozone(GPSO3)sonde data showed that the air mass originating from the polar formed a region with relatively high values of potential vorticity(PV)and ozone in the center of COL,and a secondary ozone peak appeared in the upper troposphere during mature stage of the COL.Forward trajectory simulation suggested that during the first stage of COL,deep stratospheric intrusion associated with strong northerly wind jet on the west side of the upper-level trough transported ozone-rich air from the polar lower stratosphere into the middle and lower troposphere in the mid-latitude,and increased the ozone concentration there.During the mature stage of the COL,stratospheric air was transported counterclockwise into the troposphere.Backward trajectory model was used to find the source regions of air mass within the COL during its mature stage.Model results show that air masses with high ozone concentration in the center of the COL have two source regions:one is the subpolar vortex which lies in northern part of Center Siberia,where ozone-rich air plays a major role in increasing the ozone concentrations,and the other is the strong shear region which is near by the cyclonic side of the extratropical jet axis(west of 90°E,near 50°N).The air masses with low ozone concentration around the COL also have two source regions:one is the anticyclonic side of the extratropical jet axis,where the air mass with the relatively low ozone concentration at the bottom of the COL is mainly controlled by horizontal movement,and the other is the warm area of the south side of COL,where the air mass on the east and west side of the COL is mainly dominated by upward motion. 展开更多
关键词 deep stratospheric intrusion cut-off low stratosphere-troposphere exchange
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