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体位倾斜对肝硬化患者的中心血流动力学和自我平衡机制的影响
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《传染病网络动态》 2004年第12期11-11,共1页
据医学空间网10月12日报道(原载HEPATOLOGY 2004;40:811—819),肝硬化患者具有高动力循环、血容量分布异常与中心血容量不足,以及交感神经系统(SNS)和肾素一血管紧张素一醛固酮系统(RAAS)活化。
关键词 体位倾斜 肝硬化 中心血流动力学 自我平衡 交感神经系统 肾素-血管紧张素-醛固酮系统
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同侧倾斜体位对锁骨下静脉横截面积和穿刺成功率的影响 被引量:1
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作者 叶思琦 黄欣 +3 位作者 徐俏 胡慈贤 蒋婧妍 俞盛辉 《全科医学临床与教育》 2021年第4期309-311,共3页
目的探讨同侧倾斜体位对锁骨下静脉(SCV)横截面积(CSA)以及SCV穿刺成功率的影响。方法选择行择期手术患者90例,全麻气管插管后,随机分配患者采用三个不同的体位:仰卧位(S组)、同侧倾斜20°(I组)和对侧倾斜20°(C组),超声扫查并... 目的探讨同侧倾斜体位对锁骨下静脉(SCV)横截面积(CSA)以及SCV穿刺成功率的影响。方法选择行择期手术患者90例,全麻气管插管后,随机分配患者采用三个不同的体位:仰卧位(S组)、同侧倾斜20°(I组)和对侧倾斜20°(C组),超声扫查并记录不同体位下SCV的CSA(CSASCV)。然后将患者分为仰卧组(S’组)和同侧倾斜组(I’组),进行右侧SCV穿刺和置管,记录一次成功率、穿刺尝试次数和穿刺置管总时间。结果S组、C组和I组患者的CSASCV分别为(0.95±0.13)cm^(2)、(0.89±0.09)cm^(2)和(1.17±0.15)cm^(2),差异有统计学意义(F=121.50,P<0.05)。I组患者的CSASCV大于S组,而C组患者CSASCV明显低于S组(t分别=11.54、-3.31,P均<0.05)。S’组和I’组完成SCV穿刺置管的患者一次穿刺成功率、穿刺尝试次数和穿刺置管总时间比较,差异均无统计学意义(χ^(2)=1.18,u=3478.00,t=0.47,P均>0.05)。结论同侧倾斜体位能够增加CSASCV,但是并未改善SCV穿刺置管的成功率。 展开更多
关键词 锁骨下静脉 同侧倾斜体位 横截面积 成功率
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静脉尿路造影的改良50例分析
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作者 杨旦平 《苏州医学杂志》 1999年第4期227-227,共1页
常规静脉尿路造影采用腹部加压往往引起患者发生不良反应,导致部分患者难以忍受而使造影不能正常进行;在实践中我们试采用快速注射倾斜体位法静脉尿路造影.同时有选择性利用电视透视下点片,收到了满意效果。现将50例检查分析报道如下。
关键词 静脉尿路造影 副反应 倾斜体位 电视透视 压迫法
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Finite element analysis of couple effect of soil displacement and axial load on single inclined pile
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作者 王丽 郑刚 欧若楠 《Journal of Central South University》 SCIE EI CAS 2014年第9期3656-3664,共9页
The couple effect of soil displacement and axial load on the single inclined pile in cases of surcharge load and uniform soil movement is discussed in detail with the methods of full-scale field tests and finite eleme... The couple effect of soil displacement and axial load on the single inclined pile in cases of surcharge load and uniform soil movement is discussed in detail with the methods of full-scale field tests and finite element method. Parametric analyses including the degree of inclination and the distance between soil and pile are carried out herein. When the displacement of soil on the left side and right side of a pile is identical, deformation of a vertical pile and an inclined pile is highly close in both cases of surcharge load and uniform soil movement. When the couple effect of soil displacement and axial load occurs, settlement of an inclined pile is greater than that of a vertical pile under the same axial load, and bearing capacity of an inclined pile is smaller than that of a vertical pile. This is quite different from the case when the inclined pile is not affected by soil displacement. For inclined piles, P-Δ effect of axial load would lead to a large increase in bending moment, however, for the vertical pile, P-Δ effect of axial load can be neglected. Although the direction of inclination of piles is reverse, deformation of piles caused by uniform soil movement is totally the same. For the inclined piles discussed herein, bending moment(-8 m to-17 m under the ground) relies heavily on uniform soil movement and does not change during the process of applying axial load. When the thickness of soil is less than the pile length, the greater the thickness of soil, the larger the bending moment at lower part of the inclined pile. When the thickness of soil is larger than the pile length, bending moment at lower part of the inclined pile is zero. 展开更多
关键词 couple effect inclined pile surcharge load uniform soil movement axial load
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