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出渗对均匀大粒径泥沙附近水动力特性影响 被引量:9
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作者 蒋昌波 刘洋 +2 位作者 邓斌 刘易庄 陈家源 《水科学进展》 EI CAS CSCD 北大核心 2017年第1期67-75,共9页
为探讨出渗对均匀大粒径泥沙颗粒周围水流特性的影响,基于粒子图像测速技术(PIV)对出渗影响下的均匀大粒径泥沙颗粒群周围水流结构进行测量,并对不同出渗强度下颗粒群周围立面二维流场结构进行了分析。试验结果表明:出渗能够减小颗粒群... 为探讨出渗对均匀大粒径泥沙颗粒周围水流特性的影响,基于粒子图像测速技术(PIV)对出渗影响下的均匀大粒径泥沙颗粒群周围水流结构进行测量,并对不同出渗强度下颗粒群周围立面二维流场结构进行了分析。试验结果表明:出渗能够减小颗粒群周围原水流运动方向的流速,而增大垂直向上的流速,且两者均随着出渗强度的增强而对流速的影响愈加明显;根据实测数据,拟合出考虑出渗影响下的均匀大粒径泥沙周围纵向流速分布公式,相关性较好;出渗能增强颗粒群附近的紊动强度,加剧周围水体的能量耗散;随着出渗强度的增强,颗粒群周围的涡量值随之减小。 展开更多
关键词 水动力特性 出渗 颗粒群 粒子图像测速技术
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蛇毒血凝酶对肺结核患者术中出渗血量与凝血功能的影响 被引量:7
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作者 张军 柳苍生 +2 位作者 王生华 石锦辉 徐磊 《山东医药》 CAS 北大核心 2010年第40期71-72,共2页
目的观察蛇毒血凝酶对肺结核肺叶切除术患者术中出渗血量与凝血功能的影响。方法将择期行肺结核左上叶肺叶切除术患者40例分为2组:治疗组术前1 h肌注1 kU蛇毒血凝酶,术前15 min静注2 kU;对照组给予等量0.9%氯化钠注射液。结果治疗组术... 目的观察蛇毒血凝酶对肺结核肺叶切除术患者术中出渗血量与凝血功能的影响。方法将择期行肺结核左上叶肺叶切除术患者40例分为2组:治疗组术前1 h肌注1 kU蛇毒血凝酶,术前15 min静注2 kU;对照组给予等量0.9%氯化钠注射液。结果治疗组术中出渗血量、术后12 h引流量少于对照组。对照组Hb和红细胞压积比低于治疗组,血浆凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)值高于对照组。结论左上叶肺叶切除术患者术前静注血凝酶可显著减少术中出渗血量,而对凝血功能无影响。 展开更多
关键词 蛇毒血凝酶 出渗血量 凝血功能
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土压式盾构施工中地下水出渗机理研究 被引量:13
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作者 秦建设 朱伟 《岩土力学》 EI CAS CSCD 北大核心 2004年第10期1632-1636,共5页
针对土压平衡式盾构机在高水头强透水地层掘进工程中,排土器出口易出现地下水渗出的现象进行了理论研究。通过建立地下水在盾构机内的渗流计算模型,提出了判别地下水渗出发生与否及其出渗量大小的方法,阐明了盾构施工中发生地下水出渗... 针对土压平衡式盾构机在高水头强透水地层掘进工程中,排土器出口易出现地下水渗出的现象进行了理论研究。通过建立地下水在盾构机内的渗流计算模型,提出了判别地下水渗出发生与否及其出渗量大小的方法,阐明了盾构施工中发生地下水出渗的机理。利用这一模型计算了出渗发生时地下水流失情况,对影响出渗发生的各相关参数进行了分析,为施工中克服和避免这一现象提供了理论依据。 展开更多
关键词 土压平衡式EPS盾构 排土器口地下水出渗 流计算
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白眉蛇毒血凝酶对肺结核肺叶切除术患者术中出渗血量及凝血功能的影响分析 被引量:4
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作者 汪涛 胡晨 +2 位作者 严进锦 程吕欢 胡欣春 《基层医学论坛》 2020年第16期2266-2267,共2页
目的研究白眉蛇毒凝血酶辅助治疗对肺结核肺叶切除术患者手术过程中出渗血量和凝血功能的影响。方法选取50例肺结核肺叶切除手术患者,将其随机分为2组。对照组患者仅给予0.9%氯化钠注射液,观察组在手术之前1 h肌肉注射1 kU白眉蛇毒血凝... 目的研究白眉蛇毒凝血酶辅助治疗对肺结核肺叶切除术患者手术过程中出渗血量和凝血功能的影响。方法选取50例肺结核肺叶切除手术患者,将其随机分为2组。对照组患者仅给予0.9%氯化钠注射液,观察组在手术之前1 h肌肉注射1 kU白眉蛇毒血凝酶注射液,手术前15 min静推含有2 k U白眉蛇毒血凝酶的0.9%氯化钠注射液10 mL。观察手术过程中2组患者出渗血量、心率及血氧饱和度,在不同时间抽取患者的静脉血检测血浆凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、红细胞压积比(Hct%)和血红蛋白(Hb)。结果观察组患者出渗血量小于对照组(P<0.05),手术过程中2组的心率以及血氧饱和度比较无明显差异(P>0.05);给药后30 min、术毕时观察组Hct%和Hb高于对照组,PT、APTT低于对照组,差异显著(P<0.05)。结论白眉蛇毒凝血酶辅助治疗能够减少肺结核肺叶切除术患者手术过程中出渗血量,帮助凝血功能快速恢复。 展开更多
关键词 肺结核 肺叶切除术 白眉蛇毒血凝酶 出渗血量 凝血功能
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出渗对大颗粒泥沙周边水流结构及受力影响试验研究 被引量:3
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作者 蒋昌波 刘易庄 邓斌 《应用基础与工程科学学报》 EI CSCD 北大核心 2018年第3期515-525,共11页
为探讨出渗对大颗粒泥沙周边水流结构的影响,采用二维粒子图像测试技术对颗粒周围流场进行测量.通过分析不同出渗强度下颗粒周围立面流场结构,探究出渗作用下颗粒周围水动力结构.试验结果表明:出渗能够抑制颗粒尾部回流区的形成,减小... 为探讨出渗对大颗粒泥沙周边水流结构的影响,采用二维粒子图像测试技术对颗粒周围流场进行测量.通过分析不同出渗强度下颗粒周围立面流场结构,探究出渗作用下颗粒周围水动力结构.试验结果表明:出渗能够抑制颗粒尾部回流区的形成,减小回流区内负向流速大小;同时,尾涡尺寸随出渗强度的增大而减小,当出渗强度增加到一定值(v_s/U=0.65%)时颗粒尾部已不能形成尾涡.颗粒迎流面水流分离点即是产生"涡量源"的位置.出渗不断透过床面向上补水减小了流速变化梯度,从而导致负向涡量随出渗的增大而减小.对大颗粒的受力分析发现,颗粒平均起动流速随着出渗流速的增大而减小. 展开更多
关键词 出渗 大颗粒 PIV 水流结构 起动流速
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基于变分不等式的地下洞室渗流边界模拟 被引量:3
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作者 邓高阳 肖明 陈俊涛 《岩土力学》 EI CAS CSCD 北大核心 2017年第3期762-768,共7页
Signorini型变分不等式在求解有出渗点的渗流自由面问题时,消除了出渗点的奇性,克服了网格的依赖性。在迭代求解过程中多采用约束迭代法,这种数学约束比较严格,对于自由面穿过的单元计算不容易收敛,会造成结果在两种解中震荡。笔者在变... Signorini型变分不等式在求解有出渗点的渗流自由面问题时,消除了出渗点的奇性,克服了网格的依赖性。在迭代求解过程中多采用约束迭代法,这种数学约束比较严格,对于自由面穿过的单元计算不容易收敛,会造成结果在两种解中震荡。笔者在变分不等式的基础上修改了迭代公式,对数学约束进行了修改,建立了变带宽的迭代方法。通过修改迭代算法提高了Signorini型变分不等式方法的数值稳定性,同时减少了迭代时间。地下厂房开挖后地下水会从洞室的边墙渗出,临界出渗点的确定对分析渗漏量和排水孔效果起到关键作用。通过对工程中开挖边界和排水孔边界的渗流计算模拟分析,证明了改进迭代算法后的Signorini型变分不等式在复杂非线性强的三维渗流计算中收敛性较好。 展开更多
关键词 变分不等式 变带宽迭代 出渗 边界条件
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库水位下降时土坝上游面渗流稳定性研究 被引量:10
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作者 张大伟 严文群 《长江科学院院报》 CSCD 北大核心 2011年第7期62-66,共5页
大坝迎水坡的最不利工况是长期蓄水(高水位运行)后水位骤降,影响此时上游坡土体稳定性的因素有水位降落速度、土体特性等。借助于渗流分析软件Geoslope和unsst2,不仅从渗流稳定性出发,说明了坡面渗水的危害;从防止大坝上游坡在库水位下... 大坝迎水坡的最不利工况是长期蓄水(高水位运行)后水位骤降,影响此时上游坡土体稳定性的因素有水位降落速度、土体特性等。借助于渗流分析软件Geoslope和unsst2,不仅从渗流稳定性出发,说明了坡面渗水的危害;从防止大坝上游坡在库水位下降时产生自由溢出点出发,拟合了不同k/μv时库水位下降的临界高度;而且考虑了由于各种原因产生的土体各向异性和基质吸力摩擦角φb对上游坝坡稳定性的影响。研究表明,对于库水位下降时上游坡稳定性分析,尤其应结合渗流场计算结果,同时考虑工程实际中各种因素的影响。 展开更多
关键词 库水位下降 流稳定性 坡面出渗临界坡降
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Analysis of TORCH results of retinal exudative changes in neonates
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作者 Cen Chao He Liying +1 位作者 Tao Xueying Liu Ya 《国际眼科杂志》 CAS 2024年第9期1367-1372,共6页
AIM:To explore the relationship between retinal exudative changes in neonates and perinatal toxoplasmosis,others,rubella,cytomegalovirus,and herpes simplex virus(TORCH)infections,as well as the characteristics of TORC... AIM:To explore the relationship between retinal exudative changes in neonates and perinatal toxoplasmosis,others,rubella,cytomegalovirus,and herpes simplex virus(TORCH)infections,as well as the characteristics of TORCH infection in neonates with retinal exudative changes.METHODS:Retrospective study.A total of 612 neonates with retinal exudative changes detected during ophthalmic screening in our hospital from May 2019 to March 2023 were selected.TORCH tests were performed on these neonates,and the results were subjected to statistical analysis to determine the infection characteristics.The neonates with retinal exudative changes were grouped by sex and age,the characteristics of TORCH infection were analyzed,and the positive rates were compared.RESULTS:Among the 612 neonates with retinal exudative changes,the highest positive rate was observed for cytomegalovirus(CMV-IgG)(96.7%),followed by rubella virus(RV-IgG)(73.9%).Mixed infections with two or three viruses were also observed,with the highest positive rate for mixed infection of RV-IgG and CMV-IgG reaching 71.2%.There was no statistically significant difference in TORCH infection among neonates of different sex(P>0.05).However,there were statistically significant differences in RV-IgG and CMV-IgM infections with retinal exudative changes among neonates of different age groups(P<0.05).CONCLUSION:Perinatal TORCH infection may be an important factor causing retinal exudative changes in neonates.The differences in various infections are not related to sex but are related to different age groups. 展开更多
关键词 NEONATES TORCH infection retinal exudation
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绕渗对闸坝及地基的安全影响
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作者 陈岩光 王建成 吴华 《黑龙江大学工程学报》 1999年第1期77-78,共2页
针对闸坝绕渗造成建筑物破坏的现象.分析了在工程设计中,必须对绕渗问题和地基渗流同时考虑.并提出了绕渗的控制措施.
关键词 地基闸坝 侧岸绕 扬压力 出渗坡降
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关于片剂溶出参数的讨论
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作者 王汉文 高鸿慈 《成空药学》 1992年第1期35-38,共4页
关键词 片剂 出渗 药物检验
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关于“内在水”补给土壤水的假设与初证 被引量:2
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作者 李佩成 《灌溉排水学报》 CSCD 北大核心 2010年第4期1-5,共5页
提出了关于土壤水产生的新假设——"内在水出渗补给说",即认为土壤水不仅来源于当地大气降水和地表水的入渗,而且还可能来源于"内在水"的"出渗";同时指出了土壤水在热动力驱动下,随季节温度变化的特征,并通过分析现有的实测资料,... 提出了关于土壤水产生的新假设——"内在水出渗补给说",即认为土壤水不仅来源于当地大气降水和地表水的入渗,而且还可能来源于"内在水"的"出渗";同时指出了土壤水在热动力驱动下,随季节温度变化的特征,并通过分析现有的实测资料,初步验证了提出假设的可信性。在结论与展望部分,论述了如果内在水出渗说成立将会具有的重大理论和实际意义,并提出深化研究的必要性和主要研究内容。 展开更多
关键词 土壤水 内在水 出渗 地温 土壤含水率
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关于“内在水”补给土壤水的假设与初证 被引量:3
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作者 李佩成 《地下水》 2010年第2期1-3,42,共4页
本文提出了关于土壤水产生的新假设——"内在水出渗补给说",即认为土壤水不仅来源于当地大气降水和地表水的入渗,而且还可能来源于"内在水"的"出渗";同时指出了土壤水在热动力驱动下,随季节温度变化的特... 本文提出了关于土壤水产生的新假设——"内在水出渗补给说",即认为土壤水不仅来源于当地大气降水和地表水的入渗,而且还可能来源于"内在水"的"出渗";同时指出了土壤水在热动力驱动下,随季节温度变化的特征,并通过分析现有的实测资料,初步验证了提出假设的可信性。在结论与展望部分,论述了如果内在水出渗说成立将会具有的重大理论和实际意义,并提出深化研究的必要性和主要研究内容。 展开更多
关键词 土壤水 内在水 出渗 地温 土壤含水率
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胸腹水与血清中前清蛋白的联合检测及意义
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作者 张淑艳 《国际检验医学杂志》 CAS 2012年第19期2399-2400,共2页
目的探讨患者胸腹水和血清中前清蛋白(PA)测定对良、恶性胸腹水以及渗出液、漏出液鉴别的意义。方法将82例患者的胸腹水标本分为2组,良性胸腹水组43例,恶性胸腹水组39例;根据胸腹水形成原因又将82例胸腹水标本分为渗出液组和漏出液组,... 目的探讨患者胸腹水和血清中前清蛋白(PA)测定对良、恶性胸腹水以及渗出液、漏出液鉴别的意义。方法将82例患者的胸腹水标本分为2组,良性胸腹水组43例,恶性胸腹水组39例;根据胸腹水形成原因又将82例胸腹水标本分为渗出液组和漏出液组,渗出液组51例,漏出液组31例,分别测定患者的胸腹水标本和血清标本中的PA浓度,并对检测结果进行比较分析。结果良性胸腹水组和恶性胸腹水组中的PA浓度和胸腹水、血清PA浓度比值的差异均无统计学意义(P>0.05);漏出液组的PA浓度和胸腹水、血清PA浓度比值均明显低于渗出液组,差异有统计学意义(P<0.05)。结论胸腹水标本与血清标本中PA测定对渗出液和漏出液的鉴别具有一定的价值。 展开更多
关键词 腹水液 胸腔积液 血清白蛋白 肺液和滤
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Effect of Organic Acids and Protons on Release of Non-Exchangeable NH_4^+ in Flooded Paddy Soils 被引量:7
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作者 ZHANGYong-Song SHAOXing-Hua +1 位作者 LINXian-Yong H.W.SCHERER 《Pedosphere》 SCIE CAS CSCD 2005年第3期273-280,共8页
In a model experiment, which imitated the rhizosphere of rice, the effect of organic acids (oxalic acid, citric acid) and protons on the release of non-exchangeable NH4+ and the resin adsorption of N was studied in a ... In a model experiment, which imitated the rhizosphere of rice, the effect of organic acids (oxalic acid, citric acid) and protons on the release of non-exchangeable NH4+ and the resin adsorption of N was studied in a paddy soil, typical for Zhejiang Province, China. Oxalic and citric acids under low pH conditions, in combination with proton secretion, favored the mobilization of NH4+ ions and increased resin adsorption of N. The release of non-exchangeable NH4+ was associated with less formation of iron oxides. These could coat clay minerals and thus hinder the diffusion of NH4+ ions out of the interlayer. Protons enhanced the release of NH4+, and then they could enter the wedge zones of the clay minerals and displace non-exchangeable NH4+ ions. 展开更多
关键词 ammonium release exchange resin non-exchangeable ammonium paddy soil root exudates
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Experimental Study of Preferential Solute Transportation During Dump Leaching 被引量:2
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作者 YIN Sheng-hua WU Ai-xiang 《Journal of China University of Mining and Technology》 EI 2006年第4期416-420,共5页
The production of dump leaching of the Dexing Copper Mine was affected by a preferential solution flow. Formative mechanism of the preferential solution flow was investigated by analyzing the relationship between both... The production of dump leaching of the Dexing Copper Mine was affected by a preferential solution flow. Formative mechanism of the preferential solution flow was investigated by analyzing the relationship between both dump permeability and surface tension and ore diameter. The preferential solution flow occured in the fine ore area when the application rate was low. The preferential solution flow entered into the coarse ore area because the negative pore water pressure disappeared with an increase of the application rate. The preferential solute transportation experiment was conducted by selecting NaCl as mineral. Results of the experiment showed that the concentration of the outflow solution reduced over time. The concentration of the coarse ore area outflow solution was greater than that of the fine ore area. The process of NaCl leaching can be divided into two stages. NaCl was carried out directly by diffusion--convection during the first stage, so the leaching rate increased sharply. But in the second stage, only a small amount of NaCl dissolved in the immobile water. The leaching rate increased slowly because NaC1, dissolved in the immobile water, can only be leached by diffusion. 展开更多
关键词 dump leaching preferential solution flow SOLUTE preferential transportation application rate leaching rate
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Determination of Organic Acids in Root Exudates by High Performance Liquid Chromatography:Ⅱ.Influence of Several Testing Conditions 被引量:2
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作者 SHENJIANBO ZHANGFUSUO 《Pedosphere》 SCIE CAS CSCD 1999年第1期45-52,共8页
Effects of column temperature and flow rate on separation of organic acids were studied by determining nine low-molecular-weight organic acids on reversed- phase C18 column, using high performance liquid chromatograph... Effects of column temperature and flow rate on separation of organic acids were studied by determining nine low-molecular-weight organic acids on reversed- phase C18 column, using high performance liquid chromatography (HPLC) with a wavelength of UV (ultraviolet) 214 urn and a mobile phase of 18 mmol L-1 KH2PO4 buffer solution (pH 2.1). The thermal stability of organic acids was determined by comparing the recoveries of organic acids in different temperature treatments. The relationships between column temperature, flow rate or solvent pH and retention time were analyzed. At low solvent pH, separation efficiency of organic acids was increased by raising the flow rate of the solvent because of lowering the retention time of organic acids. High column temperature was unfavorable for the separation of organic acids. The separating effect can be enhanced through reducing column temperature in organic acid determination due to increasing retention time. High thermal stability of organic acids with low concentrations was observed at temperature of 40 ℃-45℃. Sensitivity and separation effect of organic acid determination by HPLC were clearly improved by a combination of raising flow rate and lowering column temperature at low solvent pH. 展开更多
关键词 chromatographic conditions high performance liquid chromatography (HPLC) organic acids root exudates
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Principle and engineering application of pressure relief gas drainage in low permeability outburst coal seam 被引量:15
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作者 LIU lin CHENG Yuan-ping +2 位作者 WANG Hai-feng WANG Liang MA Xian-qin 《Mining Science and Technology》 EI CAS 2009年第3期342-345,351,共5页
With the increase in mining depth, the danger of coal and gas outbursts increases.In order to drain coal gas effectively and to eliminate the risk of coal and gas outbursts, we used a specific number of penetration bo... With the increase in mining depth, the danger of coal and gas outbursts increases.In order to drain coal gas effectively and to eliminate the risk of coal and gas outbursts, we used a specific number of penetration boreholes for draining of pressure relief gas.Based on the principle of overlying strata movement, deformation and pressure relief, a good effect of gas drainage was obtained.The practice in the Panyi coal mine has shown that, after mining the C11coal seam as the protective layer, the relative expansion deformation value of the protected layer C13 reached 2.63%, The permeability coefficient increased 2880 times, the gas drainage rate of the C13 coal seam increased to more than 60%, the amount of gas was reduced from 13.0 to 5.2 m3/t and the gas pressure declined from 4.4 to 0.4 MPa, which caused the danger the outbursts in the coal seams to be eliminated.The result was that we achieved a safe and highly efficient mining operation of the C13 coal seam. 展开更多
关键词 protective layer mining technology principle drainage of pressure relief gas engineering application
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Experimental Investigation on Flow and Scour Characteristics Around Tandem Piers in Sandy Channel With Downward Seepage 被引量:4
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作者 Rutuja Chavan Bimlesh Kumar 《Journal of Marine Science and Application》 CSCD 2017年第3期313-322,共10页
Experimental investigations have been carried out to study morpho-hydraulic characteristics such as scour geometry and turbulent flow properties around tandem piers in alluvial channels. Experiments were carried out i... Experimental investigations have been carried out to study morpho-hydraulic characteristics such as scour geometry and turbulent flow properties around tandem piers in alluvial channels. Experiments were carried out in a plane sand bed with two circular piers of same diameter arranged in tandem manner under no seepage, 10% seepage and 20% seepage conditions. Downward seepage minimizes the scour depth around piers and restrains the development of scour depth with time. Strong reversal flow is found near the bed at upstream of piers and near free surface at downstream of piers where velocity and Reynolds shear stress are found to be negative which reduce in magnitude with downward seepage. The flow is more critical within the gap between two piers where velocity is lesser near free surface and gradually increasing towards bed. Quadrant analysis shows that contribution of each event to the total Reynolds shear stress increases with downward seepage. Sedimentation effect prevails within the scour hole whereas outside the scour hole erosive forces become more dominant. Reduced reversal flow at upstream of pier because of downward seepage results in decreasing higher order moments and turbulent kinetic energy. At downstream of piers, secondary currents are dominant due to wake vortices. Strouhal number decreases in case of seepage runs than no seepage condition. 展开更多
关键词 PIERS experimental investigation downward seepage moments SCOUR Strouhal number tandem arrangement turbulent kinetic energy
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Quantification of Methane Fluxes from Hydrocarbon Seeps to the Ocean and Atmosphere:Development of an in situ and Online Gas Flux Measuring System 被引量:1
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作者 DI Pengfei CHEN Qinghua CHEN Duofu 《Journal of Ocean University of China》 SCIE CAS CSCD 2017年第3期447-454,共8页
Natural hydrocarbon seeps in the marine environment are important contributors to greenhouse gases in the atmosphere. Such gases include methane, which plays a significant role in global carbon cycling and climate cha... Natural hydrocarbon seeps in the marine environment are important contributors to greenhouse gases in the atmosphere. Such gases include methane, which plays a significant role in global carbon cycling and climate change. To accurately quantify the methane flux from hydrocarbon seeps on the seafloor, a specialized in situ and online gas flux measuring(GFM) device was designed to obtain high-resolution time course gas fluxes using the process of equal volume exchange. The device consists of a 1.0-m diameter, 0.9-m tall, inverted conical tent and a GFM instrument that contains a solenoid valve, level transducer, and gas collection chamber. Rising gas bubbles from seeps were measured by laboratory-calibrated GFM instruments attached to the top of the tent. According to the experimental data, the optimal anti-shake time interval was 5 s. The measurement range of the device was 0–15 L min^(-1), and the relative error was ± 1.0%. The device was initially deployed at an active seep site in the Lingtou Promontory seep field in South China Sea. The amount of gas released from a single gas vent was 30.5 m^3 during the measurement period, and the gas flow rate ranged from 22 to 72 Lh^(-1), depending on tidal period, and was strongly negatively correlated with water depth. The measurement results strongly suggest that oceanic tides and swells had a significant forcing effect on gas flux. Low flow rates were associated with high tides and vice versa. The changes in gas volume escaping from the seafloor seeps could be attributed to the hydrostatic pressure induced by water depth. Our findings suggest that in the marine environment, especially in the shallow shelf area, sea level variation may play an important role in controlling methane release into the ocean. Such releases probably also affect atmospheric methane levels. 展开更多
关键词 hydrocarbon seeps GFM device in situ equal volume exchange Methane flux South China Sea
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Role of diaphragm in pancreaticopleural fistula 被引量:2
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作者 Anestis P Ninos Stephanos K Pierrakakis 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第32期3759-3760,共2页
A pancreatic pleural effusion may result from a pancreatopleural fistula. We herein discuss two interesting issues in a similar case report of a pleural effusion caused after splenectomy, which was recently published ... A pancreatic pleural effusion may result from a pancreatopleural fistula. We herein discuss two interesting issues in a similar case report of a pleural effusion caused after splenectomy, which was recently published in the World Journal of Gastroenterology . Pancreatic exudate passes directly through a natural hiatus in the diaphragm or by direct penetration through the dome of the diaphragm from a neighboring subdiaphragmatic collection. The diaphragmatic lymphatic "stomata" does not contribute to the formation of such a pleural effusion, as it is inaccurately mentioned in that report. A strictly conservative approach is recommended in that article as the management of choice. Although this may be an option in selected frail patients, there has been enough accumulative evidence that a pancreaticopleural fistula may be best managed by early endoscopy in order to avoid complications causing prolonged hospitalization. 展开更多
关键词 FISTULA Pleural effusion Pancreatic surgery
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