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应用动脉压力波形心排量监测法监测妊娠合并重度肺动脉高压孕妇剖宫产术中血流动力学变化规律 被引量:7
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作者 景赫 卢家凯 +9 位作者 卿恩明 张京岚 王慧 程卫平 董秀华 刘醒帅 杨旸 王辉 高志峰 于海娇 《心肺血管病杂志》 CAS 2014年第2期232-236,共5页
目的:观察动脉压力波形心排量监测法(arterial pressure-based cardiac output,APCO)监测下,妊娠合并重度肺动脉高压孕妇剖宫产术中血流动力学变化规律及APCO在该类患者的临床应用。方法:妊娠合并先天性心脏病(先心病)重度肺动脉高压行... 目的:观察动脉压力波形心排量监测法(arterial pressure-based cardiac output,APCO)监测下,妊娠合并重度肺动脉高压孕妇剖宫产术中血流动力学变化规律及APCO在该类患者的临床应用。方法:妊娠合并先天性心脏病(先心病)重度肺动脉高压行择期剖宫产术患者30例,所有患者术中均采用APCO监测。均采用连续硬膜外麻醉,用药按照缓慢、分次给药、逐渐扩散麻醉平面的原则。记录各观察时点的脉搏氧饱和度(SpO2)、HR、中心静脉压(CVP)、SBP、DBP、平均动脉压(MAP)、心排量(CO)、心脏指数(CI)、每搏量(SV)、心搏指数(SVI)、体循环阻力(SVR)及体循环阻力指数(SVRI)。结果:与硬膜外给药前相比,硬膜外给药3min后HR、SpO2、CVP及CO无明显变化,但BP、SVR下降(P<0.05)。与胎儿娩出前相比,胎儿娩出后、子宫体注射缩宫素10U(T6)时,BP、SpO2、SVR降低及HR、CO增加等变化均差异有统计学意义(P<0.05),但CVP的变化并差异无统计学意义(P>0.05)。给予缩宫素2min后,以上变化更为明显。结论:该类患者剖宫产术血流动力学变化主要发生在连续硬膜外麻醉起效阶段以及胎儿娩出前后,主要表现为SVR和SpO2下降。APCO监测,因其微创及不受心内分流影响具有较高的可行性与可信度,适用于妊娠合并先心病重度肺动脉高压者的围术期监测。 展开更多
关键词 妊娠 重度肺动脉高压 动脉压力波形心排量监测 连续硬膜外麻醉 血流动力学
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压力实时监测法在管道泄漏检测中的应用
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作者 张峰 于鸣笛 《石化技术》 CAS 2016年第3期223-223,250,共2页
本文以管道的泄漏问题为主要研究对象,对其具体的检测方法进行了重点研究和分析。
关键词 管道泄漏 检测 压力实时监测 应用
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大型密封容器高精度气密性检查方法初探 被引量:3
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作者 刘平 王相玉 曾飞 《机械设计与制造》 北大核心 2020年第7期93-95,共3页
大型密封容器容积大,密封连接接口多。为方便高效对容器进行气密性检查,通过重复的可靠性气密性检查实验研究了不同气密性检查方法的适用性。压力监测法精度低,受温度和容积变化影响大。氦质谱检漏法有残留氦气,操作复杂且耗时长。建立... 大型密封容器容积大,密封连接接口多。为方便高效对容器进行气密性检查,通过重复的可靠性气密性检查实验研究了不同气密性检查方法的适用性。压力监测法精度低,受温度和容积变化影响大。氦质谱检漏法有残留氦气,操作复杂且耗时长。建立了可靠性保证的气密性检查方法,该方法采用压力监测法的实测数据和氦质谱检漏法的大量实验数据来保证高精度漏率的可靠性。研究表明,该可靠性方法对大型密封容器的适用性较好,在实际工程应用中只需对容器开展压力监测法。 展开更多
关键词 大型密封容器 氦质谱检漏 压力监测法 可靠性方
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Effect of rainfall on a colluvial landslide in a debris flow valley
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作者 QIAO Liang MENG Xing-min +4 位作者 CHEN Guan ZHANG Yi GUO Peng ZENG Run-qiang LI Ya-jun 《Journal of Mountain Science》 SCIE CSCD 2017年第6期1113-1123,共11页
A colluvial landslide in a debris flow valley is a typical phenomena and is easily influenced by rainfall. The direct destructiveness of this kind of landslide is small, however, if failure occurs the resulting blocki... A colluvial landslide in a debris flow valley is a typical phenomena and is easily influenced by rainfall. The direct destructiveness of this kind of landslide is small, however, if failure occurs the resulting blocking of the channel may lead to a series of magnified secondary hazards. For this reason it is important to investigate the potential response of this type of landslide to rainfall. In the present paper, the Goulingping landslide, one of the colluvial landslides in the Goulingping valley in the middle of the Bailong River catchment in Gansu Province, China, was chosen for the study. Electrical Resistivity Tomography(ERT), Terrestrial Laser Scanning(TLS), together with traditional monitoring methods, were used to monitor changes in water content and the deformation of the landslide caused by rainfall. ERT was used to detect changes in soil water content induced by rainfall. The most significant findings were as follows:(1) the water content in the centralupper part(0~41 m) of the landslide was greaterthan in the central-front part(41~84 m) and(2) there was a relatively high resistivity zone at depth within the sliding zone. The deformation characteristics at the surface of the landslide were monitored by TLS and the results revealed that rainstorms caused three types of deformation and failure:(1) gully erosion at the slope surface;(2) shallow sliding failure;(3) and slope foot erosion. Subsequent monitoring of continuous changes in pore-water pressure, soil pressure and displacement(using traditional methods) indicated that long duration light rainfall(average 2.22 mm/d) caused the entire landslide to enter a state of creeping deformation at the beginning of the rainy season. Shear-induced dilation occurred for the fast sliding(30.09 mm/d) during the critical failure sub-phase(EF). Pore-water pressure in the sliding zone was affected by rainfall. In addition, the sliding L1 parts of the landslide exerted a discontinuous pressure on the L2 part. Through the monitoring and analysis, we conclude that this kind of landslide may have large deformation at the beginning and the late of the rainy season. 展开更多
关键词 Colluvial landslide Debris flow Rainfall Electrical resistivity tomography Terrestrial laser scanning Electrical resistivity tomography
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