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引光器联合呼吸末CO_2在强直性脊柱炎合并插管困难患者中应用的效果分析 被引量:2
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作者 包长顺 包文朝 吴非 《中国医药导报》 CAS 2014年第9期86-88,共3页
目的评价强直性脊柱炎(AS)合并困难气管插管时用气管插管引光器(引光器)结合呼吸末二氧化碳(PetCO2)经右侧磨牙气管插管的效果及心血管应激反应。方法选择42例AS合并困难插管拟施全身麻醉患者,入选AS均伴有颈椎侵犯、颈椎前屈后伸受限... 目的评价强直性脊柱炎(AS)合并困难气管插管时用气管插管引光器(引光器)结合呼吸末二氧化碳(PetCO2)经右侧磨牙气管插管的效果及心血管应激反应。方法选择42例AS合并困难插管拟施全身麻醉患者,入选AS均伴有颈椎侵犯、颈椎前屈后伸受限符合困难插管,随机分为Ⅰ、Ⅱ两组,每组21例,Ⅰ组为引光器插管组,Ⅱ组引光器联合PetCO2插管,两组均用镇静慢诱导方法,咽喉部表麻用气管插管引光器插管引导配合PetCO2经右侧磨牙插管。比较两组插管成功率,插管时间等情况。结果Ⅰ组一次插管成功率为90.48%,二次插管成功率为9.52%,Ⅱ组一次成功率为95.24%,二次插管成功率为4.76%。插管时间Ⅰ组(45.43±5.23)s,Ⅱ组(40.62±4.75)s,两组插管时间差异有统计学意义(P<0.05)。两组插管即刻收缩压相比,差异有统计学意义(P<0.05)。结论气管插管引光器用于AS困难插管具有良好的插管效果,引光器加PetCO2比单独用引光器更适合于困难插管中,并可缩短插管时间。 展开更多
关键词 困难插管 强直性脊柱炎 气管插管 引光器 呼吸末二氧化碳分压
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喉镜法与引光器气管插管对心血管反应的影响 被引量:1
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作者 包长顺 宏杰 +5 位作者 苏国友 王翠荣 吴非 贾海鹰 代辉 韩俊喜 《中国医师进修杂志(外科版)》 2006年第9期63-64,共2页
目的探讨喉镜法与引光器气管插管时对心血管应激反应程度的影响。方法选择腹部及脑肿瘤手术患者64例,随机分成两组:喉镜插管(对照组)32例;引光器气管插管(观察组)32例。两组麻醉诱导均用咪唑安定0.1mg/kg、利多卡因1.5mg/kg、维库溴铵0.... 目的探讨喉镜法与引光器气管插管时对心血管应激反应程度的影响。方法选择腹部及脑肿瘤手术患者64例,随机分成两组:喉镜插管(对照组)32例;引光器气管插管(观察组)32例。两组麻醉诱导均用咪唑安定0.1mg/kg、利多卡因1.5mg/kg、维库溴铵0.1mg/kg、芬太尼5μg/kg及丙泊酚1mg/kg。记录麻醉诱导前、诱导后,插管即刻、插管5min的收缩压(SBP)、舒张压(DBP)、心率(HR)、心肌缺血阈值(RPP)、血氧饱和度(SpO2)、心电图(ECG)变化。结果两组诱导后SBP、DBP、RPP均下降(P<0.01),而HR变化无统计学意义(P>0.05);插管即刻较诱导后,对照组SBP、DBP、RPP均增高,差异有统计学意义(P<0.01),HR也增快(P<0.05),观察组SBP、DBP、HR、RPP无明显变化(P>0.05);插管后5min,对照组SBP下降明显(P<0.05),DBP、HR、RPP下降幅度大(P<0.01),而观察组除HR下降明显(P<0.05)外,SBP、DBP、RPP差异无统计学意义(P>0.05)。结论引光器气管插管对心血管刺激较小,尤其对血压影响小,降低RPP,插管期间心血管功能较稳定。 展开更多
关键词 气管插管引光器 喉镜 气管内插管 心血管应激反应
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气管插管引光器在困难插管中的临床应用
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作者 包长顺 吴非 +1 位作者 贾海鹰 王翠荣 《实用医学杂志》 CAS 2008年第6期987-988,共2页
目的:研究气管插管引光器(简称引光器)对处理困难气管插管的效果。方法:对困难气管插管26例患者,12例采用镇静慢诱导法,14例采用全麻诱导,先用喉镜试插管未成功者均改引光器插管,并记录插管次数、时间及插管期间血氧饱和度(SpO)2、BP变... 目的:研究气管插管引光器(简称引光器)对处理困难气管插管的效果。方法:对困难气管插管26例患者,12例采用镇静慢诱导法,14例采用全麻诱导,先用喉镜试插管未成功者均改引光器插管,并记录插管次数、时间及插管期间血氧饱和度(SpO)2、BP变化,插管时的副损伤。结果:喉镜插管次数(4.50±1.38)次,引光器(1.85±0.62)次,两种方法相比较差异有显著性(P<0.01),插管总时间喉镜(886.20±33.00)s,引光器(26.15±16.92)s(P<0.01),SpO2于喉镜插管期间降低,需面罩通气1~2min,引光器插管期间无需面罩通气即插管成功,BP在喉镜插管时较引光器插管增高(P<0.05)。结论:引光器用于成人困难气管插管是一种经济、简捷、可靠易行的有效插管器械,可进一步研究推广应用。 展开更多
关键词 插管法 气管内 喉镜 气管插管引光器
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气管插管引光器经右侧磨牙径路用于困难插管的研究
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作者 包长顺 宏杰 +2 位作者 朱博 包文朝 吴非 《现代中西医结合杂志》 CAS 2011年第35期4542-4543,共2页
目的探讨气管插管引光器经右侧磨牙径路在困难插管中的作用。方法选择52例困难插管拟定手术的患者分为2组,对照组26例应用气管插管引光器经口腔正中径路进行插管,观察组26例将气管插管引光器经右侧磨牙径路插管,2组麻醉诱导均用健忘镇... 目的探讨气管插管引光器经右侧磨牙径路在困难插管中的作用。方法选择52例困难插管拟定手术的患者分为2组,对照组26例应用气管插管引光器经口腔正中径路进行插管,观察组26例将气管插管引光器经右侧磨牙径路插管,2组麻醉诱导均用健忘镇静镇痛慢诱导,用药后2 min以2%利多卡因咽喉部进行表面麻醉,患者嗜睡后保留自主呼吸进行气管插管术。观察2组插管期间呼吸频率(RR)、血氧分压(Sp(O2))、血压(BP)、心率(HR)、心肌缺血阈值(RpP)、插管副损伤、插管时间及插管次数等。结果 2组插管时间及RpP指标比较均有显著性差异(P均<0.05)。对照组一次插管成功率92%,观察组一次插管成功率96%,2组2次插管成功率均为100%。结论气管插管引光器经右侧磨牙径路用于困难气管插管通过性好,可以节省时间,是一种良好的插管径路。 展开更多
关键词 气管插管引光器 困难插管 右侧磨牙径路 清醒慢诱导
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气管插管引光器用于困难气道气管插管的体会
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作者 朱晓军 陆磊 +2 位作者 朱海蓉 王兵 钱梅花 《山西医药杂志(上半月)》 CAS 2009年第4期361-362,共2页
关键词 气管插管引光器 困难气道 气管插管困难 气管插管技术 临床麻醉 解剖变异 发育畸形 气道管理
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软质激光气管插管引光器引导患儿气管插管术的效果 被引量:2
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作者 李新鹏 章艳君 +1 位作者 刘金柱 王世民 《中华麻醉学杂志》 CAS CSCD 北大核心 2019年第3期350-352,共3页
目的评价软质激光气管插管引光器引导患儿气管插管术的效果.方法拟行经口气管插管全麻手术患儿90例,ASA分级Ⅰ或Ⅱ级,年龄4~8岁,性别不限.采用随机数字表法分为2组(n=45):软质激光气管插管引光器组(A组)和直接喉镜组(B组).麻醉诱导后,A... 目的评价软质激光气管插管引光器引导患儿气管插管术的效果.方法拟行经口气管插管全麻手术患儿90例,ASA分级Ⅰ或Ⅱ级,年龄4~8岁,性别不限.采用随机数字表法分为2组(n=45):软质激光气管插管引光器组(A组)和直接喉镜组(B组).麻醉诱导后,A组在软质激光气管插管引光器引导下行气管插管术,B组在直接喉镜引导下行气管插管术.记录气管插管期间高血压和心动过速的发生情况、气管插管时间和成功情况.记录术后24h咽痛、声音嘶哑、失声及吞咽困难的发生情况.结果与B组比较,A组总气管插管成功率差异无统计学意义(P>0.05),首次气管插管成功率升高,气管插管时间缩短,高血压、心动过速和咽痛的发生率降低(P<0.05).结论与直接喉镜相比,软质激光气管插管引光器引导患儿气管插管术的效果更佳. 展开更多
关键词 插管法 气管内 儿童 引光器
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The Latest Study of Gravitational Wave Communication System
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作者 Yoshinari Minami 《Journal of Earth Science and Engineering》 2016年第3期164-176,共13页
Gravitational wave is a strain wave of space and this can be also generated by strong magnetic field. The principle of gravitational wave generation using the fluctuation in strain field induced by magnetic field is i... Gravitational wave is a strain wave of space and this can be also generated by strong magnetic field. The principle of gravitational wave generation using the fluctuation in strain field induced by magnetic field is introduced. Using both foregoing gravitational wave generator and gravitational wave detector (i.e. laser interferometric gravitational wave antenna), the gravitational communication system can be possible. This paper introduces its content presented at 20th Annual Lecture (1989) and the research trends in the latest gravitational wave. 展开更多
关键词 Gravitational wave SPACE-TIME CONTINUUM space strain strain wave CURVATURE gravitational wave communication.magnetic field.
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光引导气管插管技术临床应用进展 被引量:1
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作者 李新鹏 《医学信息》 2019年第1期62-64,共3页
光引导技术是一种利用颈部软组织透光原理来引导气管插管的方法,本文分别从光引导插管技术原理,插管设备,插管方法,临床应用,优越性和缺陷方面加以介绍;其具有成功率高、损伤小、安全有效、方便快捷的特点,现已广泛应用于临床各种气管... 光引导技术是一种利用颈部软组织透光原理来引导气管插管的方法,本文分别从光引导插管技术原理,插管设备,插管方法,临床应用,优越性和缺陷方面加以介绍;其具有成功率高、损伤小、安全有效、方便快捷的特点,现已广泛应用于临床各种气管插管中,未来在临床中的应用也会越来越广泛。 展开更多
关键词 光棒 引光器 光索 气管插管
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Effective spectral index properties for Fermi blazars 被引量:1
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作者 JiangHe Yang JunHui Fan +4 位作者 Yi Liu YueLian Zhang ManXian Tuo JianJun Nie YuHai Yuan 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS CSCD 2018年第5期46-52,共7页
Blazars are a special subclass of active galactic nuclei with extreme observation properties. This subclass can be divided into two further subclasses of flat spectrum radio quasars(FSRQs) and BL Lacertae objects(BL L... Blazars are a special subclass of active galactic nuclei with extreme observation properties. This subclass can be divided into two further subclasses of flat spectrum radio quasars(FSRQs) and BL Lacertae objects(BL Lacs) according to their emission line features. To compare the spectral properties of FSRQs and BL Lacs, the 1.4 GHz radio, optical R-band, 1 keV X-ray, and 1 GeVy-ray flux densities for 1108 Fermi blazars are calculated to discuss the properties of the six effective spectral indices of radio to optical(α_(RO)), radio to X-ray(α_(RX)), radio to y ray(α_(Ry)), optical to X-ray(α_(OX)), optical to y ray(α_(Oy)), and X-ray to y ray(α_(Xy)).The main results are as follows: For the averaged effective spectral indices, α_(OX_> α_(Oy)> α_(Xy)> α_(Ry)> α_(RX)> α_(RO) for samples of whole blazars and BL Lacs; α_(Xy)≈α_(Ry)≈α_(RX) for FSRQs and low-frequency-peaked BL Lacs(LBLs); and α_(OX)≈α_(Oy)≈α_(Xy) for high-synchrotron-frequency-peaked BL Lacs(HBLs). The distributions of the effective spectral indices involving optical emission(α_(RO), α_(OX), and α_(Oy)) for LBLs are different from those for FSRQs, but if the effective spectral index does not involve optical emission(α_(RX), α_(Ry), and α_(Xy)), the distributions for LBLs and FSRQs almost come from the same parent population. X-ray emissions from blazars include both synchrotron and inverse Compton (IC) components; the IC component for FSRQs and LBLs accounts for a larger proportion than that for HBLs; and the radiation mechanism for LBLs is similar to that for FSRQs, but the radiation mechanism for HBLs is different from that for both FSRQs and LBLs in X-ray bands. The tendency of α_(Ry) decreasing from LBLs to HBLs suggests that the synchrotron self-Compton model explains the main process for highly energetic y rays in BL Lacs. 展开更多
关键词 active galactic nuclei (AGNs) BLAZARS effective spectral index
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Sodium guide star laser generation by single-pass frequency doubling in a periodically poled near-stoichiometric LiTaO_3 crystal 被引量:2
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作者 YUAN Ye ZHANG Lei +4 位作者 LIU YanHua Lü XinJie ZHAO Gang FENG Yan ZHU ShiNing 《Science China(Technological Sciences)》 SCIE EI CAS 2013年第1期125-128,共4页
We report in this work a continuous wave(CW) narrowband 589 nm light generation for the purpose of laser guide assisted adaptive optics.A 39 mm long 1 mm thick periodically poled near stoichiometric LiTaO3 crystal wit... We report in this work a continuous wave(CW) narrowband 589 nm light generation for the purpose of laser guide assisted adaptive optics.A 39 mm long 1 mm thick periodically poled near stoichiometric LiTaO3 crystal with duty cycle near 50% was fabricated using electrical poling at room temperature and pumped by a Raman fiber amplifier.We tested two temperature control ovens,and a maximum conversion efficiency of about 14.3%,corresponding to 4 W of yellow light with 28 W of fundamental power,and bandwidth less than 0.18 GHz was achieved. 展开更多
关键词 sodium guide star laser periodically poling stoichiometric LiTaO3 Raman fiber amplifier frequency conversion
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Gravitational wave astronomy: the current status 被引量:4
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作者 BLAIR David JU Li +37 位作者 ZHAO ChunNong WEN LinQing CHU Qi FANG Qi CAI RongGen GAO JiangRui LIN XueChun LIU Dong WU Ling-An ZHU ZongHong REITZE David H. ARAI Koji ZHANG Fan FLAMINIO Raffaele ZHU XingJiang HOBBS George MANCHESTER Richard N. SHANNON Ryan M. BACCIGALUPI Carlo GAO Wei XU Peng BIAN Xing CAO ZhouJian CHANG ZiJing DONG Peng GONG XueFei HUANG ShuangLin JU Peng LUO ZiRen QIANG Li'E TANG WenLin WAN XiaoYun WANG Yue XU ShengNian ZANG YunLong ZHANG HaiPeng LAU Yun-Kau NI Wei-Tou 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS CSCD 2015年第12期3-43,共41页
In the centenary year of Einstein's General Theory of Relativity, this paper reviews the current status of gravitational wave astronomy across a spectrum which stretches from attohertz to kilohertz frequencies. Se... In the centenary year of Einstein's General Theory of Relativity, this paper reviews the current status of gravitational wave astronomy across a spectrum which stretches from attohertz to kilohertz frequencies. Sect. 1 of this paper reviews the historical development of gravitational wave astronomy from Einstein's first prediction to our current understanding the spectrum. It is shown that detection of signals in the audio frequency spectrum can be expected very soon, and that a north-south pair of next generation detectors would provide large scientific benefits. Sect. 2 reviews the theory of gravitational waves and the principles of detection using laser interferometry. The state of the art Advanced LIGO detectors are then described. These detectors have a high chance of detecting the first events in the near future. Sect. 3 reviews the KAGRA detector currently under development in Japan,which will be the first laser interferometer detector to use cryogenic test masses. Sect. 4 of this paper reviews gravitational wave detection in the nanohertz frequency band using the technique of pulsar timing. Sect. 5 reviews the status of gravitational wave detection in the attohertz frequency band, detectable in the polarisation of the cosmic microwave background, and discusses the prospects for detection of primordial waves from the big bang. The techniques described in sects. 1–5 have already placed significant limits on the strength of gravitational wave sources. Sects. 6 and 7 review ambitious plans for future space based gravitational wave detectors in the millihertz frequency band. Sect. 6 presents a roadmap for development of space based gravitational wave detectors by China while sect. 7 discusses a key enabling technology for space interferometry known as time delay interferometry. 展开更多
关键词 gravitational waves ground based detectors pulsar timing spaced based detectors CMB
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Technology for the next gravitational wave detectors 被引量:4
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作者 MITROFANOV Valery P. CHAO Shiuh +4 位作者 PAN Huang-Wei KUO Ling-Chi COLE Garrett DEGALLAIX Jerome WILLKE Benno 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS CSCD 2015年第12期65-90,共26页
This paper reviews some of the key enabling technologies for advanced and future laser interferometer gravitational wave detectors, which must combine test masses with the lowest possible optical and acoustic losses, ... This paper reviews some of the key enabling technologies for advanced and future laser interferometer gravitational wave detectors, which must combine test masses with the lowest possible optical and acoustic losses, with high stability lasers and various techniques for suppressing noise. Sect. 1 of this paper presents a review of the acoustic properties of test masses. Sect. 2 reviews the technology of the amorphous dielectric coatings which are currently universally used for the mirrors in advanced laser interferometers, but for which lower acoustic loss would be very advantageous. In sect. 3 a new generation of crystalline optical coatings that offer a substantial reduction in thermal noise is reviewed. The optical properties of test masses are reviewed in sect. 4, with special focus on the properties of silicon, an important candidate material for future detectors. Sect. 5 of this paper presents the very low noise, high stability laser technology that underpins all advanced and next generation laser interferometers. 展开更多
关键词 gravitational waves advanced techniques thermal noise COATING LASER
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Constraining photon mass by energy-dependent gravitational light bending
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作者 QIAN Lei 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS 2012年第3期523-526,共4页
In the standard model of particle physics, photons are massless particles with a particular dispersion relation. Tests of this claim at different scales are both interesting and important. Experiments in territory lab... In the standard model of particle physics, photons are massless particles with a particular dispersion relation. Tests of this claim at different scales are both interesting and important. Experiments in territory labs and several exterritorial tests have put some upper limits on photon mass, e.g., torsion balance experiment in the lab shows that photon mass should be smaller than 1.2 x 10-51g. In this work, this claim is tested at a cosmological scale by looking at strong gravitational lensing data available and an upper limit of 8.71 x 10-39g on photon mass is given. Observations of energy-dependent gravitational lensing with not yet available higher accuracy astrometry instruments may constrain photon mass better. 展开更多
关键词 ASTROMETRY SUN galaxy: nuclei
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