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低碳铝脱氧钢浸入式水口结瘤物分析与控制
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作者 周丹 高福彬 +1 位作者 张涛 巩彦坤 《河南冶金》 2024年第3期21-25,38,共6页
对浸入式水口结瘤物进行分析,水口内壁结瘤物呈现为片状、块球状、多面体状,尺寸为5~20μm,其主要是由钢液中的小尺寸Al_(2)O_(3)富集在水口内壁相互烧结形成的。水口外壁底部结瘤物为多面体状、片层状,尺寸一般在20μm以上,其为钢液在... 对浸入式水口结瘤物进行分析,水口内壁结瘤物呈现为片状、块球状、多面体状,尺寸为5~20μm,其主要是由钢液中的小尺寸Al_(2)O_(3)富集在水口内壁相互烧结形成的。水口外壁底部结瘤物为多面体状、片层状,尺寸一般在20μm以上,其为钢液在浇注过程中因二次氧化的Al_(2)O_(3)夹杂物不断长大形成的。通过转炉终点高拉碳,使转炉终点氧含量平均降至5.50×10^(-4);加强保护浇铸,中间包钢液全氧平均含量降至40×10^(-6)。采取优化措施后,有效减少了钢液中Al_(2)O_(3)夹杂物的生成量,同时避免了钢液的二次氧化,钢液可浇性明显提升。 展开更多
关键词 铝脱氧钢 浸入式水口 结瘤物 非金属夹杂
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ICP-AES测定结瘤物中Ti、Mg、Al、Ca、Si、Mn和Fe 被引量:1
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作者 蔡祖成 张军 汪云辉 《化学工程师》 CAS 2013年第3期24-26,共3页
研究ICP—AES同时测定结瘤物中Ti、Mg、A1、Ca、Si、Mn和Fe的分析条件。结瘤物试样以过氧化钠为熔剂,于镍坩埚内进行快速熔融,熔块以热水浸取,HCl溶解试样,制成母液。采用标准溶液制定校准曲线和内标法,ICP光谱仪直接测量试样溶液... 研究ICP—AES同时测定结瘤物中Ti、Mg、A1、Ca、Si、Mn和Fe的分析条件。结瘤物试样以过氧化钠为熔剂,于镍坩埚内进行快速熔融,熔块以热水浸取,HCl溶解试样,制成母液。采用标准溶液制定校准曲线和内标法,ICP光谱仪直接测量试样溶液中n、№、Al、ca、si、Mn和Fe含量。通过选取合适的工作参数与观测方式,采用基体匹配法测定了合成样及结瘤物样品,合成样品的回收率在98%-104%,实际样品独立测量8次的相对标准偏差均小于2.0%(RSD〈2.0%,n=8),本方法适用于生产检验。 展开更多
关键词 ICP—AES 结瘤物 基体效应 内标法
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爆破技术在清除回转窑内高温结瘤物的应用实践
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作者 肖锦 黄东平 +2 位作者 蔡建鑫 黄祖舟 邓刚 《煤矿爆破》 2019年第2期35-38,共4页
爆破法是一种清除高温结瘤快速高效的方法,但存在较大安全隐患.笔者根据某公司回转窑硫碱结瘤物的形状、厚度及位置等,选择了适宜的爆破器材,优化了爆破参数,并依据隔热试验和药量试爆,制取了安全可靠的隔热药包,通过快速地装药、填塞... 爆破法是一种清除高温结瘤快速高效的方法,但存在较大安全隐患.笔者根据某公司回转窑硫碱结瘤物的形状、厚度及位置等,选择了适宜的爆破器材,优化了爆破参数,并依据隔热试验和药量试爆,制取了安全可靠的隔热药包,通过快速地装药、填塞、连线和起爆,取得了较好的爆破效果. 展开更多
关键词 高温结瘤物 隔热处理 控制爆破 安全防护 硫碱结瘤物
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IF钢连铸浸入式水口结瘤机理分析及措施
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作者 白亚卿 姜丽梅 +2 位作者 程迪 韩闯闯 武伟 《福建冶金》 2024年第4期20-24,共5页
借助扫描电镜分析了连铸中间包浸入水口结瘤物的分布结构及化学组成,分析结果:结瘤物主要为Al_(2)O_(3)夹杂物。通过在钢水洁净度提升、连铸保护浇注优化、钢水稳态流场控制等方面查找原因建立改进措施;同时,进一步建立水口评级制度,规... 借助扫描电镜分析了连铸中间包浸入水口结瘤物的分布结构及化学组成,分析结果:结瘤物主要为Al_(2)O_(3)夹杂物。通过在钢水洁净度提升、连铸保护浇注优化、钢水稳态流场控制等方面查找原因建立改进措施;同时,进一步建立水口评级制度,规范指导现场水口使用。措施优化后,浸入式水口堵塞现象显著改善,产品卷夹杂物缺陷发生率由原来的0.98%降低到目前的0.13%。实现了铸坯与轧钢产品表面质量匹配,确保最终产品质量满足用户需求。 展开更多
关键词 IF钢 浸入式水口 结瘤物 钢水洁净度 保护浇注 流场控制
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含铝钢连铸时中间包水口结瘤物的成因分析 被引量:15
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作者 王宝明 潘贻芳 +2 位作者 田雷 侯葵 王文辉 《炼钢》 CAS 北大核心 2008年第6期41-43,共3页
通过对实际生产中含铝钢中间包水口结瘤物的取样分析,找出了其产生的原因。结果表明,含铝钢中间包水口结瘤物的成分主要为Al2O3,来源主要为悬浮于钢液中未排除的Al2O3夹杂和二次氧化物产物的聚集。通过工艺的优化改进,杜绝了此类情况的... 通过对实际生产中含铝钢中间包水口结瘤物的取样分析,找出了其产生的原因。结果表明,含铝钢中间包水口结瘤物的成分主要为Al2O3,来源主要为悬浮于钢液中未排除的Al2O3夹杂和二次氧化物产物的聚集。通过工艺的优化改进,杜绝了此类情况的发生。 展开更多
关键词 含铝钢 中间包水口 结瘤物 夹杂
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15 kA稀土熔盐电解槽炉底结瘤形成机制与对策 被引量:1
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作者 伍永福 马守营 +3 位作者 王振峰 边雪 刘中兴 柳云龙 《中国有色冶金》 CAS 北大核心 2023年第4期81-87,共7页
稀土金属镨钕合金生产过程中,易在熔盐电解槽炉底形成结瘤,不但影响生产的连续化,还对产品质量产生影响,目前相关文献多集中在结瘤产物成分及电解参数对结瘤的影响方面,鲜有文献对结瘤形成机理进行研究。本文分析了炉底结瘤物形貌和结... 稀土金属镨钕合金生产过程中,易在熔盐电解槽炉底形成结瘤,不但影响生产的连续化,还对产品质量产生影响,目前相关文献多集中在结瘤产物成分及电解参数对结瘤的影响方面,鲜有文献对结瘤形成机理进行研究。本文分析了炉底结瘤物形貌和结晶物组成,发现结瘤物的成分为氧化钕、氧化镨、氟氧化钕以及少量氟化钕和金属钕。采用数值模拟的方法对电解流场进行了分析,得出炉底结瘤物形成原因:加料速度过快是形成结瘤物的主要原因,氟氧化钕的熔点比熔盐高,易在石墨坩埚台阶上沉积形成结瘤物;稀土金属出炉时会带走大量的热,导致炉底温度出现较大变化,氧化钕在温度较低的区域容易析出,沉积在石墨坩埚台阶上;电解槽底部区域熔盐的流动性较差,使得在石墨坩埚台阶上析出的产物不能随熔盐流动而沉积。通过控制下料速度和保持合理电解温度,可以避免过剩的物料或者析出物料在坩埚台阶上沉积,及时清理炉底和台阶上积料可以控制结瘤物的增长速度。 展开更多
关键词 稀土熔盐电解 镨钕合金 结瘤物 形成机制 数值模拟 加料速度 电解温度 氧化钕析出
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深冲钢浸入式水口结瘤物分布及成分组成 被引量:2
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作者 史永振 冯哲 周慎 《金属功能材料》 CAS 2022年第1期95-99,共5页
对浸入式水口从不同位置分别进行取样,借助扫描电镜和能谱仪,观察不同位置的结瘤物宏观形貌和微观结构,并分析各个位置结瘤物的微观结构和成分组成。研究表明,浸入式水口结瘤物主要分为黄褐色结瘤物、白色结瘤物和冷钢3种;其中,黄褐色... 对浸入式水口从不同位置分别进行取样,借助扫描电镜和能谱仪,观察不同位置的结瘤物宏观形貌和微观结构,并分析各个位置结瘤物的微观结构和成分组成。研究表明,浸入式水口结瘤物主要分为黄褐色结瘤物、白色结瘤物和冷钢3种;其中,黄褐色结瘤物的主要成分为Al_(2)O_(3)、Fe以及少量FeO和SiO_(2)组成的混合物,白色结瘤物主要成分为Al_(2)O_(3)。 展开更多
关键词 深冲钢 结瘤物 微观结构 成分组成
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水口聚集类夹杂物对车轮疲劳裂纹的影响及其控制 被引量:1
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作者 金友林 杜松林 龚志翔 《炼钢》 CAS 北大核心 2022年第2期60-66,共7页
通过对辋裂失效车轮及其内部夹杂物的特征分析,表明该形式的疲劳裂纹是由钢中聚集类大尺寸夹杂物所致,该类夹杂物为钢中内生夹杂物在水口内壁聚集、脱落而滞留在钢中形成,其分布在连铸坯距表面20~40 mm位置,经过轧制后分布在车轮轮辋区... 通过对辋裂失效车轮及其内部夹杂物的特征分析,表明该形式的疲劳裂纹是由钢中聚集类大尺寸夹杂物所致,该类夹杂物为钢中内生夹杂物在水口内壁聚集、脱落而滞留在钢中形成,其分布在连铸坯距表面20~40 mm位置,经过轧制后分布在车轮轮辋区域,位于踏面以下10~20 mm位置,夹杂物尺寸一般超过500μm,主要为钙铝酸盐类夹杂物。通过钙处理工艺优化、连铸全程保护浇铸以及电磁搅拌参数优化等工艺优化措施,夹杂物在水口内壁吸附聚集得到有效控制,连铸浇铸稳定性及车轮产品质量得到明显改善,大尺寸夹杂物数量减少76%以上,且超过1 mm当量尺寸的夹杂物比例由35%降低为8%。 展开更多
关键词 疲劳裂纹 聚集类夹杂 水口结瘤物 保护浇铸
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优化工艺降低ER70S-6钢水结瘤事故
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作者 江金东 赵秀芳 +1 位作者 刘立德 何猛 《冶金标准化与质量》 2012年第6期42-45,共4页
通过对水钢ER70S-6浇注过程中发生套眼的现象进行分析,发现钢水套眼结瘤物主要是夹杂物,主要来源于钢液中二次氧化和未上浮的Al2O3,通过优化各工艺环节,解决了铜水套眼结瘤事故,提高了铸坯质量。
关键词 ER70S-6 结瘤物 Al2O3夹杂 优化工艺
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3kA钕电解槽炉底结瘤分析 被引量:7
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作者 郭海涛 高俊梅 +2 位作者 张小琴 刘中兴 张志宏 《包头钢铁学院学报》 2003年第4期310-312,共3页
对氧化钕在氟盐中电解生产金属钕炉底结瘤物进行了化学分析、X射线衍射分析及岩相分析.结果表明,
关键词 金属钕 电解 结瘤物
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连铸浸入式水口结瘤和堵塞的原因分析及控制措施 被引量:5
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作者 刘成宝 何毅 +1 位作者 王毅 许荣昌 《山东冶金》 CAS 2020年第3期12-15,共4页
分析了浸入式水口结瘤物、堵塞物的结构和大致化学成分,介绍了水口内壁结瘤和堵塞的多种原因,并从改善水口材质及结构、减少夹杂物或改性夹杂物、优化局部钢水流动状态和施加外场4个方面总结了抑制水口结瘤和堵塞的措施.
关键词 浸入式水口 结瘤物 堵塞 夹杂 水口材质
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冷轧钢带表面夹杂物的分析和控制
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作者 万秀娟 韦余传 +2 位作者 周汉全 李源源 司海逢 《柳钢科技》 2014年第5期33-36,共4页
分析柳钢冷轧低碳钢带表面存在的各类夹杂及其来源:结晶器保护渣卷入、中包覆盖剂卷入、大包下渣、水口结瘤物脱落和连铸二次氧化产物,通过实施优化与改进措施,将钢带表面夹杂不良品率由0.182%降至0.047%。
关键词 冷轧钢带 表面夹杂 不良品率 结晶器保护渣 中包覆盖剂 大包下渣 水口结瘤物 连铸二次氧化产
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连铸非稳态430不锈钢铸坯大型夹杂物分析
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作者 郎炜昀 王建昌 +2 位作者 王伟 翟俊 谷宇 《中国冶金》 CAS CSCD 北大核心 2024年第4期118-126,共9页
为探究连铸非稳态对不锈钢大型夹杂物的影响,采用热轧超声探伤法研究了结晶器液面波动下430不锈钢连铸坯中大型夹杂物类型、来源、尺寸、数量、在铸坯中分布以及对冷轧板表面质量的影响等。结果表明,大型夹杂物主要包括4种类型,其中41.3... 为探究连铸非稳态对不锈钢大型夹杂物的影响,采用热轧超声探伤法研究了结晶器液面波动下430不锈钢连铸坯中大型夹杂物类型、来源、尺寸、数量、在铸坯中分布以及对冷轧板表面质量的影响等。结果表明,大型夹杂物主要包括4种类型,其中41.3%来源于结晶器水口结瘤物,38.7%为保护渣卷渣物,13.3%为精炼渣卷渣物,6.7%为内生夹杂物。水口结瘤物型夹杂物、精炼渣卷渣物和内生夹杂物一般在钢液出结晶器水口之前就已产生,主要集中在铸坯厚度方向距内弧面1/3到1/4处以及靠近窄面附近,保护渣卷渣物在结晶器内产生,存在某一区域聚集的情况。水口结瘤物型夹杂物属于脆性夹杂,且尺寸大,对冷轧板表面质量危害最大,因此应关注和减少连浇过程[Al]、[Mg]、[Ti]、[Ca]等残余活泼元素含量和钢水温度的波动,避免水口结瘤物结构变化产生大型夹杂物。通过热轧探伤法可获取连铸坯中大型夹杂物类型、尺寸、分布等信息,根据夹杂物变形特征可直观判断其危害性,但其准确度易受其他因素影响。 展开更多
关键词 不锈钢 夹杂 连铸 非稳态 结瘤物
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含铝钢的可浇性研究 被引量:1
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作者 闫忠峰 《今日科苑》 2010年第12期24-24,共1页
本文针对含铝钢在浇鋳过程中出现的水口堵塞和结瘤的问题,结合现场的实际操作情况,对水口堵塞物进行了化验分析,优化了生产工艺流程,使含铝钢的可浇性取得了显著的提高。
关键词 可浇性 结瘤物 优化
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ASP工艺生产Ti-IF钢水口堵塞原因分析及改进
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作者 张磊 《山东冶金》 CAS 2015年第4期27-29,34,共4页
利用光学显微镜、扫描电镜及能谱分析对超低碳Ti-IF钢ASP连铸过程浸入式水口结瘤物取样分析表明,结瘤物中铁和夹杂物交互存在,夹杂物包括二铝酸钙、Al2O3、ZrO2和RO相等。水口堵塞主要是由于钢液中高熔点脱氧产物Al2O3和钙铝酸盐沉积粘... 利用光学显微镜、扫描电镜及能谱分析对超低碳Ti-IF钢ASP连铸过程浸入式水口结瘤物取样分析表明,结瘤物中铁和夹杂物交互存在,夹杂物包括二铝酸钙、Al2O3、ZrO2和RO相等。水口堵塞主要是由于钢液中高熔点脱氧产物Al2O3和钙铝酸盐沉积粘附在水口内壁结瘤造成,Ti使水口结瘤现象严重。通过将RH单联法优化为LF+RH双联法,优化钙处理效果并控制过剩[Ti]<0.02%,改善了钢水可浇性,实现了8炉以上连续浇铸。 展开更多
关键词 TI-IF钢 水口堵塞 结瘤物 AL2O3 钙铝酸盐
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Investigation on the Antitumor Activity of Organotin Compound
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作者 肖军军 崔景荣 +2 位作者 苏雅娴 贺杰 姚均恩 《Journal of Chinese Pharmaceutical Sciences》 CAS 1993年第1期45-52,共8页
Changes in the surface structure of cell membrane and the contents of membrane pro- teins and nuclear DNA of human gastric cancer (BGC-823) cells treated with organotin compound (Et_2SnCl_2phen) were studied with a sc... Changes in the surface structure of cell membrane and the contents of membrane pro- teins and nuclear DNA of human gastric cancer (BGC-823) cells treated with organotin compound (Et_2SnCl_2phen) were studied with a scanning electron microscope (SEM),a scanning tunneling,micro- scope (STM),and a cytofluorophotometer.It was found that Et_2SnCl_2Phen not only inhibited the cell growth but also remarkably changed the surface structure of the membrane of cancer cells.The surface of Et_2SnCl_2phen treated cancer cells was relatively smooth and showed fewer microvilli under SEM. STM images showed an uneven and loose distribution of the surface of the cell.In comparison with the untreated cancer cells,there was an evident decrease in the content of membrane proteins and nuclear DNA in Et_2SnCl_2phen treated cells. 展开更多
关键词 Organotin compound(Et_2SnCl_2phen) Surface structure of membrane Membrane proteins Nuclear DNA Human gastric cancer cells
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ANTITUMOR EFFECTS OF MONOCLONAL ANTIBODY FAB’FRAGMENT—CONTAINING IMMUNOCONJUGATES 被引量:8
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作者 LiuXiaoyun ZhenYongsu 《Chinese Medical Sciences Journal》 CAS CSCD 2002年第1期1-6,共6页
Objective.Using monoclonal antibody (mAb) Fab′ fragment to develop mAb immunoconjugates for cancer. Methods.Fab′ fragment of mAb 3A5 was prepared by digestion of the antibody with pepsin and then reduced by dithioth... Objective.Using monoclonal antibody (mAb) Fab′ fragment to develop mAb immunoconjugates for cancer. Methods.Fab′ fragment of mAb 3A5 was prepared by digestion of the antibody with pepsin and then reduced by dithiothreitol (DTT),while Fab′ fragment of mAb 3D6 was obtained by digestion of the antibody with ficin and subsequently reduced by β mercaptoethanol.The conjugation between Fab′ fragment and pingyangmycin (PYM),an antitumor antibiotic,was mediated by dextran T 40.Immunoreactivity of Fab′ PYM conjugates with cancer cells was determined by ELISA,and the cytotoxicity of those conjugates to cancer cells was determined by clonogenic assay.Antitumor effects of the Fab′ PYM conjugates were evaluated by subcutaneously transplanted tumors in mice. Results.The molecular weight of Fab′ fragment was approximately 53 kD,while the average molecular weight of Fab′ PYM conjugate was 170 kD.The Fab′ PYM conjugates showed immunoreactivity with antigen relevant cancer cells and selective cytotoxicity against target cells.Administered intravenously,Fab′ PYM conjugates were more effective against the growth of tumors in mice than free PYM and PYM conjugated with intact mAb. Conclusion.Fab′ PYM conjugate may be capable of targeting cancer cells and effectively inhibiting tumor growth,suggesting its therapeutic potential in cancer treatment. 展开更多
关键词 monoclonal antibody therapeutics Fab′ fragment IMMUNOCONJUGATES antineopla stic agent
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5-aminosalicylicacid is an attractive candidate agent for chemoprevention of colon cancer in patients with inflammatory bowel disease 被引量:7
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作者 YangCheng PierreDesreumaux 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第3期309-314,共6页
Inflammatory bowel disease (IBD) is classically subdivided into ulcerative colitis (UC) and Crohn's disease (CD). Patients with IBD have increased risk for colorectal cancer. Because the pathogenesis of colorectal... Inflammatory bowel disease (IBD) is classically subdivided into ulcerative colitis (UC) and Crohn's disease (CD). Patients with IBD have increased risk for colorectal cancer. Because the pathogenesis of colorectal carcinoma has not been entirely defined yet and there is no ideal treatment for colon cancer, cancer prevention has become increasingly important in patients with IBD. The two adopted methods to prevent the development of colon cancer in clinical practice include the prophylactic colectomy and colonoscopic surveillance.But patients and physicians seldom accept colectomy as a routine preventive method and most patients do not undergo appropriate colonoscopic surveillance. Chemoprevention refers to the use of natural or synthetic chemical agents to reverse, suppress, or to delay the process of carcinogenesis.Chemoprevention is a particularly useful method in the management of patients at high risk for the development of specific cancers based on inborn genetic susceptibility, the presence of cancer-associated disease, or other known risk factors. Prevention of colorectal cancer by administration of chemopreventive agents is one of the most promising options for IBD patients who are at increased risks of the disease. The chemopreventive efficacy of nonsteroidal antiinflammatory drugs (NSAIDs) against intestinal tumors has been well established. But with reports that NSAIDs aggravated the symptoms of colitis, their sustained use for the purpose of cancer chemoprevention has been relatively contraindicated in IBD patients. Another hopeful candidate chemoprevention drug for IBD patients is 5-aminosalicylic acid (5-ASA), which is well tolerated by most patients and has limited systemic adverse effects, and no gastrointestinal toxicity. 5-ASA lacks the well-known side effects of longterm NSAIDs use. Retrospective correlative studies have suggested that the long-term use of 5-ASA in IBD patients may significantly reduce the risk of development of colorectal cancer. According to the literature, this agent might well satisfy clinical expectations with respect to a safe and effective chemopreventive agent. 展开更多
关键词 Inflammatory bowel disease Colon cancer 5-aminosalicylic acid NSAIDS
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Combined effects of Cantide and chemotherapeutic drugs on inhibition of tumor cells' growth in vitro and in vivo 被引量:10
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作者 YingYang Qiu-JunLv +3 位作者 Qing-YouDu Bing-HuYang Ru-XianLin Sheng-QiWang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第16期2491-2496,共6页
AIM: To investigate the combination effect of hTERT antisense oligonucleotide 'Cantide' and three chemotherapeutic drugs (cisplatin, 5-fluorouracil (5-FU) and adriamycin (ADM)) on inhibiting the proliferation ... AIM: To investigate the combination effect of hTERT antisense oligonucleotide 'Cantide' and three chemotherapeutic drugs (cisplatin, 5-fluorouracil (5-FU) and adriamycin (ADM)) on inhibiting the proliferation of HepG2, BGC and A549 cell lines in vitro, and to investigate the efficacy of Cantide used in combination with cisplatin (DDP) in vivo. METHODS: Cantide was transfected into these tumor cells by Lipofectin, and cell growth activity was calculated by microcytotoxicity assay. In vivo study, cells of HepG2 were implanted in Balb/c nude mice for 4 d. Then Cantide, DDP and Cantide+DDP were given intra peritonea Ily for 24 d respectively. The body weights of the tumor-bearing animals and their tumor mass were measured later to assess the effect of combination therapy in the nude mice. To evaluate the interaction of Cantide and these chemotherapeutic drugs, SAS software and Jin Zhengjun method were used. RESULTS: Combination treatments with 0.1μmol/L Cantide reduced the IC50 of DDP, 5-FU and ADM from 1.07, 4.15 and 0.29 μg/mL to 0.25,1.52 and 0.12 μg/mL respectively. The inhibition ability of DDP, 5-FU and ADM respectively in combination with Cantide in these tumor cells was higher than that of these drugs alone (P<0.0001). And synergism (Q≥1.15)was observed at the lower concentration of DDP (≤1μg/mL) and ADM (≤0.1 μg/mL) with combination of Cantide. In vivo, combination treatment with Cantide and DDP produced the greater growth inhibition of human liver carcinoma cells HepG2 in nude mice (0.65±0.19 g tumor) compared with that when only one of these drugs was used (Cantide group: 1.05±0.16 g tumor, P= 0.0009<0.001; DDP group: 1.13±0.09 g tumor, P= 0.0001<0.001). CONCLUSION: These findings indicate that Cantide may enhance therapeutic effectiveness of chemotherapeutic drugs over a wide range of tumor cells in vitro, and the combination use of Cantide and DDP can produce much higher inhibition rates, as compared with when either of these drugs was used only in vivo. 展开更多
关键词 HTERT Antisense oligonucleotide TUMOR Chemotherapeutic drugs
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Role of ascites adenosine deaminase in differentiating between tuberculous peritonitis and peritoneal carcinomatosis 被引量:14
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作者 Seung Joo Kang Ji Won Kim +8 位作者 Jee Hyun Baek Se Hyung Kim Byeong Gwan Kim Kook Lae Lee Ji Bong Jeong Yong Jin Jung Joo Sung Kim Hyun Chae Jung In Sung Song 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第22期2837-2843,共7页
AIM: To investigate the usefulness of tumor markers and adenosine deaminase in differentiating between tuberculous peritonitis (TBP) and peritoneal carcinoma- tosis (PC). METHODS: A retrospective analysis of dat... AIM: To investigate the usefulness of tumor markers and adenosine deaminase in differentiating between tuberculous peritonitis (TBP) and peritoneal carcinoma- tosis (PC). METHODS: A retrospective analysis of data was per- formed on consecutive patients who underwent perito- neoscopic and abdominal computed tomography (CT) evaluations. Among 75 patients at the Seoul National University Hospital from January 2000 to June 2010 who underwent both tests, 27 patients (36.0%) and 25 patients (33.3%) were diagnosed with TBP and PC, re- spectively. Diagnosis was confirmed by peritoneoscopic biopsy. RESULTS: Serum c-reactive protein (7.88:1:6.62 mg/ dL vs 3.12 + 2.69 mg/dL, P = 0.01), ascites adenos- ine deaminase (66.76:1:32.09 IU/L vs 13.89 :l: 8.95 IU/L, P 〈 0.01), ascites lymphocyte proportion (67.77 :1: 23.41% vs 48.36 + 18.78%, P 〈 0.01), and serum- ascites albumin gradient (0.72 + 0.49 g/dL vs 1.05 + 0.50 g/dL, P = 0.03) were significantly different be- tween the two groups. Among tumor markers, serum and ascites carcinoembryonic antigen, serum carbohy- drate antigen 19-9 showed significant difference be- tween two groups. Abdominal CT examinations showed that smooth involvement of the parietal peritoneum was more common in the TBP group (77.8% vs 40.7%) whereas nodular involvement was more common in the PC group (14.8% vs 40.7%, P = 0.04). From receiver operating characteristic (ROC) curves ascites adeno- sines deaminase (ADA) showed better discriminative capability than tumor markers. An ADA cut-off level of 21 IU/L was found to yield the best results of differ- ential diagnosis; sensitivity, specificity, positive predic- tive value, and negative predictive value were 92.0%, 85.0%, 88.5% and 89.5%, respectively. CONCLUSION: Besides clinical and radiologic findings, ascitic fluid ADA measurement is helpful in the differen- tial diagnosis of TBP and PC. 展开更多
关键词 Tuberculous peritonitis Peritoneal carcino-matosis Adenosine deaminase Peritoneoscopy
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