AIM:To evaluate the therapeutic effects of abdominal decompression plus continuous regional arterial infusion(CRAI) via a drug delivery system(DDS) in severe acute pancreatitis(SAP) patients with abdominal compartment...AIM:To evaluate the therapeutic effects of abdominal decompression plus continuous regional arterial infusion(CRAI) via a drug delivery system(DDS) in severe acute pancreatitis(SAP) patients with abdominal compartment syndrome(ACS).METHODS:We presented our recent experience in 8 patients with SAP.The patients developed clinical ACS,which required abdominal decompression.During the operation,a DDS was inserted into the peripancreatic artery(the catheter was inserted from the right gastroepiploic artery until it reached the junction between the pancreaticoduodenal and gastroduodenal artery).Through this DDS,a protease inhibitor,antibiotics and octreotide were infused continuously.The duration of the regional artery infusion ranged from 8 to 41 d.The outcomes and the changes in the APACHE Ⅱ score,computed tomography(CT) severity index and intraabdominal pressure(IAP) of the patients were retrospectively evaluated.RESULTS:Eight patients with an initial APACHE Ⅱ score of 18.9(range,13-27) and a Balthazar CT severity index of 9.1(range,7-10) developed severe local and systemic complications.These patients underwent subsequent surgical decompression and CRAI therapy because of intra-abdominal hypertension(IAH).After a mean interval of 131.9 ± 72.3 d hospitalization,7 patients recovered with decreased APACHE Ⅱ scores,CT severity indexes and IAP.The mean APACHE Ⅱ score was 5.4(range,4-8),the CT severity index was 2.3(range,1-3),and IAP decreased to 7.7 mmHg(range,6-11 mmHg) 60 d after operation.One patient died of multiple organ failure 1 wk after surgery.CONCLUSION:CRAI and laparotomic decompression might be a therapeutic option for SAP patients with ACS.展开更多
We investigate the photoassociation dynamics of cold NaRb molecule controlled by an asymmetric laser pulse called slowly-turned-on and rapidly-turned-off(STRT) laser pulse. This new shaped laser pulse has a remarkable...We investigate the photoassociation dynamics of cold NaRb molecule controlled by an asymmetric laser pulse called slowly-turned-on and rapidly-turned-off(STRT) laser pulse. This new shaped laser pulse has a remarkable merit, compared with the typical Gauss-type pulses, so that we can efficiently associate molecules with the state expected instead of going back to the continuum state. Using the three-state model, we solve the quantum mechanical equation with the "split operator-Fourier transform" method under the rotating-wave approximation(RWA) in propagation of the wave packet. By the projection of the obtained wave function onto each vibrational state, we can get the vibrational population of the ground electronic state. The results reveal that, with the STRT laser pulse, an efficient photoassociation process can be achieved and the vibrational distribution in the ground state can be controlled by the laser parameters.展开更多
基金Supported by the National Natural Science Foundation of China, No. 30872484
文摘AIM:To evaluate the therapeutic effects of abdominal decompression plus continuous regional arterial infusion(CRAI) via a drug delivery system(DDS) in severe acute pancreatitis(SAP) patients with abdominal compartment syndrome(ACS).METHODS:We presented our recent experience in 8 patients with SAP.The patients developed clinical ACS,which required abdominal decompression.During the operation,a DDS was inserted into the peripancreatic artery(the catheter was inserted from the right gastroepiploic artery until it reached the junction between the pancreaticoduodenal and gastroduodenal artery).Through this DDS,a protease inhibitor,antibiotics and octreotide were infused continuously.The duration of the regional artery infusion ranged from 8 to 41 d.The outcomes and the changes in the APACHE Ⅱ score,computed tomography(CT) severity index and intraabdominal pressure(IAP) of the patients were retrospectively evaluated.RESULTS:Eight patients with an initial APACHE Ⅱ score of 18.9(range,13-27) and a Balthazar CT severity index of 9.1(range,7-10) developed severe local and systemic complications.These patients underwent subsequent surgical decompression and CRAI therapy because of intra-abdominal hypertension(IAH).After a mean interval of 131.9 ± 72.3 d hospitalization,7 patients recovered with decreased APACHE Ⅱ scores,CT severity indexes and IAP.The mean APACHE Ⅱ score was 5.4(range,4-8),the CT severity index was 2.3(range,1-3),and IAP decreased to 7.7 mmHg(range,6-11 mmHg) 60 d after operation.One patient died of multiple organ failure 1 wk after surgery.CONCLUSION:CRAI and laparotomic decompression might be a therapeutic option for SAP patients with ACS.
基金supported by the National Natural Science Foundation of China(Grant No.11074151)the National Basic Research Program of China(Grant No.2011CB808100)
文摘We investigate the photoassociation dynamics of cold NaRb molecule controlled by an asymmetric laser pulse called slowly-turned-on and rapidly-turned-off(STRT) laser pulse. This new shaped laser pulse has a remarkable merit, compared with the typical Gauss-type pulses, so that we can efficiently associate molecules with the state expected instead of going back to the continuum state. Using the three-state model, we solve the quantum mechanical equation with the "split operator-Fourier transform" method under the rotating-wave approximation(RWA) in propagation of the wave packet. By the projection of the obtained wave function onto each vibrational state, we can get the vibrational population of the ground electronic state. The results reveal that, with the STRT laser pulse, an efficient photoassociation process can be achieved and the vibrational distribution in the ground state can be controlled by the laser parameters.
