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PICCO BCT参数对脓毒性休克患者短期预后的预测价值
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作者 余健 张超华 +2 位作者 秦军 王铮 黄祥卫 《中外医药研究》 2022年第12期135-137,共3页
目的:探讨PICCO BCT参数对脓毒性休克患者短期预后的预测价值。方法:选取2021年1月-2022年8月茂名市人民医院重症医学科收治的脓毒性休克患者47例为观察对象,根据患者Td存活情况分为存活组(n=26)与死亡组(n=21)。指标测量,比较两组患者... 目的:探讨PICCO BCT参数对脓毒性休克患者短期预后的预测价值。方法:选取2021年1月-2022年8月茂名市人民医院重症医学科收治的脓毒性休克患者47例为观察对象,根据患者Td存活情况分为存活组(n=26)与死亡组(n=21)。指标测量,比较两组患者早期液体患者复苏前、复苏后的相关指标,分析影响短期预后的因素。结果:复苏前,存活组心指数(CI)、平均动脉压(MAP)高于死亡组,差异有统计学意义(P<0.05);复苏后,两组CI、全身外周血管阻力、MAP、血管外肺水(ELWI)、肺血管通透性指数、心功能指数比较,差异有统计学意义(P<0.05)。液体复苏6 h后与短期转归有明显关联。结合各参数值进一步回归分析,结果表明仅ELWI 7d对预后呈正性相关。结论:应用PICCO的BCT参数在早期液体复苏前后与血流动力学参数、BST的相关性分析及对脓毒性休克患者短期预后的预测价值。 展开更多
关键词 PICCO BCT参数 血动力流参数 休克症
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Regulation of shear stress on rolling behaviors of HL-60 cells on P-selectin 被引量:4
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作者 LING YingChen FANG Ying +3 位作者 YANG XiaoFang LI QuHuan LIN QinYong WU JianHua 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS 2014年第10期1998-2006,共9页
Circulating leukocytes in trafficking to the inflammatory sites, will be first tether to, and then roll on the vascular surface. This event is mediated through specific interaction of P-selectin and P-selectin glycopr... Circulating leukocytes in trafficking to the inflammatory sites, will be first tether to, and then roll on the vascular surface. This event is mediated through specific interaction of P-selectin and P-selectin glycoprotein ligand-1 (PSGL-1), and regulated by hemodynamics. Poor data were reported in understanding P-selectin-mediated rolling. With the flow chamber technique, we herein observed HL-60 cell rolling on P-selectin with or without 3% Ficoll at various wall shear stresses from 0.05 to 0.4 dyn/cm:. The results demonstrated that force rather than transport regulated the rolling, similar to rolling on L- and E-selectin. The rolling was accelerated quickly by an increasing force below the optimal shear threshold of 0.15 dyn/cm2 first and then followed by a slowly decelerating phase starting at the optimum, showing a catch-slip transition and serving as a mechanism for the rolling. The catch-slip transition was completely reflected to the tether lifetime and other rolling parameters, such as the mean and fractional stop time. The narrow catch bond regime stabilized the rolling quickly, through steeply increasing frac- tional stop time to a plateau of about 0.85. Data presented here suggest that the low shear stress threshold serves as a mecha- nism for most cell rolling events through P-selectin. 展开更多
关键词 P-SELECTIN P-selectin glycoprotein ligand-1 cell adhesion shear stress
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Experimental study on transient flow patterns in simplified saccular intracranial aneurysm models using particle image velocimetry
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作者 Feng Shen Xinran Lu +1 位作者 Yan Pang Zhaomiao Liu 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2022年第12期82-94,共13页
The hemodynamics of intracranial aneurysm(IA)comprises complex transient flow patterns that affect its growth and rupture.Owing to the combined effects of geometrical factors and pulsatile flow conditions,the transien... The hemodynamics of intracranial aneurysm(IA)comprises complex transient flow patterns that affect its growth and rupture.Owing to the combined effects of geometrical factors and pulsatile flow conditions,the transient flow patterns in the IA are still unclear.The purpose of this work is to reveal the effect of the aspect ratio(AR,sac height/neck width)on the evolution of the internal flow patterns and the hemodynamics of the IA.We proposed an easy method to fabricate three simplified elastic IA models and measured the transient flow characteristics by using particle image velocimetry(PIV).Transient vortex structures in the IA modes during a cardiac cycle were systemically measured and many new flow phenomena were found,including the vortex morphology(size,structure,and core location),a high-speed jet,wall compliance effects,and three flow modes during retrograde flow phase.The results show that the AR of the IA affects the transient flow patterns as well as the wall shear stress(WSS)in complex ways.The results could deepen our understanding of the transient flow behaviors in IA and guide related clinical studies. 展开更多
关键词 Intracranial aneurysm HEMODYNAMICS VORTEX Flow pattern Particle image velocimetry
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