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彩色多普勒超声与腔内心电图定位法对预防PICC异位的临床观察 被引量:12
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作者 张秀霞 朱玉欣 +3 位作者 张欣 尹欣欣 褚翠玲 刘富德 《河北医药》 CAS 2019年第12期1915-1917,1920,共4页
目的通过比较彩色多普勒超声与腔内心电图两种定位法对预防PICC异位的效果观察,以期发现PICC置管更优化的定位方法。方法收集在石家庄市第一医院置入PICC的临床病历共计553例,超声组281例和腔内心电图组271例,比较2组PICC导管到位率、... 目的通过比较彩色多普勒超声与腔内心电图两种定位法对预防PICC异位的效果观察,以期发现PICC置管更优化的定位方法。方法收集在石家庄市第一医院置入PICC的临床病历共计553例,超声组281例和腔内心电图组271例,比较2组PICC导管到位率、两种导管过程异位及最终异位以及两种定位方法对导管异位敏感性对比。结果 2组导管最终到位率差异无统计学意义(χ^2=0.118P=0.078);2组置管过程中过程异位与最终异位比较,差异无统计学意义(χ^2=0.440 P=0.252);两种定位方法对导管异位敏感性对比,差异有统计学意义(χ^2=0.071 P=0.043)。结论超声探头探查导管和腔内心电图定位方法都能发现一部分导管的异位,置管过程中利用超声结合心电图定位方法是预防过程异位的最佳方法,一定程度上可以取代胸片定位方法,两种定位方法结合对降低导管最终异位具有临床意义。 展开更多
关键词 彩色多普勒超声 腔内心电图定 PICC置管 过程异位 最终
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The role of nonlinearities associated with air-sea coupling processes in El Nino's peak-phase locking 被引量:2
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作者 DUAN WanSuo ZHANG Rui +1 位作者 YU YanShan TIAN Ben 《Science China Earth Sciences》 SCIE EI CAS 2013年第11期1988-1996,共9页
We use conditional nonlinear optimal perturbation (CNOP) to investigate the optimal precursory disturbances in the Zebiak- Cane El Nino-Southern Oscillation (ENSO) model. The conditions of the CNOP-type precursors... We use conditional nonlinear optimal perturbation (CNOP) to investigate the optimal precursory disturbances in the Zebiak- Cane El Nino-Southern Oscillation (ENSO) model. The conditions of the CNOP-type precursors are highly likely to evolve into El Nino events in the Zebiak-Cane model. By exploring the dynamic behaviors of these nonlinear El Nino events caused by the CNOP-type precursors, we find that they, as expected, tend to phase-lock to the annual cycles in the Zebiak-Cane model with the SSTA peak at the end of a calendar year. However, E1 Nino events with CNOPs as initial anomalies in the linearized Zebiak-Cane model are inclined to phase-lock earlier than nonlinear E1 Nino events despite the existence of annual cycles in the model. It is clear that nonlinearities play an important role in El Nino's phase-locking. In particular, nonlinear temperature advection increases anomalous zonal SST differences and anomalous westerlies, which weakens anomalous upwelling and acts on the increasing anomalous vertical temperature difference and, as a result, enhances E1 Nino and then delays the peak SSTA. Finally, we demonstrate that nonlinear temperature advection, together with the effect of the annual cycle, causes El Nino events to peak at the end of the calendar year. 展开更多
关键词 El Nino event NONLINEARITY optimal perturbation numerical model
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