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心肺复苏中胸外按压下方波和减速波对通气质量的影响
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作者 谭振华 吴国新 《中国卫生标准管理》 2024年第20期115-118,共4页
目的探讨心肺复苏(cardiopulmonary resuscitation,CPR)期间胸外按压下方波和减速波对通气质量的影响。方法回顾性分析2022年1月—2023年8月华南理工大学附属第六医院急诊科收治的86例心搏骤停患者。依据患者所接受的不同气流速模式进... 目的探讨心肺复苏(cardiopulmonary resuscitation,CPR)期间胸外按压下方波和减速波对通气质量的影响。方法回顾性分析2022年1月—2023年8月华南理工大学附属第六医院急诊科收治的86例心搏骤停患者。依据患者所接受的不同气流速模式进行分组,将接受方波的43例患者作为对照组,接受减速波的43例患者作为研究组。比较2组的通气质量指标、呼吸力学指标、CRP效果。结果研究组≤65 cmH2O占比为100%,高于对照组的83.7%(P<0.05)。研究组气道峰压为(31.3±2.2)cmH2O,低于对照组的(40.9±2.6)cmH2O(P<0.05)。研究组心跳呼吸恢复时间为(6.3±3.1)min,短于对照组的(7.4±3.2)min(P<0.05)。结论CRP期间在胸外按压的情况下使用减速波能够使患者的气道最高峰压值水平降低,进而有效降低患者在救治过程中发生气压伤的风险及概率;与此同时,减速波下患者的相关呼吸力学指标也显著更加理想,还可缩短患者的心跳呼吸恢复时间。 展开更多
关键词 心肺复苏 胸外按压 方波 减速波 通气质量 潮气量
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颈部垫枕对小儿分离麻醉中通气质量的影响
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作者 王英峰 华传宝 《实用医学杂志》 CAS 2005年第8期822-823,共2页
目的:评价颈部垫枕在小儿分离麻醉中对通气质量的影响。方法:Ⅰ组在患儿脖子下面枕一个直径约5~8cm的包布卷(或特制的柱状小枕头)仰卧。Ⅱ组肩下垫一4~5cm厚的包布仰卧。所有患儿面罩吸氧,呼吸不畅时头偏向一侧或托下颌。手术开始前2m... 目的:评价颈部垫枕在小儿分离麻醉中对通气质量的影响。方法:Ⅰ组在患儿脖子下面枕一个直径约5~8cm的包布卷(或特制的柱状小枕头)仰卧。Ⅱ组肩下垫一4~5cm厚的包布仰卧。所有患儿面罩吸氧,呼吸不畅时头偏向一侧或托下颌。手术开始前2m in静注1~2m g/kg氯胺酮。术中间断静注氯胺酮维持麻醉。结果:Ⅰ组辅助措施和Ⅱ组比较有统计学差异。两组动脉二氧化碳分压(PaC O2)比较有统计学差异。结论:颈部垫枕在小儿分离醉中能够有效改善通气质量。 展开更多
关键词 通气质量 颈部垫枕 分离麻醉 小儿 动脉二氧化碳分压 统计学差异 面罩吸氧 呼吸不畅 维持麻醉 间断静注 氯胺酮 仰卧 包布 患儿
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全身麻醉期间喉罩通气质量的研究进展 被引量:16
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作者 朱越 孙建宏 王林 《医学综述》 2018年第13期2656-2660,共5页
喉罩是用于建立声门上气道的一种工具,具有操作简单、并发症少等优点。喉罩置入后位于患者口咽部,其到位率是通气质量的保证,患者咽喉部解剖、头颈位置、手术体位、气腹压力等多种因素会引起喉罩移位而降低全身麻醉期间的通气质量。麻... 喉罩是用于建立声门上气道的一种工具,具有操作简单、并发症少等优点。喉罩置入后位于患者口咽部,其到位率是通气质量的保证,患者咽喉部解剖、头颈位置、手术体位、气腹压力等多种因素会引起喉罩移位而降低全身麻醉期间的通气质量。麻醉过程中,将患者头颈部摆至适度前屈位可有效提高通气效果;在侧卧位及俯卧位手术麻醉中,将喉罩固定于合适的位置同样能为患者提供满意的通气;喉罩置入后应结合实际情况确定喉罩套囊的最佳容积,在保证通气质量的同时可减少过度充气对周围组织造成损伤和术后咽喉痛等并发症。因此,论述喉罩通气的安全性和有效性,可为喉罩在不同类型全身麻醉手术期间的气道管理提供新策略及方法。 展开更多
关键词 全身麻醉 喉罩 通气质量
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跪式和站式心肺复苏对胸外按压和球囊通气质量的影响 被引量:3
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作者 凌传仁 武健 +7 位作者 曾瑞峰 朱晶 房海辉 陈维生 邬志雄 李芳 丁邦晗 邓秋迎 《护理研究》 北大核心 2022年第4期747-749,共3页
目的:比较跪式和站式两种心肺复苏姿势对胸外按压和球囊通气质量的影响,寻求最佳的心肺复苏按压姿势。方法:选取符合纳入标准的122名护士,采用2015年美国心脏协会(AHA)心肺复苏指南标准实施双人心肺复苏操作,分别进行跪式和站式两种按... 目的:比较跪式和站式两种心肺复苏姿势对胸外按压和球囊通气质量的影响,寻求最佳的心肺复苏按压姿势。方法:选取符合纳入标准的122名护士,采用2015年美国心脏协会(AHA)心肺复苏指南标准实施双人心肺复苏操作,分别进行跪式和站式两种按压和通气姿势测试,中间间隔30 min,通过Palm CPR反馈装置和QCPR自带电子显示器采集胸外按压的多项客观数据,比较两种姿势的按压深度、按压频率、心脏按压指数(CCF)、按压分数、按压合格率和通气合格率,并进行按压疲劳自评。结果:两组姿势按压深度、按压频率、按压合格率、通气合格率、按压分数、疲劳评分比较差异均有统计学意义(P<0.05)。结论:站式较跪式按压深度更深,跪式较站式按压频率更快,站式较跪式按压球囊通气质量更高,建议增加站式心肺复苏培训。 展开更多
关键词 站式 跪式 心肺复苏 按压质量 通气质量
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基于护理程序的整体护理干预对老年重症肺心病合并Ⅱ型呼吸衰竭患者机械通气质量的影响
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作者 梁李霞 《中国科技期刊数据库 医药》 2022年第1期82-84,共3页
探究对老年重症肺心病合并Ⅱ型呼吸衰竭患者进行护理分析时,对患者实施基于护理程序的整体护理干预对患者通气质量多产生的积极影响。方法:分析所选择的护理对象均为老年重症肺心病患者,并伴有Ⅱ型呼吸衰竭,选入组内是68例。为了形成护... 探究对老年重症肺心病合并Ⅱ型呼吸衰竭患者进行护理分析时,对患者实施基于护理程序的整体护理干预对患者通气质量多产生的积极影响。方法:分析所选择的护理对象均为老年重症肺心病患者,并伴有Ⅱ型呼吸衰竭,选入组内是68例。为了形成护理对照,将患者分成观察组和对照组,单组的例数是34例。观察组:对患者实施基于护理程序的整体护理干预;对照组实施常规护理方式。比较指标:①机械通气时间和住院时间;②SAS、SDS情绪评分;生活质量评分。结果:观察组患者的机械通气时间与住院时间均少于对照组,经过护理后其情绪状态明显改善,评分优于对照组,各项数据经过比较存在统计学意义,P<0.05;观察组患者的生活质量明显提升,评分优于对照组,P<0.05。结论:基于护理程序的整体护理干预是一种效果非常好的护理方式,实施在老年重症肺心病合并Ⅱ型呼吸衰竭患者的护理干预中可以缩短患者机械通气时间,争取早期撤机,缩短康复时间,改善患者的情绪状态,提升护理质量,其护理价值值得肯定,建议应用。 展开更多
关键词 老年重症肺心病 Ⅱ型呼吸衰竭 整体护理干预 护理程序 机械通气质量
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辅助比例通气的研究进展 被引量:3
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作者 郭凤梅 邱海波 《国外医学(呼吸系统分册)》 2002年第4期178-181,共4页
机械通气是纠正低氧血症和/或二氧化碳潴留的重要辅助手段,与传统通气模式相比,近年来提出的辅助比例通气(PAV)在改善肺通气的同时,可矫正患者呼吸努力与通气效果之间的生理变化关系,从而使通气质量得到改善和提高,可能具有良好的应用... 机械通气是纠正低氧血症和/或二氧化碳潴留的重要辅助手段,与传统通气模式相比,近年来提出的辅助比例通气(PAV)在改善肺通气的同时,可矫正患者呼吸努力与通气效果之间的生理变化关系,从而使通气质量得到改善和提高,可能具有良好的应用前景。 展开更多
关键词 比例辅助通气 通气质量 PAV 机械通气
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低温等离子刀扁桃体腺样体切除治疗儿童阻塞性睡眠呼吸暂停综合征临床分析 被引量:4
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作者 张正勇 《系统医学》 2020年第9期51-53,共3页
目的探讨低温等离子刀扁桃体腺样体切除在儿童阻塞性睡眠呼吸暂停综合征(OSAHS)治疗中的应用及临床效果。方法选择平邑县人民医院2017年6月-2019年3月144例OSAHS儿童,随机分为对照组(n=72)及研究组(n=72),对照组采用传统扁桃体腺样体切... 目的探讨低温等离子刀扁桃体腺样体切除在儿童阻塞性睡眠呼吸暂停综合征(OSAHS)治疗中的应用及临床效果。方法选择平邑县人民医院2017年6月-2019年3月144例OSAHS儿童,随机分为对照组(n=72)及研究组(n=72),对照组采用传统扁桃体腺样体切除术,研究组采用低温等离子刀行扁桃体腺样体切除术,比较两术中情况、术后恢复情况及术后通气改善情况。结果手术时间、术中出血量、术后疼痛时间对照组为(37.6±5.7)min、(32.4±5.6)mL及(3.6±0.9)d,研究组为(13.2±4.6)min、(7.6±2.9)mL及(2.1±0.7)d,研究组手术时间、术中出血量、术后疼痛时间少于对照组(t=8.926,P=0.000;t=11.504,P=0.000;t=3.497,P=0.008)。术前呼吸暂停低通气指数(AHI)、氧减指数(ODI),最低血氧饱和度(LoSPO2)对照组分别为(16.2±2.4)次/min,(9.4±1.4)次/h,(84.6±5.2)%,研究组分别为(16.7±2.8)次/min,(9.6±1.9)次/h,(84.9±5.7)%,术后对照组分别为(2.9±0.09)次/min,(2.3±0.6)次/h,(89.7±3.9)%,研究组分别为(2.8±0.7)次/min,(2.4±0.8)次/h,(90.2±4.1)%,两组间治疗前各指标差异无统计学意义(P>0.05),两组术后AHI、ODI均较治疗前降低(P<0.05),LoSPO2增高(P<0.05),两组间术后各指标差异无统计学意义(P>0.05)。研究组并发症发生率为1.3%,对照组并发症发生率为6.9%,研究组并发症发生率低于对照组(χ^2=3.976,P=0.012)。结论低温等离子刀扁桃体腺样体切除治疗儿童OSAHS能够减少手术创伤,减少并发症的发生,促进患者术后康复,改善睡眠及通气质量,具有较好的临床效果。 展开更多
关键词 儿童阻塞性睡眠呼吸暂停低通气综合征 低温等离子刀 扁桃体 腺样体 睡眠质量 通气质量
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Effects of Different Flue-curing Barns on Aroma Quality of Upper Flue-cured Tobacco Leaves of K326 被引量:2
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作者 詹军 周芳芳 +4 位作者 徐成龙 张晓龙 王柱石 陈初 朱海滨 《Agricultural Science & Technology》 CAS 2014年第11期2014-2019,共6页
[Objective] This study was conducted to compare the aroma quality of up-per leaves of K326 flue-cured in different barns, and provide theoretical references for the development and optimization of bulk curing barn and... [Objective] This study was conducted to compare the aroma quality of up-per leaves of K326 flue-cured in different barns, and provide theoretical references for the development and optimization of bulk curing barn and the supporting tech-niques. [Method] The upper leaves of K326 were flue-cured in a commonness barn, a four-shelf bulk curing barn and a three-shelf bulk curing barn separately, and then the contents of aroma components and taste quality indices of the finished leaves were measured and compared. [Result] The contents of total aroma components, chromoplast pigment degradation products, phenylalanine aroma components and neophytadiene showed no significant differences in the leaves flue-cured in four-shelf bulk curing barn and commonness barn, but were significantly or very significantly higher than those in the leaves flue-cured in three-shelf bulk curing barn. The con-tents of carotenoid degradation products, Mail ard reaction products, cembranes aro-ma components and total aroma components (except neophytadiene) showed no significant difference among the three treatments. The results of sensory evaluation revealed that the sensory taste of the leaves flue-cured in four-shelf bulk curing barn was the best, as the finished leaves had rich, delicate aroma, comfortable and clean aftertaste. The leaves flue-cured in commonness barn was better than those flue-cured in three-shelf bulk curing barn in aroma quality, amount and aftertaste. [Conclusion] The four-shelf bulk curing barn had a large volume for tobacco leaf processing, but a similar baking environment to the commonness barn, which is conducive to the formation and accumulation of aroma components, so the finished leaves had similar appearance and quality with those flue-cured in commonness barn. The upper flue-cured leaves in three-shelf bulk curing bran had poorer quality than those flue-cured in the other two barns. 展开更多
关键词 Bulk curing barn Commonness barn Flue-cured tobacco K326 Upper leaf Aroma quality
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Vehicular emissions and concentrations in school zones: A case study 被引量:2
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作者 ALZUHAIRI Ali ALDHAHERI Mustafa +2 位作者 孙湛博 OH Jun-Seok KWIGIZILE Valerian 《Journal of Central South University》 SCIE EI CAS CSCD 2016年第7期1778-1785,共8页
Recent research has revealed that human exposure to air pollutants such as CO, NO_x, and particulates can lead to respiratory diseases, especially among school-age children. Towards understanding such health impacts, ... Recent research has revealed that human exposure to air pollutants such as CO, NO_x, and particulates can lead to respiratory diseases, especially among school-age children. Towards understanding such health impacts, this work estimates local-scale vehicular emissions and concentrations near a highway traffic network, where a school zone is located in. In the case study, VISSIM traffic micro-simulation is used to estimate the source of vehicular emissions at each roadway segment. The local-scale emission sources are then used as inputs to the California line source dispersion model(CALINE4) to estimate concentrations across the study area. To justify the local-scale emissions modeling approach, the simulation experiment is conducted under various traffic conditions. Different meteorological conditions are considered for emission dispersion. The work reveals that emission concentrations are usually higher at locations closer to the congested segments, freeway ramps and major arterial intersections. Compared to the macroscopic estimation(i.e. using network-average emission factors), the results show significantly different emission patterns when the local-scale emission modeling approach is used. In particular, it is found that the macroscopic approach over-estimates emission concentrations at freeways and under-estimations are observed at arterials and local streets. The results of the study can be used to compare to the US environmental protection agency(EPA) standards or any other air quality standard to further identify health risk in a fine-grained manner. 展开更多
关键词 human health vehicular emissions VISSIM microscopic simulation California line source dispersion model(CALINE4) local-scale modeling
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A Reynolds mass flux model for gas separation process simulation:Ⅰ. Modeling and validation 被引量:2
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作者 李文彬 余国琮 +1 位作者 袁希钢 刘伯潭 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2015年第7期1085-1094,共10页
Separation process undertaken in packed columns often displays anisotropic turbulent mass diffusion. The anisotropic turbulent mass diffusion can be characterized rigorously by using the Reynolds mass flux(RMF) model.... Separation process undertaken in packed columns often displays anisotropic turbulent mass diffusion. The anisotropic turbulent mass diffusion can be characterized rigorously by using the Reynolds mass flux(RMF) model.With the RMF model, the concentration and temperature as well as the velocity distributions can be simulated numerically. The modeled Reynolds mass flux equation is adopted to close the turbulent mass transfer equation,while the modeled Reynolds heat flux and Reynolds stress equations are used to close the turbulent heat and momentum transfer equations, so that the Boussinesq postulate and the isotropic assumption are abandoned. To validate the presented RMF model, simulation is carried out for CO2 absorption into aqueous Na OH solutions in a packed column(0.1 m id, packed with 12.7 mm Berl saddles up to a height of 6.55 m). The simulated results are compared with the experimental data and satisfactory agreement is found both in concentration and temperature distributions. The sequel Part II extends the model application to the simulation of an unsteady state adsorption process in a packed column. 展开更多
关键词 Mathematical modelingComputational fluid dynamics (CFD)Computational mass transfer (CMT)Anisotropic turbulent mass diffusionPacked bedAbsorption
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Characterization of Specific Spoilage Bacteria and Volatile Flavor Compounds of Flavored Crayfish 被引量:3
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作者 YU Mei-juan TAN Huan +1 位作者 HE Shuang YANG Hui 《Agricultural Science & Technology》 CAS 2021年第3期42-50,共9页
It is a common issue in the processing industry of crayfish that flavored crayfish stored at room temperature is perishable.In order to establish an effective putrid prediction mechanism,high-throughput sequencing and... It is a common issue in the processing industry of crayfish that flavored crayfish stored at room temperature is perishable.In order to establish an effective putrid prediction mechanism,high-throughput sequencing and solid phase microextraction gas chromatography-mass spectrometry(SPME-GCMS)were used to analyse the microbial community structure and volatile flavor compounds of normal and putrid crayfish.The results showed that Aeromonas(57%),Macrococcus(7.7%),Vibrio sp.(6.6%),Acinetobacter(5%),Citrobacter(4.9%)and Enterobacter(1.49%)were the main bacterial genus in the refrigerated fresh crayfish(HNA).And Staphylococcus(17.04%),Aeromonas(4.46%),Xanthomonas(4.16%),Streptococcus(4.62%)and Enterococcus(2.77%)were the main bacterial genus in the marinated and refrigerated crayfish(HND).With the spoilage of samples(HNE and HNC),the diversity of bacteria decreased,and the specific spoilage bacteria grew rapidly,mainly Enterococcus,Bacillus,Lactobacillus,Leuconostoc,Weissella.Meanwhile,the volatile compounds in non-spoilage sample(HNA and HND)were mainly alkane compounds,aldehydes compound and esters compounds;and the volatile compounds in spoilage samples were mainly alcohols,acids,benzene compounds,terpenoids,N-containing compounds,S-containing compounds and ethers.This indicated that the contents and types of volatile compounds changed with the sample spoilage and deterioration.Correlation analysis results showed that Enterococcus,Lactobacillus and Bacillus were significantly positively correlated with alcohols,acids,benzene,terpenoids,N-containing compounds,S-containing compounds and ether compounds,while Aeromonas,Megasphaera,Acinetobacter,Citrobacter and Vibrio were significantly positively correlated with alkane compounds and esters compounds,and Leuconostoc were significantly positively correlated with alcohol compounds.These results can provide a theoretical guidance for the storage of cooked flavor crayfish at room temperature. 展开更多
关键词 CRAYFISH High-throughput sequencing SPME-GC-MS Microbial community structure Volatile compounds
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Urban Air Quality Plans and Integrated Assessment Methodologies 被引量:1
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作者 Ana Isabel Miranda Helder Relvas +7 位作者 Enrico Turrini Diogo Lopes Carlos Silveira Joana Ferreira Myriam Lopes Elisa Sa Carlos Borrego Marialuisa Volta 《Journal of Environmental Science and Engineering(B)》 2014年第2期70-78,共9页
The air quality directive (2008/50/EC (of the European Parliament and of the Council of 21 May 2008)) requires European Member States to design appropriate AQPs (air quality plans) for zones and agglomerations w... The air quality directive (2008/50/EC (of the European Parliament and of the Council of 21 May 2008)) requires European Member States to design appropriate AQPs (air quality plans) for zones and agglomerations where the air quality does not comply with the limit values and to assess possible emission reduction measures to decrease concentration levels. The Portuguese agglomeration of Porto Litoral is one of the several European Union urban areas that had to develop and implement AQPs to reduce particulate matter (PM10). The AQPs were initially designed based on a scenario approach and using an air quality model, which was applied over the study region for the reference situation with the current PM10 emissions, and for a reduction scenario with PM10 emissions re-estimated considering the implementation of abatement measures. Aiming to cost-efficiently optimize Porto Litoral PM10 abatement measures, the assessment procedure was repeated using an optimization approach based on the RIAT + (regional integrated assessment tool +). Porto Litoral urban area's technical and non-technical measures were characterized (including associated costs) and, through the application of the air quality model to 20 emissions abatement scenarios, S-R (source-receptor) relationships were created. This paper comparatively describes the air quality plans designed to improve PM10 levels in the Porto Litoral agglomeration based on both the scenario analysis and the optimization approach. 展开更多
关键词 Urban air quality air quality plans integrated assessment methodologies modelling tools
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Heat and hazardous contaminant transports in ventilated high-rise industrial halls 被引量:4
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作者 王沨枫 刘志强 +3 位作者 Christoph van Treeck 王汉青 唐文武 寇广孝 《Journal of Central South University》 SCIE EI CAS CSCD 2015年第6期2106-2118,共13页
Performances and efficiencies of displacement ventilation(DV) and partial ventilation(PV) for industrial halls of different configurations as well as the heat and mass transports within the industrial halls were numer... Performances and efficiencies of displacement ventilation(DV) and partial ventilation(PV) for industrial halls of different configurations as well as the heat and mass transports within the industrial halls were numerically investigated. Three levels of Rayleigh number(5.8×1010, 1.0×1012 and 2.1×1012) and two values of source contaminant flux(5 mg/s and 50 mg/s) were considered. The inlet Reynolds numbers were 2×104, 5×104, 1.5×105 and 4.5×105 for DV and 5×105, 1×106, 2×106 and 4×106 for PV, respectively. From the results, it is concluded that the above parameters have very complex impacts on the conjugated heat and mass transports. From points of view of acceptable indoor air quality and ventilation efficiency, PV at Re=1×106 with side-located sources and 65% of the supply air extracted through floor level outlets is the best choice when Ra=5.8×1010. However, DVs at Re=5×104 and Re=1.5×105with center-located sources and floor-mounted air suppliers are the best choices for Ra=1.0×1012 and Ra=2.1×1012, respectively. When source contaminant flux reaches 50 mg/s, local extraction as a supplement of general ventilation is recommended. The results can be a first approximation to 3D numerical investigation and preliminary ventilation system design guidelines for high-rise industrial halls. 展开更多
关键词 large space general ventilation highly turbulent flows combined heat and mass transports
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Numerical Simulation of CO_2 Concentrations in East Asia with RAMS-CMAQ 被引量:2
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作者 KOU Xing-Xia ZHANG Mei-Gen PENG Zhen 《Atmospheric and Oceanic Science Letters》 CSCD 2013年第4期179-184,共6页
The regional air quality modeling system RAMS-CMAQ(Regional Atmospheric Modeling System and Models-3 Community Multi-scale Air Quality) was developed by incorporating a vegetation photosynthesis and respiration module... The regional air quality modeling system RAMS-CMAQ(Regional Atmospheric Modeling System and Models-3 Community Multi-scale Air Quality) was developed by incorporating a vegetation photosynthesis and respiration module(VPRM) and used to simulate temporal-spatial variations in atmospheric CO2 concentrations in East Asia,with prescribed surface CO2 fluxes(i.e.,fossil fuel emission,biomass burning,sea-air CO2 exchange,and terrestrial biosphere CO2 flux).Comparison of modeled CO2 mixing ratios with eight ground-based in-situ measurements demonstrated that the model was able to capture most observed CO2 temporal-spatial features.Simulated CO2 concentrations were generally in good agreement with observed concentrations.Results indicated that the accumulated impacts of anthropogenic emissions contributed more to increased CO2 concentrations in urban regions relative to remote locations.Moreover,RAMS-CMAQ analysis demonstrates that surface CO2 concentrations in East Asia are strongly influenced by terrestrial ecosystems. 展开更多
关键词 CO2 concentration biospheric CO2 flux carbon flux regional chemical transport model
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Engineering Solutions towards Cost-Effective Sustainable Environment and Living
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作者 Noor-E-Alam Ahmed 《Journal of Energy and Power Engineering》 2012年第2期155-167,共13页
One important area where the development of economically viable products can improve the quality and comfort of human existence is natural ventilation inside a building. Despite the wide distribution of air pollutant ... One important area where the development of economically viable products can improve the quality and comfort of human existence is natural ventilation inside a building. Despite the wide distribution of air pollutant sources, the concentration of indoor pollutants may be the dominant risk factor in relation to personal exposure, as most people spend an average of 87% and 6% of their time within enclosed rooms and vehicles, respectively. Under these circumstances, wind driven rotating ventilators, which use natural energy and are cheap to manufacture, install and maintain, can become very effective non-polluting means of alleviating the problems within enclosed spaces. The author has been pioneering design and performance studies of environment friendly products such as the rooftop ventilator for over a decade at the University of New South Wales in Australia. The purpose of this paper is to detail the basic working principles of this ventilator and the series of detailed experimental and numerical investigations that has been performed in the optimization of the rooftop ventilator in terms of performance with higher air mass extraction rate and improved safety in operation has been achieved. Findings from these studies have been incorporated in the design of ventilators that are now commercially produced and marketed throughout the world by CSR Edmonds Pry Ltd of Australia. The conduct and outcomes of these works form the basis of this keynote paper. 展开更多
关键词 Wind natural ventilation roof-top ventilator inlet air quality environment friendly.
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浅谈阻塞性睡眠呼吸暂停低通气综合征患者颈部埋线的临床治疗效果
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作者 黄珍恺 徐晓莉 陈兴兵 《中文科技期刊数据库(全文版)医药卫生》 2022年第6期75-78,共4页
探讨阻塞性睡眠呼吸暂停低通气综合征颈部埋线治疗的效果。方法 回顾性选取2020年1月-2021年12月高邮市中医医院针灸科及肺病科门诊患者72例,依据方法分为金嗓利咽胶囊治疗基础上加用颈部埋线治疗组(治疗组)、金嗓利咽胶囊治疗组(对照组... 探讨阻塞性睡眠呼吸暂停低通气综合征颈部埋线治疗的效果。方法 回顾性选取2020年1月-2021年12月高邮市中医医院针灸科及肺病科门诊患者72例,依据方法分为金嗓利咽胶囊治疗基础上加用颈部埋线治疗组(治疗组)、金嗓利咽胶囊治疗组(对照组)两组,各36例,统计分析两组临床症状体征变化、通气质量、睡眠质量、咽喉壁厚度、颈围、治疗疗效、中医症候疗效。结果 治疗组患者的中医症候评分、AHl、ESS评分均低于对照组(P<0.05),LSaO2高于对照组(P<0.05)。治疗前,两组患者的咽喉壁厚度、颈围之间的差异均不显著(P>0.05),治疗后,治疗组患者的咽喉壁厚度小于对照组(P<0.05),颈围小于对照组(P<0.05);两组患者治疗后的咽喉壁厚度、颈围均小于治疗前(P<0.05)。治疗组患者治疗的总有效率高于对照组(P<0.05),中医症候总有效率高于对照组(P<0.05)。结论 阻塞性睡眠呼吸暂停低通气综合征颈部埋线治疗的效果好。 展开更多
关键词 阻塞性睡眠呼吸暂停低通气综合征 金嗓利咽胶囊 颈部埋线 临床症状体征 通气质量 睡眠质量
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肺表面活性物质(珂立苏)联合BiPAP治疗新生儿呼吸窘迫综合征的临床疗效分析 被引量:1
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作者 杨云岗 《医学信息》 2020年第S02期66-67,共2页
目的探讨肺表面活性物质(珂立苏)联合双向气道正压通气(BiPAP)治疗新生儿呼吸窘迫综合征(neonatal respiratory distress syndrome,NRDS)的临床疗效.方法选取78例NRDS患儿作为研究对象,以抽签分组的方式分入到对照组和观察组中,均为39例... 目的探讨肺表面活性物质(珂立苏)联合双向气道正压通气(BiPAP)治疗新生儿呼吸窘迫综合征(neonatal respiratory distress syndrome,NRDS)的临床疗效.方法选取78例NRDS患儿作为研究对象,以抽签分组的方式分入到对照组和观察组中,均为39例,对照组常规BiPAP支持治疗,观察组在对照组基础上应用珂立苏治疗,对比两组患儿的血气指标改善情况,治疗疗效.结果治疗前两组患儿的动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))水平无统计学意义(P﹥0.05);治疗24h后观察组患儿的PaO_(2)水平高于对照组,PaCO_(2)水平低于对照组,有统计学意义(P<0.05).观察组患儿的治疗总有效率高于对照组,有统计学意义(P<0.05).观察组患儿氧疗时间、住院时间均短于对照组患儿,有统计学意义(P<0.05).结论珂立苏联合BiPAP治疗NRDS的治疗理想,可显著改善患儿的血气指标,促进患儿的康复,缩短治疗时间,临床应用价值较高. 展开更多
关键词 新生儿呼吸窘迫综合症 通气质量 肺表面活性物质 新生儿科 治疗效果
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ICU护理风险管理对急性呼吸窘迫综合征患者的应用研究
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作者 傅咏芸 李晓兰 汪家新 《中文科技期刊数据库(全文版)医药卫生》 2022年第12期79-81,共3页
研究ICU护理风险管理对急性呼吸窘迫综合征患者的应用。方法 将2021年9月-2022年9月我院ICU收治的42例急性呼吸窘迫综合征患者随机分为2组,并分析不同护理方式的应用效果。结果 本研究中实验组患者及其家属的护理满意度高于对照组,机械... 研究ICU护理风险管理对急性呼吸窘迫综合征患者的应用。方法 将2021年9月-2022年9月我院ICU收治的42例急性呼吸窘迫综合征患者随机分为2组,并分析不同护理方式的应用效果。结果 本研究中实验组患者及其家属的护理满意度高于对照组,机械通气相关指标评分以及患者的舒适度评分均优于对照组,且实验组护理风险事件发生率低于对照组,对比护理质量,实验组高于对照组,p<0.05。结论 ICU护理风险管理的应用能够使呼吸窘迫综合征患者的临床症状得到改善,使患者的治疗舒适性提升,通气质量也得到良好的调节,降低治疗期间的风险事件,使其整体的治疗效果提高。 展开更多
关键词 ICU护理风险管理 急性呼吸窘迫综合征 护理满意度 通气质量
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Experimental Study on Elevated Fires in a Ceiling Vented Compartment 被引量:3
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作者 Jiaqing ZHANG Shouxiang LU +3 位作者 Qiang LI Changhai LI Man YUAN Richard YUEN 《Journal of Thermal Science》 SCIE EI CAS CSCD 2013年第4期377-382,共6页
The impacts of elevation on fires in a ceiling vented compartment were investigated experimentally. The flame behavior of elevated fires was recorded. Various parameters including the fuel mass loss rate, the light ex... The impacts of elevation on fires in a ceiling vented compartment were investigated experimentally. The flame behavior of elevated fires was recorded. Various parameters including the fuel mass loss rate, the light extinction coefficient, the oxygen concentration and the gas temperature were measured. Results indicated that the variations of the flame behavior were consistent with that of the fuel mass loss rate. The fire location significantly impacted the light extinction coefficient, the oxygen concentration and the gas temperature, which all showed distinct stratification phenomena. For a higher elevated f'we, the average fuel loss rate and the overall light extinction co- efficient were smaller, the oxygen concentration was higher and the gas temperature was lower. In addition, the smoke descending was slower. From the perspective of those parameters the fire was less hazardous if the fire was elevated higher, which was totally different from the elevated fires in closed compartments. 展开更多
关键词 Compartment fire Ceiling vent Elevated fires Fire hazard
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集束化护理措施应用于呼吸机相关肺炎护理中的临床效果 被引量:2
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作者 汪美芳 《按摩与康复医学》 2019年第16期78-79,共2页
目的:分析集束化护理措施应用在呼吸机相关肺炎护理中的临床疗效。方法:选取2018年1~9月本院收治的实施呼吸机通气治疗的患者117例,随机分成常规组58例和观察组59例。常规组实施基础护理,观察组实施集束化护理,对比两组患者肺炎发生率... 目的:分析集束化护理措施应用在呼吸机相关肺炎护理中的临床疗效。方法:选取2018年1~9月本院收治的实施呼吸机通气治疗的患者117例,随机分成常规组58例和观察组59例。常规组实施基础护理,观察组实施集束化护理,对比两组患者肺炎发生率、机械通气时间、护理满意度评分、护理质量评分。结果:观察组肺炎发生率显著低于常规组(P<0.05)。观察组机械通气时间、护理满意度评分、护理质量评分均显著优于常规组(P<0.05)。结论:针对实施呼吸机通气治疗的患者给予集束化护理措施的护理效果十分显著,利于患者预后。 展开更多
关键词 集束化护理 呼吸机相关肺炎 机械通气时间、护理满意度评分、护理质量评分
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