Currently, there is no known optimal therapy for carbon monoxide （CO） poisoning and CO-associated delayed neu- rological sequelae. Hyperbaric oxygen therapy （HBOT） is a well-known treatment method, but its use for...Currently, there is no known optimal therapy for carbon monoxide （CO） poisoning and CO-associated delayed neu- rological sequelae. Hyperbaric oxygen therapy （HBOT） is a well-known treatment method, but its use for CO poison- ing patients is controversial to use due to lack of evidences regarding its efficacy. Thus, it is unlikely that HBOT alone will be accepted as the standard treatment method. In this article, current and potential treatment methods of CO poi- soning are presented as well as the tentative multi-factorial pathophysiology. A series of treatments are suggested for use as a bundle therapy, with targeted temperature management as the base treatment method. Such a therapy holds a great potential, especially for the cases where HBOT is not readily available. We suggest further investigations for elucidating the effects of these suggested treatments and their roles in terms of the complex pathophysiology of CO poisoning. Future ac- ceptance of this therapy based on the improved scientific and clinical knowledge may result in injury prevention and mini- mization of the signs and the symptoms in CO poisoning.展开更多
Subdural hematoma is often secondary to brain trauma and other diseases.The onset is hidden and the condition is critical.Timely detection and early treatment are particularly important.The patient denied a history of...Subdural hematoma is often secondary to brain trauma and other diseases.The onset is hidden and the condition is critical.Timely detection and early treatment are particularly important.The patient denied a history of trauma,but had a history of consciousness loss after charcoal burning.The clinical symptoms were progressive cognitive impairment.The initial diagnosis was delayed encephalopathy caused by carbon monoxide poisoning.However,computed tomography(CT)scan of the brain showed a large area of subdural hematoma on the left side and the formation of a cerebral hernia,which was life-threatening.The patienfs symptoms gradually improved after an emergency operation.展开更多
In ground tests of hypersonic scramjet, the highenthalpy airstream produced by burning hydrocarbon fuels often contains contaminants of water vapor and carbon dioxide. The contaminants may change the ignition characte...In ground tests of hypersonic scramjet, the highenthalpy airstream produced by burning hydrocarbon fuels often contains contaminants of water vapor and carbon dioxide. The contaminants may change the ignition characteristics of fuels between ground tests and real flights. In order to properly assess the influence of the contaminants on ignition characteristics of hydrocarbon fuels, the effect of water vapor and carbon dioxide on the ignition delay times of China RP-3 kerosene was studied behind reflected shock waves in a preheated shock tube. Experiments were conducted over a wider temperature range of 800-1 500 K, at a pressure of 0.3 MPa, equivalence ratios of 0.5 and 1, and oxygen concentration of 20%. Ignition delay times were determined from the onset of the excited radical OH emission together with the pressure profile. Ignition delay times were measured for four cases： （1） clean gas, （2） gas vitiated with 10% and 20% water vapor in mole, （3） gas vitiated with 10% carbon dioxide in mole, and （4） gas vitiated with 10% water vapor and 10% carbon dioxide, 20% water vapor and 10% carbon dioxide in mole. The results show that carbon dioxide produces an inhibiting effect at temperatures below 1 300 K when Ф = 0.5, whereas water vapor appears to accelerate the ignition process below a critical temperature of about 1 000 K when Ф = 0.5. When both water vapor and carbon dioxide exist together, a minor inhibiting effect is observed at Ф = 0.5, while no effect is found at Ф = 1.0. The results are also discussed preliminary by considering both the combustion reaction mechanism and the thermophysics properties of the fuel mixtures. The current measurements demonstrate vitiation effects of water vapor and carbon dioxide on the autoignition characteristics of China RP-3 kerosene at air-like O2 concentration. It is important to account for such effects when data are extrapolated from ground testing to real flight conditions.展开更多
Objective To research the expression of hypoxia-inducible factor-1 alpha(HIF-1α)and heme oxygenase-1(HO-1)in hippocampus of rats with delayed encephalopathy after acute carbon monoxide poisoning(DEACMP)and its functi...Objective To research the expression of hypoxia-inducible factor-1 alpha(HIF-1α)and heme oxygenase-1(HO-1)in hippocampus of rats with delayed encephalopathy after acute carbon monoxide poisoning(DEACMP)and its functions.Methods One hundred and fiftysix rats were selected and randomly divided into展开更多
文摘Currently, there is no known optimal therapy for carbon monoxide （CO） poisoning and CO-associated delayed neu- rological sequelae. Hyperbaric oxygen therapy （HBOT） is a well-known treatment method, but its use for CO poison- ing patients is controversial to use due to lack of evidences regarding its efficacy. Thus, it is unlikely that HBOT alone will be accepted as the standard treatment method. In this article, current and potential treatment methods of CO poi- soning are presented as well as the tentative multi-factorial pathophysiology. A series of treatments are suggested for use as a bundle therapy, with targeted temperature management as the base treatment method. Such a therapy holds a great potential, especially for the cases where HBOT is not readily available. We suggest further investigations for elucidating the effects of these suggested treatments and their roles in terms of the complex pathophysiology of CO poisoning. Future ac- ceptance of this therapy based on the improved scientific and clinical knowledge may result in injury prevention and mini- mization of the signs and the symptoms in CO poisoning.
文摘Subdural hematoma is often secondary to brain trauma and other diseases.The onset is hidden and the condition is critical.Timely detection and early treatment are particularly important.The patient denied a history of trauma,but had a history of consciousness loss after charcoal burning.The clinical symptoms were progressive cognitive impairment.The initial diagnosis was delayed encephalopathy caused by carbon monoxide poisoning.However,computed tomography(CT)scan of the brain showed a large area of subdural hematoma on the left side and the formation of a cerebral hernia,which was life-threatening.The patienfs symptoms gradually improved after an emergency operation.
基金supported by the National Natural Science Foundation of China(90916017)
文摘In ground tests of hypersonic scramjet, the highenthalpy airstream produced by burning hydrocarbon fuels often contains contaminants of water vapor and carbon dioxide. The contaminants may change the ignition characteristics of fuels between ground tests and real flights. In order to properly assess the influence of the contaminants on ignition characteristics of hydrocarbon fuels, the effect of water vapor and carbon dioxide on the ignition delay times of China RP-3 kerosene was studied behind reflected shock waves in a preheated shock tube. Experiments were conducted over a wider temperature range of 800-1 500 K, at a pressure of 0.3 MPa, equivalence ratios of 0.5 and 1, and oxygen concentration of 20%. Ignition delay times were determined from the onset of the excited radical OH emission together with the pressure profile. Ignition delay times were measured for four cases： （1） clean gas, （2） gas vitiated with 10% and 20% water vapor in mole, （3） gas vitiated with 10% carbon dioxide in mole, and （4） gas vitiated with 10% water vapor and 10% carbon dioxide, 20% water vapor and 10% carbon dioxide in mole. The results show that carbon dioxide produces an inhibiting effect at temperatures below 1 300 K when Ф = 0.5, whereas water vapor appears to accelerate the ignition process below a critical temperature of about 1 000 K when Ф = 0.5. When both water vapor and carbon dioxide exist together, a minor inhibiting effect is observed at Ф = 0.5, while no effect is found at Ф = 1.0. The results are also discussed preliminary by considering both the combustion reaction mechanism and the thermophysics properties of the fuel mixtures. The current measurements demonstrate vitiation effects of water vapor and carbon dioxide on the autoignition characteristics of China RP-3 kerosene at air-like O2 concentration. It is important to account for such effects when data are extrapolated from ground testing to real flight conditions.
文摘Objective To research the expression of hypoxia-inducible factor-1 alpha(HIF-1α)and heme oxygenase-1(HO-1)in hippocampus of rats with delayed encephalopathy after acute carbon monoxide poisoning(DEACMP)and its functions.Methods One hundred and fiftysix rats were selected and randomly divided into
