Objective This study aims to investigate the correlation of an ultrasonic scoring system with intraoperative blood loss(IBL) in placenta accreta spectrum(PAS) disorders.Methods A retrospective cohort study was conduct...Objective This study aims to investigate the correlation of an ultrasonic scoring system with intraoperative blood loss(IBL) in placenta accreta spectrum(PAS) disorders.Methods A retrospective cohort study was conducted between January 2015 and November 2019.Clinical data for patients with PAS have been obtained from medical records. Generalized additive models were used to explore the nonlinear relationships between ultrasonic scores and IBL. Logistic regressions were used to determine the differences in the risk of IBL ≥ 1,500 m L among groups with different ultrasonic scores.Results A total of 332 patients participated in the analysis. Generalized additive models showed a significant positive correlation between score and blood loss. The amount of IBL was increased due to the rise in the ultrasonic score. All cases were divided into three groups according to the scores(low score group: ≤ 6 points, n = 147;median score group: 7-9 points, n = 126;and high score group: ≥ 10 points, n = 59). Compared with the low score group, the high score group showed a higher risk of IBL≥ 1,500 m L [odds ratio, 15.09;95% confidence interval(3.85, 59.19);P ≤ 0.001] after a multivariable adjustment.Conclusions The risk of blood loss equal to or greater than 1,500 m L increases further when ultrasonic score greater than or equal to 10 points, the preparation for transfusion and referral mechanism should be considered.展开更多
Aiming at the problem that the existing risk assessment methods in China cannot simply and accurately assess the safety risk of gas wells, a rapid semi-quantitative risk assessment method for gas wells under high temp...Aiming at the problem that the existing risk assessment methods in China cannot simply and accurately assess the safety risk of gas wells, a rapid semi-quantitative risk assessment method for gas wells under high temperature and pressure is studied. Based on the rapid risk assessment method of annulus well with pressure in Chevron Company and the existing risk assessment methods, the well barrier and annulus pressure of high temperature and high pressure gas wells are fully considered. A rapid semi-quantitative risk assessment method for high temperature and high pressure gas wells is established, which takes the annulus pressure value, well service life, annulus pressure recovery after pressure relief, reservoir conditions (formation pressure, production) and well CO<sub style="font-family:" white-space:normal;"=""><span style="font-size:12px;font-family:Verdana;">2 </span></sub><span style="font-family:Verdana;">and H</span><sub style="font-family:" white-space:normal;"=""><span style="font-size:12px;font-family:Verdana;">2</span></sub><span style="font-family:Verdana;">S content as the key risk indexes. The method is applied in a gas field, and the risk value and risk grade of a practical well are semi-quantitatively evaluated. The overall risk situation of the well is obtained. The research results provide important technical guidance for the safe production of gas well.</span>展开更多
基金supported by The Capital health Development Research Project [2020-1-4039]Key Program for Clinical Projects of Hospital [BYSY2018002]。
文摘Objective This study aims to investigate the correlation of an ultrasonic scoring system with intraoperative blood loss(IBL) in placenta accreta spectrum(PAS) disorders.Methods A retrospective cohort study was conducted between January 2015 and November 2019.Clinical data for patients with PAS have been obtained from medical records. Generalized additive models were used to explore the nonlinear relationships between ultrasonic scores and IBL. Logistic regressions were used to determine the differences in the risk of IBL ≥ 1,500 m L among groups with different ultrasonic scores.Results A total of 332 patients participated in the analysis. Generalized additive models showed a significant positive correlation between score and blood loss. The amount of IBL was increased due to the rise in the ultrasonic score. All cases were divided into three groups according to the scores(low score group: ≤ 6 points, n = 147;median score group: 7-9 points, n = 126;and high score group: ≥ 10 points, n = 59). Compared with the low score group, the high score group showed a higher risk of IBL≥ 1,500 m L [odds ratio, 15.09;95% confidence interval(3.85, 59.19);P ≤ 0.001] after a multivariable adjustment.Conclusions The risk of blood loss equal to or greater than 1,500 m L increases further when ultrasonic score greater than or equal to 10 points, the preparation for transfusion and referral mechanism should be considered.
文摘Aiming at the problem that the existing risk assessment methods in China cannot simply and accurately assess the safety risk of gas wells, a rapid semi-quantitative risk assessment method for gas wells under high temperature and pressure is studied. Based on the rapid risk assessment method of annulus well with pressure in Chevron Company and the existing risk assessment methods, the well barrier and annulus pressure of high temperature and high pressure gas wells are fully considered. A rapid semi-quantitative risk assessment method for high temperature and high pressure gas wells is established, which takes the annulus pressure value, well service life, annulus pressure recovery after pressure relief, reservoir conditions (formation pressure, production) and well CO<sub style="font-family:" white-space:normal;"=""><span style="font-size:12px;font-family:Verdana;">2 </span></sub><span style="font-family:Verdana;">and H</span><sub style="font-family:" white-space:normal;"=""><span style="font-size:12px;font-family:Verdana;">2</span></sub><span style="font-family:Verdana;">S content as the key risk indexes. The method is applied in a gas field, and the risk value and risk grade of a practical well are semi-quantitatively evaluated. The overall risk situation of the well is obtained. The research results provide important technical guidance for the safe production of gas well.</span>
