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微小RNA物质、血栓标志物、Wells评分系统联合预测高龄髋部骨折DVT风险价值
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作者 赵亚茹 张磊 王铭震 《临床输血与检验》 CAS 2024年第1期110-116,共7页
目的探究微小RNA物质、血栓标志物、下肢深静脉栓塞评分(Wells评分)系统联合对高龄髋部骨折深静脉血栓形成(DVT)风险的预测价值,为减少DVT发生提供诊断依据。方法选取2020年10月—2022年10月我院收治的105例高龄髋部骨折患者,根据术后1... 目的探究微小RNA物质、血栓标志物、下肢深静脉栓塞评分(Wells评分)系统联合对高龄髋部骨折深静脉血栓形成(DVT)风险的预测价值,为减少DVT发生提供诊断依据。方法选取2020年10月—2022年10月我院收治的105例高龄髋部骨折患者,根据术后1周是否发生DVT分为DVT组(34例)、未DVT组(71例)。比较两组临床资料,于入院后术前进行Wells评分评估,并检测两组微小RNA物质[微小RNA-374b-5p(miR-374b-5p)、微小RNA-664b-3p(miR-664b-3p)]、血栓标志物[凝血酶-抗凝血酶复合物(TAT)、可溶性血栓调节蛋白(sTM)、纤溶酶α2抗纤溶酶复合物(PIC)、组织型纤溶酶原激活物-抑制剂复合物(t-PAIC)],分析DVT发生的影响因素,通过受试者工作特征曲线(ROC)、决策曲线分析(DCA)Wells评分、miR-374b-5p、miR-664b-3p、sTM、PIc、TAT、t-PAIC联合对高龄髋部骨折DVT风险的预测价值及临床效用。结果DVT组术前血浆FDP水平及Wells评分高度可能占比高于未DVT组(P<0.05);DVT组miR-374b-5p相对表达量高于未DVT组,miR-664b-3p相对表达量低于未DVT组(P<0.05);DVT组血浆sTM、PIC、TAT、t-PAIC水平均高于未DVT组(P<0.05);FDP、Wells评分、miR-374b-5p、miR-664b-3p、sTM、PIC、TAT、t-PAIC均为高龄髋部骨折患者发生DVT的影响因素(P<0.05);Wells评分、miR-374b-5p、miR-664b-3p、sTM、PIC、TAT、t-PAIC预测高龄髋部骨折DVT风险的AUC值分别为0.666、0.734、0.750、0.730、0.764、0.761、0.800,各指标联合预测高龄髋部骨折患者发生DVT的AUC最大,为0.921,且具有良好临床效用(P<0.05)。结论miR-374b-5p、miR-664b-3p、sTM、PIC、TAT、t-PAIC、Wells评分系统联合预测高龄髋部骨折DVT风险的预测效能较高,临床效用良好。 展开更多
关键词 髋部骨折 深静脉血栓 wells评分 miR-374b-5p miR-664b-3p
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Evaluation of hydraulic fracturing of horizontal wells in tight reservoirs based on the deep neural network with physical constraints
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作者 Hong-Yan Qu Jian-Long Zhang +3 位作者 Fu-Jian Zhou Yan Peng Zhe-Jun Pan Xin-Yao Wu 《Petroleum Science》 SCIE EI CAS CSCD 2023年第2期1129-1141,共13页
Accurate diagnosis of fracture geometry and conductivity is of great challenge due to the complex morphology of volumetric fracture network. In this study, a DNN (deep neural network) model was proposed to predict fra... Accurate diagnosis of fracture geometry and conductivity is of great challenge due to the complex morphology of volumetric fracture network. In this study, a DNN (deep neural network) model was proposed to predict fracture parameters for the evaluation of the fracturing effects. Field experience and the law of fracture volume conservation were incorporated as physical constraints to improve the prediction accuracy due to small amount of data. A combined neural network was adopted to input both static geological and dynamic fracturing data. The structure of the DNN was optimized and the model was validated through k-fold cross-validation. Results indicate that this DNN model is capable of predicting the fracture parameters accurately with a low relative error of under 10% and good generalization ability. The adoptions of the combined neural network, physical constraints, and k-fold cross-validation improve the model performance. Specifically, the root-mean-square error (RMSE) of the model decreases by 71.9% and 56% respectively with the combined neural network as the input model and the consideration of physical constraints. The mean square error (MRE) of fracture parameters reduces by 75% because the k-fold cross-validation improves the rationality of data set dividing. The model based on the DNN with physical constraints proposed in this study provides foundations for the optimization of fracturing design and improves the efficiency of fracture diagnosis in tight oil and gas reservoirs. 展开更多
关键词 Evaluation of fracturing effects Tight reservoirs Physical constraints deep neural network Horizontal wells Combined neural network
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Characteristics of helical flow in slim holes and calculation of hydraulics for ultra-deep wells 被引量:1
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作者 Fu Jianhong Yang Yun +1 位作者 Chen Ping Zhao Jinhai 《Petroleum Science》 SCIE CAS CSCD 2010年第2期226-231,共6页
Due to the slim hole at the lower part of the ultra-deep and deep wells, the eccentricity and rotation of drill string and drilling fluid properties have great effects on the annular pressure drop. This leads to the f... Due to the slim hole at the lower part of the ultra-deep and deep wells, the eccentricity and rotation of drill string and drilling fluid properties have great effects on the annular pressure drop. This leads to the fact that conventional computational models for predicting circulating pressure drop are inapplicable to hydraulics design of deep wells. With the adoption of helical flow theory and H-B rheological model, a computational model of velocity and pressure drop of non-Newtonian fluid flow in the eccentric annulus was established for the cases where the drill string rotates. The effects of eccentricity, rotation of the drill string and the dimensions of annulus on pressure drop in the annulus were analyzed. Drilling hydraulics was given for an ultra-deep well. The results show that the annular pressure drop decreases with an increase in eccentricity and rotary speed, and increases with a decrease in annular flow area. There is a great difference between static mud density and equivalent circulating density during deep well drilling. 展开更多
关键词 水力学计算 螺旋流 深水井 旋转速度 钻井液性能 轻薄 计算模型 泥浆密度
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D-D、Fib联合WELLS评分对下肢骨折术后深静脉血栓形成的预测价值 被引量:3
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作者 陆敏 《中国医药科学》 2023年第11期149-152,163,共5页
目的探讨D-二聚体(D-D)、纤维蛋白原(Fib)联合WELLS评分对下肢骨折术后深静脉血栓形成(DVT)的预测价值。方法选取2020年1月至2022年1月陆军第七十三集团军医院收治的80例下肢骨折术后患者为研究对象,根据下肢血管超声检查结果[是否形成D... 目的探讨D-二聚体(D-D)、纤维蛋白原(Fib)联合WELLS评分对下肢骨折术后深静脉血栓形成(DVT)的预测价值。方法选取2020年1月至2022年1月陆军第七十三集团军医院收治的80例下肢骨折术后患者为研究对象,根据下肢血管超声检查结果[是否形成DVT]分为DVT组(n=17)和非DVT组(n=63),比较两组一般资料、凝血功能指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、国际标准化比值(INR)、D-D、Fib]及WELLS评分,采用多因素logistic回归分析下肢骨折术后患者发生DVT的独立影响因素,并通过受试工作者特征(ROC)曲线分析D-D、Fib、WELLS评分及三者联合预测DVT的价值。结果DVT组PT、INR、D-D、Fib水平及WELLS评分显著高于非DVT组,差异有统计学意义(P<0.05);两组APTT水平比较,差异无统计学意义(P>0.05)。多因素logistic回归分析显示,D-D、Fib、WELLS评分是发生DVT的独立危险因素(P<0.05)。D-D、Fib、WELLS评分及三者联合诊断DVT的曲线下面积(AUC)分别为0.831、0.793、0.872、0.974,三者联合诊断DVT的效能高于单一指标(P<0.05)。结论D-D、Fib联合WELLS评分可以提高下肢骨折术后DVT发生的预测价值,值得临床推广应用。 展开更多
关键词 下肢深静脉血栓 D-二聚体 纤维蛋白原 wells评分 预测价值
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以Wells评分为指导的护理干预对腰椎间盘突出症患者术后深静脉血栓形成的影响
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作者 高海芳 《河南医学研究》 CAS 2023年第7期1311-1314,共4页
目的分析以Wells评分为指导的护理干预模式对预防腰椎间盘突出症患者手术治疗后深静脉血栓形成的影响。方法以2021年1―12月安阳市安钢总医院骨六科拟行手术治疗的83例腰椎间盘突出症患者作为研究对象进行前瞻性分析。采用随机数字表法... 目的分析以Wells评分为指导的护理干预模式对预防腰椎间盘突出症患者手术治疗后深静脉血栓形成的影响。方法以2021年1―12月安阳市安钢总医院骨六科拟行手术治疗的83例腰椎间盘突出症患者作为研究对象进行前瞻性分析。采用随机数字表法将其分为观察组与对照组。其中对照组接受常规术后护理,观察组在此基础上加用基于Wells评分为指导的护理模式。比较两组患者护理期间深静脉血栓发生率、临床指标、实验室指标。结果试验期间观察组因未完成相应指标检查脱落2例,因个人原因申请退出试验脱落1例;对照组无脱落,最终观察组39例,对照组41例。干预后观察组患者深静脉血栓发生率低于对照组,腿围增长低于对照组,住院时间短于对照组,活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)长于对照组(P<0.05)。结论基于Wells评分的护理模式可有效降低腰椎间盘突出症患者术后深静脉血栓的发生率。 展开更多
关键词 腰椎间盘突出症 wells评分 深静脉血栓 护理
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Caprini、Wells、 Autar评估量表对人工全膝关节置换患者术后下肢深静脉血栓的预测价值
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作者 柴充 王浩磊 《河南医学研究》 CAS 2023年第18期3316-3319,共4页
目的 探讨Caprini、Wells、 Autar评估量表对人工全膝关节置换患者术后形成下肢深静脉血栓(DVT)的预测价值。方法 选取2022年1月至2023年1月平煤神马集团总医院收治的120例TKA术后患者作为研究对象。分为对照组(术后未合并DVT,76例)和... 目的 探讨Caprini、Wells、 Autar评估量表对人工全膝关节置换患者术后形成下肢深静脉血栓(DVT)的预测价值。方法 选取2022年1月至2023年1月平煤神马集团总医院收治的120例TKA术后患者作为研究对象。分为对照组(术后未合并DVT,76例)和研究组(术后合并DVT,44例)。采用Caprini、Wells、 Autar量表评估两组患者发生DVT风险,采用Pearson分析Caprini、Wells、 Autar量表相关性,同时运用受试者工作特征(ROC)曲线评估Caprini、Wells、 Autar量表对DVT发生的诊断价值。结果 在Caprini、Wells、Autar量表评分中研究组患者高风险及极高风险占比高,对照组患者低风险及中风险的占比较高(P<0.05)。研究组患者的Caprini、Wells、Autar量表评分均高于对照组(P<0.05)。Caprini、Wells、Autar量表对DVT的发生均有诊断价值,Wells量表的灵敏度、特异性及AUC均高于Caprini及Autar量表。结论 Caprini、Wells、 Autar量表对人工全膝关节置换患者术后形成下肢DVT的发生均有一定诊断价值,其中Wells量表的诊断价值最高。 展开更多
关键词 下肢深静脉血栓 人工全膝关节置换 Caprini量表 wells量表 Autar量表 诊断价值
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血管彩超、血清D-二聚体检测、Wells评分对下肢深静脉血栓的诊断价值分析
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作者 彭红艳 孙雪莲 《中国现代药物应用》 2023年第22期88-90,共3页
目的评价血管彩超、血清D-二聚体检测、Wells评分对下肢深静脉血栓(DVT)的诊断价值。方法选择骨科创伤骨折术后合并下肢DVT患者为观察组,未发生下肢DVT创伤骨折患者为对照组,每组20例。两组均进行血管彩超、血清D-二聚体检测及Wells评分... 目的评价血管彩超、血清D-二聚体检测、Wells评分对下肢深静脉血栓(DVT)的诊断价值。方法选择骨科创伤骨折术后合并下肢DVT患者为观察组,未发生下肢DVT创伤骨折患者为对照组,每组20例。两组均进行血管彩超、血清D-二聚体检测及Wells评分,以静脉造影检查为金标准,比较两组血管彩超检查结果、D-二聚体水平及Wells评分。结果血管彩超检查显示,观察组检出下肢DVT 19例,检出率为95.00%;对照组未检出下肢DVT。观察组血清D-二聚体水平(0.60±0.20)mg/L、Wells评分(0.70±0.20)分均高于对照组的(0.20±0.10)mg/L、(0.20±0.10)分,差异具有统计学意义(P<0.05)。结论血管彩超、血清D-二聚体检测、Wells评分对创伤骨折下肢DVT具有诊断价值。 展开更多
关键词 下肢深静脉血栓 血管彩超 血清D-二聚体 wells评分 诊断价值
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Reliability Analysis of Super 13Cr Tubing in Ultra-Deep Gas Well
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作者 Lihu Cao Hongtao Liu +2 位作者 Junyan Liu Hailong Geng Haotian Wei 《Engineering(科研)》 2019年第7期429-436,共8页
Abnormal oil casing pressure appeared in the process of test production of multiple Ultra-Deep Gas Wells in Tarim Basin. The super 13Cr oil pipe string was used to analyze the causes of pipe string failure in view of ... Abnormal oil casing pressure appeared in the process of test production of multiple Ultra-Deep Gas Wells in Tarim Basin. The super 13Cr oil pipe string was used to analyze the causes of pipe string failure in view of the oil casing channeling well during the test and blowout period. The construction process of the well was analyzed in detail. Combined with the review of the operation flow and the detection of fracture string material and fracture morphology, the causes of pipe string fracture were analyzed and calculated in detail. Through field investigation, analysis and calculation, it was found that the main cause of cracking of super 13Cr tubing in this well is the decrease of vibration natural frequency caused by excessive fluid velocity in pipe and too long span of pipe string. At the same time, the mixed failure of stress corrosion cracking and stress load interaction occurred in Cl&#8722;1 environment and other corrosion environments. 展开更多
关键词 ultra-deep well Gas well Pipe STRING Vibration Fatigue Corrosion
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Mechanism and prevention method of drill string uplift during shut-in after overflow in an ultra-deep well
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作者 YIN Hu SI Menghan +2 位作者 LI Qian JANG Hongwei DAI Liming 《Petroleum Exploration and Development》 2018年第6期1139-1145,共7页
Drill string will sustain large uplift force during the shut-in period after gas overflow in an ultra-deep well, and in serious case, it will run out of the wellhead. A calculation model of uplift force was establishe... Drill string will sustain large uplift force during the shut-in period after gas overflow in an ultra-deep well, and in serious case, it will run out of the wellhead. A calculation model of uplift force was established to analyze dynamic change characteristics of the uplift force of drill string during the shut-in period, and then a management procedure for the uplift risk during the shut-in period after gas overflow in the ultra-deep well was formed. Cross section method and pressure area method were used to analyze the force on drill string after shut-in of well, it was found that the source of uplift force was the "fictitious force" caused by the hydrostatic pressure in the well. When the fictitious force is in the opposite direction to the gravity, it is the uplift force. By adopting the theory of annular multiphase flow, considering the effects of wellbore afterflow and gas slippage, the dynamic change of the pressure and fluid in the wellbore and the uplift force of drill string during the shut-in period were analyzed. The magnitude and direction of uplift force are related to the length of drill string in the wellbore and shut-in time, and there is the risk of uplift of drill string when the length of drill string in the wellbore is smaller than the critical drill string length or the shut in time exceeds the critical shut in time. A set of treatment method and process to prevent the uplift of drill string is advanced during the shut-in period after overflow in the ultra-deep well, which makes the risk management of the drill string uplift in the ultra-deep well more rigorous and scientific. 展开更多
关键词 ultra-deep well drilling OVERFLOW shut-in DRILL STRING UPLIFT force axial load
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Wells评分联合D-二聚体检测在深静脉血栓诊断中的应用 被引量:11
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作者 段秀群 尹良琼 龚国富 《检验医学》 CAS 2016年第7期581-583,共3页
目的探讨深静脉血栓(DVT)形成的临床概率模型Wells评分联合D-二聚体(DD)测定在筛查DVT中的临床应用价值。方法对127例疑似DVT患者进行Wells评分,得出预测概率得分,同时测定其治疗前DD水平,最后根据彩色多普勒超声及多层螺旋CT静脉造影... 目的探讨深静脉血栓(DVT)形成的临床概率模型Wells评分联合D-二聚体(DD)测定在筛查DVT中的临床应用价值。方法对127例疑似DVT患者进行Wells评分,得出预测概率得分,同时测定其治疗前DD水平,最后根据彩色多普勒超声及多层螺旋CT静脉造影术明确诊断。结果 Wells评分筛查DVT的阳性率为30.7%,DD筛查DVT的阳性率为36.2%,两者联合筛查DVT的阳性率为47.2%,联合筛查的阳性率明显高于Wells评分和DD单项筛查(P<0.05)。DD筛查的性能优于Wells评分(P<0.05)。结论 Wells评分联合DD检测可辅助早期筛查DVT,降低DVT漏诊率,并有效排除DVT。 展开更多
关键词 D-二聚体 wells评分 深静脉血栓
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Wells评分应用于脑卒中并发下肢深静脉血栓研究 被引量:16
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作者 张娜 梁华敏 +2 位作者 李勇军 吴佳 范学文 《现代临床医学》 2017年第4期284-285,289,共3页
目的:探讨Wells深静脉血栓评分量表在脑卒中并发下肢深静脉血栓的应用价值。方法:采用Wells评分评估我科收治的128例脑卒中患者,以静脉加压超声检查确诊下肢深静脉血栓形成。计算Wells评分应用于脑卒中并发下肢深静脉血栓的阳性预测值... 目的:探讨Wells深静脉血栓评分量表在脑卒中并发下肢深静脉血栓的应用价值。方法:采用Wells评分评估我科收治的128例脑卒中患者,以静脉加压超声检查确诊下肢深静脉血栓形成。计算Wells评分应用于脑卒中并发下肢深静脉血栓的阳性预测值、阴性预测值、特异度、灵敏度。结果:根据Wells评分,将128例患者分为低度可能组、中度可能组和高度可能组,低度可能组发生静脉血栓症2例(10.52%),中度可能组发生静脉血栓症24例(27.27%),高度可能组发生静脉血栓症18例(85.71%),阴性预测值为89.48%,阳性预测值为85.71%。Wells评分在预测脑卒中并发下肢深静脉血栓形成ROC曲线下面积(AUC)为0.812,最佳分界值为1.5分,敏感度为81.8%,特异度为68.2%。结论:Wells评分可有效预测下肢深静脉血栓形成,值得临床推广应用。 展开更多
关键词 脑卒中 wells评分 深静脉血栓
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Wells量表对脊髓损伤患者下肢深静脉血栓的诊断价值评价 被引量:8
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作者 刘亚梅 刘岩 《河北医学》 CAS 2018年第4期597-600,共4页
目的:探讨Wells评分对脊髓损伤后下肢深静脉血栓的诊断价值。方法:选取2014年5月至2015年12月于我院康复科初诊的外伤性脊髓损伤患者196例,以下肢深静脉超声作为下肢深静脉血栓的确诊手段,并利用Wells评分对所有患者进行评估。结果:Well... 目的:探讨Wells评分对脊髓损伤后下肢深静脉血栓的诊断价值。方法:选取2014年5月至2015年12月于我院康复科初诊的外伤性脊髓损伤患者196例,以下肢深静脉超声作为下肢深静脉血栓的确诊手段,并利用Wells评分对所有患者进行评估。结果:Wells评分在评估脊髓损伤患者康复阶段下肢深静脉血栓中的灵敏度为64.3%,漏诊率为35.7%,特异度为99.3%,误诊率为0.7%,约登指数(Youden's Index)63.6%,阳性预测值为97.3%,阴性预测值为87.4%,阳性似然比为91.9,阴性似然比为0.36。结论:Wells评分诊断脊髓损伤患者下肢深静脉血栓时会出现较高的假阴性,尚不能成为独立预测脊髓损伤患者康复阶段下肢深静脉血栓的有效方法。 展开更多
关键词 脊髓损伤 下肢深静脉血栓 wells评分
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FG、D-二聚体测定结合WELLS评分对预测下肢深静脉栓塞价值的临床研究 被引量:10
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作者 胡海澜 廖壮文 +1 位作者 杨进顺 白波 《国际医药卫生导报》 2007年第16期4-7,共4页
摘要目的探讨用FG、D-二聚体测定结合危险性评估(WELLS评分分组)的方法预测下肢深静脉栓塞可行性。方法2005年8月1日~2006年8月1日骨科住院病人64例,已排除合并有对DVT有肯定影响因素的患者。术后当天根据下肢深静脉栓塞危险度评分... 摘要目的探讨用FG、D-二聚体测定结合危险性评估(WELLS评分分组)的方法预测下肢深静脉栓塞可行性。方法2005年8月1日~2006年8月1日骨科住院病人64例,已排除合并有对DVT有肯定影响因素的患者。术后当天根据下肢深静脉栓塞危险度评分表(wells评分表)进行评分分组:低危组:分值〈1;危险组:1≤分值≤2;高危组:2〈分值。术后当天,抽静脉血进行相关实验室指标检测,包括PT(凝血酶原时间)、APTT(部分活化凝血酶原时间)、FG(纤维蛋白原)、D二聚体、VWF(血管性血友病因子),记录结果。术后4~7天,彩色超声多普勒检查双下肢深静脉,记录结果。通过循证医学的方法验证、评价相关实验室测定指标结合wells评分对DVT的初步预测效果。结果通过循证医学评价方法得出:实验室指标结合wells评分对各组患者诊断价值的准确性评价结果分别为:64%、77%、92.5%。结论FG、D-二聚体测定结合wells评分可用于骨科术后DVT的早期预测。 展开更多
关键词 骨科患者 术后 下肢静脉血栓形成 预警机制 wells评分 实验室指标
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探讨D-二聚体结合Wells评分对下肢深静脉血栓形成的肯定性诊断 被引量:4
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作者 王雪钢 白斗 +3 位作者 武少辉 张效杰 高林 蒋岚杉 《血管与腔内血管外科杂志》 2018年第4期314-316,333,共4页
目的探讨D-二聚体结合Wells评分对下肢深静脉血栓形成(DVT)诊断的意义。方法选取绵阳市中心医院2016年7月至2017年12月的57例DVT患者,随机分为A组和B组,A组28例,先测定D-二聚体,后经彩超证实诊断;B组29例,先行彩超诊断,后行D-二聚体检... 目的探讨D-二聚体结合Wells评分对下肢深静脉血栓形成(DVT)诊断的意义。方法选取绵阳市中心医院2016年7月至2017年12月的57例DVT患者,随机分为A组和B组,A组28例,先测定D-二聚体,后经彩超证实诊断;B组29例,先行彩超诊断,后行D-二聚体检测。结果 2组彩超证实为DVT,而且D-二聚体均升高(≥500 ng/ml)。结论在DVT的诊断过程中,在充分认识病史及体征后结合Wells评分,可以用D-二聚体值直接做出肯定诊断,与彩超的诊断率并无显著差异。 展开更多
关键词 D-二聚体 彩超 深静脉血栓形成 wells评分
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调整阈值的D-二聚体联合Wells评分、修正Geneva评分诊断下肢深静脉血栓形成患者非高危肺血栓栓塞症风险的价值 被引量:6
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作者 沈酥雯 袁洪新 +6 位作者 袁鹏 岳天华 鲍柏军 纪易斐 江枫 赵辉 肖明兵 《介入放射学杂志》 CSCD 北大核心 2022年第11期1089-1092,共4页
目的评价根据年龄断层调整的D-二聚体阈值水平联合Wells评分、修正Geneva评分对下肢深静脉血栓形成(DVT)患者非高危肺血栓栓塞症(PTE)风险的诊断价值。方法选取2018年8月1日至2021年5月30日在南通大学附属医院住院的下肢DVT患者为研究... 目的评价根据年龄断层调整的D-二聚体阈值水平联合Wells评分、修正Geneva评分对下肢深静脉血栓形成(DVT)患者非高危肺血栓栓塞症(PTE)风险的诊断价值。方法选取2018年8月1日至2021年5月30日在南通大学附属医院住院的下肢DVT患者为研究对象。根据CT肺动脉造影结果,将患者分为单纯下肢DVT组和伴非高危PTE组。分析两组患者调整阈值的D-二聚体阳性比例、Wells评分、修正Geneva评分,绘制受试者工作特征曲线(ROC),以评价诊断伴非高危PTE风险的价值。结果入组475例患者中单纯下肢DVT组346例(72.8%),伴非高危PTE组129例(27.2%)。调整阈值的D-二聚体、Wells评分、修正Geneva评分、调整阈值的D-二聚体+Wells评分、调整阈值的D-二聚体+修正Geneva评分诊断下肢DVT伴非高危PTE的ROC曲线下面积(AUC)分别为0.553(95%CI=0.497~0.610)、0.724(95%CI=0.670~0.779)、0.698(95%CI=0.645~0.750)、0.751(95%CI=0.701~0.802)、0.727(95%CI=0.678~0.777)。Wells评分、修正Geneva评分AUC均大于调整阈值的D-二聚体,调整阈值的D-二聚体+Wells评分AUC大于调整阈值的D-二聚体+修正Geneva评分。结论调整阈值的D-二聚体联合Wells评分对下肢DVT伴非高危PTE的诊断价值较高。 展开更多
关键词 下肢深静脉血栓形成 肺血栓栓塞症 wells评分 修正Geneva评分 D-二聚体
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Deep and Ultra-Deep Earthquakes Worldwide, Possible Anomalies in South America 被引量:3
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作者 M. Hagen A. Azevedo 《Natural Science》 2018年第6期199-213,共15页
The aim of this paper is to evaluate the worldwide variation of deep and ultra-deep earthquakes (DQ and UDQ) during the period 1996-2017. This project found only three locations around the globe presenting this kind o... The aim of this paper is to evaluate the worldwide variation of deep and ultra-deep earthquakes (DQ and UDQ) during the period 1996-2017. This project found only three locations around the globe presenting this kind of seismicity. Although there are other global settings showing deep seismicity, they are not periodical and cannot be considered by a statistical view. The three areas with intense activity for DQ and UDQ events are located mostly in subduction areas. The largest variations of DQ and UDQ border the Pacific Ocean and include the North Pacific, South Pacific, and South America. The major difference in this set is that the first two sites are subduction zones and the South American occurrences happened in the interior of the continent. Another anomaly is an internal layer between 300 - 500 km in South America that shows no tremors in the period studied. However, below 500 km activity reappears, even at extreme depths of up to 650 km. We suggested that the reason for those occurrences would be due to an anomaly in the asthenosphere in this region. This anomaly would probably be presenting a breakable material that was pushed by the Nazca platform against the South America plate. Other depths below 100 km in all the regions are discussed as well. We suggested that the reason for those occurrences was an anomaly created in the asthenosphere as part of the process of the South America collision with the Nazca plate. Part of the Nazca plate has subducted below South America, creating a slab as deep as 500 km. The convergent slab is still moving against South America and sinking due to the gravity and rotation of the Earth. The discrepancies in the occurrences we tracked at different locations indicated that this slab had different thicknesses around South America. We found similar results for Vanuatu and Fiji;in these regions UDQ events occur at the subduction zones under the ocean with depths greater than 700 km. Here, a possible explanation is that part of the lithosphere is subducted at these depths and is causing tremors. 展开更多
关键词 deep EARTHQUAKES (DQ) ultra-deep EARTHQUAKES (UDQ) South AMERICA
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Numerical Prediction and Performance Experiment in a Deep-well Centrifugal Pump with Different Impeller Outlet Width 被引量:20
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作者 SHI Weidong ZHOU Ling +2 位作者 LU Weigang PEI Bing LANG Tao 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2013年第1期46-52,共7页
The existing research of the deep-well centrifugal pump mainly focuses on reduce the manufacturing cost and improve the pump performance,and how to combine above two aspects together is the most difficult and importan... The existing research of the deep-well centrifugal pump mainly focuses on reduce the manufacturing cost and improve the pump performance,and how to combine above two aspects together is the most difficult and important topic.In this study,the performances of the deep-well centrifugal pump with four different impeller outlet widths are studied by the numerical,theoretical and experimental methods in this paper.Two stages deep-well centrifugal pump equipped with different impellers are simulated employing the commercial CFD software to solve the Navier-Stokes equations for three-dimensional incompressible steady flow.The sensitivity analyses of the grid size and turbulence model have been performed to improve numerical accuracy.The flow field distributions are acquired and compared under the design operating conditions,including the static pressure,turbulence kinetic energy and velocity.The prototype is manufactured and tested to certify the numerical predicted performance.The numerical results of pump performance are higher than the test results,but their change trends have an acceptable agreement with each other.The performance results indicted that the oversize impeller outlet width leads to poor pump performances and increasing shaft power.Changing the performance of deep-well centrifugal pump by alter impeller outlet width is practicable and convenient,which is worth popularizing in the engineering application.The proposed research enhances the theoretical basis of pump design to improve the performance and reduce the manufacturing cost of deep-well centrifugal pump. 展开更多
关键词 性能试验 出口宽度 离心泵 数值预报 NAVIER-STOKES方程 叶轮 深井 性能测试
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Study on Deep Well Dewatering Optimization Design in Deep Foundation Pit and Engineering Application 被引量:5
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作者 Hu Chunlin Yang HuijunInstitute of Rock and Soil Engineering , Wuhan University of Technology , Wuhan 430070 《Journal of China University of Geosciences》 SCIE CSCD 2002年第1期78-82,共5页
Based on analyses of the theories of groundwater unsteady flow in deep well dewatering in the deep foundation pit, Theis equations are chosen to calculate and analyze the relationship between water level drawdown of c... Based on analyses of the theories of groundwater unsteady flow in deep well dewatering in the deep foundation pit, Theis equations are chosen to calculate and analyze the relationship between water level drawdown of confined aquifer and dewatering duration. In order to reduce engineering cost and diminish detrimental effect on ambient surrounding, optimization design target function based on the control of confined water drawdown and four restriction requisitions based on the control of safe water level, resistance to throwing up from the bottom of foundation pit, avoiding excessively great subsidence and unequal surface subsidence are proposed. A deep well dewatering project in the deep foundation pit is optimally designed. The calculated results including confined water level drawdown and surface subsidence are in close agreement with the measured results, and the optimization design can effectively control both surface subsidence outside foundation pit and unequal subsidence as a result of dewatering. 展开更多
关键词 深基坑 井点降水 地表沉陷 优化设计 深井泵降水法
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Geochemical characteristics and their significances of rare-earth elements in deep-water well core at the Lingnan Low Uplift Area of the Qiongdongnan Basin 被引量:7
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作者 SUN Zhipeng ZHAI Shikui +6 位作者 XIU Chun LIU Xinyu ZONG Tong LUO Wei LIU Xiaofeng CHEN Kui LI Na 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2014年第12期81-95,共15页
A geochemical analysis of rare-earth elements(REEs) in 97 samples collected from the core of deep-water Well LS-A located at the Lingnan Low Uplift Area of the Qiongdongnan Basin is conducted, with the purpose of reve... A geochemical analysis of rare-earth elements(REEs) in 97 samples collected from the core of deep-water Well LS-A located at the Lingnan Low Uplift Area of the Qiongdongnan Basin is conducted, with the purpose of revealing the changes of sedimentary source and environment in the study region since Oligocene and evaluating the response of geochemical characteristics of REEs to the tectonic evolution. In the core samples, both ∑REE and ∑LREE(LREE is short for light-group REEs) fluctuate in a relatively wide range, while ∑HREE(HREE is short for heavy-group REEs) maintains a relatively stable level. With the stratigraphic chronology becoming newer, both ∑REE and ∑LREE show a gradually rising trend overall. The ∑REE of the core is relatively high from the bottom of Yacheng Formation(at a well depth of 4 207 m) to the top of Ledong Formation, and the REEs show partitioning characteristics of the enrichment of LREE, the stable content of HREE, and the negative anomaly of Eu to varying degrees. Overall the geochemical characteristics of REEs are relatively approximate to those of China's neritic sediments and loess, with significant "continental orientation". The ∑REE of the core is relatively low in the lower part of Yacheng Formation(at a well depth of 4 207–4 330 m), as shown by the REEs partitioning characteristics of the depletion of LREE, the relative enrichment of HREE, and the positive anomaly of Eu; the geochemical characteristics of REEs are approximate to those of oceanic crust and basalt overall, indicating that the provenance is primarily composed of volcanic eruption matters. As shown by the analyses based on sequence stratigraphy and mineralogy, the provenance in study region in the early Oligocene mainly resulted from the volcanic materials of the peripheral uplift areas; the continental margin materials from the north contributed only insignificantly; the provenance developed to a certain extent in the late Oligocene. Since the Miocene, the provenance has ceaselessly expanded from proximal to distal realm, embodying a characteristic of multi-source sedimentation. In the core strata with 31.5, 28.4, 25.5, 23, and 16 Ma from today, the geochemical parameters of REEs and Th/Sc ratio have significant saltation, embodying the tectonic movement events in the evolution of the Qiongdongnan Basin. In the tectonic evolution history of the South China Sea, the South China Sea Movement(34–25 Ma BP, early expansion of the South China Sea), Baiyun Movement(23 Ma BP), late expansion movement(23.5–16.5 Ma BP), expansion-settlement transition, and other important events are all clearly recorded by the geochemical characteristics of REEs in the core. 展开更多
关键词 稀土元素地球化学特征 琼东南盆地 隆起区 深水井 岭南 轻稀土元素 地球化学分析 浅海沉积物
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Research on Synthetical Production Proration of Deep Gas Well in Xu Jiaweizi Block Considering Multi Influential Factors
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作者 Qingbo Zhao 《Smart Grid and Renewable Energy》 2012年第2期148-151,共4页
Xu deep volcanic gas reservoir is typical of complex lithology, severe inhomogeneity, big difficulty to extract. Pressure sensitivity always exists in gas reservoirs. Prorating production is too high or low, causing p... Xu deep volcanic gas reservoir is typical of complex lithology, severe inhomogeneity, big difficulty to extract. Pressure sensitivity always exists in gas reservoirs. Prorating production is too high or low, causing problems, as for the energy loss, reservoir damage, bottom effusion, thus lowing the gas productivity and affecting development benefit. So it have to research on a new reasonably production proration method considering multi influential factors. It is a reasonably production proration method considering multi influential factors in Xu gas reservoir, with guidelines such as capacity use, pressure draw down, gas recovery rate, water out and throughout water data is reasonably, so we can long term use it to guide gas field exploitation. 展开更多
关键词 deep Gas wells Multifactor AOF Synthetical PRODUCTION PRORATION
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