To study a more micro-invasive procedure for patients having pancreatic duct stones(PDS).Till now,there has been no report of laparoscopic pancreatic duct incision and stone removal and T-type tube drainage for PDS in...To study a more micro-invasive procedure for patients having pancreatic duct stones(PDS).Till now,there has been no report of laparoscopic pancreatic duct incision and stone removal and T-type tube drainage for PDS in the English literature.An 82-year-old man suffered from subxiphoid pain associated with a dilated pancreatic duct(7 mm)containing one stone,but without a mass in the head of the pancreas.Laparoscopic pancreatic duct incision,stone removal,and T-type tube drainage were successfully performed without intraoperative or postoperative complications.An uneventful operation was performed with laparoscopically completed procedures in 160 min.The intraoperative loss of blood was around 50 mL.After patient a discharge on day 11,complete relief from the subxiphoid pain was reported at a follow-up visit 15 mo later.Laparoscopic pancreatic duct incision with stone removal and T-type tube drainage is applicable in carefully selected patients and can be effectively and safely used for the treatment of the abdominal pain of chronic pancreatitis.展开更多
In order to increase the efficiency of solar collector, a methodology is proposed based on the analysis of its influencing factors, such as thermal conductivity of filled layer, structure forms of filled layer and hea...In order to increase the efficiency of solar collector, a methodology is proposed based on the analysis of its influencing factors, such as thermal conductivity of filled layer, structure forms of filled layer and heat loss coefficient. The results of analysis show that the heat transfer between pipes in evacuated tube is one of the most important factors, which can lead to the decrease of the outlet temperature of working fluid. In order to eliminate the negative influence of the heat transfer between pipes, the hollow filled-type evacuated tube with U-tube(HUFET) was developed, and the heat transfer characteristics of HUFET were analyzed by theoretical and experimental studies. The results show that the thermal resistances decrease with the increase of the thermal conductivity of filled layer. When the thermal conductivity is over 10 W/(m·K), the change of thermal resistances is very little.Furthermore, the larger the thermal conductivity of filled layer, the less the rate of the energy transfer between the two pipes to the total energy transfer, which is between the absorber tube and the working fluid. There is a little difference between the efficiencies of HUFET and UFET, with the efficiency of HUFET 2.4% higher than that of UFET. Meanwhile, the validation of the model developed was confirmed by the experiment.展开更多
扩大头锚索因具有抗拔承载力大、支护效率高等优点在岩土工程中应用广泛,而注浆段落的长度和自由段保护套管的类型将对锚索受力变形特性产生影响。为此,依托实际工程开展了锚固段注浆+PE波纹管(设计方案)、全长注浆+聚乙烯(polyethylene...扩大头锚索因具有抗拔承载力大、支护效率高等优点在岩土工程中应用广泛,而注浆段落的长度和自由段保护套管的类型将对锚索受力变形特性产生影响。为此,依托实际工程开展了锚固段注浆+PE波纹管(设计方案)、全长注浆+聚乙烯(polyethylene, PE)波纹管(实际施工常用方案)、锚固段注浆+高密度聚乙烯(high density polyethylen, HDPE)套管、全长注浆+HDPE套管等四种不同工况扩大头锚索的现场拉拔试验,对比分析了不同工况下锚索的拉拔荷载-位移(Q-s)曲线、荷载-弹性位移(Q-se)曲线与荷载-塑性位移(Q-sp)曲线、自由段伸长量比例、刚度系数等受力变形特征。试验结果表明,相同注浆长度条件下,采用HDPE套管相比PE波纹管能够更好地发挥对自由段的隔离保护作用,保证自由段的变形性能;而采用相同套管类型时,注浆长度的增加会导致自由段伸长量值的减小,并会增大锚索刚度系数。在试验研究的基础上,提出现场锚索施工采用锚固段注浆+HDPE套管或全长注浆+HDPE套管的建议方案,从而保证锚索受力变形性能均达到设计预期。展开更多
Objective:To compare the therapeutic effects of two types of tympanostomy tube,in terms of extrusion time and recurrence rate,after endoscopic ventilation tube placement in adults with otitis media with effusion.Mater...Objective:To compare the therapeutic effects of two types of tympanostomy tube,in terms of extrusion time and recurrence rate,after endoscopic ventilation tube placement in adults with otitis media with effusion.Materials and methods:The clinical data for 125 ears from 91 patients who underwent endoscopic ventilation tube placement was retrospectively reviewed.The ears included in the study were divided into groups A and B.The Shepard tube was used in all ears from group A.The T-tube was used in all ears from group B.Extrusion time and recurrence rate were recorded and statistically analyzed.Results:Group A included 103 ears(82.4%).Group B included 22 ears(17.6%).The average extrusion time for group A was significantly shorter than that for group B(160.5±106.6 days vs 274.1±120.5 days,p<0.05).No significant difference in recurrence rate was observed between groups A and B(72.8%vs 63.6%,p=0.44).Conclusion:Compared with the Shepard tube,the T-tube lasts longer in the ear drum in adult patients with otitis media with effusion.However,use of the Shepard tube,compared with use of the T-tube,does not significantly reduce the recurrence rate after extrusion.展开更多
基金Supported by Foundation of Department of Science and Technology of Jinhua,No.2015-3-0012015-3-012
文摘To study a more micro-invasive procedure for patients having pancreatic duct stones(PDS).Till now,there has been no report of laparoscopic pancreatic duct incision and stone removal and T-type tube drainage for PDS in the English literature.An 82-year-old man suffered from subxiphoid pain associated with a dilated pancreatic duct(7 mm)containing one stone,but without a mass in the head of the pancreas.Laparoscopic pancreatic duct incision,stone removal,and T-type tube drainage were successfully performed without intraoperative or postoperative complications.An uneventful operation was performed with laparoscopically completed procedures in 160 min.The intraoperative loss of blood was around 50 mL.After patient a discharge on day 11,complete relief from the subxiphoid pain was reported at a follow-up visit 15 mo later.Laparoscopic pancreatic duct incision with stone removal and T-type tube drainage is applicable in carefully selected patients and can be effectively and safely used for the treatment of the abdominal pain of chronic pancreatitis.
基金Projects(2011BAJ03B12-3,2013BAJ10B02-03) supported by the National Science and Technology Program during the 12th Five-year Plan Period,ChinaProject(51378005) supported by the National Natural Science Foundation,China+1 种基金Projects(DUT14RC(3)123,DUT14RC(3)129) supported by Fundamental Research Funds for the Dalian University of Tecnology,ChinaProject(DUT14ZD210) supported by the Fundamental Research Funds for the Central Universities of China
文摘In order to increase the efficiency of solar collector, a methodology is proposed based on the analysis of its influencing factors, such as thermal conductivity of filled layer, structure forms of filled layer and heat loss coefficient. The results of analysis show that the heat transfer between pipes in evacuated tube is one of the most important factors, which can lead to the decrease of the outlet temperature of working fluid. In order to eliminate the negative influence of the heat transfer between pipes, the hollow filled-type evacuated tube with U-tube(HUFET) was developed, and the heat transfer characteristics of HUFET were analyzed by theoretical and experimental studies. The results show that the thermal resistances decrease with the increase of the thermal conductivity of filled layer. When the thermal conductivity is over 10 W/(m·K), the change of thermal resistances is very little.Furthermore, the larger the thermal conductivity of filled layer, the less the rate of the energy transfer between the two pipes to the total energy transfer, which is between the absorber tube and the working fluid. There is a little difference between the efficiencies of HUFET and UFET, with the efficiency of HUFET 2.4% higher than that of UFET. Meanwhile, the validation of the model developed was confirmed by the experiment.
文摘扩大头锚索因具有抗拔承载力大、支护效率高等优点在岩土工程中应用广泛,而注浆段落的长度和自由段保护套管的类型将对锚索受力变形特性产生影响。为此,依托实际工程开展了锚固段注浆+PE波纹管(设计方案)、全长注浆+聚乙烯(polyethylene, PE)波纹管(实际施工常用方案)、锚固段注浆+高密度聚乙烯(high density polyethylen, HDPE)套管、全长注浆+HDPE套管等四种不同工况扩大头锚索的现场拉拔试验,对比分析了不同工况下锚索的拉拔荷载-位移(Q-s)曲线、荷载-弹性位移(Q-se)曲线与荷载-塑性位移(Q-sp)曲线、自由段伸长量比例、刚度系数等受力变形特征。试验结果表明,相同注浆长度条件下,采用HDPE套管相比PE波纹管能够更好地发挥对自由段的隔离保护作用,保证自由段的变形性能;而采用相同套管类型时,注浆长度的增加会导致自由段伸长量值的减小,并会增大锚索刚度系数。在试验研究的基础上,提出现场锚索施工采用锚固段注浆+HDPE套管或全长注浆+HDPE套管的建议方案,从而保证锚索受力变形性能均达到设计预期。
文摘Objective:To compare the therapeutic effects of two types of tympanostomy tube,in terms of extrusion time and recurrence rate,after endoscopic ventilation tube placement in adults with otitis media with effusion.Materials and methods:The clinical data for 125 ears from 91 patients who underwent endoscopic ventilation tube placement was retrospectively reviewed.The ears included in the study were divided into groups A and B.The Shepard tube was used in all ears from group A.The T-tube was used in all ears from group B.Extrusion time and recurrence rate were recorded and statistically analyzed.Results:Group A included 103 ears(82.4%).Group B included 22 ears(17.6%).The average extrusion time for group A was significantly shorter than that for group B(160.5±106.6 days vs 274.1±120.5 days,p<0.05).No significant difference in recurrence rate was observed between groups A and B(72.8%vs 63.6%,p=0.44).Conclusion:Compared with the Shepard tube,the T-tube lasts longer in the ear drum in adult patients with otitis media with effusion.However,use of the Shepard tube,compared with use of the T-tube,does not significantly reduce the recurrence rate after extrusion.
