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陈新宇教授从阳论治中风经验

亚太传统医药 2024年第10期20卷 135-139页

作者：刘乐彭丽琪欧广洋蔡虎志陈新宇湖南中医药大学第一中医临床学院湖南中医药大学第一附属医院

中风是以半身不遂、肌肤不仁、口舌歪斜、言语不利，甚则突然昏仆、不省人事为主要表现的病证。此病起病突然，发展迅速，又称卒中。陈教授立足“阳气”,认为中风可责之于“阳气不足，温运无力”,而致脉络阻塞。治疗上，基于“阳主阴从... 详细信息

中风是以半身不遂、肌肤不仁、口舌歪斜、言语不利，甚则突然昏仆、不省人事为主要表现的病证。此病起病突然，发展迅速，又称卒中。陈教授立足“阳气”,认为中风可责之于“阳气不足，温运无力”,而致脉络阻塞。治疗上，基于“阳主阴从”理念，化裁经方，调整阳气，平衡人体阴阳，辅以活血通络之法，以达脑络通畅。整理总结陈新宇教授诊疗中风的思路与用药经验，为中风诊疗提供借鉴。

关键词：中风阳主阴从阴阳调阳

乡村振兴背景下地方高校旅游管理专业人才培养模式探索——以白城师范学院为例

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白城师范学院学报 2024年第5期38卷 116-119,123页

作者：姜乃源刘安乐马静卢晓玲王萌白城师范学院旅游与地理科学学院吉林白城137000 东北财经大学旅游与酒店管理学院辽宁大连116025 六盘水师范学院旅游学院贵州六盘水553001 兰州现代职业学院旅游航空学院甘肃兰州730300

乡村旅游作为乡村振兴的重要产业之一,能够为乡村振兴引流、扶贫创新发展路径.旅游类人才对乡村旅游业的发展意义重大,地方高校旅游管理专业如何优化人才培养模式,助力乡村旅游业发展是当前急需解决的问题.文章基于乡村振兴战略角度,分... 详细信息

乡村旅游作为乡村振兴的重要产业之一,能够为乡村振兴引流、扶贫创新发展路径.旅游类人才对乡村旅游业的发展意义重大,地方高校旅游管理专业如何优化人才培养模式,助力乡村旅游业发展是当前急需解决的问题.文章基于乡村振兴战略角度,分析了乡村旅游业发展人才需求现状和白城师范学院旅游管理专业人才培养存在的问题,从人才培养目标、实践教学、校地校企合作、课外活动和科教融合等四个方面提出了人才培养优化路径,以期为乡村旅游业的发展助力.

关键词：乡村振兴旅游管理专业人才培养优化路径

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Synthesis and Study on the Complexation of Dithidiaza 21-Cown-7- Bearing Appended Coumarin or 1-Aminonaphthene as Sidearms

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有机化学 2003年第Z1期23卷 407-408页

作者： SONG Hua-Can MOU De-Hai CHEN Yi-Wen XU Zun-le School of Chemistry and Chemical Engineering Zhongshan University Guangzhou 510275 China National Analysis Center Guangzhou 510070 School of Chemistry and Chemical Engineering Zhongshan University Guangzhou 510275 School of Chemistry and Chemical Engineering Zhongshan University Guangzhou 510275

　　The high toxicity of many transition and post-transition metal ions, especially Hg2+ and Pb2 + , is well recognized and a lot of attention has been paid to control contamination of water supplies by toxic metal ions and to monitor the level of these metal ions in the environment. For the application purpose in controlling and monitoring the concentrations of specific metal ions in a complex matrix continuously and remotely by using ion-selective sensory devices, chemical sensors based on the synthetic fluoroionophores and chromoionophores capable of signaling complexation of metal ions have been reported, [1～ 5], and a series of dithidiaza 21-rown-7 bearing appended coumarin or 1-aminonaphthene as sidearms was synthesized. [6]……

关键词： metal ions

肺癌术后胸膜腔不同浓度利多卡因浸润镇痛对患者康复的影响

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局解手术学杂志 2024年第1期33卷 69-72页

作者：李成林鲜正睿张乐梁静刘曙邱容武警四川省总队医院胸外科四川乐山614000

目的探讨肺癌术后胸膜腔不同浓度利多卡因浸润镇痛对患者康复的影响。方法选取我院收治的86例肺癌患者,按照随机数字表法分为高浓度组(43例)与低浓度组(43例)。高浓度组患者在术后第1天经硬膜外导管于胸膜腔内注入2.0%盐酸利多卡因,低... 详细信息

目的探讨肺癌术后胸膜腔不同浓度利多卡因浸润镇痛对患者康复的影响。方法选取我院收治的86例肺癌患者,按照随机数字表法分为高浓度组(43例)与低浓度组(43例)。高浓度组患者在术后第1天经硬膜外导管于胸膜腔内注入2.0%盐酸利多卡因,低浓度组患者于胸膜腔内注入1.5%盐酸利多卡因,2组患者术后均采取静脉自控镇痛。比较2组患者术后首次下床活动时间、首次排气时间、首次排便时间、住院时间,并比较术后6 h、12 h、24 h、48 h视觉模拟量表(VAS)评分,术后苏醒期躁动发生情况和术后24 h内镇痛泵按压次数、镇痛药物用量。术后24 h,记录2组患者药物不良反应发生情况,采用40项恢复质量评分量表(QoR-40)评估患者恢复质量。结果高浓度组患者术后首次下床活动时间、首次排气时间、首次排便时间、住院时间均短于低浓度组(P0.05)。高浓度组患者QoR-40总分高于低浓度组(P<0.05)。结论肺癌患者术后采用2.0%利多卡因胸膜腔浸润镇痛可减少患者苏醒期躁动,减轻术后疼痛,提高术后恢复质量,促进患者术后康复,且具有一定的安全性。

关键词：肺癌利多卡因胸膜腔浸润麻醉康复

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经阴道三维超声血流参数诊断宫腔黏连的价值

海南医学 2024年第18期35卷 2672-2675页

作者：谷小乐张敬丽张莹莹栗浩然郑州大学附属郑州中心医院超声医学科河南郑州450000 郑州大学附属郑州中心医院妇产科河南郑州450000

目的探讨经阴道三维超声血流参数对宫腔黏连的临床诊断价值。方法选取2019年6月至2022年6月郑州大学附属郑州中心医院收治的108例疑似宫腔黏连患者作为研究对象。所有患者均行经阴道二维、三维超声检查,以宫腔镜检查结果作为“金标准”... 详细信息

目的探讨经阴道三维超声血流参数对宫腔黏连的临床诊断价值。方法选取2019年6月至2022年6月郑州大学附属郑州中心医院收治的108例疑似宫腔黏连患者作为研究对象。所有患者均行经阴道二维、三维超声检查,以宫腔镜检查结果作为“金标准”,比较两种诊断方法的诊断结果、诊断效能、诊断预测值;比较宫腔黏连和非宫腔黏连者经阴道三维超声血流参数[子宫内膜容积(EV)、血管指数(VI)、血流指数(FI)、血管化血流指数(VFI)];并对比不同宫腔黏连程度患者经阴道三维超声血流参数改变情况。结果108例疑似宫腔黏连患者中宫腔镜检查出76例阳性,32例阴性;经阴道二维超声检查出72例阳性,36例阴性;经阴道三维超声检查出75例阳性,33例阴性。经阴道三维超声诊断宫腔黏连灵敏度、特异度和准确度分别为96.05%、93.75%、95.37%,明显高于经阴道二维超声的82.89%、71.88%、79.63%,差异均有统计学意义(P<0.05);经阴道三维超声诊断阳性预测值和阴性预测值分别为97.33%、90.91%,明显高于经阴道二维超声的87.50%、63.89%,差异均有统计学意义(P<0.05);宫腔黏连者的EV、VI、FI、VFI参数明显低于非宫腔黏连者,重度宫腔黏连者的EV、VI、FI、VFI参数明显低于轻度和中度宫腔黏连者,差异均有统计学意义(P<0.05)。结论经阴道三维超声诊断宫腔黏连的效果较好,并能依据血流参数进一步评估病情严重程度。

关键词：宫腔黏连经阴道三维超声血流参数临床诊断

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粤澳联合一站式车辆通关模式在口岸的应用

工程建设与设计 2024年第19期 76-78页

作者：肖时辉魏小强刘维吴可为张家乐珠海大横琴股份有限公司广东珠海519000 中国建筑第二工程局珠海分公司广东珠海519000

目前国内车辆通关模式存在各检查单位信息不关联、查验流程复杂、卡口布置分散等问题,造成通关车辆重复申报、重复录入的情况,导致查验环节累赘、效率低等问题。因此,口岸车辆通关模式的优化、实施两地联合一站式车辆通关模式、简化车... 详细信息

目前国内车辆通关模式存在各检查单位信息不关联、查验流程复杂、卡口布置分散等问题,造成通关车辆重复申报、重复录入的情况,导致查验环节累赘、效率低等问题。因此,口岸车辆通关模式的优化、实施两地联合一站式车辆通关模式、简化车辆查验流程成为主流选择。论文以横琴口岸为依托,从智能卡口、公共平台业务功能、出入境联合验放流程及整体数据架构4个方面系统介绍粤澳联合一站式车辆通关模式的运行原理。

关键词：联合一站式通关口岸通关模式合作查验

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Agitation thrombolysis combined with catheter-directed thrombolysis for the treatment of non-cirrhotic acute portal vein thrombosis

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World Journal of Gastroenterology 2018年第39期24卷 4482-4488页

作者： Chao-Yang Wang le-Qun Wei Huan-Zhang Niu Wan-Qin Gao Tong Wang Shun-Jun Chen Department of Interventional Radiology The First Affiliated Hospitaland College of Clinical Medicine of Henan University of Science and Technolgy

AIM To evaluate the safety and efficacy of agitation thrombolysis(AT) combined with catheter-directed thrombolysis(CDT) for the treatment of non-cirrhotic acute portal vein thrombosis(PVT). METHODS Nine patients with non-cirrhotic acute PVT who underwent AT combined with CDT were analyzed retrospectively. Portography was carried out via the transjugular intrahepatic portosystemic(commonly known as TIP) or percutaneous transhepatic(commonly known as PT) route, followed by AT combined with CDT. Complications of the procedure, and the changes in clinical symptoms, hemodynamics of the portal vein and liver function were recorded. Follow-up was scheduled at1, 3 and 6 mo after treatment, and every 6 mo thereafter, or when the patients developed clinical symptoms related to PVT. Color Doppler ultrasound and contrast-enhanced computed tomography/magnetic resonance imaging were performed during the follow-up period to determine the condition of the portal *** AT combined with CDT was successfully performed. The portal vein was reached via the TIP route in 6 patients, and via the PT route in 3 patients. All clinical symptoms were relieved or disappeared, with the exception of 1 patient who died of intestinal necrosis 9 d after treatment. Significant differences in the changes in portal vein hemodynamics were observed, including the maximum lumen occupancy of PVT, portal vein pressure and flow velocity between pre-and posttreatment(P < 0.05). During the follow-up period, recurrence was observed in 1 patient at 19 mo after the procedure, and the portal vein was patent in the remaining *** AT combined with CDT is a safe and effective method for the treatment of non-cirrhotic acute PVT.

关键词： Agitation thrombolysis Catheter-directed thrombolysis Portal vein thrombosis

THE PROPAGATION OF ELASTIC STRESS WAVES IN A CONICAL SHELL UNDER AXIAL IMPULSIVE LOADING

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Acta Mechanica Sinica 1987年第2期3卷 173-186页

作者： Chen Yuze le Guopei Jing Erli Xue Jindi (Southwest Institute of Structural Mechanics) 四川绵阳中国工程物理研究院结构力学所，621900 四川绵阳中国工程物理研究院结构力学所，621900 四川绵阳中国工程物理研究院结构力学所，621900 四川绵阳中国工程物理研究院结构力学所，621900

The propagation of elastic stress waves in a conical shell subjected to axial impulsiveloading is studied in this paper by means of the finite element calculation and model *** shown that there are two axisymmetrical elastic stress waves propagating with different velocities,i.e.,the longitudinal wave and the bending *** attenuation of these waves while propagatingalong the shell surface is *** is found in experiments that the bending wave is also,generatedwhen a longitudinal wave reflects from the fixed end of the shell,and both reflected waves willseparate during the propagation due to their different velocities.

关键词： elastic stress wave bending wave logitudinal wave axial impulsive loading

Metal stent combined with ileus drainage tube for the treatment of delayed rectal perforation: A case report

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World Journal of Clinical Cases 2022年第23期10卷 8406-8416页

作者： Si-le Cheng Lu Xie Hao-Wei Wu Xiao-Feng Zhang Li-Lan Lou Hong-Zhang Shen Department of Gastroenterology The Affiliated Hangzhou First People's HospitalZhejiang University School of MedicineHangzhou 310000Zhejiang ProvinceChina Department of Gastroenterology Zhejiang Chinese Medical UniversityHangzhou 310000Zhejiang ProvinceChina

BACKGROUND Acute iatrogenic colorectal perforation(AICP)is a serious adverse event,and immediate AICP usually requires early endoscopic *** surgical repair is required if the perforation is large,the endoscopic closure fails,or the patient's clinical condition *** cases of delayed AICP(>4 h),surgical repair or enterostomy is usually performed,but delayed rectal perforation is *** SUMMARY A 53-year-old male patient underwent endoscopic submucosal dissection(ESD)at a local hospital for the treatment of a laterally spreading tumor of the rectum,and the wound was closed by an endoscopist using a purse-string ***,the patient then presented with delayed rectal perforation(6 h after ESD).The surgeons at the local hospital attempted to treat the perforation and wound surface using transrectal endoscopic microsurgery(TEM);however,the perforation worsened and became enlarged,multiple injuries to the mucosa around the perforation and partial tearing of the rectal mucosa occurred,and the internal anal sphincter was *** a result,the perforation became more *** to the increased bleeding,surgical treatment with suturing could not be performed using ***,the patient was sent to our medical center for follow-up *** a multidisciplinary discussion,we believed that the patient should undergo an ***,the patient strongly refused this treatment *** the position of the rectal perforation was relatively low and the intestine had been adequately prepared,we attempted to treat the complicated delayed rectal perforation using a self-expanding covered mental stent(SECMS)in combination with a transanal ileus drainage tube(TIDT).CONCLUSION For patients with complicated delayed perforation in the lower rectum and adequate intestinal preparation,a SECMS combined with a TIDT can be used and may result in very good outcomes.

关键词： Endoscopic submucosal dissection Complicated delayed rectal perforation Delayed perforation Transanal ileus drainage tube Self-expanding covered metallic stent Case report