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高频超声诊断小儿肠套叠诊断符合率分析

影像技术 2024年第1期36卷 49-52页

作者：张文华广东省东莞市妇幼保健院广东523000

目的:探究高频超声诊断小儿肠套叠的效果。方法:选取本院2022年1月-2022年12月接收的100例小儿肠套叠疑似患儿作为研究对象,以临床联合检查(确诊91例)作为金标准,对全部患儿分别行腹部X片检查与高频超声检查,对比分析两种诊断方式的诊... 详细信息

目的:探究高频超声诊断小儿肠套叠的效果。方法:选取本院2022年1月-2022年12月接收的100例小儿肠套叠疑似患儿作为研究对象,以临床联合检查(确诊91例)作为金标准,对全部患儿分别行腹部X片检查与高频超声检查,对比分析两种诊断方式的诊断效果。结果:与联合检查结果相比,腹部X线片诊断符合率、灵敏度、特异度为82.00%、83.52%、66.67%,高频超声诊断符合率96.00%、灵敏度96.70%、特异度88.89%。结论:对肠套叠患儿实施高频超声诊断效果突出,具备较高的灵敏度、准确性以及特异度,可为临床医师的诊疗工作提供有力支持,推广可行性较高。

关键词：高频超声小儿肠套叠诊断符合度

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简朝亮的《周易》观

五邑大学学报（社会科学版） 2024年第3期26卷 12-15,21,92页

作者：张纹华陈婉柔广东石油化工学院文法学院广东茂名525000

广东近代名儒简朝亮没有留下注解《周易》的著述,但是通过辑录《尚书集注述疏》《论语集注述疏》《礼记子思子言郑注补正》《孝经集注述疏》《读书堂集》等简氏著述中阐述《周易》的内容,可以窥见简朝亮以《周易》指导生活和重视“时中... 详细信息

广东近代名儒简朝亮没有留下注解《周易》的著述,但是通过辑录《尚书集注述疏》《论语集注述疏》《礼记子思子言郑注补正》《孝经集注述疏》《读书堂集》等简氏著述中阐述《周易》的内容,可以窥见简朝亮以《周易》指导生活和重视“时中”的《周易》思想。

关键词：简朝亮《周易》观指导生活 “时中”

Non-merohedrally Twinned Crystal Structure of the Co-crystal Ethyl 6-(2-5-(Ethoxycarbonyl)-pyridin-2-yl-1,2-dihydroxyethyl)pyridine-3-carb-oxylateethyl 6-(2-5-(Ethoxycarbonyl)pyridin-2-yl-2-hydroxyacetyl)pyridine-3-carboxylate(0.69/0.31)

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Chinese Journal of Structural Chemistry 2013年第8期32卷 1159-1162页

作者： zhang wen-hua NG Seik weng Institute of Materials Research & Engineering Department of Chemistry University of Malaya Chemistry Department King Abdulaziz University

The two component molecules of the co-crystal 0.69（C18H2ON206）.0.31（C18H18N2O6） lie on a center-of-inversion that exists midway along the ethylene chain connecting the two aromatic rings. The two molecules are superimposed. The crystal is also a non-morohedral twin with a minor 37.7（2）% component. The refinement of this twinned and disordered crystal structure is detailed. Crystal data： C18H19.38N2O6, monoclinic, P21/c, a = 17.1687（8）, b = 5.4389（2）, c = 9.3261（4） A, b = 95.270（5）° and V= 867.18（6） A3 at -173 ℃.

关键词： co-crystal non-merohedral twin

On Normal Criterion of Meromorphic Functions

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Chinese Quarterly Journal of Mathematics 2006年第4期21卷 577-580页

作者： zhang wen-hua Department of Mathematics East China University of Science and Technology Shanghai 200237China

We proved： Let F be a family of meromorphic functions in a domain D anda α ≠0, b ∈C. If f1（z） - α（f（z））^2 ≠ b, f≠ 0 and the poles of f（z） are of multiplicity ≥ 3 foreach f（z） ∈F, then F is normal in D.

关键词： meromorphic function normal criterion

2011—2022年烟台市甲型和戊型病毒性肝炎流行特征及人群抗体水平分析

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现代预防医学 2024年第10期51卷 1884-1888页

作者：张馨心孙源张文华李霞刘彭翡陈鹏烟台市疾病预防控制中心蓬莱区疾病预防控制中心莱山区疾病预防控制中心

目的了解2011—2022年烟台市甲型病毒性肝炎(简称甲肝)和戊型病毒性肝炎(简称戊肝)的流行特征及人群抗体水平，为甲肝和戊肝提供防控措施。方法病例相关信息来源于中国疾病监测信息报告管理系统，采用描述性流行病学方法分析烟台市201... 详细信息

目的了解2011—2022年烟台市甲型病毒性肝炎(简称甲肝)和戊型病毒性肝炎(简称戊肝)的流行特征及人群抗体水平，为甲肝和戊肝提供防控措施。方法病例相关信息来源于中国疾病监测信息报告管理系统，采用描述性流行病学方法分析烟台市2011—2022年甲肝和戊肝的流行特征。采用多阶段整群随机抽样方法，选取烟台市2个地区开展社区人群甲肝、戊肝抗体水平监测工作。采用酶联免疫吸附实验(ELISA)检测方法，检测血清中甲型病毒性肝炎病毒(HAV)、戊型病毒性肝炎病毒(HEV)抗体水平。结果 2011—2022年共报告甲肝病例858例，年均发病率为1.01/10万，呈全年散发。戊肝病例3 145例，年均发病率为3.72/10万。甲、戊肝炎发病均以冬春季为主，报告病例均主要集中在北部沿海区市。86.48%的甲肝报告发病人群年龄集中在25～69岁，91.86%的戊肝报告发病人群集中在35～79岁。甲肝、戊肝发病以男性和农民为主。共采集600份健康人群血标本，血清HAV IgM和HEV IgM总阳性率均为1.83%,血清HAV IgG和HEV IgG总阳性率分别为85.67%和32%。61～70岁组HAV IgM阳性率(3.9%)最高；70岁以上组HAV IgG阳性率(100%)最高；51～60岁组HEV IgM阳性率(4.21%)最高；70岁以上组HEV IgG阳性率(50%)最高。农民的HAV IgG(92.52%)和HEV IgG(46.26%)阳性率最高，学生的HAV IgM(2.78%)和家务及待业人群HEV IgM(3.17%)阳性率最高。结论 2011—2022年烟台市甲肝和戊肝发病率总体仍处于较高水平，HAV IgG和HEV IgG抗体阳性率水平较高，需进一步加大对重点人群的宣传与干预，特别是中老年、男性和农民，开展相关防制工作，降低感染率。

关键词：甲型病毒性肝炎戊型病毒性肝炎流行特征抗体阳性率

Diffuse infiltrative hemangioma of pancreas accompanied by Kasabach-Merritt Syndrome: A case report

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Chinese Medical Journal 2020年第18期133卷 2263-2265页

作者： wen-hua zhang Fang-Qiong Luo Hui Wang Department of Medical Ultrasound The First Affiliated Hospital of Shandong First Medical University(Shandong Provincial Qianfoshan Hospital)JinanShandong 250014China Department of Special Examination The Second Affiliated Hospital of Shandong University of Traditional Chinese MedicineJinanShandong 250001China

To the Editor:Kasabach-Merritt syndrome(KMS)is a very rare life-threatening aggressive vascular tumor that is related to Kaposiform hemangioendothelioma and tufted *** is characterized by thrombocytopenia and intravascular coagulation that occasionally develops into disseminated intravascular coagulation.[1,2]A rare incidence of diffuse infiltrative pancreatic hemangioma with a high possibility of missed diagnosis of KMS makes it a fatal ***,we described a case diagnosed with diffuse infiltrative hemangioma(DIH)of pancreas accompanied by KMS and provided ultrasonic data for early and accurate diagnosis,and successful treatment experiences with sirolimus.

关键词： diagnosis pancreas hemangioma

慢性HBV感染者肝纤维化特征及显著性肝损伤危险因素分析

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中华医院感染学杂志 2024年第12期34卷 1789-1794页

作者：李怡君袁筱婕张文华王凤梅邵中军吉兆华张维璐包头医学院公共卫生学院内蒙古包头014040 空军军医大学军事预防医学系军队防疫与流行病学教研室特殊作业环境危害评估与防治教育部重点实验室陕西西安710032 甘肃省武威肿瘤医院肝胆中心甘肃武威730000

目的探究慢性乙型肝炎病毒(HBV)感染者肝纤维化情况及临床特征和显著性肝损伤的危险因素.方法纳入2018年8月-2021年1月在甘肃省武威肿瘤医院肝胆中心就诊的慢性HBV感染者,观察肝纤维化特征,通过Logistic回归模型探究发生显著性肝损伤的... 详细信息

目的探究慢性乙型肝炎病毒(HBV)感染者肝纤维化情况及临床特征和显著性肝损伤的危险因素.方法纳入2018年8月-2021年1月在甘肃省武威肿瘤医院肝胆中心就诊的慢性HBV感染者,观察肝纤维化特征,通过Logistic回归模型探究发生显著性肝损伤的危险因素.结果研究纳入3753例慢性HBV感染者中,按照LSM水平分为F0~F4五期,年龄、性别、吸烟、抗病毒治疗、HBV家族史、肝癌(HCC)家族史、甲胎蛋白(AFP)、丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、总胆红素(TBIL)、直接胆红素(DBIL)、间接胆红素(IBIL)、白蛋白(ALB)、γ-谷氨酰转肽酶(GGT)、控制衰减指数(CAP)、肝脏硬度值(LSM)在肝纤维化各期差异均有统计学意义(P<0.05);在未经治疗患者中,年龄≥45岁、乙型肝炎e抗原(HBeAg)、AFP、ALT、DBIL、GGT是显著性肝损伤的危险因素(P<0.05);经抗病毒治疗后患者中,年龄≥45岁、AFP、AST、TBIL、DBIL、GGT及呕血黑便症状是显著性肝损伤的危险因素,而CAP是显著性肝损伤的保护因素(P<0.05).结论年龄、HBeAg、AFP、ALT、AST、TBIL、DBIL、GGT、CAP水平及呕血黑便症状是显著性肝损伤的危险因素,明确危险因素对肝纤维化早期监测并及时干预,对提高患者生命质量有重要意义.

关键词：慢性乙型肝炎肝纤维化显著性肝损伤肝脏硬度值危险因素

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Synthesis and Crystal Structure of [MoOS_3Cu_3I(dmpzm)_2]·2(MeCN)_(0.5) (dmpzm=Bis(3,5-dimethylpyrazolyl)methane)

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Chinese Journal of Structural Chemistry 2006年第5期25卷 557-561页

作者： DING Ni-Ni zhang wen-hua CHEN Jin-Xiang REN Zhi-Gang zhang Yong LANG Jian-Ping Key Laboratory of Organic Synthesis of Jiangsu Province School of Chemistry and Chemical Engineering Suzhou Universiry Suzhou 215006 China State Key Laboratory. of Structural Chemistry Fujian Institute of Research on the Structure of MatterThe Chinese Academy of Sciences Fuzhou Fujian 350002 China

Reaction of a preformed cluster [Et4N]4[Mo2O2S6Cu6I6] with bis（3,5-dimethylpyrazolyl）methane （dmpzm） in acetonitrile afforded the title compound [MoOS3Cu3I（dmpzm）2]·2（MeCN）0.5 1. The single-crystal X-ray diffraction study shows that 1 （C24H35Cu3IMoN9OS3, Mr = 975.25） crystallizes in triclinic, space group P1^- with a = 11.442（2）, b = 11.644（2）, c = 16.211（3） A, α = 99.26（3）, β= 102.22（3）, γ = 118.51（3）°, V = 1766.5（10） A^3, Z = 2, Dc = 1.834 g/cm^3, T = 193（2） K, F（000） = 960, μ = 32.12 cm^-1, λ = 0.71073A^3, R = 0.0355 and wR = 0.0915 for 5686 observed reflections with Ⅰ 〉 2σ（Ⅰ）. In the molecular structure of 1, the [MoOS3]^2- anion acts as a tridentate ligand to bind one CuI group and two [Cu（dmpzm）]^＋ units to form a nido-like [MoOS3Cu3] core with an approximate C2v symmetry. The Mo…Cu contacts are in the range of 2.6460（12）～2.6798（11）A.

关键词： molybdenum copper sulfur crystal structure cluster

Neuronavigator-guided percutaneous radiofrequency thermocoagulation in the treatment of intractable trigeminal neuralgia

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Chinese Medical Journal 2006年第18期119卷 1528-1535页

作者： XU Shu-jun zhang wen-hua CHEN Teng WU Cheng-yuan ZHOU Mao-de Department of Neurosurgery Qilu Hospital Shandong University Ji＇nan 250012 China

Background Percutaneous radiofrequency thermocoagulation of the trigeminal ganglion （PRTTG） is regarded as the first choice for most patients with trigeminal neuralgia （TN） because of its safety and feasibility. However, neuronavigator-guided PRTTG has been seldom reported. The purpose of this study was to assess the safety and efficacy of neuronavigator-guided PRTTG for the treatment of intractable TN. Methods Between January 2000 and December 2004, 54 patients with intractable TN were enrolled into this study and were randomly divided into two groups. The patients in navigation group （n=26） underwent PRTTG with frameless neuronavigation, and those in control group （n=28） received PRTTG without neuronavigation. Three months after the operation, the efficacy, side effects, and complications of the surgery were recorded. The patients in the control group were followed up for 10 to 54 months （mean, 34±5）, and those in the navigation group were followed up for 13 to 58 months （mean, 36±7）. Kaplan-Meier analyses of the pain-free survival curves were used for the censored survival data, and the log-rank test was used to compare survival curves of the two groups. Results The immediate complete pain-relief rate of the navigation group was 100%, whereas it was 95% in the control. The proportion of sustained pain-relief rates at 12, 24 and 36 months after the procedure were 85%, 77%, and 62% in the navigation group, and 54%, 40%, and 35% in the control. Recurrences in the control group were more common than that in the navigation group. Annual recurrence rate in the first and second years were 15% and 23% in the navigation group, and 46%, 60% in the control group. No side-effect and complication was noted in the navigation group except minimal facial hypesthesia. Conclusion Neuronavigator-guided PRTTG is a safe and promising method for treatment of intractable TN with better short- and long-term outcomes and lower complication rate than PRTI＇G without neuronavigation.

关键词： trigeminal neuralgia electrocoagulation neuronavigation