检索结果-南通市图书馆

在线全文

学校读者我要写书评

暂无评论

血管战创伤救治技术前沿

创伤外科杂志 2024年第3期26卷 161-166页

作者：孙羽东董维景在平南京大学医学院附属金陵医院(东部战区总医院)普通外科南京210016 南方医科大学第一临床医学院广州510515 同济大学附属上海第四人民医院血管病中心上海200081

血管战创伤引起的大出血是战时导致死亡的主要因素。自近现代战争以来,血管战创伤救治技术得到巨大发展,尤其是腔内血管救治技术与理念出现后,以复苏性主动脉球囊阻断术为代表的救治技术和器具显著提高了血管战创伤救治的成功率。本文... 详细信息

血管战创伤引起的大出血是战时导致死亡的主要因素。自近现代战争以来,血管战创伤救治技术得到巨大发展,尤其是腔内血管救治技术与理念出现后,以复苏性主动脉球囊阻断术为代表的救治技术和器具显著提高了血管战创伤救治的成功率。本文将深入探讨血管战创伤救治技术的前沿,围绕血管战创伤救治理念、腔内血管外科技术、血管战创伤救治装备与材料等方面的创新展开论述,并对信息时代下的血管战创伤救治技术发展进行总结与展望。

关键词：血管战创伤战场救治出血腔内治疗

Preoperative evaluation of transcatheter aortic valve replacement with assistance of 3D printing technique:Reanalysis of 4 death cases

在线全文

学校读者我要写书评

暂无评论

Journal of Interventional Medicine 2019年第4期2卷 166-170页

作者： Hao Zhang Yu Shen Lei Zhang Chao Song zaiping jing Qingsheng Lu Department of Vascular Surgery Changhai HospitalNavy Military Medical University168Changhai RoadShanghai200433PR China Department of General Surgery No.202Hospital of People’s Liberation Army5Guangrong RoadShenyangLiaoning110812PR China

Introduction:Transcatheter aortic valve replacement(TAVR)can have some fatal complications during and after the *** recently,pre-procedural imaging with cardiac computed tomography(CT),which is required to evaluate for TAVR,had its own *** aimed to determine whether 3 D printed models can predict complications when other pre-procedural imaging techniques ***:Vascular center patients with aortic valve stenosis,who died after TAVR between June 2011 and June2016,were enrolled in this retrospective *** CT datasets of the patients were imported into a threedimensional(3 D)construction software and then printed by flexible *** predict complications during and after operations,we designed a release test using the non-valved stent mode that was consistent with the Edwards Sapien XT valve in size and radial support ***:The 3 D model predicted the coronary obstruction and annular rupture in the in vitro release process,which was consistent with what happened in the actual ***:Three-dimensional modeling facilitates pre-operative assessment of patients receiving TAVR,with accurate simulation of intraoperative status.

关键词： TAVR 3D printing HeartPrint®flex Aortic stenosis In vitro test

Risk factors of distal segment aortic enlargement after complicated type B aortic dissection

在线全文

学校读者我要写书评

暂无评论

Journal of Interventional Medicine 2019年第4期2卷 154-159页

作者： Yu Shen Simeng Zhang Guanglang Zhu Yanqing Chen Zheng Chen zaiping jing Qingsheng Lu Department of Vascular Surgery Changhai HospitalSecond Military Medical University17 Building168 Changhai RoadShanghaiChina Department of Congenital Heart Disease Fuwai HospitalNational Center of Cardiovascular DiseaseChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina

Objectives:Distal segment aortic enlargement(DSAE)is a common complication that influences the long-term prognosis of type B aortic dissection(TBAD)after thoracic endovascular aortic repair(TEVAR).In this study,a multivariate analysis was performed to find potential factors predictive of ***:A single-center retrospective study was performed from 1999 to *** in the study were complicated TBAD patients who underwent TEVAR with uncovered residual *** on the diameter of the distal segment of the uncovered aorta,we assigned patients to an enlargement group and a non-enlargement *** extracted from the medical records included demographic and clinical characteristics and followup computed tomography angiography *** primary endpoints were the all-cause mortality and the presumably aortic-related events that required reintervention during the follow-up ***:For the 333 patients,all-cause mortality was 38(11.41%),and 76(22.82%)patients underwent reintervention.A total of 70(21.02%)patients experienced DSAE,among them were 2 patients who died of aortic rupture and 58 patients who accepted *** analysis reviewed independent risk factors of postoperative DSAE,including current smoking,the residual length of the patent false lumen,the postoperative number of dissection tears in the thoracic aorta and type III aortic arch;as well as protective factors,including the application of a restrictive bare stent(RBS),the length of covered stent in the descending thoracic aorta,and the distance from the residual first tear to the left subclavian artery(LSA).Conclusion:DSAE after TEVAR for patients with a complicated TBAD can be influenced by their current smoking habit,the residual length of patent false lumen,the postoperative number of dissection tears in the thoracic aorta and the aortic arch ***,RBS usage,the length of the covered stent in the descending thoracic aorta and the distance from the residual

关键词： Type B aortic dissection Thoracic endovascular aortic repair Distal segment aortic enlargement Risk factor

Ideological Connotation of Early Communism in the Communism Principle and the Communist Manifesto

在线全文

学校读者我要写书评

暂无评论

Ideological Connotation of Early Communism in the Communism ...

作者： zaiping jing Mianyang Teachers' College

To establish the scientism of Marxism, stay true to the mission and adhere to the guidance of Marxism comes from truly understanding Marxism. Close relevancy and development exist between the Communism Principle and the Communist Manifesto. Understanding the Engels' perspective of treating bourgeoisie and communism in the Communism Principle contributes to accurately digesting the major problems to be solved by communism in the Communist Manifesto of Marx and Engels and to better sticking to the Marxism standpoint, viewpoint and method. The Communist Manifesto is to explain questions including what it is, what to do and distinguish what, which are the main problems that would be solved by communism of Marx and Engles.

关键词：

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

文化适应:高校精准扶贫的困惑与消解

中华文化论坛 2020年第1期 142-146,159页

作者：敬再平绵阳师范学院四川绵阳621006

融入当地文化、促进不同文化形态的理解与对话、增强文化适应是高校精准扶贫价值达成、目标实现的前提和基础。在当前高校参与精准扶贫过程中,不同扶贫主体经历着文化的碰撞与冲突,存在主流文化对贫困文化的误读与偏见、学术文化遭遇行... 详细信息

融入当地文化、促进不同文化形态的理解与对话、增强文化适应是高校精准扶贫价值达成、目标实现的前提和基础。在当前高校参与精准扶贫过程中,不同扶贫主体经历着文化的碰撞与冲突,存在主流文化对贫困文化的误读与偏见、学术文化遭遇行政文化的尴尬、地域文化与外来文化的矛盾冲突等文化适应的问题,而关注帮扶群众的多元文化需求、增进不同扶贫主体的文化融合、强化对帮扶对象的人文关怀是促进高校精准扶贫文化适应的有效路径。

关键词：精准扶贫文化适应文化融合人文关怀

Morphology of the ascending aorta: a study on 114 Chinese patients

在线全文

学校读者我要写书评

暂无评论

Journal of Interventional Medicine 2018年第1期1卷 22-27页

作者： Lei Liu Wei Wang Qingsheng Lu zaiping jing Suming Zhang Bing Xu Department of Vascular Surgery Changhai Hospital Second Military Medical UniversityCPLA Department of Orthopedics Chengdu Military General Hospital Department of Imaging Changhai Hospital Second Military Medical UniversityCPLA

Purpose: This study aimed to investigate the morphological characteristics of ascending aortic dissection in detail. Materials and Methods: The ascending aorta was morphologically assessed in a consecutive series of patients between January 2009 and October 2014. A new assessment and evaluation method was used to describe 114 patients with ascending aortic dissection. Results: A large difference was found in the degree of curvature between the ascending aorta with and without dissection. The shape of the former was straighter and steeper(control group R, 47.46 ± 6.40 mm; experimental group R, 59.70 ± 10.27 mm, P < 0.001). In the case of aortic dissection involving the valves, the proximal edge of the first entry was obviously close to the aortic sinus. The orientation of the entries was mainly around the 10 o'clock and 1–2 o'clock positions, and most of their shapes were fusiform(111; 70.02%). The distance of the distal extending dissection was associated with cases involving the branch arteries(involving three branches 441.40 ± 101.13 mm vs 159.85 ± 131.86 mm in others, P < 0.001). Conclusion: The morphological features of the ascending aorta after dissection and the correlations among dissections, entries, and related factors were found.

关键词： ascending aorta dissection intimal tear morphology computed tomography

在线全文

学校读者我要写书评

暂无评论

主动脉瘤腔内隔绝术

中国实用外科杂志 2006年第10期26卷 739-741页

作者：景在平陈泉第二军医大学长海医院外科上海200433

主动脉的扩张性疾病可分为真性动脉瘤、动脉夹层(aortio dissection，AD)和假性动脉瘤。随着这类疾病发病率和检出率逐年提高，人们对它们的关注程度也不断提高。如何治疗他们，成为摆在临床医生面前的难题。1991年，Parodi率先报告了支... 详细信息

主动脉的扩张性疾病可分为真性动脉瘤、动脉夹层(aortio dissection，AD)和假性动脉瘤。随着这类疾病发病率和检出率逐年提高，人们对它们的关注程度也不断提高。如何治疗他们，成为摆在临床医生面前的难题。1991年，Parodi率先报告了支架-人造血管复合体(直型)在腹主动脉瘤治疗中的应用，成为腔内血管治疗历史上的一个里程碑。随着医疗器械的不断发展、技术的不断完善、经验的不断积累总结，微创、安全的腔内隔绝术在主动脉扩张性疾病中的治疗中得到广泛的认可，并在全球范围内迅速推广。

关键词：腔内隔绝术主动脉瘤主动脉扩张性疾病发病率支架-人造血管真性动脉瘤假性动脉瘤瘤治疗

腹主动脉瘤腔内治疗适应证选择及复杂病变处理

在线全文

学校读者我要写书评

暂无评论

中华医学杂志 2016年第45期96卷 3630-3633页

作者：陆清声景在平第二军医大学附属上海长海医院血管外科 200433

20世纪90年代腹主动脉瘤腔内治疗（EVAR）开始兴起。早期，受到患者解剖条件、年龄以及器具的限制，EVAR的适用范围十分有限。其后腔内技术日趋成熟，腔内器具性能不断改善，使得腔内治疗可以应用于更加复杂的病变，治疗效果得以提高。

关键词：瘤腔内治疗复杂病变腹主动脉治疗适应证 EVAR 腔内技术治疗效果器具

在线全文

学校读者我要写书评

暂无评论

炎症因子在深静脉血栓形成及转归中的作用

上海医学 2006年第7期29卷 454-457页

作者：庄舜玖景在平华东医院普外科上海200040 第二军医大学附属长海医院血管外科

目的研究白介素(IL)家族中的有关炎症反应因子和C-反应蛋白(CRP)在深静脉血栓形成(DVT)中的作用及其发病机制,探讨DVT患者的早期诊断和病程转归标志物。方法选择30例下肢DVT患者,按发病日程临床分为急性期和亚急性期。在治疗前(入院2h内... 详细信息

目的研究白介素(IL)家族中的有关炎症反应因子和C-反应蛋白(CRP)在深静脉血栓形成(DVT)中的作用及其发病机制,探讨DVT患者的早期诊断和病程转归标志物。方法选择30例下肢DVT患者,按发病日程临床分为急性期和亚急性期。在治疗前(入院2h内)和治疗后第1、3、7、14天,分别检测IL-2、可溶性白介素2受体(slL-2R)、IL-4、IL-6、IL-8和CRP水平。结果治疗前及治疗后第1天,所有DVT患者sIL-2R、IL-6、IL-8和CRP水平较正常对照值显著升高(P＜0．01),急性期患者高于亚急性期患者,经治疗病情缓解后逐渐下降；而IL-4水平与正常对照值的差异无显著性(P＞0．05)。结论急性期和亚急性期DVT患者的sIL-2R、IL-6、IL-8和CRP水平升高,尤其CRP、sIL-2R可作为血液中早期炎症标志物和反映病情转归的炎症标志物。

关键词：深静脉血栓可溶性白介素2受体白介素-2 白介素-4 白介素-6 白介素-8 C-反应蛋白