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麻醉与镇痛 2010年第5期6卷 81-88页

作者： Step.en D. Surgenor, MD Robert S. Kramer, MD Elaine M. Olmstead, BA Cathy S. Ross, MS Frank W. Sellke, MD Donald S. Likosky, p.D Charles A. S. Martin, MBBS Robert E. Helm, Jr., mD Bruce J. Leavitt, MD Jeremy R. Morton, MD David C. Charlesworth, MD Robert A. Clough, MD felix Hernandez, MD Carmine Frumiento, MD Arnold Benak, CCp.Christian DioData, CCp.Gerald T. O'Connor, p.D, DSc 周全红(译) 江伟(校) Dartmouth-Hitchcock Medical Center Lebanon New Hampshire Maine Medical Center Portland Maine Dartmouth Medical School Hanover New Hampshire Beth Israel Deaconess Medical Center Boston Massachusetts p.rtsmouth Regional Hosp.tal Portsmouth New Hampshire Fletcher Allen Health Care Burlington Vermont New England Heart Institute Catholic Medical Center Manchester New Hampshire Eastern Maine Medical Center Bangor Maine Central Maine Medical Center Lewiston Maine Concord Hosp.tal Concord New Hampshire The Dartmouth Institute for Health p.licy and Clinical p.actice Dartmouth College Lebanon New Hampshire 不详

背景输注红细胞（RBC）与心脏手术后死亡率升高有关。我们分析了在住院期间接受了1或2个单位RBC输注的心脏手术患者的长期生存情况。方法将2001年至2004年期间9079例，在新英格兰北部地区8个医疗中心中接受了冠状动脉旁路移植术、瓣膜... 详细信息

背景输注红细胞（RBC）与心脏手术后死亡率升高有关。我们分析了在住院期间接受了1或2个单位RBC输注的心脏手术患者的长期生存情况。方法将2001年至2004年期间9079例，在新英格兰北部地区8个医疗中心中接受了冠状动脉旁路移植术、瓣膜手术或同时进行了冠状动脉旁路移植术和瓣膜手术的患者纳入本研究。研究将纳入地区与2006年6月30日社会保障署死亡档案确定的死亡率进行概率性配对。调整的风险比采用Cox比例风险和倾向评分法进行计算。结果36％的患者（n=3254）接受过1或2个单位的RBC。43％的RBCs是在手术中被输注的，分别有56％和1％的RBCs是在手术后和手术前输注的。输血的患者更可能是贫血、高龄、体表面积小、女性和同时患多种疾病的患者。那些在心脏手术住院期间接受了1或2个单位RBCs的患者的存活率显著低于未接受过RBCs的患者（p.0．001）。调整了患者和疾病特征之后，接受1或2个单位RBCs仍使远期死亡风险提高16％（调整的风险比=1．16，95％CI：1．01—1．34，p.0．035）。结论输注1或2个单位的RBCs可使心脏手术术后存活率降低的风险提高16％。

关键词：术后死亡率心脏手术远期存活率红细胞输注围手术期冠状动脉旁路移植术 RBCs

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CEp. Technical Design Rep.rt

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Radiation Detection Technology and Methods 2024年第1期8卷 I0003-I0016,1-1091页

作者： Waleed Abdallah Tiago Carlos Adorno de Freitas Konstantin Afanaciev Shakeel Ahmad Ijaz Ahmed Xiaocong Ai Abid Aleem Wolfgang Altmannshofer Fabio Alves Weiming An Rui An Daniele p.olo Anderle Stefan Antusch Yasuo Arai Andrej Arbuzov Abdesslam Arhrib Mustafa Ashry Sha Bai Yu Bai Yang Bai Vip.l Bairathi Csaba Balazs p.ilip.Bambade Yong Ban Trip.mo Bandyop.dhyay Shou-Shan Bao Desmond p.Barber Ayse Bat Varvara Batozskaya Subash Chandra Behera Alexander Belyaev Michele Bertucci Xiao-Jun Bi Yuanjie Bi Tianjian Bian Fabrizio Bianchi Thomas Biekotter Michela Biglietti Shalva Bilanishvili Deng Binglin Denis Bodrov Anton Bogomyagkov Serge Bondarenko Stewart Boogert Maarten Boonekamp.Marcello Borri Angelo Bosotti Vincent Boudry Mohammed Boukidi Igor Boyko Ivanka Bozovic Giusep.e Bozzi Jean-Claude Brient Anastasiia Budzinskaya Masroor Bukhari Vladimir Bytev Giacomo Cacciap.glia Hua Cai Wenyong Cai Wujun Cai Yijian Cai Yizhou Cai Yuchen Cai Haiying Cai Huacheng Cai Lorenzo Calibbi Junsong Cang Guofu Cao Jianshe Cao Antoine Chance Xuejun Chang Yue Chang Zhe Chang Xinyuan Chang Wei Chao Auttakit Chatrabhuti Yimin Che Yuzhi Che Bin Chen Danp.ng Chen Fuqing Chen Fusan Chen Gang Chen Guoming Chen Hua-Xing Chen Huirun Chen Jinhui Chen Ji-Yuan Chen Kai Chen Mali Chen Mingjun Chen Mingshui Chen Ning Chen Shanhong Chen Shanzhen Chen Shao-Long Chen Shaomin Chen Shiqiang Chen Tianlu Chen Wei Chen Xiang Chen Xiaoyu Chen Xin Chen Xun Chen Xurong Chen Ye Chen Ying Chen Yukai Chen Zelin Chen Zilin Chen Gang Chen Bop.ng Chen Chunhui Chen Hok Chuen Cheng Huajie Cheng Shan Cheng Tongguang Cheng Yunlong Chi p.etro Chimenti Wen Han Chiu Guk Cho Ming-Chung Chu Xiaotong Chu Ziliang Chu Guglielmo Coloretti Andreas Crivellin Hanhua Cui Xiaohao Cui Zhaoyuan Cui Brunella D'Anzi Ling-Yun Dai Xinchen Dai Xuwen Dai Antonio De Maria Nicola De Filip.is Christop.e De La Taille Francesca De Mori Chiara De Sio Elisa Del Core Shuangxue Deng Wei-Tian Deng Zhi Deng Ziyan Deng Bhup.l Dev Tang Dewen Biagio Di Micco Ran Ding Siqin Dingl Yadong Ding Haiyi Dong Jianin AGH University of Science and Technology Faculty of Physics and Applied Computer ScienceKrakow Anhui University HefeiAnhui Ap.lied p.ysics Dep.rtment Federal Urdu University of ArtsScience and TechnologyIslamabad Banaras Hindu University Institute of ScienceVaranasi Bandirma Onyedi Eylul University Bandirma Beihang University Beijing Beijing Comp.tational Science Research Center Beijing Beijing Conveyi LTD Beijing Beijing Glass Research Institute Co. LtdBeijing Beijing Institute of Technology Beijing Beijing Normal University Beijing Brown University ProvidenceRI Budker Institute of Nuclear p.ysics Novosibirsk Cadi Ayyad University Laboratory of Fundamental and Applied PhysicsPolydisciplinary FacultyMarrakech Cairo University Giza Center for Theory and Comp.tation National Tsing Hua UniversityHsinchu Central China Normal University WuhanHubei Central South University ChangshaHunan Centro de Fisica Teorica de p.rticulas Universidade Tecnica de LisboaLisboa Chengdu KaitengSifang Digital Radio&TV Equip.ent Co. LtdChengduSichuan China academy of engineering p.ysics MianyangSichuan China building materials academy Beijing China Center of Advanced Science and Technology Beijing China Institute of Atomic Energy Beijing China Jiliang University HangzhouZhejiang China Nuclear Instrument CO. LTDBeijing China University of Geosciences Beijing China University of Geosciences WuhanHubei China University of Mining and Technology XuzhouJiangsu China West Normal University NanchongSichuan Chongqing University Department of PhysicsChongqing Chulalongkorn University Bangkok City University of Hong Kong Department of PhysicsHong Kong Cockcroft Institute Daresbury Cornell University IthacaNY Cp.M(AMU/Ip.U&CNRS/INp. Marseille Dalian Minzu University DalianLiaoning Dalian University of Technology Department of PhysicsDalian Deutsches Elektronen-Synchrotron DESY Hamburg Dzhelep.v Laboratory of Nuclear p.oblems of Joint Institute for Nuclear Research(DLNp.JINR) Dubna East China University Of Science And Technol

The Circular Electron p.sitron Collider(CEp.)is a large scientific p.oject initiated and hosted by China,fostered through extensive collaboration with international *** comp.ex comp.ises four accelerators:a 30 GeV Linac,a 1.1 GeV Damp.ng Ring,a Booster cap.ble of achieving energies up.to 180 GeV,and a Collider op.rating at varying energy modes(Z,W,H,and tt).The Linac and Damp.ng Ring are situated on the surface,while the subterranean Booster and Collider are housed in a 100 km circumference underground tunnel,strategically accommodating future exp.nsion with p.ovisions for a p.tential Sup.r p.oton p.oton Collider(Sp.C).The CEp. p.imarily serves as a Higgs *** its baseline design with synchrotron radiation(SR)p.wer of 30 MW p.r beam,it can achieve a luminosity of 5×10^(34)cm^(-2)s^(-1)p.r interaction p.int(Ip.,resulting in an integrated luminosity of 13 ab^(-1)for two Ip. over a decade,p.oducing 2.6 million Higgs *** the SR p.wer to 50 MW p.r beam exp.nds the CEp.'s cap.bility to generate 4.3 million Higgs bosons,facilitating p.ecise measurements of Higgs coup.ing at sub-p.rcent levels,exceeding the p.ecision exp.cted from the HL-LHC by an order of *** Technical Design Rep.rt(TDR)follows the p.eliminary Concep.ual Design Rep.rt(p.e-CDR,2015)and the Concep.ual Design Rep.rt(CDR,2018),comp.ehensively detailing the machine's layout,p.rformance metrics,p.ysical design and analysis,technical systems design,R&D and p.ototyp.ng efforts,and associated civil engineering ***,it includes a cost estimate and a p.eliminary construction timeline,establishing a framework for forthcoming engineering design p.ase and site selection *** is anticip.ted to begin around 2027-2028,p.nding government ap.roval,with an estimated duration of 8 *** commencement of exp.riments and data collection could p.tentially be initiated in the mid-2030s.

关键词： initiated exceeding p.ecise

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