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Bridging fulminant myocarditis patients to recovery or advanced therapies with veno-arterial extracorporeal membrane oxygenation:a single-center retrospective study

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World Journal of Emergency Medicine 2024年第6期15卷 481-485页

作者： Jing wang Gang Liu Yuan Teng Jian wang Shujie Yan Qian wang tianlong wang Han Zhang Bingyang Ji Department of Cardiopulmonary Bypass Fuwai HospitalNational Center for Cardiovascular DiseaseChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100037China

Fulminant myocarditis(FM)is a severe inflammatory cardiac disease,typically triggered by viral pathogens or autoimmune disorders.[1,2]Early symptoms of the disease can be mild and nonspecific,but in certain cases,pati... 详细信息

关键词： patients myocarditis cardiac

TEE monitoring for RA-horizontal paradoxical arterial air embolism during sitting-position surgery

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Science China(Life Sciences) 2010年第12期53卷 1405-1409页

作者： YE Xin MA Ting wang tianlong GE MingFei wang CaiRong GAO Jing LI XiaoHui Department of Anesthesiology Beijing Xuanwu HospitalCapital Medical UniversityBeijing 100053China Department of Cardiology Beijing Xuanwu HospitalCapital Medical UniversityBeijing 100053China

A 36-year-old woman suffered meningioma in her right cerebellopontine *** embolisms often complicate sitting-position *** TEE guides the localization of central venous catheters and promptly locates air embolisms prom... 详细信息

关键词： anesthesia sitting-position surgery transesophageal echocardiography central venous catheter localization venous air embolism

Rapid Synthesis of Boron-MWW Zeolite Through a Solvent-free Strategy

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Chemical Research in Chinese Universities 2024年第6期40卷 1245-1255页

作者： BO Shuang wang tianlong LV Tianming WU Huifang FENG Ziyi MIAO Lei FENG Zhaochi REN Limin MENG Changgong State Key Laboratory of Fine Chemicals School of ChemistryDalian University of TechnologyDalian 116024P.R.China Instrumental Analysis Center Dalian University of TechnologyDalian 116024P.R.China State Key Laboratory of Catalysis Dalian National Laboratory for Clean EnergyDalian Institute of Chemical PhysicsChinese Academy of SciencesDalian 116023P.R.China College of Environmental and Chemical Engineering Dalian UniversityDalian 116622P.R.China

ERB-1 zeolite emerges as a key bridging material for crafting heteroatom-containing MWW for versatile catalytic *** this study,we developed a solvent-free strategy facilitated by high-temperature condition and seed assistance,streamlining the synthesis of ERB-1 *** novel approach not only significantly reduces the growth time to 12 h compared to the conventional 168-h hydrothermal synthesis but also enhances product yield while minimizing waste *** from the platelet seeds and the grinding force,a distinct non-classical growth pathway,involving nanoparticle attachment,epitaxial growth,anisotropic assembly,and crystallization,was observed in the solvent-free *** heteroatom substitution,pillared Sn-MWW was successfully prepared,exhibiting remarkable stability and catalytic performance in the Bayer-Villiger oxidation reaction of *** findings present a simple and cost-effective way for rapid synthesis of MWW zeolite,with implications extending to diverse catalytic applications.

关键词： Solvent-free strategy ERB-1 Pillared Sn-MWW Baeyer-Villiger oxidation

Anesthesia management for a patient with anti-NMDA receptor encephalitis undergoing ovarian tumor resection

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Chinese Medical Journal 2014年第11期127卷 2197-2198页

作者： Lang Yu wang tianlong Lan Fei Xiao Wei Department of Anesthesiology Xuanwu Hospital Capital Medical University Beijing 100053 China

Anti-N-Methyl-D-aspartate （NMDA） receptor （Anti-NMDA-R） encephalitis presents a series of psychiatric syndromes,including confusion,seizures,hypoventilation and autonomic nerve *** a few literatures about the anesthesia management for patients with anti-NMDA receptor encephalitis were reported,1 it is wise to understand the development of disease and the effect of anesthetics on brain function in the presence of NMDA receptors＇ *** we reported a case of the intra-operative anesthesia management and monitoring.

关键词： anti-N-Methyl-D-Aspartate receptor encephalitis anesthesia monitoring

Goal directed fluid therapy with LiDCOrapid in a parturient with WPW syndrome and cardiac dysfunction undergoing emergent cesarean section

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Chinese Medical Journal 2014年第14期127卷 2719-2720页

作者： Xiao Wei Duan Qingfang Zhao Lei wang Fengying wang tianlong Capital Med Univ Xuanwu Hosp Dept Anesthesiol Beijing 100053 Peoples R China Capital Med Univ Xuanwu Hosp Dept Obstet & Gynecol Beijing 100053 Peoples R China

To the editor： A 26-year-old parturient at 376/7 weeks＇ gestation presenting light activity induced stuffiness, palpitation and breathlessness and incapability of lying flat was urgently admitted to our hospital. Her BMI was 35 kg/m2 （height 163 cm, weight 93 kg）. Upon admission, the physical examination showed pulse rate of 100-120 beats/min, blood pressure of 140/70 mmHg. Expanded border of cardiac dullness, moist rales over the fight lung base, and mild edema in her bilateral lower extremities were exhibited. Her electrocardiograph revealed ongoing sinus tachycardia with positive delta waves in I, II, AVL, V2-V6 leads and abnormal ST segment. The echocardiogram indicated a normal ejection fraction of 53% and an enlarged left heart with atrial dimension of 37 mm and ventricular internal diastolic diameter of 54 mm. A quantitative urinary protein test showed an elevated urinary protein excretion at 0.48 g within 24 hours. The diagnosis of Wolf-Parkinson-White （WPW） syndrome can be traced back to her first pregnancy two years ago. The relevant electrophysiological examination was ignored after a smooth cesarean section. However, during the second pregnancy the symptoms of impaired cardiac function appeared after 36 weeks＇ gestation. Her cardiac function was classified as NYHA III.

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全身麻醉下多模式脑监测是根除老年患者围手术期脑部并发症的关键

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中华医学杂志 2020年第41期100卷 3201-3203页

作者：王天龙首都医科大学宣武医院麻醉手术科北京100053

老年患者全身麻醉下多模式脑监测主要包括麻醉镇静深度监测、基于脑电图(EEG)的大脑伤害指数监测、无创脑氧饱和度监测(rSO2)、围手术期神经炎症调控。可以通过联合监测以及流程化干预,避免依赖单一监测造成干预的盲目性,由此根除老年... 详细信息

老年患者全身麻醉下多模式脑监测主要包括麻醉镇静深度监测、基于脑电图(EEG)的大脑伤害指数监测、无创脑氧饱和度监测(rSO2)、围手术期神经炎症调控。可以通过联合监测以及流程化干预,避免依赖单一监测造成干预的盲目性,由此根除老年患者术后严重脑部并发症以及对术后长期脑健康的影响。

关键词：老年人围手术期多模式脑监测脑部并发症

推动老龄化时代“麻醉门诊”向“门诊一站式麻醉与多学科评估、诊疗、预康复、随访中心”转变

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中华医学杂志 2023年第41期103卷 3229-3231页

作者：王天龙首都医科大学宣武医院麻醉手术科北京100053

中国老龄化进程加速,给围手术期老年患者的麻醉管理带来挑战。老年患者多病共存、功能衰退以及术后高发的严重并发症和死亡率是导致老年患者低麻醉率和低手术率、医疗花费高的主要因素。从当前麻醉门诊向门诊一站式麻醉与多学科评估、... 详细信息

中国老龄化进程加速,给围手术期老年患者的麻醉管理带来挑战。老年患者多病共存、功能衰退以及术后高发的严重并发症和死亡率是导致老年患者低麻醉率和低手术率、医疗花费高的主要因素。从当前麻醉门诊向门诊一站式麻醉与多学科评估、诊疗、预康复与随访中心转变是解决这一问题的新的医疗模式,需要医院、学科以及政府共同努力才能实现。

关键词：老年人麻醉多学科院前管理医疗模式

维护老年患者内环境稳定与代偿状态是围手术期管理之核心

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中华医学杂志 2020年第31期100卷 2401-2403页

作者：王天龙首都医科大学宣武医院麻醉科北京100053

老年患者增龄性脏器功能减退及并存疾病对脏器功能的损害,使得老年患者遭受麻醉与外科创伤后的术后并发症和死亡率显著高于其他成年患者。老年患者围手术期麻醉管理的核心要点包括围手术期维护老年患者术前长期建立的代偿状态、维护老... 详细信息

老年患者增龄性脏器功能减退及并存疾病对脏器功能的损害,使得老年患者遭受麻醉与外科创伤后的术后并发症和死亡率显著高于其他成年患者。老年患者围手术期麻醉管理的核心要点包括围手术期维护老年患者术前长期建立的代偿状态、维护老年患者内环境状态接近术前水平、以加速术后康复为导向实施老年患者围手术期麻醉管理方案。

关键词：老年人围手术期加速术后康复

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老年骨科患者麻醉管理的临床实践与创新

中国脊柱脊髓杂志 2024年第6期34卷 669-672页

作者：王天龙首都医科大学宣武医院麻醉手术科北京市100053

中国已经进入快速老龄化时代,2020年第七次人口普查显示,大于60岁的老年人口比例高达18.7%,大于65岁的老年人口比例达到13.5%。老龄化所带来的医学问题之一是接受外科手术治疗的老年患者比例将不断攀升,而老年患者年龄相关的脏器功能衰... 详细信息

中国已经进入快速老龄化时代,2020年第七次人口普查显示,大于60岁的老年人口比例高达18.7%,大于65岁的老年人口比例达到13.5%。老龄化所带来的医学问题之一是接受外科手术治疗的老年患者比例将不断攀升,而老年患者年龄相关的脏器功能衰退以及并存疾病导致的脏器功能进一步恶化会导致围手术期严重并发症。

关键词：麻醉管理老年患者外科手术治疗老年人口比例老龄化时代脏器功能老年骨科患者围手术期