人纤维蛋白原对急诊外伤致创伤性凝血病疗效及相关因素分析

目的:探讨人纤维蛋白原(fibrinogen，FIB)对急诊创伤性凝血病患者的临床疗效及相关因素。方法:将2015年6月至2018年6月本院收治的100例严重创伤患者纳入本研究，根据是否创伤性凝血病分为凝血病组(80例)和非凝血病组(20例)。比较凝血病组和非凝血病组患者收住后第1个24 h的急性生理和慢性健康评分(acute physiology and chronic health evaluation II，APACHE II)、创伤严重程度评分(injury severity score，ISS)、低体温及低灌注发生率等指标。采用Logistic多因素回归方法分析严重创伤患者发生创伤性凝血病的相关因素。将80例创伤性凝血病患者随机分为观察组(40例)和对照组(40例)。对照组按照常规诊疗措施治疗，观察组在对照组处理基础上给予人FIB，比较治疗前后观察组和对照组的凝血功能指标，及治疗后的临床用血量、住院时间及病死率。结果:与治疗前相比，治疗后观察组和对照组的凝血酶原时间(prothrombin time，PT)、活化部分凝血活酶时间(activated partial thromboplastin time，APTT)及D-二聚体水平降低(P<0.05)，FIB水平明显升高(P<0.05)。观察组的红细胞(red blood cell，RBC) 输注量、新鲜冰冻血浆(fresh frozen plasma，FFP)输注量、重症加强护理病房(intensive care unit，ICU)时间及病死率均明显低于对照组，差异具有统计学意义(P<0.05)。创伤性凝血病患者PT>18 s(r=0.623，P=0.024)、APTT>60 s(r=0.722，P=0.018)、凝血酶时间(thrombin time，TT)>15 s(r=0.719，P=0.033)与ISS评分呈正相关。碱缺失(base deficit，BD)≥6(OR=3.678，95%CI=1.065～9.417)、格拉斯哥评分(Glasgow coma scale，GCS)≤8(OR=5.299，95%CI=1.122～8.711)和血小板(platelet，PLT)计数(OR=0.982，95%CI=0.971～0.996)是严重创伤患者发生创伤性凝血病的独立预测因素。结论:人FIB可有效改善创伤性凝血病患者的凝血功能，降低病死率、缩短ICU时间，创伤性凝血病与创伤严重程度、合并休克、低体温和重型颅脑损伤存在一定的相关性。     

超声波强化原油破乳电脱盐技术的工业实践

报道了采用超声波强化原油破乳电脱盐技术的开发与工业应用.经过实验室开发确定的超声波强化原油破乳电脱盐专利技术--超声波-电场联合破乳脱盐组合技术采用顺逆流方式.该技术于2003年9月在齐鲁分公司完成工业应用试验后,超声波强化原油破乳设备直接投入生产运行,在不加入化学破乳剂的情况下,可使胜利混输原油(平均盐浓度为50 mg/L,平均水质量分数为0.5%～1.0%)脱后盐浓度低于3 mg/L,水质量分数小于0.3%.     

破乳-酸化法处理直馏柴油精制废碱液

采用破乳 -酸化法对直馏柴油精制废碱液进行处理 ,筛选出最佳的破乳条件和酸化终点。实验结果表明 ,采用破乳剂或热力破乳 -酸化法预处理直馏柴油精制废碱液是一种有效的预处理方法。经该方法处理后的废碱液化学需氧量 (COD)下降率可达 93 4 %,除油率为 87%,副产物硫酸钠能得到最大限度地回收利用。同时 ,该方法设备简单 ,处理费用低廉 ,易于实现工业化。     

Treatment of low turbidity water by sweep coagulation using bentonite

A novel strategy of sweep coagulation to treat low turbidity water is presented herein. Study findings demonstrated that an Na⁺‐saturated bentonite with medium cation exchange capacity (CEC) resulted in significant turbidity removal at a bentonite dosage of 30 mg dm^?3. Bentonite dispersion with fully delaminated platelets tended to undergo a more porous type of coagulation with intense face‐to‐face interactions of platelets and effectively entrapped TiO₂ particles in band‐type structures. This type of coagulation usually results in a large volume of settled flocs with a fluffy structure and excellent turbidity removal efficiency for sweep coagulation. The sign and magnitude of electrical charge on TiO₂ particles has a minor effect on the efficiency of sweep coagulation. Copyright © 2005 Society of Chemical Industry     

Microwave Demulsification in Removing Naphthenic Acids from Diesel Oil

Emulsification is an undesired phenomenon in the refining of highly acidic oil by alkali-washing electro-refining. In this article, a novel microwave method is applied for demulsification in the removing of naphthenic acid from diesel oil. The internal heating is attributed to molecular rotation and ionic conduction. The decrease of interface zeta-potential and the viscosity of diesel oil are responsible for the demulsification with microwave irradiation. The results exhibited that the demulsification rate is maximized when the optimum microwave irradiation power, exposure time, and irradiation pressure for Anshan and Liaohe diesel oil are deemed to be 375 W, 5/6 min and 0.05 MPa, respectively.     

Effects of Process Conditions on Desalting and Demetalization of Crude Oil

The efficiency of desalting for six crude oils was studied with a SY-1 dynamic simulation experimental installation. The demulsifier DC2 was examined for 1#, 2#, and 4# crude oil and DC4 was used for 3#, 5#, and 6# crude oil. The effects of temperature, electric field gradient, dosage of demulsifier, and washing water on the desalting efficiency of six crude oils were investigated. The results showed that at the optimization process condition after desalting, the desalting efficiency and the salt content of 1# crude oil reached 89.17% and 1.92 mg/L; that of 2# crude oil reached 85.08% and 1.04 mg/L; that of 3# crude oil reached 91.06% and 1.35 mg/L; that of 4# crude oil reached 81.67% and 1.51 mg/L; that of 5# crude oil reached 81.03% and 2.32 mg/L; and that of 6# crude oil reached 86.64% and 2.67 mg/L. Different crude oils have different metal contents. Three assistants, ammonium nitrate (TJ1), nitric acid (TJ3), and polyamine carboxylate (TJ4), were used to improve the efficiencies of desalting and demetalization of six crude oils. TJ4 was more efficient in removing calcium and iron for 1# and 2# crude oil. TJ1 was more efficient in desalting and demetalizing 5# crude oil. The efficiencies for removal of calcium, iron, nickel, and vanadium respectively reached 99.89%, 98.33%, 20.58%, and 43.02%. TJ3 has better efficiency desalting and demetalizing for 6# crude oil. With the concentration of TJ3 increasing from 0 to 80 mg/L, the desalting efficiency increases from 31.22% to 73.54%, and the iron removal efficiency increases from 56.0% to 74.05%.     

高浓度焦化废水的预氧化-混凝处理研究

焦化废水成分十分复杂,污染物浓度高,性质非常稳定且水量大,是典型的难降解有机废水。使用H2O2为氧化剂,FeSO4.7H2O为催化剂的Fenton氧化法对钢铁焦化厂废水的终冷水进行了试验研究,氧化处理后用FeCl3为混凝剂对COD,NH3-N,色度及浊度的去除率进行了系统的考查。确定了氧化反应的影响因素和最佳的混凝实验条件。结果表明:当pH值控制在3左右,反应时间为30 min,反应温度为80℃,焦化废水的COD,NH3-N,浊度和色度去除率分别达到了93.1%,96.2%,90.8%和90.2%。     

油品浑浊原因分析及解决办法

针对油品浑浊问题，经多方查找，确定系油品中含有表面活性剂及微量水所致，提出了采用通入干燥的压缩风或氮气吹扫的解决措施。     

含油废水处理

在水量水质调查的基础上，本文提出了以出水回用为目的的含油废水隔油调节沉淀－混凝沉淀－砂滤处理工艺，动态模型试验表明，废水中油和ＣＯＤ的去除率分别达到９５％和９０％，出水浊度低于２，此水质完全可回用于有关生产车间。