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。     

Tuning effect of silicon substitution on magnetic and high frequency electromagnetic properties of R2Fe17 and their composites

In this work, we report the tuning effect of the Si substitution on the magnetic and high frequency electromagnetic properties of R₂Fe₁₇ compounds and their paraffin composites. It is found that the introduction of Si can remarkably improve the magnetic and electromagnetic properties of the R₂Fe₁₇ compounds, making the R₂Fe_17–xSi_x-paraffin composites excellent microwave absorption materials (MAMs). By introducing the Si element, their saturation magnetizations decrease slightly, while much higher Curie temperatures are obtained. Furthermore, better impedance match is reached due to the decrease of the high-frequency permittivity ε′ by about 40%–50%, which finally enhances the performance of the microwave absorption. The peak frequency (f_RL) of the reflection loss (RL) curve moves toward high frequency domain and the qualified bandwidth (QB, RL ≤ ?10 dB) increases remarkably. The maximum QB of 3.3 GHz (12.0–15.3 GHz) is obtained for the Sm_1.5Y_0.5Fe₁₅Si₂-paraffin composite (d = 1.0 mm) and the maximum RL of ?53.6 dB is achieved for Nd₂Fe₁₅Si₂-paraffin composite (d = 2.2 mm), both surpassing most of the reported MAMs. Additionally, a distinguished dielectric microwave absorption peak is observed, which further increases the QB in these composites.     

5-二茂铁基噁唑的合成研究

以二茂铁甲醛和对甲苯磺酰基异氰(TOSMIC)为原料,经过Van Leusen反应,一步合成目标化合物5-二茂铁基噁唑,通过~1HNMR、~(13)CNMR和ESI-MS对其结构进行表征,并对影响收率的主要因素进行考察。结果表明,在物料比n(TOSMIC)∶n(二茂铁甲醛)为1.1∶1、反应溶剂为甲醇、K_2CO_3用量即n(K_2CO_3)∶n(二茂铁甲醛)为2.0∶1、反应温度为65℃、反应时间为8 h的最佳条件下,目标化合物收率达到74.7%。该方法具有原料廉价易得、反应操作简单、收率高等优点,具有一定的应用价值。     

汽车业带动丁腈橡胶市场发展

正据研究与市场(ResearchMarket)公司新发布的市场研究报告,中国、印度、墨西哥等新兴经济体汽车制造业前景良好将带动丁腈橡胶(NBR)市场发展,到2025年世界快速硫化NBR市值将达到5.81亿美元。该报告指出,中国、印度、墨西哥等国汽车消     

Corrosion behavior of Cu–Sn bronze alloys in simulated archeological soil media

The corrosion behavior of synthetic Cu–Sn bronze alloys with six different Sn contents was examined through an electrochemical test and a synthetic test in a simulated corrosive medium. The mechanism of corrosion and the morphology of the corroded surfaces were characterized through field emission scanning electron microscopy equipped with energy-dispersive spectroscopy. At the corrosion potential, the corrosion behavior appears to be determined by the charge transfer step and the diffusion process. It was found that the bronze-IV (Cu–26.8Sn) specimen exhibited the best corrosion resistance, as evidenced by a low corrosion current density and a high impedance. This improvement resulted from an increase in the content of the Cu–Sn solid solution in the alloy, which was conducive to forming a relatively more protective passive film on the surface of the bronze alloy. This finding would be valuable in the anticorrosion protection of archeological artefacts after their excavation.     

氧化沟内置缺氧段技术改造的工程应用

某污水处理厂改良型氧化沟工艺采用内置缺氧段的工艺来去除TN,在实际运行中存在较多问题,针对出现的问题,研究在好氧末端设置挡墙控制混合液回流量,形成明显缺氧环境.经实际运行表明,此次工程改造应用有效提升了工艺的脱氮效果,为今后同类的工艺改造提供了借鉴.     

以辉锑矿为原料放电等离子烧结快速制备黝铜矿Cu_(12)Sb_4S_(13)及反应机理

采用辉锑矿为原料成功制备出Cu_(12)Sb_4S_(13)块体。研究以Sb_2S_3矿物为原料时烧结工艺对Cu_(12)Sb_4S_(13)合成的影响。在400 ～ 440℃温度区间内均可快速合成Cu_(12)Sb_4S_(13)块体且二次烧结能够进一步减小中间相CuSbS_2和Cu_3SbS_3。第二相Cu_3SbS_4和残留相CuS随着烧结时间的延长而降低。二次烧结前进行机械化球磨处理,干磨比湿磨更容易减小残留相。初次烧结块体的断面SEM和EDS能谱分析表明内部存在Cu或Cu_2S颗粒团聚现象。适当降低Cu或CuS摩尔量(化学计量比0.1 mol)能促进烧结块表面反应进行。烧结过程中,硫磺蒸汽压的导致烧结块表面成分和内部粉末的成分不同。     

海上稠油油田蒸汽吞吐产量确定新方法

针对目前蒸汽吞吐产量预测模型假设条件简单、普适性差等问题,一般采用测试法和类比法综合确定海上稠油油田蒸汽吞吐初期产量。由于目前海上油田通常只开展常规测试,无法直接获得热采开发初期产量。笔者提出海上稠油油田蒸汽吞吐初期产量确定新方法,建立蒸汽吞吐相对于常规开发的初期产量倍数预测模型,通过蒸汽吞吐产量倍数,将常规测试确定的产量转化为蒸汽吞吐产量。研究表明,蒸汽吞吐初期产量倍数主要受储集层渗透率、原油黏度、注入强度、蒸汽干度等因素影响,利用正交试验设计和多元回归等方法,建立海上稠油油田蒸汽吞吐初期产量倍数与油藏地质参数及注入参数之间的非线性预测模型,该模型经实际生产数据验证,预测误差小于5%,可靠性高,能够为海上稠油油田蒸汽吞吐初期产量的确定提供依据。     

试谈企业管理就是生产力

通过对水利水电勘测设计工作的管理成效分析,主要从四个方面探讨现代企业生产管理的四个关键问题,即只有科学的生产管理才能有效组织生产关系;强化生产管理旨在提高产品质量;通过生产管理降低消耗、减少成本支出;加强生产管理旨在降低企业在发展与运行中的风险。