Perinephric abscess (presenting as abdominal pain) due to Listeria monocytogenes

The development of a haematoma after wide excision of breast tumours is not uncommon. Suction drainage is commonly used to prevent this but often increases the hospital stay and can create unsightly wounds. Argon beam coagulation is a new technique which permits large 'raw' areas to be coagulated with minimal tissue damage. We believe that this technique may reduce the development of haematomas and seromas after breast surgery. We present our initial results using argon beam coagulation after wide excision of breast tumours in 80 patients without suction drainage. One patient required a single aspiration of a seroma at the site of breast lump excision and none required surgical drainage. Argon beam coagulation appears a useful adjunct in breast surgery and may help reduce hospital stay.     

Haemostasis after partial hepatectomy using argon beam coagulation

The argon beam coagulator is a new device for haemostasis during and after surgery on parenchymatous organs. No data are available on its efficacy and tissue effect following hepatic resection. Blood loss, the time needed to achieve adequate haemostasis and histological findings after liver resection were assessed in 12 pigs using argon beam coagulation or suture ligation only, the mattress suture technique and tissue glue application. The treatment was randomly assigned to each of the four liver lobes in each pig. Median blood loss following argon beam coagulation was 13 (range 2-47) ml and after simple suture ligation 55 (range 2-260) ml (P < 0.02). The median time needed for adequate haemostasis following argon beam coagulation was 3 (range 2-7) min versus 14 (range 2-48) min in the control group (P < 0.005). There was no difference between argon beam coagulation and tissue glue, which were both superior to the use of mattress sutures. Argon beam coagulation resulted in less tissue damage than tissue glue or mattress suturing. The argon beam coagulator is an efficient device for achieving haemostasis following partial hepatectomy in the pig. It causes only a moderate tissue reaction.     

Reconstitution of squamous epithelium in Barrett's oesophagus with endoscopic argon plasma coagulation: a prospective study

BACKGROUND: Barrett's oesophagus is a premalignant condition. Recent reports have suggested that laser coagulation or photodynamic therapy combined with acid suppression may induce reconstitution of squamous mucosa. However, a high percentage of residual glands remain in cases treated with both techniques. Argon plasma coagulation (APC) appears to be an attractive alternative to other thermoablative techniques. The aim of this study was to investigate the reconstitution of squamous epithelium in Barrett's oesophagus after APC. METHODS: Fifteen patients with histologically proven Barrett's oesophagus were included in a prospective study. After base-line documentation by videotaping and biopsies, Barrett's epithelium was treated by repeated APC at intervals of 4-6 weeks until complete squamous restoration was achieved. All patients were kept under high-dose proton pump inhibitor therapy. RESULTS: In 13 patients complete reconstitution of squamous epithelium was achieved. Buried glands after squamous restoration were detected transiently in only one case after the first session. As side effects seven patients had mild retrosternal discomfort. One patient reported severe retrosternal pain for 1 week. He then refused further APC sessions. Another patient was excluded because of noncompliance. During the follow-up period (6-13 months) recurrence of Barrett's epithelium was observed in one patient. CONCLUSIONS: APC is a suitable technique for achieving squamous restoration in Barrett's oesophagus. The rare occurrence of remaining buried glands may result from the homogeneous coagulation achieved by the ionized argon gas beam.     

Endoscopic appearances of hemorrhagic peptic ulcers and efficacy of H2-receptor antagonists

BACKGROUND/AIMS: In this retrospective study, we compared the effects of histamine H2-receptor antagonists to those of antacids and anticholinergics in patients with hemorrhagic ulcers with various endoscopic appearances of bleeding. PATIENTS AND METHODS: Patients with hemorrhagic ulcers (n = 376) were examined by emergency endoscopy and were treated with 1) antacids and anticholinergic drugs or 2) H2-receptor antagonists. RESULTS: In ulcer patients with oozing or fresh red coagulation, H2-receptor antagonists ceased further hemorrhage more effectively (65.9% of the cases) than antacids and anticholinergic drugs (46.7%). In patients with projectile bleeding, both of the treatments failed to stop hemorrhage. There were no significant differences in favorable outcome in the patients only with old black coagulation between antacid and anticholinergic drugs-treated group and H2-receptor antagonists-treated group (94.4% and 93.8%, respectively). CONCLUSIONS: The results suggest that H2-receptor antagonists are more effective than antacids and anticholinergic drugs in patents with peptic ulcer with fresh coagulation or oozing, but not with projectile bleeding or old black coagulation. The results also indicate that endoscopic appearances of peptic ulcer bleeding are good predictors for the effects of medication.     

Types of medical lasers

The knowledge about different types of lasers and their potential use in medicine is presented. A very rapid development of laser technology in the world imposes a need for up-to-date information about the characteristics of different laser instruments. Without this kind of information it would be difficult to keep in touch with the latest developments in the world's technology. Different types of lasers have different indication range in the medical practice. An inquiry into the fundamental principles of lasers physics is an important prerequisite for successful application of this technology in medicine. Laser as a surgical knife has shown certain advantages over scalpel, electrocautery and cryosurgery, as the laser surgery is a noncontact method, bloodless, precise, with better visualization, minimal postoperative edema, painless healing, without complications. Although laser cannot entirely replace conventional surgical instruments, it is still the instrument of choice for treatment of numerous pathological conditions. The carbon dioxide laser is a highly precise, bloodless light scalpel used for incising and excising tissues and sealing small blood vessels. The infrared beam at 10,600 nm wavelength is absorbed by water and tissue destruction is due to the instantaneous vaporization at relatively low temperature of 100 degrees C. The beam seals blood vessels of up to 0.5 mm in diameter and if the beam is defocused, larger vessels may be controlled. The beam also seals lymphatics, possibly reducing the spread of tumour cells by this route, and seals nerve endings: there is no incidence of neuroma formation. Carbon dioxide laser has shown a great efficiency in otorhinolaryngology, in maxillo-facial surgery and plastic surgery, in urology and gynecology. Provides true "no touch" surgery, and is used increasingly in neurosurgery for the precise atraumatic removal of tissue and for creation of precise lesions for the control of pain. The carbon dioxide laser beam cannot, at present, be transmitted via a flexible fibre, although a number of fibres are being investigated. Delivery of laser energy to microscope, colposcope or handpiece is via an articulated arm which is a hollow tube with mirrors at the articulations. The argon laser produces blue-green coherent light at a number of wavelengts but 80% of the energy is at wavelengths of 488 and 514 nm. This laser was first used in ophtalmology to treat diabetic retinopathy through, and without damage to, the clear anterior parts of the eye. The argon laser is used for blood vessel coagulation but can be used to perform slow, thermal tissue destruction at higher power levels. Argon laser is most commonly used in ophthalmology for otological micro-surgery, particularly in the treatment of otosclerosis and tympanosclerosis. Very good results have been achieved in the argon laser treatment of gastrointestinal bleeding ulcers, vascular lesions and polyps. Dermatology is another field where argon laser has shown great efficiency: hemangyomas, telangiectasias, tattoos, small benign and malignant tumours are amenable to argon laser treatment. In neurosurgery it is used to control both normal and abnormal blood vessels but at present much work on treatment of arteriovenous malformations and aneurysms is experimental. Both the argon laser energy can be transmitted via flexible fibre optic delivery system which can then be attached to an operating microscope, slit lamp, endoscope delivery fibre or handpiece. The Neodymium-YAG laser is used both for tissue destruction with good haemostasis and for the control of normal and abnormal blood vessels. This laser produces infrared coherent light at 1060 nm wavelength, which is deeply absorbed in the tissues without colour or tissue specificity. Neodymium-YAG laser is mostly used in tracheobronchial, gastrointestinal and urologic pathology in the treatment of stenoses, granulomas, benign tumours, and for reduction of malignant tumours. (ABSTRACT TRUN     

立体螺旋线圈微型电感耦合等离子体激发源激发测试研究

介绍了一种电感耦合等离子体(Inductively Coupled Plasma,ICP)光谱激发源,该激发源采用微结构立体螺旋线圈。实验以氩气作为实验气体,采用以立体螺旋线圈作为微电路组件主体的微型ICP激发源研究了立体螺旋线圈激发氩气的最佳结构参数:匝数为4.5匝,线圈直径为5mm,铜线直径为1mm;测得了激发源在激发氩气时的工作条件:最佳射频功率为15~20W,最佳工作气压为50~100Pa,并分析了射频功率和工作气压对于氩气谱线强度的影响。采用射频功率为15W、氩气工作气压为60Pa对空气样品进行激发,检测到氮离子、氦离子等,由此表明立体螺旋线圈微型ICP激发源对空气样品具有激发能力,并且立体螺旋线圈微型ICP激发源比平面微型ICP激发源的激发能力更强。     

Pneumomediastinum during relapse of ulcerative colitis

Pneumomediastinum can be caused by gas dissecting along fascial tissue planes into the mediastinum from remote locations, including the retroperitoneum. One potential source of retroperitoneal gas is the colon. We present the third reported case of pneumomediastinum (plus pneumothorax and subcutaneous emphysema) without free intraperitoneal gas developing during an attack of ulcerative colitis. Because there was no colonic perforation noted at colectomy, the extracolonic gas was presumed to originate from a microscopic or partial thickness perforation of the colon. GI perforation must be considered not only in patients who have free intraperitoneal gas but also in those who present with symptoms, signs, or studies consistent with retroperitoneal gas, such as subcutaneous emphysema, pneumomediastinum, or pneumothorax.     

New developments in endoscopy

Beside the developments of new imaging modalities in endoscopy, efforts have been made to improve therapeutical possibilities of endoscopic interventions. In addition to the improvement or even development of new instruments for flexible and rigid endoscopy, the potentials of the new technique of argon-plasma-coagulation in ENT are only hardly discovered. This innovative method is based on high-frequency (HF) electric current for non contact tissue coagulation via ionized argon gas. It leads to a homogeneous coagulation and desiccation zone with a limited and controlled tissue penetration. In addition a multifunctional instrument is presented for the resection of tumors in the upper aero-digestive tract which is able to cut and coagulate tissue on an HF basis and is provided with a channel for suction and irrigation. Additional instruments are offered for the laser surgical resection of tumors through the microlaryngoscope. These instruments are equipped with a cable connection for HF current and are helpful for controlling and managing large bleeding tumor masses. The increasing significance of the flexible endoscopy in ENT surgery is being taken into consideration by the development of additional instruments to remove all kind of foreign bodies in the esophagus or tracheo bronchial system. Through the creation of new materials it is also possible to perform an endoscopic dilatation of esophageal or hypopharyngeal stenoses with a reduced risk of perforations.     

宽板坯连铸结晶器内氩气分布的水模型

 针对塞棒、上水口吹氩时,吹入的氩气有多少进入到结晶器钢水内和氩气在结晶器断面上如何分布的问题,采用1：1水模型,重点研究了吹气量、吹气方式、拉速、浸入式水口倾角等工艺参数对不同宽度结晶器内气体分布状况的影响。结果表明,吹气量和吹气方式对结晶器内气体分布几乎没有影响,而拉速和水口倾角基本上就决定了宽度方向上的气体分布状况。小的结晶器断面宽度、小的水口倾角、高拉速时窄面附近含气比例更高,氩气泡更易被凝固坯壳所捕捉而使铸坯产生气泡缺陷。     

Comparison of wound healing process using Argon and Krypton lasers

OBJECTIVE: We compared the wound healing process on Sprague-Dawley rats between Argon Laser and Krypton Laser, and calculated the laser actual doses after correction on wound healing on rats and estimated the clinical doses on wound healing for human skin. SUMMARY BACKGROUND DATA: Laboratory work provided some support for the use of low-intensity laser radiation in wound healing. Some studies found that laser irradiation may either enhance, inhibit, or has no effect on the function of a variety of microorganisms and cells. Animal studies also offered some basis for treatment. Improvements, particularly in the earliest phases of wound healing, have been reported following laser irradiation. METHODS: We used Argon Laser (488-514 nm) and Krypton Laser (670 nm) in the study. The laser beam was delivered through a system of fiber optic in Argon Laser and reflector in Krypton Laser. The rats treated were restrained in a Plexiglas cage without anesthesia during the laser irradiation period. The percentage of the wound healing acceleration in days and size, actual doses, and estimated clinical doses were calculated as follows: AccD = (1-TD/CD) x 100%, AccS = (1-TA/CA) x 100%, AD = D(in) - D(gl) - D(SR) and ECD = AD = D(sr), respectively. RESULTS: The acceleration effects of wound healing in days (AccD) were 22.93% and 14.54%, size reductions (AccS) were 41.93% and 30.41% at the optimal stimulative incident dose of 20 J/cm2. Zero bioactivation shown at the incident doses of 80 J/cm2 and 100 J/cm2. The inhibitory effects of wound healing in days were -7.72% and -3.37%, in size reduction were -13.35% and -12.88% at the maximal inhibitory incident dose of 140 J/cm2 for Argon and Krypton Lasers, respectively. The actual doses were 5.21 J/cm2 and 4.03 J/cm2, the estimated clinical doses were 5.50 J/cm2 and 4.25 J/cm2 at optimal stimulative incident dose 20 J/cm2 for Argon and Krypton Lasers, respectively. CONCLUSIONS: Low power laser therapy at the appropriate dosimetric parameters can provide the acceleration effects of wound healing on rats. The effects were dependent with the doses and laser wavelengths used. In this experiment, the optimum stimulative dose was 20 J/cm2 and the Argon Laser with 488 nm was more effective than the Krypton Laser with 670 nm. The zero bioactivation and inhibition effect of wound healing on rats occurred in Argon Laser and Krypton Laser.     

Dose-dependent inactivation of extracellular human immunodeficiency virus by miramistin

BACKGROUND: There is a need for an atraumatic, fast, reliable, inexpensive, reversible-on-demand method for female sterilization which is also free from side-effects. The use of an Nd:YAG laser for occlusion of human fallopian tubes in vitro was assessed for achieving these aims. METHODS: An in vitro study was performed on coagulation of fallopian tube tissue using continuous wave Nd:YAG laser. Posthysterectomy human uteri were exposed to laser radiation either directly through an optical fibre or through a sapphire contact probe at the ostia at different laser powers and inter-action times. RESULTS: Laser-induced tissue coagulation plugged the ostia in a clean, controlled and predictable manner. Microscopic examination of the coagulated tissue showed about 50 microns wide blind holes without any continuous channel; thus eliminating the possibility of passage of sperms through such a plug. The depth of coagulation along the lumen of the fallopian tubes increased linearly with the interaction time of the laser beam at a constant power, either by direct irradiation or through a contact probe. The maximum depth of coagulation was found to be about 3 mm in case of direct irradiation at a laser power of about 6.5 W and interaction time of 50 seconds. Beyond these values, charring occurred at the surface of the tissue. CONCLUSION: Nd:YAG laser might be a suitable means for female sterilization. Further studies in experimental and clinical settings would be required to confirm its utility.     

Bitter taste of monosaccharide pentaacetate esters

We investigated the possibility of using argon, an inert gas, as a replacement for carbon dioxide (CO2). The tolerance of argon pneumoperitoneum was compared with that of CO2 pneumoperitoneum. Twenty pigs were anesthetized with enflurane 1.5%. Argon (n = 11) or CO2 (n = 9) pneumoperitoneum was created at 15 mm Hg over 20 min, and serial intravenous injections of each gas (ranging from 0.1 to 20 mL/kg) were made. Cardiorespiratory variables were measured. Transesophageal Doppler and capnographic monitoring were assessed in the detection of embolism. During argon pneumoperitoneum, there was no significant change from baseline in arterial pressure and pulmonary excretion of CO2, mean systemic arterial pressure (MAP), mean pulmonary artery pressure (PAP), or systemic and pulmonary vascular resistances, whereas CO2 pneumoperitoneum significantly increased these values (P < 0.05). During the embolic trial and from gas volumes of 2 and 0.2 mL/kg, the decrease in MAP and the increase in PAP were significantly higher with argon than with CO2 (P < 0.05). In contrast to CO2, argon pneumoperitoneum was not associated with significant changes in cardiorespiratory functions. However, argon embolism seems to be more deleterious than CO2 embolism. The possibility of using argon pneumoperitoneum during laparoscopy remains uncertain. Implications: Laparoscopic surgery requires insufflation of gas into the peritoneal cavity. We compared the hemodynamic effects of argon, an inert gas, and carbon dioxide in a pig model of laparoscopic surgery. We conclude that argon carries a high risk factor in the case of an accidental gas embolism.     

Regression of childhood Barrett's esophageal mucosa by antireflux surgery and bipolar electrocoagulation

The authors report a case of a 13-year-old girl with Barrett's esophagus who underwent antireflux surgery and was subsequently treated with endoscopic thermal coagulation using bipolar electrocoagulation. Follow-up endoscopy 15 months after completion of the endoscopic therapy showed normal esophageal mucosa without intestinal metaplasia. Longer follow-up is needed to assess the long-term effects of endoscopic treatment of the Barrett's mucosa with thermal coagulation, and this procedure should still be considered under investigation.     

Interfacial Fluctuation Behavior of Steel/Slag in Medium-Thin Slab Continuous Casting Mold With Argon Gas Injection

 The flow field of molten steel and the interfacial behaviour between molten steel and liquid slag layer in medium-thin slab continuous casting mold with argon gas injection was studied by numerical simulation, in which the effects of nozzle submergence depth and port angle, casting speed, and argon gas flow rate on the flow and the level fluctuation of molten steel were considered. The results show that the molten steel jet from the submerged entry nozzle (SEN) with three ports into the mold and form three re-circulation zones including one upper re-circulation zone and two lower re-circulation zones. Argon gas injection results in a secondary vortex flow in the upper zone near the nozzle. For a given casting speed and argon gas flow rate, increasing the side port angle and submergence depth of nozzle can effectively restrain the steel/slag interfacial fluctuation. Increasing the casting speed would prick up the level fluctuation. For a fixed casting speed, argon gas flow rate has a critical value, the interfacial fluctuation with argon gas injection are stronger than the case without argon gas injection when the argon gas flow rate is less than the critical value, but when the argon gas flow rate exceeds the critical value, the level fluctuation is calmer than that without argon gas injection.     

Role of eicosanoids in biosynthesis and secretion of insulin

A new technique of unipolar laparoscopic coagulation is particularly useful for the treatment of pelvic or abdominal bleeding during laparoscopic procedures. Blood present at the coagulation site is blown clear with a stream of argon gas prior to tissue coagulation. Of particular importance is the virtual absence of smoke, and because the procedure involves a nontouch technique, eschar is not removed inadvertently. The speed of tissue coagulation is faster than that of conventional bipolar and unipolar techniques.     

Midtrimester maternal serum screening after multifetal pregnancy reduction in pregnancies conceived by in vitro fertilization

BACKGROUND: The rising incidence of esophageal adenocarcinoma in western countries requires a new strategy in the management of dysplasia in Barrett's esophagus. Esophagectomy, which has high morbidity and mortality rates, has been recommended to treat patients with severe dysplasia. Strictly superficial laser coagulation with tissue ablation therefore is a desirable option for the management of dysplasia in Barrett's esophagus because the tissue to be ablated is only about 2 mm thick. Potassium-titanyl-phosphate (KTP) laser light with a wavelength of 532 nm is preferentially absorbed by hemoglobin and therefore combines excellent coagulation with limited tissue penetration. We report first clinical results with KTP laser superficial vaporization of dysplasia and early cancer in Barrett's esophagus. METHODS: Eight men and 2 women 43 to 84 years of age with short segments of Barrett's esophagus or traditional Barrett's esophagus and histologically proved low-grade (n = 4) and high-grade (n = 4) dysplasia or early adenocarcinoma (n = 2) were selected for this pilot study. For all patients thermal endoscopic destruction was conducted with a frequency-doubled neodymium:yttrium-aluminum-garnet (Nd:YAG) KTP laser system. Laser therapy was performed by means of the free-beam method with coaxial insufflation of gas. An average of 2.4 sessions per patient were required for ablation of the Barrett's mucosa. RESULTS: Two to three days after laser treatment the response of the ablated mucosa was assessed with endoscopy and biopsy. Samples taken showed fibrinoid necrosis of the mucosal layer. A complete response was obtained for all 10 patients. Replacement by normal squamous cell epithelium was induced in combination with acid suppression therapy of up to 80 mg omeprazole daily. No complications occurred. In two patients biopsy showed specialized mucosa beneath the restored squamous cell epithelial layer. Follow-up times were as long as 15 months (mean value 10.6 months). CONCLUSIONS: KTP laser destruction of Barrett's esophagus induced mucosal regeneration with normal squamous cell epithelium in combination with acid suppression. Limitation of the depth of thermal destruction in Barrett's esophagus minimizes risk for perforation or stricture formation. KTP laser ablation of Barrett's esophagus seems to be feasible and safe in short segments of Barrett's esophagus with dysplasia or early cancer.     

Interracial Fluctuation Behavior of Steel/Slag in Medium-Thin Slab Continuous Casting Mold With Argon Gas Injection

The flow field of molten steel and the interfacial behaviour between molten steel and liquid slag layer in medium-thin slab continuous casting mold with argon gas injection were studied by numerical simulation, in which the effects of nozzle submergence depth and port angle, casting speed, and argon gas flow rate on the flow and the level fluctuation of molten steel were considered. The results show that the molten steel is jetted from the submerged entry nozzle (SEN) with three ports into the mold and forms three recirculation zones including one upper recirculation zone and two lower recirculation zones. Argon gas injection results in a secondary vortex flow in the upper zone near the nozzle. For a given casting speed and argon gas flow rate, increasing the side port angle and submergence depth of nozzle can effectively restrain the steel/slag interfacial fluctuation. Increasing the casting speed would prick up the level fluctuation. For a fixed casting speed, argon gas flow rate has a critical value, the interfacial fluctuation with argon gas injection are stronger than the case without argon gas injection when the argon gas flow rate is less than the critical value, but when the argon gas flow rate exceeds the critical value, the level fluctuation is calmer than that without argon gas injection.     

Wound healing and soft tissue effects of CO2, contact Nd: YAG and combined CO2-Nd: YAG laser beams on rabbit trachea

Rabbit trachea was used as an experimental model to study tissue effects and healing of full-thickness tracheal lesions produced by CO2, contact Nd: YAG and combined, coaxial CO2-Nd: YAG (Combo) laser beams. Two power settings (10 W and 16 W) were used with CO2 and contact Nd: YAG lasers. Three different CO2/Nd:YAG power ratios (1:1, 1:2 and 1:4) and power settings (12 W 15 W and 16 W) were used with the Combolaser. Histological specimens for light and transmission electron microscopy were prepared immediately and 1, 3, 5, 7, 14 and 21 days postoperatively. The wound with the most precise and fastest healing was produced by contact Nd: YAG laser. CO2 laser produced a moderate amount of charring and the largest amount of coagulated tissue with a slightly prolonged healing period. In the acute phase, tissue defects produced by the Combolaser with power ratios 1:1 and 1:2 resembled the CO2 laser lesions but with slightly less charring. The power ratio 1:4 diminished the cutting properties of the beam considerably. During the healing period the Combolaser produced the most intensive inflammation and granulation tissue formation resulting in delayed regeneration of the lesion. In transmission electron micrographs the most severe damage to chondrocytes was seen after using the Combolaser. These findings indicate that the Combolaser produces deeper tissue damage than CO2 or contact Nd:YAG laser. However, the Combolaser appears to be suitable for tracheobronchial operations, owing to its good simultaneous cutting and haemostatic properties.     

高拉速时连铸结晶器内钢液湍流场及其电磁控制研究

利用数学模型结合低熔点金属合金模型试验研究全幅二段恒稳磁场控制结晶器内气液两相流场和夹杂物粒子的运动轨迹。结果表明,水口喷吹氩气结合施加恒稳磁场的作用,同时达到控制结晶器内弯月面波动、获得活塞流和抑制后凝固区偏析的目的。氩气喷吹和磁场共同作用既能保持液面稳定又能避免凝结发生。吹入氩气能增加夹杂物的去除率。施加磁场时,夹杂物运动速度明显降低．夹杂物的富集率降低。     

混凝与电絮凝废水中多种金属离子协同沉淀机制研究

采用混凝和电絮凝工艺去除废水中的多种金属离子(Pb^2+、Cd^2+、Cu^2+、Ni^2+),研究混凝反应主要影响因素液相pH、混凝剂(PAC)投加量对各金属离子去除效率的影响,探讨废水pH、施加电流密度对各金属离子电絮凝去除效率的影响,阐明混凝和电絮凝多金属协同沉淀去除的机制。结果表明,PAC混凝去除废水中Pb^2+、Cd^2+、Cu^2+、Ni^2+的最佳pH为7.0,最佳投加量600mg/L,Pb^2+、Cu^2+去除效率远高于Cd2+、Ni2+;电絮凝反应金属离子去除的最佳pH为7.0,最佳电流密度为1.2~1.8mA/cm^2。混凝与电絮凝金属离子的去除效率与金属离子的半径、相对分子质量大小无关,而与金属离子的溶度积直接相关,金属离子的溶度积越低,混凝和电絮凝去除效率越高。电絮凝较混凝反应具有更高的金属离子去除效率。研究结果对于采用混凝和电絮凝工艺处理多金属污染废水具有借鉴和指导意义。