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131.
PURPOSE: We report a case of postoperative reparalysis in the recovery room, following nebulized epinephrine. The patient was pharmacologically reversed with edrophonium after paralysis with rocuronium. CLINICAL FINDINGS: A 12-yr-old girl developed postoperative reparalysis following the intraoperative administration of rocuronium. A total of 0.92 mg.kg-1 rocuronium was administered. After surgery, pharmacological reversal was achieved with 20 mg edrophonium with 0.15 mg atropine sulfate iv 35 min after the last administration of rocuronium. Muscular relaxation was monitored using an ulnar peripheral nerve stimulator (PNS). After reversal, a full train-of-four and sustained tetanus at 50 Hz were present. In the recovery room, following nebulized epinephrine, the patient became apneic. The patient was paralyzed and an ulnar PNS demonstrated only one faint twitch. The paralysis was reversed with 1.5 mg neostigmine with 0.3 mg glycopyrrolate. CONCLUSION: Postoperative reparalysis following rocuronium may be a cause of postoperative respiratory distress. The definitive diagnosis is made using PNS and observing the response to pharmacological reversal. Nebulized epinephrine may have a previously undescribed role in the development of postoperative reparalysis.  相似文献   
132.
The prevalence of human herpesvirus 8 (HHV-8)/Kaposi's sarcoma (KS)-associated herpesvirus was investigated in the semen of 99 human immunodeficiency virus (HIV)-infected men (median CD4 cell count, 357/mm3) by use of a polymerase chain reaction (PCR) assay capable of detecting <10 copies of HHV-8 DNA. Of the subjects, 95 (96%) self-identified as men who have sex with men (MSM), and 3 had a history of clinical KS. Seminal cell specimens were negative for HHV-8 in 98 subjects. None of the 26 without KS (27.1% of 96 tested) who were seropositive for HHV-8 by IFA for latency-associated nuclear antigens had HHV-8 detected in their semen. The only subject with any evidence for seminal HHV-8 DNA was seropositive for HHV-8 and had active KS. HHV-8 was detected in 10 (10.4%) of 96 peripheral blood mononuclear cell specimens. The prevalence of HHV-8 DNA by PCR in semen of HIV-infected MSM without KS is low.  相似文献   
133.
本文分析并推导了应力波在弹性体中传播时,质点的运动速度、压力、位移及应力载波的聚流的形成与表达式.利用得到的公式描述了冲击能传感器的工作机理.给出了某风动工具的测试结果.  相似文献   
134.
数模混合仿真中模拟信号的恢复及其误差对整个仿真过程具有重要影响。本文探讨了用零阶保持和一阶保持进行信号恢复的方法,比较了它们的误差及工作特点。特别指出了一阶保持中,由于存在积分器复原时间及数字机操作时间的影响而会带来附加的误差,因此一阶保持方法较难达到其理论的精度。  相似文献   
135.
本文从理论上分析了SiC(w)TZP+mullite(p)复合材料界面残余热应力及其在基质内的分布规律。提出在SiC(w)表面涂复Al2O3和在PZT中加入mullite(p)联合作用来降低晶须/基质界面残余热应力的界面设计方案,导出SiC(w)和mullite(p)协同补强PZT的匹配条件。制备了SiC(w)/TZP+mullite(p)复合材料并了SiC(w)表面涂层Al2O3厚度和SiC(w  相似文献   
136.
The magnetization of a melt-texture growth (MTG) HTSC ring has been studied. It is shown that the magnetic field inside the ring is larger than the external field under a certain range of external magnetic fields. We have also investigated the magnetic field dependence of the response of a detective coil near a rotating superconducting ring. The responses of the MTG sample are different for different cooling methods.  相似文献   
137.
The noise characteristics of semiconductor laser amplifiers (SLAs) in the Ga1-xInxAs/GaInAsP/InP strained quantum well (QW) system are theoretically calculated and analyzed using density-matrix theory and taking into account the effects of band mixing on both the valence subbands and the transition dipole moments. The numerical results show that a reduced noise figure can be obtained in both tensile and compressively strained QW structures due to the increase in differential gain and the decrease in transparent carrier density. From a comparison among compressively strained (x=0.70), unstrained (x=0.53), and tensile strained (x=0.40) QW SLAs at a fixed carrier density and optical confinement factor, it is found that the noise figure of the tensile strained QW reaches its lowest value of 3.4 dB at average input optical power of -20 dB  相似文献   
138.
我们已通过实验证实,激光照射一侧合谷穴能够使正常人及癫痫病人的脑电产生即时影响。为了探讨远离大脑的合谷穴是如何影响脑电变化的,本文实验应用了体感诱发电位这一新兴的检查技术,以求在神经电生理方面进一步探讨激光针的作用机制。  相似文献   
139.
A Linear Cross-Coupled Control System for High-Speed Machining   总被引:4,自引:0,他引:4  
We present a linear cross-coupled controller to improve highspeed contouring accuracy independently of tracking accuracy in a biaxial machine tool feed drive servomechanism. Unlike conventional cross-coupled controllers, the cross-coupled controller presented here is a linear system, so it is very easy to perform the stability and steady-state error analysis, and to optimise the controller parameters. The proposed controller is evaluated experimentally on a CNC LOM machine and compared to an uncoupled controller and a conventional cross-coupled controller. Controller performance is evaluated for a circular contour at a feedrate of 30 m min _1 . The experimental results show that the proposed controller can greatly reduce the contour error at large feedrates. The linear cross-coupled controller is simple to implement and is practical.  相似文献   
140.
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