急性椎基底动脉闭塞的介入治疗

目的探讨急性椎基底动脉闭塞动脉内溶栓治疗，溶栓后血管狭窄的处理问题。方法收集我院２００１年１月至２００６年７月急性椎基底动脉闭塞患者６７例。全脑血管造影后，责任动脉内泵入尿激酶，复查造影，溶栓后动脉残余重度狭窄者置入支架。结果溶栓后血管完全再通１７例（２５．４％），血管部分再通４１例（６１．２％），血管未通９例（１３．４％）。临床症状恢复良好１９例，轻度伤残２３例，重度伤残８例，死亡１７例。结论急性椎基底动脉闭塞溶栓治疗是有效的，时间窗应强调个体化，溶栓后血管残余狭窄可行支架置入术。     

多层螺旋 CT 在腹主动脉瘤腔内隔绝术后的随访价值

目的分析腹主动脉瘤腔内治疗术后的转归及多层螺旋CT（MSCT）随访价值。方法回顾性总结２０００年３月至２００６年１２月间１９３例腹主动脉瘤腔内隔绝术后行MSCT检查的结果，并与术前资料对照。结果１９３例中发现支架变形、断裂４例，支架闭塞１例、内漏２４例、移植物感染２例；瘤体缩小８１例，瘤体增大２１例，瘤体无变化９１例。结论MSCT是腹主动脉瘤腔内隔绝术术后随访的首选方法。     

经动脉栓塞治疗腹腔肿瘤患者术后大出血１３例

目的探讨经动脉栓塞治疗腹腔肿瘤患者术后大出血的可行性及疗效。方法２００４年１月至２００９年１２月１３例腹腔肿瘤患者因术后大出血接受经动脉栓塞治疗。对这些患者的临床资料及造影栓塞过程进行回顾性分析。结果１３例患者中有１０例经过一次栓塞出血即得到控制。在栓塞后再次出现出血的３例患者,血管造影发现出血动脉不同。２例经再次栓塞出血得到控制,１例由于微导管无法超选择到出血部位而行手术治疗。经动脉栓塞治疗术后大出血总的临床成功率为９２％（１２／１３）。未出现严重并发症。结论经动脉栓塞治疗腹腔肿瘤患者术后大出血安全、可行     

结构性黄土湿陷性指标室内测定方法的探讨

对黄土湿陷性指标的室内测定，国内外都借助标准压密仪，采用单线法或双线法进行。由于多种原因，我国各部委编制的试验规程，对采用何种方法，意见尚未统一。本文首先从人工制备结构性黄土的试验成果出发，讨论了黄土的湿陷线问题，认为非饱和结构性黄土存在湿陷线，且该线与饱和结构性黄土的压密曲线重合。从而说明在此简单应力路径下，单线法和双线法是等价的。接着，从日本大阪海成粘土不同室内压密方法得出的试验结果出发，就天然结构黄土，探讨了常规标准压密试验方法的不足，提议采用等应变压密双线法，来测定结构性黄土的湿陷性指标，从而有利于实际工程应用。     

Large-Format HgCdTe Dual-Band Long-Wavelength Infrared Focal-Plane Arrays

Raytheon Vision Systems (RVS) continues to further its capability to deliver state-of-the-art high-performance, large-format, HgCdTe focal-plane arrays (FPAs) for dual-band long-wavelength infrared (L/LWIR) detection. Specific improvements have recently been implemented at RVS in molecular-beam epitaxy (MBE) growth and wafer fabrication and are reported in this paper. The aim of the improvements is to establish producible processes for 512 × 512 30-μm-unit-cell L/LWIR FPAs, which has resulted in: the growth of triple-layer heterojunction (TLHJ) HgCdTe back-to-back photodiode detector designs on 6 cm × 6 cm CdZnTe substrates with 300-K Fourier-transform infrared (FTIR) cutoff wavelength uniformity of ±0.1 μm across the entire wafer; demonstration of detector dark-current performance for the longer-wavelength detector band approaching that of single-color liquid-phase epitaxy (LPE) LWIR detectors; and uniform, high-operability, 512 × 512 30-μm-unit-cell FPA performance in both LWIR bands.     

特殊动脉导管未闭的介入治疗

目的分析特殊动脉导管未闭（PDA）的介入治疗方法，提高介入封堵的成功率及安全性。方法根据造影显示PDA形态及临床特点，选用合适封堵器和治疗方法，术后２４h、１、３、６个月时以心脏超声随访评价疗效。结果特殊类型PDA２３例，其中:①形态特殊型１２例，包括细小型５例，４例成功，１例５F导管无法通过PDA放弃介入治疗；粗大型３例；动脉瘤型２例；特殊投照体位２例，均成功封堵。②合并其他畸形２例:合并右位主动脉弓１例，合并右位心１例，均成功封堵。③合并重度肺动脉高压８例，６例成功。④外科术后再通１例，未封堵。结论特殊PDA采取不同的诊疗策略，大多可顺利完成介入封堵术     

The implications of Big Five standing for the distribution of trait manifestation in behavior: Fifteen experience-sampling studies and a meta-analysis.

One of the fundamental questions in personality psychology is whether and how strongly trait standing relates to the traits that people actually manifest in their behavior when faced with real pressures and real consequences of their actions. One reason this question is fundamental is the common belief that traits do not predict how individuals behave, which leads to the reasonable conclusion that traits are not important to study. However, this conclusion is surprising given that there is almost no data on the ability of traits to predict distributions of naturally occurring, representative behaviors of individuals (and that there are many studies showing that traits do indeed predict specific behaviors). The authors describe a meta-analysis of 15 experience-sampling studies, conducted over the course of 8 years, amassing over 20,000 reports of trait manifestation in behavior. Participants reported traits on typical self-report questionnaires, then described their current behavior multiple times per day for several days as the behavior was occurring. Results show that traits, contrary to expectations, were strongly predictive of individual differences in trait manifestation in behavior, predicting average levels with correlations between .42 and .56 (approaching .60 for stringently restricted studies). Several other ways of summarizing trait manifestation in behavior were also predicted from traits. These studies provide evidence that traits are powerful predictors of actual manifestation of traits in behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

三维标测系统指导下复杂心律失常的经导管射频消融治疗

目的探讨三维标测系统（EnSite或CARTO）指导下经导管射频消融（RFA）治疗复杂心律失常的疗效与安全性。方法选择２００６年２月至２００８年１２月住院患者１２３例，其中阵发性心房颤动（房颤）５８例、持续性或永久性房颤１０例、心房扑动１３例、房性心动过速１２例、室性心动过速或频发室性早搏３０例。在EnSite NavX或Array系统（８０例）或CARTO系统（４３例）指导下行RFA手术。结果１０６例（８６．２％）１次手术成功，１０例再次导管消融成功，再次消融总成功率９４．３％。５９例房颤１次手术成功，５例再次消融成功。１１例心房扑动患者１次手术成功，１例复发再次消融成功。１０例房速１次手术成功，１例复发再次消融成功。２６例室速、室早患者１次消融成功，３例行再次消融成功。并发症６例:心脏压塞４例，左前降支远端栓塞１例，术后肺栓塞１例。结论三维标测系统可清晰地显示心脏三维立体结构，对复杂疑难心律失常的RFA治疗具有较好的指导作用，提高消融的成功率并增加手术安全性。     

磁共振DWI 序列及表观扩散系数值动态评估原发性肝癌介入疗效的应用价值

目的探讨利用磁共振DWI 序列及表观扩散系数（ADC）值动态评估原发性肝癌介入治疗疗效的价值。方法对介入治疗前、后的患者进行常规MRI 、动态增强及DWI 序列（弥散梯度因子b＝０、２００、５００、８００s ／mm ２ ）扫描，测量０～５００的ADC值，并与血管造影、血清生化对比。结果介入治疗后肿瘤的ADC值较术前增高，疗效好的ADC值＞疗效中等的ADC值，与术前比较均有统计学意义，疗效差的ADC值与术前差异无统计学意义；随访显示ADC值无明显降低的为疗效好的病例，疗效中等和差的ADC值出现降低，增强MRI 、DWI 序列、血管造影可显示癌细胞存活、复发。结论DWI 序列和ADC值可以动态观察原发性肝癌介入治疗后癌细胞是否坏死、存活和复发，可及时有效的评估介入治疗疗效。     

靶血管内留置导管持续化疗患者的护理

目的减少保留导管持续化疗患者留置导管期间的相关问题的发生。方法①加强对患者的宣教、指导；②规范护士护理操作；③制定合理的护理常规、流程；④护士要加强日常护理中的观察、巡视、记录。结果通过对留置导管患者的各种问题的分析及临床观察，总结了护理经验。结论合理、有效的护理可以减少留置导管持续化疗患者留置导管期间相关问题的发生。