腹腔手术后重症患者心肌损伤的危险因素

目的探讨腹腔手术后重症患者心肌损伤的发生情况及可能的危险因素。方法回顾性分析北京大学人民医院2017年1月至2019年1月腹腔手术后重症患者的一般临床资料及心肌损伤情况,收集并观察基础病史、术中(手术时间、是否急诊手术、术中出血>800 ml和术中低血压等)及术后指标(改良氧合指数、血乳酸、急性肾损伤和术后24 h内使用升压药情况等)。根据术后是否发生心肌损伤,将患者分为心肌损伤组和非心肌损伤组,采用Logistic回归分析腹腔手术后重症患者心肌损伤的危险因素。结果在纳入的803例腹腔手术后重症患者中,心肌损伤发生率为17. 2%(138/803),而急性心肌梗死发生率仅为0. 9%(7/803)。单因素分析显示,慢性肾功能不全病史、手术时间、急诊手术、术中低血压、术后24 h内使用升压药、高APACHEⅡ评分及术后即刻急性肾损伤与术后重症患者心肌损伤相关(P<0. 05)。多因素回归分析显示,急诊手术(OR=3. 14,95%CI:1. 76～5. 60,P<0. 001)、术后24 h内使用升压药(OR=2. 26,95%CI:1. 23～4. 15,P=0. 008)、APACHEⅡ评分(OR=1. 05,95%CI:1. 01～1. 09,P=0. 008)和术后急性肾损伤(OR=3. 18,95%CI:1. 78～5. 69,P <0. 001)与腹腔手术后重症患者发生心肌损伤独立相关。结论重症患者腹腔手术后心肌损伤发生率高,急诊手术、术后24 h内使用升压药、高APACHEⅡ评分和术后急性肾损伤是导致腹腔手术后重症患者发生心肌损伤的独立危险因素。     

影响混凝土强度的因素及控制措施

分析了水泥强度等级、水灰比和骨料质量等内因,及施工条件、养护温度、湿度、龄期等外因对混凝土强度的影响,并提出了控制混凝土强度的相应措施,以确保混凝土强度符合设计及施工要求,从而保证建筑物结构安全。     

裂缝性油气藏采收率：100个裂缝性油气田实例的经验总结

通过对世界上100个裂缝性油气藏的综合评价，研究储集层及流体本身的性质(包括孔隙度、渗透率、黏度、可动油比例、含水饱和度、润湿性及裂缝分布特征等)和驱动机制及油藏管理战略(优化日产量和采用不同类型的提高采收率技术)对其最终采收率的影响。将裂缝性油气藏分为4类：I类的基质几乎没有孔隙度和渗透率，裂缝是储存空间和流体流动的通道；Ⅱ类的基质有较低的孔隙度和渗透率，基质提供储存空间，裂缝提供流动通道；Ⅲ类(微孔隙)的基质具有高孔隙度和低渗透率，基质提供储存空间，裂缝提供流动通道；Ⅳ类(大孔隙)的基质具有高的孔隙度和渗透率，基质提供储存空间和流动通道，裂缝仅增加渗透率。对26个Ⅱ类油气藏和20个Ⅲ类油气藏的开采历史的研究表明：Ⅱ类油气藏的采收率受水驱强度和最优日产量控制，日产量过高会很容易破坏Ⅱ类油气藏，一些Ⅱ类油气藏如果管理得当，采收率可以很高，不需要二次或三次采油；Ⅲ类油气藏的采收率主要受岩石和流体本身性质的影响，特别是基质渗透率、流体重度、润湿性以及裂缝强度等，不进行二次或三次采油不可能完全开采，往往需要采用一些提高采收率的专门技术。以往将Ⅱ类和Ⅲ类裂缝性油气藏归为一类，认识它们的区别将有助于选择更好的开发策略。     

阳泉市煤矿采空区地质因素对公路的破坏

介绍了阳泉市煤矿采空区对公路建设所造成的危害，对其上覆岩层变形破坏的地质因素及其破坏机理作了分析，指出应该采取各种措施减少对公路的破坏。     

石蜡光氯化合成氯蜡－70的研究──（Ⅲ）反应过程致色因素考察及生色机理研究

氯蜡－７０是—应用广泛、性能优良的精细化工产品，其色泽是—重要的技术指标，直接影响着产品的质量和应用。本文考察了合成反应过程导致生色的因素，指出原料中含有的少量环烷烃、芳烃、杂环有机物及少量无机杂质能影响产品的色泽，实验表明温度过高，光源波长选择不当也是致色的重要原因。研究了致色的过程，提出其生色历程是按照β－消除反应机理进行的，并做了具体描述。     

化工企业环境因素的评价

化工企业环境因素评价是建立环境管理体系的核心任务，化工企业生产过程的特点决定了其环境因素数量多、环境影响大、识别评价难、控制难度大。本文介绍了化工企业环境因素评价的技术方法和过程，可以为提高环境因素评价的科学性、客观性和充分性提供参考。     

New method for measuring an optical property of a sample treated by FWA

In this article, a new method for measuring a total spectral radiance factor of a FWA‐treated sample illuminated by a specific standard illuminant is introduced. The method replaces an unstable real fluorescent standard by a bi‐spectral luminescent radiance factor data, which works as a virtual fluorescent standard (VFS) by knowing spectral intensity distributions of illuminations applied to the sample. The method utilizes two illuminations I₁ and I₂ whose relative spectral intensity distributions are different from each other and synthesizes a virtual illumination presenting the identical fluorescent spectral radiance factor to that presented by the standard illuminant with the VFS of the specific bi‐spectral luminescent radiance factor by linearly combining I₁ and I₂ with the suitable weighting factors. The applicability of the method is examined in principle by comparing ISO brightness and CIE whiteness index of fluorescent standard paper as a test sample obtained by this new method to the assigned values. © 2007 Wiley Periodicals, Inc. Col Res Appl, 32, 195–200, 2007     

Flammability ranking of foliage species by factor analysis of physical and chemical pyric properties

In this paper, factor analysis is introduced to evaluate the flammability of 55 foliage species that may be used in China for construction of the fuel break network of forest strips with lower flammability. Six pyric parameters, i.e. air dry moisture content, absolute dry moisture content, ignition point, ash content, caloric value and extractive content, are measured and used as variables for factor analysis. The covariance analysis shows that four principal factors can be extracted to reflect the flammability in different physical and chemical senses. In terms of the contributions of the four factors to the variances and the physical significance of the relevant parameters, the four factors are, respectively, termed as ‘flaming factor,’ ‘air dry factor,’ ‘ash factor’ and ‘absolute dry factor.’ The stability of the factor analysis method is examined by a different number of samples considered, and the variation degrees of the orderings indicate that the method has high reliability to measure the total flammability of foliage species. The results of the flammability evaluation are verified by comparison with the recommended tree species in the Chinese technology standard. Copyright © 2008 John Wiley & Sons, Ltd.