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双语推荐:GIA

目的:对慢性肝病患者进行不同检验方法的效果进行研究。方法对2012~2014年我院接收的80例慢性肝病患者来进行探讨分析,对患者分组使用胶体金层析法(GIA)、血清HA检测、聚合酶链式反应法(PCR定量检测)以及酶联免疫吸附试验法(ELISH)四种方法检测,根据患者接受检测后的结果来进行探讨分析。结果经过四种检验后,结果显示,GIA检测率是90%,血清HA检测率是60%,PCR检测率是95%,ELISH检测率是50%,说明GIA与PCR的检测率比ELISH和血清HA检测率高,灵敏度较高。结论临床中对慢性肝病患者进行GIA、PCR检测,效果较好。
Objective To study the effect of different testing methods on patients with chronic liver disease. Methods 80 cases of patients with chronic liver disease of in our hospital from 2012 to 2014 were carried on the discussion and analysis, and used four kinds of test methods, which were colloidal gold immunochromatographic assay, serum HA detection, polymerase chain reaction (PCR quantitative detection) and enzyme-linked immunosorbent assay (ELISH), then discussed the results. Results After four tests, the results show that, GIA detection rate was 90%, the serum HA detection rate was 60%, PCR detection rate was 95%, ELISH detection rate was 50%, GIA and PCR detection rate than ELISH and serum HA detection rate were higher, with higher sensitivity. Conclusion The effect of GIA, PCR detection in patients with chronic liver diseases is better, and recommend using the two detection methods in clinical practice.

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根据不同地幔粘滞度的冰川均衡调整(glacial isostatic adjustment,GIA)模型,研究了地球内部各个圈层对GIA粘性重力扰动速率的贡献,检验了粘性重力扰动速率与径向位移速率的近似关系及其是否独立于地幔粘滞度,同时利用绝对重力和GPS(global positioning system)径向位移数据从实测角度对Wahr的近似关系进行比较和验证.结果表明:岩石圈对GIA重力扰动速率和大地水准面异常速率的贡献都超过了86%,而岩石圈以下5个圈层的总贡献不大于14%;利用近似关系,由重力信号转换的径向位移速率与有限元模拟的结果相对差异大约为15%,且相对差异的大小不依赖于地幔粘滞度的变化;根据北美绝对重力和GPS径向位移数据得到实测的粘性重力-径向位移比值为0.141±0.014μGal/mm,与Wahr的理论值(0.154μGal/mm)非常接近,相对差异仅为9.2%.因此,定量给出了粘性重力-径向位移近似关系的不确定性为9.2%~15.0%,为利用此近似关系分离GIA和现今地表质量变化粘弹信号的不确定性估计提供了重要参考.
Based on glacial isostatic adj ustment (GIA)models of different mantle viscosities,the contribution from different layers in the earth?s interior to the GIA viscous gravity perturbation rates is investigated,and the approximate relation between GIA gravity perturbation rate and uplift rate and whether it is independent of the mantle viscosity are validated in this paper. Furthermore,the Wahr?s approximate relation with the data from absolute gravimetry and global positioning system (GPS) was checked.It is found that the contribution of the lithosphere to GIA gravity perturbation rate and geoid anomaly rate is more than 86%,the contribution of the five layers under the lithosphere to GIA gravity signal is less than 14% yet.The relative difference between GIA uplift rate calculated by using approximate relation and that by the finite element method is about 1 5%, and the difference does not depend on changes in the mantle viscosity.The ratio of gravity versus uplift obtained by ground-ba

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目的:探讨不同检验方法对慢性肝病检验结果的影响。方法:采用酶联免疫吸附试验法( ELISA )、胶体金层析法(GIA)和聚合酶链式反应法(PCR)3种方法检验100例肝病患者血液指标,其中HBeAg、HBeAb均检查为阳性,对3种方法的检出率进行统计分析。结果:3种检测方法的检出率分别为80%、72%和93%,PCR定量检测的灵敏度明显高于ELISA法与GIA检测方法,差异具有统计学意义(P<0.05)。结论:PCR检测HBV-DNA其结果更精准,值得推广应用。
Objective:To study on effects of different testing method for chronic liver disease inspection result influence .Methods:Using enzyme-linked immunosorbent assay (ELISA) method,colloidal gold chromatography (GIA) and polymerase chain reaction (PCR) method of three methods 100 cases of patients with liver blood test indicators,including HBeAg,HBeAb were tested positive for inspection,the detection of the three methods for statistical analysis.Results:Three kinds of detection methods detection rate were 80%,72%and 93%,quantitative PCR detection sensitivity was obviously higher than that of the ELISA method and GIA detection method,a statistically significant difference (P <0. 05).Conclusion:PCR detection HBV -DNA the result more accurate,it might be worth for spreading application.

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利用南极大陆12个累积观测数据超过3年的GNSS跟踪站的监测序列,比较分析了其径向的形变趋势与GIA(Glacial Isostatic Adjustment)模型预测形变,并且与GRACE(Gravity Recovery and Climate Experiment)估计的径向位移结果进行相关性分析。GNSS结果显示跟踪站的径向形变多呈现上升趋势,少量出现下降的跟踪站多分布在东南极沿海区域,下降速度较小。与GRACE计算结果相比,两者的相关系数在0.241—0.663之间,表明两种观测手段得到的结果总体呈现较强的相关性。GNSS形变趋势与最新的GIA模型(W12a)预测形变趋势有一定的偏差,但总体吻合。
The GNSS monitoring time series of 1 2 GNSS stations in Antarctica,each of which spans at least 3 years,are analyzed to calculate their vertical deformations and the results are compared with those predicted by GIA (Glacial Isostatic Adjustment).We also computed the correlations between GNSS and GRACE (Gravity Recovery and Cli-mate Experiment)data.The results derived from GNSS data show that the vertical deformations of most stations are on the rise,and the stations with slowly descending rates are located along the coast of East Antarctica.The vertical deformations derived from GNSS and GRACE data are significantly correlated with the correlation coefficients from 0.241 to 0.663.Although biases exist in the GNSS estimated deformation and GIA predicted trends,they show o-verall agreement with each other.

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目的 比较使用腔镜切割闭合器(Endo-GIA)离断脾蒂和二级脾蒂离断法在腹腔镜脾切除术中的临床应用价值.方法 回顾性分析60例行腹腔镜下脾切除术患者的临床资料,根据脾蒂离断方法不同分为两组,使用Endo-GIA离断脾蒂30例(A组);二级脾蒂离断法30例(B组).观察比较两组患者手术时间、术中出血量、术后排气时间、术后并发症、引流管带管时间、住院费用及住院时间等指标.结果 60例患者手术均顺利完成,A组手术时间短于B组,差异有统计学意义(P=0.000),但B组术中出血量、术后排气时间、引流管带管时间、住院时间、住院费用均优于A组[(230.90±9.92) ml比(300.10±50.36) ml、(28.5±3.2)h比(31.6±5.3)h、(5±2)d比(7±3)d、(9.68±0.98)d比(12.16±1.34)d、(3.31±0.50)万元比(4.65±0.80)万元],差异有统计学意义(P值均为0.000).两组患者术后发热、腹腔积液、高淀粉酶血症等不良反应发生率比较差异无统计学意义(P>0.05).结论 使用Endo-G1A离断脾蒂和二级脾蒂离断法在腹腔镜脾切除术中都安全可行,但二级脾蒂离断法较使用Endo-GIA离断脾蒂术中出血量少、价格低廉,适合西北贫困地区推广.
Objective To compare the application value of Endo-GIA procedure and secondary splenic pedicle disconnection for laparoscopic splenectomy.Methods The clinical data of 60 patients underwent laparoscopic splenectomy were retrospectively analysed.They were divided into two groups according to the method of splenic pedicle disconnection:group A (30 cases) was given Endo-GIA procedure and group B (30 cases) was given secondary splenic pedicle disconnection.The operation time,perioperative blood loss,postoperative exhaust time,indwelling time of drainage tube,hospitalization expenses and hospitalization time between two groups were observed.Results Sixty patients successfully underwent surgery,operation time in group A was shorter than that in group B (P=0.000),but perioperative blood loss,postoperative exhaust time,indwelling time of drainage tube,hospitalization time and hospitalization expense in group B were better than those in group A[(230.90 ± 9.92) ml vs.(300.10 ± 50.36)

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RFID作为物联网中的重要技术,近年来以其低廉、安全、高效的特点得到广泛的关注和研究。文中提出了一种基于超高频RFID的智能车辆管理系统(即车联网)。该系统由RFID硬件系统、CDMA系统、GIA系统、数据处理系统构成,可以实现车辆的智能化识别、定位、跟踪、测速、监控和管理,以解决当前严峻的道路拥堵、车辆超速超载、车辆盗窃及公务车管理等问题。
As one of the important technology of IOT, RFID gets more and more attention and has been more and more widely used for its cheap, safty and high-efifciency. An intelligent vehicle management system based on UHF RFID is provided, which is also called the Internet of Vehicle. The system is made up of RFID hardware, CDMA, GIA system and data processing center. This new technology can achieve many functions such as intelligent identiifcation, vehicle location, vehicle tracking, speed detection, vehicle monitor and manage. It can solve the problem of traffic jam, overdrive and over speed of vehicle, pilferage of vehicles and private use of official vehicles.

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目的探讨手助腹腔镜中使用腔内直线切割吻合器(Endo GIA)和威克外科结扎锁(Hem-o-lok)截断肾血管的安全性及经济性。方法回顾性分析本院经腹腔手助腹腔镜肾癌根治术49例,处理肾蒂方法分别为:A组:使用腔内直线切割吻合器同时截断肾动、静脉(21例);B组:威克外科结扎锁分别截断肾动、静脉(28例)。结果 49例手术过程均顺利,无中途转开放手术,术中及术后无明显血管并发症。两组术中平均出血分别为78.3ml和92.1ml(P=0.244),手术平均时间分别为75.7分钟和94.1分钟(P=0.059),术后平均住院天数分别为7.52天和7.29天(P=0.761),术后第一日引流量平均值分别为145.76ml和172.54ml(P=0.143),均无显著性差异。术后前三日引流量分别为282.67ml和403.35ml(P=0.018),所用耗材费用平均值分别为3651.90元和2781.43元(P=0.008)有显著性差异。结论手助腹腔镜肾切除术中用腔内直线切割吻合器(Endo GIA)和威克外科结扎锁(Hem-o-lok)处理肾蒂血管安全性均较可靠,对于有经验的外科医师使用Hem-o-lok则更经济,是不错的选择。
Objective To evaluate the safety and economy of different vascular control techniques in hand -assisted laparoscopic radical nephrectomy .Methods The study included forty -nine cases of hand-assisted lap-aroscopic radical nephrectomy performed in our hospital from Jan 2010 to Oct 2013.Vascular control was a-chieved by application of Endo -GIA stapler (GROUP A, twenty-one cases) or Hem-o-lok clips (GROUP B, twenty-eight cases ) .Results All procedures were completed successfully .None of the cases experienced conversion to open surgery or vascular complications .The mean estimated blood loss were 78 .3 ml vs 92 .1 ml (P =0.244), and the mean operative time were 75.7 min vs 94.1 min(P =0.059).The postoperative hospi-tal stay were 7.52 d vs 7.29 d (P =0.761).Drainage of the first 1 and 3 day respectively were 145.76 ml vs 172.54 ml (P =0.143) and 282.67 ml vs 403.35 ml(P =0.018).Mean cost were 3651.90 Yuan vs 2781.43 Yuan(P=0.008).Conclusions Endo GIA and Hem-o-lok are both safe in hand -

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目的:探讨改良腹腔镜辅助Duhamel结肠次全切除术治疗长段型先天性巨结肠症( Hirschsprung disease ,HD)的并发症和疗效。方法回顾分析2010年3月~2014年1月12例长段型HD资料,男7例,女5例,中位年龄8月(5月~6岁)。其中移行区位于降结肠近端8例,横结肠2例,结肠肝曲1例,升结肠1例。7例行结肠造瘘。手术主要改良之处:经肛门齿状线上方直肠后壁切口将结肠拖出至肛门外,用Endo-GIA肛门外切断并封闭,保留直肠残端4~5 cm。然后结合Deloyer技术将升结肠拖下与原直肠后壁端侧吻合,再将Endo-GIA切缝器两肢分别放入原直肠和新直肠,切开两段肠管间隔并行侧侧吻合。观察术中术后并发症及排便功能。结果12例均在腹腔镜辅助下完成次全结肠切除升结肠Duhamel拖出术,平均手术时间170 min(125~240 min),未出现术中并发症,无吻合口漏。4例诉肛周疼痛,1例术后5天便血,保守治疗治愈。大便频率2周以内4~15次/天,恢复到正常排便频率(1~2次/天)时间平均3.5月(2.2~5个月)。平均随访时间32个月(3~46个月),2例术后小肠结肠炎,1例早期有便秘症状,均保守治疗治愈。无闸门综合征和粪石发生,无大便失禁。结论改良腹腔镜辅助Duhamel结肠次全切除术治疗长段型HD安全有效,排便频率恢复正常快。肛门外处理直肠盲端简单可靠,腹壁创伤小。
Objective To discuss the efficacy of modified laparoscopic Duhamel subtotal colectomy for extended Hirschsprung’s disease (HD). Methods Between March 2010 and January 2014, 12 children (male, 7 cases;female, 5 cases) with extended HD underwent a modified laparoscopic Duhamel subtotal colectomy .The median age at operation was 8 months old ( 5 months-6 years).The level of the transition zone was in the proximal descending colon in 8 cases, the transverse colon in 2 cases, the hepatic flexure of the colon in 1 case, and the ascending colon in 1 case, respectively.Seven children received a colostomy .During the operation , extracorporeal low rectal transection was performed by using Endo-GIA through the incision in the posterior rectum above the dentate line, with short rectal stump 4 -5 cm in length.Then the ascending colon was pulled down to perform an end-to-side anastomosis with the rectum by using the Deloyer artifice .Finally, a side-to-side anastomosis was conducted betw

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目的:探讨在腹部无切口的腹腔镜下直肠癌根治术中,经肛门取出标本时,防止癌肿在移出肛门过程中,癌细胞脱落而残留于直肠远端的防范措施。方法手术中充分游离直肠、乙状结肠后于肿瘤下2 cm处用Endo-GIA(腹腔镜直线切割闭合器)切断直肠,直肠远端经肛门拖出,切开闭合缘,经剪开肠管内将一保护套送入腹腔,在腹腔镜监视下,经保护套内将瘤体及乙状结肠脱出体外,切除瘤体。结果所有手术均采用防癌肿脱落措施取出标本,随访1~3年无吻合口肿瘤种植病例。结论经自然通道保护性取出标本的腹腔镜直肠癌根治术可预防术中取出标本过程中癌肿脱落种植于直肠远端的事件发生,该措施安全有效。
Objective Clinical study of preventive measures of cancer cells shedding in laparoscopic radical operation on rectal carcinoma when taking a sample from the anus.MethodsFirst, to separate the rectum and sigmoid colon completely; second, to cut the end of rectum with Endo-GIA on 2 cm long far from tumor near the rectum; third, to pull out the distal rectum through anus and cut closure margin; finally, under laparoscopic visualization, to push a protective sleeve into the abdominal cavity and pull tumor and sigmoid colon out of the anus through the protective sleeve, then cut away the tumor.Results All 59 cases of laparoscopic radical resection follow-up 1~3 years with no anastomotic due to taking above steps. ConclusionPreventive measures of cancer cells shedding in laparoscopic radical operation on rectal carcinoma when taking a sample from the anus such as taking protection sleeve are safe and effective measures.

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目的总结20例完全腹腔镜肝切除术手术经验,阐述其技术要点和效果。方法回顾性分析2011年4月至2013年11月间我院20例完全腹腔镜肝切除术患者的临床资料。其中肝左叶部分切除15例,肝右叶部分切除5例。术前应用肝功能Child分级、ICG R15评估肝储备功能及CT三维成像评估肝肿瘤周围血管情况,术中根据肝脏病灶部位选择手术径路,应用超声刀、钛夹、LigaSure、Endo-GIA等多种断肝方法行完全腹腔镜肝部分切除。结果 20例患者均成功施行完全腹腔镜下肝部分切除术,手术时间105~215 min,出血量50~500 ml,术中未出现严重并发症,术后均顺利恢复,术后平均住院日为7.5 d。除2例原发性肝癌患者分别于术后随访5个月、12个月发现肿瘤复发外,其余原发性肝癌患者尚未见复发,良性病变患者无症状再发。结论术前进行肝功能及影像学评估、术中选择合适的手术入路及灵活应用各种断肝器械是成功施行完全腹腔镜肝部分切除术的保证。
Objective To summarize the experience of 20 cases of total laparoscopic partial liver resection and introduce the surgical technique. Methods From April 2011 to November 2013,20 cases of laparoscopic partial liver resection in our hospital were analyzed retrospectively,including 15 cases of partial left liver resection and 5 cases of partial right liver resection. Using liver function Child classification and ICG R15 to evaluate hepatic functional reserve preoperatively and three-dimensional CT imaging to assess the anatomical structure surrounding liver tumor such as blood vessels, intraoperative surgical approach is selected according to the liver lesion site and using ultrasonic knives,clip,LigaSure,Endo-GIA and other laparoscopic equipments to dissection liver and complete partial hepatectomy. Results Totally laparoscopic partial liver resection were carried successfully on 20 cases , with operative time between 105 to 215 min,blood loss between 50 to 500 ml. All patients recovered

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