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Analysis of the treatment outcomes of esophageal variceal bleeding patients from multiple centers in

WANG Zhiqiang

《医学前沿（英文）》 2008年 第2卷 第2期   页码 171-173 doi: 10.1007/s11684-008-0031-0

摘要： This study aimed to investigate the treatment outcomes of esophageal variceal bleeding (EVB) in China. A total of 1087 cases were collected from 19 hospitals in 16 large and medium sized cities across China between January 1st, 2005 and January 1st, 2006. There were 313 cases (29.0%) of mild (<400 mL), 494 cases (45.8%) of moderate (400–1500 mL) and 272 cases (25.2%) of severe (>1500 mL) bleeding. Successful hemostasis was achieved in 89.8% of cases. Seven hundred and eighty-five cases were treated by medication with a hemostasis rate of 91.8%. Seventy-one cases were treated using a Sengstaken-Blakemore tube with a hemostasis rate of 54.9%. Thirty-seven cases were treated with emergency endoscopic variceal ligation with a hemostasis rate of 83.8%. Seventy-seven cases were treated with endoscopic sclerotherapy with a hemostasis rate of 94.8%. Forty-three cases were treated with emergency surgical operation with a hemostasis rate of 95.3%. Sixty-six cases were treated with combined therapy with a hemostasis rate of 97.0%. There was a significant difference ( < 0.01) in the successful hemostasis rate between different treatments. The overall mortality was 10.1%, among which 6.6% was directly caused by bleeding. The multivariate logistic regression analysis shows that the severity of bleeding, treatment methods, liver dysfunction and activation of hepatitis were predictive factors for successful hemostasis. Most cases of EVB were mild and moderate in severity. The first-line treatment for EVB is medication. Emergency endoscopic intervention has not been widely available yet. The overall management outcome of EVB has been improved.

关键词： significant difference     predictive     medication     first-line treatment     bleeding    

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Effects of microfine aggregate in manufactured sand on bleeding and plastic shrinkage cracking of concrete

Branavan ARULMOLY; Chaminda KONTHESINGHA; Anura NANAYAKKARA

《结构与土木工程前沿（英文）》 2022年 第16卷 第11期   页码 1453-1473 doi: 10.1007/s11709-022-0877-2

摘要： Construction industries have started to utilize manufactured sand (MS) as an effective alternative for river sand in concrete. High-grade parent rocks are crushed to obtain MS, which also produces a considerable amount of microfine aggregate (MFA). The higher percentage of MFA could lead to both positive and negative effects on the performance of cement-based mixes. This research was done to examine the influence of varying MFA levels, specifically 0%, 3%, 6%, 9%, and 12% (by weight) as the partial replacements of MS on bleeding and plastic shrinkage cracking of concrete. In addition to the varying MFA levels, some concrete mixes also included fly ash (FA) and superplasticizer to investigate the effect of free-water content in the mixes. The bleeding test data were taken as on-site measurements, while the cracks from the plastic shrinkage cracking test were evaluated using an image processing technique. The results concluded that the MFA replacements and the effective water-to-cement ratio have a significant effect on the selected concrete properties. With the increasing replacement levels, cumulative bleeding and crack initiation life gradually decreased, while a progressive increase was observed for crack width, crack length, and crack area.

关键词： manufactured sand     fresh concrete     microfines     admixtures     shrinkage     cracking    

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Properties of cement grout modified with ultra-fine slag

Sowmini GOPINATHAN, K B ANAND

《结构与土木工程前沿（英文）》 2018年 第12卷 第1期   页码 58-66 doi: 10.1007/s11709-017-0383-0

摘要： The purpose of the study is to obtain a cement grout with improved performance. The grout mixes of the present study contain cement, ultra-fine slag (UFS), super plasticizer and water. Properties like flowability, bleeding, compressive strength and shrinkage of cement grouts have been studied. Rheological parameters were also studied in order to explain the grout workability. The results show that, cement replacement with slag in grouts could reduce bleeding substantially without affecting the workability of the mixes. Introduction of slag enhanced the compressive strength and reduced shrinkage reasonably. Ultra-fine slag can be used as a supplementary cementitious material in cementitious grouts in order to improve the grout behavior.

关键词： cement grout     ultra-fine slag     flowability     bleeding     viscosity    

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Partial portacaval shunt with H-grafts to treat portal hypertension

XU Geliang, HU Hejie, LI Jiansheng, YANG Shugao, CHAI Zhongpei, XU Rongnan

《医学前沿（英文）》 2007年 第1卷 第3期   页码 279-281 doi: 10.1007/s11684-007-0053-z

摘要： Partial portosystemic shunts have been popularized because of a reported low rate of mortality and morbidity (especially encephalopathy, liver failure and occlusion). The results of partial portacaval shunts [small-diameter expanded polytetrafluoroethylene (ePTFE) H-graft portacaval shunt] were retrospectively reviewed to evaluate the clinical efficacy in the treatment of portal hypertension. Forty-three patients with portal hypertension were treated by small-diameter H-graft of ePTFE portacaval shunt from May 1995 to April 2006. Thirty-three had externally ringed grafts and ten had non-ringed ones. Ten had grafts of 10 mm in diameter and 33 had grafts of 8 mm. The left gastric artery and coronary vein were ligated in all the cases. Six had pericardial devascularization and splenectomy was performed in 42. An average decrease of free portal pressure (FPP) from (33.24 ± 4.78) cmHO before shunting and (13.65 ± 5.65) cmHO after shunting was observed. The portal blood flow was reduced by one-third of that before shunt. Thirty-eight patients survived and no upper gastro-intestinal rebleeding occurred in the follow-up period (50.5 months in average). Two were out of contact. Color Doppler ultrasonography and/or portography revealed the shunts were patent in 38 cases and were occluded in three cases (3/41, 7.3%). Encephalopathy developed in five cases (5/41, 12.2%). Partial (small-diameter ePTFE H-graft) portacaval shunting can reduce the portal pressure effectively. Majority of the hepatic flow from the portal vein can be maintained adequately. The shunts with reinforced grafts can keep a higher rate of patency. The morbidity of encephalopathy was lower than those with total shunt. The partial portacaval shunt is effective in preventing recurrent variceal bleeding.

关键词： diameter     clinical efficacy     bleeding     pericardial devascularization     Forty-three    

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Comprehensive treatment of acute-on-chronic liver failure in a patient with hepatitis B: a case report

null

《医学前沿（英文）》 2014年 第8卷 第2期   页码 250-253 doi: 10.1007/s11684-014-0333-3

摘要：

The clinical data of a patient with acute-on-chronic liver failure were analyzed retrospectively. The patient has suffered from hepatitis B for 30 years. His liver function deteriorated, yielding Child-Pugh grade C and reaching a model for end-stage liver disease score of 33 points within a short period; this condition was complicated with highly active variceal bleeding and coagulation system failure (PT > 100 s). The patient also presented hepatocellular carcinoma. Comprehensive treatments included effective inhibition of hepatitis B virus replication and intensive care support. Piggyback orthotopic liver transplantation was performed as the final treatment. The patient recovered uneventfully and was discharged after surgery.

关键词： acute-on-chronic liver failure     submassive necrosis     viral hepatitis B     esophageal variceal bleeding     liver transplantation    

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Drug-coated balloon-only strategy for percutaneous coronary intervention of left main coronary artery disease: the importance of proper lesion preparation

《医学前沿（英文）》 2023年 第17卷 第1期   页码 75-84 doi: 10.1007/s11684-022-0950-1

摘要： This retrospective single-center registry study included all consecutive patients who underwent percutaneous coronary intervention (PCI) for a de novo left main coronary artery lesion using drug coated-balloon (DCB)-only strategy between August 2011 and December 2018. To best of our knowledge, no previous studies of DCB-only strategy of treating de novo left main coronary artery disease, exist. The primary endpoint was major adverse cardiovascular events (MACEs) including cardiac death, non-fatal myocardial infarction, and target lesion revascularization (TLR). The cohort was divided into two groups depending on weather the lesion preparation was done according to the international consensus group guidelines. Sixty-six patients (mean age 75±8.6, 72% male), 52% of whom had acute coronary syndrome, underwent left main PCI with the DCB-only strategy. No procedural mortality and no acute closures of the treated left main occurred. At 12 months, MACE and TLR occurred in 24% and 6% of the whole cohort, respectively. If the lesion preparation was done according to the guidelines, the MACE and TLR rates were 21.2% and 1.9%. Left main PCI with the DCB only-strategy is safe leading to acceptable MACE and low TLR rates at one year, if the lesion preparation is done according to the guidelines.

关键词： drug-coated balloon     left main     high bleeding risk     predilatation     calcifield lesion     percutaneous coronary intervention    

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标题 作者 时间 类型 操作

Analysis of the treatment outcomes of esophageal variceal bleeding patients from multiple centers in

WANG Zhiqiang

期刊论文

Effects of microfine aggregate in manufactured sand on bleeding and plastic shrinkage cracking of concrete

Branavan ARULMOLY; Chaminda KONTHESINGHA; Anura NANAYAKKARA

期刊论文

Properties of cement grout modified with ultra-fine slag

Sowmini GOPINATHAN, K B ANAND

期刊论文

Partial portacaval shunt with H-grafts to treat portal hypertension

XU Geliang, HU Hejie, LI Jiansheng, YANG Shugao, CHAI Zhongpei, XU Rongnan

期刊论文

Comprehensive treatment of acute-on-chronic liver failure in a patient with hepatitis B: a case report

null

期刊论文

Drug-coated balloon-only strategy for percutaneous coronary intervention of left main coronary artery disease: the importance of proper lesion preparation

期刊论文