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    题名 作者 年代 出处 被引量
1重视未足月胎膜早破的研究显示文摘漆洪波 吴味辛 2006中华妇产科杂志2006,41,1:171
2胎膜早破的诊断与处理指南(2015)显示文摘胎膜早破(premature rupture of membrane,PROM)是指胎膜在临产前发生自发性破裂,依据发生的孕周分为足月PROM和未足月PROM(preterm premature rupture of membrane,PPROM).足月单胎PROM发生率为8%;单胎妊娠PPROM发生率为2% -4%,双胎妊娠PPROM发生率为7%-20%,PPROM是早产的主要原因之—[1-4].PROM的诊治,尤其是PPROM的处理策略,一直是产科临床工作中的棘手问题.目前,国内对于不同孕周PPROM的处理原则缺乏共识;对于足月PROM短时间内未临产者是否引产及引产方法等问题尚存在争议;对于PPROM期待治疗的处理、保胎期限、如何预防感染、终止妊娠方式等问题尚无统一的指南或规范.2015中华妇产科杂志2015,50,1:326
3Spatio-temporal rupture process of the 2008 great Wenchuan earthquake显示文摘Focal mechanism and dynamic rupture process of the Wenchaun Ms8.0 earthquake in Sichuan province on 12 May 2008 were obtained by inverting long period seismic data from the Global Seismic Network (GSN), and characteristics of the co-seismic displacement field near the fault were quantitatively ana-lyzed based on the inverted results to investigate the mechanism causing disaster. A finite fault model with given focal mechanism and vertical components of the long period P-waves from 21 stations with evenly azimuthal coverage were adopted in the inversion. From the inverted results as well as after-shock distribution, the causative fault of the great Wenchuan earthquake was confirmed to be a fault of strike 225°/dip 39°/rake 120°, indicating that the earthquake was mainly a thrust event with right-lateral strike-slip component. The released scalar seismic moment was estimated to be about 9.4×1020―2.0×1021 Nm, yielding moment magnitude of Mw7.9―8.1. The great Wenchuan earthquake occurred on a fault more than 300 km long, and had a complicated rupture process of about 90 s duration time. The slip distribution was highly inhomogeneous with the average slip of about 2.4 m. Four slip-patches broke the ground surface. Two of them were underneath the regions of Wenchuan-Yingxiu and Beichuan, respectively, with the first being around the hypocenter (rupture initiation point), where the largest slip was about 7.3 m, and the second being underneath Beichuan and extending to Pingwu, where the largest slip was about 5.6 m. The other two slip-patches had smaller sizes, one having the maximum slip of 1.8 m and lying underneath the north of Kangding, and the other having the maximum slip of 0.7 m and lying underneath the northeast of Qingchuan. Average and maximum stress drops over the whole fault plane were estimated to be 18 MPa and 53 MPa, respectively. In addition, the co-seismic displacement field near the fault was analyzed. The results indicate that the features of the co-seismic displacement field were coincident with those of the intensity distribution in the meizo-seismal area, implying that the large-scale, large-amplitude and surface-broken thrust dislocation should be responsible for the serious disaster in the near fault area.ZHANG Yong FENG WanPeng XU LiSheng ZHOU ChengHu CHEN YunTai 2009Science China Earth Sciences2009,52,2:68
4未足月胎膜早破对母儿的影响显示文摘金镇 高琳 2006中国实用妇科与产科杂志2006,22,6:69
5未足月胎膜早破的促胎肺成熟治疗显示文摘黄谱 苟文丽 2006中国实用妇科与产科杂志2006,22,6:52
6胎膜早破的诊断与处理指南(2O15)显示文摘胎膜早破(premature rupture of membrane,PROM)是指胎膜在临产前发生自发性破裂,依据发生的孕周分为足月PROM和未足月PROM(preterm premature rupture of membrane,PPROM)。足月单胎PROM发生率为8%;单胎妊娠PPROM发生率为2%~4%,双胎妊娠PPROM发生率为7%~20%,2015中华围产医学杂志2015,18,3:57
7未足月胎膜早破宫内感染的监测和预防显示文摘王谢桐 刘宗花 2006中国实用妇科与产科杂志2006,22,6:41
8抗生素在未足月胎膜早破中的合理应用显示文摘郝敏 2006中国实用妇科与产科杂志2006,22,6:47
9未足月胎膜早破分娩方式的选择及分娩注意事项显示文摘张建平 吴晓霞 2006中国实用妇科与产科杂志2006,22,6:41
10胎膜早破与早产显示文摘马薇 周昌菊 2005实用妇产科杂志2005,21,11:38
11Paleoearthquake rupture behavior and recurrence of great earthquakes along the Haiyuan fault, northwestern China显示文摘The Haiyuan fault is a major seismogenic fault in north-central China where the 1920 Haiyuan earthquake of magnitude 8.5 occurred, resulting in more than 220000 deaths. The fault zone can be divided into three segments based on their geometric patterns and associated geomorphology. To study paleoseismology and recurrent history of devastating earthquakes along the fault, we dug 17 trenches along different segments of the fault zone. Although only 10 of them allow the paleoearthquake event to be dated, together with the 8 trenches dug previously they still provide adequate information that enables us to capture major paleoearthquakes oc- curring along the fault during the past geological time. We discovered 3 events along the eastern segment during the past 14000 a, 7 events along the middle segment during the past 9000 a, and 6 events along the western segment during the past 10000 a. These events clearly depict two temporal clusters. The first cluster occurs from 4600 to 6400 a, and the second occurs from 1000 to 2800 a, approximately. Each cluster lasts about 2000 a. Time period between these two clus- ters is also about 2000 a. Based on fault geometry, segmentation pattern, and paleoearthquake events along the Haiyuan fault we can identify three scales of earthquake rupture: rupture of one segment, cascade rupture of two segments, and cascade rupture of entire fault (three segments). Interactions of slip patches on the surface of the fault may cause rupture on one patch or ruptures of more than two to three patchs to form the complex patterns of cascade rupture events.ZHANG Peizhen MIN Wei DENG Qidong MAO Fengying 2005Science China Earth Sciences2005,48,3:31
12Late Quaternary surface deformation and rupture behavior of strong earthquake on the segment north of Mianning of the Anninghe fault显示文摘The Anninghe fault is an important active fault along the eastern boundary of Sichuan-Yunnan active tectonic block, and the study of its surface deformation and rupture behavior during strong earthquake in the late Quaternary is of fundamental importance for understanding the future seismic risk of the fault zone or even the entire western Sichuan region. Using the methods of detailed geomorphic and geological survey, digital image analysis, total station instrument survey, excavation of combined trench and dating, we analyze the geomorphologic sequences of the offset strata at several sites where the late Quaternary deformation remnants are fairly well preserved and obtain some new results as follows: Strong earthquake events with left-lateral displacements of about 3 m occurred at the two sites of Zimakua and Yejitong at 1634-1811, 1030-1050 and 280-550 a BP, respectively, and the recurrence interval is 520-660 a; The youngest event in the area of Dahaizi-Ganhaizi should be the earthquake of 1536, other events are at 1768-1826, 2755-4108 and 4108-6593 a BP, respectively, with a recurrence interval of 1300-1900 a. The strong earthquake activity shows a clustering character. The possibility of occurrence of a strong earthquake exists on the north segment of the Anninghe fault sometime in the future.RAN YongKang CHEN LiChun CHENG JianWu GONG HuiLing 2008Science China Earth Sciences2008,51,9:25
13重视胎膜早破的诊断显示文摘胎膜早破(premature rupture of membranes, PROM)是发生于临产前的胎膜破裂,发病率最高可达17%,是产科常见并发症之一,可分为足月后 PROM和足月前 PROM,其中足月后 PROM 的发病率约为8%,约1/2患者在经过破膜期待治疗5h 内可进入自然分娩[1];相反,足月前 PROM对母儿影响更大。足月前PROM的风险因素包括种族、较差社会经济地位、吸烟、早产及生殖道感染史与宫颈功能不全、多胎妊娠、胎位异常、羊膜腔穿刺、阴道流血及妊娠合并内外科疾病等。一项以人群为基础的研究发现,由于胎膜破裂使羊膜腔与外界相通且羊水持续渗漏,可使PROM后母体及新生儿感染率显著增高,而且 PROM引起的早产,是导致新生儿并发症发生的危险因素,破膜1周内早产发生率可高达50%-70%;尚可导致新生儿呼吸窘迫综合征(发生率高达35%)、脐带受压(发生率为32%-60%)、绒毛膜羊膜炎(发生率为13%-60%)、胎盘早剥(发生率为4%-12%)及胎儿死亡(发生率为1%-2%)等[2]。因此,正确、及时诊治PROM,对改善母儿结局具有重要意义。周容 刘兴会 2014中华妇幼临床医学杂志(电子版)2014,10,2:20
14A risk score model for predicting cardiac rupture after acute myocardial infarction显示文摘Background:Cardiac rupture (CR) is a major lethal complication of acute myocardial infarction (AMI).However,no valid risk score model was found to predict CR after AMI in previous researches.This study aimed to establish a simple model to assess risk of CR after AMI,which could be easily used in a clinical environment.Methods:This was a retrospective case-control study that included 53 consecutive patients with CR after AMI during a period from January 1,2010 to December 31,2017.The controls included 524 patients who were selected randomly from 7932 AMI patients without CR at a 1:10 ratio.Risk factors for CR were identified using univariate analysis and multivariate logistic regression.Risk score model was developed based on multiple regression coefficients.Performance of risk model was evaluated using receiveroperating characteristic (ROC) curves and internal validity was explored using bootstrap analysis.Results:Among all 7985 AMI patients,53 (0.67%) had CR (free wall rupture,n=39;ventricular septal rupture,n=14).Hospital mortalities were 92.5% and 4.01% in patients with and without CR (P<0.001).Independent variables associated with CR included:older age,female gender,higher heart rate at admission,body mass index (BMI)<25 kg/m^2,lower left ventricular ejection fraction (LVEF) and no primary percutaneous coronary intervention (pPCI) treatment.In ROC analysis,our CR risk assess model demonstrated a very good discriminate power (area under the curve [AUC]= 0.895,95% confidence interval:0.845–0.944,optimism-corrected AUC= 0.821,P<0.001).Conclusion:This study developed a novel risk score model to help predict CR after AMI,which had high accuracy and was very simple to use.Yuan Fu Kui-Bao Li Xin-Chun Yang 2019Chinese Medical Journal2019,,9:19
15Risk factors and surgical outcomes for spontaneous rupture of BCLC stages A and B hepatocellular carcinoma: A case-control study显示文摘AIM: To investigate the risk factors and surgical outcomes for spontaneous rupture of Barcelona Clinic Liver Cancer(BCLC) stages A and B hepatocellular carcinoma(HCC).METHODS: From April 2002 to November 2006, 92 consecutive patients with spontaneous rupture of BCLC stage A or B HCC undergoing hepatic resection were included in a case group. A control arm of 184 cases(1:2 ratio) was chosen by matching the age, sex, BCLC stage and time of admission among the 2904 consecutive patients with non-ruptured HCC undergoing hepatic resection. Histological confirmation of HCC was available for all patients and ruptured HCC was confirmed by focal discontinuity of the tumor with surrounding perihepatic hematoma observed intraoperatively. Patients with microvascular thrombus in the hepatic vein branches were excluded from the study. Clinical data and survival time were collected and analysed.RESULTS: Sixteen patients were excluded from the study based on exclusion criteria, of whom 3 were in the case group and 13 in the control group. Compared with the control group, more patients in the case group had underlying diseases of hypertension(10.1% vs 3.5%, P = 0.030) and liver cirrhosis(82.0% vs 57.9%, P < 0.001). Tumors in 67(75.3%) patients in the case group were located in segments Ⅱ, Ⅲ and Ⅵ, and the figure in the control group was also 67(39.7%)(P < 0.001). On multivariate analysis, hypertension(HR = 7.38, 95%CI: 1.91-28.58, P = 0.004), liver cirrhosis(HR = 6.04, 95%CI: 2.83-12.88, P < 0.001) and tumor location in segments Ⅱ, Ⅲ and Ⅵ(HR = 5.03, 95%CI: 2.70-6.37, P < 0.001) were predictive for spontaneous rupture of HCC. In the case group, the median survival time and median disease-free survival time were 12 mo(range: 1-78 mo) and 4 mo(range: 0-78 mo), respectively. The 1-, 3- and 5-year overall survival rates and disease-free survival rates were 66.3%, 23.4% and 10.1%, and 57.0%, 16.8% and 4.5%, respectively. Only radical resection remained predictive for overall survival(HR = 0.32, 95%CI: 0.08-0.61, P = 0.015) and disease-free survival(HR = 0.12, 95%CI: 0.01-0.73, P = 0.002).CONCLUSION: Tumor location, hypertension and liver cirrhosis are associated with spontaneous rupture of HCC. One-stage hepatectomy should be recommended to patients with BCLC stages A and B disease.Jing Li Liang Huang Cai-Feng Liu Jie Cao Jian-Jun Yan Feng Xu Meng-Chao Wu Yi-Qun Yan 2014World Journal of Gastroenterology2014,20,27:19
16Ruptured hepatocellular carcinoma following chemoembolization:a western experience显示文摘BACKGROUND: Transcatheter arterial chemoembolization (TACE) is a recommended first line therapy for unresectable hepatocellular carcinoma (HCC). Serious complications such as neutropenic sepsis and hepatic decompensation are well known, but rupture of HCC following TACE is a rare and potentially fatal complication. The aim of this study was to identify the incidence of ruptured HCC following TACE and the associated risk factors. METHODS: A retrospective analysis was performed using our liver database with 'chemoembolization', 'ruptured HCC' covering the patients who received chemoembolization from January 1995 to December 2005. There were no exclusions. RESULTS: A total of 294 patients received chemoemboliza- tion in 530 sessions during the 10-year period. Of these, 2 ruptured following treatment (incidence 0.68%). The mean age was 65 years and the interval between the treatment and rupture was 2 and 24 days. The common factors were male sex, large tumor size (range 11-13 cm), and exophytic tumor growth. One patient died 2 days after rupture with hepatic decompensation while the second is alive after a 6-month follow up without tumor recurrence. CONCLUSIONS: Ruptured HCC following TACE is a rare but serious complication. Large tumor size, male sex, and exophytic growth of tumor may be predisposing factors for rupture.Narendra Battula Parthi Srinivasan Mansoor Madanur Srinivas Prabhu Chava Oliver Priest Mohamed Rela Nigel Heaton 2007Hepatobiliary & Pancreatic Diseases International2007,6,1:17
17未足月胎膜早破的诊断和治疗策略显示文摘未足月胎膜早破(preterm premature rupture ofmembrane,PPROM)带来的早产、羊膜腔感染、新生儿呼吸窘迫综合征(respiratory distress syndrome ofnewborn,NRDS)、胎儿窘迫、胎盘早剥和羊水过少等,是产科领域关注的热点问题。PPROM的诊治,特别是处理策略,也一直是产科临床面对的棘手问题,加拿大妇产科医师学会(Society of Obstetricians andGynaecologists of Canada,SOGC)(2005年)、漆洪波 2010中华妇幼临床医学杂志(电子版)2010,6,5:16
18未足月胎膜早破病因学研究进展显示文摘李庆姝 漆洪波 2008中国妇产科临床杂志2008,9,2:16
19Rupture behavior and deformation localization of the Kunlunshan earthquake (M_w7.8) and their tectonic implications显示文摘Earthquake surface rupture is the result of transformation from crustal elastic strain accumulation to permanent tectonic deformation. The surface rupture zone produced by the 2001 Kunlunshan earth- quake (Mw7.8) on the Kusaihu segment of the Kunlun fault extends over 426 km. It consists of three relatively independent surface rupture sections: the western strike-slip section, the middle transten- sional section and the eastern strike-slip section. Hence this implies that the Kunlunshan earthquake is composed of three earthquake rupturing events, i.e. the Mw=6.8, Mw=6.2 and Mw≤7.8 events, respec- tively. The Mw≤7.8 earthquake, along the eastern section, is the main shock of the Kunlunshan earth- quake, further decomposed into four rupturing subevents. Field measurements indicate that the width of a single surface break on different sections ranges from several meters to 15 m, with a maximum value of less than 30 m. The width of the surface rupture zone that consists of en echelon breaks de- pends on its geometric structures, especially the stepover width of the secondary surface rupture zones in en echelon, displaying a basic feature of deformation localization. Consistency between the Quaternary geologic slip rate, the GPS-monitored strain rate and the localization of the surface rup- tures of the 2001 Kunlunshan earthquake may indicate that the tectonic deformation between the Ba- yan Har block and Qilian-Qaidam block in the northern Tibetan Plateau is characterized by strike-slip faulting along the limited width of the Kunlun fault, while the blocks themselves on both sides of the Kunlun fault are characterized by block motion. The localization of earthquake surface rupture zone is of great significance to determine the width of the fault-surface-rupture hazard zone, along which direct destruction will be caused by co-seismic surface rupturing along a strike-slip fault, that should be considered before the major engineering project, residental buildings and life line construction.KLINGER Yann TAPPONNIER Paul 2008Science China Earth Sciences2008,51,10:15
20未足月胎膜早破的封闭疗法显示文摘古航 胡电 2006中国实用妇科与产科杂志2006,22,6:14
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