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支架自显影定位法体外开窗技术在主动脉弓部腔内修复术中的应用:附113例国际多中心病例回顾性分析 被引量:11
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作者 舒畅 李鑫 +14 位作者 李全明 何昊 黎明 王暾 杨晨紫 王沫 周海洋 JoséFernando Teixeira Suko Adiarto Tao Fan Bogdan Cherpark Imaev Timur makhkamov Najmiddin Pavel Charnahlaz Giorgi Kheladze 《中国普通外科杂志》 CAS CSCD 北大核心 2020年第12期1426-1434,共9页
背景与目的:胸主动脉腔内修复术(TEVAR)已成为治疗降主动脉疾病的一线治疗方式。在治疗累及主动脉弓部疾病时,体外开窗(PMF)是目前常用于重建弓部分支动脉的技术之一。它是指在选择合适的主动脉覆膜支架后,根据弓上分支动脉的位置,在覆... 背景与目的:胸主动脉腔内修复术(TEVAR)已成为治疗降主动脉疾病的一线治疗方式。在治疗累及主动脉弓部疾病时,体外开窗(PMF)是目前常用于重建弓部分支动脉的技术之一。它是指在选择合适的主动脉覆膜支架后,根据弓上分支动脉的位置,在覆膜支架相应位置上除去覆膜,建立人造的“窗孔”,在将有窗孔的大动脉支架准确对位释放后再释放分支支架。本文介绍一种利用主动脉支架本身所携带的不透X线标志快速、准确地将窗孔与分支动脉开口对准的开窗方法—支架自显影定位PMF技术(S-F技术),并通过总结利用该方法进行TEVAR的一组患者临床资料和手术以及随访数据,探讨利用S-F技术在主动脉弓部疾病腔内治疗中的技术特点和其应用价值。方法:回顾性分析2015年12月—2020年6月利用S-F技术行TEVAR治疗的中国湖南中南大学湘雅二医院血管外科和其他7个国家的国家级血管外科中心共113例主动脉弓部疾病患者的基本数据、术中技术数据和术后随访数据。结果:患者均根据S-F技术的操作标准流程进行的TEVAR,即时手术成功率为100%,共植入胸主动脉覆膜支架118枚,其中植入桥接支架35例。手术时间(62.9±17.4)min,X线操作时间(23.1±9.8)min,造影剂用量(81.2±22.5)mL。术中开窗对位准确率为98.2%。补救性植入烟囱支架1例(0.9%),矫正后对位回准1例(0.9%)。开窗同时保留弓上三分支动脉2例(1.8%),开窗同时保留左颈总动脉(LCCA)和左锁骨下动脉(LSA)6例(5.3%),保留LSA 110例(97.3%)。术后1个月内无死亡病例,无严重并发症发生。术后1周复查发现Ⅰ型内漏7例(6.2%)。随访时间中位时间24.5个月,死亡2例(1.8%);术后分支动脉闭塞3例(2.7%),分别发生在术后3个月(2例)和术后6个月(1例)。结论:S-F技术为治疗累及主动脉弓部疾病重建弓上分支动脉提供了一种可供选择的方法,是全腔内重建主动脉弓部方法技术上 展开更多
关键词 主动脉疾病 主动脉 血管内操作 体外开窗
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Study of the Aerodynamic Process and Its Impact on Cotton Transportation Process through the Cotton Pipeline
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作者 Shokhsanam Imomalieva Anvar makhkamov 《Engineering(科研)》 2021年第12期667-676,共10页
<span style="font-family:Verdana;">The article provides a theoretical analysis of the velocity distribution and distribution in the cross section of the pipe during the transportation of cotton. It stu... <span style="font-family:Verdana;">The article provides a theoretical analysis of the velocity distribution and distribution in the cross section of the pipe during the transportation of cotton. It studied the factors that move air and transport material in a </span><span style="font-family:Verdana;">pneumatic pipeline, developed a mathematical model and built graphs. The effect of pressure on the ease of construction of pipes for air transportation of raw cotton and the speed distribution in the process of transporting cotton, as well as the factors that cause pressure loss in the shells of pipes were studied.</span><span style="font-family:""> </span><span style="font-family:Verdana;">So, i</span><span style="font-family:Verdana;">f the expansion after the air </span><span style="font-family:Verdana;">pipe</span><span style="font-family:""><span style="font-family:Verdana;"> is expanded </span><img src="Edit_111b42e7-ead7-4f9b-8a57-0a3b41fff1a6.png" alt="" /></span><span style="font-family:""></span><span style="font-family:Verdana;"> (5), we will</span><span style="font-family:""><span style="font-family:Verdana;"> introduce </span><i><span style="font-family:Verdana;">K</span></i><sub><span style="font-family:Verdana;">1</span></sub><span style="font-family:Verdana;"> = 0 and the beating coefficient </span></span><span style="font-family:""></span><span style="font-family:Verdana;">. If the current narrows before</span><span style="font-family:""><span style="font-family:Verdana;"> burdening, then we enter </span><i><span style="font-family:Verdana;">K</span></i><sub><span style="font-family:Verdana;">1</span></sub><span style="font-family:Verdana;"> = 1 and the input </span></span><span style="font-family:Verdana;">soften</span><span style="font-family:Verdana;"> rate from the formula </span><span style="font-family:""></span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;"> The air flow is moving upwards below the slope and the longer the pipe is the air flow is so significant 展开更多
关键词 COTTON Airstream Laminar Current Turbulent Flow Speed SEPARATOR LAMINATION Movement Label Surface
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Determination of the Friction Coefficient in the Flat Strip Drawing Test
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作者 Anvar makhkamov 《Engineering(科研)》 2021年第11期595-604,共10页
Current work is focused on the influence of friction in deep drawing process. Friction measurements were also conducted using a modified tribotester based on strip sliding between tools. Four different tool surfaces w... Current work is focused on the influence of friction in deep drawing process. Friction measurements were also conducted using a modified tribotester based on strip sliding between tools. Four different tool surfaces were tested under similar contact conditions regarding contact area, normal pressure, sliding speed, lubricant and surface characteristics to calculate the friction coefficient between the tool surface and a high strength low alloy steel sheet HSLA 380. The results showed that friction coefficient varies over a wide range with different lubricating conditions and different sliding velocities. For some sliding velocities, the coefficient of friction is stable and low, while for others it is unstable and higher. Results of the experiments reveal that this novel tribotester is a very useful tool to evaluate and compare the friction between steel sheet and tool surfaces in alloyed steel for cold working applications. The outcomes have only small dispersion within the different test series, which indicates a stable process with good repeatability. The test method enables comparison of different surface finishes and treatments, lubricants and coatings in terms of friction and galling under conditions similar to those found in sheet metal forming processes. The four different types of surfaces considered for this study were grinded, polished, nitrided and quenched/tempered. The main difference among the tested tools in this work was the surface roughness, which was found to have a strong influence on friction. 展开更多
关键词 TRIBOLOGY Friction ROUGHNESS Sheet Metal Forming LUBRICANT Steel Sheet Tool Surface Coefficient of Friction Normal Force Sliding Speed Contact Pressure Strip Drawing Test
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Simplified Criterion of Steady-State Stability of Electric Power Systems
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作者 K. R. Allaev A. M. Mirzabaev +1 位作者 T. F. Makhmudov T. A. makhkamov 《Journal of Power and Energy Engineering》 2015年第4期224-231,共8页
In the paper the simplified criterion of a steady-state stability of electric power systems (EPS) is justified on the basis of Lyapunov functions in a quadratic form ensuring necessary and sufficient conditions of its... In the paper the simplified criterion of a steady-state stability of electric power systems (EPS) is justified on the basis of Lyapunov functions in a quadratic form ensuring necessary and sufficient conditions of its performance. Upon that, the use of the node-voltage equations allows reducing study of a steady-state stability of complex EPS to study of the generator-bus system. The obtained results facilitate studies of a steady-state stability of the complex systems and have practical importance. 展开更多
关键词 STEADY-STATE Stability Matrix Method LYAPUNOV Function Node-Voltage EQUATIONS
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Research of Network Transient Performance at Small Perturbations
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作者 T. A. makhkamov A. M. Mirzabaev 《Energy and Power Engineering》 2013年第4期667-669,共3页
The advisability of the use of matrix methods of equations rearrangement for the investigated system which allows writing a secular equation is considered in this article. This approach greatly simplifies the analysis... The advisability of the use of matrix methods of equations rearrangement for the investigated system which allows writing a secular equation is considered in this article. This approach greatly simplifies the analysis of performance of transient response in complicated multi-coupled electrical system at small perturbations. 展开更多
关键词 Stability Process Control Performance FACTORS TRANSIENT Response MATRIX Analysis COEFFICIENT MATRIX SECULAR EQUATION
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