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国外尾矿酸性排水和重金属淋滤作用研究进展 被引量:59
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作者 陈天虎 冯军会 徐晓春 《环境污染治理技术与设备》 CAS CSCD 北大核心 2001年第2期41-46,共6页
尾矿引起的环境问题是水 气 矿物在地表条件下发生复杂反应的综合结果。近年来 ,国外学者研究显示 ,发生在尾矿中的风化作用不仅仅有硫化物的氧化作用 ,而且还伴随有机物氧化作用 ,碳酸盐等矿物中和作用 ,次生矿物沉淀作用、结晶作用... 尾矿引起的环境问题是水 气 矿物在地表条件下发生复杂反应的综合结果。近年来 ,国外学者研究显示 ,发生在尾矿中的风化作用不仅仅有硫化物的氧化作用 ,而且还伴随有机物氧化作用 ,碳酸盐等矿物中和作用 ,次生矿物沉淀作用、结晶作用、胶结作用 ,矿物交代蚀变作用、吸附作用、离子交换作用以及生物作用。上述各种作用互相影响 ,互相制约。目前 ,最新研究表明 ,许多因素都会影响尾矿风化作用 ,这些因素主要包括 :尾矿原生矿物组成、成因、化学成分、表面积和形态 ;尾矿酸中和潜力 ;溶液pH值 ;次生矿物形成及其吸附、离子交换、胶结作用 ;溶液中Fe3+离子的浓度 ;有机物的种类和含量 ;尾矿粒度分布和空隙度 ; 展开更多
关键词 尾矿 重金属污染 酸性排水 环境地球化学 水文地质环境 废物处理
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Modulating Effects of Chlorogenic Acid on Lipids and Glucose Metabolism and Expression of Hepatic Peroxisome Proliferator-activated Receptor-α in Golden Hamsters Fed on High Fat Diet 被引量:26
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作者 SHU-YUAN LI CuI-QING CHANG +1 位作者 FU-YING MA AND CHANG-LONG YU 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2009年第2期122-129,共8页
Objective To examine the effects of chlorogenic acid (CGA) on lipid and glucose metabolism under a high dietary fat burden and to explore the possible role of peroxisome proliferator-activated receptor-α (PPAR-α... Objective To examine the effects of chlorogenic acid (CGA) on lipid and glucose metabolism under a high dietary fat burden and to explore the possible role of peroxisome proliferator-activated receptor-α (PPAR-α) in these effects. Methods Twenty male golden hamsters were randomly divided into CGA treatment group (n=10, given peritoneal injection of CGA solution prepared with PBS, 80 mg CGA/kg body weight daily), and control group (n=10, given PBS i.p. at the average volume of the treatment group). Animals in both groups were given 15% high fat diet. Eight weeks after treatment with CGA, the level of biochemical parameters in fasting serum and tissues and the expression of hepatic mRNA and protein PPAR-α were determined. Results Eight weeks after treatment with CGA, the levels of fasting serum triglyceride (TG), free fatty acid (FFA), total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C), glucose (FSG), and insulin (FSI) were significantly lower in the GGA treatment group than in the control group. CGA also led to higher activity of hepatic lipase (HL) lower contents of TG and FFA in liver, and lower activity of lipoprotein lipase (LPL) in skeletal muscle. Furthermore, CGA significantly elevated significantly elevated the expression level of mRNA and protein expression in hepatic PPAR-α. Conclusion CGA can modify lipids and glucose metabolism, which may be attributed to PPAR-α facilitated lipid clearance in liver and improved insulin sensitivity. 展开更多
关键词 Chlorogenic acid Golden hamster High fat diet Hypolipidemic effect Hypoglycemic effect Lipids clearance FFA drainage PPAR-Α Insulin sensitivity
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静脉联合关节腔内注射氨甲环酸后引流管夹闭时间对人工全膝关节置换术后失血量的影响及安全性评价 被引量:25
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作者 李锐博 尹诗九 +2 位作者 钟航 牟平 杨静 《中国修复重建外科杂志》 CAS CSCD 北大核心 2017年第4期417-421,共5页
目的探讨静脉滴注联合关节腔内注射氨甲环酸后引流管夹闭时间对人工全膝关节置换术(total knee arthroplasty,TKA)术后失血量的影响并评价其安全性。方法于2015年9月—2016年7月拟行单侧初次TKA的102例患者中,选取80例符合选择标准的女... 目的探讨静脉滴注联合关节腔内注射氨甲环酸后引流管夹闭时间对人工全膝关节置换术(total knee arthroplasty,TKA)术后失血量的影响并评价其安全性。方法于2015年9月—2016年7月拟行单侧初次TKA的102例患者中,选取80例符合选择标准的女性患者纳入研究。所有患者随机分为对照组(A组)、30 min组(B组)、60 min组(C组)和90 min组(D组),每组20例。4组患者年龄、体质量指数、患膝侧别、病因、病程以及术前血红蛋白、白蛋白、红细胞压积等一般资料比较,差异均无统计学意义(P>0.05),具有可比性。所有患者均于松止血带前10 min静脉滴注氨甲环酸氯化钠100 m L(含1 g氨甲环酸)。关闭切口后,B、C、D组通过引流管向关节腔内注射相同浓度氨甲环酸氯化钠60 m L并夹闭引流管,A组同法注射60 m L生理盐水;A、B组于引流管夹闭后30 min、C组于60 min、D组于90 min后恢复引流。记录各组患者术后24 h引流量、总失血量,术后血红蛋白、白蛋白减少量,术后输血次数及输血量,以及下肢深静脉血栓形成、肺栓塞发生情况。结果 B、C、D组术后24 h引流量及总失血量均少于A组,其中C、D组与A组比较差异有统计学意义(P<0.05),B组与A组比较差异无统计学意义(P>0.05)。B组术后24 h引流量高于C、D组,且与D组比较差异有统计学意义(P<0.05);C、D组间比较差异无统计学意义(P>0.05)。B、C、D组总失血量组间比较差异无统计学意义(P>0.05)。A^D组血红蛋白、白蛋白减少量呈逐渐降低趋势,但各组间差异无统计学意义(P>0.05)。所有患者术后均无下肢深静脉血栓形成及肺栓塞发生。D组1例患者术后第3天白蛋白28 g/L,静脉输入人血白蛋白20 g;其余患者均未输血。结论静脉滴注联合关节腔内注射氨甲环酸可减少TKA围手术期失血量;关节腔内注射氨甲环酸后引流管夹闭60 min后再恢复引流止血效果最佳,并且不增加症状性下肢深静脉� 展开更多
关键词 人工全膝关节置换术 氨甲环酸 术后引流 失血量
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切口内应用氨甲环酸对腰椎后路椎间融合术后失血的影响 被引量:18
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作者 卜国云 吴叶 +4 位作者 邓树才 杜区成 朱加亮 崔成亮 侯树勋 《中国矫形外科杂志》 CAS CSCD 北大核心 2014年第18期1637-1641,共5页
[目的]探讨腰椎手术切口内应用氨甲环酸对术后失血的影响及其应用的安全性。[方法]对2012年6月-2013年6月间初次行腰椎单节段或双节段腰椎后路椎间融合术的267例患者进行前瞻性研究,将患者随机分为实验组(A组)和对照组(B组)。在手... [目的]探讨腰椎手术切口内应用氨甲环酸对术后失血的影响及其应用的安全性。[方法]对2012年6月-2013年6月间初次行腰椎单节段或双节段腰椎后路椎间融合术的267例患者进行前瞻性研究,将患者随机分为实验组(A组)和对照组(B组)。在手术缝合深筋膜后向A组患者切口内注射氨甲环酸10 ml(1 g),B组向切口内注射生理盐水10 ml作为对照,并夹闭引流管1 h。比较两组患者一般资料、术前血液学指标、术中失血量及输血量、术后引流时间、第一个24 h引流量及总引流量、术后血D-二聚体浓度、术后输血例数及输血量。分别比较A、B两组中单、双节段术后引流量。术后1周及术后3个月随访时检查双下肢血管超声,观察有无深静脉血栓形成。[结果]A组患者133例,B组患者134例。术前A、B组性别、年龄、体重指数、平均血红蛋白浓度、凝血酶原时间比较无明显统计学差异;术中失血及输血量两组间无明显统计学差异;术后拔管时蛋白浓度A组为(113.6±13.0)g/L,B组为(105.1±14.4)g/L,两组间有显著统计学差异。术后平均拔管时间A组为(2.1±0.4)d,B组为(2.8±0.8)d,两组间有统计学差异;术后平均引流总量A组患者为(272±124)ml,B组患者为(412±189)ml,两组间有统计学差异;A组术后输血5例,B组术后输血15例,两组间具有统计学差异。术后A组患者平均输血(400±100)ml;B组患者平均输血(503±179)ml,两组患者术后输血量无明显统计学差异。术后1周及3个月随访时两组患者均未发现有下肢深静脉血栓形成。[结论]腰椎后路椎间融合术切口内局部应用氨甲环酸可减少术后伤口失血量、缩短拔管时间、不增加局部血肿压迫神经和深静脉血栓形成的风险,减少了术后失血。 展开更多
关键词 氨甲环酸 腰椎后路椎间融合术 引流量 术后失血
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Heavy Metals in a Sulfldic Minespoil: Fractions and Column Leaching 被引量:16
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作者 C.LIN J.LIN 《Pedosphere》 SCIE CAS CSCD 2003年第1期75-80,共6页
Fractions of various heavy metals in a sulfidic minespoil were investigated. Column leaching experimentwas also conducted to simulate 'acid mine drainage' (AMD) from the minespoil. The results show thatleachin... Fractions of various heavy metals in a sulfidic minespoil were investigated. Column leaching experimentwas also conducted to simulate 'acid mine drainage' (AMD) from the minespoil. The results show thatleaching of heavy metals from the minespoil was extremely significant during the initial water flushing.The amounts of heavy metals leached out dramatically reduced after leaching twice. It is worthwhile tonote that in this study, Zn, Mn, Fe, As and Ni in the first leachate exceeded the total amount of eachcorresponding water-extractable (1:5, soil:water) metal contained in the minespoil sample. This appears tosuggest that 1:5 water extraction did not allow accurate estimation of water-leachable concentrations of theabove heavy metals. This work has implications for the management of sulfidic minespoils. Acid drainageof great environmental concerns is likely to occur only during heavy rainfall events after substantial solubleand readily exchangeable acid and metals are accumulated in the minespoils. The slow-reacting fractionsother than water-soluble and readily exchangeable fractions may pose little environmental hazards. This isparticularly true for Pb, As and Ni. 展开更多
关键词 acid mine drainage heavy metal LEACHING metal sulfides minespoil
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矿山尾矿矿物学研究进展 被引量:13
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作者 陈天虎 《安徽地质》 2001年第1期64-70,共7页
矿山尾矿由于产生大量酸性排水和释放重金属,污染地下水和地表水,破坏生态环境而成为人们关注的焦点。尾矿引起的环境问题是地表条件下,水-气-矿物复杂反应的综合结果。近年来尾矿矿物学的研究已经揭示出尾矿中矿物分解和形成的规... 矿山尾矿由于产生大量酸性排水和释放重金属,污染地下水和地表水,破坏生态环境而成为人们关注的焦点。尾矿引起的环境问题是地表条件下,水-气-矿物复杂反应的综合结果。近年来尾矿矿物学的研究已经揭示出尾矿中矿物分解和形成的规律,水-气-矿物反应的机制和影响因素,酸性排水和重金属迁移规律,为尾矿环境危险性评价和尾矿污染防治提供了基础资料和新的思路。 展开更多
关键词 尾矿 矿物学 重金属污染 酸性排水
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Biochar:An Emerging Panacea for Remediation of Soil Contaminants from Mining,Industry and Sewage Wastes 被引量:15
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作者 Hossain M.ANAWAR Farjana AKTER +1 位作者 Zakaria M.SOLAIMAN Vladimir STREZOV 《Pedosphere》 SCIE CAS CSCD 2015年第5期654-665,共12页
Mine tailings, waste rock piles, acid mine drainage, industrial wastewater, and sewage sludge have contaminated a vast area of cultivable and fallow lands, with a consequence of deterioration of soil and water quality... Mine tailings, waste rock piles, acid mine drainage, industrial wastewater, and sewage sludge have contaminated a vast area of cultivable and fallow lands, with a consequence of deterioration of soil and water quality and watercourses due to the erosion of contaminated soils for absence of vegetative cover. High concentrations of toxic elements, organic contaminants, acidic soils, and harsh climatic conditions have made it difficult to re-establish vegetation and produce crops there. Recently, a significant body of work has focussed on the suitability and potentiality of biochar as a soil remediation tool that increases seed emergence, soil and crop productivity, above ground biomass, and vegetation cover on mine tailings, waste rock piles, and industrial and sewage waste- contaminated soils by increasing soil nutrients and water-holding capacity, amelioration of soil acidity, and stimulation of microbial diversity and functions. This review addresses: i) the functional properties of biochar, and microbial cycling of nutrients in soil; ii) bioremediation, especially phytoremediation of mine railings, industrial waste, sewage sludge, and contaminated soil using biochar; iii) impact of biochar on reduction of acid production, acid mine drainage treatment, and geochemical dynamics in mine railings; and iv) treatment of metal and organic contaminants in soils using biochar, and restoration of degraded land. 展开更多
关键词 acid mine drainage contaminated soil interaction mine railings mining waste PHYTOREMEDIATION PHYTOSTABILIZATION REVEGETATION
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氨甲环酸局部应用结合术后临时夹闭引流管对全膝关节置换术后失血量的影响 被引量:15
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作者 席少华 周朝波 赵桂林 《中国医药》 2015年第4期543-545,共3页
目的 探讨氨甲环酸局部应用结合术后临时夹闭引流管减少全膝关节置换术患者出血量的有效性和安全性.方法 选择2012年1月至2013年12月符合纳入标准的行初次单侧全膝关节置换术的患者100例.观察组(51例)为术中经引流管局部应用氨甲环酸... 目的 探讨氨甲环酸局部应用结合术后临时夹闭引流管减少全膝关节置换术患者出血量的有效性和安全性.方法 选择2012年1月至2013年12月符合纳入标准的行初次单侧全膝关节置换术的患者100例.观察组(51例)为术中经引流管局部应用氨甲环酸,术后临时夹闭引流管4h的患者.对照组(49例)为术中未使用氨甲环酸,术后引流管保持通畅.分别记录2组术中出血量、术后引流量、输血率、输血量、术后第1、3、5天血红蛋白含量、血细胞比容、术后下肢深静脉血栓和肺栓塞的发生率.结果 观察组患者术后总引流量、总失血量、输血量、输血率分别为(183±85)、(893±237)、(455±150)ml和39.2%(20/51),对照组分别为(373±131)、(1 113±425)、(586±215)ml和61.2%(30/49),2组比较差异均有统计学意义(P<0.05).观察组未输血患者术后1、3、5d血红蛋白含量分别为(105±12)、(94±12)、(96±13)g/L,对照组分别为(98±10)、(87±11)、(88±10) g/L,2组比较差异均有统计学意义(P<0.05);2组患者术后双下肢静脉超声检查均未见下肢深静脉血栓,术后随访均无下肢深静脉栓塞和肺栓塞.结论 全膝关节置换术中局部应用氨甲环酸结合术后临时夹闭引流管4h能明显减少术后失血量、降低输血率和输血量,且不增加下肢深静脉血栓风险. 展开更多
关键词 膝关节置换术 氨甲环酸 引流管 失血
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局部应用氨甲环酸减少老年股骨颈骨折全髋关节置换后引流的安全和有效性 被引量:14
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作者 张冲 刘志昂 +3 位作者 姚帅辉 高军胜 姜岩 张陆 《中国组织工程研究》 CAS 北大核心 2021年第9期1381-1386,共6页
背景:局部应用氨甲环酸可减少退变性疾病行全髋关节置换后的引流,但其应用于单纯老年股骨颈骨折行初次全髋关节置换的研究报道相对较少。目的:分析局部应用氨甲环酸减少老年股骨颈骨折患者全髋关节置换后引流的安全和有效性。方法:纳入2... 背景:局部应用氨甲环酸可减少退变性疾病行全髋关节置换后的引流,但其应用于单纯老年股骨颈骨折行初次全髋关节置换的研究报道相对较少。目的:分析局部应用氨甲环酸减少老年股骨颈骨折患者全髋关节置换后引流的安全和有效性。方法:纳入2019年1至12月郑州人民医院收治的45例老年股骨颈骨折患者,男19例,女26例,年龄59-82岁,均接受全髋关节置换治疗,其中21例全髋关节置换手术完成缝皮后经引流管逆行注入氨甲环酸(观察组),24例全髋关节置换手术完成缝皮后经引流管逆行注入生理盐水(对照组)。记录术后引流量与不良事件发生情况,密切观察切口愈合情况,检查凝血功能。试验获得郑州人民医院医学伦理委员会批准。结果与结论:①所有患者术后切口均甲级愈合,术后未出现心肌梗死、脑梗死、肺栓塞、下肢深静脉血栓;②观察组术后3 d内的总引流量、血红蛋白丢失量少于对照组(P<0.05);③两组术后活化部分凝血酶原时间、凝血酶原时间、凝血酶时间、纤维蛋白原比较差异无显著性意义(P>0.05);④结果表明,局部应用氨甲环酸在老年股骨颈骨折患者全髋关节置换中安全有效,在不影响凝血功能的情况下可显著减少术后引流量。 展开更多
关键词 假体 关节置换 股骨颈 骨折 全髋关节置换 氨甲环酸 凝血功能 术后引流
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Biological remediation of acid mine drainage:Review of past trends and current outlook 被引量:13
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作者 K.Rambabu Fawzi Banat +3 位作者 Quan Minh Pham Shih-Hsin Ho Nan-Qi Ren Pau Loke Show 《Environmental Science and Ecotechnology》 2020年第2期16-29,共14页
Formation of acid mine drainage(AMD)is a widespread environmental issue that has not subsided throughout decades of continuing research.Highly acidic and highly concentrated metallic streams are characteristics of suc... Formation of acid mine drainage(AMD)is a widespread environmental issue that has not subsided throughout decades of continuing research.Highly acidic and highly concentrated metallic streams are characteristics of such streams.Humans,plants and surrounding ecosystems that are in proximity to AMD producing sites face immediate threats.Remediation options include active and passive biological treatments which are markedly different in many aspects.Sulfate reducing bacteria(SRB)remove sulfate and heavy metals to generate non-toxic streams.Passive systems are inexpensive to operate but entail fundamental drawbacks such as large land requirements and prolonged treatment period.Active bioreactors offer greater operational predictability and quicker treatment time but require higher investment costs and wide scale usage is limited by lack of expertise.Recent advancements include the use of renewable raw materials for AMD clean up purposes,which will likely achieve much greener mitigation solutions. 展开更多
关键词 Biological remediation acid Mine drainage Environmental Optimization
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Effect of biliary drainage on inducible nitric oxide synthase, CD14 and TGR5 expression in obstructive jaundice rats 被引量:11
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作者 Zi-Kai Wang Jian-Guo Xiao +2 位作者 Xue-Fei Huang Yi-Chun Gong Wen Li 《World Journal of Gastroenterology》 SCIE CAS 2013年第15期2319-2330,共12页
AIM: To investigate the effect of biliary drainage on inducible nitric oxide synthase (iNOS), CD14 and TGR5 expression in rats with obstructive jaundice (OJ). METHODS: Male adult Sprague-Dawley rats were randomly assi... AIM: To investigate the effect of biliary drainage on inducible nitric oxide synthase (iNOS), CD14 and TGR5 expression in rats with obstructive jaundice (OJ). METHODS: Male adult Sprague-Dawley rats were randomly assigned to four groups: OJ, sham operation (SH), internal biliary drainage (ID) and external biliary drainage (ED). Rat models were successfully established by two operations and succumbed for extraction of Kupffer cells (KCs) and liver tissue collection on the 8 th and 15 th day. KCs were isolated by in situ hepatic perfusion and digested with collagen Ⅳ, density gradient centrifuged by percoll reagent and purified by cell culture attachment. The isolated KCs were cultured with the endotoxin lipopolysaccharide (LPS) with and without the addition of ursodeoxycholic acid (UDCA). The expression of iNOS, CD14 and bile acid receptor-TGR5 protein in rat liver tissues was determined by immunohistochemistry. The expression of iNOS and CD14 messenger RNA (mRNA) on the isolated KCs was detected by reverse transcription polymerase chain reaction (PCR) and the TGR5 mRNA level in KCs was measured by real-time quantitative PCR. RESULTS: The iNOS protein was markedly expressed in the liver of OJ rats, but rare expressed in SH rats. After relief of OJ, the iNOS expression was decidedly suppressed in the ID group (ID vs OJ, P < 0.01), but obviously increased in rats of ED (ED vs OJ, P=0.004). When interfered only with LPS, the expression of iNOS mRNA by KCs was increased in the OJ group compared with the SH group (P=0.004). After relief of biliary obstruction, the iNOS mRNA expression showed slight changes in the ED group (ED vs OJ, P=0.71), but dropped in the ID group (ID vs OJ, P=0.001). Compared with the simple intervention with LPS, the expressions of iNOS mRNA were significantly inhibited in all four groups after interfered with both LPS and UDCA (P < 0.01, respectively). After bile duct ligation, the CD14 protein expression in rat liver was significantly strengthened (OJ vs SH, P < 0.01), but the CD14 mRNA leve 展开更多
关键词 OBSTRUCTIVE JAUNDICE BILIARY drainage KUPFFER cells CD14 TGR5 Ursodeoxycholic acid
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Acid mine drainage and heavy metal contamination in groundwater of metal sulfide mine at arid territory (BS mine,Western Australia) 被引量:12
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作者 雷良奇 宋慈安 +2 位作者 谢襄漓 李艳红 王飞 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2010年第8期1488-1493,共6页
The issues of acid mine drainage (AMD) and heavy metals contamination in the metal sulfide mine in the add district were explored, through studying the acidification and the heavy metals distribution and evolution o... The issues of acid mine drainage (AMD) and heavy metals contamination in the metal sulfide mine in the add district were explored, through studying the acidification and the heavy metals distribution and evolution of groundwater in the black swan (BS) nickel sulfide mine (Western Australia). The groundwater samples were collected from the drilling holes situated in the vicinity of tailings storage facility (TSF) and in the background of the mine (away from TSF), respectively, and the pH and electric conductivity (Ec) were measured in site and the metal contents were analysed by ICP-MS and ICP-AES, quarterly in one hydrological year. The results disclose that the TSF groundwater is remarkably acidified (.pHmean=5, pHmin=3), and the average contents of heavy metals (Co, Cu, Zn, Cd) and Al, Mn are of 1-2 orders of magnitude higher in TSF groundwater than in background groundwater. It may be due to the percolation of tailings waste water from miU process, which leads the tailings to oxidize and the deep groundwater to acidify and contaminate with heavy metals. Besides, the heavy metals concentration in groundwater may be controlled by pH mainly. 展开更多
关键词 nickel ore tailings acid mine drainage heavy metals groundwater contamination
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氨甲环酸对初次全膝关节置换术后引流管拔除时机的影响 被引量:11
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作者 王金良 李哲 +2 位作者 骆晓飞 蔡松涛 魏瑄 《中华骨科杂志》 CAS CSCD 北大核心 2020年第10期635-643,共9页
目的探讨初次单侧全膝关节置换术中应用氨甲环酸对术后引流管拔除时机的影响。方法纳入2017年6月至2018年12月拟行初次单侧全膝关节置换术的患者182例,男42例,女140例;年龄(68.1±7.1)岁(范围60~76岁)。按随机数字表法分为四组:氨... 目的探讨初次单侧全膝关节置换术中应用氨甲环酸对术后引流管拔除时机的影响。方法纳入2017年6月至2018年12月拟行初次单侧全膝关节置换术的患者182例,男42例,女140例;年龄(68.1±7.1)岁(范围60~76岁)。按随机数字表法分为四组:氨甲环酸1组45例、氨甲环酸2组46例、氨甲环酸3组46例和非氨甲环酸组45例,分别于术后12 h、18 h、24 h、24 h拔除引流管。氨甲环酸1~3组术前30 min静脉滴注联合局部应用氨甲环酸;非氨甲环酸组术后仅以100 ml生理盐水关节腔内局部灌注。比较四组引流量、总失血量、隐性失血量、术后关节肿胀度、美国特种外科医院(Hospital for Special Surgery,HSS)膝关节评分、疼痛视觉模拟评分(visual analogue scale,VAS)的差异。结果氨甲环酸1~3组术后引流量分别为(85.5±34.3)ml、(189.4±72.3)ml、(215.3±93.4)ml,少于非氨甲环酸组的(351.3±113.5)ml,差异有统计学意义(F=11.5,P=0.005),其中氨甲环酸1组术后引流量少于氨甲环酸2组和氨甲环酸3组;氨甲环酸1~3组术后总失血量分别为(699.0±255.7)ml、(710.4±296.1)ml、(715.8±248.2)ml,少于非氨甲环酸组的(1130.5±354.2)ml,差异有统计学意义(F=13.1,P=0.001)。氨甲环酸1~3组术后第4天膝关节肿胀度分别为1.25±0.07、1.13±0.12、1.12±0.13,小于非氨甲环酸组的1.43±0.22,差异有统计学意义(F=8.23,P=0.015),其中氨甲环酸1组大于氨甲环酸2组和氨甲环酸3组。非氨甲环酸组和氨甲环酸3组分别出现细菌培养阳性2例;非氨甲环酸组出现血肿3例,其中伤口延迟愈合1例。结论全膝关节置换术后氨甲环酸的应用能减少术后引流量、隐性失血量及总失血量;术后18 h拔除引流管既能充分引流、减轻疼痛、促进膝关节功能恢复,又能有效降低引流管导致的感染风险。 展开更多
关键词 氨甲环酸 关节成形术 置换 引流术 失血 手术 感染
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氨甲环酸关节腔注射联合引流管夹闭3h在单侧全膝关节置换术中止血效果分析 被引量:10
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作者 杨朝君 孙智文 +1 位作者 张爱民 韩立业 《中华损伤与修复杂志(电子版)》 CAS 2014年第6期47-52,共6页
目的探讨局部应用氨甲环酸联合引流管夹闭3 h对单侧全膝关节置换术出血量的影响。方法 2012年6月至2014年6月,前瞻性选择100例患有骨性关节炎行初次全膝关节置换术(TKA)的患者,随机分为两组:实验组(n=51),关节置换完成后松止血带前自引... 目的探讨局部应用氨甲环酸联合引流管夹闭3 h对单侧全膝关节置换术出血量的影响。方法 2012年6月至2014年6月,前瞻性选择100例患有骨性关节炎行初次全膝关节置换术(TKA)的患者,随机分为两组:实验组(n=51),关节置换完成后松止血带前自引流管向关节腔注入氨甲环酸10 m L(含1 000 mg)+0.9%氯化钠10 m L,注入后引流管夹闭3 h;对照组(n=49),同期关节腔注入0.9%氯化钠溶液20 m L,注射后引流管未夹闭。比较两组患者术后1、7、14 d血红蛋白含量、术后最大血红蛋白丢失量、引流量、隐性失血量、总失血量、输血量、输血率、术后1 d D-二聚体值、术后7 d下肢静脉血栓(VTE)发生率、皮下瘀斑面积>1%发生率。其中计量资料的比较采用两独立样本t检验,率的比较采用χ2检验。结果术后1、7、14 d血红蛋白平均含量实验组高于对照组,差异有统计学意义(P<0.05)。术后最大血红蛋白丢失量、引流量、隐性失血量实验组少于对照组,差异有统计学意义(P<0.05)。实验组、对照组患者总失血量分别为(712.6±260.5)m L、(1109.6±350.5)m L,两组比较差异有统计学意义(t=6.45,P<0.05)。实验组与对照组输血量分别为(27.0±49.2)m L、(232.0±119.3)m L,两组比较差异有统计学意义(t=11.30,P<0.05);实验组与对照组输血患者分别为5例和21例,输血率分别为9.8%和42.9%,两组比较差异有统计学意义(χ2=14.19,P<0.05)。两组术后1 d D二聚体含量均升高,实验组低于对照组,差异有统计学意义(t=2.65,P<0.05);术后7 d两组患者静脉多普勒超声检查发现VTE发生率比较差异无统计学意义(χ2=0.24,P>0.05),术后皮下瘀斑面积>1%的发生率实验组少于对照组,差异有统计学意义(χ2=4.67,P<0.05)。结论 TKA术中局部应用氨甲环酸联合引流管夹闭3 h可显著降低TKA术后失血量、输血率及皮下瘀斑面积>1%发生率,并未增加血栓形成风险,是安全有效的。 展开更多
关键词 关节成形术 置换 氨甲环酸 止血 手术 引流术
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Effect of pyrite, elemental sulfur and ferrous ions on EPS production by metal sulfide bioleaching microbes 被引量:9
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作者 贺治国 杨彦平 +2 位作者 周珊 胡岳华 钟慧 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2014年第4期1171-1178,共8页
Extracellular polymeric substances (EPS) produced by acidophilic bioleaching microorganisms play an important role in the production of acid mine drainage and metal sulfide bioleaching. EPS mediate the contact betwe... Extracellular polymeric substances (EPS) produced by acidophilic bioleaching microorganisms play an important role in the production of acid mine drainage and metal sulfide bioleaching. EPS mediate the contact between microbial cells and growth substrates, having a pivotal role in organic film formation and bacterium-substratum interactions. The production and chemical composition of EPS produced by seven bioleaching strains grown with different substrates were studied. Analysis of the EPS extracted from these strains indicated that the EPS consisted of carbohydrates, proteins and galacturonic acid. The contents of EPS, carbohydrates, proteins and galacturonic acid of EPS were largely related to the kind of strain used and culture condition. The results show that EPS productions of microbes grown with pyrite were significantly higher than those of microbes grown with sulfur or FeSO4·7H2O. The highest EPS production of the seven acidiphilic strains was (159.43±3.93) mg/g, which was produced by Leptospirillum ferriphilum CBCBSUCSU208015 when cultivated with pyrite. 展开更多
关键词 acid mine drainage carbohydrates extracellular polymeric substances galacturonic acid metal sulfide BIOLEACHING
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氨甲环酸浸渍明胶海绵对腰椎手术患者术后出血的影响 被引量:9
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作者 张嘉男 刘继军 +6 位作者 贺欣 孟羿彬 黄云飞 吴起宁 高林 杨光 郝定均 《中国骨与关节外科》 2015年第6期508-511,522,共5页
背景:腰椎手术相关并发症的防治逐渐得到重视,但如何减少术后引流量较大导致的输血及住院时间延长鲜有报道。目的:探讨氨甲环酸(TXA)浸渍可吸收明胶海绵局部止血对腰椎多节段手术患者术后引流量及住院时间的影响。方法:本前瞻、随机对... 背景:腰椎手术相关并发症的防治逐渐得到重视,但如何减少术后引流量较大导致的输血及住院时间延长鲜有报道。目的:探讨氨甲环酸(TXA)浸渍可吸收明胶海绵局部止血对腰椎多节段手术患者术后引流量及住院时间的影响。方法:本前瞻、随机对照研究纳入2013年7月至2014年12月行双节段腰椎后路减压融合术的患者80例。在关闭切口前随机将浸有氨甲环酸的明胶海绵应用于腰椎显露伤口中(试验组)或不做该止血措施(对照组)。手术均由同一主刀医师完成。比较两组术后总引流量、引流终止时间、术后住院时间、再入院人数及术后并发症。结果:共73例患者完成本研究,试验组35例,对照组38例。两组患者年龄、性别、体重指数、手术时间、术中失血量、术中输血例数、术中输血量无显著差异(P>0.05)。试验组的术后平均总引流量、引流时间及术后平均住院时间均显著少于对照组([213±127]ml vs[329±152]ml,[2.5±0.3]d vs[3.5±0.3]d,[3.1±0.7]d vs[4.1±0.7]d,P<0.05)。两组病例在出院后30 d内未出现局部用药相关的不良反应,未发现因相关并发症再入院者。结论:腰椎多节段手术中采用氨甲环酸浸渍可吸收明胶海绵止血可显著减少术后引流量,并缩短患者住院时长。 展开更多
关键词 氨甲环酸 明胶海绵 腰椎手术 引流量 住院时间
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深层裂缝性碳酸盐岩储层混氮酸压技术 被引量:6
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作者 王建栋 刘雄飞 +1 位作者 时际明 刘成 《新疆石油学院学报》 2002年第1期15-18,26,共5页
塔河油田奥陶系碳酸盐油藏 ,埋藏深、温度高 ,酸液滤失大 ,酸岩反应缓速困难。通过对混气酸压降滤、缓速、助排、造缝作用机理的研究 ,总结出该技术的工艺特点、控制要点、混注程序及注气量。在塔河油田现场应用 ,能提高残酸的返排能力 。
关键词 深层 裂缝性碳酸盐岩 储层 混氮酸压技术 氮气 助排 降滤失
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不同剂量氨甲环酸局部应用并不放置引流减少全膝关节置换后失血 被引量:9
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作者 段国庆 任春凤 《中国组织工程研究》 CAS 北大核心 2017年第35期5583-5588,共6页
背景:人工膝关节置换是治疗终末期膝关节骨性关节炎的有效方法,可以明显缓解疼痛,改善功能。但术后大量失血是其较为严重的并发症之一,如何减少术后失血一直困扰着关节外科医生。目的:探讨不同剂量氨甲环酸关节内局部应用结合不放置引... 背景:人工膝关节置换是治疗终末期膝关节骨性关节炎的有效方法,可以明显缓解疼痛,改善功能。但术后大量失血是其较为严重的并发症之一,如何减少术后失血一直困扰着关节外科医生。目的:探讨不同剂量氨甲环酸关节内局部应用结合不放置引流减少全膝关节置换后失血的效果。方法:选择行全膝关节置换的150例骨关节炎患者,随机分成3组,每组50例。A组为关节腔注射氨甲环酸2 g加生理盐水稀释至50 m L;B组为关节腔注射氨甲环酸1 g加生理盐水稀释至50 m L;C组为对照组,关节内注射生理盐水50 m L,均不放置引流。记录和比较3组患者术后不同时间点的血红蛋白值、输血人数、术中失血量、术后显性失血量、术后隐性失血量、术后总失血量和术后3 h相关凝血指标,观察有无切口感染、下肢深静脉血栓形成等并发症发生。结果与结论:(1)3组患者相比,术后第1,3,5天血红蛋白值差异均有显著性意义(F=7.218-7.516,P=0.000);(2)术后A,B,C组患者输血人数分别为2,5和9例,差异亦有显著性意义(χ~2=5.753,P=0.000);(3)3组患者之间术中失血量差异无显著性意义(F=1.206,P=5.283),术后显性失血量比较差异有显著性意义(F=14.389,P=0.000),术后隐性失血量差异有显著性意义(F=7.158,P=0.009),术后总失血量差异亦有显著性意义(F=6.752,P=0.012),且止血效果与氨甲环酸呈剂量依赖效应;(4)3组患者术后3 h凝血指标比较差异无显著性意义(P>0.05);(5)术后1周复查下肢血管彩超,未见明显下肢深静脉血栓形成;术后3个月内观察3组患者未见症状性深静脉血栓和肺栓塞发生;(6)综上,全膝关节置换术中关节内注射氨甲环酸且不放置引流,可以有效减少围手术期失血和输血,不增加并发症,且止血效果与氨甲环酸呈剂量依赖关系。 展开更多
关键词 骨科植入物 人工假体 氨甲环酸 引流 全膝关节置换 失血
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股骨颈骨折全髋关节置换术中局部应用氨甲环酸的疗效分析 被引量:7
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作者 杨乐 胡方勇 《实用临床医药杂志》 CAS 2020年第20期29-32,36,共5页
目的探讨氨甲环酸单纯局部应用对老年股骨颈骨折患者行全髋关节置换术(THA)后失血量及输血率的影响。方法回顾性分析因股骨颈骨折在本院行单侧THA的60例患者的临床资料,根据术中有无局部使用氨甲环酸分为2组。氨甲环酸组30例患者术中局... 目的探讨氨甲环酸单纯局部应用对老年股骨颈骨折患者行全髋关节置换术(THA)后失血量及输血率的影响。方法回顾性分析因股骨颈骨折在本院行单侧THA的60例患者的临床资料,根据术中有无局部使用氨甲环酸分为2组。氨甲环酸组30例患者术中局部应用氨甲环酸170 mL冲洗浸泡,对照组30例患者术中不使用氨甲环酸。所有患者夹管6 h后接引流袋,术后24 h拔除引流管。比较2组输血率,记录术中出血量、术后引流量、并发症情况及术后第1、3天血红蛋白(Hb)及平均红细胞压积(MCV)水平。结果氨甲环酸组输血率为3.33%,低于对照组的36.67%,术后24 h引流量为(130.00±63.03)mL,小于对照组的(264.33±141.23)mL,差异均有统计学意义(P<0.05);氨甲环酸组术后第1、3天Hb及MCV均高于对照组,差异有统计学意义(P<0.05)。2组术后第1天Hb的丢失量差异有统计学意义(P<0.05),术后第3天Hb丢失量比较,差异无统计学意义(P>0.05)。2组患者术后均无深静脉血栓形成、肺部感染、切口感染等并发症发生。结论老年股骨颈骨折患者行THA术中单纯局部应用氨甲环酸可明显降低输血率,减少术后引流量和隐性失血量,同时不会增加并发症发生风险。 展开更多
关键词 股骨颈骨折 全髋关节置换术 氨甲环酸 输血率 引流量
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Fe/S oxidation-coupled arsenic speciation transformation mediated by AMD enrichment culture under different pH conditions 被引量:2
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作者 Yu-hang Zhou Wei-xi Huang +5 位作者 Zhen-yuan Nie Hong-chang Liu Yue Liu Can Wang Jin-lan Xia Wen-sheng Shu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2024年第3期681-700,共20页
Arsenic(As)speciation transformation in acid mine drainage(AMD)is comprehensively affected by biological and abiotic factors,such as microbially mediated Fe/S redox reactions and changes in environmental conditions(pH... Arsenic(As)speciation transformation in acid mine drainage(AMD)is comprehensively affected by biological and abiotic factors,such as microbially mediated Fe/S redox reactions and changes in environmental conditions(pH and oxidation-reduction potential).However,their combined impacts on arsenic speciation transformation remain poorly studied.Therefore,we explored arsenic transformation and immobilization during pyrite dissolution mediated by AMD enrichment culture under different acidic pH conditions.The results for incubation and mineralogical transformation of solid residues show that in the presence of AMD enrichment culture,pH 2.0,2.5,and 3.0 are more conducive to the formation of jarosites and ferric arsenate,which could immobilize high quantities of dissolved arsenic by adsorption and coprecipitation.The pH conditions significantly affect the initial adsorption of microbial cells to the minerals and the evolution of microbial community structure,further infuencing the biodissolution of pyrite and the release and oxidation process of Fe/S.The results of Fe/S/As speciation transformation of the solid residues show that the transformation of Fe,S,and As in solution is mainly regulated by pH and potential values,which imposed significantly different effects on the formation of secondary minerals and thus arsenic oxidation and immobilization.The above results indicated that arsenic transformation is closely related to the Fe/S oxidation associated with pyrite bio-oxidation,and this correlation is critically regulated by the pH conditions of the system. 展开更多
关键词 acid mine drainage(AMD) pH conditions Fe/S/As speciation transformation Microbial community structure
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