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find Author "张雄" 5 results
  • 主动脉瘤的杂交手术治疗

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  • Pattern recognition analysis of Alzheimer’s disease based on brain structure network

    Alzheimer’ s disease is the most common kind of dementia without effective treatment. Via early diagnosis, early intervention after diagnosis is the most effective way to handle this disease. However, the early diagnosis method remains to be studied. Neuroimaging data can provide a convenient measurement for the brain function and structure. Brain structure network is a good reflection of the fiber structural connectivity patterns between different brain cortical regions, which is the basis of brain’s normal psychology function. In the paper, a brain structure network based on pattern recognition analysis was provided to realize an automatic diagnosis research of Alzheimer’s disease and gray matter based on structure information. With the feature selection in pattern recognition, this method can provide the abnormal regions of brain structural network. The research in this paper analyzed the patterns of abnormal structural network in Alzheimer’s disease from the aspects of connectivity and node, which was expected to provide updated information for the research about the pathological mechanism of Alzheimer’s disease.

    Release date:2019-02-18 03:16 Export PDF Favorites Scan
  • CUFF 预开窗技术治疗胸主动脉腔内修复术后近端内漏

    目的探讨胸主动脉腔内修复手术中即时造影提示覆膜支架近端出现Ⅰ型内漏,通过追加植入体外预开窗的支架延长段(CUFF)以延长锚定区,并消除Ⅰ型内漏的手术方式的安全性、有效性及其技术要点。方法2016~2017 年阜外医院血管外科中心实施胸主动脉腔内修复手术 623 例,其中 6 例患者在第 1 枚覆膜支架植入后,采取了追加植入 1 枚体外预开窗 CUFF 的方法处理了近端Ⅰ型内漏并保留了弓部分支动脉。6 例患者平均年龄 63.3(54~76)岁,男 4 例、女 2 例,其中 Stanford B 型主动脉夹层 2 例,胸主动脉假性动脉瘤 1 例,主动脉穿通性溃疡 3 例,全部接受经股动脉途径的胸主动脉腔内修复术治疗。结果本组手术成功率 100.0%,预开窗技术分支动脉保留成功率 100.0%,预开窗平均时间 10.3(6~17)min。5 例保留了左锁骨下动脉,1 例同时保留了左颈总动脉和左锁骨下动脉,后者经开窗向左颈总动脉植入覆膜支架 1 枚。本组锁骨下动脉均未植入支架。Ⅰ型内漏消除率 83.3%(5/6),1 例患者术后仍有微少量内漏,未予进一步处理。所有患者均获得门诊或电话随访,随访时间 10.3(3~25)个月,即时造影残留微少量内漏患者于术后 3 个月随访时内漏完全消失,所有患者生活质量改善,无死亡患者。结论对于腔内修复治疗术中出现近端Ⅰ型内漏的主动脉弓降部疾病患者,采取追加植入体外预开窗 CUFF 的方法,可在延长近端锚定区的同时成功保留弓上分支动脉。

    Release date:2020-01-17 05:18 Export PDF Favorites Scan
  • Research on the characteristics of the dynamic functional connectivity network related to aging

    Brain aging can affect the strength of functional connectivity between brain regions. In recent years, studies have shown that functional connectivity is fluctuant over time, and can reflect more physiological and pathological information. Therefore, in the study resting state functional magnetic resonance imaging (fMRI) data of 32 elderly subjects and 36 younger subjects were selected, and the sliding window technique was used to estimate dynamic functional connectivity network. Then, the dependency of fluctuating energy difference on frequency band was studied using wavelet packet analysis, conducting the linear regression with age at the same time. Results showed that the fluctuating energy in older group was significantly higher than that in the young group in low frequency, and it was significantly lower than that in the young people in high frequency. These results suggested that the dynamic functional connectivity between networks in the elderly exist slow wave phenomenon, which may be related to the decreased reaction rate of the elderly. This article provides new ideas and methods for the research about brain aging, and promotes a theoretical basis for further understanding of the physiological significance of brain dynamic functional connectivity.

    Release date:2017-04-13 10:03 Export PDF Favorites Scan
  • The evolution history of percutaneous ventricular assist device

    Percutaneous ventricular assist device (PVAD) is a minimally invasive treatment which can replace the function of the failing heart. It provides circulatory support for patients with severe emergent cardiovascular diseases such as complex coronary artery disease, acute myocardial infarction complicated by cardiogenic shock, and acute decompensated chronic heart failure. PVAD has been developed since the rise of the Hemopump, to the prosperity of the Impella, and increasingly been used as a haemodynamic support to improve prognosis. This article will review the evolution and clinical application of PVAD.

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