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Wells评分、Geneva评分和YEARS法对疑似肺栓塞住院患者诊断价值的对比研究 被引量:14
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作者 刘剑 孙林 +3 位作者 向华 刘觉仕 张智明 方志勇 《介入放射学杂志》 CSCD 北大核心 2021年第6期552-556,共5页
目的探讨Wells评分、Geneva评分和YEARS法对疑似肺栓塞(PE)住院患者的诊断价值。方法回顾性分析2017年1月至2020年6月因胸痛、呼吸困难和咯血于湖南省人民医院住院治疗的946例疑似PE患者。记录所有入组患者病史、临床表现和辅助检查结... 目的探讨Wells评分、Geneva评分和YEARS法对疑似肺栓塞(PE)住院患者的诊断价值。方法回顾性分析2017年1月至2020年6月因胸痛、呼吸困难和咯血于湖南省人民医院住院治疗的946例疑似PE患者。记录所有入组患者病史、临床表现和辅助检查结果等指标。入组患者均接受Wells评分、Geneva评分和YEARS法评估。以CT肺血管造影(CTPA)为标准,分析3种评分诊断PE的灵敏度、特异度、准确度和Youden指数,同时将3组评分结果与CTPA结果进行一致性分析,并绘制受试者工作特征曲线(ROC),计算曲线下面积(AUC),评估3种评分系统诊断PE价值。结果 946例患者中CTPA确诊为PE患者257例(27.2%)。Wells评分、 Geneva评分、YEARS法诊断PE灵敏度分别为88.72%、75.88%、93.00%,特异度分别为35.37%、59.36%、25.11%,准确度分别为50.11%、63.85%、43.55%,Youden指数分别为0.24、0.35、0.18。Wells评分、Geneva评分、YEARS法与CTPA的Kappa值分别为0.16、0.28、0.11。3种评分准确度两两比较差异均有显著统计学意义(P<0.01)。Wells评分、Geneva评分、YEARS法诊断PE的AUC分别为0.622±0.019、0.676±0.019、0.591±0.020,其中Geneva评分AUC最大,与Wells评分、YEARS法差异均有统计学意义(P<0.0167),Wells评分与YEARS法差异无统计学意义(P>0.0167)。结论 3种评分对疑似PE住院患者均有一定的诊断价值,Geneva评分整体诊断价值最高,Wells评分和YEARS法诊断均不理想。 展开更多
关键词 CT肺血管造影 D-二聚体 肺栓塞 WELLS评分 Geneva评分 years
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Wells评分和YEARS法对肺栓塞诊断价值的比较 被引量:12
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作者 荆文花 李鸿宇 关英慧 《吉林大学学报(医学版)》 CAS CSCD 北大核心 2019年第1期88-93,共6页
目的:探讨深静脉血栓可能性评分(Wells评分)和简便诊断处理可疑肺栓塞(YEARS法)对肺栓塞患者的诊断价值,应用受试者工作特征(ROC)曲线对比Wells评分和YEARS法诊断肺栓塞的曲线下面积(AUC),以期发现更适用于临床的肺栓塞评分方法。方法:... 目的:探讨深静脉血栓可能性评分(Wells评分)和简便诊断处理可疑肺栓塞(YEARS法)对肺栓塞患者的诊断价值,应用受试者工作特征(ROC)曲线对比Wells评分和YEARS法诊断肺栓塞的曲线下面积(AUC),以期发现更适用于临床的肺栓塞评分方法。方法:选取因疑似肺栓塞的住院患者139例,其中临床确诊肺栓塞患者48例,收集所有入选患者的病史、临床表现和辅助检查等结果,所有入选研究对象均进行Wells评分和YEARS法评估,将肺动脉血管造影(CTPA)作为诊断的金标准,应用SPSS 22.0统计软件分析2组患者Wells评分和YEARS法诊断肺栓塞的灵敏度、特异度、误诊率、漏诊率和准确度,并对Wells评分、YEARS法和CTPA的结果进行一致性分析,进一步绘制Wells评分和YEARS算法诊断肺栓塞的ROC曲线,计算并比较AUC。结果:与YEARS法比较,Wells评分对肺栓塞诊断的特异度和准确度明显升高(P<0.05),误诊率明显降低(P=0.037),而灵敏度和漏诊率差异无统计学意义(P>0.05)。Wells评分与CTPA的Kappa值为0.45,一致性强度为中度;YEARS法与CTPA的Kappa值为0.22,一致性强度尚可;Wells评分与YEARS法的Kappa值为0.11,一致性较差。Wells评分方法诊断肺栓塞的AUC为0.753±0.044 (P<0.01),YEARS法诊断肺栓塞的AUC为0.585±0.049 (P=0.101)。结论:Wells评分在肺栓塞诊断评估方面总体上优于YEARS法。 展开更多
关键词 肺栓塞 WELLS评分 years 肺动脉血管造影
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可疑肺栓塞诊断新策略--YEARS评分 被引量:10
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作者 王悦悦 许启霞 《中国全科医学》 CAS 北大核心 2021年第26期3383-3386,3391,共5页
肺栓塞是一种误诊率、漏诊率极高的常见肺血管病,早期识别、早期诊治对改善患者预后至关重要。肺动脉造影是确诊肺栓塞的“金标准”,因其昂贵、有创、有辐射暴露风险,在临床已经逐渐被CT肺血管造影取代。但可疑肺栓塞的患者如果未经有... 肺栓塞是一种误诊率、漏诊率极高的常见肺血管病,早期识别、早期诊治对改善患者预后至关重要。肺动脉造影是确诊肺栓塞的“金标准”,因其昂贵、有创、有辐射暴露风险,在临床已经逐渐被CT肺血管造影取代。但可疑肺栓塞的患者如果未经有效评估,可能导致过度检查及不必要的医疗资源浪费,也增加了患者辐射暴露的风险。为了有效筛查可疑肺栓塞,目前有多种评分模型对可疑肺栓塞进行评估,但传统评分法相对较复杂,不易在临床工作广泛推广使用。YEARS评分是近年来针对可疑肺栓塞进行评估的新型评分模型,其是一种简单、快速的评估肺栓塞可能性的工具,可以安全有效排除可疑肺栓塞患者,该评分标准更为简便,易于记忆和临床推广。但因目前其临床应用研究有限,有待进一步在临床验证该评分的诊断价值。本文就YEARS评分的临床研究做一综述,以期为肺栓塞的诊断提供新思路、新方法。 展开更多
关键词 肺栓塞 诊断 临床评分 years评分 综述
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A Nine Years' Summing-up Report of TEDA's Development (1986 - 1994 ) 被引量:1
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作者 Tian Gui-ming Wan Qian Spokesman, Director of the Commission Office of TEDA. Visiting Professor of Tianjin Institute of Commerce Deputy Chief of Secretary Section of the Commission Office of TEDA 《南开经济研究》 CSSCI 北大核心 1994年第S3期40-45,共6页
Since 1986. a brand-new modern industrial city, full of vigor and vitality, has been towering aloftrapidly in what used to be salt marsh in the western part of Bohai Bay of China. With an annual out-put value of RMB ?... Since 1986. a brand-new modern industrial city, full of vigor and vitality, has been towering aloftrapidly in what used to be salt marsh in the western part of Bohai Bay of China. With an annual out-put value of RMB ? 14 billion. it has become one of the most lively and energetic areas of Tianjin andeven throughout the country for opening to the outside world and for developing exportoriented econo- 展开更多
关键词 TEDA A Nine years Summing-up Report of TEDA’s Development
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RECENT 200 YEARS CLIMATIC AND ENVIRONMENTAL RECORDS FROM THE FAR EAST RONGBUK ICE CORE, MT. QOMOLANGMA (EVEREST)
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作者 Kang Shichang\+1, Qin Dahe\+1,Cameron P. Wake\+2, Paul A. Mayewski\+2(1 Laboratory of Ice core and Cold Regions Environment, LIGG, CAS, Lanzhou 730000,China 2 Climate Change Research Center, Institute for the Study of Earth, Ocean and Space, Univers 《地学前缘》 EI CAS CSCD 2000年第S1期442-442,共1页
During the Sino\|American Expedition to Mt. Qomolangma in May 1997, a 41m ice core was recovered from an elevation of 6500m from the northern branch firn basin of the Far East Rongbuk Glacier in Mt. Everest. The ice c... During the Sino\|American Expedition to Mt. Qomolangma in May 1997, a 41m ice core was recovered from an elevation of 6500m from the northern branch firn basin of the Far East Rongbuk Glacier in Mt. Everest. The ice core was dated down to 1814 by counting δ 18 O peaks and referring to the variations of β activity and major ion concentrations. The average annual accumulation is 224mm (ice equivalent). Five cold periods and five warm periods have been reconstructed from the ice core for the last 200 years and the general tendency of climatic change is warming, which is agree with the temperature change in the Northern Hemisphere. Also the climatic records in Far East Rongbuk ice core has good agreement with that in the Guliya ice core. This indicates that the climatic changes are consistent in the northwestern and southern Qinghai—Tibetan Plateau, and the ranges of climatic changes are larger in southern Plateau than that in northwestern Plateau. Though the δ 18 O variations has some negatively correlation with precipitation amount for short time scale, these do not effect δ 18 O changes reflecting temperature for long time scale. 展开更多
关键词 recently 200 years CLIMATIC and ENVIRONMENTAL change ICE core Mt. Qomolangma
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Review of Marxist Political Party Theory Innovation Over the 70 Years Since the Establishment of PRC
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作者 Meng Pengfei 《学术界》 CSSCI 北大核心 2019年第11期215-224,共10页
since the establishment of the People’s Republic of China,the central leader-groups from generation to generation have been continuously exploring and innovating Marxist political party theory in terms of its value t... since the establishment of the People’s Republic of China,the central leader-groups from generation to generation have been continuously exploring and innovating Marxist political party theory in terms of its value target,ideological construction,working style,and organization developments.This process can be categorized into five stages:the founding stage in Mao Zedong’s era,the development stage in Deng Xiaoping’s ear,the promotion stage in Jiang Zemin’s times,the deepening stage under Hu Jintao’s leadership,and the stage of further innovation by Xi Jinping in the new era,with the characteristics of inheritance,development as well as scientificity and valuation. 展开更多
关键词 70years SINCE the ESTABLISHMENT of New China MARXIST POLITICAL PARTY theory progress characteristics
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Assessment on Temperature Changes of China During the Past 2000 Years
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作者 Zhixin Hao Quansheng Ge +1 位作者 Jingyun Zheng Xuemei Shao 《地学前缘》 EI CAS CSCD 北大核心 2009年第S1期98-99,共2页
The Fourth Assessment Report of IPCC(IPCCAR4)concluded that average Northern Hemispheretemperatures during the second half of the 20thcentury were very likely higher than that of any other50-year period in the last 50... The Fourth Assessment Report of IPCC(IPCCAR4)concluded that average Northern Hemispheretemperatures during the second half of the 20thcentury were very likely higher than that of any other50-year period in the last 500 years and likely thehighest in at least the past 1300 years.However,afterevaluating Global or Northern Hemisphere tempera-ture change series derived from ice cores,tree rings,sediments and historical document records,National Research Council of the National Academy assessedonly the result that global mean surface temperaturewas higher during the last few decades of the 20th century than during any comparable period during thepreceding four centuries"has a high level of confi-dence because less confidence can be placed in globaltemperature reconstructions for the period from A.D. 展开更多
关键词 climate change China past 2000 years multi-proxy data
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与临床可能性相适应的D-二聚体水平对急性肺血栓栓塞的诊断价值 被引量:10
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作者 刘佳明 郑锐 《中国医科大学学报》 CAS CSCD 北大核心 2021年第8期732-736,共5页
目的评价PEGeD法及YEARS法对急性肺血栓栓塞的诊断价值。方法选择疑似急性肺血栓栓塞患者454例,收集病史、临床表现、辅助检查,并进行标准诊断法、PEGeD法及YEARS法评估,以肺动脉血管造影术(CTPA)阳性作为确诊肺血栓栓塞的金标准,计算... 目的评价PEGeD法及YEARS法对急性肺血栓栓塞的诊断价值。方法选择疑似急性肺血栓栓塞患者454例,收集病史、临床表现、辅助检查,并进行标准诊断法、PEGeD法及YEARS法评估,以肺动脉血管造影术(CTPA)阳性作为确诊肺血栓栓塞的金标准,计算并比较3种评估方法诊断肺血栓栓塞的灵敏度、特异度,以及受试者工作特征(ROC)曲线下面积。结果标准诊断法诊断肺血栓栓塞的灵敏度为95.28%,特异度为37.65%。YEARS法诊断肺血栓栓塞的灵敏度为82.76%,特异度为52.16%。PEGeD法诊断肺血栓栓塞的灵敏度为90.76%,特异度为64.50%。标准诊断法、YEARS法及PEGeD法诊断肺血栓栓塞的ROC曲线下面积分别为0.665(95%CI:0.620~0.709),0.672(95%CI:0.627~0.715),0.776(95%CI:0.735~0.814),PEGeD法的ROC曲线下面积大于其他2种方法(P<0.001)。结论PEGeD法对急性肺血栓栓塞的诊断价值总体优于标准诊断法及YEARS法。 展开更多
关键词 肺血栓栓塞 years PEGeD法 WELLS评分 D-二聚体
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过去2000a中国东部冬半年温度变幅与周期
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作者 葛全胜 郑景云 刘健 《气候变化研究进展》 CSCD 2007年第z1期26-30,共5页
The amplitude and rhythm of temperature changes at inter-decadal and inter-centennial timescale were studied, based on the winter-half year temperature change series reconstructed from historical phenological events i... The amplitude and rhythm of temperature changes at inter-decadal and inter-centennial timescale were studied, based on the winter-half year temperature change series reconstructed from historical phenological events in eastern China for the past 2000 years, together with the temperature change simulation from ECHO-G model for the past 1000 years, and the quasi-periods of temperature fluctuation were discussed by using wavelet analysis. The results indicate: 1) the maximal amplitude of winter half-year temperature change in eastern China at decadal and centennial scale, was above 2℃ and 0.5-1.0℃ respectively. The reconstructed result indicates that the amplitude of warming during the 20th century was identical with the maximum amplitude before the 20th century in eastern China, but the simulated result suggests that the amplitude of warming has exceeded the maximum amplitude. 2) The rhythms of temperature change at centennial to millennial scale in eastern China were about 100-year, 250-year, 400-year, 600-year and 1000-year. The 20th century, the 1st-3rd century and the 9th-13th century were warm peaks at inter-centennial scale as well as at millennial scale. It is implicated that the warming during the 20th century should be attributed to not only anthropogenic effect, but also natural climate variation. 展开更多
关键词 WINTER half-year temperature change AMPLITUDE RHYTHM the PAST 2000 years EASTERN China
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2050年前长江流域极端降水预估 被引量:2
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作者 张增信 张强 张金池 《气候变化研究进展》 CSCD 2008年第z1期32-36,共5页
Daily maximum rainfall(R1D)was higher in the Jialing River basin,the Taihu Lake area and the mid-lower main stream section of the Yangtze River basin in the 1990s,and there was a good relationship between ECHAM5/MPI-O... Daily maximum rainfall(R1D)was higher in the Jialing River basin,the Taihu Lake area and the mid-lower main stream section of the Yangtze River basin in the 1990s,and there was a good relationship between ECHAM5/MPI-OM model simulation and the observed data about extreme precipitation(R1D).Under the IPCC SRES A2,A1B,and B1 scenarios,R1Ds are all projected to be in increasing trends in the upper Yangtze River basin during 2001-2050,and R1D shows a more significant increasing tendency under the A2 scenario when compared with the A1B scenario before 2020.With respect to the middle and lower Yangtze River basin,an increasing tendency is projected before 2025,and since then the increasing tendency will become insignificant.There might be more floods to the south of the Yangtze River and more droughts to the north in the next decades. 展开更多
关键词 YANGTZE River BASIN EXTREME precipitation DAILY maximum RAINFALL the year 2050 PROJECTION
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“总计共计……”的常见英译法
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作者 胡仲胤 《山东外语教学》 1982年第1期55-56,共2页
累积数字的总和在汉英两种语言中各有特定的表达方式。用具有总括意义的词语引出总合数字,是汉语行文的习惯。比如,“全部费用总计为500元。”、“共计有20万人参观了这一展览会。”在表意和具体功能上与“总计”、“共计”、“合计”... 累积数字的总和在汉英两种语言中各有特定的表达方式。用具有总括意义的词语引出总合数字,是汉语行文的习惯。比如,“全部费用总计为500元。”、“共计有20万人参观了这一展览会。”在表意和具体功能上与“总计”、“共计”、“合计”、“一共” 展开更多
关键词 全部费用 英语表达 口语词 及物动词 对应词 笔语 数量关系 总发电量 yearly hundred
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OBSERVING THE ENTIRE GLOBE FOR THE GOOD OF THE MANKIND——China takes an Active Part in Activities of the“International Space Year”
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作者 Chen Shupeng 《遥感信息》 CSCD 1990年第A02期2-2,共1页
The experience of the mankind in studying the planet of our own, is long and the progress is accelerated. From the numerous geographic adventures organized in the past thousand years came only the brief knowledge of t... The experience of the mankind in studying the planet of our own, is long and the progress is accelerated. From the numerous geographic adventures organized in the past thousand years came only the brief knowledge of the outline of the land and ocean; with the scientific explorations and topographic mapping activities done in the 300-plus years that followed, only about 30% of the land got mapped. But things have been changed greatly since the beginning of the century, when the air planes were put into use for mapping: up to 1950’s, the mapped areas had gone up to 70%; From 1957, a series of resource and environment satellites have been launched one after another,observing the globe, giving coverage of it and providing endlessly varieties of information about the seas and the lands day and night. 展开更多
关键词 China takes an Active Part in Activities of the International Space Year OBSERVING THE ENTIRE GLOBE FOR THE GOOD OF THE MANKIND
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Study on the Yield Reduction Mechanism of Soybean Planted under Continuous and every Second Year Cropping Conditions 被引量:3
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作者 ZuWei LiuZhongtang 《Journal of Northeast Agricultural University(English Edition)》 CAS 1998年第2期81-95,共15页
Three-year investigation was conducted to demonstrate the mechanism of reduction of soybean yield aroused by continuous and every second year cropping. Compared to normal cropping, there are many unfavorable changes i... Three-year investigation was conducted to demonstrate the mechanism of reduction of soybean yield aroused by continuous and every second year cropping. Compared to normal cropping, there are many unfavorable changes in some major elements of soybean plant and soil environment. Chloropyll content was lower. Phosphorous content of soybean plant was decreased seriously. Potassium content was lower while calcium content was higher. Magnesium content was wot affected and decreased in susceptive varieties. Some deseases and insects of soybean under continuous and wery second year cropping conditions became serious as continuous years prolonged. Organic matter content tended to go down from normal rotation to continuous cropping. Amount of bacteria and antinomyces decreased while amount of fungi increased. The development of symbiotic nitrogen fixation system wsa deteriorated. 展开更多
关键词 yield reduction mechanism SOYBEAN continous and every second year cropping condition
全文增补中
NEWSLETTER OF SERICULTUAL SCIENCE( Quarterly) Vol.19.1999Contents of the Year
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《蚕学通讯》 1999年第4期68-70,共3页
关键词 AI NEWSLETTER OF SERICULTUAL SCIENCE Quarterly Vol.19.1999Contents of the Year II
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“the Heel of Achilles”中的heel是脚后跟吗?
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作者 智华 《山东外语教学》 1980年第2期68-,共1页
英语中的“heel”,就是汉语里的“脚后跟”,无可争议。但成语“the heel of Achilles”(或“Achilles’s heel”),在《新英汉词典》里的释义是“唯一致命的弱点”,一般也可译成“致命弱点'、“要害”、“可乘之隙”,都与“脚后跟”... 英语中的“heel”,就是汉语里的“脚后跟”,无可争议。但成语“the heel of Achilles”(或“Achilles’s heel”),在《新英汉词典》里的释义是“唯一致命的弱点”,一般也可译成“致命弱点'、“要害”、“可乘之隙”,都与“脚后跟”不相干。有例句为证: 展开更多
关键词 HEEL 英汉词典 特洛伊战争 致命弱点 VULNERABLE 《伊利亚特》 yearly brought 荷马史诗 斯蒂
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