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减小喉罩型号改善通气效果的临床观察
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作者 张风敏 王华 孙苏娟 《河北医药》 CAS 2024年第7期1049-1051,1055,共4页
目的探讨减小喉罩型号改善通气效果的临床观察。方法选取喉罩固定翼距门齿距离>3 cm的男性患者60例为研究对象,随机分为试验组和对照组,每组30例。比较试验组(3号喉罩)与对照组(4号喉罩)的通气优良率、FOB理想位置比例、气道峰压差及... 目的探讨减小喉罩型号改善通气效果的临床观察。方法选取喉罩固定翼距门齿距离>3 cm的男性患者60例为研究对象,随机分为试验组和对照组,每组30例。比较试验组(3号喉罩)与对照组(4号喉罩)的通气优良率、FOB理想位置比例、气道峰压差及2组喉罩置入后的密封压、套囊内压、漏气率,比较2组喉罩远端与食道入口距离,观察2组喉罩拔出时带血丝情况,术后24 h咽部并发症发生情况(包括术后咽痛、声嘶)及咽痛持续时间。2组患者设置的呼吸参数相同。结果试验组喉罩置入后通气成功率、FOB理想位置置入比例及通气效果优良率提高,漏气率值降低,密封压值提高,喉罩远端距食道入口距离较对照组减小,术后咽部并发症发生率较对照组低,差异均有统计学意义(P<0.05)。结论对于喉罩固定翼距门齿距离>3 cm的患者,通过减小喉罩型号,使喉罩放置理想位置比例增加,通气优良率升高,漏气率降低,密封压值提高,咽部并发症降低,可改善喉罩通气效果,安全有效。 展开更多
关键词 全身麻醉 SUPREME喉罩 更换型号 密封压 漏气
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新型无创呼吸机头带在老年心衰患者救治中的应用效果评价 被引量:4
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作者 王扬静 李婷茹 +3 位作者 王素英 季学丽 高春红 何斌 《安徽医学》 2020年第9期1084-1087,共4页
目的讨论新型无创呼吸机头带在急诊抢救室老年心衰患者中的应用效果。方法选取2017年2月至2019年10月江苏省人民医院急诊抢救室107例老年急性心衰患者,用随机数字法分为试验组55例,对照组52例,试验组使用新型无创呼吸机头带(以下简称新... 目的讨论新型无创呼吸机头带在急诊抢救室老年心衰患者中的应用效果。方法选取2017年2月至2019年10月江苏省人民医院急诊抢救室107例老年急性心衰患者,用随机数字法分为试验组55例,对照组52例,试验组使用新型无创呼吸机头带(以下简称新型头带)配合无创呼吸机辅助通气,对照组使用传统的无创呼吸机头带(以下简称传统头带)配合无创呼吸机辅助通气,比较两组开始使用无创呼吸机时和使用1 h、2 h后三个时间段的漏气值、动脉血气值以及6 h内颜面部皮肤压力性损伤发生率、患者综合舒适度、对护士操作满意度、护士操作佩戴头带时间等情况。结果两组患者开始无创正压通气(NIPPV)治疗时的漏气值、动脉血气分析指标、生命体征等差异均无统计学意义(P>0.05);与开始NIPPV治疗时相比,两组患者治疗1h、2h后的心率、呼吸频率下降,血氧分压(PaO2)、指脉氧和漏气值上升,差异有统计学意义(P<0.05),且试验组患者的漏气值、心率、呼吸频率低于对照组,PaO2、指脉氧高于对照组,差异有统计学意义(P<0.05);两组患者漏气值、PaO2、生命体征在组别和时间效应上均存在交互作用,差异有统计学意义(P<0.05)。试验组6 h内颜面部皮肤压力性损伤发生率(1.8%)明显低于对照组(11.5%),试验组患者综合舒适度(72%)及对护士操作满意度(80%)均优于对照组,护士佩戴新型头带时间[(29.04±2.42)s]短于传统头带佩戴时间[(41.54±2.85)s],差异均有统计学意义(P<0.05)。结论新型无创呼吸机头带在救治过程中可降低患者面部压力性损伤发生率,改善患者低氧血症情况,还能提高患者舒适度及满意度,值得临床推广。 展开更多
关键词 无创呼吸机头带 老年心衰患者 漏气值 压力性损伤
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基于OBD诊断问题的进气歧管设计改进
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作者 田彤 马学文 +1 位作者 黄振霞 陈旭健 《装备制造技术》 2022年第2期175-177,共3页
OBD的主要功能是监视和检测与车辆行驶过程排放控制相关的部件运行状态,包括发动机、催化器、氧传感器、颗粒捕集器、燃料系统和废气再循环等零部件。中国第六阶段OBD中要求对发动机的PCV系统进行诊断,包括PCV阀到进气歧管连接段断开故... OBD的主要功能是监视和检测与车辆行驶过程排放控制相关的部件运行状态,包括发动机、催化器、氧传感器、颗粒捕集器、燃料系统和废气再循环等零部件。中国第六阶段OBD中要求对发动机的PCV系统进行诊断,包括PCV阀到进气歧管连接段断开故障的诊断和PCV阀到曲轴箱连接段断开故障的诊断。PCV阀到进气歧管连接段又称为PCV低压管路,该段管路的诊断可由燃油系统进行,发动机从软管脱落的地方吸入大量空气,所以可以检测出燃料系统的异常,一般是通过进气量模型或者进气流量传感器计算出理论进气量,然后和实际进气量进行对比,诊断是否存在断开故障。车辆正常状态时,PCV低压管路处漏气量的自学习值合理范围为0~6kg/h。若PCV低负荷管路断开,检测所得到漏气量自学习值与正常状态值相比要求区分度较大;如区分度较小,售后车辆可能会存在故障误报或者不报风险。该研究对某车型存在的漏气量自学习值区分度较小的问题进行排查,提出设计改进方案并进行检测验证。 展开更多
关键词 OBD诊断 PCV系统 漏气量自学习
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Numerical investigation of turbulent bubbly wakes created by the ventilated partial cavity 被引量:1
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作者 XIANG Min ZHANG WeiHua +1 位作者 CHEUNG S.C.P. TU JiYuan 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS 2012年第2期297-304,共8页
This paper presents a numerical study on the turbulent bubbly wakes created by the ventilated partial cavity.A semi-empirical approach is introduced to model the discrete interface of the ventilated cavity and its com... This paper presents a numerical study on the turbulent bubbly wakes created by the ventilated partial cavity.A semi-empirical approach is introduced to model the discrete interface of the ventilated cavity and its complex gas leakage rate induced by the local turbulent shear stress.Based on the Eulerian-Eulerian two-fluid modeling framework,a population balance approach based on MUltiple-SIze-Group (MUSIG) model is incorporated to simulate the size evolution of the sheared off microbubbles and its complex interactions with the two-phase flow structure in the wake region.Numerical predictions at various axial locations downstream of the test body were in satisfactory agreement with the experimental measurements.The captured bubbly wake structure illustrates that the bubbles may disperse as a twin-vortex tube driven by gravity effect.The predicted Sauter mean bubble diameter has confirmed the dominance of the coleascense process in the axial direction.As the bubbles develop downstream,the coleascense and breakup rate gradually reach balance,resulting in the stable bubble diameter.A close examination of the flow structures,gas void fraction distributions and the bubble size evolution provides valuable insights into the complex physical phenomenon induced by ventilated cavity. 展开更多
关键词 ventilated cavity population balance bubbly wake computational fluid dynamics
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Numerical Investigation of Influence of Tip Leakage Flow on Secondary Flow in Transonic Centrifugal Compressor at Design Condition 被引量:12
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作者 Masanao Kaneko Hoshio Tsujita 《Journal of Thermal Science》 SCIE EI CAS CSCD 2015年第2期117-122,共6页
In a centrifugal compressor, the leakage flow through the tip clearance generates the tip leakage vortex by the in- teraction with the main flow, and consequently makes the flow in the impeller passage more complex by... In a centrifugal compressor, the leakage flow through the tip clearance generates the tip leakage vortex by the in- teraction with the main flow, and consequently makes the flow in the impeller passage more complex by the inte- raction with the passage vortex. In addition, the tip leakage vortex interacts with the shock wave on the suction surface near the blade tip in the transonic centrifugal compressor impeller. Therefore, the detailed examination for the influence of the tip leakage vortex becomes seriously important to improve the aerodynamic performance cs- pccia|ly for the transonic centrifugal compressor. In this study, the flows in the transonic centrifugal compressor with and without the tip clearance at the design condition were analyzed numerically by using the commercial CFD code. The computed results revealed that the tip leakage vortex induced by the high loading at the blade tip around the leading edge affected the loss generation by the reduction or the suppression of the shock wave on the suction surface of the blade. 展开更多
关键词 Transonic Centrifugal Compressor Leakage Vortex Secondary Flow Shock Wave Numerical Analysis
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Numerical Investigation of the Interaction between Mainstream and Tip Shroud Leakage Flow in a 2-Stage Low Pressure Turbine
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作者 JIA Wei LIU Huoxing 《Journal of Thermal Science》 SCIE EI CAS CSCD 2014年第3期215-222,共8页
The pressing demand for future advanced gas turbine requires to identify the losses in a turbine and to understand the physical mechanisms producing them. In low pressure turbines with shrouded blades, a large portion... The pressing demand for future advanced gas turbine requires to identify the losses in a turbine and to understand the physical mechanisms producing them. In low pressure turbines with shrouded blades, a large portion of these losses is generated by tip shroud leakage flow and associated interaction. For this reason, shroud leakage losses are generally grouped into the losses of leakage flow itself and the losses caused by the interaction between leakage flow and mainstream. In order to evaluate the influence of shroud leakage flow and related losses on turbine performance, computational investigations for a 2-stage low pressure turbine is presented and discussed in this paper. Three dimensional steady multistage calculations using mixing plane approach were performed including detailed tip shroud geometry. Results showed that turbines with shrouded blades have an obvious advantage over unshrouded ones in terms of aerodynamic performance. A loss mechanism breakdown analysis demonstrated that the leakage loss is the main contributor in the first stage while mixing loss dominates in the second stage. Due to the blade-to-blade pressure gradient, both inlet and exit cavity present non-uniform leakage injection and extraction. The flow in the exit cavity is filled with cavity vortex, leakage jet attached to the cavity wall and recirculation zone induced by main flow ingestion. Furthermore, radial gap and exit cavity size of tip shroud have a major effect on the yaw angle near the tip region in the main flow. Therefore, a full calculation of shroud leakage flow is necessary in turbine performance analysis and the shroud geometric features need to be considered during turbine design process. 展开更多
关键词 tip shroud leakage flow entropy rise low pressure turbine aerodynamic loss
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