目的:探讨重型危重型新型冠状病毒感染者在门诊首诊时的临床特征和肺部CT表现。方法:回顾性分析发热门诊就诊的140例新型冠状病毒感染患者,其中中型组101例,重型危重型组39例。比较两组患者的一般人口学特征、临床表现、胸部薄层平扫CT(HRCT)检查及血常规+C反应蛋白(CRP)的差异性。结果:中型组和重型危重型组相比,①基线特征显示重型危重型组的年龄更高(66.05±14.38 vs. 77.90±13.12),首诊时病程更短(5.40±3.81 vs. 3.97±3.12),血氧饱和度(SPO2)更低(97.88±1.73 vs. 92.92±4.01),体温峰值(Tmax)更高(38.32±0.66 vs. 38.68±0.63);②肺部 CT显示重型危重型组的肺炎容积半定量更大(18.85±13.51 vs. 34.41±19.34);③血常规+CRP实验室检查显示重型危重型组的CRP更高(29.42±26.93 vs. 80.67±48.01),淋巴细胞计数(LYM)更低(1.64±0.68 vs. 0.95±0.64),粒细胞淋巴细胞比值更高(NLR)(3.48±2.46 vs. 9.36±10.42)。logistic回归分析显示年龄(OR=1.090,95%CI 1.006~1.181)、肺炎容积半定量(OR=1.086,95%CI 1.086~1.019)和SPO2(OR=0.261,95%CI 0.089~0.762)与新冠病毒感染重症危重症的发生相关,差异具有统计学意义;CRP(OR=1.054,95%CI 1.023~1.087)和LYM(OR=0.039,95%CI 0.04~0.391)与新冠病毒感染重症危重症的发生相关,差异具有显著统计学意义。结论:高龄、首诊时病程更短、SPO2更低、肺炎容积半定量更大、CRP升高、LYM下降与后期发展至新冠感染重型危重型相关,需要早期识别。 相似文献
This study focused on planktic foraminifera in plankton tows and surface sediments from the western Indian sector of Southern Ocean in order to evaluate the potential foraminiferal secondary calcification and/or dissolution in the sediment. It is found that the symbiotic foraminiferal species are abundant in the subtropical region, whereas non-symbiotic species dominate in the sub-Antarctic and polar frontal regions. The distribution of the symbiotic and non-symbiotic foraminiferal species is controlled by temperature, salinity, light, nutrients and phytoplankton biomass. There is also a lateral southern extent in abundance of planktic foraminifera from surface sediments to plankton tows. The shell weights of the planktic foraminifera N. pachyderma, G. bulloides and G. ruber within the surface sediments are on an average heavier by 27%, 34% and 40% respectively than shells of the same size within the plankton tows, indicative of secondary calcification. The planktic foraminiferal isotopes show the presence of heavier isotopes in the surface sediment foraminifera as compared to plankton tows, thus confirming secondary calcification. Secondary calcification in G. ruber occurs in the euphotic zone, whereas in case of N. pachyderma and G. bulloides it is at deeper depths. We also observed a decrease in the shell spines in surface sediment foraminifera as compared to plankton tows, indicative of the morphological changes that foraminifera underwent during gametogenesis. 相似文献
A difficulty in the interpretation of mechanical and thermo-mechanical tests on specimens drawn from large argillaceous formations is the strong inhomogeneity of void ratio, clay minerals and carbonates content.
In this paper a relationship is developed to link strength and the maximum preconsolidation stress to the initial void ratio and carbonate content. Compressibility is also correlated to carbonates.
Thermal strains in drained and undrained conditions for a Spanish, a belgian and an Italian natural clay are compared. In the elastic state strains are comparable, while in the plastic range thermal strains are highest for the Belgian clay, lower in the Spanish cemented clay and lowest in the Italian clay, very stiff and cemented. 相似文献
Dissolved organic matter(DOM) plays a vital role in promoting carbon and nutrient cycling.It is a food source for organisms and controls the migration and transformation of trace metals and other contaminants in aquatic systems. The contributions of aquatic DOM to the environment and ecology of a system are closely related to its abundance and chemical structure. In this study, the chemical composition and binding properties of DOM in a hypersaline lake watershed were investigated for the first ... 相似文献