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Biatrial and right ventricular triple chamber pacinmg is founded through implanting coronary sinus lead to pace left atrium on the base of conventional right atrial and right ventricular dual chamber pacing,which realizes the synchrony of electrical activities in both two atriums,remove interatrial conduction block and interatrial reentry,and prevent and treat atrial tachyarrhythmias induced by interatrial conduction block.

在常规右房、右室双腔起搏的基础上,植入冠状窦电极起搏左房,建立双房右室三心腔起搏系统,实现双房电活动的同步化,消除房间传导阻滞和房间折返,防治由房间传导阻滞引起的房性快速性心律失常。

Method] Puncture into Attain long sheath of CS through left infraclavicular vein,guided by CS pipe,take sheath into CS,make reverse contrast of heart vein with Attain saccule contrast pipe,put the left ventricle electric pole into the vein through sheath,then bring it into right ventricle apex and right cardiac ear through the electric pole of right ventricle and atrium,connect it with 3-cavity pulse generator,which is buried under left chest skin.

双心室起搏治疗心力衰竭的临床观察"版权属于原作者所有!请勿将"双心室起搏治疗心力衰竭的临床观察用于商业用途![目的]观察双心室起搏治疗心力衰竭临床疗效。[方法]经左锁骨下静脉穿刺送入Attain冠状静脉窦长鞘,在CS导管的导引下,将鞘送人CS,用Attain球囊造影导管进行心脏静脉逆行造影,将左心室电极经长鞘放入选择的静脉,送人右心室及右心房电极至右室心尖和右心耳。

Accuracy between two groups was calculated byχ~2 test.Calculate the average effective radiation dose of the 30 patients.Results In group A,seventeen patients underwent both DSCT coronary angiography and SCAG,among 255 segments of 17 patients,105 lesion sites of 70 segments were diagnosed stenosis or obstruction,of them,95 lesion sites were confirmed by SCAG.The accuracy of DSCTCA was 90.48%.The agreement of two methods have a high agreement(Kappa =0.853).In group B,13 patients underwent both DSCT coronary angiography and SCAG,among 195 segments of 13 patients,73 lesion sites of 57 segments were diagnosed stenosis or obstruction, of them,65 lesion sites were confirmed by SCAG.The accuracy of DSCTCA was 89.04%.The agreement of two methods have a high agreement(Kappa =0.835). There was no significant difference(χ~2=0.098,p>0.05) between the accuracy of two groups.The effective radiation dose of 30 patients was 3.67±0.43 mSv.Conclusion Compared with SCAG,prospectively ECG-gated transverse DSCT is a valuable examination to detect and diagnose coronary artery disease with a low dose coronary angiography.The accuracy of the DSCT is approximate to the SCAG.There was no significant difference between the accuracy of two groups.

结果200例患者均成功完成了适应性前瞻性心电门控双源CT冠状动脉血管成像;30例同期行SCAG检查的患者,A组17例:HR≤75 bpm,可评价冠状动脉节段255个,70个冠状动脉节段有105处不同程度的狭窄,95处狭窄程度与金标准SCAG相符,其阳性诊断准确率为90.48%;2种方法的诊断结果得到了较高的一致性(Kappa值=0.853)。B组13例;HR≥91 bpm,可评价冠状动脉节段195个,57个冠状动脉节段有73处不同程度的狭窄,65处狭窄程度与SCAG相符,其阳性诊断准确率为89.04%;2种方法的诊断结果得到了较高的一致性(Kappa值=0.835)。2个心率组间的诊断准确率无明显统计学差异(x~2=0.098,p>0.05)。30例患者的平均有效辐射剂量为3.67±0.43 mSv结论适应性前瞻性心电门控双源CT冠状动脉成像是一种有效减低辐射剂量的扫描方式,其诊断准确率与金标准SCAG相比得到较高的一致性,且高、低2个心率组间诊断准确率无明显统计学差异。

Thpetum is the gland cell type. The pistil has two carpels, the ovules belong to straight ovules with bitegmic;77% nucellus stoped development before from the archesporial cell and disappear and 23% nucellus atrophy .so the flower cannot grow seeds.

安祖花的雌蕊是由2 心皮组成,胚珠为直生胚珠,双珠被,77%珠心细胞在胞原细胞形成之前停止发育,并且逐渐解体消失,23%珠心细胞发生萎缩,导致雌蕊败育。

A variety of ordered bulk phases, including lamellae, hexagonally packed cylinders, body-centered-cubic spheres, and a bicontinuous network structure called Gyroid are observed for diblock copolymers.

在熔体状态下,双嵌段共聚物可以自组装形成包括层状相、六角排列柱状相、体心立方球状相和双连通Gyroid相的一系列稳定有序结构。

Female flowers: tepals 5 or 6; carpels 3; ovary 3-locular; styles 3, free; stigma often decurrent; interstylar nectaries or nectariferous tissue present; ovules 2 per locule, pendent, anatropous, bitegmic, crassinucellar; micropyle formed by inner integument, rudimentary aril.

雌花 花被片5或者6;心皮3;子房3室;花柱3,离生;柱头经常下延;内花柱蜜腺或分泌蜜汁的组织宿存;胚珠每室2,下垂,倒生,具双珠被,具厚珠心;珠孔形成于内珠被,假种皮不发育。

Through Hilbert transform, a signal's plane trace can be get. There are two frequencies in the tested signal, so the signal's plane trace may be looked as the track of the out pole's end when two poles rotate around parallel axles. Using the knowledge of motion synthesis in theory mechanics, a formula to describing the change of plane trace's step length and angle for two-frequency be get. So we may prolongate the tested signal's plane trace from the echo's initial arriving moment, and get a certain length of the signal's prolongation.

通过Hilbert变换可得到测试信号的平面迹线,测试信号中只含有两个频率成分,视为双频信号,双频信号的平面迹线相当于两连杆绕平行轴转动时外杆杆端迹线,利用理论力学中运动合成和瞬心知识,推导出双频信号平面迹线步长平方满足余弦线性复合函数,而迹线转角可视为线性变化,据此可对回波到来之前的测试信号平面迹线作延长,得到一定长度的信号延展段,信号延展段与实测段作差可得到一次、二次回波的第一个波峰值。

The P wave duration and P 2R interval were increased while pacing at right atrial appendage 1 The activation time from pacing site to His bundle and coronary sinus was the longest in pacing at right atrial appendage , while the activation time in pacing at Koch triangle , Koch triangle with high right atrium and biatria was significantly shorter especially pacing at Koch triangle and Koch triangle with high right atrium1 There were no significant differences in right atrium pressure among all pacings1 Conclusion It is suggested that Koch triangle pacing could probably replace high right atrial with coronary sinus pacing and biatrial pacing 1

从心房激动顺序分析,右心耳起搏时,激动传至希氏束区及冠状窦区的时间最长,而 Koch三角、Koch三角+高位右房及双房起搏时则较短,尤其是 Koch三角、Koch三角+高位右房起搏缩短更明显。另外,不同部位、不同方式起搏时右心房压力无差异。结论 Koch三角起搏在某种程度上可替代高位右房+冠状窦起搏及双房起搏。

9 Class from P0-P2 level, medical equipment bearings, wheel bearings (four points, cross-, three-row, double row, ball columns mixed) large-scale, large deep groove ball bearings, cylindrical roller bearings, spherical self-aligning roller bearings, angular contact ball bearings, tapered roller bearings, thrust ball and thrust angular contact ball bearings, thrust cylindrical roller bearings, thrust tapered roller bearings, Thrust Self-aligning roller bearings, wheel bearings and inch tapered bearing with special structure and non-standard and dozens of types, and can be processed inside diameter Φ150 ~Φ5000mm bearings.

0,1,2,3,4,5,6,7,8,9类从P0-P2级,医疗器械轴承,转盘轴承(四点,交叉,三排,双列,球柱混合)大型,特大型深沟球轴承,圆柱滚子轴承,球面调心滚子轴承,角接触球轴承,圆锥滚子轴承,推力球和推力角接触球轴承,推力圆柱滚子轴承,推力圆锥滚子轴承,推力调心滚子轴承,转盘轴承和英制圆锥及非标准特殊结构轴承等几十种类型,可以加工内径Φ150~Φ5000mm的轴承。

In this paper, coordinate and momentum eigenstates of two-particle have been introduced in the centre-of-mass system. New formalisms of two-mode squeeze operator and two-mode squeezed state have been given in coordinate and momentum pictures.

在质心坐标系下引入了双粒子坐标本征态和动量本征态,得到双模压缩算符和双模压缩态在坐标表像和动量表像中的新形式表示。

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