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find Author "尚伟" 2 results
  • 下行性坏死性纵隔炎的诊断与治疗

    目的 探讨下行性坏死性纵隔炎(DNM)的诊断和治疗方法。 方法 回顾性分析1988年1月至2009年12月青岛大学医学院附属医院收治11例DNM患者的临床资料,其中男8例,女3例;年龄25~71 (55±3)岁。早期收治的患者外科治疗采用颈部清创、引流,或经颈部纵隔引流;后期收治的患者采用颈、胸部同期清创、引流及术后冲洗。 结果 行单纯颈部清创、引流及经颈部纵隔引流的7例患者中死亡4例,均死于严重纵隔感染导致多器官功能衰竭,3例生存患者均为感染尚未侵犯下纵隔和胸腔;行颈、胸部清创、引流和冲洗的4例患者全部治愈。随访7例,随访时间3个月,患者恢复良好。 结论 DNM病情凶险,一旦发病迅速进展为脓毒血症,甚至死亡。重视口咽部和颈部感染患者的胸部症状、体征变化,及时行胸部CT检查是尽早诊断DNM的关键。尽早进行颈、胸部彻底清创、充分引流及有效冲洗是治疗DNM成功的关键。

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
  • Epileptic electroencephalogram recognition based on discrete S transform and permutation entropy

    Electroencephalogram(EEG) analysis has important reference value in the diagnosis of epilepsy. The automatic classification of epileptic EEG can be used to judge the patient’s situation in time,which is of great significance in clinical application. In order to solve the problem that the recognition accuracy is not high by using the single feature of EEG signals and avoid the influence of wavelet basis function selection on recognition results,a method of automatic discrimination of epileptic EEG signals based on S transform and permutation entropy is proposed. Firstly, the original signals are decomposed by discrete S transform, and then we calculate the fluctuation index of coefficients of each rhythm and combine the permutation entropy of EEG signals into a feature vector and use Real AdaBoost classifier to discriminate the epileptic EEG signals in muti-period. In this study, we used the epilepsy database from University of Bonn. Three groups of EEG signals, including the data of normal people with their eyes open, the data collected inside of the epileptic foci from patients during their interictal period and the data during their ictal period, were used to test effectiveness. The results of this study showed that the fluctuation index of each rhythm could be used to characterize the normal, interictal and ictal epileptic EEG signals effectively, and the recognition accuracy of multiple features was much higher than that of single feature. The average recognition accuracy could reach 98.13%. Compared with time-frequency feature extraction method or nonlinear feature extraction method only,the recognition accuracy was increased by more than 1.2% and 8.1% respectively, which was superior to the methods recorded in many other literatures. Therefore, this method has a good application prospect in diagnosis of epilepsy.

    Release date:2017-10-23 02:15 Export PDF Favorites Scan
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