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本文对经腹联合经阴道彩超在评估凶险型前置胎盘(PPP)合并胎盘植入中的应用价值进行了探讨。选取我院2017年6月~2019年6月PPP患者172例,所有患者均给予经腹彩超、经阴道彩超检查,以产后病理结果为对照,分析经腹彩超、经阴道彩超,以及二者联合,对PPP合并胎盘植入的评估价值。产后病理结果显示,172例PPP患者中,有合并胎盘植入患者120例(69.77%)、无合并胎盘植入患者52例(30.23%)。对PPP合并胎盘植入的敏感度、特异度、准确度进行评估,结果显示,经腹彩超其值分别为76.67%、73.08%、75.58%,经阴道彩超分别为83.33%、80.77%、82.56%,经腹联合经阴道彩超则分别为96.67%、96.15%、96.51%,二者联合明显高于经腹彩超、经阴道彩超,差异有统计学意义(P<0.05)。证实经腹、经阴道彩超是评估PPP合并胎盘植入的有效检查方法,且二者联合的评估价值更高,值得临床推广。 相似文献
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F. J. W. J. Labuschagné A. Wiid H. P. Venter A. Leuteritz 《Green Chemistry Letters and Reviews》2018,11(1):18-28
The influence of reaction temperature and time on the hydrothermal dissolution-precipitation synthesis of hydrotalcite was investigated. Untreated MgO, Al(OH)3 and NaHCO3 were used. An industrially beneficial, economically favourable, environmentally friendly, zero effluent synthesis procedure was devised based on green chemistry principles, in which the salt-rich effluent typically produced was eliminated by regenerating the sodium bicarbonate in a full recycle process. It was found that the formation of hydromagnesite dominates at low temperatures independent of reaction time. With an increase in reaction time and temperature, hydromagnesite decomposes to form magnesite. At low temperatures, the formation of hydrotalcite is limited by the solubility of the Al(OH)3. To achieve a hydrotalcite yield of 96%, a reaction temperature of 160°C for 5?h is required. A yield higher than 99% was achieved at 180°C and 5?h reaction time, producing an layered double hydroxide with high crystallinity and homogeneity. 相似文献
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为了寻求合成硫杂蒽酮的高效新方法,以2,2′-二硫代二苯甲酸和苯酚为原料,硫酸为溶剂和催化剂,考察了沸石分子筛、Al2O3和P2O5、温度、原料的物质的量之比、反应时间对反应收率的影响,确定了最佳反应条件,推测了可能的反应过程;进而以2,2′-二硫代二苯甲酸和相应的苯衍生物为原料,在H2SO4-P2O5体系中于最佳反应条件下制备了13个硫杂蒽酮类化合物,并利用柱色谱分离以及红外光谱与核磁共振谱对产物进行表征.结果表明,在反应体系中引入P2O5有利于促进反应的完成;最佳反应条件为:温度70℃、2,2′-二硫代二苯甲酸/苯衍生物物质的量之比1∶6、反应时间6h.邻苯二酚与二硫代水杨酸的反应产物——化合物11(a)和11(b)为同分异构体. 相似文献
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Chengzhi Chen Tingting Yuan Prof. Ping Lan Prof. Lorenzo V. White Prof. Jing Chen Prof. Dr. Martin G. Banwell 《European journal of organic chemistry》2023,26(16):e202300003
Total syntheses of the title marine natural products have been achieved and so confirming the structures originally assigned to them. Upon subjecting agesasine A and its corresponding ethyl ester to Mitsunobu conditions, a 1,5-cyclodehydration reaction takes place to give 2-oxazolines. In contrast, on subjecting agesasine B to the same Mitsunobu conditions, a simple dehydration reaction occurs to give the corresponding acrylate. A total synthesis of longamide E was achieved by engaging a 1,2-disubstituted pyrrole in a lactam-forming reaction and this was followed by a two-fold and fully regio-controlled bromination reaction. A distinctly different and possibly biomimetic route was used to synthesize, via the open-chain natural product nakamurine B, longamide B and its methyl ester. Preliminary biological evaluations of the title alkaloids and various analogues against a small human cancer cell line panel reveals cytotoxic properties that vary significantly with structure. 相似文献
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Shoma Mizutani Kenta Komori Prof. Dr. Tohru Taniguchi Prof. Dr. Kenji Monde Prof. Dr. Kouji Kuramochi Prof. Dr. Kazunori Tsubaki 《Angewandte Chemie (International ed. in English)》2016,55(33):9553-9556
A biomimetic synthesis of naturally occurring lactams rubrobramide, flavipucine, and isoflavipucine is described. The key step is a regioselective Darzens reaction between isobutyl glyoxal and an α‐bromo‐β‐ketoamide. The construction of the core tricyclic ring system of rubrobramide was achieved by a cascade reaction in a single step from an α,β‐epoxy‐γ‐lactam. Furthermore, the absolute configuration of naturally occurring (+)‐rubrobramide was determined by vibrational circular dichroism. (±)‐Flavipucine and (±)‐isoflavipucine were synthesized from an epoxyimide, which was prepared by reaction of isobutyl glyoxal with a protected α‐bromo‐β‐ketoamide. Deprotection of the epoxyimide and formation of the pyridone ring gave (±)‐flavipucine, which was converted into (±)‐isoflavipucine by thermal isomerization. 相似文献
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一种合成端羧基聚乙二醇单甲醚的新方法 总被引:1,自引:0,他引:1
以聚乙二醇单甲醚和丙烯腈为原料,在水相中合成了一端为羧基的聚乙二醇单甲醚,其结构经1H NMR和IR确证。讨论了反应时间、反应温度、溶剂和惰性气氛对反应的影响。 相似文献
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