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1.
Science ; 366(6464): 475-479, 2019 10 25.
Artigo em Inglês | MEDLINE | ID: mdl-31649196

RESUMO

Ferroelectrics are usually inflexible oxides that undergo brittle deformation. We synthesized freestanding single-crystalline ferroelectric barium titanate (BaTiO3) membranes with a damage-free lifting-off process. Our BaTiO3 membranes can undergo a ~180° folding during an in situ bending test, demonstrating a super-elasticity and ultraflexibility. We found that the origin of the super-elasticity was from the dynamic evolution of ferroelectric nanodomains. High stresses modulate the energy landscape markedly and allow the dipoles to rotate continuously between the a and c nanodomains. A continuous transition zone is formed to accommodate the variant strain and avoid high mismatch stress that usually causes fracture. The phenomenon should be possible in other ferroelectrics systems through domain engineering. The ultraflexible epitaxial ferroelectric membranes could enable many applications such as flexible sensors, memories, and electronic skins.

2.
Opt Lett ; 44(14): 3482-3485, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-31305553

RESUMO

A fair amount of theoretical work has shown that Huygens' metasurfaces well modulate electromagnetic waves by properly designing electrical impedance Zes and magnetic admittance Yms; however, the transmissive Huygens' metasurface is still challenging in the terahertz band. In this work, a transmission-type Huygens' metasurface with bilayer metallic patches has been proposed and theoretically demonstrated to show a reflectionless phase modulation for a linearly polarized terahertz wave. The simulation results show that the metasurface can achieve 2π phase coverage, and importantly the phase change can be simply achieved by changing a single geometric parameter of the metamolecule, along with a similar transmission effect. We design a high-efficiency beam deflector to realize an anomalous refraction with an angle of 19.8°. The proposed metasurface will provide a simple and direct way to realize efficient terahertz devices for wavefront manipulation.

3.
Opt Express ; 27(11): 15359-15367, 2019 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-31163733

RESUMO

We numerically investigate a tunable and extrinsic chiroptical response of a graphene achiral metamaterial in mid-infrared regime. The achiral metamaterial is composed of cascaded metallic split ring apertures and complementary graphene rings patterned on a dielectric layer. The strong extrinsic chiroptical responses of the metamaterial are allowed at oblique incidence and the integrated graphene can dynamically modulate extrinsic chirality by changing its Fermi level. The spectra of the chiroptical responses will show a blue shift with increasing the Fermi level of the patterned graphene. The maximal values of circular dichroism in the reflection and transmission modes can reach 80% and 50%, respectively. The maximal values of polarization rotation angle in the reflection and transmission modes can reach 80° and 60°, respectively. This graphene-based metamaterial design paves a way for a myriad of important terahertz (THz) and mid-infrared applications, such as optical modulators, absorbers and polarizers.

4.
Waste Manag ; 92: 97-106, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31160031

RESUMO

Terephthalonitrile (TPN) was directly produced from polyethylene terephthalate (PET) plastic via catalytic fast pyrolysis with ammonia. The optimal condition for producing TPN was over 1 g γ-Al2O3-2 wt% catalyst at 500 °C under carrier gas (50% NH3 and 50% N2) with yield of nitriles and TPN of 58.1 and 52.3 C%, respectively. The selectivity of TPN in the nitriles was around 90%. Meanwhile, a bit of aromatics, benzonitrile, acetonitrile were also produced as by-products with the total yields of less than 3 C%. The catalyst deactivated slightly after 5 cycles. Possible reaction routes were proposed and it was found that terephthalic acid, benzoic acid, related esters and amides were the major intermediates from PET to nitriles. Acetonitrile could be produced from acetaldehyde and its corresponding imines. In addition, 32.1 C% TPN with high purity (>95%) was obtained via freezing recrystallization. Catalytic pyrolysis with ammonia process was a promising technology for converting waste PET plastics to TPN. This study provided a new method for producing N-containing chemicals from polyester plastics.


Assuntos
Plásticos , Polietilenotereftalatos , Amônia , Atmosfera , Catálise , Pirólise
5.
ChemSusChem ; 12(12): 2763-2772, 2019 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-31168943

RESUMO

Spiro-OMeTAD is currently the most widely used hole transport material for the preparation of high-performance perovskite solar cells (PSCs), usually requiring the addition of additives to achieve the desired electronic conductivity. However, the quality of the film is degraded owing to the addition of additives. Holes and defects can be observed, and the dispersion of the additives are uneven inside. Here, a copper coordination polymer, Cu-bix, with matching energy level and fluorescent properties was screened for use as an additional additive to dope Spiro-OMeTAD. The doping of Cu-bix effectively improved the dispersion state of the additives in the hole transport layers and alleviated the aggregation of LiTFSI (lithium bis(trifluoromethanesulfonyl)imide) or/and lithium salt complexes in the film. Owing to better dispersion of the additives, Spiro-OMeTAD was more fully and uniformly oxidized whereas the possibility of charge recombination was reduced in the devices. Furthermore, the flat and tightly bonded film layer obtained by optimization of the doping amount can efficiently transfer holes from the perovskite layers to the hole transport layers. Possible interaction mechanisms between additives and the copper coordination polymer are proposed and discussed. The resulting power conversion efficiency (PCE) for Cu-bix-doped PSCs was improved from 16.52 % to 18.47 % compared to the pristine devices, and this type of PSCs also showed a long stability in air owing to the increased hydrophobicity of the Cu-bix-based hole transport layers.

6.
Adv Mater ; : e1802902, 2018 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-30109765

RESUMO

The voltage modulation of yttrium iron garnet (YIG) is of practical and theoretical significance; due to its advantages of compactness, high-speed response, and energy efficiency, it can be used for various spintronic applications, including spin-Hall, spin-pumping, and spin-Seebeck effects. In this study, a significant ferromagnetic resonance change is achieved within the YIG/Pt bilayer heterostructures uisng ionic modulation, which is accomplished by modifying the interfacial magnetism in the deposited "capping" platinum layer. With a small voltage bias of 4.5 V, a large ferromagnetic field shift of 690 Oe is achieved in heterostructures of YIG (13 nm)/Pt (3 nm)/(ionic liquid, IL)/(Au capacitor). The remarkable magnetoelectric (ME) tunability comes from the additional and voltage-induced ferromagnetic ordering, caused by uncompensated d-orbital electrons in the Pt metal layer. Confirmed by first-principle calculations, this finding paves the way for novel voltage-tunable YIG-based spintronics.

7.
ACS Appl Mater Interfaces ; 10(28): 23945-23951, 2018 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-29969004

RESUMO

The Bi0.5Na0.5TiO3-based ferroelectric is one of the most promising candidates for environment-friendly lead-free ferroelectric/piezoelectric materials for various applications such as actuators and micro-electromechanical systems. The understanding and tailoring of the ferro-(piezo-)electric properties of thin films, however, are strongly hindered by the formation of the defects such as dislocations, ion vacancies in the film, as well as by the complexity of the interface between the film and the substrate. An ideal system for the study of the polarization behavior in the ferro-(piezo-)electric film would be a fully matched system. In this work, monocrystalline 0.89Bi0.5Na0.5TiO3-0.11BaTiO3 thin films were epitaxially grown on (001)-oriented Nb-doped SrTiO3 substrates using a sol-gel technique. The films were almost fully lattice- and thermally matched with the substrate, thus avoiding the impact of dislocations and thermal stress. The films were self-poled by a built-in electric field, originating from the sedimentation of heavier atoms during the film preparation. As a consequence, an upward self-polarization was introduced into the films, giving rise to asymmetric phase hysteresis loops and domain switching current responses. These results highlight the importance of the interface complexity for the self-polarization of piezoelectric thin films, even for fully matched films, which will therefore facilitate the control of properties of piezoelectric films and their applications for various functional devices.

8.
Adv Mater ; 30(30): e1801639, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29809283

RESUMO

Electric field (E-field) modulation of perpendicular magnetic anisotropy (PMA) switching, in an energy-efficient manner, is of great potential to realize magnetoelectric (ME) memories and other ME devices. Voltage control of the spin-reorientation transition (SRT) that allows the magnetic moment rotating between the out-of-plane and the in-plane direction is thereby crucial. In this work, a remarkable magnetic anisotropy field change up to 1572 Oe is achieved under a small operation voltage of 4 V through ionic liquid (IL) gating control of SRT in Au/[DEME]+ [TFSI]- /Pt/(Co/Pt)2 /Ta capacitor heterostructures at room temperature, corresponding to a large ME coefficient of 378 Oe V-1 . As revealed by both ferromagnetic resonance measurements and magnetic domain evolution observation, the magnetization can be switched stably and reversibly between the out-of-plane and in-plane directions via IL gating. The key mechanism, revealed by the first-principles calculation, is that the IL gating process influences the interfacial spin-orbital coupling as well as net Rashba magnetic field between the Co and Pt layers, resulting in the modulation of the SRT and in-plane/out-of-plane magnetization switching. This work demonstrates a unique IL-gated PMA with large ME tunability and paves a way toward IL gating spintronic/electronic devices such as voltage tunable PMA memories.

9.
Nat Commun ; 9(1): 991, 2018 03 07.
Artigo em Inglês | MEDLINE | ID: mdl-29515180

RESUMO

To overcome the fundamental challenge of the weak natural response of antiferromagnetic materials under a magnetic field, voltage manipulation of antiferromagnetic interaction is developed to realize ultrafast, high-density, and power efficient antiferromagnetic spintronics. Here, we report a low voltage modulation of Ruderman-Kittel-Kasuya-Yosida (RKKY) interaction via ionic liquid gating in synthetic antiferromagnetic multilayers of FeCoB/Ru/FeCoB and (Pt/Co)2/Ru/(Co/Pt)2. At room temperature, the distinct voltage control of transition between antiferromagnetic and ferromagnetic ordering is realized and up to 80% of perpendicular magnetic moments manage to switch with a small-applied voltage bias of 2.5 V. We related this ionic liquid gating-induced RKKY interaction modification to the disturbance of itinerant electrons inside synthetic antiferromagnetic heterostructure and the corresponding change of its Fermi level. Voltage tuning of RKKY interaction may enable the next generation of switchable spintronics between antiferromagnetic and ferromagnetic modes with both fundamental and practical perspectives.

10.
ACS Nano ; 12(4): 3751-3758, 2018 04 24.
Artigo em Inglês | MEDLINE | ID: mdl-29498510

RESUMO

Traditional magnetostrictive/piezoelectric laminated composites rely on the two-dimensional interface that transfers stress/strain to achieve the large magnetoelectric (ME) coupling, nevertheless, they suffer from the theoretical limitation of the strain effect and of the substrate clamping effect in real ME applications. In this work, 3D NZFO/BTO-pillar nanocomposite films were grown on SrTiO3 by template-assisted pulsed laser deposition, where BaTiO3 (BTO) nanopillars appeared in an array with distinct phase transitions as the cores were covered by NiZn ferrite (NZFO) layer. The perfect 3D heteroepitaxial interface between BTO and NZFO phases can be identified without any edge dislocations, which allows effective strain transfer at the 3D interface. The 3D structure nanocomposites enable the strong two magnon scattering (TMS) effect that enhances ME coupling at the interface and reduces the clamping effect by strain relaxation. Thereby, a large FMR field shift of 1866 Oe in NZFO/BTO-pillar nanocomposite was obtained at the TMS critical angle near the BTO nanopillars phase transition of 255 K.

11.
ACS Appl Mater Interfaces ; 9(49): 43188-43196, 2017 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-29171255

RESUMO

Controlling spin dynamics through modulation of spin interactions in a fast, compact, and energy-efficient way is compelling for its abundant physical phenomena and great application potential in next-generation voltage controllable spintronic devices. In this work, we report electric field manipulation of spin dynamics-the two-magnon scattering (TMS) effect in Ni0.5Zn0.5Fe2O4 (NZFO)/Pb(Mg2/3Nb1/3)-PbTiO3 (PMN-PT) multiferroic heterostructures, which breaks the bottleneck of magnetostatic interaction-based magnetoelectric (ME) coupling in multiferroics. An alternative approach allowing spin-wave damping to be controlled by external electric field accompanied by a significant enhancement of the ME effect has been demonstrated. A two-way modulation of the TMS effect with a large magnetic anisotropy change up to 688 Oe has been obtained, referring to a 24 times ME effect enhancement at the TMS critical angle at room temperature. Furthermore, the anisotropic spin-freezing behaviors of NZFO were first determined via identifying the spatial magnetic anisotropy fluctuations. A large spin-freezing temperature change of 160 K induced by the external electric field was precisely determined by electron spin resonance.

12.
ACS Appl Mater Interfaces ; 9(34): 28716-28725, 2017 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-28809465

RESUMO

Bismuth sodium titanate, Bi0.5Na0.5TiO3 (BNT), is a promising lead-free ferroelectric material. However, its potential applications have not been fully explored, mainly because of the complex domain structure arising from its intricate phase transitions. A deep and thorough study of its domain structure and polarization switching behavior will greatly help with understanding the polarization nature and with promoting future applications. In this work, we demonstrate that BNT polycrystalline films possess a highly ordered out-of-plane polarization (self-polarization) and randomly oriented in-plane polarizations. Interestingly, the inherent nature of polarization in the BNT films does not allow for the nonvolatile domain writing, as the switched polarization spontaneously and rapidly reverses to the initial orientation state once the external poling electric field is removed, making the self-polarization recoverable. Such a stable self-polarization vanishes gradually with temperature increasing over 150 °C but starts to recover to its initial state upon cooling down to 250 °C, and entirely recovers once the temperature is reduced to below 200 °C. Such interesting properties of BNT films are attributed to the combined effects of the free charges at the Pt electrode, (detected) cation vacancies at the oxide/Pt interface and the defects in oxide lattices. Our results make a step closer to fully understand the nature of polarization and related piezoelectricity in BNT. Such films with recoverable self-polarization are of great interest for applications as sensors, actuators, and transducers that can operate particularly under high temperatures and high electric field conditions.

13.
ACS Nano ; 11(9): 9286-9293, 2017 09 26.
Artigo em Inglês | MEDLINE | ID: mdl-28813600

RESUMO

Electric field control of dynamic spin interactions is promising to break through the limitation of the magnetostatic interaction based magnetoelectric (ME) effect. In this work, electric field control of the two-magnon scattering (TMS) effect excited by in-plane lattice rotation has been demonstrated in a La0.7Sr0.3MnO3 (LSMO)/Pb(Mn2/3Nb1/3)-PbTiO3 (PMN-PT) (011) multiferroic heterostructure. Compared with the conventional strain-mediated ME effect, a giant enhancement of ME effect up to 950% at the TMS critical angle is precisely determined by angular resolution of the ferromagnetic resonance (FMR) measurement. Particularly, a large electric field modulation of magnetic anisotropy (464 Oe) and FMR line width (401 Oe) is achieved at 173 K. The electric-field-controllable TMS effect and its correlated ME effect have been explained by electric field modulation of the planar spin interactions triggered by spin-lattice coupling. The enhancement of the ME effect at various temperatures and spin dynamics control are promising paradigms for next-generation voltage-tunable spintronic devices.

14.
ACS Appl Mater Interfaces ; 9(36): 30733-30740, 2017 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-28810124

RESUMO

Yttrium iron garnet (YIG) is of great importance in RF/microwave devices for its low loss, low intrinsic damping, and high permeability. Nevertheless, tuning of YIG-based multiferroics is still a challenge due to its near-zero magnetostriction and the difficulty of building epitaxial interface between ferromagnetic garnet and ferroelectric perovskite phases. In this work, the vertically aligned heterostructure of YIG:BTO/STO(001) with local epitaxial interface between BTO and YIG is well-constructed, where the single crystal BTO pillars are embedded in YIG matrix. A large magnetoelectric coupling effect that drives YIG's FMR shift up to 512 and 333 Oe (1-2 order greater than those of all state-of-the-art progresses) is obtained through BTO ferroelectric phase changes induced by temperature variation at 295 and 193 K, correspondingly. This record high magnetoelectric tunability of YIG paves a way toward thermal/electrical tunable YIG devices.

15.
ACS Nano ; 11(4): 4337-4345, 2017 04 25.
Artigo em Inglês | MEDLINE | ID: mdl-28394574

RESUMO

One of the central challenges in realizing multiferroics-based magnetoelectric memories is to switch perpendicular magnetic anisotropy (PMA) with a control voltage. In this study, we demonstrate electrical flipping of magnetization between the out-of-plane and the in-plane directions in (Co/Pt)3/(011) Pb(Mg1/3Nb2/3)O3-PbTiO3 multiferroic heterostructures through a voltage-controllable spin reorientation transition (SRT). The SRT onset temperature can be dramatically suppressed at least 200 K by applying an electric field, accompanied by a giant electric-field-induced effective magnetic anisotropy field (ΔHeff) up to 1100 Oe at 100 K. In comparison with conventional strain-mediated magnetoelastic coupling that provides a ΔHeff of only 110 Oe, that enormous effective field is mainly related to the interface effect of electric field modification of spin-orbit coupling from Co/Pt interfacial hybridization via strain. Moreover, electric field control of SRT is also achieved at room temperature, resulting in a ΔHeff of nearly 550 Oe. In addition, ferroelastically nonvolatile switching of PMA has been demonstrated in this system. E-field control of PMA and SRT in multiferroic heterostructures not only provides a platform to study strain effect and interfacial effect on magnetic anisotropy of the ultrathin ferromagnetic films but also enables the realization of power efficient PMA magnetoelectric and spintronic devices.

16.
ChemSusChem ; 10(10): 2218-2225, 2017 05 22.
Artigo em Inglês | MEDLINE | ID: mdl-28382788

RESUMO

High quality electron-transport layer (ETL) with superior optical and electrical properties is an essential part in high efficient perovskite solar cells (PSCs). In this work, SiW12 -TiO2 mesoporous film is prepared by a facile one-step spin-coating deposition method and successfully applied as ETL in PSCs. Compared with pristine TiO2 -based PSC, the SiW12 -TiO2 -based one shows a remarkable enhanced power conversion efficiency (PCE) from 12.00 to 14.66 %, which is owed to the higher conductivity, electron-extraction efficiency, and well-matched energy level alignment of SiW12 -TiO2 film. Moreover, the SiW12 -TiO2 -based device also shows a good long-time stability in under ambient conditions. This work demonstrates that using polyoxometalates (POMs) to modify the metal-oxide semiconductors is an effective approach for further enhancing the performance of PSCs.


Assuntos
Compostos de Cálcio/química , Condutividade Elétrica , Óxidos/química , Silício/química , Titânio/química , Tungstênio/química , Microscopia Eletrônica de Varredura , Espectroscopia de Infravermelho com Transformada de Fourier , Termogravimetria , Difração de Raios X
17.
ACS Appl Mater Interfaces ; 9(3): 2378-2386, 2017 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-28058832

RESUMO

The conventional perovskite solar cells (PSCs) with 2,2',7,7'-tetrakis(N,N-dimethoxyphenylamine)-9,9'-spirobifluorene (spiro-OMeTAD) as a hole transporting material commonly suffer from poor stability and reproducibility mainly due to the process of placing the devices in air and illumination for oxidizing the spiro-OMeTAD. Herein, Keggin-type polyoxometalates (POMs)-phosphovanadomolybdate (H4PMo11V·nH2O, denoted as PMo11V) is for the first time employed as a p-type dopant for promoting the oxidation of spiro-OMeTAD. Thereby, without illumination and air, the conductivity and hole extraction efficiency of the PMo11V doped spiro-OMeTAD with assistance of lithium bis(trifluoromethanesulfonyl)imide (Li-TFSI) and 4-tert-butylpyridine (TBP) can be dramatically enhanced. On the basis of this strategy, the corresponding PSCs exhibit substantially improved photovoltaic performance and good reproducibility. The best performing device yields a power conversion efficiency (PCE) of 14.05%. This work indicates a great potential of polyoxometalates for further applications in solar cells and other optoelectronics devices.

18.
Phys Chem Chem Phys ; 18(37): 26254-26261, 2016 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-27711691

RESUMO

Planar heterojunction perovskite solar cells (PHJ-PSCs) constructed with one-step precursor solution spin-coating deposition (OPSSD) usually give an extremely low performance mainly due to the poor morphology and low crystallinity of the perovskite films. In this work, by incorporating a suitable HONH3Cl additive in the perovskite precursor solution, a high quality perovskite film with improved morphology and crystallinity was obtained. The UV-vis measurement of the CH3NH3I solutions without and with HONH3Cl demonstrates that the improved quality of the perovskite film can be easily attributed to a combined effect of N2, I2, H2O and CH3NH3Cl originating from the oxidation of CH3NH3I triggered by the HONH3Cl additive, which can manipulate the crystallization process of the perovskite. Accordingly, the improved performance for the HONH3Cl-induced PHJ-PSCs can also be demonstrated. At the optimized molar ratio of 1 : 1 : 0.1 for PbI2 : CH3NH3I : HONH3Cl, the PHJ-PSCs exhibit an average power conversion efficiency (PCE) of 10.61 ± 0.51%, which is much higher than that of pristine 1 : 1 : 0 based cells without additive (7.21 ± 0.61%), and the best performing HONH3Cl-induced device can yield a PCE as high as 11.12% with a Jsc of 18.42 mA cm-2, Voc of 0.95 V and FF of 0.63. Introducing suitable HONH3Cl as an additive into the perovskite precursor solution is really an effective route to enhance the performance of the PHJ-PSCs via OPSSD.

19.
PLoS One ; 9(2): e87868, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24505326

RESUMO

α-solanine, a steroidal glycoalkaloid in potato, was found to have proliferation-inhibiting and apoptosis-promoting effect on multiple cancer cells, such as clone, liver, melanoma cancer cells. However, the antitumor efficacy of α-solanine on pancreatic cancer has not been fully evaluated. In this study, we inquired into the anti-carcinogenic effect of α-solanine against human pancreatic cancer cells. In the present study, we investigated the anti-carcinogenic effect of α-solanine against human pancreatic cancer cells. In vitro, α-solanine inhibited proliferation of PANC-1, sw1990, MIA PaCa-2 cells in a dose-dependent manner, as well as cell migration and invasion with atoxic doses. The expression of MMP-2/9, extracellular inducer of matrix metalloproteinase (EMMPRIN), CD44, eNOS and E-cadherin were suppressed by α-solanine in PANC-1 cells. Moreover, significantly decreased vascular endothelial growth factor (VEGF) expression and tube formation of endothelial cells were discerned following α-solanine treatment. Suppressed phosphorylation of Akt, mTOR, and Stat3, and strengthen phosphorylation of ß-catenin was found, along with markedly decreased tran-nuclear of NF-κB, ß-catenin and TCF-1. Following the administration of α-solanine (6 µg/g for 2 weeks) in xenograft model, tumor volume and weight were decreased by 61% and 43% (p<0.05) respectively, showing decreased MMP-2/9, PCNA and VEGF expression. In conclusion, α-solanine showed beneficial effects on pancreatic cancer in vitro and in vivo, which may via suppressing the pathway proliferation, angiogenesis and metastasis.


Assuntos
Antineoplásicos Fitogênicos/farmacologia , Apoptose/efeitos dos fármacos , Proliferação de Células/efeitos dos fármacos , Neovascularização Patológica/tratamento farmacológico , Neoplasias Pancreáticas/tratamento farmacológico , Solanina/farmacologia , Ensaios Antitumorais Modelo de Xenoenxerto , Animais , Linhagem Celular Tumoral , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Humanos , Camundongos , Camundongos Nus , Metástase Neoplásica , Proteínas de Neoplasias/biossíntese , Neovascularização Patológica/metabolismo , Neovascularização Patológica/patologia , Neoplasias Pancreáticas/metabolismo , Neoplasias Pancreáticas/patologia
20.
J Cardiothorac Surg ; 7: 108, 2012 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-23046511

RESUMO

BACKGROUND: To summarize the diagnostic and therapeutic experiences on the patients who suffered abdominal complications after cardiovascular surgery with cardiopulmonary bypass(CPB). METHODS: A total of 2349 consecutive patients submitted to cardiovascular surgery with CPB in our hospital from Jan 2004 to Dec 2010 were involved. The clinical data of any abdominal complication, including its incidence, characters, relative risks, diagnostic measures, medical or surgical management and mortality, was retrospectively analyzed. RESULTS: Of all the patients, 33(1.4%) developed abdominal complications postoperatively, including 11(33.3%) cases of paralytic ileus, 9(27.3%) of gastrointestinal haemorrhage, 2(6.1%) of gastroduodenal ulcer perforation, 2(6.1%) of acute calculus cholecystitis, 3(9.1%) of acute acalculus cholecystitis, 4(12.1%) of hepatic dysfunction and 2(6.1%) of ischemia bowel diseases. Of the 33 patients, 26 (78.8%) accepted medical treatment and 7 (21.2%) underwent subsequent surgical intervention. There were 5(15.2%) deaths in this series, which was significantly higher than the overall mortality (2.7%). Positive history of peptic ulcer, advanced ages, bad heart function, preoperative IABP support, prolonged CPB time, low cardiac output and prolonged mechanical ventilation are the risk factors of abdominal complications. CONCLUSIONS: Abdominal complications after cardiovascular surgery with CPB have a low incidence but a higher mortality. Early detection and prompt appropriate intervention are essential for the outcome of the patients.


Assuntos
Ponte Cardiopulmonar/efeitos adversos , Doenças do Sistema Digestório/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco
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