MEMS-双压电制动器Characterization of TiAl alloy

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双压电片换能器力电等效模型的建模与仿真

双压电片换能器力电等效模型的建模与仿真

双压电片换能器力电等效模型的建模与仿真冯月晖;杨涛;徐媛;韩宾;李海廷【摘要】双压电片换能器是一种新型的供电装置,可广泛应用于对无线传感器网络节点进行供电.首先采用Pspice内置受控源建立常微分方程宏模型的方法,建立行为级与电路级混合的压电能量收集装置力电等效模型来解决力学模型与电路模型混合仿真的数据迭代问题,最后结合电能存储技术方法,利用Pspice仿真分析能量收集装置接纯容性负载的输出特性.仿真结果有效验证了压电能量收集装置力电等效模型的正确性和供电的可行性.%Bimorph energy conversion device provides a new method for power supply,which can be widely used in wireless sensor network nodes. Using the built-in controlled sources with Pspice to build the marco-models of ordinary differential equation, the electro-mechanical model of power harvesting device is established both at behavior-level and circuit-level to solve the data iteration problem of hybrid simulation both at mechanical model and circuit model. Combining piezoelectric power harvesting device and electrical energy storage technology, the output characteristics of power harvesting device connected with pure capacitive load are simulated and analyzed with Pspice Simulation to verify the correctness of electro-mechanical model and the feasibility of power supply.【期刊名称】《西南科技大学学报》【年(卷),期】2013(028)001【总页数】5页(P79-83)【关键词】双压电片换能器;能量收集;传感器网络节点;力电等效模型【作者】冯月晖;杨涛;徐媛;韩宾;李海廷【作者单位】西南科技大学信息工程学院四川绵阳621010【正文语种】中文【中图分类】N945.12;TM930.12+3随着通信技术、嵌入式计算技术、微机电系统(MEMS)技术和传感器技术的飞速发展,无线传感器网络在军事监控、地震与气候预测、数字农业、医疗监控等领域得到广泛应用。

MEMS压力传感智能控制方案在新一代电压力锅中的应用

MEMS压力传感智能控制方案在新一代电压力锅中的应用
k 称 为 温 度 因子 ; T

结构 , 存在 如下几大优势 : 4 1 力测量精 确 ,可适 应未来 非常细 分化 的烹饪菜单 设 .压
置要求 ; 4 2压 力传感 不受温 度变化 的影 响 ,而传统 的 “ . 匡”式结 构 的弹性结 构体 ,由于热胀冷缩 的影 响 ,本身会 因为温度 改变 而产 生形变 ,引入测量误差 ;
技 术发展 的趋势 与市 场需求 的提升要求有 一种更精确 、更安全
2 关 键 技 术
新 一代 电压 力锅产 品的核心技术是 精确控 制锅 体 内的温度
与 压力 ,使其 根据用 户设 定 的烹 饪条件实 现与烹饪 时间特定 的 函数关 系。控 制系统的框图如 图 1 。 在 上述控 制原理 中,核 心的传感技 术是解决 压力传感 ( 温
有 自主知识产权 、基 于 M M 技术 的新一代智能压力传感产 品。 E S 它 可以提供 精确的、与外界感测压力线性相关 的电压输 出。
Ee t c l l c r a i App i c s l an e
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企业 专栏 ・ ne re o m E tpi l n r sC u
的电压力 压力传感方案。
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电压力锅 对于压力测量的要求如表 1 。
3新型 M M E S压力传感器 M P 0 S 2 0简介
M P 0 系列微型硅压力传感器 ,是 中国苏州敏芯微电子技 S 20
术有 限公 司 ( MS nigMirss msC .Ld)研 发生产 、具 ME esn coyt o, t. e
弹性结 构体 的形 变 ,传递 给弹性元 件 ,弹性元件 的位移又 引起

韩晓东简历

韩晓东简历

韩晓东简历简 历韩晓东,男, 1968 年 5 月生,北京工业大学教授,博士生导师,2008 年国家杰出青年基金获得者;2009 年“百千万人才工程”北京市国 家级人选候选人;2009 年北京市高层次人才候选人。

一、 主要学历1985/9---1989/7 哈尔滨工业大学,学士 (导师:赵连城院士) 1989/9---1992/7 哈尔滨工业大学,硕士 (导师:赵连城院士) 1992/7--1996/12 大连理工大学,博士(导师:杨大智 教授) 二、主要工作经历1997.1----1998.6 香港城市大学,应用物理系,博士后研究方向:材料的微结构与物性相关性研究导师:钟志远教授,李述汤院士。

1998.6--- 2001.3 美国匹兹堡大学材料系;博士后研究员研究方向:镍基高温合金的动态再结晶导师:Prof. A.J. DeaArdo and Prof. Garcia 2001.3---- 2004.3 美国HKL科技公司研究员2004.3-----至今 北京工业大学 教授三、主要获奖情况1. 2006 年,教育部新世纪优秀人才支持计划;2.2006 年,北京工业大学科技成果 1 等奖;3.2007 年,"中国高等院校十大科技进展"- 主要完成人(第二完 成人)。

四、主要学术成绩、创新点与科学意义近年,申请者主要在材料物理、材料的力学性能与显微结构相关 性研究领域开展了基础研究工作。

(1)发展了一维纳米单体材料应力 /应变状态下显微结构演化的实验电子显微学技术并初步实现了共价 键一维纳米材料 Si 和 SiC 在应力状态下应变与显微结构的原子尺度 的相关性研究,并提出了相应的原子机制;(2)初步开展了多尺度下 (扫描电镜、透射电镜及原子力显微镜)材料物理及力学性能与显微 结构相关性研究的电子显微学技术(3)开展应用电子显微学技术较 系统解析了多种重要合金相的晶体结构及薄膜物理等。

主要学术成绩包括:(一) 利用自主研发的一系列原位外场作用下针对一维纳米单体 材料的力学性能与显微结构相关性研究的方法和装置 1)专利:碳支 持膜卷曲变形纳米线;2)专利: 双金属片/记忆合金等驱动的变形纳 米线等, 3)在国际上首次发现作为现代信息产业重要基础材料的硅在 一维纳米尺度具有室温大应变塑性行为 Advanced Materials, (2007);4)在国际上首次发现作为极端环境下使用的现代信息产业 重要基础材料碳化硅在一维纳米尺度具有室温大应变塑性行为 NanoLetters,(2007),;5) 在国际上首次发现碳化硅在一维纳米尺度具 有室温呈现超塑性 Advanced Functional Materials,(2007);6) 在 国际上首次发现共价键结构非晶纳米线具有大应变拉应变塑性行为 Science (2008), Advanced Materials (2007),Nano Letters (2007),Advanced Functional Materials(2007), PRL (2009), PRB (2009), 等。

基于MCU新型智能励磁仪的设计与实现

基于MCU新型智能励磁仪的设计与实现
通 信 等 技 术 实 现 对 铁 磁 材 料 的磁 滞 回线 进 行 测 量 的 新 方 法 , 并 在 该 方 法 的 基 础 上 成 功 设 计 并 研 制 出一 种 新 型 智 能
励磁仪 将新仪 器与 分析仪 、 上 位机 等进行 联机 试验 , 结 果 表 明新 仪 器 具 有 更加 友 好 的 用 户 界 面 , 所 得 实验 数 据 的 精 度高、 可 靠 性 好 。同 时新 仪 器 具 有 手 动 , 自动 两 种 工作 模 式 , 且 可 以 实 现 与 上 位 机 的数 据 通 信 , 自动 化 和 智 能化 程
t h e me a s u r e me n t o f t h e Hy s t e r e s i s l o o p . A t y p e o f n e w e x p e ime r n t l a i n s t r u me n t o f F e r r o ma g n e t i c ma t e r i ls a i s d e s i g n e d a n d f a b ic r a t e d s u c c e s s f u l l y b a s e d o n t h i s n e w me t h o d .Ma k e t h e n e w i n s t r u me n t t e s t e d w i t h he t na a ly s i s i n s t r u me n t a n d t h e h o s t c o mp u t e r a n d he t r e s u l t o f t h e t e s t s h o w s t h e n e w i n s t u me r n t h a s mo r e u s e r - f i r e n d l y i n t e r f a c e ,t h e e x p e r i me n t d a t a o f he t n e w i n s t u me r n t i s mo r e a c c u r a t e a n d mo r e r e l i a b l e .N e w i n s t r u me n t h a s a ma n u a l / a u t o ma t i c t wo o p e r a t i n g mo d e s a n i e n c e , N a n j i n gU n i v e r s i t yo fA e r o n a u t i c s a n dA s t r o n a u t i c s , N a n j i n g 2 1 1 1 0 0 , C h i n a )

微特电子成功研制出起重机WTL A力矩限制器

微特电子成功研制出起重机WTL A力矩限制器

交大等国 内外 的专家评 委 ,对此款发动机给予 了很 高
的评价。 G D0 W4 2 是长城 汽车 自主研发 的一款2 升高性能柴
油 发 动 机 ,主 要 搭 载 长 城 汽 车 s v、MP u V、皮 卡 以及
微特 电子 成功研制 出
起 重机W T 力矩 限制器 LA

款 集 黑 匣 子 、G S 位 、 G RS 程 监 控 、地 磁 P定 P 远
A 型力矩限制器的最大 优点是数据的安全性和可靠性大
大 增 强 。 当起 重 机 的起 重 重 量超 过 额定 值 时 ,能 够根 据
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G D2柴油机还 是 目前高 性能柴油发动机 中噪声最 W4 0 小的机型 ,搭载在哈弗H5 上之后 ,驾驶室 内平均分贝
长城汽车 发动机 技术取得重 大突破
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0 近 日 , 长 城 汽 车 自主 研 发 的 G D2柴 油 机 通 过 能效果 在2%以上 ,整 机回转 动作 时的噪音 指标降 低 W4 0 0 了科技成果鉴定 。来 自中国汽车技术研 究中心 、中国 5 %以上 。 汽车工程学会 、英 国布鲁奈尔大学 、清华大 学 、西安
【 l山河智能
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山河 智能 第 一产 业 园 成功 下 线 。
旋转 式干燥火箱技术及炭 黑三维分离技术 。运 用这项 成果 ,已建成4 万吨级硬质炭黑*4 U万吨级软质炭黑生产

大位移低电压的静电MEMS驱动器(英文)

大位移低电压的静电MEMS驱动器(英文)

大位移低电压的静电MEMS驱动器(英文)
明安杰;李铁;周萍;王跃林
【期刊名称】《半导体学报:英文版》
【年(卷),期】2008(29)9
【摘要】制作了一种低驱动电压、位移达100μm的梳齿驱动器.为了增加驱动器的驱动位移,对驱动器的侧向稳定性进行了分析.根据分析结论,提出了一种采用小梳齿间隙,高纵/横向弹性常数比预弯曲支撑梁,无初始交叠、梳齿长度线性递增的梳齿驱动器.根据稳定性以及驱动位移和驱动电压的设计要求设计了驱动器的具体参数,并进行了器件制作.测试表明,器件共振点在573Hz,Q因子为35.88,在100μm位移时驱动电压为71V,与理论计算值相差2.1%.
【总页数】5页(P1703-1707)
【关键词】梳齿驱动器;侧向稳定性;MEMS
【作者】明安杰;李铁;周萍;王跃林
【作者单位】中国科学院上海微系统与信息技术研究所,传感技术联合国家重点实验室,微系统技术国家级重点实验室;中国科学院研究生院,北京100049
【正文语种】中文
【中图分类】TM402
【相关文献】
1.低压大位移静电微驱动器驱动机理分析 [J], 田文超;陈志强;贾建援
2.硅基大位移低驱动电压静电微驱动器变形分析 [J], 田文超;贾建援
3.一种MEMS压电大位移驱动器设计分析 [J], 唐玉娟;杨忠;司海飞
4.大位移、低电压驱动MEMS静电梳齿驱动器的设计与研究 [J], 李海军;杨拥军
5.大位移MEMS静电梳齿驱动器的设计及制作 [J], 明安杰;李铁;王跃林
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双压电驱动高频喷射点胶阀的设计与实验

双压电驱动高频喷射点胶阀的设计与实验

双压电驱动高频喷射点胶阀的设计与实验王凌云;黄翔;林四英;林晓龙;林志鸿【摘要】为了满足电子封装产业对胶体高速、微量分配的需求,设计了一种基于圆弧柔性铰链放大机构的双压电陶瓷驱动喷射点胶阀.首先,利用有限元分析软件对放大机构输出位移和模态进行了计算与分析.针对其高频需求,讨论了结构参数对其影响因素.基于微元法并结合喷嘴内胶体动力学分析,建立了喷嘴内胶体喷射的流体力学模型.结合阀杆与阀座配合的仿真模型,利用FLOW-3D的流固耦合仿真,揭示了喷射点胶时胶点的成型过程.在此基础上探究了胶体喷射时喷嘴处压力的变化与流速的关系,为点胶阀参数的控制和优化奠定了基础.最后,搭建了喷射系统实验平台,选用黏度为180 cps的胶体进行点胶性能测试,得出了供料压力和驱动方波频率对胶点尺寸的影响规律.实验结果显示,在供料压力为6 bar,驱动方波幅值频率360 Hz等参数下,获得胶点最小直径为525μm.同时,在380~400 Hz的频率区间内进行高频喷射实验,能够获得均匀微小的圆形胶点.实验结果验证了该圆弧柔性铰链放大机构的双压电驱动点胶阀的高频、微量喷射性能,为压电高频喷射点胶的应用和研究提供了参考.【期刊名称】《光学精密工程》【年(卷),期】2019(027)005【总页数】10页(P1128-1137)【关键词】电子封装;压电驱动;高频点胶;位移放大机构【作者】王凌云;黄翔;林四英;林晓龙;林志鸿【作者单位】厦门大学深圳研究院,广东深圳518057;厦门大学机电工程系,福建厦门361102;厦门大学机电工程系,福建厦门361102;厦门大学机电工程系,福建厦门361102;厦门大学机电工程系,福建厦门361102;厦门大学机电工程系,福建厦门361102【正文语种】中文【中图分类】TM282;TN3841 引言流体点胶技术是以特定的方式对流体进行精确分配,将适量的胶体转移到芯片、电子元件和电路板等工件的合适位置,实现了电子元器件的连接和保护[1]。

呼吸循环系统体格检查(学习资料)

呼吸循环系统体格检查(学习资料)

p h y s i c a l e x a m i n a t i o n心脏检查(1)C a r d i a c E x a m i n a t i o n⏹i n s p e c t i o n视诊⏹p a l p a t i o n触诊⏹p e r c u s s i o n叩诊⏹a u s c u l t a t i o n听诊一.The projection of the heart at the anterior chest wall.二.The auscultatory area of ca rdial val ves and the direction of the blood flow through the various val ves1. The mitral valve area:The blood flow pass from the posterasuperior to the anterainferior left ---the auculatory area is at apex area.三、Precordi um:⏹1.The superior border is below the left third intercostal space ⏹2. The right border is at the midsternum line⏹3.The left borde r is at the left midclavicular line⏹4.The inferior border is above the diaphragmThe heart examinationI n s p e c t i o n o f t h e H e a r t心脏视诊The focal point of inspection include:⏹p r e c o r d i u m s h a p e⏹心前区外形⏹n o r m a l a p i c a l i m p u l s e⏹正常心尖搏动⏹a b n o r m a l a p i c a l i m p u l s e⏹异常心尖搏动⏹p r e c o r d i a l a b n o r m a l i m p u l s e⏹心前区异常搏动P r e c o r d i u m S h a p e心前区外形P r e c o r d i a l b u l g e心前区隆起⏹F e a t u r e s:b o n y b u l g e特点:骨骼突起⏹C l i n i c a l i m p o r t a n c e:C o n g e n i t a l h e a r t d i s e a s e w i t h r i g h tv e n t r i c u l a r e n l a r g e m e n t提示:先天性心脏病右室大P r e c o r d i a l f u l l n e s s心前区饱满⏹F e a t u r e s:i n t e r c o s t a l r e g i o n f u l l n e s s特点:肋间软组织外突⏹C l i n i c a l i m p o r t a n c e:m a s s o f p e r i c a r d i a l e f f u s i o n提示:大量心包积液N o r m a l A p i c a l I m p u l s e正常心尖搏动⏹一、Inspection⏹In most persons ,one can see,synchronous with ca rdic systolic,an outward movement of a small portion of the left chest wall caused by the beat of the cardic apex.This is the cardic or apex impulse.⏹It should be studied with the patient upright and l ying in various position since in many instances the impalse may be fairly diffuseN o r m a l A p i c a l I m p u l s e正常心尖搏动⏹L o c a t i o n:t h e5t h i n t e r c a s t a l s p a c e0.5~1.0c m i n s i d e t h e l e f t m i d c l a v i c u l a r l i n e.⏹R a n g e:2~2.5c m⏹D i r e c t i o n:o u t w a r d w h e n v e n t r i c u l a r s y s t o l e b e g i n s a n d i tc o i n c ide w i t h t h e l ef t c a r d i c b o r d e r⏹位臵:第5肋间左锁骨中线内0.5~1c m⏹范围:2~2.5c m⏹方向:收缩时向外搏动⏹意义:提示心尖位臵代表收缩期提示心脏大小与心脏的左缘一致A b n o r m a l A p i c a l I m p u l s e异常心尖搏动(1)A b n o r m a l l o c a t i o n位臵改变⏹P h y s i c a l:p o s t u r e,p r e g n a n c y,e t c.生理因素:体位妊娠⏹H e a r t d i s e a s e s心脏病变L.V a n d B.V e n l a r g e m e n t:i n f e r i o r l e f t左室或双室扩大:左下移位R.V e n l a r g e m e n t:l e f t右室扩大:向左移位⏹C h e s t a n d a b d o m i n a l d i s e a s e s肺部或腹部疾病A b n o r m a l A p i c a l I m p u l s e异常心尖搏动(1)⏹Whe n a large amount of fluid or air is present in the right plural civit y will shift the heart toward the left;if a large amount of air or fluid in the left plural ca vity ,will displace the heart toward the right.⏹Retraction of lungs: in seve re unilateral plural pulmonary fibrosis or obstraction atlectasis ,the inpulse moves toward the affected side.⏹Pronounced distention of the abdomin as by gas fluid or large tumor,pushes the impulse upward and left.A b n o r m a l A p i c a l I m p u l s e异常心尖搏动(2)A b n o r m a l r a n g e o r i n t e n s i t y范围强度异常⏹I n c r e a s e d i n t e n s i t y:L V h y p e r t r o p h y,h y p e r t h y r o i d i s m,f e v e r,a n e m i a,e t c.搏动增强:左室肥厚甲亢发热贫血⏹D e c r e a s e d:m y o c a r d i a l d i s e a s e s,p e r i c a r d i a l e f f u s i o n,p l e u r a le f f u s i o n o f l e f t t h o r a x o r l e f t-s i d e p n e u m o t h o r a x,e m p h y s e m a.搏动减弱:心肌病变心包积液肺气肿左胸腔积液或气胸A b n o r m a l d i r e c t i o n方向改变⏹I n w a r d i m p u l s e:a d h e s i v e p e r i c a r d i t i s.负性心尖搏动:心包粘连P r e c o r d i a l A b n o r m a l I m p u l s e心前区异常搏动⏹2n d I C S,L S B:p u l m o n a r y h y p e r t e n s i o n,y o u t h胸骨左缘第二肋间:肺动脉高压青年人⏹2n d I C S,R S B:a n e u r y s m o f a s c e n d i n g a o r t a胸骨右缘第二肋间:升主动脉瘤⏹3r d,4t h I C S,L S B:R.V h y p e r t r o p h y胸骨左缘3,4肋间:右心室肥大⏹x i p h o i d p r o c e s s:R.V h y p e r t r o p h y,a b d o m i n a l a n e u r y s m剑突下:右心室肥大腹主动脉瘤P a l p a t i o n o f t h e H e a r t心脏触诊Palpation of the heart has three purposes⏹1.Confirm the observation made during inspection⏹2.To detect the pulsatial movment that are not visible⏹3.To reveal the thrill or friction rubs in the presence of specific cardic diseaseA p i c a l I m p u l s e心尖搏动⏹C l i n i c a l s i g n i f i c a n c e:s i g n i f y i n g t h e s t a r t o f t h e s y s t o l i c p h a s e临床意义:指示收缩期的开始⏹L o c a t i o n a n d r a n g e:s a m e a s i n i n s p e c t i o n位臵和范围:与心尖搏动视诊相同⏹I n c r e a s e d(h e a v e):f o r c e f u l a n d s u s t a i n e d增强:搏动持续有力l i f t i n g a p i c a l i m p u l s e抬举性心脏搏动⏹D e c r e a s e d:c a n n o t p a l p.c l e a r l y减弱:不能清楚触到A b n o r m a l o f A p i c a l I m p u l s e心尖搏动异常⏹I n c r e a s e d c a u s e s:l e f t v e n t r i c u l a r p r e s s u r e o v e r l o a d a n dc o n s e q u e n t h y p e r t r o p h y增强原因:左室内压升高和肥厚⏹C l i n i c a l s i g n i f i c a n c e:l e f t v e n t r i c u l a r h y p e r t r o p h y临床意义:左心室肥大⏹D e c r e a s e d c a u s e s:d e c r e a s e d c o n t r a c t i b i l i t y o f t h em y o c a r d i u m减弱原因:心肌收缩力减弱⏹C l i n i c a l s i g n i f i c a n c e:h e a r t f a i l u r e,p e r i c a r d i a l e f f u s i o n,m y o c a r d i t i s临床意义:心力衰竭心包积液心肌炎T h r i l l震颤⏹M e c h a n i s m:f o r m a t i o n o f b l o o d f l o w v o r t i c e s c a u s e d b y v a l v e s t e n o s i s o r a b n o r m a l p a t h w a y.产生机制:血流旋涡引起低频较强震动由瓣膜狭窄和异常通道引起⏹T y p e s:s y s t o l e,d i a s t o l e,c o n t i n u o u s分型:收缩期震颤舒张期震颤持续震颤⏹C l i n i c a l s i g n i f i c a n c e:r e l i a b l e s i g n s o f o r g a n i c h e a r t d i s e a s e s临床意义:器质性心脏病的征象T h r i l l i n S y s t o l e收缩期震颤⏹2n d I C S,L S B:p u l m o n i c s t e n o s i s胸骨左缘第二肋间:肺动脉瓣狭窄⏹2n d I C S,R S B:a o r t i c s t e n o s i s胸骨右缘第二肋间:主动脉瓣狭窄⏹3r d,4t h I C S,L S B:i n t e r v e n t r i c u l a r s e p t a l d e f e c t胸骨左缘3,4肋间:室间隔缺损T h r i l l i n D i a s t o l e a n d C o n t i n u o u s舒张期和持续性震颤⏹D i a s t o l i c t h r i l l o n a p e x:m i t r a l s t e n o s i s心尖部舒张期震颤:二尖瓣狭窄⏹C o n t i n u o u s t h r i l l o n2n d I C S,L S B:P a t e n t d u c t u s a r t e r i o s u s胸骨左缘第二肋间连续性震颤:动脉导管未闭P e r i c a r d i a l F r i c t i o n F r e m i t u s心包摩擦感⏹M e c h a n i s m:i n f l a m m a t i o n o r i r r i t a t i o n o f t h e p e r i c a r d i u m机制:心包表面粗糙⏹T y p i c a l s i t e:4t h I C S,L S B部位:胸骨左缘第四肋间⏹F e e l i n g:f r i c t i o n l i k e l e a t h e r r u b b i n g感觉:如皮革相互摩擦⏹F e a t u r e s:i t i s b e s t p a l p a t e d w i t h t h e p e r s o n s i t t i n g u p a n d l e a n i n g f o r w a r d,a n d w i t h t h e b r e a t h h e l d i n e x p i r a t i o nc o i n c ide w i t h h e a r t i m p u l s e特点:坐位前倾呼气末明显与心跳一致闭气时不消失⏹C l i n i c a l s i g n i f i c a n c e:p e r i c a r d i t i s意义:提示心包炎P e r c u s s i o n o f t h e H e a r t心脏叩诊⏹p e r c u s s i o n o f t h e h e a r t b o r d e r心界叩诊⏹a b n o r m a l d u l l n e s s h e a r t b o r d e r心界异常P e r c u s s i o n T e c h n i q u e叩诊方法⏹F o r c e:l i g h t p e r c u s s i o n f o r t h e r e l a t i v e d u l l n e s s b o r d e r.力量:轻叩叩出相对浊音界⏹P o s i t i o n:s u p i n e:p a r a l l e l t h e m i d d l e f i n g e r t o i n t e r c o s t a l;s i t t i n g:p l u m b t h e m i d d l e f i n g e r.体位:仰卧位:板指与肋间平行坐位:板指与肋间垂直⏹S t e p s:f r o m l e f t t o r i g h t,l o w e r t o u p p e r,o u t w a r d t o i n w a r d顺序:先左后右自下而上由外向内⏹L e f t b o r d e r:2~3c m f r o m t h e a p i c a l i m p u l s e心左界:心尖搏动外2~3c m开始⏹R i g h t b o r d e r:I C S n e x t t o t h e u p p e r b o r d e r o f t h e l i v e r心右界:肝上界上一肋间开始⏹M e a s u r e:t h e d i s t a n c e f r o m d u l l n e s s b o r d e r t o a n t e r i o rm i d l i n e测量:浊音界距前正中线的垂直距离N o r m a l R e l a t i v e D u l l n e s s B o r d e r o f t h e H e a r t正常心浊音界D i s t a n c e b e t w e e n d u l l n e s s b o r d e r a n d a n t e r i o r m i d l i n e心脏之相对浊音界距前正中线的距离A b n o r m a l D u l l n e s s H e a r t B o r d e r心界叩诊异常(1)h e a r t v a r i a t i o n心脏改变⏹L.V e n l a r g e m e n t:b o o t-s h a p e d h e a r t左室扩大:靴形心⏹L.A e n l a r g e m e n t:p e a r-s h a p e d h e a r t左房扩大:梨形心⏹B.V e n l a r g e m e n t:g e n e r a l e n l a r g e d h e a r t双室扩大:普大心⏹R.V e n l a r g e m e n t:c o n g i n e t i a l a n d p u l m o n a l h e a r t d i s e a s e右室扩大:先心肺心⏹P e r i c a r d i a l e f f u s i o n:f l a s k-s h a p e d h e a r t心包积液:烧瓶心A b n o r m a l D u l l n e s s H e a r tB o r d e r心界叩诊异常(2)c h e s t a nd l u n g d i se a s e s胸肺疾病⏹P l e u r a l e f f u s i o n o r l u n g c o n s o l i d a t i o n:d u l l n e s s b o r d e ru n d e t e c t a b l e胸腔积液或肺实变:叩不出⏹E m p h y s e m a:“s h r i n k e d”d u l l n e s s b o r d e r肺气肿:心浊音界缩小a b d o m i n a l d i s o r d e r s腹部疾病⏹D i a p h r a g m e l e v a t i o n:a c r o s s i n g h e a r t膈升高:横位心B o o t-s h a p e d H e a r t靴形心⏹M e c h a n i s m:L.V e n l a r g e m e n t⏹F e a t u r e s:t h e l e f t b o r d e r e x t e n d s t o t h e i n f e r i o r l e f t,w a i s t o f t h e h e a r t i s d e e p e n e d.w i d e n e d o f t h e a o r t a.⏹C a u s e s:a o r t i c i n s u f f i c i e n c y,h y p e r t e n s i v e h e a r t d i s e a s e⏹机制:左室扩大⏹特点:心左界向左下扩大心腰加深主动脉增宽⏹病因:主动脉瓣关闭不全高血压心脏病P e a r-s h a p e d H e a r t梨形心⏹M e c h a n i s m:L.A e n l a r g e m e n t a n d d i s t e n s i o n o f p u l m o n a r ya r t e r y⏹F e a t u r e s:d u l l n e s s h e a r t b o r d e r i n t h e2n d,3r d I C S o n t h e L S B e x t e n d s o u t s i d e,w a i s t o f t h e h e a r t b u l g e s o u t⏹C a u s e s:m i t r a l s t e n o s i s⏹机制:左房扩大肺动脉扩大⏹特点:胸骨左缘2,3肋间心浊音界向外扩大心腰饱满或膨出⏹病因:二尖瓣狭窄G e n e r a l E n l a r g e d H e a r t普大心⏹M e c h a n i s m:b o t h l e f t a n d r i g h t v e n t r i c l e a r e e n l a r g e d⏹F e a t u r e s:t h e d u l l n e s s b o r d e r e x t e n d s t o b o t h s i d e s,t h e l e f tb o r d e r e x t e n d s t o i n f e r i o r l e f t⏹C a u s e s:c a r d i o m y o p a t h y,m y o c a r d i t i s,w h o l e h e a r t f a i l u r e ⏹机制:左右心室扩大⏹特点:心浊音界向双侧扩大左界向下扩大⏹病因扩张型心肌病克山病重症心肌炎全心衰竭F l a s k-s h a p e d H e a r t烧瓶心⏹M e c h a n i s m:p e r i c a r d i a l e f f u s i o n⏹F e a t u r e s:⏹S i t t i n g p o s i t i o n:t r i a n g u l a r d u l l n e s s b o r d e r⏹S u p i n e:w i d e n e d d u l l n e s s b o r d e r o f t h e b a s e机制:心包积液特点:⏹坐位时心浊音界呈三角形⏹仰卧位心底部浊音区增宽⏹随体位心界改变A u s c u l t a t i o n o f t h e H e a r t心脏听诊⏹v a l v e a u s c u l t a t i o n s e c t i o n瓣膜听诊区⏹c o n t e n t o f a u s c u l t a t i o n听诊内容V a l v e A u s c u l t a t i o n S e c t i o n瓣膜听诊区⏹M i t r a l v a l v e:i n t h e a p e x a r e a二尖瓣听诊区:心尖搏动最强点⏹P u l m o n i c v a l v e:i n t h e2n d I C S,L S B肺动脉瓣听诊区:胸骨左缘第二肋间⏹A o r t i c v a l v e:i n t h e2n d I C S,R S B主动脉瓣听诊区:胸骨右缘第二肋间⏹T h e2n d o f a o r t i c v a l v e:i n t h e3r d I C S,L S B第二听诊区:胸骨左缘第三肋间⏹T r i c u s p i d v a l v e:i n t h e i n f e r i o r s t e r n u m三尖瓣听诊区:胸骨左缘4,5肋间A u s c u l t a t i o n O r d e r听诊顺序⏹M i t r a l v a l v e二尖瓣⏹T h e2n d o f a o r t i c v a l v e主动脉瓣第二听诊区⏹P u l m o n i c v a l v e肺动脉瓣⏹A o r t i c v a l v e主动脉瓣⏹T r i c u s p i d v a l v e三尖瓣C o n t e n t o f H e a r t A u s c u l t a t i o n心脏听诊内容⏹H e a r t r a t e:60~100/m i n n o r m a l l y心率:正常60~100次/分⏹C a r d i a c r h y t h m:r e g u l a r o r a r r h y t h m i a心律:规整心律失常⏹H e a r t s o u n d s:n o r m a l,a b n o r m a l心音:正常心音异常心音⏹H e a r t m u r m u r s心脏杂音A r r h y t h m i a心律失常⏹S i n u s a r r h y t h m i a:q u i c k i n i n s p i r a t i o n a n d s l o w i n e x p i r a t i o n窦性心律不齐:吸快呼慢⏹P r e m a t u r e b e a t:a p p e a r a h e a d a n d i n t e r m i s s i o n b e h i n d期前收缩:提前出现后有间歇⏹A t r i a l f i b r i l l a t i o n:a r r h y t h m i a a b s o l u t e l y,h e a r t s o u n d i n t e n s i t yd i f fe r i n g a n d p u l s e d ef i c i t心房颤动:心律绝对不整心音强度弱不等心率大于脉率(脉搏短绌)p h y s i c a l e x a m i n a t i o n心脏检查(3)C a r d i a c E x a m i n a t i o n⏹c a r d i a c m u r m u r s心脏杂音⏹v a s c u l a r e x a m i n a t i o n血管检查⏹h e a r t d i s e a s e心脏疾病Heart murmurHeart murmur⏹Many murmur are indi cative of valvular or other important defect ,yet others are unimportant and do not necessarily imply the presence of a heart lesion, conversely, severe heart disease often exsists in the absence of murmur.A u s c u l t a t i o n o f M u r m u r s心脏杂音听诊⏹m e c h a n i s m s产生机制⏹c h a r a c t e r i z a t i o n听诊要点⏹c l i n i c a l m e a n i n g临床意义M e c h a n i s m s杂音产生机制t u r b u l e n t f l o w→v o r t i c e s→m u r m u r湍流→旋涡→杂音⏹E n h a n c e d b l o o d f l o w v e l o c i t y血流加速⏹S t e n o s i s o r i n s u f f i c i e n c y o f v a l v e s瓣膜狭窄或关闭不全⏹A b n o r m a l p a t h w a y(s h u n t)异常通道(分流)⏹F l o a t i n g m a t e r i a l s i n c i r c u l a t i o n心腔内漂浮物⏹S t e n o s i s o r d i l a t i o n o f b l o o d v e s s e l s血管腔扩大或狭窄⏹D i m i n i s h e d v i s c o s i t y血液粘度降低t u r b u l e n t f l o w→v o r t i c e s→m u r m u r湍流→旋涡→杂音⏹The normal blood flow is a streamline flow,while it become tuberlunt flow and be formed a vortices,the vortices produce viberation and make a noice called murmur.1.E n h a n c e d b l o o d f l o w v e l o c i t y血流加速⏹The normal blood flow is a blood streamline flow,whilethe blood flow velocity is enhanced,t he streamline flowwill be change to a tuberlant flow——vortices(oreddies)and form the extra sound—murmur. Such asexercise,fever hyperthyroidism.2.S t e n o s i s o r i n s u f f i c i e n c y o f v a l v e s瓣膜狭窄或关闭不全⏹A pathologi c process may stiffen、shorter or other wise deform the leaflet,so that complet closure dose not take place(insufficiency or re gargitation)⏹Depanding on the val ve invol ved,during ventricule systale, the blood flow backwards from contracting ventricule to the relaxing aulicule—make a mitral regargitation or tricusped regargitation;duri ng diastale,from the aortic or pulmona rybackward to the relaxing v entricule,called aortic or pulmonary regargitation2.S t e n o s i s o r i n s u f f i c i e n c y o f v a l v e s瓣膜狭窄或关闭不全Such as:Systole murmur:mitral or tricuspid regargitation.aortic or pulmonary stenosis.Diastale murmur:mitral or tricuspid stenosis.aortic or pulmonary regargitation3.A b n o r m a l p a t h w a y(s h u n t)异常通道(分流)⏹While exist abnormal communication between heart chambers or vessels,blood flow through abnormal cha nnel into another heart chamber or vessel will make the vortices and produce murmur.Such as:congenitally patent ductus arteriousinterventricule septal defect4.F l o a t i n g m a t e r i a l s i n c i r c u l a t i o n心腔内漂浮物⏹In bacterial endocarditis, a murmur may be caused by the presence in blood stream of a large vegetation,one end of the tissue is attached to the ventri cular wall or val ve(leaflet) while the other floats free in the stream.such as:bacterial endocarditisrupture of the cordae5.S t e n o s i s o r d i l a t i o n o f b l o o d v e s s e l s血管腔扩大或狭窄⏹The blood flow through a normal or a stenosis orifice into a vessel whose caliber is wider than normal may produce vortices and make a murmur.such as:aneurysm of aortastenosis of vessel6.D i m i n i s h e d t h e v i s c o s i t y血液粘度降低⏹While the viscosity of blood is diminished will enhanced the blood flow velocity and produce tuberlent bl ood flow make a murmur.O r g a n i c&R e l a t i v e器质性与相对性⏹O r g a n i c:v a l v e d i s e a s e器质性:瓣膜本身病变⏹R e l a t i v e:p a t h w a y w i d e o r n a r r o w相对性:通道扩大C h a r a c t e r i z a t i o n o f M u r m u r s杂音听诊要点⏹L o c a t i o n⏹D u r a t i o n⏹P i t c h a n d Q u a l i t y⏹I n t e n s i t y a n d T i m i n g⏹T r a n s m i s s i o n o r r a d i a t i o n⏹E f f e c t m u r m u r s o f f a c t o r⏹杂音的部位⏹杂音的时期⏹杂音的性质⏹杂音的强度⏹杂音的传导⏹影响杂音的因素L o c a t i o n杂音部位⏹A p i c a l a r e a:m i t r a l v a l v e ⏹A o r t i c a r e a:a o r t i c v a l v e⏹P u l m o n i c a r e a:p u l m o n i c v a l v e⏹I n f e r i o r s t e r n u m:t r i c u s p i d v a l v e⏹3r d,4t h I C S,L S B:v e n t r i c u l a r s e p t a l d e f e c t⏹2n d,3r d I C S,L S B:p a t e n t d u c t u s a r t e r i o s u s杂音出现和最响部位与病变部位血流方向传导介质相关⏹心尖部:二尖瓣⏹主动脉瓣听诊区:主动脉瓣⏹肺动脉瓣听诊区:肺动脉瓣⏹胸骨下端:三尖瓣⏹胸骨左缘3.4肋间:室间隔⏹胸骨左缘2.3肋间:动脉导管D u r a t i o n杂音时期S y s t o l i c m u r m u r(S M)⏹H o l o s y s t o l i c⏹E a r l y⏹M i d s y s t o l i c⏹L a t eD i a s t o l i c m u r m u r(D M)⏹H o l o d i a s t o l i c⏹E a r l y⏹M i d d i a s t o l i c⏹L a t e(p r e s y s t o l i c)C o n t i n u o u s收缩期杂音⏹全收缩期⏹收缩早期⏹收缩中期⏹收缩晚期舒张期杂音⏹全舒张期⏹舒张早期⏹舒张中期⏹舒张晚期连续性杂音S y s t o l i c m u r m u r(S M)T h i s i s t h e m u r m u r w h i c h c o i n c i d e w i t h t h e f i r s t s o u n d(t o t a l l y o r p a r t i a l l y m a k i n g i t,o r o c c u r s i n a n y p a r t o f t h e p e r i o db e t w e e n t h e f i r s t a n d s ec o nd s o u d)a n d c a n be d i v i d e df o u r k i n d s.⏹H o l o s y s t o l i c⏹E a r l y⏹M i d s y s t o l i c⏹L a t eD i a s t o l i c m u r m u r(D M)T h i s m u r m u r o c c u r e a t t h e t i m e o f t h e s e c o n d s o u n d p a r t i a l l y o r t o t a l l y m a k i n g i t o r f o l l o w s e c o n d s o u n d,o c c u r i n gb e t w e e n i t a n d n e x t s o u n d,a n d a l s oc a n b ed i v i de df o u rk i n d s.⏹H o l o d i a s t o l i c⏹E a r l y⏹M i d d i a s t o l i c⏹L a t e(p r e s y s t o l i c)C o n t i n u o u sStart in systole,continuous without interrupture through S2 in all or part of diastale,dose not necessarilly persistentthrough out entre cardic cycle.D i s t i n g u i s h D u r a t i o n时期的区分⏹s y s t o l i c m u r m u r收缩期杂音a p p e a rb e t w e e n S1a n d S2,s a m e a s a p ic a l i m p u l s e在第一心音与第二心音之间出现与心尖搏动一致⏹d i a s t o l i c m u r m u r舒张期杂音a p p e a rb e t w e e n S2a n d S1,n o n s a m e a s a p ic a l i m p u l s e在第2心音与第1心音之间出现与心尖搏动不一致B o t h P h a s e a n dC o n t i n u e s M u r m u r双期杂音与连续性杂音B o t h p h a s e m u r m u r双期杂音⏹C a u s e:m i t r a l s t e n o s i s a n d i n s u f f i c i e n c y疾病:二狭二闭⏹H e a r t m u r m u r a p p e a r s i n s y s t o l e a n d d i a s t o l e r e s p e c t i v e l y.收缩舒张期分别出现杂音⏹A u s c u l t a t i o n:Q u a l i t y d i f f e r e n t a n d S2s t i l l特点:杂音性质可不同不遮盖第二心音C o n t i n u e s m u r m u r连续性杂音⏹C a u s e:P a t e n t d u c t u s a r t e r i o s u s疾病:动脉导管未闭⏹S t a r t s i n s y s t o l e,c o n t i n u e s w i t h o u t i n t e r r u p t i o n t h r o u g h S2i n t o d i a s t o l e.跨越收缩期和舒张期⏹A u s c u l t a t i o n:Q u a l i t y s a m e a n d S2d i s a p p e a r.特点:杂音性质相同遮盖第二心音P i t c h a n d Q u a l i t y杂音性质P i t c h: d e p e n d s o n p r e s s u r e a n d r a t e o f b l o o d f l o w音调:与血流的压力和流速相关⏹h i g h,m e d i u m a n d l o w高调中等低调Q u a l i t y:d e p e n d s o n d e g r e e o f v a l v e c o m p r o m i s e,f o r c e o fc o n t r a c t i o n s a nd b l o o d v o l u m e音色:与瓣膜状况收缩力和血容量相关⏹H a r s h o r s o f t粗糙或柔和⏹B l o w i n g吹风样⏹R u m b l i n g隆隆样⏹s i g h i n g s o u n d叹气样(泼水样)⏹M a c h i n e-l i k e v i b r a t o r y机器样⏹M u s i c a l乐音样⏹W a r b l e s o u n d鸟鸣样(鸥鸣鸽鸣雁鸣)I n t e n s i t y杂音强度I n f l u e n c i n g f a c t o r s:影响因素⏹D e g r e e o f c h a n g e b e t w e e n c a l i b e r s o f t h e p a s s a g e s t h r o u g h w h i c h t h e b l o o d i s f l o w i n g通道口的大小⏹D e g r e e o f p r e s s u r e d i f f e r e n t i a l b e t w e e n t h e p a s s a g e s通道两端的压力差⏹S p e e d o f t h e b l o o d f l o w血流速度⏹T h i c k n e s s o f t h e t i s s u e s b e t w e e n t h e h e a r t a n d t h e s u r f a c e o f t h e c h e s t传导距离I n t e n s i t y o f S y s t o l i c M u r m u r收缩期杂音强度⏹G r a d eⅠ:b a r e l y a u d i b l e i n q u i e t r o o m1级:仔细听方可听到⏹G r a d eⅡ:q u i e t b u t c l e a r l y a u d i b l e2级:容易听到但不响亮⏹G r a d eⅢ:m o d e r a t e l y l o u d3级:较响亮⏹G r a d eⅣ:l o u d,a s s o c i a t e d w i t h t h r i l l4级:粗糙且响亮伴传导震颤⏹G r a d eⅤ:v e r y l o u d,t h r i l l p a l p a b l e e a s i l y5级:震耳⏹G r a d eⅥ:v e r y l o u d,a u d i b l e w i t h s t e t h o s c o p e n o t i n c o n t a c t w i t h c h e s t,t h r i l l p a l p a b l e e a s i l y6级:离开胸壁亦可闻及C o n f i g u r a t i o n o r S h a p e杂音形态T y p e s o f i n t e n s i t y v a r i e t y杂音强度变化类型⏹C r e s c e n d o:i n c r e a s i n g i n t e n s i t y递增型:强度逐渐增加⏹D e c r e s c e n d o:d e c r e a s i n g i n t e n s i t y递减型:强度逐渐减小⏹C r e s c e n d o-d e c r e s c e n d o:递增递减型:强度先增加后减小⏹C o n t i n u o u s:连续型:收缩期增强到舒张期减弱⏹P l a t e a u:s a m e i n t e n s i t y一贯型:强度大体保持一致T r a n s m i s s i o n o r R a d i a t i o n杂音传导⏹T h e g r e a t e s t f a c t o r i n f l u e n c i n g r a d i a t i o n i s i n t e n s i t y随距离增加响度减弱性质不变⏹R a d i a t i o n d i r e c t i o n c a n b e i n f l u e n c e d b y:o r i g i n o f t h em u r m u r,d i r e c t i o n o f f l o w o f t u r b u l e n t s t r e a m传导方向:与病变部位及血流方向相关⏹M i t r a l i n s u f f i c i e n c y:t r a n s m i t t o l e f t o x t e r a n d s c a p u l a r二尖瓣关闭不全:向左腋下肩胛下传导⏹A o r t i c s t e n o s i s:t r a n s m i t t o r i g h t c e r v i x主动脉瓣狭窄:向右侧颈部传导⏹A o r t i c i n s u f f i c i e n c y:t r a n s m i t t o a p i c a l a r e a主动脉瓣关闭不全:向心尖部传导⏹M i t r a l s t e n o s i s:n o t r a n s m i s s i o n二尖瓣狭窄:不传导E f f e c t M u r m u r s o fF a c t o r影响杂音强度因素⏹E x e r c i s e:m u r m u r s w h i c h a r e i n a u d i b l e o r j u s t b a r e l y h e a r d w i t h t h e p a t i e n t a t r e s t m a y b e m o r e c l e a r l y h e a r d a f t e rp h y s i c a l e x e r t i o n.运动影响:运动后使杂音增强⏹R e s p i r a t i o n:f u l l e x p i r a t i o n m a d e l e f t c a r d i a c m u r m u r↑,d e e pi n s p i r a t i o n m a d e r i g h t c a r d i a c m u r m u r↑.呼吸影响:用力呼气使左心杂音增强深吸气使右心杂音增强⏹P o s i t i o n:i n f l u e n c e t h e l o c a t i o n o f t h e h e a r t a n d t h e r e t u r n e db l o o d v o l u m e体位改变:使心脏位臵和回心血量相应改变C l a s s i f i c a t i o n o f M u r m u r s杂音的分类F u n c t i o n a l m u r m u r s功能性杂音⏹P h y s i o l o g i c:v e l o c i t y o f b l o o d f l o w↑生理性:血流加速⏹R e l a t i v e:e n l a r g e m e n t o f t h e o r i f i c e,u s u a l l y r e v e r s i b l e相对性:有腔隙或瓣环的扩大有可逆性O r g a n i c m u r m u r s器质性杂音⏹O r g a n i c d a m a g e有器质性损害⏹M o s t o f t h e d i a s t o l i c a n d c o n t i n u e s m u r m u r s a r e o r g a n i c舒张期及连续性杂音绝大多数为器质性杂音F u n c t i o n a l a n d O r g a n i c M u r m u r s收缩期杂音的鉴别L o c a t i o n a n d D u r a t i o n t o D i a g n o s e杂音部位时期对诊断的提示s y s t o l i c收缩期i n s u f f i c i e n c y s t e n o s i s关闭不全狭窄m i t r a l v a l v e二尖瓣a o r t i c v a l v e主动脉瓣t r i c u s p i d v a l v e三尖瓣p u l m o n i c v a l v e肺动脉瓣s t e n o s i si n s u f f i c i e n c y狭窄关闭不全A u s t i n-F l i n t d i a s t o l i c G r a h a m-S t e e l l舒张期⏹S y s t o l i c m u r m u r i n l e f t s t e r n u m i n t e r c o s t a l3~4:v e n t r i c u l a r s e p t a l d e f e c t胸骨左缘34肋间收缩期杂音:室间隔缺损⏹C o n t i n u o u s m a c h i n e-l i k e i n l e f t s t e r n u m i n t e r c o s t a l2:p a t e n t d u c t u s a r t e r i o s u s胸骨左缘第2肋间连续型杂音:动脉导管末闭S y s t o l i c M u r m u r s a t t h e A p e x心尖部收缩期杂音Q u a l i t y:b l o w i n g性质:吹风样P h y s i o l o g i c生理性P a t h o l o g i c:病理性:⏹I n s u f f i c i e n c y o f m i t r a l v a l v e二尖瓣关闭不全⏹T r a n s m i s s i o n o f a s y s t o l i c m u r m u r a r i s i n g e l s e w h e r e(t r i c u s p e d i n s u f f i c i e n c y)三尖瓣关闭不全D i a s t o l i c M u r m u r s a t t h e A p e x心尖部舒张期杂音Q u a l i t y:r u m b l i n g性质:隆隆样P a t h o l o g i c:病理性⏹S t r u c t u r a l s t e n o s i s o f m i t r a l v a l v e器质性二尖瓣狭窄⏹R e l a t i v e s t e n o s i s o f m i t r a l v a l v e相对性二尖瓣狭窄⏹A u s t i n-F l i n t m u r m u r主动脉瓣关闭不全所致S y s t o l i c M u r m u r s i n t h e P u l m o n i c A r e a肺动脉瓣区收缩期杂音Q u a l i t y:b l o w i n g性质:吹风样P h y s i o l o g i c:c o m m o n生理性:常见P a t h o l o g i c:病理性:⏹S t e n o s i s o f p u l m o n i c v a l v e肺动脉瓣狭窄⏹T r a n s m i s s i o n(f r o m a o r t i c a r e a)主动脉瓣区传导D i a s t o l i c M u r m u r s i n t h e P u l m o n i c A r e a肺动脉瓣区舒张期杂音Q u a l i t y:b l o w i n g性质:吹风样P a t h o l o g i c:病理性:⏹I n s u f f i c i e n c y o f p u l m o n i c v a l v e肺动脉瓣关闭不全⏹G r a h a m-S t e e l l m u r m u r二尖瓣狭窄所致S y s t o l i c M u r m u r s i n t h e A o r t i c A r e a主动脉瓣区收缩期杂音Q u a l i t y:b l o w i n g性质:吹风样P a t h o l o g i c:病理性:⏹S t e n o s i s o f a o r t i c v a l v e主动脉瓣狭窄⏹A n e u r y s m o f a o r t a主动脉夹层瘤⏹T r a n s m i s s i o n o f a m u r m u r o r i g i n a t i n g e l s e w h e r e其他区杂音传导D i a s t o l i c M u r m u r s i n t h e A o r t i c A r e a主动脉瓣区舒张期杂音Q u a l i t y:s i g h i n g s o u n d性质:叹气样P a t h o l o g i c:病理性:⏹i n s u f f i c i e n c y o f a o r t i c v a l v e主动脉瓣关闭不全⏹R e l a t i v e i n s u f f i c i e n c y o f a o r t i c v a l v e主动脉瓣相对性关闭不全⏹T r a n s m i s s i o n传导M u r m u r s i n t h e T r i c u s p i d A r e a三尖瓣区杂音⏹S y s t o l i c m u r m u r s:R e l a t i v e o r o r g a n i c i n s u f f i c i e n c y o f t r i c u s p i d v a l v e收缩期杂音:相对性或器质性三尖瓣关闭不全⏹D i a s t o l i c m u r m u r s:S t e n o s i s o f t r i c u s p i d v a l v e舒张期杂音:三尖瓣狭窄M u r m u r s i n L e f t E d g e o f S t e r n u m胸骨左缘杂音⏹S y s t o l i c b l o w i n g i n i n t e r c o s t a l3,4:i n d u c e d b y v e n t r i c u l a rs e p t a l d e f e c t3~4肋间收缩期吹风样室间隔缺损⏹C o n t i n u o u s m a c h i n e-l i k e i n i n t e r c o s t a l2:i n d u c e d b y p a t e n td u c t u s a r te r i o s u s第2肋间连续性机器样动脉导管未闭P e r i c a r d i a l F r i c t i o n R u b s心包摩擦音⏹P a t h o g e n e s i s:I r r i t a t e d v i s c e r a l a n d p a r i e t a l p e r i c a r d i a ls u r f a c e s g r a t e a g a i n s t e a c h o t h e r意义:心包膜表面粗糙⏹B e s t h e a r d s i t e:L S B,3r d,4t h I C S部位:胸骨左缘第3,4肋间⏹C h a r a c t e r i s t i c s:o c c u r a t t h e s a m e t i m e w i t h h e a r t b e a t s a n dh a v e n o r e l a t i o n w i t h r e s p i r a t i o n特点:与心跳相一致与呼吸无关⏹C l i n i c a l s i g n i f i c a n c e:p e r i c a r d i t i s提示:心包炎V a s c u l a r E x a m i n a t i o n血管检查⏹p u l s e e x a m i n a t i o n脉搏检查⏹b l o o d v e s s e l e x a m i n a t i o n血管杂音Blood pressure⏹The normal systolic pressure varies from90-130mmHg,generally increasing with age.⏹The normal diastolic pressure rang from 60-90mmHg.⏹One may have a normal varition of up 5 to 10mmHgbetween the two arms.⏹The blood pressure in the leg is high than the arms20-40mmHg.⏹Pulse pressure is disparity between the systolicpressure and diastolic pressure,the normal rang is20-40mmHg.P e r i p h e r a l A r t e r i e s B l o o d V e s s e l s周围动脉血管⏹c a r o t i d a r t e r y颈动脉⏹b r a c h i a l a r t e r y肱动脉⏹r a d i a l a r t e r y桡动脉⏹f e m o r a l a r t e r y股动脉⏹p o p l i t e a l a r t e r y腘动脉⏹p o s t e r i a l t i b i a l a r t e r y胫后动脉⏹d o r s a l i s p e d i s a r t e r y。

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Materials Science in Semiconductor Processing5(2002)35–38 Characterization of TiAl alloyfilms for potential applicationin MEMS bimorph actuatorsX.X.Qu a,*,Q.X.Zhang a,Q.B.Zou a,N.Balasubramanian a,P.Yang b,K.Y.Zeng ca Institute of Microelectronics,Science Park Road11,Science Park II,117685Singaporeb Singapore Synchrotron Light Source(SSLS),National University of Singapore,5Research Link,117603Singaporec Institute of Materials Research&Engineering,3Research Link,117602SingaporeAbstractIn this letter,we demonstrate the feasibilityof apply ing TiAl alloyfilm for the fabrication of bimorph actuators.The TiAl alloyfilms were prepared bythermal annealing at4001C of Ti/Al multilayers,which were deposited by DC magnetron sputtering from Ti and Al targets.The microstructure and surface morphologyof TiAl alloyfilms were analyzed by X-ray diffraction and scanning electron microscopy,which showed that TiAl alloyfilm is formed in the mixed phases of TiAl3and Ti36Al64,depending on the deposition conditions.The resistivityof TiAlfilm is about 9mO cm,and the stress is about200MPa.Our nano-indentation measurements showed that the Young’s modulus and hardness of TiAl alloyfilms are175and6.5GPa,respectively,which are larger than that of Al and comparable to Si. We have successfullyfabricated the bimorph actuators based on the TiAl alloyfilms and our test cantilevers up to 500m m long showed verystraight with tip bending as small as75m m,indicating negligible stress gradient in TiAlfilm. Our preliminarytesting results indicated that TiAl alloyfilm has potential application for bimorph actuators.r2002 Published byElsevier Science Ltd.Bimorph structures have manyapplications in variousMEMS[1–10],which include m-switch,m-valve,m-pump,and m-mirrors[2–5].Particularly,m-mirrors can be usedfor optical switches implemented in optical routers forthe Internet.The bimorph structures can be actuated indifferent mechanisms,either thermal,electrostatic,piezoelectric,or in other ways[1–7].In all the cases,the bimorph structure maydeflect to a large degreeduring actuation,and high stress will be induced in thelayers of the bimorph structures.Therefore to a largeextent the properties of the bimorph structure materialsdetermine the lifetime and reliabilityof the bimorphactuators.Up to now,most of the bimorph structureswere fabricated bybilay ers of oxide/conducting materi-al,with the latter mainlypolySi or Al.The performanceof the bimorph-based MEMS is still far from optimiza-tion.The basic idea of this work is that we select adifferent material for the fabrication of the bimorphstructures and improve the performance of the MEMS.In this work,TiAl alloyfilms were used to replacepure Alfilm for the fabrication of bimorph actuators.Basically,there are many issues with Al-based bimorphstructures.Even though the conductivityof Al is lowenough for the thermallyactuated Al-based bimorphMEMS,it suffered from the instabilityand high stressgradient.It is also well known that during thermalprocess Al will form hillocks.The static position of thebimorph structures is also drifting with the lifetime ofactuation.However,TiAl-based bimorph structureshave manyadvantages compared to Al;firstly,TiAlalloy,particularly TiAl3,is more stable than Al itself,which can effectivelyprevent the formation of hillocksup to5001C;secondly,the surface of the TiAl alloyfilmis smoother than Al after anythermal process;thirdly,the stress of TiAl3can be controlled and the stressgradient is negligible.It is also well known that bulkTiAl is proven to be a perfect material in a number ofapplications,due to its large elastic modulus,hardness,temperature stabilityand small density.The purpose of this letter is to report our results ofdeposition,characterization,and testing for TiAl alloy *Corresponding author.1369-8001/02/$-see front matter r2002Published byElsevier Science Ltd.PII:S1369-8001(02)00055-0films,and to demonstrate TiAl-based cantilevers and bimorph structures.Details of the bimorph actuators,fabrication and simulation,testing and reliabilitystudy will be presented in later papers.TiAl films were formed byannealing Ti/Al multilay ers in N 2environment at 4001C for 30min.Ti/Al multi-layers were deposited by DC magnetron sputtering Ti and Al targets,respectively.The vacuum of PVD chamber is better than 10À8Torr and Ar pressure during Ti and Al deposition is 2.5and 3mTorr,respectively.The thickness of Ti and Al sublayers is 10and 30nm,respectively,and in total 12layers of Ti/Al were deposited.Finallya cover lay er of Ti 10nm was deposited.The annealing of Ti/Al multilayers to form TiAl alloywas studied and it was found that 30min at 4001C is enough to form a uniform TiAl alloyfilm.The TiAl films were characterized byX-raydiffrac-tion (XRD)and scanning electron microscopy(SEM)to analyze the phases and surface morphology.The stress was measured bythe FSM sy stem byusing the standard laser scanning method.Sheet resistance was measured bythe 4-point probe method,and the resistivityof the film material was calculated.MTS nano-indentation system was employed to measure the Young’s modulus and hardness of the TiAl alloyfilm.The TiAl-based bimorph actuators were fabricated according to stan-dard process steps.The actuators and test structures were released in the STS system by Si dry etching with gases of SF 6or XeF 2.The phases of TiAl alloyfilms were analy zed byXRD,as shown in Fig.1.There are two phases:TiAl 3and Ti 36Al 64,both are tetragonal.It is interesting to note that the two phases are highly(111)oriented.These phases were formed during the 4001C furnace annealing in N2environment.The (111)orientation maybe related to the Si(001)substrate surface.It has beenfurther found that up to 8001C annealing these two phases are still stable and (111)oriented.We have compared the XRD spectra for annealing at 4001C,5001C,up to 8001C,and we saw that both the phases exist in all the annealed samples,indicating that 4001C annealing temperature can form TiAl alloy.The surface morphologyof TiAl alloyfilms was analyzed by SEM and typical pictures are shown in Fig.2.We found that after 4001C annealing induced alloying and crystallization,the surface was still very smooth and uniform.No hillocks were observed.However,longer annealing time and higher annealing temperature can cause the formation of hillocks.We have noted that TiAl films are quite stable without hillocks if further annealed at a temperature below 4001C.For all the actuator operation,even in the case of thermal actuation,the thermal stabilityensures the stabilityof the actuators fabricated bythis alloy material.Sheet resistance of TiAl alloyfilms and Ti/Al multi-layers was measured,and was about 59mO /&and 0.18O /&,respectively.The thickness of both TiAl alloy film and Ti/Al multilayers was about 500nm.We did not see measurable change in thickness after thermal annealing of Ti/Al multilayers,as can be confirmed from cross section SEM inspection.The sheet resistance increased to three times that of the as-deposited,indicating TiAl alloyformation.Further annealing did not show much change in the sheet resistance,indicating complete alloying.From the sheet resistance,we get the resistivityof the TiAl alloyto be 9mO cm.This is in between A12.65mO cm and Ti 42mO cm.We know that the stress in as-deposited Ti and Al film is compressive and tensile,respectively.The annealing at 4001C of Ti/Al multilayers to form TiAl alloy film has induced tensile stress of about 200MPa,which is quite stable during further annealing process.Even though the stress looks quite high,we did not see measurable stress gradient in the TiAl alloyfilm,which can be confirmed bytest cantilever structures released later.This maybe correlated to the highlyoriented TiAl alloyfilm.This characteristic is much better than that of Al,which can be greatlyaffected byinterface,or hillocks formationtoFig.1.The XRD spectra of TiAlalloyfilms.Fig.2.SEM morphologyof (a)as-deposited Ti/Al multilay ers;(b)TiAl alloyfilms.X.X.Qu et al./Materials Science in Semiconductor Processing 5(2002)35–3836induce quite non-uniform stress and high stress gradient.The stress in TiAl is believed to be mainlyfrom the thermal stress,and it can be relaxed once the structure is released without affecting the form of the fabricated cantilevers or bimorph actuators.Young’s modulus and hardness of TiAl alloyfilms were measured using nano-indentation technique.The measurement gives the average Young’s modulus and hardness of the TiAl alloyfilm as 175and 6.5GPa,respectively,which is much higher than that of Al and comparable to Si or polySi.The data is consistent for measurement on different sites of the samples.Such data indicate that TiAl alloyis more reliable and have higher lifetime if it is made for bimorph actuators.Bimorph actuators and test cantilevers were fabri-cated from TiAl film.The cantilever test structures were shown in Fig.3.These TiAl cantilevers were 500m m long,10m m wide and 500nm thick,which were released bySi dryetch with SF 6or XeF 2.One end of those cantilevers was anchored on Si substrate.Optical inspection indicated that these floating cantilevers were straight,with tip bending up or down within the range of 75m m,indicating reliable cantilevers structures,without anystress gradient in them.The high tensile stress in the cantilevers mayhave been relaxed after release.Furthermore,we did not see much change of the surface morphologyof the cantilever structures after dry etch release.The cantilever fabrication process was found to be stable and reliable across wafers.The bimorph structure is fabricated with TiAl/SiO 2or TiAl/SiO 2/TiAl depending on the design.Fig.4illus-trates the schematic process flow for one type of thermal balanced bimorph structure.The silicon wafer starts with thermal oxide as a dielectric and etch-stop layer for final releasing.Poly-Si is deposited and patterned as the sacrificial layer,followed by the deposition of the first TiAl layer of 0.5m m.Then a silicon dioxide of 1m m thickness is deposited as the base structural layer byPECVD.The second layer of 0.5m m thick TiAl is deposited.The patterning of TiAl and oxide layers can be done at respective steps or together bythe dryetch process.The final step is to release the sacrificial poly-Si layer by using SF 6or XeF 2dryetch.The results on these structures will be reported elsewhere.In summary,this letter presented our results on the characterization of the TiAl alloyfilm and fabrication of bimorph and test cantilever structures.Our demonstra-tion indicated that TiAl mayhave potential application for reliable and stable bimorph actuators.References[1]Dhuler,Vijayakumar R,Wood,Robert L.Microelectro-mechanical positioning apparatus,US5962949:October 5,1999.[2]Motamedi,Edward M,Andrews,Angus P,Park,Sangtae.Microelectro-mechanical optical resonator and method,US5903380:May11,1999.[3]Apte,Raj B,Paoli,Thomas L,Maeda,Patrick Y,Fisli,Tibor.Micro-positioned laser source for raster output scanners,US5854705:December 29,1998.[4]Carr,William,Sun,Xi-qing.Multi-dimensional physicalactuation of m -structures,US5870007:February1999.[5]Carr,William N,Sun,Xi-qing.Optical m shutter array,US5781331:July14,1998.[6]Quanbo Zou,Uppili Sridhar,Rongming Lin.A studyonmicro-machined bimetallic actuation.Sensors Actuators 1999;A78:212.[7]Quanbo Zou,et SaT:A novel single-chipfabrication technique for three-dimensional MEMS.Sen-sors Actuators1999;A72:115–24.Fig.3.Test cantilevers fabricated from TiAl film,500m m long,10m m wide and 500nm thick.Note that two cantilevers wereintentionallybroken.Fig.4.Cross-sectional view of process flow of thermal balanced bimorph structure.X.X.Qu et al./Materials Science in Semiconductor Processing 5(2002)35–3837[8]Calmes S,Schweizer S,Renaud P.Resonating large-angleand low-consumption micromachined optical scanner.Proc SPIE1998;3276:96–102.[9]Quanbo Zou,et al.Single-chip fabrication of integratedfluid system(IFS).Proceedings of the11th IEEE MEMS98 Workshop,Heidelberg,January1998.[10]QuanBo Zuo,Uppili Sridhar,Janak Singh N,Ranga,Qingxin Zhang,Wenjiang Zeng,Xuexuan Qu,Hanhua Feng.Ambient stable thermal bimorph actuator,iM-EMS2001.X.X.Qu et al./Materials Science in Semiconductor Processing5(2002)35–38 38。

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