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The static shape of tongue after reconstruction with submentalental island flap were acceptable. the dynamic function such as movement, speech and swallowing, were all well reformed. cheek mucosity were velvet and has no plump or overstaffed . 4 patients were all given radiotherapy after operation.the figuration and function of tissue defect region,that reconstructed, had no obviously change after radiotherapy.

修复后的舌体静态形态佳；动态表现舌的运动不受限，语音清晰，吞咽功能良好；修复后的颊粘膜表面光滑，无肥厚臃肿，不影响上下颌的咬合。4例术后均给予放疗，放疗后舌、颊部无异常变化。

During December 1st 2006 to May 30th 2007, data collection was conducted by the semi-structural in-depth interviews and questionnaires of Pittsburg Sleep Quality Index, social support scale and Parental Stress Index to repeatedly measure 14 primipara and multipara in three time periods: the first week after the birth, the first week after the infant is transferred out, and the first week after they go home.

於2006年12月1日至2007年5月30日期间，分别在早产儿出生一周、转出加护病房一周以及返家后一周，以匹兹堡睡眠品质量表、社会支持量表、亲职压力量表，重复追踪14位初经产妇并进行半结构式深度访谈，以更深入了解早产儿母亲之睡眠品质及其影响因素，研究对象有效答覆率为93.33％。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

Well, after his Astonishment was a little over at this, I pointed to him to run and fetch the Bird I had shot, which he did, but stay'd some Time; for the Parrot not being quite dead, was flutter'd away a good way off from the Place where she fell; however, he found her, took her up, and brought her to me; and as I had perceivd his Ignorance about the Gun before, I took this Advantage to charge the Gun again, and not let him see me do it, that 1 might be ready for any other Mark that might present; but nothing more offer'd at that Time; so I brought home the Kid, and the same Evening I took the Skin off, and cut it out as well as I could; and having a Pot for that purpose, I boil'd, or stew'd some of the Flesh, and made some very good Broth; and after I had begun to eat some, I gave some to my Man, who seem'd very glad of it, and lik'd it very well; but that which was strangest to him, was, to see me eat Salt with it; he made a Sign to me, that the Salt was not good to eat, and putting a little into his own Mouth, he seem'd to nauseate it, and would spit and sputter at it, washing his Mouth with fresh Water after it; on the other hand, I took some Meat in my Mouth without Salt, and I pretended to spit and sputter for want of Salt, as fast as he had done at the Salt; but it would not do, he would never care for Salt with his Meat, or in his Broth; at least not a great while, and then but a very little.

这不由得使我经常想到，上帝对世事的安排，自有其天意，在其对自己所创造的万物的治理中，一方面他剥夺了世界上许多生物的才干和良知，另一方面，他照样赋予他们与我们文明人同样的能力，同样的理性，同样的感情，同样的善心和责任感，也赋予他们同样的嫉恶如仇的心理；他们与我们一样知道感恩图报，诚恳待人，忠贞不渝，相互为善。而且，当上帝给他们机会表现这些才干和良知时，他们和我们一样，立即把上帝赋予他们的才干和良知发挥出来做各种好事，甚至可以说比我们自己发挥得更充分。对此，我不能不感到惊讶。同时，想到这些，我又感到有些悲哀，因为许多事实证明，我们文明人在发挥这些才干和良知方面，反而显得非常卑劣。尽管我们不仅有能力，而且，我们受到上帝的教诲，上帝的圣灵和上帝的语言的启示，这使我们能有更深刻的认识。同时，我也感到奇怪，为什么上帝不给这成千上百万的生灵以同样的教诲和启示，使他们懂得赎罪的道理。我觉得，如果我以这可怜的野人作为判断的依据，那么，他们实在能比我们文明人做得更好。

Methods ①In situ hybridization was applied to observe the changes ofhypothalamic CRHmRNA positive cells after PX and melatonin supplementation;②Immunohistochemistry was used to observe the changes of CRH positive cellsin hypothalamus and CRH staining in median eminence of neurohypophysis after PXand melatonin supplementation;③ELISA was applied to detect the changes of CRHconcentration in serum after PX and melatonin supplementation.

①运用CRHmRNA 原位杂交的方法来观察松果体摘除及补充外源性褪黑素后下丘脑室旁核CRHmRNA 阳性细胞的变化；②应用免疫组织化学染色的方法观察松果体摘除及补充外源性褪黑素后下丘脑室旁核CRH 阳性细胞和神经垂体正中隆起CRH 阳性染色的变化；③运用ELISA 法检测松果体摘除及补充褪黑素后血清CRH 浓度的变化。

The conclusions were as follows: theνO-H andνC=O IR absorption maxima shifted towards higher wave numbers after imprinting 17β-estradiol on TFMAA-co-TRIM copolymer with the red shift of theνO-H groups being apparent after precipitation polymerization for 16h while that forνC=O groups being observed after polymerization for 24h. A strong interaction between TFMAA and 17β-estradiol was confirmed by the high selectivity for 17β-estradiol, as indicted by the values of the separation factor of isomers of 17β-estradiol/17α-estradiol (2.28) and the imprinted factor (3.01). Particle diameter of TFMAA-co-TRIM polymer was between 300 nm and 1.5μm, which suited well for solid phase sorbent throughout at low column pressure. The recognition of imprinting TFMAA-co-TRIM polymer for sterol molecules was driven by enthalpy eluted with acetronitile, and low temperature was in favor of the separation of sterol structure analogues on imprinting column. TFMAA-co-TRIM polymer possessed of determinate anti-heat stability, with melting point beginning at 255.84℃, Tp=257.40℃, control TFMAA-co-TRIM polymer and imprinting TFMAA-co-TRIM polymer were respectively decompounded at 267.79℃and 343.11℃, and solid micro-extraction noddle prepared by the special polymerization also showed definite recognition for 17β-estradiol by GC/MS detecting at 270℃. By selection of various washing and elution solvents, elution reagents of close polymerization system were of more advantage in template molecules retention and recognition on molecularly imprinted solid phase extraction column. At a certain extent, progesterone, 17α-estradiol, 17β-estradiol and 4-androstene-3, 17-dione could be intercepted on the MISPE column. Especially, MISPE had high selectivity for progesterone, and imprinting TFMAA-co-TRIM polymer could achieve adsorption balance within 50 min by absorption kinetics test for 17β-estradiol. However, MISPE column showed better selectivity and enrichment property for 17β-estradiol than C18 and CSPE columns according to the data from HPLC and GC/MS analyses. Recovery of 17β-estradiol on MISPE column was up to 85.5% while when prime extracting solution of milk powder was sampled, the recovery of CSPE and C18 columns were 43.7% and 30.7%, respectively.

通过研究阐明：紫外聚合产物TFMAA-co-TRIM中的νO-H振动吸收峰在聚合16h后红移，νC=O振动吸收峰在聚合24h后红移；TFMAA-co-TRIM对雌二醇异构体的印迹因子达到了3.01，α为2.28，优于其它功能单体参与得到的聚合物识别特性；TFMAA-co-TRIM聚合物粒径介于300 nm至1.5μm之间，作为色谱固定相具有良好的通量和低的柱压；在乙腈流动相中，TFMAA-co-TRIM分子印迹固定相的分离过程主要被焓驱动，低温有利于分子印迹固定相分离甾醇结构类似物；TFMAA-co-TRIM分子印迹聚合物在255.84℃时开始熔融，Tp=257.40℃，聚合物CP的降解温度在267.79℃，MIP降解温度在343.11℃，制备的固相微萃取头初步经GC/MS 270℃的耐热性测定；不同的洗提溶剂筛选证明了选择接近聚合溶剂的洗脱体系更有利于MISPE发挥识别效应；分子印迹固相萃取柱对孕酮、17α-雌二醇、17β-雌二醇和雄烯二酮都具有不同程度的保留特性，可作为此类化合物的吸附材料，特别对孕酮强保留的富集特性，可作为孕酮的选择性识别吸附剂，其分子印迹聚合物对17β-雌二醇的吸附动力学测定显示在50 min内基本达到吸附平衡，具有作为传感器核心敏感材料的潜力；对比萃取奶粉中17β-雌二醇性能，MISPE柱比非分子印迹固相萃取柱和C18柱具有更高的保留，回收率依次为85.5%，43.7%和30.7%。

The250gL-1 hydrogel was applied in tissue engineering;4weeks after injection,the hard nubble was formed subcutaneously and immatural cartilage was observed.8weeks after injection matural catilage was observed.12weeks after injection the amount of matural cartilage increased.

此水凝胶用于软骨组织工程，注射后4wk在皮下形成稍硬的结节。8wk后形成的结节质地坚韧，切面色泽亮白。

Cumulatie patency rates were 67% after 1 year, 56% after 2 years, and 53% after 3 years.

在随访期间，累计开放率1年后67％；2年后56％；3年后53％。

Serum pepsinogenⅠ and pepsinogen Ⅱ levels were measured by radioimmunoassay in 190 healthy controls, 103 patients with gastric cancer before operation, 33 patients after partial gastrectomy, 18 patients after total gastrectomy, and 23 return visit patients after total gastrectomy.

运用放射免疫分析方法测定了190例正常人，103例胃癌手术前病人，33例胃部分切除病人，18例全胃切除病人，23例全胃切除后随访病人的血清PGⅠ、PGⅡ的含量，并进行统计学分析。

At 6h after ischemia both MRI were found to indicate definite infarct foci in the caudate nucleus and the lentiform nucleus,mass effect was seen too.Histopathologic findings:At 2h after ischemia,electro microscope revealed the changes of ischemia and edema.At 4h after ischemia,the photomicroscope demonstrated the changes of ischemia edema and the electromicroscope indicated the damage to blood brain barrier.

结果 梗塞2h MRI T2加权可见尾状核头部、豆状核信号增高；6h MRI可见尾状核、豆状核形成明确梗塞，并出现占位征象。2h电镜下已有缺血水肿改变，4h光镜下出现脑缺血水肿改变，电镜下见到血脑屏障受损。

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。