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objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24～72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的：探讨外伤性十二指肠破裂的诊断和治疗方法。方法：回顾分析外伤性十二指肠破裂患者13例临床资料。结果：入院后3 h内确诊6例，24～72 h内确诊4例，72 h后确诊3例。3例行十二指肠裂口修补，2例行十二指肠造瘘，2例行十二指肠空肠roux-en-y吻合，1例行十二指肠憩室化手术，1例行改良十二指肠憩室化手术，1例行十二指肠两断端关闭、胃空肠吻合，1例行十二指肠远端关闭、近端与空肠端侧吻合，2例行胰十二指肠切除术。术后6例(46.2%)出现切口感染、十二指肠瘘、消化道出血、胰瘘或腹腔感染等并发症，2例(15.4%)患者死亡，分别死于多器官系统衰竭和感染中毒性休克。结论：早期诊断与正确的术式选择是成功救治外伤性十二指肠破裂的关键。

Accordingly, an optimistic data consistency maintenance method based on key-attributes is proposed. In the method, the update of key-attributes is separated from user update requests. Key-Updates are propagated by latency-overlay update propagation model, that is, updates are always propagated to the nodes having maximum or minimum latency, and assured and uncertain propagation paths of updates are all taken into account. Based on classifying key-update conflicts, a double-level reconciling mechanism including buffer preprocessing and update-log processing is applied to detect and reconcile conflicts, and then conflicts are solved by policies as last-writer-win and divide-and-rule. Lastly, update-log management method and maintenance method brought by node failure and network partitioning are discussed for the above is deployed based on the information storied in update-log.

在该方法中，首先分离出用户提交的更新请求中关于关键属性的更新；然后采用基于延迟-覆盖的更新传播模型进行更新传播，即基于副本间的网络延迟选择具有最大和最小网络延迟的结点转发更新，并在传播过程中记录和综合考虑更新的确定传播和不确定传播两条路径；在对关键更新冲突分类的基础上，采用更新缓冲区和更新日志两层更新协商机制并结合最新写胜出和分而治之规则，优化关键更新冲突的发现和解决；更新日志信息是方法中各种策略开展的基础，讨论了更新日志中信息管理方法以及结点失效和网络划分发生时信息的维护方法。

The scheme can be used in teaching, training, and accident analysis of misoperation and failure to operate, and it can also be used in the comparison and optimization of other novel protective schemes.

该方案能用于教学、培训及微机保护误动或拒动后的事故分析，也可用于新型保护设计过程中的方案比较和优化。

The disfigurement and misplay of theoretic study will badly influence the system construction in practice and even result in the failure of the whole system .

理论研究上的缺陷与失误，往往会使实践当中的系统建设受到严重影响，甚至导致整个系统的失败。

Automatic inspection techniques for rapid detection of failure of an effective means, in particular, is a completely self-checking nature of the self-checking devices, not only in time to check out the module error, but also able to detect its own errors.

自动检验技术是用于故障快速检测的一种有效手段，特别是具有完全自校验性质的自校验装置，它不仅能及时检查出系统模块的差错，还能够检测出自身的差错。

Objective:To investigate changes in activities of the intestinal mucosal mast cells in multiple organ failure.

目的 ：研究多器官衰竭时肠黏膜肥大细胞活性的变化，从黏膜免疫的角度探讨 MOF的病理生理机制。

It is sad that in the United States the domi-nant perception of naturism lies fixed in a fearsome failure of empa-thy at the very notion of being without clothes.

我无法不让这些照片表现出惊人的魅力和博大的胸怀，我以为这就是一种源于对自然崇拜的灵魂。

The welded joints in the analyses were generally accepted as failure –free and the joint transiton regions included in the calculations are negligibly small.

被焊接的关节在那通常分析自由地被认为是失败–而且被包含在计算之中的联合 transiton 区域是 negligibly 小的。

Objectives:To study the effect of nutritional support on acute renal failure.Methods:On the basis of common treatemnt,total parenteral nutrition were given in 12 patients with ARF.The nonprotein calorie and NPC∶nitrogen were 104.6～125.5 kJ/ and 600～1000∶1 in simple ARF,and 125.5～146.4 kJ/kg .

对12例ARF病人在综合治疗的基础上给予全肠外营养治疗，并对ARF的二种临床类型(单纯型3例和表现为多脏器功能障碍综合症的9例)采用不同的TPN方案，二组的热量分别为104.6～125.5 kJ/kg 。

In a study of Medicare beneficiaries who were eligible for drug benefits from 1999 to 2004, Dr. Solomon's team assessed the occurrence of cardiovascular events (MI, stroke, heart failure, and cardiovascular death) in 76,082 new users of COX-2 inhibitors, 53,014 new users of nonselective NSAIDs, and 46,558 who didn't use either type of drug.

在 一个对1999至2004年适宜应用该药的医疗保险受益人的研究中，Solomon博士的团队评估了76082名新近应用了COX－2受体抑制剂，53014名新近应用了非选择性非甾体抗炎药，和46558名两类药物均没有应用的患者的心血管事件（心肌梗死，中风，心衰和心血管死亡）发生情况。

Singer Leona Lewis and former Led Zeppelin guitarist Jimmy Page emerged as the bus transformed into a grass-covered carnival float, and the pair combined for a rendition of "Whole Lotta Love".

歌手leona刘易斯和前率领的飞艇的吉他手吉米页出现巴士转化为基层所涵盖的嘉年华花车，和一双合并为一移交&整个lotta爱&。

This is Kate, and that's Erin.

这是凯特，那个是爱朗。