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Abstract］ objective to explore the experience in the diagnosis and treatment of small bowel diverticular surgical complication.methods 24 cases of small bowel diverticular were retrospectively analysed.results the diagnosis was made preoperatively in 4 duodenal diverticula and only 1 jejunal diverticula.clinical complications included obstruction in 11 cases,bleeding in 4 cases,perforation in 4 cases.23 cases were cured.1 case was died of mof.all the diverticular with complications had histopathological signs of inflammation and 3 had signs of ulcer and 4 had the resected.conclusion the small bowel diverticular is rare.it may diagnose except common reason underwent gastrointestinal bleeding or obstruction.the gi is an effective way of examinations.operation is effective for small bowel diverticular disease.

回顾性分析24例小肠憩室病外科并发症的临床资料。结果术前6例十二指肠憩室中4例确诊，18例空回肠憩室仅1例确诊。小肠憩室伴小肠梗阻11例，憩室出血4例，憩室穿孔4例。23例治愈，1例死于多脏器功能衰竭。有并发症的憩室病理都有炎症表现，5例有溃疡，4例有异位黏膜组织。结论小肠憩室病比较少见。在胃肠出血或梗阻的情况下，可采取对常见原因排除的方法进行诊断。在不需要急诊手术的情况下，钡餐造影是最有效的检查。手术是可靠有效的治疗方法。

"Supraspinatus tendinopathy is a specific diagnosis needs an MRI scan to demonstrate high signal intensity in the tendon without a frank tendon tear," lead author Justin Alan Paoloni, MBBS, PhD, from the Orthopaedic Research Institute at the University of New South Wales in Sydney, Australia, told Medscape in an email interview."It is a common problem, especially in overhead athletes (pitchers, tennis players, and swimmers) and workers, and is thought to be due to a combination of specific anatomical factors (subacromial impingement, anterior glenohumeral instability, often coexisting with tendinopathy) and relative overuse (repetitive shoulder motions, fatigue)."

澳洲University of New South Wales的医师Justin Alan Paloni表示，岗上肌肌腱炎在没有明显肌腱破裂的情况下，需要使用MRI的高密度讯号扫描，作特定的诊断才可以发现；这对某些族群的人而言是个普遍的现象，尤其是需要作手部举高动作的运动员，如棒球投手、网球运动员、游泳者及从事绘画、机器修复的人员；这个病徵是许多症状的组合，如下滑囊伤害、前肱肩胛骨不稳定等，都会引发随著肌腱病变；此外，过度的肩膀运动及疲劳也是原因。

"Supraspinatus tendinopathy is a specific diagnosis needs an MRI scan to demonstrate high signal intensity in the tendon without a frank tendon tear," lead author Justin Alan Paoloni, MBBS, PhD, from the Orthopaedic Research Institute at the University of New South Wales in Sydney, Australia, told Medscape in an email interview."It is a common problem, especially in overhead athletes (pitchers, tennis players, and swimmers) and workers, and is thought to be due to a combination of specific anatomical factors (subacromial impingement, anterior glenohumeral instability, often coexisting with tendinopathy) and relative overuse (repetitive shoulder motions, fatigue)."

澳洲University of New South Wales的医师Justin Alan Paloni表示，岗上肌肌腱炎在没有明显肌腱破裂的情况下，需要使用MRI的高密度讯号扫描，作特定的诊断才可以发现；这对某些族群的人而言是个普遍的现象，尤其是需要作手部举高动作的运动员，如棒球投手、网球运动员、游泳者及从事绘画、机器修复的人员；这个病征是许多症状的组合，如下滑囊伤害、前肱肩胛骨不稳定等，都会引发随著肌腱病变；此外，过度的肩膀运动及疲劳也是原因。

Results The most common symptom was melena in four cases (including one case with hematemesis). Upper abdominal pain occurred in one case, and one case's mass was detected under gastroscopy. All the six cases underwent surgical operation and were confirmed by immunohistochemistry. Partial gastrectomy was performed in four cases, distal gastric curative resection in one case, and local wedgy resection in one case. All the cases survived after operation.

结果 以黑便为首发症状4例（其中1例伴呕血）；上腹疼痛1例；1例行胃镜检查时发现；全部病例均经手术治疗，切除标本经病理检查及免疫组化证实；4例行胃大部分切除术（其中2例行近端胃大部分切除＋幽门成形术，2例行远端胃大部分切除术），1例行远端胃癌根治术，1例行病灶楔形切除术。

Seen now, in broad daylight, she looked tall, fair, and shapely; brown eyes with a benignant light in their iris, and a fine pencilling of long lashes round, relieved the whiteness of her large front; on each of her temples her hair, of a very dark brown, was clustered in round curls, according to the fashion of those times, when neither smooth bands nor long ringlets were in vogue; her dress, also in the mode of the day, was of purple cloth, relieved by a sort of Spanish trimming of black velvet; a gold watch (watches were not so common then as now) shone at her girdle.

这会儿大白天，她看上去高挑个子，皮肤白皙，身材匀称，棕色的眸子透出慈祥的目光、细长似画的睫毛，衬托出了她又白又大的前额，两鬓的头发呈暗棕色，按一流行式洋、束成圆圆的卷发，当时光滑的发辫和长长的卷发，并没有成为时尚。她的服装，也很时髦，紫颜色布料，用一种黑丝绒西班牙饰边加以烘托。一只金表（当时手表不像如今这么普通）在她腰带上闪光。

Seen now , in broad day - light , she looked tall , fair , and shapely ; brown eyes with a benignant light in their irids , and a fine pencilling of long lashes round , relieved the whiteness of her large front ; on each of her temples her hair , of a very dark brown , was clustered in round curls , according to the fashion of those times , when neither smooth bands nor long ringlets were in vogue ; her dress , also in the mode of the day , was of purple cloth , relieved by a sort of spanish trimming of black velvet ; a gold watch watches were not so common then as now shone at her girdle

这会儿大白天，她看上去高挑个子，皮肤白皙，身材匀称，棕色的眸子透出慈祥的目光细长似画的睫毛，衬托出了她又白又大的前额，两鬓的头发呈暗棕色，按一流行式洋束成圆圆的卷发，当时光滑的发辫和长长的卷发，并没有成为时尚。她的服装，也很时髦，紫颜色布料，用一种黑丝绒西班牙饰边加以烘托。一只金表当时手表不像如今这么普通在她腰带上闪光。

Seen now, in broad day-light, she looked tall, fair, and shapely; brown eyes with a benignant light in their irids, and a fine pencilling of long lashes round, relieved the whiteness of her large front; on each of her temples her hair, of a very dark brown, was clustered in round curls, according to the fashion of those times, when neither smooth bands nor long ringlets were in vogue; her dress, also in the mode of the day, was of purple cloth, relieved by a sort of Spanish trimming of black velvet; a gold watch (watches were not so common then as now) shone at her girdle.

我仍旧打量着她们，间或也仔细审视了一下教师——确切地说没有一个使人赏心悦目。胖胖的一位有些粗俗；黑黑的那个很凶；那位外国人苛刻而怪僻；而米勒小姐呢，真可怜，脸色发紫，一付饱经风霜、劳累过度的样子，我的目光正从一张张脸上飘过时，全校学生仿佛被同一个弹簧带动起来似的，都同时起立了。

The code is divided in to four books,namely, person, property,obligation and general provisions, which is one attempt to deal with the institutions of Common Law by the method of organizing the legal materials of Continental Law system,andit has some special characteristics both in the macrosco pical structure and in the concrete in stitutions.

该法典*案分为人、财产、债和一般规定四编，是用大陆法系的组织法律材料的方法整合普通法制度的一次尝试，在法典的宏观结构和具体制度上都具有一些特色。

The code is divided in to four books,namely, person, property,obligation and general provisions, which is one attempt to deal with the institutions of Common Law by the method of organizing the legal materials of Continental Law system,andit has some special characteristics both in the macrosco pical structure and in the concrete in stitutions.

该法典草案分为人、财产、债和一般规定四编，是用大陆法系的组织法律材料的方法整合普通法制度的一次尝试，在法典的宏观结构和具体制度上都具有一些特色。

The code is divided in to four books,namely, person, property,obligation and general provisions, which is one attempt to deal with the institutions of Common Law by the method of organizing the legal materials of Continental Law system,andit has some special characteristics both in the macrosco pical structure and in the concrete in stitutions.

该法典草案分为人、财产、债和一般规定四编，是用大陆法系的组织材料的方法整合普通法制度的一次尝试，在法典的宏观结构和具体制度上都具有一些特色。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。