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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。

But differences in the way our brains are built shed light on everything from the way we flirt to the way we fight to how we raise our boys, says neuropsychiatrist Dr.

但是，根据神经心理学家，露安娜。布里甄仃，在她的轰动的新书－《男性大脑》所说的，我们大脑思考方式的差异，是由于我们大脑本身构造的差异。

Differences in the way our brains are built shed light on everything from the way we flirt to the way we fight to how we raise our boys, says neuropsychiatrist Dr.

论坛 根据神经心理学家露安娜布里珍丁轰动的新书——《男性大脑》所说的，我们大脑思考方式的差异，是由于我们大脑本身构造的差异。

Abstract］ objective in order to strengthen and improve the action to prevent the medical dispute,we must understand the correlation factor between medical personnel and patients to reduce the medical dispute.methods with the questionnaire survey the principal factors,hope solution way and preservation way between medical personnel and the patients were analyzed.results there were 75 medical persons and 62 patients who considered that the two sides should take the responsibility about the medical service dispute.110 medical persons and 80 patients hoped that the medical dispute be solved by the consultative way.conclusion we should strengthen the management system of the hospital,the construction of the medical ethics,the construction of the environment,and the popularization of the medical knowledge,we also should take some measures about the suitable regulation on media propaganda and the establishment of perfect medical service dispute consulation and so on.

目的 了解医务人员及患者对引发医疗纠纷的相关因素的认识情况，加强和提高医疗纠纷的预防措施。方法采用问卷调查法抽查临床医务人员和患者及其家属关于医疗纠纷发生的主因及患者和医方的各方面原因、希望的解决方式和预防方式等内容进行调查分析。结果 75名医务人员和62名患者认为引发医疗纠纷的主因是双方，110名医务人员和80名患者希望通过协商的方式解决所发的医疗纠纷。结论需要加强医院的制度管理、医德医风建设和环境建设，加强医疗知识的普及，适当调控媒体宣传和设立健全的医疗纠纷咨询机构等。

Because of culture recessiveness we often neglect their existence, the contemporary situation of teacher culture exists crisis and loss as presented in the lagging of education concept, unitary way of teaching, conservative value orientation, one-way, linear and static behavior patterns and passive, obedient and comfortable way of life.

当代教师文化的现状存在着危机和缺失，具体表现在：滞后的教育理念；单向的教学方式；保守的价值取向；单向、线性、静态的行为模式；被动、服从、自在的生存方式。

What happened between the first two-way-communicating animal and the first communicating people why landed on Hawaii was a continuing process of extending the senses farther and farther so as to command more information; extending the voice and gestures Farther and farther so as to deliver more information; making one's messages always more portable, more separable from oneself both in space and time, Considered that way, Marshall McLuhan's metaphor of the media as extensions of man is sound history, although the process was under way long before there were any media as we now know them.

第一批互相传播的动物和第一批登上夏威夷会交流的人们之间发生了什么？发生了一个感觉不断延长以至需要更多的信息，发生了声音和姿势不断的扩展以至于要提交更多的信息，使一个人的信息总是更具可携性和在共同的时空间里更具差异性。那样看来，麦克鲁汉把媒介隐喻为人体的的延伸是正确有说法，尽管这个进程在我们不知道这些媒介之前的很久以前就已进行。

And the actress talked for a few, came to the chapel, the priest is not found, but there is a Secretary for Education, and he was informed that the priest went to chat sites, to allow the protagonist to the Education Secretary, and then the key to the relic one, alas,跑路while, and take one's time out of the village, the most bottom-left corner of the well first, and small talk MM, available in three ore (the beginning of very useful, even if do not want), and first up, and then to have on the sites, fighting all the way, are going the right way can be to the BOSS, other treasures of the whole line is, do not pick pick a personal look at the way the availability of a shield and Ruby if you have to buy at the store and the sword armor, the equipment will be turned into green body color (much better than you YS6, save, play guy, beat him with the priest when the hostages were bullied protagonist, to play a leading role cliff, on 1000 meters high, ah, was not killed, it is also Xiaoqiang immortality

和女主角聊了几句，来到礼拜堂，发现神父不在，但出现了一个司教，和他聊天得知神父去了遗迹，司教让主角去，然后给了一把遗迹钥匙，唉，又要跑路了，不忙出村庄，先到最左下角的井边，和小MM说话，可得到三个矿石(开始很有用，不想要就算了)，先往上，再往有就到了遗迹，一路拼杀，都走右边的路就可以到BOSS，其他的上下线路是宝物，拣不拣看个人了，途中可得一个盾牌和红宝石如果你在商店有买剑和盔甲的话，装备上身上颜色会变成绿色(比YS6好多啦，保存后，打帅哥，打败他后居然用神父当人质欺负主角，把主角踢下了悬崖，上千米高啊，居然没摔死，真可谓不死小强也

Thank you for recognizing that "co-exist in harmony with nature" is at least "the right way", but you just show that a right way can not be taken because a right way is "not a serious thing we'll take pains to do".

谢谢你承认"与自然和谐共存"至少是件正确的事，但你又说这件正确的事不能做，因为它现在"还不是一件严重到我们应该努力去做的事"。

This tractate states the academic basis of this "excluded way" as a response to the heckling. And it also sums up four standards which the "excluded way" has to follow. Furthermore, it attempts to point out a proper way for settling the problems we are facing in the scope of the contents of administrative act.

本文在阐明这种排除式思路的理论基础的前提下，对该诘难进行回应，进而提出适用排除式思路重构行政行为效力内容所应遵循的四大标准，并试图为当前对行政行为效力内容的研究所面临的困境指出一条切实可行的研究进路。

Now the product has three major series (one-way switch, two-way switch, and four-way switch), 16 varieties in all.

目前该产品有三大系列（单路开关、双路开关、四路开关）十六个品种。

According to the clear water experiment, aeration performance of the new equipment is good with high total oxygen transfer coefficient and oxygen utilization ratio.

曝气设备的动力效率在叶轮转速为120rpm～150rpm时取得最大值，此时氧利用率和充氧能力也具有较高值。

The environmental stability of that world - including its crushing pressures and icy darkness - means that some of its most famous inhabitants have survived for eons as evolutionary throwbacks, their bodies undergoing little change.

稳定的海底环境─包括能把人压扁的压力和冰冷的黑暗─意谓海底某些最知名的栖居生物已以演化返祖的样态活了万世，形体几无变化。