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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。

This text is from probing into the characteristics and one"s own development orbits of culture; Point out the advantage of China"s traditional culture and limitation existing, and traditional culture, to " positive" of modernization and two-way function of "passivism"; Criticize culture answer " occidentalize in an all-round way " or wrong view that" repel in an all- round way ", is it should absorb western essential part of culture to maintain, the Chinese and Western culture is in conformity with exchange and confluence.

本文对文化的特征及其自身的发展轨迹进行了探讨；指出了中国传统文化的优势和存在的局限性，以及传统文化对现代化建设的"积极"和"消极"的双向作用；批判了文化应"全面西化"或"全面排斥"的错误观点，主张应吸收西方文化的精华，中西文化应交流与融合。

On one's way to on one's way home/there/here On my way home, I saw a little boy crying.

在我回家的路上，我看见一个小男孩正在哭。

On one's way/by the way I'm on my way to see my husband.

我正是去看丈夫来着。

The best way to do this is to make your web pages smart enough to look one way to some browsers and another way to other browsers.

最好的办法就是让你的页面足够智能，可以根据不同的浏览器来作出不同的反应

Two optimization schemes, which be used to constructed one-way operator in mixed domain, are described. Firstly, their characters are analyzed, and the relations between optimization method and other methods of constructing one-way operator are given. Then In order to show precision of one-way operator constructed by two optimization methods, The impulses of varying velocity medium and migration results of Marmousi model are presented.

本文着重对混合域中单程波算子构造的两种优化方法进行分析，讨论他们与其他单程波算子构造方法之间相互关系，并用上述方法计算变速介质的脉冲响应及偏移Marmousi模型数据，以此说明该类方法的偏移精度。

System speaking of the Master CAM, first must establish the components the geometry model, according to the components actual size, draws its processing part the contour line, does not need to draw the entire components the model, guaranteed the computation production the cutting tool way coordinates accuracy, and may use the Master CAM Chinese Library level the function, when determination cutting tool way, transfers or the hideaway, the selective treatment needs contour line; Next, the formulation processing craft and the definite craft parameter, chooses the cutting tool, the processing semi finished materials, the work piece origin of coordinates again and so on, establishes the work piece coordinates system, definite work piece coordinate system and engine bed coordinate system relative size, thus obtains the components processing correct cutting tool way; Finally, the simulation function which system provides using the Master CAM, the realization simulation processing.

对于Master CAM系统而言，首先要建立零件的几何模型，根据零件的实际尺寸，画出其加工部分的轮廓线，无需画出整个零件的模型，以保证计算生成的刀具路径坐标的正确性，并可利用Master CAM中图层的功能，在确定刀具路径时，加以调用或隐藏，来选择加工需要的轮廓线；其次，制定加工工艺并确定工艺参数，再选择刀具、加工毛坯、工件坐标原点等，建立工件坐标系统，确定工件坐标系与机床坐标系的相对尺寸，从而得到零件加工的正确刀具路径；最后，利用Master CAM系统提供的仿真功能，实现模拟加工。

Thesis totally five, chapter 1 just introduces the background that the calculate way dynamic state imitates to play to show the system, chapter 2 explained the FLASH of meaning, however the most is chapter 4 of Sha-ho, introduce I create the process that the dynamic state emulation plays to show the system,such as the realization of the row preface calculate way, and check to seek the calculate way of realization, home page establish, the creation, orotund ducting and the constitution of the button

论文一共五章，第一章只是介绍算法动态模拟演示系统的背景，第二章说明了一下FLASH的意义，不过最主要的是第三和第四章，介绍了我制作动态模拟演示系统的过程如排序算法的实现、查找算法的实现、首页的创建、按钮的制作、声音的导入和设置。

The dissecting of samples in group2 were difficult. The root of pulmonary artery and ascending aorta failed to be unfolded because fibrous tissue was tough, right and left fibrous trigone were too firm to be solved by hand. Cardiac muscle fibers couldn't be stripped along myofibrillar trajectory since they were prone to break because of their friability.

组2的心脏解剖困难，表现为纤维组织坚韧，游离肺动脉非常困难；徒手无法松解左、右纤维三角，肺动脉和主动脉根部的游离非常困难；心肌纤维坚硬、质脆，解剖时容易断离成碎块，无法沿纤维走行方向剥离。

We have battled against the odds in a province that has become increasingly violent.

我们对在一个争夺日益激烈省的可能性。