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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。

OBJECTIVE: To evaluate the therapeutic effect of liquid-electric extracorporeal shock wave on traumatic avascular necrosis of talus, and to explore new treatments of traumatic avascular necrosis of talus.

目的:应用液电式体外冲击波治疗创伤性距骨缺血性坏死并分析其治疗效果,探索创伤性距骨坏死新的治疗方法。

Methods 16 cases (16 eyes) of traumatic enophthalmos were treated by HA which was implanted into orbital fracture,6 cases of traumatic enophthatmos were treated by HA which was implanted into muscle cone,making eyeballs over correction for 1.5 mm.

将HA植入眶骨折凹陷处 16例、HA植入肌肉锥体内 6例,使眼球突出 1.5mm。

METHODS:Forty cases of traumatic optic neuropathy were analyzed retrospectively. Univariate analysis (Chi-square test) and logistic regression were performed to filter the risk factors to the visual prognosis of traumatic optic neuropathy. Eight variables were tested, including corticosteriod treatment in 2 days after trauma,no light perception,frontal or temple trauma,orbital hemorrhage and/or fracture,disturbance of consciousness,age ,other ocular trauma and presence of blood within the sphenoidal or ethmoidal sinus.

回顾分析40例外伤性视神经病变患者的临床资料,将伤后2d内是否接受激素治疗,伤后有无光感,有无意识障碍,是否有额颞部受伤,有无眶内积血和或眼眶骨折,患者年龄,是否合并其它眼外伤及是否有蝶、筛窦积血等8个变量纳入研究,通过单因素分析(χ 2检验)和多因素分析(Logistic回归分析),筛选出影响外伤性视神经病变视力预后的危险因素。

Gliosis plays a critical role in post-traumatic epileptogenesis. The inhibition of the proliferation of astrocytes with 7β OHCH could influence synaptic plasticity, modulate the imbalance of excitatory and inhibitory systems in hippocampus and postpone the latency between injury and the occurrence of chronic spontaneous seizures, furthermore to some extent, reduce the occurrence of post-traumatic epilepsy.

星形胶质细胞增生在创伤性癫痫发病机制中起重要作用,抑制胶质细胞增生,可影响海马突触可塑性,有利于调整海马内兴奋性和抑制性功能系统之间作用的失衡,可延长损伤与发生慢性自发性抽搐之间的间歇期,在一定程度上降低创伤性癫痫的发病率。

Methods Forty nine cases of traumatic hepatorrhexis from 1996 to 2001 were studied and the relation between 13 signs found at admission, liver traumatic division of USA, blood loss, and prognosis was analyzed.

方法将 1996~ 2 0 0 1年我院收治的外伤所致的 4 9例肝破裂患者入院时的 13项指标、美国肝脏损伤分级标准、出血量和预后(并发症的发生率和死亡率)的关系进行分析。

Effect of microsurgery on the repair of traumatic iridodialysisWEI Yi(People's Hospital of Longlin Ge Autonomous County, Longlin 533400, China) Objective: To investigate the effect of microsurgery on the repair of traumatic iridodialysis and the recovery and maintanence of visual function.

作者:韦懿作者单位:广西隆林各族自治县人民医院,广西隆林 533400 目的:观察显微外科技术对外伤性虹膜根部离断的修复作用以及对视功能的改善和恢复情况,总结外伤性虹膜根部断离的手术修复体会。

Methods :25 cases of traumatic hydrocephalus were analysed retrospectively.Among them,3 cases showed brain contusion,4 with subrarchnoid hemorrhage,5 with subdural effusion,2 with epidural hematoma,1 with subdural hematoma,1 with fracture of skull,3 with malacia lesions,3 with cerebral infarction,and 2 with cerebral hernia.The other 3 cases were not associated,with intracranial traumatic anomaly.

回顾分析25例外伤性脑积水,其中分别伴颅脑损伤有3例脑挫伤、4例蛛网膜下腔出血、5例硬膜下积液、1例颅骨骨折、3例脑内软化灶、3例脑梗塞、2例硬膜外血肿、1例硬膜下血肿、2例脑疝(大脑镰下疝及钩回疝各1例),另3例颅内未见外伤性异常改变与其并存。

The experimental study is to explore the effect about rhEPO on neuromotor function, secondary pathology change and expression of NTF and the apoptosis of neural cell, which administered at different time after traumatic spinal cord injury. The experimental study is devided into three parts: The first part The effect of rhEPO on NT-3 and NGF expression after traumatic spinalcord injury Objective Nerve growth factor and neurotrophic factor–3(NT-3) are chief members in neurotrophic factors family, which can promote nerve cell survival、growth and differentiation.

本研究拟在脊髓损伤后不同时间应用促红细胞生成素干预,探讨其对神经运动功能和继发性病理改变的保护作用及对神经营养因子表达和神经细胞凋亡的影响,共分为以下三个部分:第一部分脊髓损伤后促红细胞生成素对NGF、NT-3表达的影响目的:神经生长因子和神经营养因子-3(NT-3)是神经营养因子家族的主要成员,是机体产生的能够促进神经细胞存活、生长、分化的一类多肽或蛋白质因子。

"Although in our study the number of patients was small and follow-up short, we believe that HolCTU should be considered as an initial treatment for obliterative post-traumatic urethral strictures," the authors write."The procedure is simple, less traumatic, and less morbid, without a blood transfusion requirement, and the patient will require less time away from work. We do not deny that the core-through procedure has a slightly greater rate of failure compared with open surgery. However, failure of the procedure does not prevent conventional urethroplasty if required."

研究人员表示,虽然在研究中,受试者样本数少且追踪期短,但我们相信HolCTU将会像对创伤后闭锁性尿道狭窄的最初治疗般受到重视,因为这项手术过程简单、伤口较少,同时也较少导致其他病变、不需要输血,且患者较不需要花时间离开工作;我们不否定穿越核心的外科手术与一般外科手术相比,有较高的失败率,但无论如何,手术失败将不会阻碍传统的尿道成形术。

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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。

You rap, you know we are not so good at rapping, huh?

你唱吧,你也知道我们并不那么擅长说唱,对吧?