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objective:to explore the effects of out cavity single slip knot technique in non titanium clip two hole method laparoscopic cholecystectomy.methods:to analyzed the clinical data of 62 patients underwent two hole method lc with out cavity single slip knot technique.results:all the operations were finished successfully without conversion.the mean operation time and hospitalization were 55 min and 4d respectively.conclusions:the two hole lc with out cavity single slip knot technique has the advantage of firm and reliable ligation,low operation expense,non titanium clip stay in the body,and avoiding of bile leakage due to titanium clip falling off.

目的:探讨腔外单滑结技术在无钛夹二孔法腹腔镜胆囊切除术中的效果。方法:应用腔外单滑结技术行二孔法lc 62例。结果:患者均行lc,无中转开腹,手术平均时间55min,平均住院4d。结论:无钛夹腔外单滑结法lc具有结扎可靠,手术费用低,并可消除因钛夹留置体内或夹闭不全造成脱落、胆漏等其他并发症。

This text absorbs advantages of the above two types of bogies. It is adopted the structural type of H type truss with bogie elastic articulation. Its characteristics are: the truss is welded together by two U type side beam and two steel pipes.

本文吸收了上述两种转向架的优点,采用了H型构架与摇枕弹性联结的结构型式,解决了上诉两种转向架存在的问题。

Results: The prevalence rates within two weeks among the elderly were 29.7% and 64.7%, and the rates of seeing a doctor within two weeks were 9.5% and 34.7% in urban community and rural areas respectively. The prevalence rates of chronic diseases were 62.1% and 56.4% in city and rural area respectively. Sixty-six point nine percent of the elderly in urban community went to high-level hospitals for medical services, while 73.3% of old people in rural area went to village clinics. The main reasons for diseased people not to visit a doctor were self feeling of slight illness (21.7%) and self-treatment (51.6%) in urban community and were low income (40.8%) and self feeling of slight illness (25.9%) in rural areas. The main affecting factors to rates of seeing a doctor within two weeks were increased age and family income per capita among the elderly in urban community, and were suffering or not suffering from chronic diseases in rural area.

结果:城市和农村社区老年人的两周患病率分别为29.7%和64.7%,两周就诊率为9.5%和34.7%,慢性病患病率分别为62.1%和56.4%;城市老年人就诊地点主要以县市级和省级医院为主,两者所占比例为66.9%;农村则以个体诊所或村卫生室为主,占73.3%;两周患者未就诊原因在城市主要是自感病轻(占21.7%)和自我医疗(占51.6%),在农村主要为经济困难(占40.8%)和自感病轻(占25.9%);影响老年人两周就诊的因素在城市为年龄和家庭人均月收入,在农村是患慢性病与否。

My son 5 years old, when two-year-old on the occasional nosebleeds, small, 4-year-old when more than three months on the stream once every 10 days for half a year and a half months ago on the flow time, and also more than the original, to the hospital, said blood tests are normal, the point of medicine at the children do not love the beginning of .8 month almost 32 days on stream, but also very large, went to the hospital check, blood test or normal, open points syrup, and eat Chinese medicine granules, not a week, drug use is also a day on the 15 o'clock a sudden nose bleeding out, exhausted all the methods normally used only finally stopped, six o'clock in the morning and a stream, though not at night, and also have more than the original (the child was afraid I worry that the deal did not tell my own, I was based on the many large blood on the ground and pumping his college paper used judgments), or normal blood, the cream of the point that no matter, I was pleased, but the children come back again every day flow, and sometimes more than once or twice a day, which is a headache for two days and asked him if he do not understand how that specific pain law, is not the teacher the past two days that he said he did not love school is really a headache or a headache, I was to determine if a teacher said he does not love the child's school is a small trick.

5岁男宝宝经常流鼻血,最近两天又说头痛怎么办我的宝宝5岁了,两岁多的时候开始就偶尔流鼻血,量少,4岁多的时候开始三两个月就流一次,半年前开始隔十天半月就流一次,并且也比原来多,到医院验血说都正常,开点上的药水宝宝不爱点。8月分开始几乎三两天就流,还非常多,又去医院查,验血还是正常,开了点药水,和吃的中药颗粒,没到一周,还正用药,一天夜里3点就突然鼻子向外大量流血,用尽了平时用过的所有方法才好不容易止住了,早上六点又流了一次,虽没有夜里多,也是比原来都多(宝宝怕我着急,这次没告诉我自己处理的,我是根据地上的许多大血滴和他用过的纸抽团判断的),血还是正常,开了点药膏,说没什么事,我挺高兴的,可是宝宝回来又是每天都流了,有时一天还不止一两次,这两天说是头痛,问他又说不明白具体怎么疼法,是不是老师这两天说他他不爱上课就说头痛还是真的头痛,我正在判断中,如果是老师说的他就不爱上课当然是宝宝的小把戏。

The company has two sets of two tons electric furnace, one-ton electric furnace three sets, two sets of 0.7 tons electric furnace, with the resin sand-sets of production lines, with lathes, milling machines, drill press, boring machine , Grinder, Saw, planer, and other processing equipment, and the company also 2-CNC machining centers, the company's annual production of 3,000 tons, the largest capacity of 5 tons to 8 tons of large-scale casting.

本公司拥有2吨电炉2套,1吨电炉3套,0.7吨电炉2套,拥有齐套的树脂砂生产线,拥有车床,铣床,钻床,镗床,磨床,锯床,刨床等一系列加工设备,另外本公司还有数控加工中心2台,本公司的年产量达3000吨,最大可生产5吨到8吨的大型铸件。

This dissertation is composed of three parts: The first part is the investigation on two-color two-photon MATI spectra of methyl-indoles and one-color two-photon MATI spectra of iso-bromopropane.

本文从内容上分为三个部分:第一部分是甲基吲哚分子和iso-C3H7Br的MATI光谱研究。

Based on the equations, the position and attitude of micro flying robot with flapping wings can be controlled.For the rigid structure wing, a double rocker mechanism typical of two DOFs is designed, which is actuated by two PZTs. The mechanism can actuate the rigid wing to realize two DOFs movements. This mechanism has many characteristics, simple instructure, light in weight, reliable in movement, large in range, easy in drive and convenience in control.

设计了一个采用压电双晶片驱动的两自由度的双摇杆拍翅机构,该机构可以驱动刚性翅实现两自由度的拍翅运动,具有:结构简单、重量轻、动作可靠、拍动幅度大、驱动容易和控制方便等特点,适用于微型拍翅式飞行机器人的拍翅系统。

22 Vs TD: 21 70 ? 5 09 p = 0 11 and ball skills subtest of M-ABC (Z =-2 256 p = 021) The correlations of the scores of two motor tests and their subtests were fair to good (r =- 264 ~- 645 ) Conclusion: Children with FAD present similar overall motor performance except of lower scores of fine motor precision and ball skills The correlations of scores of two motor tests are only fair to good Clinical Relevance: Clinical therapists should be cautious that children with FAD may have a comorbid motor problem especially the fine motor precision and ball skills Only fair to good correlations of scores of the two most commonly used clinical tests indicates that it should be cautious when choosing a motor test for certain purpose

能性构音障碍儿童: 59 60 ± 9 16;正常发展儿童: 64 93 ± 8 77 p = 026、精细动作精准分测验(?能性构音障碍儿童: 18 53 ± 4 22;正常发展儿童: 21 70 ± 5 09 p = 0 11)与Movement-ABC的球类技巧分测验(Z =-2 256 p = 021)的表现显著较正常发展儿童差。而两动作测验与其分测验之间分数的相关性仅有中等至良好的相关(r =- 264 ~- 645)。结论:?能性构音障碍儿童在整体动作表现与正常发展儿童类似,但在动作中之精准控制能力较一般儿童差。BOT-2与Movement-ABC两种动作测验与其分测验之间仅有中等到良好的相关,显示两动作测验在本质上仍有不同,并不能互相取代,因此在使用时应考虑受试者的特质与目的等因素,以期使用最合适之评估工具。

First of all, this paper analyzes the distributing situation of sectional temperature of two steel frame models within an hour utilizing the transient thermal analyse module of ANSYS;Secondly, carries on the failure analysis to two steel frame models at high temperature and obtains the fire-resistant limit and critical temperature of steel frame, utilizing the static nonlinear analyse module of ANSYS and considering the influence of geometry nonlinearity and material nonlinearity; Finally, according to the fire-protection designing requirement of structure, deduce a method to computer the thickness of fireprotection layer for steel structure and ask out the thickness of fireprotection layer of two steel frame models according to this method .

首先,利用ANSYS瞬态热分析模块,分析出两个钢框架模型在一小时内钢框架的截面温度场分布情况;其次,利用ANSYS静力非线性分析模块,综合考虑几何非线性及材料非线性影响,对钢框架模型在高温下进行失效分析,分析出两个钢框架的耐火极限及临界温度;最后,根据结构防火设计要求,推导出一种钢结构防火层保护厚度的计算方法,并据此方法求出两个钢框架模型的防火层厚度。

After two games of this increase, Carter, Stoudemire, Ford, Kelishidiai four of a total of six dispersal guilty, the two sides exchanged a total of 34 times leading power-play 21 times, the two sides have shot 224 times, hit 27 3-pointers, 57 fouls, but a total of only 29 turnovers.

本场比赛历经两个加时,卡特、斯塔德迈尔、拉加贝尔、克利斯蒂奇四人先后6犯离场,双方共34次交换领先权,21次打平,双方一共投篮224次,命中27个3分球,有57次犯规,却一共只有29次失误。

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