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Then the contour, and the volume of target and automatic matched field size for collimator at two respiratory phase were compared.

在同一定位条件下,对13例腹部肿瘤患者分别进行平静呼吸状态下吸气完毕屏气及呼气完毕屏气时的CT扫描。

The nursing plan of improved postoperative nursing for experimental group is that puerperas were given fluid diet at postoperation 6 hours instead of 24 hours,removed catheter at postoperation 6 to 12 hours instead of 36 to 48 hours and encouraged and helped ambulatory early . Then the times of anal exsufflation and first leaving bed and breast milk secretion were recorded,autonomous urination and postoperative complications were monitored . These results were compared with those of control group,which was adopt ordinary abdominal longitudinal straight incision for cesarean section of lower uterine segment .

对研究组术后护理进行了改进,将术后24小时进流质饮食改为术后6小时进流质饮食,观察肛门排气时间;将术后36至48小时拔除导尿管的时间改为术后6至12小时,观察产妇自行排尿的情况;鼓励并协助产妇早期活动,记录首次下床活动时间,泌乳时间和术后并发症的情况,与200例常规腹部纵形直切口子宫下端剖宫产对照。

Different groups were received oral administration of different treatment for one month. The capability limens of the sacculus that caused abdomen-uplifting and back-arching and the time of contract of abdomen muscle in rats were observed. The levels of 5-hydroxytryptamine (5-HT), substance P, and calcitonin gene related peptide were evaluated.

观察各组大鼠在不同因素影响下的肠道内扩张引起腹部抬起和背部拱起的容量阈值和大鼠肠道内不同容量下扩张期间腹壁收缩次数,检测5-羟色胺(5-HT)、P物质、降钙素基因相关肽含量。

The results were:The main morphological difference were that the color of squama, median fascia, reniform stigma, orbicular stigma, the part between postmedian fascia and subterminal fascial and terminal hair on forewings, hindwings, terminal hair on hindwings, and the color of skin under squama on obdomen were black, and the color of pupa was also black, and the color of hair on dorsal thorax and obdomen were white.

结果表明: JBM和JBW的主要形态区别表现在成虫前翅上鳞片、中横线、肾状纹、环状纹、外横线及亚外缘线之间的部分、前翅缘毛、后翅、后翅缘毛、腹部鳞毛下的皮肤颜色以及蛹体色等发生了黑化,成虫胸背毛颜色以及腹部毛颜色发生"白化"。

Results 31 cases of patients with biliary calculi in 46 cases (of which 30 cases with intraoperative findings basically the same, one cases of distal common bile duct stones misdiagnosed as ampulla negative tumors), The qualitative and positioning accuracy rates were 96.8% and 100% respectively;In 15 cases of patients with biliary andpancreatic tumors (9 cases of cholangiocarcinoma, 1 cases of gallbladder carcinoma, pancreatic cancer 2 cases, 1 ampullary cancer and 1 cases of congenital cysts), 14 cases were correctly diagnosed, The qualitative and positioning accuracy were 93.3% and 100% respectively.

结果 46例患者中31例胆道结石(其中30例与术中所见基本一致,1例胆总管下端阴性结石误诊为壶腹部肿瘤),定性、定位准确率分别为96.8%、100%;15例胆胰肿瘤患者中(9例胆管癌、1例胆囊癌、2例胰头癌、1例壶腹部癌、1例先天性但总管囊肿),14例得到正确诊断,定性、定位正确率分别为93.3%、100%。

The abdominal wall in the left lower quadrant, 2 finger breadths (3 cm) cephalad and 2 finger breadths medial to the anterior superior iliac spine, has been shown to be thinner and with a larger pool of fluid than the midline and is usually a good choice for needle insertion for performance of a therapeutic paracentesis.27 The right lower quadrant may be a suboptimal choice in the setting of a dilated cecum or an appendectomy scar.

在过去,常常将腹部正中线耻骨与肚脐中间定为穿刺点,现在,由于腹腔穿刺引流大量液体以及腹中部脂肪厚度增加,左下腹成为腹腔穿刺部位(表1),在左下腹部中线至髂前上棘连线上2指宽(3cm)与距髂前上棘2指宽,已经显示较中部脂肪少及腹水较多是治疗性腹腔穿刺好的首选部位27,在盲肠有扩张或阑尾切除术后瘢痕时右下腹是次选的穿刺部位,应避开腹壁下动脉,这些血管走行在耻骨与髂前上棘之间的中线然后在腹直肌中向上行走,,腹壁可见的侧支循环亦应该避开,腹腔镜检查发现侧支循环可出现在中线并且在腹腔穿刺时有导致血管破裂的风险28。

If you learn to climb, the baby's stomach could not leave the bed, you can use a towel on his hypogastric, and then bring the abdomen, so that weight falls on the hands and knees and began crawling hand knee; wait until the calf muscles strong enough to support weight, we will gradually become hand-foot reptile.

如果学爬时,孩子的腹部不能离开床铺,你可以用一条毛巾放在他的腹下,然后提起腹部,使体重落在手和膝上,开始手膝爬行;等到小腿肌肉结实、能足够支撑体重后,就会渐渐变成手足爬行。

Methods:The patients were pumped abdominal auto-fat and injected into basis cavum nasi,nasoseptal submucosa and both laterals of inferior nasal concha.

抽取萎缩性鼻炎患者自体腹部脂肪,处理后,注射于鼻腔底,鼻中隔粘骨膜下及两侧下鼻甲内。

The results were:The main morphological difference were that the color of squama, median fascia, reniform stigma, orbicular stigma, the part between postmedian fascia and subterminal fascial and terminal hair on forewings, hindwings, terminal hair on hindwings, and the color of skin under squama on obdomen were black, and the color of pupa was also black, and the color of hair on dorsal thorax and obdomen were white.

结果表明: JBM和JBW的主要形态区别表现在成虫前翅上鳞片、中横线、肾状纹、环状纹、外横线及亚外缘线之间的部分、前翅缘毛、后翅、后翅缘毛、腹部鳞毛下的皮肤颜色以及蛹体色等发生了黑化,成虫胸背毛颜色以及腹部毛颜色发生&白化&。

objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p<0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p>0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 评估体外震波碎石治疗输尿管结石的疗效,探讨再治疗率高的原因及输尿管结石的治疗选择。方法回顾2000年1月~2004年12月间eswl治疗输尿管结石的临床资料687例,男455例(66.2%),女232例(33.8%),平均年龄46.6岁(15~83岁)。有双侧输尿管结石6例,单侧多发性输尿管结石12例(4颗1例,3颗2例,2颗9例),共计输尿管结石709颗(含透光结石13颗)。应用上海爱申公司生产的desunit6030型碎石机,c臂x线球管做结石定位。上段输尿管结石(肾盂输尿管交界处至骶髂关节上缘)取仰卧位,下段输尿管结石(骶髂关节上缘下至输尿管口)取俯卧位。为减少eswl引起的肾损伤和疼痛,应用较低的能量,震波发生器电压从9.8~13.2kv,震波频率1.5s。每次治疗设定为1500次震波。治疗后3天摄腹部平片或b超,以后每隔7日重复检查。假如结石未碎或有残留结石最长径>3mm以上,再次eswl,两次治疗的间隔时间为两周。结石的大小用x线片上的表面积(mm2表示。结果 709颗输尿管结石总的治愈率为97.3%(690颗),再治疗率34.1%(242颗)。其中一次治疗467颗,平均结石大小37.27mm2,治愈464颗(65.4%),3颗改治疗;两次治疗138颗,平均结石大小62.48mm2,治愈131颗(18.5%),7颗改治疗;第1和第2次治疗治愈率(1个月治愈率)为83.8%。3次治疗52颗,平均结石大小79.60mm2,治愈50颗(7.1%),2颗改治疗;4次治疗19颗,平均结石大小101.63mm2,治愈17颗(2.4%),2颗改治疗;5次及5次以上治疗33颗,平均结石大小119.33mm2,治愈28颗(3.9%),5颗改治疗。总计19颗(2.7%)结石改变治疗方式。上段输尿管结石335颗,治愈321颗(95.8%),再治疗129颗(38.5%)。下段输尿管结石374颗,治愈369颗(98.7%),再治疗113颗(30.2%)。经χ2检验,上、下段输尿管结石的再治疗率差异有显著性(χ2=5.40,p<0.05),治愈率差异无显著性(χ2=0.15,p>0.05)。不良反应:血压升高13例(1.9%),震波区域疼痛26例(3.8%),震波进入处皮肤点状淤血33例(4.8%),肉眼血尿128例(18.6%),均于第2、3天自行消失。结论 eswl目前仍是输尿管结石的第一线治疗,结石的大小是再治疗率高的主要因素。结石的位置有影响,上段输尿管结石可随呼吸移动,有效震波次数减少,再治疗率比下段输尿管结石高。eswl前注重病例筛选可降低再治疗率。

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