不能实施的
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The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.
结果:1、钳夹分离切肝法不需特殊仪器设备,只要具备常规的腹腔镜器械即可实施,成本低,肝断面较易渗血;2、微波固化切肝法肝实质出血很少,视野清晰,成本低,操作简单,是一种安全、简便、有效的方法;3、超声刀是目前较为理想的切肝器械,术中出血少,但是,切割速度慢,手术时间长,而且,切割强度有限,适用于无肝硬化的肝切除;4、Ligsure具有挤压粉碎及高频电凝止血两大功能,可使包括7~以下管道的肝组织碳化、形成焦痴,具有一定的优势,但是,也存在分离钳电凝止血的缺点;5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感,便于术中显露、分离、控制出血等,可随意协助右手及助手的主要操作,缩短了手术时间,大大提高了腹腔镜肝切除的安全性,李朝龙等的改良方法,同样达到了手辅助目的,又节省了费用;6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术,操作简单、可靠,适用于肝左外叶切除及右肝第V段切除;7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构,多用于肝左静脉、门静脉分支、管径较大胆管的切割,缺点是不能用于较厚肝组织的切割,而且价格昂贵;8、临床巧例腹腔镜肝切除均获得成功,手术时间最短1.5h,最长sh,平均125 min,多数在100 min左右,手术出血量最少50 ml,最多500 ml,平均1 78 ml,除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水,1例术后发生胆漏外,其余无并发症,发生胆漏的1例患者术后住院40d,多数在术后一周左右出院,术后住院时间5一40d,平均gd。
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Based on the analysis of e-marketing, macro-strategies and micro-application of e-marketing are emphasized, A new concept is suggested, that is e-communication, e-research and e-trade which could be combined together to realize e-marketing. We suggest that we should make full use of all technique methods and communication patterns provided by e-business rather than limiting on simply e-advertisement or product promotion. According to the special features of e-marketing we can approach to choose the best e-trade pattern different with traditional way, such as trade information consignation obtain, electro-media, and virtual company etc.
基于对电子营销的分析,本文着重阐述了电子营销的战略及具体的实施方式,提出利用电子沟通、电子调研、电子贸易综合实现电子营销的概念,认为电子营销不应仅使用简单的电子广告,产品推荐等营销手段,而应充分利用电子商务所能提供的所有技术手段与交流方式,并根据电子商务的特点,选择不同于传统营销的营销方式。
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This leads to the decentralization of the management. Hence the system is not efficient to maximize its strength.
但由于分散化的管理体制使得法律、政策、制度的实施不能集中发挥最大力量。
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To this, legal person of inspect of AZUSA of office of accountant of Asian interactive medium thinks, defalcate of Cui Jianping privately is caused cannot reach executive possibility to make accurate judgement to the objectivity of company capital have enough to meet need, cannot issue judicial audit opinion to forms for reporting statistics of its finance affairs consequently.
对此,亚洲互动传媒会计师事务所AZUSA监查法人认为,崔建平私自挪用公款造成不能对公司资金周转的客观性及实施可能性作出准确判断,因而无法对其财务报表出具公正的审计意见。
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The spot market supply and demand between the two sides in a future time on the commodities sell/buy the request because they were afraid that the arrival of the time when the price is not conducive to their own requirements, so willing to now the futures market price to sell/buy an equal number of futures contracts to lock in the cost of this behavior is hedging. Hedging hedge buying and selling at two kinds of hedging, to engage in hedging can be sold to the Exchange application for registration with a pledge of warehouse receipts for the deposit no longer prepared to use all of the required margin.
由于期货行情在一天内的波动幅度经常会很大,如果以"瞬间"的盈亏结果来作为对某方实施比如"强行平仓"的行为的话,极有可能一方面引发大量的交易纠纷,另一方面甚至导致整个交易根本就无法正常进行下去;所以交易所一般采取或在收市前的某个时间、或在次一个交易日开市前的某个时间作"资金结算"(此处用词可能不当,应该怎么定义记不太清楚了);在规定的时间内,保证金不足的一方若不能及时将保证金予以补足、交易所才对其行使强行平仓的权力。
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If the implementation of the damage the interests of the third method, can not be applied to self-defense requirements.
如果实施了损害第三人利益的方法,不能适用正当防卫的规定。
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The past financial crisis in developed and developing economies reminds us that the existence of discretional management should be found in the financial deregulation direction.
发达国家和发展中国家的金融危机的教训启示我们:实施金融自由化不能忽视审慎管制。
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New traffic rules for electric bike riders will be put in practice, which are named as " traffic orders for electric bicycle riders and safety managements" according to Changsha triffic management bureau.
长沙&加强电动自行车的交通秩序和交通安全管理办法&一旦实施,将意味着长沙城区电动自行车最高时速不能超过15公里,并且不再允许通过橘子洲大桥,对此,市民议论纷纷。
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In such an environment, the United States won't be able to position jets at forward bases or fly from aircraft carriers sailing near enemy coastlines to launch airstrikes.
在这样的环境之下,美军就不能在前沿阵地布置战机,或者从在敌国沿海航行的航空母舰上起飞战机实施空中打击。
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Simons(2000) states that a PMS cannot be effectively designed and implemented without taking into account human behavior.Holloway etal.
西蒙(2000)认为一个绩效管理系统假如没有考虑评估人们的行为是不能被有效地设计和贯彻实施的。
- 推荐网络例句
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But we don't care about Battlegrounds.
但我们并不在乎沙场中的显露。
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Ah! don't mention it, the butcher's shop is a horror.
啊!不用提了。提到肉,真是糟透了。
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Tristan, I have nowhere to send this letter and no reason to believe you wish to receive it.
Tristan ,我不知道把这信寄到哪里,也不知道你是否想收到它。