中胸骨

Either of two slender bones in human beings that extend from the manubrium of the sternum to the acromion of the scapula.

锁骨人体内从胸骨骨柄延伸至''。'肩'。''胛骨''。'肩'。''峰的两根细长骨中的一根

objective To investigate the imaging methods of multi-slice CT in sternum and the diagnostic value in the sternum diseases.

目的 探讨多层螺旋CT胸骨成像方法及在诊断胸骨疾病中的应用价值。

Perforated, compression molded foam back panel with airflow channels Dual density, yokestyle shoulder harness with airmesh Sternum strap with Safe-T whistle Stowable hipbelt Hydration compatible Internal organizer Front stash pocket X-bungee Light loop Rain cover Reflective hits Side water-bottle pockets Molded back panel with breathable mesh BackSaver bottom panel Top-access dedicated laptop pocket with elastic compression Padded bottom power-cord pocket Front electronics organizer with hanging pocket and audio port Large main compartment Mesh water-bottle pockets Small mesh pocket on shoulder strap Bottom compression Tuck-away hipbelt Front daisy chain with Hypalon reinforcement Safe-T whistle on sternum strap

穿孔， 压缩铸造了泡沫后面盘区以气流渠道双重密度， yokestyle 肩膀鞔具以airmesh 胸骨皮带以安全T 口哨 Stowable hipbelt 水合作用兼容内部组织者前面藏匿处口袋 X 橡皮筋轻的圈雨盖子反射性命中旁边水瓶口袋被铸造的盘区以适于吸入的滤网 BackSaver 底下盘区上面通入热忱的膝上计算机口袋以有弹性压缩被填塞的底下力量绳子口袋前面电子组织者以垂悬口袋和音像口岸大主要隔间滤网水瓶口袋小滤网口袋在肩带底下压缩卷起hipbelt 朝向雏菊链以Hypalon 增强安全T 口哨在胸骨皮带

objective to sum up the experiences in the diagnosis and the treatment of sternal fracture.methods different treatment approaches were applied to sternal fracture according to whether or not there were fracture shift and complication.results all the 15 patients healed up and left the hospital except that one died from complicated lung contused wound and right main bronchial cracking.conclusion to diagnose sternal fracture is not difficult, but attention should be paid to complicated wound in chest or abdomen.

目的 总结胸骨骨折的诊断与治疗经验。方法依据胸骨骨折无移位、单纯胸骨骨折有移位，胸骨骨折合并有胸腹脏器伤等不同伤情采取不同的处理方法。结果全组15例中除1例合并有广泛肺挫伤、右主支气管破裂死亡者，其余均痊愈出院。结论胸骨骨折诊断不难，但诊断中要注意是否合并胸腹脏器伤。

Result:①out of 25 patients,17 exhibited myeloma-related bone lesions on radionuclide imaging,the positive rate was 68.0%,ribs and spine were involved most frequently,162 lesions showed high uptake of radionuclide,the lesions lied in ribs appeared as strings of pearls,and those in sternums and vertebrae showed linear high uptake,the other 4 showed decreased radionuclide uptake.②the positive rate on radiography was 68.0%(17/25),which was the same as that on radionuclide imaging,the patterns were osteoporosis,pathological fracture,osteolysis or two or two and above of these appearances, radiography detected more abnormalities than radionuclide imaging in identical sites(162 versus 144),but radionuclide imaging detected more lesions than radiography in ribs and sternums.

结果：①25例患者中，骨显像异常17例，阳性率68.0%，肋骨、脊柱最常受累，162处病灶表现为异常放射性聚集，其中，肋骨病灶呈串珠样，胸骨及椎体病变呈扁平状或线状，4处表现为异常放射性减低；②x线片阳性率68.0%（17/25例），与骨显像相同，主要表现为骨质疏松、病理性骨折、骨破坏或呈混合性改变，共同检测的部位中，x线片检出的病灶总数较骨显像多（162和144），但骨显像检出肋骨和胸骨病灶较x线片多。

We successfully separated the connected liver parenchyma,sternums and the most inferior two pairs of the ribs, conjoined pleura,conjoined pericardium.

结果 术中见腹腔中有各自的消化道，共肝断面积 5cm ×6cm，胸腔中2个心包紧贴，2个胸膜紧贴，胸骨下段及 4~8 肋相连，均予完全分开。

The positive rate on radiography was 68.0%(17/25),which was the same as that on radionuclide imaging,the patterns were osteoporosis,pathological fracture,osteolysis or two or two and above of these appearances, radiography detected more abnormalities than radionuclide imaging in identical sites(162 versus 144),but radionuclide imaging detected more lesions than radiography in ribs and sternums.

结果：①25例患者中，骨显像异常17例，阳性率68.0%，肋骨、脊柱最常受累，162处病灶表现为异常放射性聚集，其中，肋骨病灶呈串珠样，胸骨及椎体病变呈扁平状或线状，4处表现为异常放射性减低；②X线片阳性率68.0%（17/25例），与骨显像相同，主要表现为骨质疏松、病理性骨折、骨破坏或呈混合性改变，共同检测的部位中，X线片检出的病灶总数较骨显像多（162和144），但骨显像检出肋骨和胸骨病灶较X线片多。

Results They had normal separated gastrointestinal.The connected liver area were 5cm× 6cm.We successfully separated the connected liver parenchyma,sternums and the most inferior two pairs of the ribs, conjoined pleura,conjoined pericardium.

结果 术中见腹腔中有各自的消化道，共肝断面积 5cm ×6cm，胸腔中2个心包紧贴，2个胸膜紧贴，胸骨下段及 4～8 肋相连，均予完全分开。

The primary cause of the acquired platelet defect is thought to be activation and release of alpha granules during extracorporeal circulation. Before CPB PRP was prepared by obtaining the required amount of patient's whole blood by autologous plateletpheresis. PRP could be reinfused after operation in order to save the function and quantities of the platelets. On the other hand PRP could be made into autologous platelet gel. APG contains supraphysiologic amounts of growth factors and has adequate tensile strength and adhesive ability.

CPB前，利用自体血小板分离技术可将部分血小板从患者全血中分离出来制成富血小板血浆（Platelet-rich plasma PRP），PRP可在术后回输，以达到血小板数量和功能的双重保护，另一方面可将PRP制备成自体血小板胶，APG中含有丰富的生长因子，并且具有足够的抗张强度和粘性，因此可起到术中止血，封闭伤口，促进胸骨及伤口愈合的作用。

The primary cause of acquired platelet defect is thought to be activation and release of alpha granules during CPB. Before CPB, platelet-rich plasma was prepared by obtaining the required amount of patient's whole blood by autologous plateletpheresis. PRP could be reinfused after operation in order to protect the function and quantities of the platelets. On the other hand, PRP could be made into autologous platelet gel. APG contains supraphysiologic amounts of growth factors, and has adequate tensile strength and adhesive ability. Therefore, it can be used for hemostasis in operation, sealing wound and enhancing incision or dehiscent sternal wounds healing.

CPB前，利用自体血小板分离技术可将部分血小板从患者全血中分离出来制成富血小板血浆(platelet-richplasma，PRP)，PRP可在术后回输，以达到血小板数量和功能的双重保护，另一方面可将PRP制备成自体血小板浆(autologousplateletgel，APG)， APG中含有丰富的生长因子，并且具有足够的抗张强度和粘性，因此可起到术中止血、封闭伤口、促进胸骨及伤口愈合的作用。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。