例行

Results 24 cases were treated by Ladd's procedure and the other 4 by laparoscopic Ladd's procedure.

结果 本组24例行Ladd's手术，4例行腹腔镜Ladd's手术均获得治愈，1例因粘连性肠梗阻于术后第2天出现

Cognition disturbance and allolalia were the chief clinical manifestations. The imageology showed that the impairment involved occipital lobe and temporal lobe most. 17 cases presented red-ragged-fibres and parking lot-like ultrastructure in 3 cases. Brain biopsy showed layerage structure. There were 15 of them carried mtDNA A3243G mutation. Conclusions MELAS Syndrome usually involved central nerve system and skeletal muscle.

主要临床表现为认知功能障碍及言语障碍，头颅影像学检查示枕叶、颞叶脑回受累为主。18例行肌肉病理检查显示17例存在破碎样红纤维，3例行肌肉电镜检查发现线粒体堆积呈停车场样排列，3例脑活检示病变皮层组织呈分层样改变，15例发现mtDNA A3243G点突变。

Methods 30 cases of hepatolithiasis patients were divided randomly into following two groups: 15 did lobectomy of liver, 15 did choledocholithotomy.

30例肝内胆管结石的病人随机分成两组， 15例行肝叶切除术，另 15例行胆总管切开取石、 T管引流术。

After surgery,all patients had SpO2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acidbase balance and treated by using hydrochloric acid muriatic acid.

术后所有病人PaO2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

Results Among them 21 cases were treated operatively and 2 cases were treated nonoperatively.

结果 21例行手术治疗，2例行保守治疗。

Results 21 patients had an oncologically radical operation,12 patients had a palliative procedure.

结果 21例行根治术，12例行姑息性手术。

Methods:Clinical data of 4 patients with leukemic priapism were collected and discussed in combination with related literature.

回顾性分析了4例白血病性阴茎异常勃起患者的临床资料。1例行镇静输液处理，1例行海绵体抽吸冲洗术，2例分别行阴茎头阴茎海绵体分流术和阴茎海绵体尿道海绵体分流术。

Results Twenty-eight cases were treated with pure suboccipital craniectomy, nine cases were treated with pure suboccipital craniectomy plus ventriculodrainage.

结果28例行单纯后颅凹减压术，9例行后颅凹减压加侧脑室外引流术，血肿清除90％以上30例，70％以上7例，无再出血病例。

Results All of the 58 caseshad tumefaction and pain. 45 cases were accompanied with shock, 30 cases with myoglobinuria, 15 cases with crush syndrome. In the group, 28 cases were operated for fasciotomy, 12 cases for amputation. 6 cases were treated with continous renal replacement therapy.

结果 本组所有58例患者均表现有局部肿胀、疼痛；有45例患者伴发休克，30例患者出现肌红蛋白尿，15例患者出现挤压综合征。28例患者行手术减压，12例行截肢手术，6例行持续性肾脏替代治疗。

Plunder melds and run with this jewel!

掠夺melds和运行与此宝石！

My dream is to be a crazy growing tree and extend at the edge between the city and the forest.

此刻，也许正是在通往天国的路上，我体验着这白色的晕旋。