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The results of respiratory mechanics, homodynamic mechanics,aterial blood gaS, and inflaInInatory factors [TNF- Q, IL-l fl, IL-6,IL-l0, and adrenomedulin] which detected in animal serumand bronchial alveolar lavage fluid obtained from tiP lObe,heart lobe, and diaPhragIn lobe of right lung seParate1y in the mongreldogs were measured before and after lung injury (including receivinglung protective ventilation).

本实验证明了 loS肺内/肺外不同源性 ARDS动物模型的差异性,而且AnDS的肺部病变存在不均一性和多形性的特点,对有关ARDS进行性低氧血症的发生机制提出了肺动静脉可能存在类似于右一左分流的肺内分流现象,以及因肺内分流而导致严重通气/血流比例失调的解释。发现小潮气十PEEP通气对肺内源性 ARDS疗效不佳,而俯卧位+小潮气-I- PEEP通气对肺内/肺外不同源性ARDS均有较好的疗效。。

The musical sensibility is apparent in the recurrence of certain locations, sounds, and camera setups; in the lightning-quick shot of the collapse of a tent, effected by Norbu's accomplice in the first horse theft that we see; in a remarkable sequence devoted to Norbu's extended praying and prostrations, which hypnotically combines camera movements and superimpositions with a use of other human figures that ambiguously alters our sense of his isolation; in the slow drip of water from melting snow that Norbu catches in a jug to bring to his ailing child; in the intricately structured sequence showing the clan's westward migration, as fine a piece of epic poetry as some of the grander collective movements in Ford; and above all, in the depictions of the Buddhist ceremonies and rituals, which are themselves patterned like musical structures.

在再现某些地点、声音和摄影机设置时,音乐感是显而易见的。快如闪电地拍摄一个帐篷的倒塌,这是我们所见 Norbu 参与到第一次盗马时所弄倒的; Norbu 长时间的祈祷和不断俯卧拜倒成就了一个标志性的场景,用了其他几个人物形象恍如催眠式地将摄影机运动和叠印一起使用,就这样含糊地改变了我们对他孤立的感受;Norbu用水壶接住融化的雪缓慢滴落下来的水,这是要带回去给他生病的小孩;复杂结构的场景展现了宗族的西迁,总之,佛教庆典和仪式的描写,其本身形式就很像音乐结构。

Investigating the degree of satisfaction on its body image, touch, dynamic feeling ,and influence on couple life.Resultssubglandular breast augmentation compare with subpectoral breast augmentation.

目的探讨不同层次的假体隆胸对手术效果的影响方法对20例不同层次放置假体的隆胸患者术后随访,分别在立位、仰卧位、侧卧位、俯卧位等不同体位下,对其形态、手感、动感的满意度进行调查,以及对夫妻生活的影响方面进行评价。

Investigating the degree of satisfaction on its body image, touch, dynamic feeling ,and influence on couple life. Results subglandular breast augmentation compare with subpectoral breast augmentation.

目的 探讨不同层次的假体隆胸对手术效果的影响方法对 20 例不同层次放置假体的隆胸患者术后随访,分别在立位、仰卧位、侧卧位、俯卧位等不同体位下,对其形态、手感、动感的满意度进行调查,以及对夫妻生活的影响方面进行评价。

Results In most patients, the first urination occurred in 2~3 hours after renopuncture, uroschesis developed in 4~6 hours after renopuncture. The rate of uroschesis in teenager was higher than that in adult, and it was also higher in patients with prone position than patients with supine position. The rate reduced by induced urination in 2 hours after renopuncture.

结果 多数患者在肾脏穿刺术后2~3小时完成第1次自主排便,尿潴留的发生时间以术后4~6小时为最多,少年组尿潴留的发生高于成年组、术后处于俯卧位的患者较处于仰卧位的患者更易发生尿潴留,术后2小时采用诱导排尿方法能降低术后尿潴留的发生。

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。

Rhythm has swinging cradle should be training new child vestibular balance after the first step, then, through the newborn can be turned prone exercises, as a pre-school preparation to climb through the hearing with the eyes, as the objects and the subsequent The combination of the rise, not only promoted the development of infants and neck muscles, but also with the management of audio-visual and other sensory nerve muscle contact.

摇篮有节律摆动应是锻炼新后儿前庭平衡能力的第一步,以后,通过对能转头的新生儿的俯卧练习,作为学爬前的准备,通过听觉与抬眼视物以及后来的抬头的结合,不仅促进了婴儿颈部肌肉的发育,也使视听等感觉与管理肌肉的神经联络。

Once in the prone position, your baby will instinctively lift his head (helping to develop his neck muscles), push up with his arms (helping to develop his arm and chest muscles) and push off the floor with his legs (helping to develop his leg and hip muscles).

一次是在俯卧位,您的宝宝会本能地解除他的头部,推高与他的武器(帮助发展他的手臂和胸部的肌肉)和推进小康请与他的双腿(帮助他发展腿部和臀部的肌肉)。

My father locked the door from the inside and kept my step-mother and the neighbors who came to persuade out of the door (my younger brother had already hidden himself away out of fright). He ordered me to put four round stools together and to lie naked on them on my belly. Then he began to whip me fiercely with a feather-duster on my back and hips. The feather-duster in those years was made of hard bamboo root which was especially pliable but strong and it hurt extremely to whip people with such a thing. The sound of beating and my terrible screaming broke through the night air.

父亲锁上了房门,将继毌以及闻迅前来规劝的邻居们拒之屋外(弟弟早就吓得不知躲去哪里),命令我将四只圆凳拼在一起,脱掉全身衣裤俯卧于圆凳之上,然后,他倒握着鸡毛掸狠命地朝我光着的背脊和屁股蛋抽将下来——那年月的鸡毛掸把可是用实心的竹根节做成的,韧性特好,抽在人身上钻心的痛。

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I didn't watch TV last night, because it .

昨晚我没有看电视,因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来,在北京的很多小区里,电梯液晶电视被撤了下来。

I'm running my simile to an extreme.

我比喻得过头了。