出血

The incidence of early epileptic seizures after intracerebral hemorrhage was high. The cortical hemorrhage and the medical history of intracerebral hemorrhage, electrolyte disbalance were the important related factors for the incidence of early epileptic seizures after intracerebral hemorrhage. The cortical hemorrhage was the independent risk factor.

脑出血后早发性癫痫发作的发生率较高，皮质出血、脑出血史以及电解质紊乱是影响脑出血后早发性癫痫发作的重要因素，皮质出血为独立的危险因素。

Univariate analysis revealed that a high incidence of early epileptic seizures after intracerebral hemorrhage ocurred in patients with cortical hemorrhage, the medical history of intracerebral hemorrhage, electrolyte disbalance. Logistic regression analysis revealed that the position of hemorrhage and times of hemorrhage and electrolytic states were positively correlated with the incidence of early epileptic seizures after intracerebral hemorrhage. The cortical hemorrhage was the independent risk factor for the early epileptic seizures after intracerebral hemorrhage.

单因素分析显示，皮质出血、再发脑出血、电解质紊乱者易发生脑出血后早发性癫痫发作；Logistic回归分析显示，出血部位、出血次数和电解质情况与脑出血后早发性癫痫发作的发生有关，其中皮质出血为与脑出血后早发性癫痫发作有关的独立危险因素。

Results: The bleeding site: in 136 cases, 66 cases of upper gastrointestinal bleeding (48.5%), 42 cases of lower gastrointestinal bleeding (31%), all 28 cases of gastrointestinal bleeding (20.5%); bleeding: 34 cases of bleeding ( 25%), amount of bleeding in 70 cases (51%),32 cases of heavy bleeding (24%); the cause of bleeding: 87 cases of stress ulcer (64%), neonatal necrotizing enterocolitis 25 cases (18%), 16 cases of neonatal hemorrhagic disease (12%), intestinal malrotation volvulus merge two cases (1.5%) and stomach wall muscle dysplasia and 2 cases (1.5%), 4 cases of unknown causes (3%); Treatment Results: 129 cases of cure (95%), the death of 4 (3%), three cases of auto-discharge (2%).

结果：出血部位：136例中，上消化道出血66例（48.5％），下消化道出血42例（31％），全消化道出血28例（20.5％）；出血量：少量出血34例（25％），中量出血70例（51％），大量出血32例（24％）；出血的病因：应激性溃疡87例（64％）、新生儿坏死性小肠结肠炎25例（18％）、新生儿出血症16例（12％）、肠旋转不良合并肠扭转2例（1.5％）和胃壁肌层发育不良2例（1.5％），原因不明4例（3％）；治疗结果：治愈129例（95％），死亡4例（3％），自动出院3例（2％）。

1 Clinical data collect 1 material and means angiography of DSA of enteron haemorrhage travel in all 9, among them the male 7, female 2,～ is 64 34 years old the age years old.

Nusbsum于1963年首次报道用动脉造影的方法诊断胃肠道出血，数字减影血管造影在临床的应用，对于消化道出血，尤其对于下消化道出血，DSA能明确出血部位，提示病变性质，大大提高消化道出血的诊疗水平[2]，收集经治的消化道出血DSA血管造影检查9例，分析如下。1材料和方法1.1临床资料收集消化道出血行DSA血管造影共9例，其中男性7例，女性2例，年龄34岁～64岁。

The results show that:44 out of 179 cases are of HECHDT,and 37 out of 179 cases are of death; the occurrence rate of digestive tract hemorrhage resulted from the hemorrhage of cerebral basis segment complicated by ventricle hematocele is the highest,and the sequence of the occurrence rates resulted from other position is subarchnoid cavity,brainstem,cerebral lobes,cerebellum,and within cerebral basis segment's hemorrhage; the encephalorrhagia complicated by the hemorrhage of digestive tract is mainly related to the factors of ventricular hematocele,center-line structure shift,hematoma quantity etc,and its case mortality is relatively high.

结果表明：179例中并发消化道出血44例(24.6%)，死亡37例(20.7%)；消化道出血发生率以脑基底节区出血并脑室积血为最高(38.9%)，其次依序为蛛网膜下腔、脑干、脑叶、小脑和局限于脑基底节区出血；并发消化道出血的病死率为50%，无消化道出血的病死率为11.1%。脑出血并发消化道出血主要与出血溢入脑室、中线结构移位、血肿量大等因素有关，且病死率高。

bleeding, including the non-organic function of uterine bleeding, also includes a period of abnormal menstrual bleeding and menstrual bleeding outside, such as birth control at the central bleeding, uterine fibroids caused by bleeding the mother of medicine that "metrorrhagia" light, known as "lou xia", that are heavy "in the collapse."

子宫出血包括了无器质性的功能性子宫出血，也包括了月经期的不正常出血以及经期以外的子宫出血，如放置节育环的出血，子宫肌瘤引起的出血等，祖国医学谓之"崩漏"，轻者称为"漏下"，重者谓之"崩中"。

ObjectiveNon-heparinized autohemic arterial blood of the rat was injected into its caudate nucleus to establish a model of intracerebral hemorrhage. The changes of edema in various regions of the brain were measured at different time after hemorrhage. Meanwhile, the effects of erythrocytes and thrombin on the formation of cerebral edema after cerebral hemorrhage were studied to explore the pathophysiological mechanism of cerebral edema and the roles of erythrocytes and thrombin in this process.

目的 利用自体未肝素化新鲜血回注法建立大鼠尾状核出血模型，观察脑出血后不同时间不同部位脑组织水分含量的变化，并分别研究红细胞、凝血酶对脑出血后脑水肿形成的影响，揭示脑出血后脑水肿形成的病理生理机制，并阐明红细胞、凝血酶在脑出血后脑水肿形成中的作用，从而为临床脑出血病人病情评估及治疗提供理论依据。

Methods: For 56 cases of arterial bleeding, performed angiography in the artery which was suspected to be the bleeding one, and then infused the embolus into the bleeding after super-selection to embolize it. For 17 cases of esophageal veins and fundic veins bleeding caused by the higher blood pressure in portal vein, we performed angiography in portal vein stem through puncturing the liver, found the bleeding spot, then infuse the embolus into the bleeding veins through super-selection to stop bleeding.

56例动脉性出血采用Seldinger氏法，经股动脉穿刺将导管选择插入可疑出血的动脉内先行DSA检查，明确诊断，再超选择插入出血动脉内注入栓塞材料，栓塞出血动脉。17例门静脉高压致食管胃底静脉曲张破裂出血，则采用经皮穿肝至门静脉主干行门静脉造影，明确出血部位，再超选择插管至出血静脉注入栓塞材料进行栓塞治疗。

The purpose of the research is to exploring the mechanism of proctoclysis of Tongfuxingshen liquid treating unconscious patients with cerebral hemorrhage and encephaledema, cerebral vessels permeability and expression of HSP70, HO-1mRNA after cerebral hemorrhage in rats by TCM theory and clinical, experiment. Providing the theoretic and clinical, experimental evidence for it, and exploring the new administration ways to treating acute intracerebral hemorrhage.

本文试图从理论、临床和实验研究探讨导师经验方——通腑醒神胶囊直肠滴注治疗出血中风的机理，通过观察对脑出血神昏病人意识状态及对脑出血大鼠脑水肿及脑血管通透性、脑组织HO-1mRNA和HSP70表达的影响，探讨通腑醒神液直肠滴注治疗出血中风的作用机制，为通腑醒神液直肠滴注治疗脑出血提供理论、临床及实验依据，探索抢救脑出血急性期昏迷患者新的给药途径。

Results 42 of 45 patients had a history of subarachnoid hemorrhage for 1 to 3 times. 23 and 22 cases died separately before and after digital substract angiography. 5 cases of rebleeding was relating to angiography, 24 cases died during the "high risk" period (4 to 10 days after first rupture). Rebleeding accounted for a 7.2% mortality of aneurysms preoperatively in our study. Among them, 71% was attributable directly to rebleeding, whereas 29% to non-neurological complications.

结果 45例病人中42例既往有1～3次蛛网膜下腔出血病史，住院后于数字减影脑血管造影前出血死亡者23例，造影后出血死亡者22例，其中5例出血与脑血管造影有关，24例再出血发生在动脉瘤自然出血高峰期内(4～10天)，住院期间出血死亡的发生率占我院同期动脉瘤总数的7.2%，直接死于再出血的为71%，死于非神经系统并发症的为29%。

Fancy gold-plated dangling earrings with facetted White Opal crystals.

花式镀金悬垂耳环与facetted白欧泊水晶。

This essay chooses the study aim from biology teachers in middle school in Shi Jiazhuang which tells us that most of the middle school biology teachers in Shi Jiazhuang have the"burnout", lower successfulness, individualize.

本文选取石家庄市初中生物教师作为研究对象，运用问卷调查的方法对石家庄市初中生物教师职业倦怠的现状进行调查，调查结果发现，石家庄市初中生物教师这一群体普遍存在职业倦怠，情感枯竭程度偏高，成就感偏低，去个性化程度最为严重。