出血

Side cuts frontal Dou Genzhi and bazoo to use vaseline yarn on add iodoform gauze ram, 48h takes out vaseline gauze, art hind begins the 5th day to take out iodoform gauze. The haemorrhage after 1.3 art and haemorrhage of the nasal cavity after treating art or ooze blood 56, bleed among them more serious, hind nostril has blood to pour out of 7, seasonable application puts pillow on the ice below close observation, fight infection, hemostatic reach tranquillizer.

上额窦根治和鼻侧切则采用凡士林纱条加碘仿纱条填塞，48h抽出凡士林纱条，术后第5天开始抽出碘仿纱条。1.3术后出血及治疗术后鼻腔出血或渗血56例，其中出血较严重、后鼻孔有鲜血流出7例，严密观察下及时应用冰枕、抗感染、止血及镇静剂。

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。

Methods Under femoral artery puncture and catheter introducer leaving,bilateral common carotid artery angiography was pertormed with 4F HeadHunt or simmons angiographic catheter.We superselectively inserted the catheter to the branch of external carotid artery after confirming the bleeding site,hemorrhagic artery and externalinternal cranial dangerous anastomoses.

用Seldinger技术经股动脉穿刺，置入导管鞘，进4F HeadHunt导管或Simmons导管行双侧颈总动脉造影，明确出血部位，出血动脉及有无颅内外危险吻合后，将导管超选择性插入出血的颈外动脉分支。

Jensen's group randomized 32 high-risk patients with severe ulcer hemorrhage and nonbleeding adherent clots resistant to target irrigation to medical therapy or to combination endoscopic therapy, which included epinephrine injection, shaving down the clot with cold guillotining, and bipolar coagulation on the underlying stigmata.

受试者包括32名严重溃疡出血的患者，目标灌洗对溃疡面上的无出血粘著血凝块无效，他们的再出血危险率很高。Jensen小组将这些患者进行了随机分组，其中一组接受药物治疗，另一组联合内视镜治疗。联合内视镜治疗包括注射肾上腺素，用冷切刀削去血凝块，以及将双极凝结剂涂抹於潜在出血处。

According to the statistical analysis to cases of cerebral hemorrhage, and the research its pathology and physiology, we put forward an idea that operation is necessary to deal with cerebral hemorrhage, especially for hypertensive type. Moreover, the detailed description of methods of surgical treatment, and their summerize and mutual comparision which are being references in use for its clinical treatment.

本文根据对脑出血病例的统计学研究，以及对其病理生理的探索，提出了对脑出血，尤其对高血压性脑出血进行外科手术治疗的必要性，并且详细阐述了针对其外科手术治疗的方法，同时进行了对不同情况所采用的方法进行了综合与对比，由此为脑出血的临床诊治提供思考与借鉴。

According to the statistical analysis to cases of cerebral hemorrhage, and the research its pathology and physiology, we put forward an idea that operation is necessary to deal with cerebral hemorrhage, especially for hypertensive type. Moreover, the detailed dedivion of methods of surgical treatment, and their summerize and mutual comparision which are being references in use for its clinical treatment.

本文根据对脑出血病例的统计学研究，以及对其病理生理的探索，提出了对脑出血，尤其对高血压性脑出血进行外科手术治疗的必要性，并且详细阐述了针对其外科手术治疗的方法，同时进行了对不同情况所采用的方法进行了综合与对比，由此为脑出血的临床诊治提供思考与借鉴。

Methods Emergency endoscope ex-amination were carried out in20massive hemorrhage clients after gastrectomy and esophagectomy,after exposed and washed the bleeding part by cold0.9%NS,1∶10000adrenaline and hypertonic saline were injected in perifocal sub-mucosa.After stop bleeding and before move back the endoscope,spray some YunNanBaiYao and thrombase in the bleeding part to prevent secondary hemoorahge.

对食管、胃切除术后引起大出血的患者行急症内镜检查，用冰冻生理盐水100ml+去甲肾上腺素8mg反复冲洗，暴露出血部位后在病灶周围黏膜下注射1∶10000肾上腺素及高渗盐水，无出血后，退镜前于出血部位喷洒云南白药及凝血酶，防止再次出血。

Methods Emergency endoscope examination were carried out in 20 massive hemorrhage clients after gastrectomy and esophagectomy, after exposed and washed the bleeding part by cold 0.9% NS, 1:10000 adrenaline and hypertonic saline were injected in perifocal sub mucosa. After stop bleeding and before move back the endoscope, spray some YunNanBaiYao and thrombase in the bleeding part to prevent secondary hemoorahge.

对食管、胃切除术后引起大出血的患者行急症内镜检查，用冰冻生理盐水lOOml＋去甲肾上腺素8mg反复冲洗，暴露出血部位后在病灶周围黏膜下注射1：10000肾上腺素及高渗盐水，无出血后，退镜前于出血部位喷洒云南白药及凝血酶，防止再次出血。

Methods: thanks to most bleeding cases are veinal bleeding so we external repress the distant place vein of return circuit when the patient bleedingwho post-turp result :there are 54 cases (54/56) stanch bleedingwe success stanch bleed by above methode.

根据turp术后大多数出血是来自包膜外的静脉的出血，采用外压迫出血处远端静脉的办法使其血栓形成，达到止血。对动脉性出血则采用球囊压迫或再次电灼止血。结果：本组56例除2例再次电灼止血外，其余病例均采用外压迫达到有效的止血效果。

Methods 120 healthy primiparae were involved in our study.Their psychosises were evaluated according to Hamilton depression scale.Delivery mode and postpartum hemorrhage were observed.Women were divided into caesarean section,forceps and natural groups according to different mode of delivery,as well as into hemorrhage and non hemorrhage groups according to occurance of hemorrhage or not after labor.

120例健康初产妇以汉密顿焦虑量表和抑郁量表评定精神状态，观察其分娩方式及产后出血状况；按分娩方式不同分为剖宫产组、钳产组及顺产组；按是否有产后出血分产后出血组及产后无出血组。

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。