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objective to discuss treatment of acute perforation of peptic ulcer,to elevate i stage operation recovery rate.methods 208 cases in 20 years were retrospectively analysed,86 cases (41.35%) were recovered by subtotal gastrectomy;18 cases (20.93%) were undergone billroth i anastomosis;68 cases (79.07%) billroth ⅱ;42 cases (61.76%) billroth ⅱ precolonic anastomosis;26 cases (38.24%) retrocolic anastomosis.results in 86 cases,1 case was complicated by gastroparesis,others all recovered.all cases were followed up for 5 years.conclusion the procedure can shorten the recovery time and increase quality of life.

目的 探讨消化性溃疡急性穿孔的治疗方法,旨在提高ⅰ期手术治愈的成功率。方法回顾性总结分析20年间手术治疗消化性溃疡急性穿孔208例,其中86例(41.35%)采用胃大部连同病灶切除ⅰ期治愈,胃肠重建采用billrothⅰ式吻合18例(20.93%),billrothⅱ式吻合68例(79.07%),billrothⅱ式结肠前吻合42例(61.76%),结肠后吻合26例(38.24%)。结果 86例中除1例billrothⅱ式吻合术后发生胃瘫并发症,经保守治疗月余治愈外,其余病例术后恢复顺利,均随访5年以上情况良好。结论消化性溃疡急性穿孔的ⅰ期手术治疗,解决了因溃疡穿孔单行修补术后再次复发穿孔、出血、幽门梗阻、粘连、溃疡恶变而重复手术等问题,缩短了治愈周期,提高了生存质量。

Results The supratentorial lesions involved the occipital lobe in 4, frontal lobe in 3, fronto-occipital lobe in 2, temporo-occipital lobe in 3, lateral ventricle in 1 case and the saddle region in 1. All the lesions were large in volume and most of them presented heterogeneous signals in MRI. Of the 14 cases, 12 showed cystic degeneration and necrosis, 2 had hemorrhage and 6 showed signs of emptied small blood vessels. Twelve cases had heterogeneous enhancement and 2 had moderate enhancement. Pathologically, 10 cases of neuroblastomas were identified, along with 3 ganglioneuroblastomas and 1 atypical rhabdoid tumor.

结果 病灶位于顶叶4例,额叶3例,枕顶叶2例,颞枕叶3例,侧脑室1例,鞍区1例,病灶普遍较大,病灶绝大多数信号不均匀,病灶内可见囊变/坏死(12例)、出血(2例)、流空小血管影(6例),增强后病灶呈明显不均匀强化(12例),中等强化2例;神经母细胞瘤10例,节细胞神经母细胞瘤3例,非典型横纹肌样瘤1例。

Objective : To investigate the obstructive sleep apnea-hypopnea syndrome surgical therapy; Methods : 30 patients with routine examination all were found to have a narrow oropharynx mainly of upper airway obstruction, OK simple tracheostomy 1, tracheotomy anesthesia in two cases, posterior pharyngeal surgery in 28 cases. velopharyngeal surgery Suprahyoid suspension for two cases; Results : 27 patients recently effective, and the total efficiency of 90%. 26 cases of long-term effective, and the total efficiency of 86.7%, complications including intubation asphyxiation, hemorrhage, such as eating reflux.

目的:探讨阻塞性睡眠呼吸暂停低通气综合征的手术治疗;方法:30例患者经常规检查发现均存在以口咽部狭窄为主的上气道阻塞,行单纯气管切开术1例,气管切开插管麻醉2例,行腭咽部手术28例,腭咽部手术联合舌骨上悬吊术2例;结果:近期27例有效,总有效率90%,远期26例有效,总有效率86.7%,并发症包括插管窒息、出血、进食反流等。

The complications of stent implantation included transudation, hemorrhage, perforation and stenosis.

支架置入并发症主要包括渗出、出血、穿孔和狭窄。

Materials and Methods The triphasic dynamic enhanced CT findings of 52 patients with renal cell carcinoma were reviewed.

资料与方法回顾性分析52例肾癌患者的三期动态CT扫描资料,对经手术病理证实的透明细胞癌、乳头状癌、嫌色细胞癌3种肾癌亚型图像进行双盲法对比分析,比较肿瘤的大小、强化程度与模式(均匀、不均匀及主要周边强化)、有无钙化、出血、坏死与囊变、肿瘤扩散及淋巴结转移等情况,同时结合患者的性别和年龄,分析3种亚型肾癌之间的影像学差异。

Obvious change of warts or mole (such as color deepens, increases quickly, itching, unhairing, exudation, ulceration, bleeding).

疣 或黑痣明显变化(如颜色加深,迅速增大,搔痒,脱毛,渗液,溃烂,出血)。

Light microscope: hemorrhage, vacuolization, edema and necrosis were the most notable changes, but inflammatory cells infiltrating was few.

光镜下,出血、空泡形成、水肿、坏死是最显著的变化,而炎性细胞浸润较少。

Here is a renal cell carcinoma that on sectioning is mainly cystic with extensive hemorrhage.

这是肾细胞癌的切面显示了肾胞囊扩张、出血

Methods 58 cases of treatment group applied the procedure of emergency operation and primary suturing wound were compared with 56 cases of controlled group used the procedure of traditional dissection and unclosing wound on healing time,pain,anal swelling and bleeding,infection,etc after operation.

治疗组对血栓外痔实施切除后一期缝合,对照组对血栓外痔切除后切口不缝合,观察比较术后愈合时间、疼痛、水肿、出血、感染等情况。结果治疗组术后愈合时间、疼痛、作者:吴汉泉,杨德群,刘明奎,张洁目的研究急诊手术一期缝合治疗血栓外痔的可行性。

In meloxicam-treatment group, PaO2/FiO2 remained in normal range, and the lung wet/dry, the lung wilier content and the expressions, of MMP-2 mRNA were significantly lower than those in ET group.

结果 与A组比较,B组氧合指数明显降低,肺组织出现水肿,出血、炎性细胞浸润,W/D比值、肺水含量及肺组织MMP-2 mRNA表达明显增加;C组氧合指数未见明显下降,W/D比值,肺水含量、肺组织中MMP-2 mRNA表达较B组减少。

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Through comparing with the results by simulation to study the effects of theprojectile"s final velocity, the angle of rotation and the ballistic trajectory"s migration withdifferent projectile"s rotating speeds, different target"s moving speeds and differentpenetration angles.

通过比较数值模拟的结果来研究不同弹头转速、目标速度、侵彻角对侵彻过程中弹头最终速度、翻转角度和弹道偏移的影响。

I love stationery and all the accoutrement of writing.

我爱文具以及所有的书写的工具装备。

Just loll there: quiet dusk: let everything rip.

只消懒洋洋地享受这宁静的黄昏,一切全听其自然。