出血后的

ConclusionThe treatment of obstetrical hemorrhage by emergently embolizing uterus artery was safe and effective.

结果 栓塞后出血完全停止10例。2～7 d后经对症治疗出血逐渐停止2例，未出现严重并发症。结论急诊子宫动脉栓塞治疗产科大出血是一种安全、迅速有效的止血措施。

objective to compare four postoperative nasal packing materials.methods total 136 patients,80 cases with chronic sinus it is and under went endoscopic sinussurgery,were randomly packed using four different hae mostasis materials.in which,paraffin gauze group was 40 cases,rapid sorbalgon group 27 cases,merocel group 36 cases and gel knit group 31 cases.the packing materials wereemoved after left for 24 hours to 48 hours.the efficacy of nasal packing materials was asassessed interm of the levels of nasal pain or headache in the leaving period and nasal bleeding after removal of nasal packing.results the in cidence rate of nasal pain or headache respectively was 82.5% in paraffin gauze group,44.4% in merocel,11.1% in sorbalgon and 3.2% in gel knit.the significant statistical difference was observedbetween the four groups (χ2=70.21,p.01).the incidence rate of nasal bleeding after removed was 85%,11.1%,41.7% and 9.7% respectively.the statistical difference was also significant (χ2=54.28,p.01).conclusions the choosing of postoperative na sal packing after functional endoscopic sinus sur gey depends on various factors,gel knit has much advantages and can be used as routine packs after fess.

摘 要］目的：比较四种鼻腔填塞材料的疗效，指导临床选择合适的术后鼻内填塞物。方法：对134例慢性鼻窦炎分别采用凡士林纱条(40例)、藻酸钙纤维(sorbalgon，27例)、膨胀海绵(merocel，36例)和瑞纳凝胶快速止血材料(gel knit，31例)四种材料填塞鼻腔，24 h～48 h取出填塞物，根据填塞后鼻腔胀痛、头痛程度，取出填塞物后鼻腔出血程度等评价疗效。结果：凡士林纱条填塞组，82.5%有鼻腔胀痛或头痛；sorbalgon藻酸钙纤维组11.1%；merocel组44.4%；gel knit组3.2%，四组比较差异非常显著(χ2=70.21，p.01)。取出填塞物后鼻腔再出血分别为85%，11.1%，41.7%和9.7%，四组比较差异非常显著(χ2=54.28，p.01)。结论：鼻内镜手术时，应综合考虑诸方面因素合理选用术后填塞物。瑞纳优势较为全面，可作为鼻内镜手术的常规填塞材料。

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。

Results there were unconsciousness, respiratory rhythm disturbance and hyporeflexia of pupil light reflex immediately after injury, and reactiveness decrease and activity retardation still existed even after resuming consciousness. at anatomical scene, subarachnoid hemorrhage or cerebroventricular haemorrhage were widespread. at an early stage, there were swelling, collapse, and axonal retraction ball formation at cortico-medulla junction, callosum, brainstem, and cerebellar white matter under microscope. but at the later stage, gitter cell proliferation and nest-like aggregation were major pathophysiological changes at focal brain tissue.

结果 伤后大鼠均即刻出现原发昏迷，其中2只于损伤后20 min内死亡，余持续时间1-30 min不等；伤后大鼠呼吸节律紊乱，瞳孔对光反射减弱或消失，醒后均有程度不等的反应性下降，肢体活动迟缓；肉眼可见广泛蛛网膜下腔出血或脑室出血；光镜下可见皮髓交界区、胼胝体区、脑干、小脑白质等部位的神经轴索有不同程度的肿胀、断裂、轴索球形成，后期有小胶质细胞增生，局部呈巢样聚集。

Day puppies were inoculated by abdominal cavity and nasal cavity with CDV,canine distemper patho-sample of duplicating meet with success and through differentdrug of treatment, specific antibody, dexamethasone, causing death by letting. Theresults of pathohistology observation on 14 PID: Control group, the hearts showedcardiac muscle hemorrhage and necrosis, the livers showed a large area of hepatictissue hyperemia, hemorrhage and necrosis, the spleens showed the quantity oflymphocyte grow downwards, the blood vessels of lung congested, congestion andhaemorrhage were serous fluid exudation, the kidneys showed heavy haemorrhageand hyperemia, the cerebrum showed the number of microglial cells of cerebrumincreased.

通过特异性抗体和地塞米松、特异性抗体、地塞米松三种不同的方法治疗后，放血致死，取材作病理切片，观察各组病理组织学变化，结果为：感染后14d阳性对照组的心脏表现为心肌出血、坏死；肝脏表现为肝组织大面积充血、出血坏死；脾脏表现淋巴细胞数量大量减少；肺脏表现为肺泡结构破坏，有坏死灶；肾脏表现为弥漫性的充血出血；大脑表现为胶质细胞增多。

Locations were lobar (14. 4％), basal ganglia area (70.5％), cerebella (9. 1％), brainstem (6. 1％). The 30-day mortality was 20.5％ with 40.7％ of all deaths occurring in the first 48 hours.

132例患者中，脑叶出血19例14.4％），基底节区出血93例（70.5％），脑干出血8例（6.1％），小脑出血12例（9.1％）。30天死亡率为20.5％，其中40.7％（11例）的死亡发生于起病后48小时内。

Multiple factors participated in the process of secondary brain edema and nerve injuries,such as the hydrostatic pressure during formation of the hematoma and clot retraction, activation of blood coagulation cascade, generation of thrombin,erythrocytolysis and the toxicity of hemoglobin, the activation of the complement system, space-occupying effects, rupture of the blood-brain barrier,secondary ischemia around the hematoma, inflammatory reaction of the neurons around hematoma and cell apoptosis.

脑出血后继发水肿及神经损害有多种因素参与，血肿形成过程中的流体静力压和血凝块的回缩、凝血瀑布的激活、凝血酶的产生、红细胞溶解和血红蛋白的毒性、补体的激活、占位效应、血脑屏障的破坏、血肿周围继发缺血、血肿周围组织神经细胞炎症反应及细胞凋亡等。

According to experts' advice, more than 90% of adults suffer from periodontal disease of different degrees, especially those often smoking tobacco and drinking coffee, they have dental plaques on their teeth, and their gums are apt to bleed; people with a peculiar smell in their mouth cavity had better do toothwash regularly; everyone should develop a habit of toothwash once every half year or once every year according to their different conditions of the teeth; in the week after the toothwash, they are advised to avoid eating too cold or too hot food.

专家提醒，90%以上的成年人都有不同程度的牙周病，特别是经常抽烟喝咖啡、牙齿上有牙菌斑、牙龈容易出血、有口腔异味的人最好能定期洗牙，每个人应根据自己牙齿的不同状况，养成每半年到一年洗牙一次的习惯，洗牙后的一周，应尽量避免吃过冷过热的食物。

Experts advice that more than 90% of adults suffer from periodontal disease of different degrees, especially those often smoking tobacco and drinking coffee, they have dental plaques on their teeth, and their gums are apt to bleed; people with a peculiar smell in their mouth cavity had better do toothwash regularly; everyone should develop a habit of toothwash once every half year or once every year according to their different conditions of the teeth; in the week after the toothwash, they are advised to avoid eating too cold or too hot food.

专家提醒，90%以上的成年人都有不同程度的牙周病，特别是经常抽烟喝咖啡、牙齿上有牙菌斑、牙龈容易出血、有口腔异味的人最好能定期洗牙，每个人应根据自己牙齿的不同状况，养成每半年到一年洗牙一次的习惯，洗牙后的一周，应尽量避免吃过冷过热的食物。

In the narrative that makes up our nine-month journey, we encounter the broken and bleeding body of the American black dozens of times: crossing the Atlantic, sweating in the southern fields, hanging from the lynching tree, hiding from Jim Crow, dodging night-riders and sheriffs, urban sharecropping in ghettos, rioting after their leaders are shot dead, existing within a system of structural violence, paying never-ending rent to a landlord who keeps jacking up the price and never fixing the leaks in the ceiling.

在叙述，使我们的9个月的旅程，我们遇到的破碎和出血机构的美国黑人数十倍：跨越大西洋，出汗的南部油田，挂私刑树，躲避吉姆克劳，逃避夜晚搭车和县行政司法长官，城市佃农在贫民区，骚乱后，其领导人是枪杀，现有的系统结构暴力，支付永无止境的租金的房东让谁顶的价格，决不泄漏固定在天花板上。

According to the clear water experiment, aeration performance of the new equipment is good with high total oxygen transfer coefficient and oxygen utilization ratio.

曝气设备的动力效率在叶轮转速为120rpm～150rpm时取得最大值，此时氧利用率和充氧能力也具有较高值。

The environmental stability of that world - including its crushing pressures and icy darkness - means that some of its most famous inhabitants have survived for eons as evolutionary throwbacks, their bodies undergoing little change.

稳定的海底环境─包括能把人压扁的压力和冰冷的黑暗─意谓海底某些最知名的栖居生物已以演化返祖的样态活了万世，形体几无变化。