前腹的

In order to improve the resection rate, decrease the operative mortality, complication morbidity and it is important to pay great attention to the unspecific symptoms of the epigastrium, Combined adoption of the current advanced imaging methods could result in increasing early diagnosis and essential for accurate determination of tumor resectability and operation designing.

腹部非特异性症状结合影像学检查可提高壶腹周围癌的早期诊断率；术前准确评估手术可切除性，制订合适的手术方案，以提高壶腹周围癌的手术切除率，降低手术死亡率、并发症发生率。

On the radiographs above in the ventral-dorsal view, the arrows outline the luxation sides on the sacroiliac joints and fracture on the second coccygeal vertebrae.

上图之手术前 X 光是骨盆部位之腹背照和侧照，从腹背照中可看到明显的双侧性肠荐关节脱位和第二尾椎骨折。

Combining the surface geology survey and comprehensive interpretation of seismic data, three structural units are divided in the subsurface of northen section of Longmen mountain, they are surface and shallow layer structural units, imbricate unit in subsurface and monocline unit in foothill belt.

结合地表地质的观察和地震资料的综合解释将龙门山北段地区地腹构造划分为3个构造单元，即地表及浅层推覆构造单元、地腹叠瓦式构造单元以及山前单斜构造单元。

The result showed that IFN-γ was distributed over 20 nucleus of the hypothalamus, such as nucleus mamillaris medialis, nucleus pre-opticus medialis, area anterior hypothalami, nucleus ventromedialis, nucleus reunions, nucleus paraventricularis, nucleus supra optic, and etc. Many of IFN-γ positive nerve fibers were found in supra optic nucleus, paraventricular nucleus, nucleus mamillaris medialis and etc. Nerve fibers and astrocytes IFN-γ immunoreactive positive cells spreaded in paraventricular nucleus, nucleus pre-opticus lateralis, nucleus pre-opticus medialis and etc. At the same time, IFN-γ is also observed obviously in adenohypophysis and neurohypophysis. IFN-γ also expresses in follicular and corpus luteum.

结果显示，IFN-γ分布于乳头体内侧核、视前内侧核、下丘脑前区、腹内侧核、连接核、室旁核、视上核等20个核团中，各部分核团细胞着色程度深浅不一；在视上核、室旁核分泌部乳头体内侧核等有大量的阳性神经纤维；同时在室周核、视前外侧核、视前内侧核等13个核团中散布有一些阳性星形胶质细胞，与阳性神经细胞交错共存；腺垂体中腺细胞和神经垂体中神经纤维均有IFN-γ表达；卵泡和黄体中也有IFN-γ存在。

From 136 to 138, the expres- sion retrieved ventrally and expressed at the ventral half of the central tube (137) and the ventral horn especially in motor neurons (E7 and E8). Thus, the dorsal terminating axons relating to nociception and thermore?

到民至 Es麻Sema 3A的mRN的表达向腹侧撤退，主要在脊髓中央管周围的腹侧和前角运动神经元，这样使背侧投射性的痛温觉神经元轴突仅进入脊髓后角第 I、11层而不进一步向腹侧投射。

143 patients with sacrum tumor were divided into 6 groups according to different methods to control bleeding: non-vessel controlled in 21 cases, transcatheter arterial embolization before operation in 12 cases, hypogastric artery ligation in 71 cases ,temporary balloon occlusion of abdominal aorta in 9 cases, intermittent block of lower abdominal aorta in 5 cases, intermittent block of lower abdominal aorta and hypogastric artery ligation in 25 cases .

将143例骶骨肿瘤患者根据术中控制出血方法的不同分为6组，术前介入靶血管栓塞12例，髂内动脉结扎71例，球囊导管腹主动脉阻断9例，单纯低位腹主动脉阻断5例，低位腹主动脉阻断加髂内动脉结扎25例，未行控制出血的对照组21例。

Objective To identify prognostic factors of carcinoma of the ampulla of Vatar after pancreatoduodenectomy, and provide evidence for survival evaluation and individualization treatment.

作者：姚厚山，王强，王伟军，余宏宇，许超，胡志前作者单位：(第二军医大学附属长征医院普通外科，上海 200003)目的通过综合评价总结出影响壶腹癌预后的因素，为壶腹癌患者的预后判断及个性化治疗提供依据。

Results IL-6R immunoreactive cells were observed in the anterior of optical area,the ventromedial nucleus,the periventricular nucleus and arcurate nucleus of the hypothalamus.The strongly stained cells are concentrated in the granule cell layer of the dentdate gyrus and the pyramidal cells of the CA1-CA2 fields of the hippocampus.IL-6R positive cells are also detected in the cortex, the ventromedial nucleus of the thalamus,bed nu stria,olfaltory tubercle.

结果 IL-6R 免疫反应性细胞主要分布在下丘脑的视前区、腹内侧核、室旁核和弓状核；在海马， IL-6R 阳性细胞呈强阳性，密集分布于齿状回颗粒细胞层和 CA1～ CA2锥体细胞层；在大脑皮层、嗅结节、丘脑腹内侧核、终纹床核等处也有 IL-6R 阳性细胞。

When aborted rats were injected with 10 IU/g IFN-γin group D, compared with group A, expression of TNF-αinmmuopositive substance in the nucleus pre-opticus medialis, nucleus supra-opticus, nucleus pre-opticus mango celluaris, nucleus periventricularis hypothalami, nucleus paraventricularis hypothalami, nucleus arcuatus hypothalami were highly increased, conversely, the ones in the nucleus pre-opticus suprachiasmaticus, neurohypophsis, adenohypophysis, ovary were obviously decreased, the change in the uterus was not remarkable; Compared with group B, expression of TNF-αin the arcuatus hypothalami was obviously enhanced, while in the nucleus pre-opticus suprachiasmaticus, nucleus pre-opticus mango celluaris, nucleus periventricularis hypothalami, nucleus paraventricularis hypothalami, nucleus ventromedialis hypothalami, nucleus dorsomedialis hypothalami, neurohypophsis, pars intermedia, ovary, the results were on the contrary, the uterus had no significantly variation; Compared with group C, expression of TNF-αin the nucleus pre-opticus medialis, nucleus supra-opticus, nucleus paraventricularis hypothalami, nucleus arcuatus hypothalami, adenohypophysis and pars intermedia had an obviously risen trend, however, the variation in the nucleus pre-opticus suprachiasmaticus, nucleus periventricularis hypothalami, neurohypophsis, pars intermedia, follicle and corpus luteum was completely opposite, uterus had no obviously change.

外源腹腔注射10 IU/g IFN-γ后，同A组相比：D组TNF-α免疫阳性产物在下丘脑视前内侧核、视上核、视前大细胞核、室周核、室旁核、弓状核显著增高，在视交叉上核显著降低，在其它核团较A组无显著差异，在神经垂体、垂体前叶、卵巢中阳性产物表达均较A组显著降低，在子宫中的表达较A组变化不明显；同B组相比：D组TNF-α免疫阳性产物在弓状核显著增高，在视交叉上核、视前大细胞核、室周核、室旁核、腹内侧核、背内侧核、神经垂体、垂体中间部、卵巢各部阳性物质表达均显著降低，在子宫表达变化不显著；同C组相比：D组下丘脑视前内侧核、视上核、室旁核、弓状核、垂体前叶与中间部均显著增高，在视交叉上核、室周核、神经垂体、卵泡、黄体中均显著降低，子宫中表达变化不明显。

The 4th left rib was cut and a model of left coronary artery occlusion/release was carried outo Rats were divided randomly into 4 groups: control group without LCA occlusion (group A, n=6);I/R group(group B, n=6); ketamine(5mg.kg-1)+I/R group (group C, n=6); ketamine(10mg.kg-1)+I/R group(group D,n=6)o All rats in groups B, C , D were subjected to 30 minutes of LCA occlusion followed by 120minutes of reperfusion. Rats in group C and D were injected with 5mg.kg-1 and 10mg.kg-1 of ketamine before reperfusion, respectively. Significant electrocardiogram and color changes at the area at risk were considered indicative of successful coronary occlusion and reperfusionc Serum was exampled from left jugular vein at 30 minutes and 120 minutes during reperfusion to measure IL-6 and TNF- level by ELISA measurements. After reperfusion of 120 minutes, the heart was removed and the cardiac apex was exampled with snap-frozen in liquid nitrogen and stored at -70 C .

采用左冠状动脉前降支结扎开放建立心肌缺血／再灌注模型，健康SD大鼠24只，随机分为心包打开假手术组(A组，n=6)，缺血／再灌注对照组(B组，n=6)，5 mg·kg~(-1)氯胺酮+缺血／再灌注组C组，n=6，缺血30min后右腹股静脉注入5 mg·kg~(-1氯胺酮，10mg·kg~(-1)KTM+I／R组D组，n=6，缺血30min后右腹股静脉注入10 mg·kg~(-1氯胺酮。10％水合氯醛40 mg·kg~(-1)腹腔注射麻醉，气管切开，连接多功能监护仪记录心电图；小动物呼吸机人工呼吸，呼吸频率60次／分，潮气量2ml／100g，于左胸第四肋间打开胸腔暴露心脏，在左心耳下1mm左冠状动脉处，用丝线，眼科外用不锈钢小圆针穿过心肌浅层，稳定10min后将U型含有铜丝的胶管置于冠状动脉表面一起结扎(A组不结扎，B、C、D组结扎)；结扎开始左心室心尖部即由红色变暗，30 min后呈暗红色，心电图中出现S-T段抬高，说明缺血形成。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失