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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。
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Ft Interior Volume Rear: 38.0 cu. ft Luggage capacity: 13.7 cu. ft Performance 0-50 mph (0-80 kmh): n/a 0-60 mph (Manual / Auto): 7.8 / 9.0 sec (7.8 sec / 9.6 sec. quattro) 1/4 Mile: n/a Top estimated speed: 130 mph (203 kmh)- Electronically limited for North America Fuel Economy City (Manual/Auto): 19 / 18 mpg (19 / 18 mpg quattro) Highway (Manual/Auto): 27 / 28 mpg (26 / 27 mpg quattro) Combined (Manual/Auto): 23 / 23 mpg (22 / 21 mpg quattro) Standard Features Comfort/Convenience:· Electronic automatic climate control system, including air conditioning · Power steel sunroof · Power windows with one-touch down, lock-out for rear windows, pinch protection and one-touch up for front windows · Retained accessory power for windows and sunroof · Tinted glass, banded windshield · Power rack and pinion steering · Convenience close feature for windows and optional sunroof · Electronic cruise control with resume and speed up features · Dual power mirrors with defog feature · Electric rear window defogger · Power central locking system including trunk and fuel door; selective unlocking · Heat ducts to rear seat area · Illuminated glove box, trunk, lighter/ashtrays, engine compartment · Ignition key with integral light · Dual illuminated vanity mirrors · 4-passenger assist handles · Time delay interior light · Anti-theft vehicle alarm system · Cupholders · Fuel cap hanger feature Interior/Seating and trim:· 8-way power front seats with manual lumbar adjustment · Front seat map pockets · Facette weave cloth · Leather-wrapped steering wheel · Fold down rear-center armrest with storage container · Rear center armrest · Full length center console with forward storage bin, including cupholders · 60/40 split/fold rear seat with locking seat back · Genuine burled walnut wood trim for dash, door panels and console · Front and rear carpet floor mats Instrumentation:· Backlit instrument cluster, red illumination · Tachometer and electric speedometer · Analog clock · Outside temperature gauge · Trip odometer · Coolant temperature gauge · Oil temperature gauge · Voltmeter · Intermittent wiper mode Audio Systems:· AM/FM stereo cassette radio with anti-theft · 6-speaker sound package · Rear window antenna · Preparation wiring for CD changer · Preparation for cellular phone Exterior:· Aerodynamic 3-way halogen headlights · 5 mph bumpers, painted in body color · Body color, protective side moldings · Retractable headlight washer system · Body color, flush door handles · Body color, outside mirror: right convex, left side flat · Front fog lights · Rear fog light (integrated with left light cluster) Safety:· Anti-lock brake system · Driver and front passenger air bag supplemental restraints · Automatic self-tensioning front seat belt system · Rear outboard 3-point seat belts with comfort adjustment · Rear center lap safety belt with retractor · Child-safety rear door locks
1 / 4 mile :无/ 1 顶端估计速度:一百三十零英里每小时-电子有限公司,为北美洲燃油经济性市: 19 / 18哩( 19 / 18哩quattro的)公路: 27 / 28哩( 26 / 27哩quattro的)结合: 23 / 23哩( 22 / 21哩quattro的)标准功能舒适/方便:·电子自动气候控制系统,包括空调·电源钢天窗·电源的Windows与一触式下降,锁定为后方的Windows ,夹保护和一触式,为前线的Windows ·保留配件权力for Windows和天窗·有色玻璃,带状挡风玻璃·电源机架和齿轮督导·方便接近的特点,用于Windows和可选的天窗·电子巡航控制与恢复,并加快特色·双电源镜与defog功能·电动后窗defogger ·电源中央门锁系统,包括主干和燃料的大门;选择性解锁·热导管后座区·照明手套箱,躯干,打火机/烟灰缸,引擎·点火的关键与积分光·双发亮的虚荣心镜· 4名乘客协助处理·时间延迟内部轻·反盗窃车辆报警系统· cupholders ·燃油上限吊架功能内部/座位和修剪:· 8路的权力前排座椅手动腰调整·前座地图的口袋· facette编织布·皮革包裹方向盘·折叠后方中心扶手与储藏容器·后方中心扶手·充分的长度中心控制台与储存着斌,包括cupholders · 60/40分裂/倍后座锁定椅背·真正的burled核桃木材装饰为短跑,车门面板和控制台·前方和后方,地毯,地板垫仪器仪表:·背光文书集群,红色照明·转速表和电动里程表·模拟时钟·室外温度衡量·行程里程表·冷却液温度衡量·油温计·伏特·间歇雨刮模式音频系统:·调幅/调频立体声收音机,镭射与反盗窃· 6喇叭声包·后窗天线·准备布线的CD换·准备蜂窝电话外墙:·气动3路卤素头灯·五英里每小时保险杠,描绘了在体色·车身颜色,保护方成型·可伸缩的头灯清洗系统·车身颜色,冲水门把手·车身颜色,外镜:右凸,左侧单位·前雾灯·后方雾轻安全:·汽车防抱死制动系统·司机及前座乘客安全气囊的补充约束·自动自我拉紧前座安全带系统·后方的舷外3点安全带与舒适性调整·后方中心濸安全带与retractor ·儿童安全后门的锁
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Objective To investigate the clinical features, causes of blindness and diagnosis of Vogt Koyanagi Harada syndrome Methods The data of 157 patients with VKH syndrome were reviewed and analyzed Patients were carefully examined with slit lamp, ophthalmoscope, three mirror lens, fundus fluorescein angiography, indocyanine green angiography and HLA typing Results Headache was noted in 73 5% of these patients Simultaneous involvement of both eyes occurred in 80 8% of these patients Chroiditis,papilledema and edema of the retina adjacent to the optic nerve were noted in 100% of these patients in the posterior uveitis stage, whereas recurrent granulomatous anterior uveitis (98 4%),"sunset glow" fundus (95 8%) and Dalen Fuchs nodules (71 2%) were the common ocular findings in the recurrent anterior uveitis stage The common causes of blindness were papillitis, exudative retinal detachment and complicated cataract in the posterior uveitis stage, anterior uveal involvement stage and its recurrent stage Poliosis (36 3%) and alopecia (35 0%) were the most common extraocular findings Early irregular patches of fluorescence, followed by localized hyperfluorescent spots were the typical findings of FFA Dilation of choroidal vessels and leakage of ICG from the choroidal vessels were the common ICGA findings The prevalence of HLA DR4 and HLA DRw53 in patients (54 9% and 71 8% respectively) was significantly higher than that in controls (14 7% and 38 2% respectively) Conclusions VKH syndrome is characterized by chroiditis, papillitis or neuroretinitis in the posterior uveitis stage, followed by a generalized uveitis with a typical recurrent granulomatous anterior uveitis Extraocular findings and relevant examinations including FFA, ICGA and HLA typing are helpful to the diagnosis of VKH syndrome
目的探讨Vogt-Koyanagi-Harada综合征患者的临床特征、盲目原因及诊断等有关问题。方法对在1996年1月至2000年12月间就诊资料完整的157例VKH综合征患者进行回顾性分析,并对裂隙灯、眼底镜、三面镜、荧光素眼底血管造影(fundus fluorescein angiography,FFA)、吲哚青绿血管造影(indocyanine green angiography,ICGA)及人类白细胞抗原分型等检查结果进行分析。结果 VKH综合征最常见的前驱症状为头痛(102例,73.5%),双眼同时患病118例(80.8%);后葡萄膜炎期眼部主要表现为脉络膜炎、视乳头及附近视网膜水肿(100.0%);前葡萄膜炎反复发作期眼部表现为复发性肉芽肿性前葡萄膜炎(128例,98.4%)、晚霞状眼底改变(95.8%)及Dalen-Fuchs结节(71.2%);后葡萄膜炎期、前葡萄膜受累期及前葡萄膜炎反复发作期导致盲目的主要原因分别为视乳头炎、视网膜脱离及并发性白内障;毛发变白(36.3%)及脱发(35.0%)是最常见的眼外表现;炎症活动期FFA典型表现为斑驳状高荧光,ICGA发现脉络膜血管扩张、通透性增高等改变;VKH综合征患者HLA-DR4及HLA-DRw53的阳性率(54.9%及71.8%)显著高于正常对照组(14.7%及38.2%)。结论 VKH综合征患者在后葡萄膜炎期眼部典型表现为双侧脉络膜炎、视乳头炎或神经视网膜炎,随后出现以反复发作的肉芽肿性前葡萄膜炎为特征的全葡萄膜炎。眼外症状及相关的辅助检查包括FFA、ICGA 及HLA分型等有助于VKH综合征的诊断。
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By combining electromagnetic theory with condensed state physics, we studied the electric skin effect, which consists of the distribution of conductor's induced charge on the surface of the conductor under the state of electrostatic equilibrium, the skin effects of the alternating current and super current.
电趋肤效应包括处于静电平衡状态的导体上感应电荷在导体外表面上的分布,交流电流在导体外表面层中的分布和超导电流在穿透层(处于超导态的载流超导体的外表面)中的分布。
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The coupling could make the washing machine change the work state between washing mode and dehydrating mode. Synchromesh gear that is located on the flange section and connection gear that is located at the external circle surface of the down side of the flange section is formed on coupling. The compression spring is installed on the top of the coupling and effects to the coupling to make it always moving downward. The feature is diameter of the terminal section of the compression spring is smaller that of the compression spring installation groove on the flange of the coupling.
其包括联轴器和压缩弹簧,联轴器可使洗衣机在洗涤模式和脱水模式间转换,其上形成有同步齿轮和连接齿轮,同步齿轮位于凸缘部上并在与联轴器限制件的齿轮相啮合时能使洗衣机进行洗涤;连接齿轮位于凸缘部下侧的外圆周面上并在与外连接器上的齿轮相啮合时能使洗衣机进行脱水;压缩弹簧安装在联轴器的上端并作用于联轴器,使其始终向下移动,其特征在于:所述的压缩弹簧的终端部直径较联轴器凸缘部上的压缩弹簧安装槽直径小。
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Certain Vaishnava theologians of the Pa 馽 aratra and Bhagavata schools, including Ramanuja, a Tamil Brahman who was for a time chief priest of the Vaishnava temple of Srirangam, near Tiruchchirappalli, taught in the 11th century.
帕拉罗陀和巴嘎瓦特学派的某些外氏那瓦的神学家,包括泰米尔婆罗门罗摩奴者,在某段时期曾经是蒂鲁凡那塔普姆附近的斯里兰格姆寺庙的外氏那瓦首席祭司,也在十一世纪进行教导。
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RESULTS: Out of 149 eyes, 90 eyes were atrophic AMD (60.4%), 59 eyes were exudative AMD (39.6%) which were further divided, according to the composition and location of lesion, into subfoveal choroidal neovasculari-zation7 eyes of classic type, 26 eyes of occult type, 9 eyes with disciform cicatrices, juxtafoveal CNV(2 eyes of classic type, 12 eyes of occult type, and extrafoveal CNV(3 eyes of occult type).
结果:在149眼中,萎缩型90眼(60.4%),渗出型59眼(39.6%),依据CNV造影特点和CNV与黄斑中心凹的距离分为中心凹下CNV包括经典型7眼,隐匿型26眼,盘状瘢痕化9眼,旁中心凹CNV包括经典型2眼,隐匿型12眼,中心凹外CNV 3眼均为隐匿型。
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The results are: 1 the stricture of the capillaries of stria vascularis was observed in most cochleae of rickety rats and, segmental deletions of the outer hair cells on the first turn of cochlea were found in a small number of rickety rats; 2 the perilymphatic ionized calcium concentration significantly re- duced and the threshold of CAP (Compound Action Poten- tials of the eighth nerve) significantly rose in rickety rats in comparison with those of normal control; 3 gentamicin results in an increase of the perilymphatic ionized calcium concentra- tion in rickety rats; 4 the cochleae of the rickety rats appeared to be less vulnerable to the ototoxicity of gentamicin than the normal one.
研究包括两个方面,其一是&佝偻病的感觉神经性耳聋及其对庆大霉素耳毒性作用的耐受性&,系用大白鼠建立维生素D缺乏性佝偻病动物模型,发现:(1)佝偻病大白鼠耳蜗血管纹毛细血管狭窄,少数动物耳蜗底回外毛细胞有节段性缺失;(2)佝偻病大白鼠的耳蜗鼓阶外淋巴钙离子浓度降低,CAP(听神经复合动作电位,以下简称CAP)听阈提高;(3)庆大霉素可使佝偻病大白鼠耳蜗外淋巴钙离子浓度上升;(4)佝偻病大白鼠耳蜗在功能和形态上都比正常者更能耐受庆大霉素的耳毒性损害。
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The main research as follow: gradually open line,in which a small segment adopted to draw straight line to matching;the key points,at which gradually open polar coordinate calculation is adopted;there are two kinds of situation should be considered in the outside wheel gear;in order to keep enough place for revolving angle,repla...
研究工作包括:渐开线采用小段直线的拟合;关键点采用渐开线公式的极坐标形式计算;外齿轮齿廓渐开线要考虑两种情况的生成;外齿轮上以作用力的方式代替转距以保证在节点处啮合外齿轮所要旋转的角度;用ANSYS软件仿真了几组不同的情况,并将仿真结果与理论计算结果进行比较,结果表明所用理论方法和所建模型的正确性。
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A fan frame includes a body and a fan wire fixed on the body. The body is provided with a fixing spring plate which forms a free end. A fixing groove, through which the fan wire passes, is formed between the fixing spring plate and the outer surface of the body. The outer surface of the body protrudes outward to form at least one stop dog. The top end of the stop dog extends in the side direction and exceeds the free end of the fixing spring plate. The stop dog and the fixing spring plate form a space to contain the fan wire in the side direction. A guidance surface is gradually formed from the bottom end to the top end of the stop dog.
一种扇框,包括一本体及固定在本体上的风扇导线,该本体上连接设有一固定弹片,该固定弹片形成一自由端,所述固定弹片与本体的外表面之间形成供风扇导线穿设的一固定槽,该本体的外表面向外突设形成有至少一挡块,该挡块的顶端在侧视方向上延伸超过该固定弹片的自由端,该挡块与所述固定弹片在侧视方向上形成一个收容风扇导线的收容空间,且该挡块的底端至顶端逐渐形成一导引面。
- 推荐网络例句
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They weren't aggressive, but I yelled and threw a rock in their direction to get them off the trail and away from me, just in case.
他们没有侵略性,但我大喊,并在他们的方向扔石头让他们过的线索,远离我,以防万一。
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In slot 2 in your bag put wrapping paper, quantity does not matter in this case.
在你的书包里槽2把包装纸、数量无关紧要。
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Store this product in a sealed, lightproof, dry and cool place.
密封,遮光,置阴凉干燥处。