十二指肠内的

About 1781 cases recently suffering from acute upper gastrointestinal bleeding were divided according to their ages into 3 groups and analysed. In the old-aged group the causative diseases were arranged in order of incidence as follows, gastric cancer, gastritis and gastric ulcer. Gastritis, duodenitis and duodenal ulcer were in the order of incidence in the middle-aged group.

本文总结 1，781例近期内有上消化道大出血的内窥镜检查资料，并按不同年龄组进行对比，发现老年组以胃癌出血占首位，胃炎其次，胃溃疡为第三位；中年组胃炎出血占首位，依次为十二指肠溃疡、胃溃疡；青年组以胃炎占首位，依次为十二指肠溃疡、十二指肠炎。

The section of the small intestine between the duodenum and the ileum.

十二指肠内的或涉及十二指肠的。

Combined with routine mri, the accuracy rate for locative and qualitative diagnosis of mrcp had notable enhancement.

口服fac后能有效抑制胃、十二指肠内液体高信号，突出胰胆管的显像效果，提高诊断准确率。

objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24～72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的：探讨外伤性十二指肠破裂的诊断和治疗方法。方法：回顾分析外伤性十二指肠破裂患者13例临床资料。结果：入院后3 h内确诊6例，24～72 h内确诊4例，72 h后确诊3例。3例行十二指肠裂口修补，2例行十二指肠造瘘，2例行十二指肠空肠roux-en-y吻合，1例行十二指肠憩室化手术，1例行改良十二指肠憩室化手术，1例行十二指肠两断端关闭、胃空肠吻合，1例行十二指肠远端关闭、近端与空肠端侧吻合，2例行胰十二指肠切除术。术后6例(46.2%)出现切口感染、十二指肠瘘、消化道出血、胰瘘或腹腔感染等并发症，2例(15.4%)患者死亡，分别死于多器官系统衰竭和感染中毒性休克。结论：早期诊断与正确的术式选择是成功救治外伤性十二指肠破裂的关键。

Results: Main CT appearances of this group of cases:①Ampullary carcinoma manifested as a small mass and was prone to protruding into duodenum, whereas the center of pancreatic head carcinoma was located in pancreas.

结果：本组病例的CT主要表现：①壶腹癌瘤体小，易向十二指肠腔突出，中心位于十二指肠腔内；胰头癌的中心则通常在胰腺内。

There are stretched and converging mesenteric vessels between the portal vein in the hepatoduodenal ligament and the inferior vena cava.

下腔静脉和肝十二指肠韧带内的门静脉之间见拉长和会聚的肠系膜血管。

Methods Pathological sections from 68 patients with hilar cholangiocarcinoma were observed by microscope and the distribution of nerve plexuses in normal hepatoduodenal ligament was analyzed based on the observation of 40 histological sections from 5 autopsy cases.

观察68例肝门部胆管癌患者的病理切片，总结归纳肿瘤神经浸润的方式和规律；分析5例尸检标本正常肝十二指肠韧带内的神经

Methods Pathological sections from 68 patients with hilar cholangiocarcinoma were observed by microscope and the distribution of nerve plexuses in normal hepatoduodenal ligament was analyzed based on the observation of 40 histological sections from 5 autopsy cases.

观察68例肝门部胆管癌患者的病理切片，总结归纳肿瘤神经浸润的方式和规律；分析5例尸检标本正常肝十二指肠韧带内的神经丛分布特点。

BACKGROUND: The incidence and mode of spread of carcinoma of the gallbladder into the hepatoduodenal ligament hae not been well described pathologically for gallbladder carcinoma extending into the subserosa and beyond.

针对局部晚期胆囊癌，肝外胆管应该被切除吗？由于胆囊癌易浸及浆膜下层及其以外的部分，进入肝十二指肠韧带内的胆囊癌的转移方式和发生率在病理学上没有得到很好的叙述。

Exp2. The assessment of proper proportion in metabolizable glucose for growing–finishing sheep Nine inner Mongolian semifine-wool wethers (1.5 old years, 30kg BW) fed the basal diet and fitted with ruminal, duodenum and ileum cannule were used to study the proper proportion in metabolizable glucose for growing–finishing sheep.

在试验一日粮的基础上，将试验羊日粮的代谢葡萄糖摄入量提高到100g/d，采用在瘤胃内灌注不同剂量丙酸、在十二指肠内灌注不同剂量葡萄糖的方法，改变代谢葡萄糖内部POEG与BSEG的比例，研究日粮内部POEG和BSEG的适宜比例。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。