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objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术,围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗;术后硬膜外镇痛、早期锻炼、保持呼吸道通畅,部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降,6例出现肺部感染,6例行纤维支气管镜吸痰,2例通过气管插管给予呼吸机支持,2例行气管切开术,1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证,积极的术前准备和严格的术后管理可减少和控制术后急性发作,有助于确保此类病人的围手术期安全和康复。

From emulation fact check can see, through be based on a search mechanism density gets together kind supportive vector preelection is taken, training example number can reduce 2/3 above, rate of training of linear disjunctive data can be accelerated 12 times the left and right sides, nonlinear rate of disjunctive data training can be accelerated 5 times the left and right sides.

从仿真实验可以看出,通过基于搜索机制密度聚类的支持向量预选取,练习样本数目可减少2/3以上,线性可分的数据练习速度可加快12倍左右,非线性可分的数据练习速度可加快5倍左右。

Through correlative analysis and path analysis, it finds that (1) the family environment and the colleges and universities environment have direct and indirect influence on self-identity development of students; and (2) the family environment and the colleges and universities environment exert the major effect on self-identity development of students through identity style as mediational variable, so identity style becomes the explanatory base of self-identity status. That is, the predictive effect of diffuse/avoidant identity style for identity diffusion, normative identity style for identity foreclosure, and information identity style for identity achievement respectively is most significant; and (3) family environment that is helpful, supportive, warm, expressive, and promote autonomy and independence possibly makes students form identity achievement or identity moratorium, family environment that is excessively cohesive and warm but lacking independence possibly promote students to form identity foreclosure, and family environment that lacks of supportive and warm possibly make students form identity diffusion; and (4) colleges and universities environments that have better relationship system, clear developmental purpose, and promote to pay attention to societal concerns, critical and explorative qualities, and provide healthy, expressive, democratic, open atmosphere facilitate identity development, in turn form advanced identity. Colleges and universities environments that only emphasize the receival of colleges and universities aims, order and instilments, and scarcely encourage critique, exploration, individuation possibly make students form identity foreclosure. However, the ones that is remote relationship system, and lacking support, and students don't cognize the aim of colleges and universities possibly make students form identity diffusion.

通过相关分析、路径分析发现:(1)家庭环境和学校环境对大学生自我同一性有直接和间接的影响;(2)家庭环境、学校环境对大学生自我同一性影响主要以同一性加工方式为中介变量,同一性加工方式成为自我同一性状态的解释基础,弥散—回避定向同一性风格对弥散型同一性预测力最大,信息定向同一性风格对成就型和延缓型同一性预测力最大,常规定向同一性风格对排他型同一性预测力最大;(3)相互支持、帮助、关心、自由表达和鼓励自主和独立的家庭环境促进大学生同一性的发展,形成成就型或延缓型同一性状态,过度亲密而缺乏独立性特征的家庭环境可能形成排他型同一性状态,而缺乏支持性,关系疏远的家庭环境可能形成弥散同一性状态;(4)良好的关系系统,明确的发展目标,鼓励学生对社会事务关注、倡导批判和探索精神,塑造良好、健康、可供自由表达、民主、开放的文化氛围的大学校园环境促进大学生同一性发展,形成高级、成熟的自我同一性,而一味强调学校目标的接受,强调秩序、灌输,缺乏对批判、探索、个性发展鼓励的学校环境有可能使学生形成排他型同一性状态,但若学校的关系系统疏远,缺乏支持性的民主的风格,目标不能被学生明确感知的学校环境则可能影响学生形成弥散型同一性。

User can create class, add news, delete news, modify news and search news through use this system. This system supports the count and display for the visit frequency. This system is developed with JSP code. JSP separate the logic and the interface. It makes the exploitation become to be more convenience, and the component supporting is powerful. The system develops with JSP code can running in the platform of many kinds. This system use MySQL as the database. It support operation of multi-user coinstantaneous, and the running is rapid, and its user privilege system is simple and effective.

用户可通过这个系统,在线创建新闻栏目,添加、删除、修改、搜索新闻;同时掌握相关新闻的选取发布,支持对访问次数的统计和显示;本系统的开发采用 JSP 代码,逻辑与界面设计分开,开发更方便,拥有强大的组件支持功能,并且能使系统具有在多种平台下运行的能力;以 MySQL 作为数据库,它支持多用户同时操作,运行快速,并且拥有简单有效的用户特权系统。

The support of TPN at least for 7 days in gastric cancer patients with significant weight loss and severe malnutrition going to receiving operation maintained the nutritional status and prevented continuous weight loss. The early enteral feeding through jejunostomy tended to increase serum hemoglobin, hematocrit, and iron levels to prevent deterioration from anemia. Additionally, nutritional support gradually improved the immune function of gastric cancer patients by increasing total lymphocyte counts.

对於准备要接受胃癌手术体重明显减轻的严重营养不良病患,给予七天以上的全静脉营养支持,可维持病患之营养状况且避免体重持续减轻;术后透过空肠造口给予早期肠道营养支持,对於血清中的血色素与血比容和铁质有助上升趋势,避免贫血情况恶化;由总淋巴球数的增加发现营养支持可以渐渐恢复病患之免疫功能。

Epson Stylus CX5800F features maximum printer maximum resolution of up to 5760 x 1440 optimized dpi using RPM on various media, print and copy speed of up to 20 ppm for black text or up to 19 ppm for color text or up to 15 cpm color/black copying, 1-line LCD display, integrated CompactFlash Type I/II, MMC, IBM Microdrive xD-Picture card, Sony Memory Stick/Memory stickPRO/Memory Stick Duo, MagicGate Memory Stick, SmartMedia, Secure Digital card slots, scanner resolution of 1200 x 2400 dpi, BorderFree printing support, various paper sizes (letter, legal, A4, B5, A5, A6, half letter, executive or user definable from 3.5 to 44 inches in length) support, paper capacity at input paper tray is 100 sheets or 20 pounds or 15 envelopes, PictBridge plus DPOF support and with fax speed of up to 33.6 kbps.

爱普生Stylus CX5800F功能最大的打印机最高分辨率可达5760 x 1440最佳分辨率用RPM安装的各种媒体,打印和复印速度高达20页的黑色文本或19页彩色文本或行动每15个彩色/黑色复印, 1线液晶显示器,集成的CompactFlash I / II型, MMC中, IBM的Microdrive微型XD卡,索尼记忆棒/记忆stickPRO /记忆棒, MagicGate记忆棒, SmartMedia ,安全数码卡插槽,扫描仪分辨率1200 × 2400分辨率,支持BorderFree印刷,各种文件大小(信件,法律, A4规定, B5轿车,第5条,解答6 ,有一半的信,行政或用户定义的从3.5到44英寸的长度)的支持,纸张输入能力纸盒是100张或20磅或15个信封,照片加DPOF从属支持和传真速度高达33.6 kbps的。

The invention relates to the brush part for one such electric toothbrush, comprising a carrier tube wherein a drive translator, which can be coupled to a hand-part drive, is moveably mounted, in addition to a moveably mounted bristle carrier which contains a field of bristles and which can be oscillatingly driven by said drive translator.

在此方面,本发明一方面涉及这种电动牙刷的毛刷部件,其带有载体管以及可移动支承的刷毛载体,前者里面可移动支承可与手柄部件侧驱动装置联接的驱动传递件,后者支持刷毛区并可由驱动传递件振荡驱动。

In summary, the 3D visual simulation system for relay based on the OpenGL is developed in the foundation of research on its essential technologies in this paper, and the system can not only use for direct current rapping relay design directly but also will provide the powerful support for 3D visual simulation technology widely applied in relay industry.

综上所述,本文在较深入的研究了基于OpenGL的继电器三维可视化仿真系统的理论及关键技术基础上,开发了基于OpenGL的三维可视化仿真系统3DJDQCAD,其研究成果不仅可直接用于直流拍合式继电器的开发设计,而且也将为三维可视化仿真技术在继电器行业中全面应用提供有力支持。

Last, the evaluation index systems and evaluation methods were applied in the Tie Fa mining areas, and based on the evaluation result, corers pounding counter-measures for enhancing the sustainable development capacity of the mining areas are discussed.

为了增强可持续思想在研究和制定发展战略中的指导作用,就必须将矿区可持续发展目标具体化,即用一些可测量的定量指标将其明确地表征出来,并构成指标体系,对矿区可持续发展水平进行定量分析与评价,从而为矿区发展政策的制定提供定量支持。

The apparatus includes a generally horizontal tool support tray and a vertical stand providing means for supporting a tray for adjustable vertical movement, to permit the height of the tray to be varied depending upon the height of the vehicle when the vehicle is supported on a hydraulic vehicle lift

用具包括一个一般水平的工具支持盘子和一个垂直的立场提供手段为支持一个盘子为可调整的垂直的运动,允许盘子的高度是变化的取决于车的高度当车支持在一种水力车推力

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However, as the name(read-only memory)implies, CD disks cannot be written onorchanged in any way.

然而,正如其名字所指出的那样,CD盘不能写,也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口,替代木托盘,免薰蒸,符合欧盟、北美各国对出口货物包装材料的法令要求;喷涂钢托盘适用于重载上货架之用,托盘表面根据需要制作成平板状、波纹状及间隔形式,满足不同的使用要求。

A single payment file can be uploaded from an ERP system to effect all pan-China RMB payments and overseas payments in all currencies.

付款指令文件可从您的 ERP 系统上传到我们的电子银行系统来只是国内及对海外各种币种付款。