吻合

The opening of leptomeningeal anastomoses vessel is the important way of collateral circulation in cases of serious stenosis or occlusion of MCA,the collateral flow between MCA and ACA is dominant. The RVACA/RVPCA can reflect the hemodynamic changes、the state of leptomeningeal anastomoses vessel when the MCA was serious stenosis or occlusion; There was a inverse correlation negative correlation between the RVACA/RVPCA and the NIHSS.

⑴在MCA中度以上狭窄或闭塞的情况下，皮质软脑膜吻合血管开放成为侧支循环的主要途径，以MCA-ACA之间的代偿为主；⑵RVACA和RVPCA在一定程度上可以反映MCA狭窄或闭塞时颅内血流动力学的改变、软脑膜侧支吻合的功能状况及有效程度；⑶RVACA和RVPCA与患者的NIHSS评分呈负相关，RVACA和RVPCA值越高的患者，其神经功能缺损程度越轻。

Methods The damaged second metacarpophalangeal joint,distal part of the second metacarpal and proximal part of the proximal phalanx were dissected.The metatarsophalangeal joint was transferred to the region of metacarpophalangeal joint of hand.The dorsal pedis artery Was anastomosed to the radial artery ,and the great saphenous vein Was anastomosed to the cephalic vein at anatomical snuf-box. The dissected bones of the hand removed of the cartilage of joint and soft tissue were grafted back to the donor site of the foot.

手术切除破坏的第二掌指关节及部分第二掌骨和近节指骨，将第二跖趾关节转移至手部第二掌指关节处，在鼻烟窝处将足背动脉与桡动脉吻合、大隐静脉与头静脉吻合，将切除的第二掌指关节的软骨关节面和骨骼的软组织剔除后回植到足部第二跖趾关节供区。

［Objective］To study the effect of End to side neurorrhaphy for protection target muscle.

摘 要：［目的］研究周围神经端侧吻合后靶肌肉及其运动终板的形态，为端侧吻合的应用提供进一步的形态学依据。

［Objective］To study the effect of Endtoside neurorrhaphy for protection target muscle.

摘 要：［目的］研究周围神经端侧吻合后靶肌肉及其运动终板的形态，为端侧吻合的应用提供进一步的形态学依据。

The results were as follows the change of vitamin C content was a "trial apex"-shape curve, higher in young fruit,incrustation and maturation stages, lower in other periods; the total acid content was the highest in young fruit, after that, it decreased rapidly, maintained lower level, and reached lowest when the fruit matured; the total content of soluble sugar inosculated with the fruit development, it was high when the fruit development was quick, and low when the fruit development was slow; before 59 d after anthesis, the reducing sugar content was high in the total content of soluble sugar and after that ,the nonreducing sugar content was high; before 45 d after anthesis, free amino acid content was obviously correlated with protein content, and they inosculated with the fruit development;4559 d after anthesis, free amino acid content increased quickly, and protein content decreased gradually, this was also the most shaping period of the embryo and endosperm.

结果表明，Vc含量呈&三峰&型曲线，幼果时、硬核后和成熟时较高，其他时期较低；有机酸含量以幼果期最高，以后迅速下降并维持较低水平，果实成熟时含量最低；可溶性总糖含量与果实发育状况基本相吻合，果实发育速度快时含量较高，慢时较低；在谢花后59 d以前，可溶性糖以还原糖为主，之后以非还原糖为主；游离氨基酸和蛋白质含量，在谢花后45 d以前两者呈高度相关，且与果实生长速度相吻合，谢花后4559 d是胚和胚乳的主要形成期，此期游离氨基酸含量迅速增加，蛋白质含量持续下降。西北林学院学报21卷第5期张传来等金光杏梅果实发育期间主要营养成分动态变化研究

AIM: To prevent postoperative pancreatic leakage by applying modified Child pancreaticojejunostomy in pancraticoduodenectomy patients due to severe pancreaticoduodenal injury.

目的：采用改良Child胰肠吻合对胰肠吻合缝合技术进行改进，对严重的胰头、十二指肠损伤患者急诊行胰十二指肠切除术，预防胰漏发生。

It is proved that the model of Hertz, Capon and Lindel"of areidentical to Vakonomic model while the model of H"older, Pars andChaplygin are identical to Chetaev's model. The fact thatVakonomic model and Chetaev's model exist simultanously can betraced back to the early days of non-holonomic mechanics. These twomodels cause two problems the d- and - permutable problems.

论证了Hertz， Capon和Lindel&of的工作与Vakonomic模型相吻合，而H&older， Pars和Chaplygin的工作与Chetaev模型相吻合，Vakonomic模型和Chetaev模型两类模型并存的局面可以追溯到非完整力学发展的初期。1mm说明了伴随两类模型并存的现象而出现的两个问题 d-交换性问题和-交换性问题。

Of these, 6 underwent surgical revascularization, including superficial temporal artery to middle cerebral artery anastomosis and/or pial synangiosis.

其中，6例行外科血管成形术，包括浅表颞动脉到中脑动脉吻合和或颈部吻合。

Their major trunks were not communicated each other during the course. But there were rich terminal anastomoses on the pial mater of the brain.

视交叉侧动脉具有较长的脑外游离段，各穿动脉主干之间不吻合，而在软膜上与邻近穿动脉之间存在广泛的终末吻合。

Anastomotic branch passing through the plantar arterial arch and ramus plantaris profundus between the anterior tibial artery and the posterior tibial artery was the widest,its inner caliber was 2.3 mm.

胫前、胫后和腓动脉三者之间在足踝部的吻合支丰富，胫前动脉或胫后动脉之一断裂或栓塞时，只要三者之间在踝足部的主要吻合支未遭受破坏，胫前动脉或胫后动脉远端仍可作为皮瓣受区血管被利用。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。