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Bronchospasm occurred in 12 patients and resoloved after inhalation of bronchodilator and intravenous administration of corticostreoid.

术前呼吸减退的COPD肺癌患者并非外科手术的绝对禁忌症,术前锻炼和围手术期无创正压通气支持有助於术后呼吸功能的锻炼和康复。

Anxiety, mood of high tension may also lead to psychological and other neuroendocrine stress response system.

本研究的目的在于探讨术前心理护理对下腹部外科手术患者的作用。

Your doctor will want to discuss possible treatment before the investigatory laparoscopy, as one option is for the surgeon to remove abnormal growths and tissue during this initial laparoscopy.

你的医生将要讨论可能的治疗前的调查腹腔镜手术,作为一种选择是,为外科医生,以消除不正常的生长和组织在这最初的腹腔镜手术。

And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果:①术后一过性发热62例(84.9%),腹痛腹胀48例(65.8%)是介入断流术常见的并发症,未发生严重并发症;②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%;显示食管静脉曲张主要由胃冠状静脉供血,胃静脉曲张主要由胃短静脉和胃后静脉供血;胃冠状静脉大多数为单支,少数为双支,其双支的出现率分别为30.57%;胃冠状静脉开口于门静脉主干的为52.06%,开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%;③发现胃肾分流3例,脾肾分流7例、腹膜后门腔静脉分流2例,以及CTA检查发现脐静脉开放者2例;④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa,前后比较存在显著性差异;11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ,前后比较发现首次术前与术后存在显著性差异,首次术前和复发出血术前门静脉压力比较无显著性差异;⑤介入术后复查曲张静脉转归基本消失54例,轻度19例;⑥Spearman相关分析和Logistic多因素回归分析,肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响;Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响;⑦COX回归分析,门体分流和曲张静脉转归两个因素对术后生存有影响;⑧术后随访6-70月,1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%;结论:介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点,可以快速直接控制曲张静脉出血而门静脉压力无显著增高,保证了肝脏灌注;与外科分流术相比适应证广、损伤轻、术后恢复快,不易遗漏曲张静脉;肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响;门脉高压性胃病对复发出血时间有影响;门体分流和曲张静脉转归对生存时间有影响。

Obojective Based on the homologic anatomy study of soft palate, establishthe model of velopharyngoplasty, and collect OSAHS patientspreoperation and postoperation pharynx morphological changes, summing upits technical characteristics; explore the mechanism of VPP mechnism by themeasurement of velopharyngeal cavity during operation and that of system CTmeasurement.

孙建军;孔维佳华中科技大学,耳鼻咽喉头颈外科,2009年,博士目的在软腭解剖学的基础上,建立腭帆成形术手术模型,并收集OSAHS患者手术前、后腭咽腔形态学变化,总结其技术特点。

Some branches of AICA and PICA supply the brainstem, and labyrinthine artery supplies the meatal segment of the facial nerve, hence, the main trunks of AICA and PICA and labyrinthine artery should not be injured in the operation.

由于小脑前下动脉和小脑后下动脉发出分支供应脑干,迷路动脉供应面神经,所以小脑前下动脉和后下动脉的主干及迷路动脉在外科手术中不应损伤。

This dissertation selects the cortex segmentation, objects motion in 3d reconstruction and presurgery design system as the key research contents, and takes the construction of practical presurgery design system as the ultimate goal.

本论文选取了分割技术中的脑皮层分割、脑肿瘤分割、三维重建中的目标体虚拟移动以及术前设计系统的构建作为研究重点,以构建实用的外科手术术前设计系统作为最终目的。

METHODS: In this study, we investigated the prevalence of depression in a presurgical inpatient sample undergoing major, noncardiac surgery.

本研究以非心外科手术外大型手术术前住院患者为研究对象,研究样本人群中术前抑郁症的患病率。

The lymph nodes in the pigmenting area were cleared and examined to analysis the character of the lymph node metastasis.

2002年8月~2004年4月期间我院外科手术治疗的乙状结肠、直肠上段癌30例患者,根治性切除术中经瘤前动脉注射染色剂显示着色区域,着色区域淋巴结清扫并送检,分析淋巴结转移特点。

Between 1996 and 2005, 16 consecutive cases of 241 surgically treated VSs were observed to have distinct splitting of the facial nerve.

在1996-2005年间经外科手术治疗的241例前庭神经鞘瘤病例中,其中16例被发现有明确的面神经分离。

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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。

Tristan, I have nowhere to send this letter and no reason to believe you wish to receive it.

Tristan ,我不知道把这信寄到哪里,也不知道你是否想收到它。