多血性的

objective to raise the level of regarding congnition,prevention,diagnosis and therapy on multiple organ dysfunction syndrome.methods report the process and correlative therapy on one case who occured with mods involving 6 organs after hemorrhagic shock lead to heartbeat and respiration stopping suddenly and resuscitated resulting in left nephrostome titanium nip falled off accidentally from left kidney lymphatic fastening.at the same time,the author reviewed correlative literature and introduce the investigative progress about mods.results one case who happened with mods following hemorrhagic shock,heartbeat and respiration stopped suddenly was diagnozed and resuscitaed.6 organ dysfuncted including brain,heart,lung,liver,kidney and the digestive system.after being given therapy integrated chinese and western medicines,allopathy and nutritional treatment,all circadian parameters of the case came back in gear and discharged at last.conclusion the mechanism about mods is very complicated.because of serious infection,hurt and oxygen-lack,excessive inflammatery reaction activates multifarious cell factors and inflammatery mediums,which improve the happen-rate of mods.wiping off pathogeny,providing life-sustain treatment and recognising sirs and mods in time and adopting corresponding therapy,such as treatment integrated chinese and western medicines,can improve the hit-rate of cure on mods.

作者：王静恩，蔡金芳，王志华，谢晓洪多器官功能障碍综合征；中西医结合；治疗；休克，出血性目的提高对多器官功能障碍综合征（multiple organ dysfunction syndrome，mods）的认识、预防、诊断、治疗水平。方法报告成功抢救1例经腹腔镜左肾淋巴管结扎手术后左肾静脉钛夹意外脱落失血性休克，导致心跳呼吸骤停复苏后再手术并发mods累及6个脏器功能衰竭过程及有关治疗，并复习相关文献，介绍目前关于mods的研究进展。结果确诊1例因失血性休克心跳呼吸骤停复苏后并发mods，累及脑、心、肺、肝、肾、血液、胃肠等6个脏器。经积极采取中西医结合对症、支持救治，各生理指标全部恢复正常，康复出院。结论 mods的发生机制非常复杂，在严重感染、创伤、缺氧等打击下，失控的过度炎症反应激活多种细胞因子和炎症介质的释放，使mods发生率升高。尽早去除病因，尽早给予各种生命支持治疗，尽早对可能发生全身炎症反应综合征、mods识别并给予干预治疗，包括中西医结合治疗能改善mods的救治成功率。

In the first year, bacteremia was associated with more acute rejection episodes (32% vs 17%; P =.09), surgical complications (54% vs 42%; P =.267), mortality (11% vs 4%; P =.15), and death-censored pancreatic (14% vs 9%; P =.39) and kidney (4% vs 0; P =.08) graft loss.

在第1年，菌血性更多的是与急性排斥反应（32% vs 17%；P =。09）、手术并发症（54% vs 42%；P =。267）、死亡率（11% vs 4%；P =。15）、胰腺存活率（14% vs 9%；P =。39）和移植肾失功能（4% vs 0；P =。08）有关。

Result:There were 166 cases that were abnormal in 175 cases ,the incidence of peptic ulcer was 15.43％, the incidence of duodenal ulcer was higher than gastric ulcer in children.the incidence of chronic gastritis and chronic duodenitis was 94.86%, the incidence of chronic gastritis was significantly higher than chronic duodenitis, chronic superficial gastritis, bile reflux gastritis see most, chronic erosion hemorrhage of chronic gastritis and chronic duodenitis was not uncommon.

结果：175例胃镜检查有异常者为166例，消化性溃疡发生率为15.43%，小儿十二指肠溃疡发生率高于胃溃疡，并以十二指肠球部溃疡多见，胃溃疡以胃窦溃疡多见，胃、十二指肠炎的发生率为94.86%，小儿慢性胃炎发生率明显高于慢性十二指肠炎，其中以慢性浅表性胃炎、胆汁返流性胃炎最多见，慢性糜烂出血性胃、十二指肠炎也不少见，幽门螺杆菌检测阳性率为59.04%，其中消化性溃疡病例检测幽门螺杆菌均为阳性。

Result:There were 166 cases that were abnormal in 175 cases ,the incidence of peptic ulcer was 15.43％, the incidence of duodenal ulcer was higher than gastric ulcer in children.the incidence of chronic gastritis and chronic duodenitis was 94.86%, the incidence of chronic gastritis was significantly higher than chronic duodenitis, chronic superficial gastritis, bile reflux gastritis see most, chronic erosion hemorrhage of chronic gastritis and chronic duodenitis was not uncommon. Helicobacter pylori testing positive rate of 59.04%, peptic ulcer cases were all positive detection of helicobacter pylori.

结果：175例胃镜检查有异常者为166例，消化性溃疡发生率为15.43%，小儿十二指肠溃疡发生率高于胃溃疡，并以十二指肠球部溃疡多见，胃溃疡以胃窦溃疡多见，胃、十二指肠炎的发生率为94.86%，小儿慢性胃炎发生率明显高于慢性十二指肠炎，其中以慢性浅表性胃炎、胆汁返流性胃炎最多见，慢性糜烂出血性胃、十二指肠炎也不少见，幽门螺杆菌检测阳性率为59.04%，其中消化性溃疡病例检测幽门螺杆菌均为阳性。

This business takes a lot of moxy, guts, a healthy appetite for risk, and an entrepreneurial spirit.

这样的行业需要多一些胆识，多一些血性，多一些有把握的冒险和一种创业的精神。

The chronic cervicitis is judged fromappearing chronic inflammatory cell infiltration, Clinical oftendisplays the vagina secretion increases, the purulence or courage anduprightness leucorrhea, the postcoital bleeding, the backache, theunderbelly falls the pain and so on, it is more than acute cervicitis,mainly happens woman who refers to child-bearing age.

慢性宫颈炎是由慢性炎细胞浸润的出现来诊断，临床常表现为阴道分泌物增多、脓性或血性白带、性交后出血、腰酸、下腹部坠痛等，较急性宫颈炎多见，多见于生育年龄的妇女。

The introduction combines traditional Chinese and Western medicine below the experience of enteritis of noxiousness of fine ailment of remedial Tibet mastiff, in order to offer reference. 1 hair sick condition and clinical expression ill dog are 2~4 month more age young dog, majority is come on suddenly, anorexia or abandon absolutely, mental depressed, systemic symptom worsens quickly, produce acuteness sex vomiting and diarrhoea, puke is first feed rotten, afterwards is yellow or olive bubble mucus and hematic type thing, have diarrhoea dung has the sticky stiff thing of grey yellow, turn after for rare dung of effluvial shape of embedded mucous membrane, then shows hematic dysentery, because ill dog is acuteness vomiting and diarrhoea are rapid dehydration, eyeball cave in, temperature is shown two-way and calorific,℃ of the 40~41 at the beginning of disease, 1~2d falls it is normal to come, after 3~4d answer elevatory, die very quickly next, 4~5d of course of diseases, the temperature when on one's deathbed drops more to normal temperature the following. Bottom of stomach of dog of die in one's bed of 2 analyse check has haemorrhage sex inflammation, show cardinal, small intestine mucous membrane falls off, alvine wall attenuates, there is gules mucus inside, mix inside large intestine have show wine blood excrement and urine, there are a lot of haemorrhage places on mucous membrane, haemorrhage of rectum mucous membrane is more, mesentery lymph node enlargement, sometimes afterwards sends intussusception, alvine tangent plane bleeds, cardiac muscle is loose, color becomes weak, cystic plentiful, liver is qualitative fragile and brittle. 3 diagnose 3.1 epidemiology to diagnose this ill much hair at young dog, rather dog of epidemic disease have an inoculation feels the most easily, be affected directly or affect secondhand, basically pass enteron infection, this disease all can happen all the year round, but with cold...

下面介绍中西医结合治疗藏獒细小病毒性肠炎的心得，以供参考。1发病情况和临床表现病犬多为2~4月龄幼犬，多数为忽然发病，食欲减退或废绝，精神沉郁，全身症状急剧恶化，发生剧烈性呕吐和腹泻，呕吐物先为食糜，继为黄色或黄绿色泡沫黏液和血样物，泻粪有灰黄色的黏稠物，后转为恶臭的内含黏膜状稀粪，继而呈血痢，由于病犬剧烈呕吐和腹泻迅速脱水，眼球下陷，体温呈双向发热，病初40~41℃，1~2d降至正常，3~4d后又复升高，然后很快死亡，病程4~5d，临死时体温多下降至常温以下。2剖检病死犬胃底部有出血性炎症，呈深红色，小肠黏膜脱落，肠壁变薄，内有红色黏液，大肠内混有呈暗红色血液粪便，黏膜上有许多出血点，直肠黏膜出血较多，肠系膜淋巴结肿大，有时继发肠套叠，肠切面出血，心肌松软，颜色变淡，胆囊充盈，肝质脆而易碎。3诊断3.1流行病学诊断本病多发于幼犬，未免疫接种犬最易感，直接感染或间接感染，主要通过消化道感染，该病一年四季均可发生，但以寒。。。

Most pleural effusion aroused by heart failure is bilateral, the quantity of effusion is always small or middle, the effusion is always exuding, the colour of the pleural effusion is always yellow, but the transudate or sanguinolent effusion also can be aroused by heart failure.

心力衰竭引起的胸腔积液多为双侧；其积液量以少量多见；性质多为漏出液，颜色多为黄色，但血性及渗出性积液亦不能除外心源性胸腔积液。胸腔积液；心力衰竭；渗出液；漏出液

The other is estranging and rejecting of the city. For the culture of mordern city, Jiapingwa is repellent in a great degree. These were embodied by the depicting about the city and the culture of city in his many novels on Shangzhou and the searching lost spiritual home in his several novels on the city "Xijing".

一、守望、咏唱乡土：作家饱深情地歌赞了乡土神奇、美丽的地域景观，充满执着地张扬着生活在乡土之上的人们健康、优美、高尚的爱情婚姻道德观念与仁义、正直、坚韧、富于血性的侠义行为；二、疏离、排拒都市：贾平凹对现代都市文明很大程度上是排斥的，这体现在其诸多商州小说中对都市与都市文化贬抑的描写上，体现在作家在几部关于&西京&的小说中对失去精神家园的痛苦追寻上。

objective to evaluate the effect of urapidil on the treatment of congestive heart failure.methods thirty patients with congestive heart failure were included in the study.urapidil was given by intravenously guttae at 50mg 5~7days.results systolic blood pressure and l dbp were decreased and sao2 and cardiac output were increased after treatment.conclusion intravenous urapidil produces acute hemodynamic benefit in patients with congestive heart failure.

目的 观察利喜定治疗充血性心力衰竭的临床疗效。方法 30例充血性心力衰竭患者，先以利喜定12.5 mg稀释于20 ml生理盐水中于3~5 min内静脉注射，继以利喜定50 mg、多巴胺20mg加于250 ml液体中静滴，每日1次，滴速为利喜定100~400 μg/min，连用5~7 d。结果利喜定可显著降低收缩压、舒张压，升高血氧饱和度、左室射血分数，不引起反射性心率增快。结论利喜定治疗各种原因引起的充血性心力衰竭，可有效改善患者的临床症状和血流动力学指标。

Lugalbanda was a god and shepherd king of Uruk where he was worshipped for over a thousand years.

Lugalbanda 是神和被崇拜了一千年多 Uruk古埃及喜克索王朝国王。

I am coming just now,' and went on perfuming himself with Hunut, then he came and sat.

我来只是现在，'歼灭战perfuming自己与胡努特，那麼，他来到和SAT 。