多静脉的

METHODS: In 20 patients under general anesthesia, we assessedhepatic blood flow index in the right and middle hepatic veinby use of multiplane transesophageal echocardiography beforeand after induction of EDA.

在20位全麻病人中，作者在进行硬膜外阻滞前后采用多平面经食道超声技术对右肝和中肝静脉的血流指数进行评估。

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。

Inferior petrosal sinus extends from the posterior part of the cavernous sinus and courses along the clivus laterally, in IPS sulcus. It usually leaves cranial cavity through the jugular foramen and eventually joins the jugular bulb or the internal jugular vein.

岩下窦起自海绵窦后端，走行在斜坡两侧的IPS沟内，通常经颈静脉孔出颅，最终汇入颈静脉球或颈内静脉，沿途接收多条静脉的注入，与颅神经Ⅵ、Ⅸ、Ⅹ、Ⅺ关系密切。

Ning Cheung , Ronald Klein , Jie Jin Wang , Mary Frances Cotch , Fm Amirul Islam , Barbara E Klein , Mary Cushman , Tien Yin Wong Purpose: To describe the prevalence of retinal vein occlusion and its association with cardiovascular, inflammatory and hematological risk factors in a multi-ethnic cohort.

描述在一个多种族的同龄组中，视网膜静脉阻塞的患病率及其与心血管疾病，炎症和血液的危险因素的联系。

IRHV was demonstrated in 153/270(56.7%), CHV was demonstrated in 68/270(25.2%). Conclusions Portal and hepatic vein can be displayed accurately by 3D 64-MSCT angiography , which could measure diameter or other information about the veins at any cross-section. Meanwhile, more anatomic information could be provided for hepatic segments resection and liver transplantation directively. Portal and hepatic vein diseases could be diagnosed by 3D 64-MSCTA accurately and directly also.

肝脏门静脉及肝静脉的多层螺旋CT血管成像能准确、立体地显示大血管的空间位置关系，在不同的切面上准确测量血管的直径或其他的解剖学数据，为临床提供大量有用的解剖学信息，对确定肝脏病灶的叶段切除和肝移植的手术方式具有指导价值，同时还能直观、准确地诊断肝脏门静脉及肝静脉的病变。

The intersegmental veins can be considered as the main tributary of pulmonary segmental veins and it commonlly located in the inferior, interior and posterior side of the corresponding segmental bronchi.

肺段动脉与支气管紧密伴行，并有基本一致的分支和分布，多位于支气管的上、外或前方；肺段静脉不与支气管分支一致，可分段内支与段间支，后者可视为肺段静脉的主干，多位于肺段支气管的下、内或后方。

Objective:To observe the effects of patient controlled epidural analgesia with ropivacaine mesilate and fentanyl and patient controlled intravenous analgesia with fentanyl and droperidol on clinical result and blood gas urdergoing laparoscopic rectectomy in aged patients.

目的：观察老年患者腹腔镜直肠癌术后甲磺酸罗哌卡因、芬太尼硬膜外自控镇痛（patient controlled epidural analgesia，PCEA）与芬太尼、氟哌利多静脉自控镇痛（patient controlled intravenous analgesia，PCIA）的临床效果及对血气的影响。

Objective:To observe the effects of patient controlled epidural analgesia with ropivacaine mesilate and fentanyl and patient controlled intravenous analgesia with fentanyl and droperidol on clinical result and blood gas urdergoing laparoscopic rectectomy in aged patients.Methods:Fifty??two patients ASAⅠ?

目的：观察老年患者腹腔镜直肠癌术后甲磺酸罗哌卡因、芬太尼硬膜外自控镇痛（patient controlled epidural analgesia，PCEA）与芬太尼、氟哌利多静脉自控镇痛（patient controlled intravenous analgesia，PCIA）的临床效果及对血气的影响。

Leaving alone set of base pin general multi-choices in rough and straightforward willowy blood stream rich easy fixed vein, if wants the vein expensively, a vein, the median vein, is not easy to choose in the lower limb, because the lower limb valvulae venarum are many, easy to have the phlebitis.

留置套管针一般多选择在粗直有弹性血流丰富易于固定的静脉，如贵要静脉，头静脉，正中静脉，不易选择在下肢，因为下肢静脉瓣较多，易发生静脉炎。

Methods The multi-blood bundles derived from a.v. circumflexa femoris lateralis were implanted to femoral head through the "V" shape bone tunnels to treat ANFH.More than 300 cases whose pathogenies were different had been treated from February 1982 to December 1993,from whom 190 cases and 203 hips were analyzed and summarized.The longest follow-up time is 13.7 years, the shortest follow-up time is 5 years, average time is 7.4 years.

自1982年2月至1993年2月应用旋股外侧动静脉的升支、横支组成多条血管束，经&V&形骨隧道植入股骨头治疗各种病因导致的成人股骨头缺血性坏死300余例，对其中获得长期随访的190例203髋进行了分析和总结，最长随访时间为13.7 年，最短为5年，平均7.4年。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。