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To pay attention to carry out effective cardiopulmonary resus-citation,hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency.The carotid shunt tube plays an important role in severe carotid injury and re-establishment process.We use external jugular vein to transplant and re-establish,which are rungwith artificial blood vessels for the long distance carotid injury and achieved the best result.We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair.The application of blood shunt pump could raise the success rate for those severe patients.The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管;颈动脉转流管在严重颈动脉损伤重建过程中有重要作用;对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建,可取得最佳效果;对肝静脉及肝后下腔静脉损伤,要充分暴露,采用有效方法止血和修复,对病情极危重的凶险性出血者,血液转流泵的应用可提高成功率;对大、中血管损伤,两端均为裤式单开口自体双血管移植,解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题;对深静脉损伤并广泛血栓形成者,应用改进的Fogarty导管和顺行插管取栓法,可有效取栓并避免了副损伤。

Ground to prelect for many times, exchanges interview.

曾获得上海市重大科研成果三等奖。1987年研制的&慢性前列腺炎局部给药导管&系国内外首创,获国家发明三等奖,为前列腺炎治疗提供了一种新的治疗方法。1994年研制&助阳灵的研制及临床应用&获上海市卫生局重大科技成果三等奖。

High flow oxygen given in glottal prozone can prolong the holding time of the autonomous heartbeat in patients with respiratory arrest. Proper cardiac compression coordinated with nasal catheter oxygen inhalation in 10 L/min in glottal prozone can support for 7 mintutes.

结论对呼吸停止的病人在声门前高浓度输氧可以有效延长心搏维持时间,标准规范的胸外按压配合鼻导管声门前高浓度供氧(10 L/min)至少在7 min内不必进行口对口人工呼吸。

In spite of the improvement of puncturation and catheter materials, central venous catheter-related bloodstream infection is still the severe formidable complication.

随着穿刺工具、技术及导管材料的改进,长期应用的中心静脉通路变得安全、可靠,但插管后的感染时有发生。

Results The bletilla colloid was a homogenous viscous colloid whose relative viscosity was 2324.6 mm2/s. It was easily injected through 4-F catheter and hyperattenuating under fluoroscopy, meanwhile, with good histocompatibility and hemo-compatibility, without pyrogenetic response and toxicity. In vitro, the mixture of bletilla colloid and MMC did not produce separation and suspention phenomena but released 50%of MMC at 1.8h and 100%at 3.4h. The bletilla colloid mainly embolized peripheral arteries, maintaining occlusion for 5 weeks and without formation of collateral circulation. The injuries of normal hepatic tissues were slight, without hepatic cytonecrosis.

结果 (1)白芨胶为一种均质的胶状物,有一定粘滞性,相对粘度2 324.6 mm2/s,不透X线,易经4F导管注射;(2)白芨胶具有良好的血液相容性和组织相容性,无致热原性及毒性作用;(3)白芨胶-丝裂霉素C体外混合后,无分层及悬浮现象,释放MMC 50%约需1.8小时,100%需3.4小时;(4)白芨胶主要栓塞末梢小动脉,栓塞牢靠,维持时间可达5周,不易形成侧支循环;(5)白芨胶栓塞对正常肝组织损伤轻微,未出现肝细胞坏死。

Comparative studies of perforation plate structures of vessels in Ranunculaceae.

Title 毛莨科植物导管穿孔板结构的比较观察。

Objective To compare the relationship between measurement of the time constantly derived from aortic regurgitant velocity spectra and catheter derived time constant, and to evaluate the effects of hemodynamic flow states and regurgitant volumes on the Tau AR.

目的 对比研究由主动脉返流频谱得到的时间常数Tau和心导管根据左室压力曲线得到的时间常数的相关性,评估血流动力学参数和返流容积对Tau-AR的影响。

The probability free from reintervention was 73% at the 3d postoperative year.

以Kaplan-Meier分析,术后3年时不用再接受介入性导管治疗和手术比率是73%。

To investigate the possibility of such a transition, we studied 17 cases of MGA or atypical MGA some of which had given rise to carcinoma in situ and/or invasive ductal carcinoma using the reticulin stain, immunohistochemistry (S-100, p63, Ki-67, and p53), and a molecular approach involving microdissection and high-resolution comparative genomic hybridization and MYC chromogenic in situ hybridization.

为了研究这种转变的可能性,我们分析了17例典型或非典型的MGA,其中一些已经发展成为原位癌和/或浸润性导管癌,所用的方法是网状染色、免疫组化(S-100, p63, Ki-67, and p53)和分子技术,分子技术包括显微切割和高分辨率比较基因组杂交及MYC显色的原位杂交。

Seven of them were done in the presence of 3 kg hip traction, and six were in 5 kg hip traction (4 cases after 3 kg traction). Angiography was also performed in a intorted position without traction in 5 patients. In 3 cases, retinacular artery angiography was done simultaneously using the microcatheter.

造影在下列条件下完成,(1)中立位无牵引(9例);(2)中立位3kg牵引(7例);(3)中立位5kg牵引(6例,其中4例先行3kg牵引);(4)伸直内旋位无牵引状态下(5例),3例用微导管同时作了支持带动脉造影。8例作了正常髋关节中立位无牵引状态下血管造影,其中2例加做下肢伸直内旋位时造影。

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