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The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果:1、钳夹分离切肝法不需特殊仪器设备,只要具备常规的腹腔镜器械即可实施,成本低,肝断面较易渗血;2、微波固化切肝法肝实质出血很少,视野清晰,成本低,操作简单,是一种安全、简便、有效的方法;3、超声刀是目前较为理想的切肝器械,术中出血少,但是,切割速度慢,手术时间长,而且,切割强度有限,适用于无肝硬化的肝切除;4、Ligsure具有挤压粉碎及高频电凝止血两大功能,可使包括7~以下管道的肝组织碳化、形成焦痴,具有一定的优势,但是,也存在分离钳电凝止血的缺点;5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感,便于术中显露、分离、控制出血等,可随意协助右手及助手的主要操作,缩短了手术时间,大大提高了腹腔镜肝切除的安全性,李朝龙等的改良方法,同样达到了手辅助目的,又节省了费用;6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术,操作简单、可靠,适用于肝左外叶切除及右肝第V段切除;7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构,多用于肝左静脉、门静脉分支、管径较大胆管的切割,缺点是不能用于较厚肝组织的切割,而且价格昂贵;8、临床巧例腹腔镜肝切除均获得成功,手术时间最短1.5h,最长sh,平均125 min,多数在100 min左右,手术出血量最少50 ml,最多500 ml,平均1 78 ml,除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水,1例术后发生胆漏外,其余无并发症,发生胆漏的1例患者术后住院40d,多数在术后一周左右出院,术后住院时间5一40d,平均gd。

Several intravenous and osmotic patches connected her to a chemo-therapeutic infuser, loaded with a collection of liquid-filled vials that would keep Holly in a semisedated state while it delivered a cocktail of drugs over the next week.

数个内静脉渗透片把她和一台化学治疗仪连在一起,里面有了一系列的装满液体的小瓶。这能使她在接下来的几个星期里保持半麻醉的状态,同时会将鸡尾酒药物注入她的身体。

2 Treatment method is less than a month treat a little patient to use method of massage drop medicine first, treat 1~2 week, 2~3min is massaged before daily drop medicine, be more than the little patient of a month, if drop medicine treats 1~2 week to did not see,improve to still have apparently weep the person that reach secretion, applied medicaments pressurization rinses lachrymal path, use pinhead of vein of skin of tube head of nylon of self-restrained and different type to grind blunt, make rinse a needle continuously, groovy operation, after syringe needle inserts lachrymal canaliculus, nylon the canal is secured with adhesive plaster at the head, undertake rinsing, 1 / D, with oxygen fluorine to lotion Sha Xing adds loose diluent of rice of ground a place of strategic importance, pressurization rinses 3~4 second, invalid still, undertake probing of groovy tear path is operated.

我科自2000年1月至2006年12月,共治疗新生儿泪囊炎178例、230眼,疗效满足,报告分析如下。1资料和方法1.1一般资料新生儿泪囊炎患儿168例、230眼,男102例,女66例,年龄:2d~3个月,均为本院眼科门诊确诊的新生儿泪囊炎患儿。1.2治疗方法小于1个月的首次就治患儿采用按摩滴药法,治疗1~2周,每日滴药前按摩2~3min,大于1个月的患儿,如滴药治疗1~2周未见明显好转仍有流泪及分泌物者,应用药物加压冲洗泪道,采用自制不同型号尼龙管头皮静脉针头磨钝,制成直的冲洗针,常规操作,针头插入泪小管后,将尼龙管用胶布固定于头部,进行冲洗,1次/d,冲洗液用氧氟沙星加地塞米松稀释液,加压冲洗3~4次,仍然无效的,进行常规泪道探通术操作。1.3治疗标准无流泪、无分泌物、泪道冲洗畅通,反之则无效,结果168例,230眼,治愈166例,228眼,其中按摩治疗49例,冲洗86眼,探通31眼。。。

Type 2.The pudendal-thigh flap is pedicled on the anterior cutaneous branches of theobturator artery and may be used to repair rectovaginal fistula and small skin defects ofperineum.3 patients of rectovaginal fistula have been treated with the flaps and good resultshave been achieved.

意效果。●Ⅱ型:以闭孔动静脉前皮支为血管蒂的阴股沟皮瓣,供血血管为闭孔动脉前皮支,可用于会阴部较小皮肤缺损和阴道直肠瘘的修复;我们应用这种类型的皮瓣为3例

Purple on behalf of many things, as if: Purple is a violet, purple symbol of old age, sunset, purple is the amethyst, purple is a vine, purple is the color of Harold's crayon drawing, purple is rarely used in your mother's house, on behalf of newborn purple, purple is Lydia (an ancient country rich in western Asia Minor) where the sale of a color, purple is a very wide variety of colors, purple veins on behalf of purple is a plum color.

紫色代表很多东西,就好象:紫色是紫罗兰,紫色象征晚年,日落,紫色是紫水晶,紫色是一棵葡萄树,紫色是Harold的蜡笔画的颜色,紫色很少会用于你母亲的房子,紫色代表新生儿,紫色是Lydia(小亚细亚西部的富裕古国)里出售的一种颜色,紫色是很多种不同的颜色,紫色代表静脉血管,紫色是梅子的颜色。

One of these researchers, Dr. David Jacobs, is an associate professor of history at Temple University in Philedelphia; he writes; Towards the end of the examination, the aliens either implant a small, round seemingly metallic object in the abductee's ear, nose, or sinus cavity, or remove such an object.

这些研究者之一,David Jacobs博士,是Philedelphia的Temple大学的历史副教授;他写到;有助于年底的考试,外星人也植入了一个小的,表面是圆的金属物体在被绑架者的耳朵,鼻子,腔静脉窦,移除这样一个物体。

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The concept of equivalent rotationally rigidity is offered and the formula of rotationally rigidity is obtained.

主要做了如下几个方面的工作:对伸臂位于顶部的单层框架—筒体模型进行分析,提出了等效转动约束的概念和转动约束刚度的表达式。

Male cats normally do not need aftercare with the exception of the night after the anesthetic.

男猫通常不需要善后除了晚上的麻醉。

Its advantage is that it can be used in smaller units.

其优点在于可以在较小的单位中应用。