心包

But with its variety and specialization , three-axial non-instaneous envelope method had not meet needs. So four-axial non -instaneous envelope method was set forth firstly in this article, which is based on three-axial non-instaneous envelope and spiral rod compressor rotator speciality.

然而随着螺杆应用范围的扩展，螺杆型线不断复杂化、多样化，三自由度无瞬心包络铣削法已不能满足部分型线的加工要求，为此本文在三自由度无瞬心包络铣削法的基础上，针对螺杆压缩机阴阳转子的特性，在国内首次提出四自由度无瞬心包络铣削螺旋曲面的新方法，赶超国际螺旋曲面加工技术水平，具有重要的理论和现实意义。

CT has a great value in the observation of normal pericardium and pericardial disease. Pericardium ; Tomography, X-ray computed ; Radiometry

0例心包病变者，男 15例，女 5例，年龄 30～ 89岁，平均 5 5 。6岁，所有病例均由CT扫描作出诊断，并经心包穿刺细胞学和手术病理证实，其中心包积液 11例，缩窄性心包炎 6例，心包转

Note the dark red blood clot forming the hemopericardium. The hemopericardium can lead to tamponade.

心包腔内有暗红色的凝血块形成，称心包积血，心包积血可致心包压塞。

It is possible and safe to drain a lot of hydropericardium by pericardiocentesis and indwelling catheter.

心包穿刺留置导管引流心包积液安全可行，操作简便，置管可靠，可迅速消除心包填塞症状，能及时彻底引流心包积液，疗效明显，无不良反应及损伤，降低了缩窄性心包炎的发生率，值得临床推广。

There were no nick infection, chorioamnionitis and other complications. Eight/sixteen fetal lambs were undergone intro-utero cardiac intervention. The values of body weight and Hct of lambs which were executed. pre-term and full-term delived were (1.77±0.14) kg vs.(2.15±0.23) kg vs.(2.41±0.19) kg and 29%-33% vs. 27%-35% vs. 37%-41%. In autopsy, hydropericardium was found in 4/8 with 1-2.5 mL and 1/8 with 5 mL. Besides 1/8 with interventricular septum centesis injury, there was no centesis damage to endocardium, valve, chordae tendineae, papillary muscles and aortic tunica intima.

病理解剖发现施行手术的8例胎羊/新生羊胸壁穿刺点均位于左侧心前区，心脏进针部位在左室心前区近心尖部位6例，近流出道1例，近室间隔1例；4只少量心包积液(1~2.5 mL)，1只心包积液5 mL，3只未发现心包积液；除1只胎羊有室间隔穿刺伤外，其余胎羊心内膜、瓣膜、腱索、乳头肌及主动内膜均未发现损伤；未发现肺、肝等胸腹腔脏器穿刺损伤；均未发现心包、胸腔感染迹象。

Compared to the patch dealt with glutaraldehyde, the autologous pericardial patch treated by distilled water is living, and calcification is not easily to happen. At the same time, after treated by distilled water, pericardial patch is incrassated mildly, and can be handled easier than fresh pericardium. The early-moderate team results of reconstruction of RVOT using autologous pericardial monocusp patch treated by distilled water are satisfactory.

使用蒸馏水处理自体新鲜心包组织，可以使心包组织轻度水肿增厚，相对不易皱缩卷曲，既摒弃了新鲜心包组织使手术操作不易进行的缺点，又保持了新鲜心包组织具有活性、生物相容性好、相对不易钙化的优点，避免了蛋白交联剂处理后的心包组织生物相容性差，易于发生钙化的缺点，简便易行，效果显著。

Group B received the treatment of removing fluids from the pericardial cavity with pericardiocentesis intermittently and intrapericardial injection.

将76例结核性渗出性心包炎患者随机分为A组和B组，均予以全身规则抗结核治疗。A组留置中心静脉导管引流及心包腔内注药，B组常规心包穿刺抽液及心包腔内注药。

Objective Pericardiocentesis and drainage are the common measures for the treatment of cardiac temponade and massive pericardial effusion.

目的 持续性心包穿刺引流是治疗大量心包积液和心包填塞的常用方法，本文旨在探讨心包穿刺引流的合并症。

If pericardial tamponade is diagnosed, pericardiocentesis before surgery can be harmful because it may counteract hypotonic haemostasis and eventually cause more pericardial bleeding and intractable tamponade.16

一旦心包填塞确诊，在手术前进行心包穿刺术反而有害无益，因为减压可能减少压迫的止血作用，导致更严重心包出血及心包填塞。

Once correctly recognized, pericardiocentesis started via subxyphid routine under flouscopy, including insertion of 145 cm guide wire, sheath and pigtail catheter.

处理方法：患者取平卧位，用18号静脉穿刺针带注射器及造影剂，在X线透视下于剑突下进行心包穿刺。穿刺针进入心包后立即注射5 ml造影剂，若造影剂沿心包分布则肯定穿刺针入心包。然后送入145 cm导引钢丝，并经钢丝送入鞘管及猪尾导管。引流完毕后留置猪尾导管24小时。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。