手术前的

From January 2005 to August 2006, 83 cases of CSM who underwent surgery in Tianjin Hospital were enrolled. Among which, there were 48 male and 35 female. The average age was 52 years old (ranging from 35 to 65). 65 cases operated anteriorly and 18 cases posteriorly.

选择2005年1月至2006年8月在我院脊柱外科手术治疗的脊髓型颈椎病患者83例，男48例、女35例；年龄35~65岁，平均52岁；前路减压手术65例，后路减压手术18例。

Among them, 20 patients were candidates of valve replacement and 18 PDA and pericarditis had their blood samples taken before operation,and 1,2,24 and 48 hours after closure of thorax for measurement of concentrations of CK、CK-MB and TnT,together with ECG recording. Results Of the 60 patients, concentrations of cTnT before operation were normal; 2 hours after aortic unclamping, the correlation coefficient between cTnT and aortic clamping was r = 0.873( P＜0.01), the regression analysis showed Y = 0. 019X-0. 026. Of the 20 patients, ECG showed the myocardium was ischemic; CK、CK-MB and cTnT all rose significantly, reaching the peak after closure of thorax. Of the 18 patients, the ECG and cTnT before operation and after closure of thorax were normal; except 2 patients with pericarditis.

结果 60例瓣膜手术患者术前cTnT均在正常值范围内，主动脉开放后2 h时，阻断时间和cTnT的相关系数为r=0.875(P＜0.01)，回归方程为Y=0.019X-0.026；其中20例瓣膜手术患者心脏经过阻断后，心电图有缺血性改变，周围血液中的CK、CK-MB和cTnT均有明显升高，分别在关胸后2 h达到高峰，数值分别为术前的12.6、9.2和257倍；18例行动脉导管结扎和心包剥脱术的患者术前和关胸后的心电图和血液中的cTnT均正常，CK和CK-MB除2例心包炎患者关胸后出现明显变化外，余均未见改变。

These patients were told that there were three operation methods for them to select.We also told patients the operation-relative informaˉtion such as the site,length and number of operative incision,the degree of damage to body,the complication,the cosˉmetic effect,and the operation cost for each operation ways.

术前将甲状腺手术的三种手术方式详细告知患者，其内容包括手术切口的部位、切口的长短、切口的数目，对机体组织的损伤程度，容易产生的并发症、美容效果，三种手术所产生费用的比较，请患者慎重考虑后自己选择，并以签字为证。

OBJECTIVE To explore the relation between preoperative stroboscopic observation of vocal leukoplakia and the excision extension of CO2 laser surgery.

目的探讨声带白斑手术前频闪喉镜检查与CO2激光手术切除范围及手术治疗效果的相关性。

We have 11 cases of PVS in the past 9 years in VGH, only 4 of them have preoperative impression of PVS. Another 3 cases have bone lesions but without pre-operative correct diagnosis. Three of them have recurrence after synovectomy.

荣民总医院从民国64年至73年经病理检验证实为PVS者共有11例。11例中有4例由其临床的病史，於手术前有pvs之臆断外，其余的7例，虽其中3例并有放射线骨头侵蚀病灶的发现，然皆无手术前之正确诊断。

The findings were compared with those in cystogram and at operation. The results showed that B ultrasornd could evaluate the tension of intra urethral sphincter accurately and there by divided the degree of intraurethral relaxation, into mild, moderate and severe, as it was possible to diagnose unequivocally whether the neurogenic bladder of the patients were assocated with ralaxation ofo intra...

结果显示：实时B超能准确的反应尿道内括约肌张力情况，并能根据其肌松弛情况将其分为轻、中、重三度，从而使神经原性膀胱是否合并尿道内括约肌松弛于手术前即可确定诊断，进而术前确定手术方式，可避免部分病人不必要尿道损伤。

Preoperation intervention can remarkably relieve the patient's anxiety and is beneficial to smooth operation and recovery.

术前干预能明显减轻手术患者的术前焦虑，有利于手术的顺利进行和术后康复。

objective to discuss treatment of acute perforation of peptic ulcer,to elevate i stage operation recovery rate.methods 208 cases in 20 years were retrospectively analysed,86 cases (41.35%) were recovered by subtotal gastrectomy;18 cases (20.93%) were undergone billroth i anastomosis;68 cases (79.07%) billroth ⅱ;42 cases (61.76%) billroth ⅱ precolonic anastomosis;26 cases (38.24%) retrocolic anastomosis.results in 86 cases,1 case was complicated by gastroparesis,others all recovered.all cases were followed up for 5 years.conclusion the procedure can shorten the recovery time and increase quality of life.

目的 探讨消化性溃疡急性穿孔的治疗方法，旨在提高ⅰ期手术治愈的成功率。方法回顾性总结分析20年间手术治疗消化性溃疡急性穿孔208例，其中86例（41.35%）采用胃大部连同病灶切除ⅰ期治愈，胃肠重建采用billrothⅰ式吻合18例（20.93%），billrothⅱ式吻合68例（79.07%），billrothⅱ式结肠前吻合42例（61.76%），结肠后吻合26例（38.24%）。结果 86例中除1例billrothⅱ式吻合术后发生胃瘫并发症，经保守治疗月余治愈外，其余病例术后恢复顺利，均随访5年以上情况良好。结论消化性溃疡急性穿孔的ⅰ期手术治疗，解决了因溃疡穿孔单行修补术后再次复发穿孔、出血、幽门梗阻、粘连、溃疡恶变而重复手术等问题，缩短了治愈周期，提高了生存质量。

The oral administration of the Cu2+ chelator TM could reduce neointimal thickening after balloon injury in the rat.

在服用TM前、手术当日和服用TM最后一天测定血浆铜蓝蛋白水平，使之在手术前降低到基础水平的（20±2）％，并维持到取材当天。

The results showed that (1) the intervention of preoperative pain education resulted in statistically significant reductions of worst pain intensity after surgery in experimental group compared to control group,(2) subjects in the experimental group experienced statistically significant reductions of pain interference in general activity, mood, and sleep, compared to control subjects,(3) the misbeliefs about pain management were significantly improved after surgery in experimental group compared to control group,(4) no statistically significant differences were found in the score of satisfaction with pain management, or amount of analgesics between the two groups.

研究结果显示：（1）实验组接受手术前疼痛卫教介入措施后，手术后最剧烈疼痛强度低於控制组达统计上显著差异。（2）实验组手术后疼痛对日常生活、情绪及睡眠的干扰程度低於控制组，达统计上显著差异。（3）手术后实验组错误疼痛处置信念的改善程度，与控制组达统计上显著差异。（4）手术后的疼痛处置满意度及止痛药使用剂量，两组间无统计上显著差异。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。