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LAUREN Jackson will have surgery on her right ankle this morning to rectify a painful problem for which she needed pain-killing injections before every game during the Olympics.

劳伦-杰克逊在今早接受右脚踝手术,此伤源于4年前的一次手术,而在奥运期间他都需要注射止痛剂来坚持比赛。

Methods: From 2003 to 2005 we enrolled 31 patients with inoperable HCC.

我们研究了2003年至2005年期间不能进行手术的31名HCC患者。

The outfielder had surgery June 13, and worked out at first base during his rehabilitation.

他在6/13进行手术。且伤后复出期间练习一垒的守备工作。

Methods: We collected five cases of necrotizing scleritis in the past 2 years. All 5 cases received conjunctival flap advancement as treatment for necrotizing scleritis.

自2004年5月至2005年4月期间内,我们收集5位罹患非感染性坏死性巩膜炎的病人,并采用结膜瓣手术治疗这五位坏死性巩膜炎病人。

This case report was conducted by the field method approach. The writher was the primary nurse who take care of the baby with congenital heart disease having surgical repairment. Content analysis was applied to exame the baby's mother with five processes recording reports in the ward and four telephone follow-up reports taken after the baby discharge.

本报告为探讨一位照顾二个月大之先天性心藏病手术后病婴母亲之行为表现,资料搜集采田野研究法,笔者於89年2月29日至3月31日护理期间参与病婴及母亲的照顾过程,根据五篇行为过程记录及四篇出院电话访谈记录,以内容分析法归纳整理。

Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80~90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus. The third is now normal at 28 weeks pregnancy .The fourth has had 2 menstrual periods and is still being followed up.

结果 GnRH-α用药期间4例均闭经,血雌二醇于用药的第3周降到绝经期水平;用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者,用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠;另1例停药转经2个月,现在随访中。3例妊娠转归:1例足月剖宫产分娩;1例手术切除肌壁间腺肌瘤者,孕30周时因先兆子宫破裂急诊行剖宫产术;1例目前孕22周。

Their fecundity outcome were followed-up after cessation of GnRH-α treatment. Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80~90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus.

结果 GnRH-α用药期间4例均闭经,血雌二醇于用药的第3周降到绝经期水平;用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者,用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠;另1例停药转经2个月,现在随访中。3例妊娠转归:1例足月剖宫产分娩;1例手术切除肌壁间腺肌瘤者,孕30周时因先兆子宫破裂急诊行剖宫产术;1例目前孕22周。

Methods: form january 1995 to january 2005, 42 patients with acute respiratory failure (acute respiratory failure group) and 84 random sampling after esophagectomy and cardiectomy were studied. age, sex, smoke index, preoperative respiratory function, preoperative pulmonary and the other complications, hypoproteinemia, the site of anastomosis, duration of operation, postoperative analgesia, postoperative other complications were compared by logistic regression analysis.

将1995年1月~2005年1月期间食管癌、贲门癌术后发生arf的42例患者临床资料,与按1∶2比例随机抽取的同期手术后未发生arf的84例食管癌、贲门癌患者的资料做对照,应用logistic回归分析比较两组患者的年龄、性别、吸烟指数、术前肺功能、术前有无肺部合并症和其它合并症、术前有无低蛋白血症、吻合口位置、手术时间、术后是否镇痛、术后有无其它并发症等与术后发生arf的相关强度,推测可能导致术后arf发生的危险因素。

Method]from january 2003 to may 2006,32 patients were corrected with qin si-he's orthotics devices on the ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.

方法]2003年1月~2006年5月,根据ilizarov张力应力法则,应用秦泗河改良的外固定矫形器,遵循ilizarov穿针固定的基本原则,共手术治疗马蹄内翻足32例,男15例,女17例;年龄10~25岁,平均17岁。病因:腓总神经损伤2例,腰椎管内肿瘤1例,硬脊膜膨出5例,小儿麻痹后遗症11例,先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例,用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄,确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术,25例同期实施了有限的截骨术和跗骨间关节融合术,9例合并踝关节内外翻肌力明显失衡者,同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序,7 d开始旋转相应的螺纹牵拉杆,对器械进行三维空间的缓慢调整,先矫正前足内收和后足内翻,后矫正足下垂畸形,直至达到矫形要求的标准。在矫形的过程中定期进行x线检测,以防止发生踝关节前后移位,治疗期间允许患足负重行走。术后平均牵伸42 d,拆外固定器后患足再上石膏固定适当时间。

According to Dr. Abramov, possible explanations for the lack of benefit include the limited pain intensity with transvaginal pelvic surgery; the short duration of preemptive analgesia (no boluses were given postoperatively); and the chance that the effect was masked by patient-controlled analgesia overdose, which he said was unlikely.

根据Abramov博士的说法,在阴道骨盆重建手术时,先进行会阴神经阻断麻醉,对於疼痛强度方面的助益不大,可能归因於阴道骨盆手术所产生的疼痛是有限的,预先麻醉期间较短;至於其效果可能被过量之管制性麻醉药给掩盖过的说法,Abramov博士表示不太可能。

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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。

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