改良者

Methods Ten cases of atonic postpartum hemorrhage were treated using modified B-Lynch brace suturing.

对10例子宫收缩乏力性产后出血者采用改良的B-Lynch缝线术治疗。

Methods A nested RT-PCR was used for detecting one fragment of SARS-CoV RNA in oropharyngeal swabs from 3 SARS probable patients ,4 SARS suspect patients and other 27 patients with fever in Hangzhou, and the nested RT-PCR product from one SARS probable patient was sequenced.Meanwhile in these 3 SARS probable patients, other three RT-PCR methods, including a hemi -nested RT-PCR targeted for another fragment of SARS-CoV RNA, a real-time RT -PCR and a modified nested real-time RT-PCR, were employed to detect SARS-Co V RNA.Results Two positives were found in the 3 SARS pro bable patients, and none positive in 4 SARS suspect patients and other 27 patien ts with fever, using the nested RT-PCR.

方法对2003年杭州市3例严重急性呼吸综合征临床确诊患者、4例疑似和27名医学观察者的咽拭子标本用巢式实时RT-PCR检测SARS-CoV核酸，对阳性扩增产物进行核酸序列测定，同时对3例患者的标本应用半巢式RT-PCR检测另一位点SARS-CoV核酸片段，并应用常规实时RT-PCR技术及改良实时RT-PCR技术进行检测。

In celebration of the region, its wine and food products the Geographe Vignerons Association held a number of events in Bunbury between the 4th and 7th of October. On Thursday 4th October, the GVA held its night of nights at the All Seasons Sanctuary Golf Resort where the RSM Bird Cameron Wine Show was held.The night celebrated the wine producers and their efforts. Some 173 within 13 classes were submitted for judging.

为了庆祝这一产区的葡萄酒和食品，地理湾葡萄种植者协会在10月4日至7日在本布里举行了一系列庆祝活动。10月4日该协会在四季天堂高尔夫度假村举行了欢乐之夜活动，同时举行卡梅隆葡萄酒展。13各不同等级的173种葡萄酒进行了评比，评选委员会主席约翰·格利菲斯说："葡萄酒展展示的就是葡萄酒产区和葡萄酒以及葡萄酒的不断改良。"

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。

Methods Large standard bone flap craniotomy was performed in 72 cases with traumatic brain injury. 42 cases were selected as observation group who were performed with early cranioplasty within 3 months, 30 cases with operation beyond 3 months were chose as control group. Revising functional living index form was used to evaluate the quality of life of all cases in one year after injury.

72例实施SLTC的颅脑损伤患者，伤后3个月内实施颅骨修补者42例为观察组，按常规伤后3个月后颅骨修补者30例为对照组，使用改良功能生活指数量表对2组患者伤后1 a的生活质量进行评估。

Methods The total operative time,the time between skin incision and fatal delivery,blood loss during operation,exsufflation time and sickness rate after operation were analyzed in 56 cases of improved uterine lower segment caesaren section with transverse incision and compared with 42 cases of the traditional cesarean section.

分析 5 6例施改良式腹壁横切口子宫下段剖宫产产妇术中、术后情况，并与 42例施传统的腹壁横切口子宫下段剖宫产者相比较，观察总手术时间、自切皮到胎儿娩出时间、术中出血量、术后排气时间、术后病率等。

Methods: Intrasession, intersession, and intertester reliability and precision were established by comparing the commonly used side-lying assessment of posterior shoulder tightness and the described modified supine assessment.

我们比较了肩关节后部紧缩患者侧卧位测定组内、组间间以及测量者间的可靠性与精确度和现在介绍的改良仰卧测定的差异。

College counsellor is taught as politics of undergraduate " daily thought and manage the working organizer, person that carry out and preceptorial ", work of movie and TV worked to also produce an effect to them, it reformed original working way, provided rich educational resource, but also brought new working issue.

高校辅导员作为大学生"日常思想政治教育和管理工作的组织者、实施者和指导者"，影视作品对他们工作也产生了影响，它改良了原有的工作方式，提供了丰富的教育资源，但也带来了新的工作新问题。

REAL SLUM AND squatter upgrading changes urban poor groups' relationships with city author-ities and other city actors.

真实的贫民窟和擅自居住者改良，改变了城市贫民群体和城市权力者及其他城市执行者之间的关系。

Improved scar flaps are not only abundant in blood supply, but also advantage the looseness of the contracted tendo calcaneus. Doctors should be careful of crust removal at early stage, and the best chance should be selected one year after burn..

改良跟腱瘢痕瓣血供丰富，挛缩的跟腱易于松解，安全性高；对烧伤早期切痂者手术时应慎重，手术时机最好在伤后1年左右。

The absorption and distribution of chromium were studied in ryeusing nutrient culture technique and pot experiment.

采用不同浓度K2CrO4(0，0.4，0.8和1.2 mmol/L)的Hoagland营养液处理黑麦幼苗，测定铬在黑麦体内的亚细胞分布、铬化学形态及不同部位的积累。

By analyzing theory foundation of mathematical morphology in the digital image processing, researching morphology arithmetic of the binary Image, discussing two basic forms for the least structure element: dilation and erosion.

通过分析数学形态学在图像中的理论基础，研究二值图像的形态分析算法，探讨最小结构元素的两种基本形态：膨胀和腐蚀；分析了数学形态学复杂算法的基本原理，把数学形态学的部分并行处理理念引入到家实际应用中。