救治

objective to raise the level of regarding congnition,prevention,diagnosis and therapy on multiple organ dysfunction syndrome.methods report the process and correlative therapy on one case who occured with mods involving 6 organs after hemorrhagic shock lead to heartbeat and respiration stopping suddenly and resuscitated resulting in left nephrostome titanium nip falled off accidentally from left kidney lymphatic fastening.at the same time,the author reviewed correlative literature and introduce the investigative progress about mods.results one case who happened with mods following hemorrhagic shock,heartbeat and respiration stopped suddenly was diagnozed and resuscitaed.6 organ dysfuncted including brain,heart,lung,liver,kidney and the digestive system.after being given therapy integrated chinese and western medicines,allopathy and nutritional treatment,all circadian parameters of the case came back in gear and discharged at last.conclusion the mechanism about mods is very complicated.because of serious infection,hurt and oxygen-lack,excessive inflammatery reaction activates multifarious cell factors and inflammatery mediums,which improve the happen-rate of mods.wiping off pathogeny,providing life-sustain treatment and recognising sirs and mods in time and adopting corresponding therapy,such as treatment integrated chinese and western medicines,can improve the hit-rate of cure on mods.

作者：王静恩，蔡金芳，王志华，谢晓洪多器官功能障碍综合征；中西医结合；治疗；休克，出血性目的提高对多器官功能障碍综合征（multiple organ dysfunction syndrome，mods）的认识、预防、诊断、治疗水平。方法报告成功抢救1例经腹腔镜左肾淋巴管结扎手术后左肾静脉钛夹意外脱落失血性休克，导致心跳呼吸骤停复苏后再手术并发mods累及6个脏器功能衰竭过程及有关治疗，并复习相关文献，介绍目前关于mods的研究进展。结果确诊1例因失血性休克心跳呼吸骤停复苏后并发mods，累及脑、心、肺、肝、肾、血液、胃肠等6个脏器。经积极采取中西医结合对症、支持救治，各生理指标全部恢复正常，康复出院。结论 mods的发生机制非常复杂，在严重感染、创伤、缺氧等打击下，失控的过度炎症反应激活多种细胞因子和炎症介质的释放，使mods发生率升高。尽早去除病因，尽早给予各种生命支持治疗，尽早对可能发生全身炎症反应综合征、mods识别并给予干预治疗，包括中西医结合治疗能改善mods的救治成功率。

Department of Traumatology,Chongqing Emergency Medical Center,Chongqing 400014,ChinaAbstract: Objective To expand DCS theory from traditional simple abdominal injury to combined therapy of polytrauma.

目的 将损伤控制外科(damage control surgery，DCS)理论由传统的单纯腹部损伤救治扩展到多发伤综合救治的角度。

Results The portable high-frequency argon-beam coagulatory haemostat conformed with the design requirements. It was also suitable for the mobile medical units to perform on-site emergency medical treatment for homeostasis and field trauma emergency treatment.

结果：止血器符合设计指标要求，适合机动医疗分队进行现场应急救治止血和野外创伤应急救治处置。

Objective: To sum up the experience with MEBT in treating patients burned by nitrocellulose in group.

目的：总结湿性医疗技术救治成批硝化棉烧伤的临床救治经验。

Experiences in treating 4 cases of burns complicated by tetanic infection were concluded in the terms of preventive measures and clinical treatment.

从预防和临床救治等方面总结了临床治愈的4例烧伤合并破伤风杆菌感染的病人救治经验和体会。

The purpose of this article is to review and discuss and current preventive and healable measures of heat illness and abstract scientific programs to prevent and cure heat illness.In order to suit with the PLA"s current fight direction and to improve the army"s capacity and levels of the rear service, to keep soldiers healthy and strong in the heat stress environment, by the way of systemic evaluation, we collect a series of successful work and research experience about the heat illness prevent and treatment. After analyzing and comparing these results, then based on the theories of the preventive medicine, we have try out further adaptable programs to prevent heat illness. It consists of 5 chapters, such as "heat acclimatization, water and electrolyte supplement, regulated work/rest cycle limits, lower temperature equipment, drug preventing heat stress".

为有效降低热环境因素对部队的威胁，提高部队的战斗力和应急保障水平，有针对性地形成热区部队中暑防治保障预案，与目前特定的作战方向相适应，我们根据部队当前状况，立足部队应用，大量收集了有关文献，通过应用系统的评价方法，对耐热锻炼、水盐补充、调整作息制度、防暑降温装置和药物防暑这几项主要防暑措施的实施方法进行了全面分析比较和评价，提出了更进一步的修正意见，提炼出了适合当前部队应用的方法，使其更加适于部队的应用；同时，还对中暑急救与治疗方面的有关文献也进行了概括和总结，并根据中暑的发病特点和救治重点，为部队中暑的救治设计了现场急救装置。

Objective: To develop a first aid package for traumatic hemopneumothorax on battlefield and to validate its effectiveness.

目的：设计制作便携式野战创伤性血气胸救治包并验证其对创伤性血气胸的救治效果。

The air pocket internal fixed had hemostasis effect when the infra-rib blood vessel were broken. Conclusion: The portable first aid package for traumatic hemopneumothorax has the same drainage effect as normal closed drainage instrument has, but it has small volume and good portability.

结伦：便携式野战创伤性血气胸救治包对血气胸的救治效果与临床常用胸腔引流装置相同，但其体积小，携带操作方便，胸壁固定牢固，并能进行胸腔冲洗及对穿刺胸壁引起的肋间血管出血起到压迫止血作用。

Early diagnosis-therapy includes early diagnosis,proper fluid support and glucocorticoid,et al. The morbidity of pulmonary infection,ARDS,MODS,and seps is were compared between the two groups.

早期 诊治包括早期诊断、进行科学的容量支持和配合糖皮质激素等综合救治；一般治疗指对确诊患者进行一般的呼吸支持、氧疗和容量支持等救治措施。

Methods According to grading rescue procedure,reasonably arraying staff,and control of the indication,firstaid and early management were carried out.Especially,monitoring and adjusting organ function.Once the vital sign occurred,attention was paid to uncontrollable disorder,and amputation was carried out immediately.

在不干扰批量伤员救治的前提下，通过严格掌握纳入指征，合理配置医疗人员，按照分级救治程序，对伤员进行紧急救治和早期处理，特别重视监护调整脏器功能，一旦出现无法控制的生命体征紊乱即行截肢，病情稳定后及时后送。

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。