无病人的

objective:to investigate the therapeutic action of somatostatin in pancreatic leakage after pancreaticoduodenectomy.methods: to collect 100 patients with pancreaticoduodenectomy during 2003～2006,contrast 44 patients use somatostatin after pancreaticoduodenectomy as experimental group,and 56 patients with conventional therapy as control group.results:there were no pancreatic leakage case in the modified group of 44 cases.3 cases complicating pancreatic leakage occurd in control group,and the proportion of pancreatic leakage are different examined by statistic mathord.conclusions:use somatostatin after pd can restrain organism excrete diastase vera,and help anastomotic stoma to concrescent and decrease pancreatic leakage;pancreatic leakage should be treated by different grades,grade 1 can be cured by persistent drainage with somatostatin and nutritional support;grade 2 should be pay more energetic intervention.

作者单位：潍坊医学院，潍坊 261042；潍坊市人民医院肝胆外科，潍坊 261042 目的：探讨生长抑素在胰十二指肠切除术后减少胰漏的作用。方法：收集2003年1月～2006年12月施行pd患者100例，术后应用生长抑素持续泵入病人44例，并与同期施行的pd术后常规应用全肠外营养及抗生素治疗病人56例，结果进行了对比观察。结果：实验组病人44例无1例发生胰漏，对照组56例病人，3例发生不同程度的胰漏，发生率5.3%，统计学比较有显著差异（p＜0.05）。结论： pd后应用生长抑素持续泵入可以抑制胰酶的作用，使胰肠吻合口较好地愈合，从而有效地减少胰漏的发生；胰漏可进行分级治疗，ⅰ级胰漏采用通畅引流为主，同时使用生长抑素和营养支持等治疗多可治愈，ⅱ级胰漏需要积极治疗。

The syndrome differentiation type distributing of ER negative and PR negative breast cancer and triple negative breast cancer is equipotent,The difference has no statistics meaning through chi-sguare(X2) test.

其中≤39岁组病人有病无证型病人所占比例最大，40～59岁病人有364例，其各证型的分布规律与总体样本(551例)病人分布差异不大，≥60岁病人中脾肾两虚型与肝肾阴虚型病人所占比例较大。

Results:There are alleviating drugs in 79% of the cases, and controlling drugs in 54% of the cases,inhalant was administered in only 8 cases, during which only 5 one took it with correct method, poor compliance were found in 54% of all, controlling and alleviating drugs could not be discriminated in 58% of these cases ,The Dosage was correct in only 3 one, out of the five case who were administered by glucocorticoid inhalant,in no case asthmatic diary or spike current meter was used, The drug adverse reaction was completely non - know in 7 cases.

结果：79%的病人有缓解药，58%有控制药，吸入给药的病人只有8例，其中只有5例使用方法正确，54%的病人用药依从性差，58%的病人不能正确区分控制药与缓解药，在吸入糖皮质激素治疗的5例病人中只有3例剂量正确，无1例病人记录哮喘日记与使用峰流速仪，7例病人对药物不良反应一无所知。

I will apply for the benefit of the sick all measures which are required avoiding those twin traps of overtreatment and therapeutic nihilism.

为了病人本人的利益，我将采取一切必要的诊断和治疗的挫施，同时，我一定要避免两种不正当的倾向：即过度治疗或无作用的治疗。

I will apply, for the benefit of the sick, all measures which are required, aoiding those twin traps of oertreatment and therapeutic nihilism.

为了病人本人的利益，我将采取一切必要的诊断和治疗的措施，同时，我一定要避免两种不正当的倾向：即过度治疗或无作用的治疗。

I will apply, for the benefit of the sick, all measures which are required, avoiding those twin traps of overtreatment and therapeutic nihilism.

为了病人本人的利益，我将采取一切必要的诊断和治疗的措施，同时，我一定要避免两种不正当的倾向：即过度治疗或无作用的治疗。

Later, under the untypical parasternal four-chamber view which can thoroughly display the ostium of coronary sinus, the catheter was promoted further to the ostium of coronary venous sinus. Then the echocardiography technician adjusted the transducer of TTE in order to thoroughly confirm the position of the catheter tip. After confirming the position of catheter tip in the coronary venous sinus, the operator inserted the catheter into the coronary venous sinus for 3～4 mm farther. It was noted that if resistance was encountered by operator, the operation must be stopped, which was the same as x-ray fluroscopy as image guiding. TTE guiding His bundle elactric cahteter、high right atrium electric cahteter and right ventricular electric catheter in site: It is difficult using TTE singly since there are too many crossroads in inferior venous.

本研究结果显示，(1)单独应用TTE作为影像学引导进行冠状窦电极导管置放的成功率为93.8％～96.7％，并且应用TTE作为影像学引导放置专用冠状窦电极导管和普通电极导管的成功率和放置时间在统计学上无显著差异；(2)TTE作为影像学引导，除过度肥胖患者外，可完全替代X线引导进行冠状窦电极导管置放，包括鞘管和扩张管的放置、指引导丝在静脉而非动脉内的证实均可由TTE完成引导，且较X线C型臂有一定优越性；(3)TTE结合普通X线胃肠透视机作为影像学导引，可顺利完成心内电生理检查时导管的安全到位，而不需昂贵的X线C型臂，可将心内电生理检查扩大到广大的基层医院；(4)TTE较X线更易和更早期发现介入治疗的并发症如急性心包填塞等，对并发症的防治甚至挽救病人的生命至为重要；(5)动物实验研究表明，TEE可引导射频导管消融术时大头电极导管成功到位。

The recognition by society that every person, partnered or unpartnered, has the right to the pursuit of a satisfying consensual sociosexual life free from political, legal or religious interference and that there need to be mechanisms in society where the opportunities of sociosexual activities are available to the following: disabled persons; chronically ill persons; those incarcerated in prisons, hospitals or institutions; those disadvantaged because of age, lack of physical attractiveness, or lack of social skills; the poor and the lonely.

社会应确认：每一个人，不论是有配偶的或是无配偶的，都有权利追求满意的、相互同意的社交-性生活，不受政治、法律或宗教的干预；并且，社会应有一定的安排，使下列各种人均有得到社交-性生活的机会：残疾人、慢性病患者、处於监禁中的囚犯、住在医院等设施中的病人、因年纪而在性生活中处於不利地位的人、缺乏身体吸引力的人、缺乏社会技能的人、穷人、孤独的人。

As for people who badger with the amount of their salaries and the ranking of their positions and forget about their own capabilities and incapability but condemn the injustice of their seniors, they are like the idiot who asks a carpenter to use a peg stake as the beam column and who asks a doctor to preserve the lives of his patients with cathartics instead of tonics!

至於人们由于他们的薪水数量烦扰，而且烦扰他们的位置排名并且忘记有关他们的自己能力和无能力的事但是判刑他们的年长者的不公平，他们像白痴要求一个木匠使用一根钉赌注如光线专栏和谁要求一位医生用～保护他的病人生命泻药而不是补药！

Non-invasive blood component detection has long been the dream of modern medicals, as well as the patients.

人体血液成分的无创检测是人们梦寐以求的愿望，它的实现会代替传统的有创检测方法，可以减轻很多病人的痛苦。

Neither the killing of Mr Zarqawi nor any breakthrough on the political front will stop the insurgency and the fratricidal murders in their tracks.

在对危险的南部地区访问时，他斥责什叶派民兵领导人对中央集权的挑衅行为。

In fact,I've got him on the satellite mobile right now.

实际上 我们已接通卫星可视电话了