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Peripheral parenteral nutrition is often viewed as the stepchild of parenteral nutrition infused via a central venous catheter.

周围静脉肠外营养是否仍有一席之地?周围静脉肠外营养通过中心静脉导管输注,属于肠外营养的一种。

Superficial Thrombophlebitis is a very common vascular disease in the limbs. For the clinical symptoms of this disease are relative slight, people are likely to ignore it. If it is untimely or wrongly treated, it will result in deep vein thrombosis, even death because of the infarction of the pulmonary artery.

血栓性浅静脉炎是临床上常见的周围血管疾病,由于本病临床症状相对较轻,不易引起人们的重视,但若失治误治,可因血栓蔓延侵及深静脉而导致深静脉血栓形成,甚至有肺动脉栓塞致死的危险。

Results In the group of 67 cases treated with high ligation by laparoscopy,the scrotum discomfort of left scrotum was lightened obviously after operation of 2~4 days in 60 cases,the expanding varicosity vein disappeared or was postponed obviously.In the last cases,5 cases had obvious improvement after operation of 10 days and 2 cases felt light scrotum discomfort after operation of 3 months.

结果 腹腔镜下高位结扎精索静脉组67例中,60例术后2~4天内左侧阴囊坠痛感明显改善,阴囊内曲张的精索静脉明显减缓或消失,5例在术后10天内上述症状明显改善,2例患者上述症状轻度改善,术后随访3个月左侧阴囊仍有轻度坠痛感;本组中有22例不育症患者在术后复查精液常规,精子数及活动率均明显改善。

We report a case of primary synovial sarcoma of the kidney showing the following imaging patterns: The tumor occupied the entire left kidney, invaded into the left renal vein and inferior vena cava, and the tumor thrombus extends upward to the level of right atrium, downward to infrarenal IVC.

我们在此报告一个肾脏原发性滑液肉瘤伴随有以下转移的影像特徵:肿瘤占据整个左肾,侵入左边肾静脉以及下腔静脉,并且肿瘤栓塞向上延伸到右心房与向下到肾脏下段下腔静脉。

Results: 68.9%of the lesions located superficially; There were 79.3%intracranial AVMs with volume ranged 0~30mm3; 16.9%intracrnial AVMs had associated with aneurysm including feeding artery aneurysm and intranidal aneurysm; There were 8.2%intracranial AVMs with venous stenosis.

结果:表浅部位者占68.9%;体积为0~30mm3者占79.3%;严重盗血者占19.7%;发现与颅内AVM相关的动脉瘤占16.9%;发现中央静脉引流及混合静脉引流者共53.0%;有引流静脉狭窄者占8.2%。

To pay attention to carry out effective cardiopulmonary resuscitation, hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency. The carotid shunt tube plays an important role in severe carotid injury and re-establishment process. We use external jugular vein to transplant and re-establish,which are rung with artificial blood vessels for the long distance carotid injury and achieved the best result. We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair. The application of blood shunt pump could raise the success rate for those severe patients. The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管;颈动脉转流管在严重颈动脉损伤重建过程中有重要作用;对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建,可取得最佳效果;对肝静脉及肝后下腔静脉损伤,要充分暴露,采用有效方法止血和修复,对病情极危重的凶险性出血者,血液转流泵的应用可提高成功率;对大、中血管损伤,两端均为裤式单开口自体双血管移植,解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题;对深静脉损伤并广泛血栓形成者,应用改进的Fogarty导管和顺行插管取栓法,可有效取栓并避免了副损伤。

To pay attention to carry out effective cardiopulmonary resus-citation,hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency.The carotid shunt tube plays an important role in severe carotid injury and re-establishment process.We use external jugular vein to transplant and re-establish,which are rungwith artificial blood vessels for the long distance carotid injury and achieved the best result.We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair.The application of blood shunt pump could raise the success rate for those severe patients.The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管;颈动脉转流管在严重颈动脉损伤重建过程中有重要作用;对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建,可取得最佳效果;对肝静脉及肝后下腔静脉损伤,要充分暴露,采用有效方法止血和修复,对病情极危重的凶险性出血者,血液转流泵的应用可提高成功率;对大、中血管损伤,两端均为裤式单开口自体双血管移植,解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题;对深静脉损伤并广泛血栓形成者,应用改进的Fogarty导管和顺行插管取栓法,可有效取栓并避免了副损伤。

Heroin-related injection mark syndrome (fibrotic thickening of the vein, thrombosis or induration, superficial venous stasis, scarred mainlines , venous collapse) was scored before and after the 14-days treatment.

BPN组患者的注射疤痕综合征(静脉壁纤维性增厚、静脉干疤痕、静脉塌陷等)总评分治疗后降低了22.0%,与治疗前无显著性差异;HANS组注射疤痕综合征总评分治疗后降低62.8%,与该组治疗前相比有显著性差异(27±11vs73±7,P.05)。

Leaving alone set of base pin general multi-choices in rough and straightforward willowy blood stream rich easy fixed vein, if wants the vein expensively, a vein, the median vein, is not easy to choose in the lower limb, because the lower limb valvulae venarum are many, easy to have the phlebitis.

留置套管针一般多选择在粗直有弹性血流丰富易于固定的静脉,如贵要静脉,头静脉,正中静脉,不易选择在下肢,因为下肢静脉瓣较多,易发生静脉炎。

After the vein pattern was segmented from the vein image by an improved NiBlack method,authors obtained the vein pattern skeleton by an improved conditional thinning algorithm.On the basis,the algorithm extracted seven modified moment invariants of the vein pattern skeleton as the input vector of SVM for the recognition of vein pattern.The experiments on a database including 500 samples has achieved a recognition rate of 95.5%,and it indicates the algorithm is effective.

算法在采用修正的NiBlack算法从原始图中分割出静脉纹路,然后采用改进的条件细化算法进行细化获得静脉骨架的基础上,提取静脉骨架的7个修正的几何不变矩作为支持向量机分类器的输入进行静脉分类识别,在有500个样本的数据库上进行实验,获得了95.5%的识别率,表明了算法的有效性。

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