术前

and Results— In 104 patients with idiopathic dilated cardiomyopathy who underwent annuloplasty for functional MR, basal mitral anterior leaflet angle, distal mitral anterior leaflet angle, posterior leaflet angle, coaptation depth, tenting area, mitral annular dimensions, left ventricular volumes, and MR severity were quantified by echocardiography before surgery and at 6-month intervals after it.

方法和结果：104名存在功能性MR的原发性扩张性心肌病患者接受了成形术。术前采用超声心动图检查获取基线二尖瓣前叶夹角、二尖瓣前叶远端夹角、二尖瓣后叶夹角、接合深度、幕状区面积、二尖瓣瓣环大小、左室流量以及MR程度，术后6个月复查。

Preoperative lordosis of the cervical spine is a prerequisite for laminoplasty, and maintaining postoperative lordosis is also important for decompression of the spinal cord.

术前颈椎前凸是实施椎板成形术前所必需的，且保持术后前凸对于脊髓减压也很重要。

Regarding to different successful ablation monitoring indicatives, patients were divided into ablation group in traditional methodand ablation group with atria pacemaking showing slow pathway conduction block as successful ablation indicative.86of groupⅰ presented junction rhythm in dischargeing 15s or early pacemade then consecutively discharged 60～90 seconds; in groupⅱ 67 patients after dischargeing 15s showed junction rhythm or after early pacemaking delayed dischargeing to 20s then stopped dischargeing.

按不同的有效消融判断指标分为传统方法消融组和以心房起搏显示慢径前传导阻滞作为有效消融指标消融组。i组86例在放电后15 s内以出现交界心律或早搏后继续放电60~90 s；ii组67例放电15 s内出现交界心律或早搏后延迟放电至20 s停止放电，以术前av1﹕1最短间期心房刺激（s1s1）显示慢径前传阻滞后停止起搏继续放电至60 s。

Methods 51patients with diabetes accepting various otorlaryngology-head and neck-surgical operation were adopted,regardless of previous treatments.Three days before operati on they all accepted regular insulin injecti on subcutaneously half an hour before three meals.The first dosage was roughly4～8U,then adjusted according to blood sugar levels.For the fasting patients who demanded fluid replacement post-operationalˉly,we infused solution in proportion to1U insulin/3～4g glucose and monitored everyday blood sugar in the meantime.The post-operational patient on liquid or semiliquid diet injected insulin subcutaneously before three meals,applied inˉsulin according to blood sugar level until end of perioperative period.

对51例接受耳鼻咽喉及头颈部不同类型手术的糖尿病患者，观察其围手术期并发症，并于术前3天改为三餐前0.5h皮下注射速效胰岛素治疗，根据血糖的测定结果，开始剂量约为4～8U；对术后禁食需要补液的患者，按葡萄糖3～4g/胰岛素1U的比例给药，并每日监测血糖指标；术后进流质或半流质饮食的患者，于三餐前皮下注射胰岛素，按血糖测定情况给药，直至围手术期结束。

Objective To investigate the application of anterolateral thigh fasciocutaneous flap on abdominal chronic ulcer,and provide evidence for its clinical use. Methods From Oct 2005 to Dec 2008,5patients with abdominal ulcer caused by different reasons were repaired with anterolateral thigh fasciocutaneous flap, the flap pedicled with rami descenden of lateral circumflex femoral artery was designed according to the size of abdominal defect,the vessel pedicle was dissociated adequately, the flap was transferred to the abdominal wound under appropriate tension through tunnel, the donor site was sutured directly or repaired with skin-grafting. Results The anterolateral thigh fasciocutaneous flap survived well in all 5 patients,there were no other complication such as skin necrosis.

目的：探讨股前外侧皮瓣在下腹部慢性溃疡中的作用，为其临床应用提供依据；方法：2005年10月～2008年12月间，对5例不同原因引起的下腹部慢性溃疡患者进行修复，术前根据腹部组织缺损的大小设计以旋股外侧动脉降支为血管蒂的岛状股前外侧皮瓣，充分游离血管蒂部，在合适张力下经过皮下或开放隧道将皮瓣带蒂转移至下腹部创面，供区直接缝合或植皮修复。

Blood loss and xenogenic blood transfusion in control group were also higher than that in treatment group.

结果 对照组术后Hb、HCT略低于术，治疗组术后明显高于术前，术中失血量及异体输血量均于治疗组。

The skill reinforces the mentality nursing and health education in the front;skill middle was close monitor the life body symbol; the close skill queen observation wound and skill oblique tones instep arterial blood transport condition,guide the rational braking of patient and keep mood stability, puncture location oppressing stanches bleeding, wrap up,brake strictly,occurrence applying anti-freezing medicine,replenishing blood with capacities in time,being able to cut down skill queen complication obviously rationally.

术前加强心理护理和健康教育；术中严密监测生命体征；术后严密观察切口及术侧足背动脉血运情况，指导患者合理制动和保持情绪稳定，严格穿刺部位的压迫止血、包扎、制动，合理应用抗凝药物，及时补充血容量，能明显减少术后并发症的发生。关键词冠状动脉；支架植入；并发症；护理

Methods Methylthioninium chloride 1.0-2.0 ml was injected each in 488 patients with thyroid node before operative 24 hours,the number and distribution of the blue-stained nodes in the cervix were explored during operation,and the blue-stained nodes and resected thyroid nodes were examined by rapid pathology.

对488例甲状腺疾病患者采用1%美蓝1.0～2.0ml术前24h注射于甲状腺结节或周围腺体，并在术中探查其颈部淋巴结蓝染数目及分布，同时对蓝染的淋巴结及切除的甲状腺结节行术中快速病理检查。

328 patients of simple lumbar disc herniation were divided into group A( diskectomy, 160 cases) and group B nerve root canal s check and decompression b...

将328例术前诊断的单纯腰椎间盘突出症患者随机分成两组：髓核摘除术组160例和髓核摘除并神经根管探查、扩大术组168例。

Abstract］ objective to assess the efficacy and safety of transurethral resection of prostatewith plasmakinetic technique and to improve the qualities of pkrp.methods the data of 273 patients with benign prostatic hyperplasiawere retrospectively studied baseing on the mastering of pkrp.the average maximum urinary flow rate,the average residual urinary volumeand the average international prostate symptom score were analysed.results pkrp was successfully performed on 273 patients.intraoperative blood transfusion was performed in 6 cases,no obturator nerve reflex,transurethral resection syndrome,permanent urinary incontinence occurred and no death cases occurred.the follow-up time was 2～26 months with an average of 5.63 months,postoperative average qmax increased to 15.9 ml/s,and ruv decreased to 16.0 ml/s and the average ipss was 9.compared with those of preoperation,the differences were significant.conclusion pkrp has superior tissue cutting function and hemostasis.it is suggested that transurethral bipolar plasmakinetic resection of prostate be effective and safe.

目的 探讨经尿道双极等离子前列腺切除术的安全性与有效性，提高pkrp质量。方法回顾性分析273例良性前列腺增生患者pkrp资料，比较手术前后最大尿流率、膀胱剩余尿量及国际前列腺症状评分。结果 273例手术均顺利完成，术中输血6例，无闭孔神经反射、永久性尿失禁、经尿道电切综合征及死亡病例，随访2～26个月，平均5.63个月，qmax平均增至15.9 ml/s，ruv平均降至16.0 ml，ipss平均9分。与术前相比，各项指标均有明显改善。结论 pkrp具有良好的组织切割功能及可靠的止血作用，治疗bph安全有效。

For a big chunk of credit-card losses; the number of filings (and thus charge-off rates) would be rising again, whether

年美国个人破产法的一个改动使得破产登记急速下降，而后引起了信用卡大规模的亏损。

Eph. 4:23 And that you be renewed in the spirit of your mind

弗四23 而在你们心思的灵里得以更新