止血

Hematochezia is the dramatic manifestation of bleeding. Urgent colonoscopy in an opportune moment is the most effective first test to detect the cause and the site of the bleeding and it can provide the therapeutic opportunity under endoscopy to stop bleeding in some patients.

适时行紧急肠镜检查是明确出血病因、出血来源的首选、有效方法，部分病例尚可配合止血等内镜下治疗，术中肠镜检查有利于剖腹探查时寻找出血部位。

BACKGROUND: Sponge paste made of polyvinyl alcohol polymer foam has biocompatibility, and properties of hemophagia, imbitition, and wound protection.

摘要背景：聚乙烯醇开孔型泡沫塑料具有生物相容性、吸血、吸液、保护伤口等特性，用其制成的聚氟乙烯海绵贴拟用于创伤止血材料。

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。

Postoperative pathdogic:75 were liver cell carcinoma,7 were carcinoma of bileduct.one case with postoperative hemorrhea,hemostated by reoperation.3 patients with biliary fistula,2 cases were cured by drainage,1 case was cured by ERCP.

术后病理诊断为肝细胞癌75例、胆管细胞癌7例。本组术后近期出血1例，再次手术止血；胆瘘3例，2例行腹腔引流治愈，1例行ERCP置管引流治愈；无手术死亡。

Result: all the 82 cases,15 were treated with right hemihepatectomy,26 with left hemihepatectomy,10 with quadrate lobectomy,7 with right posterior lobectomy,24 with localization lobectomy.postoperative pathdogic:75 were liver cell carcinoma,7 were carcinoma of bileduct.one case with postoperative hemorrhea,hemostated by reoperation.3 patients with biliary fistula,2 cases were cured by drainage,1 case was cured by ercp.no one died in operation.10(12.2%) died in half year,27(32.9%) died in one year.conclusion: control the indication and amount of heratectomy,contral hemorrhea,treat incised wound of liver correctly and prevent postoperative complications ,that can guarantee the effect of hepatectomy.

结果：右半肝切除15例、左半肝切除26例、肝中叶切除10例、肝右后叶切除7例、肝局部切除24例。术后病理诊断为肝细胞癌75例、胆管细胞癌7例。本组术后近期出血1例，再次手术止血；胆瘘3例，2例行腹腔引流治愈，1例行ercp置管引流治愈；无手术死亡。术后半年内死亡10例（12.2%），1年内死亡27例（32.9%），余45例现均存活。结论：掌握肝切除手术指征及肝切除量、严格控制术中肝出血、正确处理肝创面及术后并发症，才能保证手术治疗的效果。

Results The average operation time was 23.5min. The average hospital stay was 3.5d. The correction of the prolapsed hemorrhoids was satisfied in 93.5% patients. Intraoperative hemorrhea occurred in two cases because the large range rectum mucosa was uncompletely stapled or cut. Urine retention occurred in 184 cases (31.9%), anal pain in 357 cases (62%) and a second operation were performed in 3 cases because of postoperative hemorrhea. A total of 484 cases were followedup for 14 years. The postoperative satisfaction rate of symptom improvement was 94 .3%. Four cases underwent thrombosed external hemorrhoid resection. Other patients had no recurrence, no anal stenosis and no fecal incontinence.

结果 手术时间平均23.5 min，平均住院时间3.5 d，切除痔上黏膜宽度平均约2.5 cm.93.5％术中痔核回缩满意，因大面积钉合不全及切割不全各1例发生术中大出血，尿潴留184例（31.9％），肛门疼痛357例（62％），3例术后大出血再次行手术止血。484例（84％）随诊1～4年，术后症状改善满意者94.3％，2例误诊，4例因血栓外痔行血栓外痔切除术，其余患者均无复发，无肛门狭窄、大便失禁。

Platelet activation in vivo can be part of the hemostatic response to injury or a pathological response to disease.

在体内血小板的激活可以是对损伤的止血反应或是疾病的病理反应。

Objective To study the hemostatic abnormalities and their association with bleeding manifestation and prognosis in acute leukemia patients.

目的 探讨急性白血病患者的止血功能及其与出血症状及预后的关系。

Eighty rats were used for evaluation of hemostatic effect, and the other fifty were used in biocompatibility experiment.

其中80只用于止血效果的评价，另外50只用于生物相容性实验。

Platelet activation in vivo can be part of the hemostatic response to injury or a pathological response to disease.

摘要翻译：在体内血小板的激活可以是对损伤的止血反应或是疾病的病理反应。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。