漏口

There is some air leakage from the exhaust vent of the 3-way valve pos.

有一些空气从三通阀22的废气口漏出。

There is some air leakage from the exhaust vent of the manoeuvring valve pos.

01-Ⅳ不，有一些空气从操纵阀01-Ⅳ的废气口漏出。

No death, no anastigmatic leakage and postoperative hemorrhage occurred.

手术切除淋巴结平均为11.6个，无术后出血、吻合口漏、死亡病例发生。

From this surgery, it was known that there was a leak in the recta and the dejecta was leaked to abdomen probably from the place where the stapler was used.

从第二次手术得知，病人是多发性肠间脓肿引起的感染性休克，怀疑造成感染的原因是直肠手术发生吻合口瘘（因直肠有漏洞造成粪便漏到腹腔而引起感染）。

Supporting type is suggested to be developed into 3-prop to improve adaptability besides 2-prop and 4-prop. The difference of caving difficulty degree of coal seam is the base of caving coal method at high, medium and low position. Caving with small step and open caving flashboard used widely not only cause serious mixture of coal and rock but also hinder the improvement of top coal recovery. So we suggest caving with large step or closing caving door. Four-bar-mechanism of hydraulic support restricts development of new style caving powered support. Stabilization framework of expansion link and all-shield caving tail beam at high, medium and low position are introduced here.

支架支护型式，除了两柱、四柱以外，建议开发三柱支架以改善适应性；煤层冒放性的差异，是高位、中位和低位放煤方法存在和使用的依据；目前广泛采用的小步距放煤和开放式放煤插板不仅造成严重混矸漏矸，也妨碍顶煤回收率的进一步提高，建议采用大步距放煤和可关闭放煤口；液压支架四连杆稳定机构，制约了新型放顶煤液压支架的开发，介绍了液压支架伸缩杆稳定机构及全掩护拖移高位、中位和低位放煤尾梁。

We adopt a procedure to open and enlarge the nasofrontal duct under direct vision by intranasal endoscopic surgery firstly and find the fistula, then repair it with its own smashed muscle, and support it with muscular membrane and gelfoam,iodoform pledget.

经鼻内窥镜外科治疗外伤性额窦脑脊液鼻漏6例，利用经鼻内窥镜外科技术开放和扩大鼻额管，在直视下找到瘘口，应用自体碎肌肉覆盖瘘口，外加肌膜和明胶海棉、碘仿纱条填塞，对于单纯内窥镜下手术有困难者，结合眉弓小切口联合额窦切开进行修补。

Methods:clinical data of 23 cases of left-sided colonic carcinoma undergoing one-stage resection and primary anastomosis were analyzed respectively.intraoperative colonic lavage were performed in all cases.for the 14 cases which were considered to be dangerous,preventive ceostomy was performed.results:23 cases were performed one-stage resection and primary anastomosis,all patients had not any complications such as anastomatic leakage and infection of the peritoneal cavity.conclusions:have a strict control over operation indication,perform postoperative care properly, one-stage resection and primary anastomosis for acute obstruction of left hemicolonic carcinoma is safe and workable.

回顾性分析我院五年来23例左半结肠癌并急性梗阻一期切除吻合术的临床资料，所有病例均术中结肠灌洗，而认为有危险性的14例同时行预防性盲肠造瘘。结果：23例一期切除吻合术，无一例发生吻合口漏、腹腔感染等并发症。结论：严格掌握手术适应症，积极术前准备，充分结肠灌洗，对认为有危险性吻合口实行预防性盲肠造瘘，正确术后处理，左半结肠癌并急性梗阻一期切除吻合术是安全可行的。

The fistula could be diagnosed correctly when the patient suffered high fever, dyspnea and thoracalgia after operation, with cervical anastomotic external fistula which could not been healed when the wound was opened, X-ray-showed widened mediastinum and hydropneumothorax, and drainage, esophagoraphy and CT-confirmed anastomotic fistula.

当出现术后突发的高热、呼吸困难、胸痛，合并颈部吻合口外漏，经敞开后病情无好转，X线见纵隔影增宽，液气胸，经口服美蓝，食管造影和CT检查发现吻合口内瘘入纵隔或胸腔即可确诊。

Neither stomal leak nor stomal stenosis occurred, acute ileus occurred in 2 cases, and both recovered after the treatments of gastrointestinal decompression, inhibition of secretion digestive juice and reoperation. Acute retension of urine occurred in 1 case after urine catheter removed. The symptoms disappeared after excises of bladder function.

术后无一例出现吻合口漏或吻合口狭窄。2例出现急性肠梗阻，经胃肠减压、抑制消化液分泌、第2次手术等处理后治愈。1例拔尿管后出现急性尿潴留，经膀胱功能锻炼后症状消失。

Abstract］ objective to investigate anus sphincter preserved surgical method and indication for low rectal cancer.methods 15 cases with low rectal cancer were operated with eversion and pull-through anus preserved colorectal anastomosis through anus.results no patients died of operation,no patients was with fistula and stricture of anastomosis,no defecation incontinence happened after postoperative 20 weeks,only one patient was with local recurrence.following up for 8 months to 5 years,5 cases were with distant metastasis,4 of these died,one of these had lived with liver metastasis for 3 years.conclusion the indication of anus preserved operation should be chosen according to clinical stage and biological characteristic of rectal malignancy; eversion and pull-through anus preserved colorectal anastomosis through anus is a better anus preserved operation for low rectal cancer.

目的 探讨低位直肠癌保留肛门括约肌功能的手术方法和手术适应证。方法对低位直肠癌经腹经肛门直结肠外翻拉出保留肛门吻合术15例。结果全组无手术死亡，未发生吻合口漏和吻合口狭窄，局部复发1例，20周左右恢复正常排便排气功能，无大便失禁病例。随访8个月～5年，5例为远处转移，死亡4例，其中1例肝转移3年仍生存。结论根据直肠癌的临床分期和肿瘤的生物学特性选择保肛手术适应证，经腹、肛门齿线上直肠癌根治性切除，行肛门直结肠外翻拉出吻合是低位直肠癌较好的保肛术式。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。