瘘

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。

Objective: To evaluate how fistulation affect the renal blood flow in hydronephrotic patients by color Doppler. To explore the clinical significance of recovering renal function.

目的：采用彩色多普勒超声评价肾积水穿刺造瘘术对肾血流灌注变化的影响，探讨肾功能可复性的临床价值。

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。

Results The 47 cases etiologies of various hepatic perfusion disorders were classified: arterioportal fistulae in 9 cases, inflammatory hyperemic changes in 8 cases, portal venous inflow and hepatic venous outflow obstruction in 13 cases, steal phenomenon by tumors in 4 cases, aberr...

结果47例肝脏灌注异常，有以下几种情况：肝动脉门静脉瘘9例，炎症性充血8例，门静脉、肝静脉阻塞13例，肿瘤盗血现象4例，肝脏迷走血供2例和其它原因1例。结论多层螺旋CT三期增强扫描是评价肝脏异常灌注的有效方法。

Methods A total of 95 patients with clinically suspected complex fistula-in-ano underwent preoperative digital examination and MRI with hyponome in rectum and phased array coils.

方法应用直肠腔内水囊结合相控阵线圈，对95例临床诊断为复杂性肛瘘的患者，术前进行MRI检查。

Hyponome in rectum helps to show the institutional framework around the focus and improve the image to study contrast ratio.

应用直肠腔内水囊结合相控阵线圈的MRI检查方法，能准确定位复杂性肛瘘的内口、瘘管的走向及其与肛管直肠括约肌复合体之间的复杂关系，有利于显示病灶周围组织结构和提高影像学对比度。

Objective To prospectively evaluate the usefulness of magnetic resonance imagingwith hyponome in rectum and phased array coils for the diagnosis of complex fistula-in-ano.

目的 探讨直肠腔内水囊结合相控阵线圈在复杂性肛瘘MRI检查中的应用价值。

Enteral feeding by catheter nutritional jejunostomy in patients undergoing total gastrectomy is safe, effective and less expensive.

全胃切除术患者术中放置导管式营养性空肠造瘘是安全、有效和廉价的营养支持途径。

Because the withdrawn bowel loops were purple, jejunostomy was performed without resection.

因为复位后的小肠呈紫色，所以没有行切除术，而做了空肠造瘘术。

The application of clotting drug is one of the important factors for recovery of transplanted pancreatic function. Jejunostomy is an important therapeutic measure to prevent the reflux of intestinal juice to the transplanted pancreas in perioperative period. In the follow-up period cathartic drugs are recommended to prevent constipation and reduce the occurrence of acute pancreatitis caused by intestinal fluid reflux.

凝血药物的应用是移植胰腺功能恢复的重要因素之一，空肠造瘘是围手术期预防肠液向移植胰腺返流的重要治疗措施，且移植后随访期建议应用通便药物，预防便秘发生，减少肠液返流引起的急性胰腺炎的发生。

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