瘘管

Coronary artery bypass graft, Off-pump coronary artery bypass or minimally invasive direct coronary artery bypass were utilized to correct the myocardial bridging and coronary artery aneurysm. Reimplantation of the anomalous orifice of coronary artery and Takauchi procedure were used to repair coronary artery anomalous origin from pulmonary artery.

其中冠状动脉起源于肺动脉手术采用冠脉开口移位于主动脉1例，Takauchi手术1例；冠状动脉瘘体外循环下修补6例、冠状动脉下瘘口切线缝扎1例，非体外循环下左前降支－肺动脉之间瘘管结扎1例；左前降支心肌桥行MIDCAB 4例，OPCAB 8例，体外循环下行心肌桥松解术2例；冠状动脉瘤采用体外循环下CABG术2例，OPCAB 8例，其中冠状动脉瘤成形术1例，冠状动脉瘤切除术1例。

Four 20kg six-month old goats with permanent remen cannula were used to study the effect of three kinds of urease inhibitors acetohydroxamic acid, hydroquinone, yucca extract on nitrogen metabolism, nutrient degradability in rumen and nutrient digestibility.

本研究由4个试验组成，选用安装永久瘘管的6月龄山羊4只，采用4×4拉丁方试验设计，分别饲喂对照组饲粮、乙酰氧肟酸25mg／kg饲粮、丝兰皂甙36mg／kg饲粮、对苯二酚40mg／kg饲粮。

This paper studied the dynamic pattern of nutrient components of cluster leaf rosinweed at different growth periods.

测定串叶松香草在叶丛期、抽苔期、开花期和成熟期的营养成分含量，同时选择装有永久性瘤胃瘘管的小尾寒羊与杜泊羊杂交一代羊6只，测定各生育期常规营养的瘤胃降解动态。

Experiment 2: To choose the appropriate dosage of tannins for the diets in sheep, three High Mountain Fine-wool wethers fitted with permanent rumen fistula were used and the 3 ×3 Latin square design were adopted to study the effects of tannins in Sainfoin on protein protection of the diets, measured items included the rumen metabolic parameters, the appatent digestion of all nutrients and the appatent retention of N in sheep.

试验二：选用3 只安装有永久性瘤胃瘘管的高山细毛羊羯羊，采用3×3 无重复拉丁方试验设计，研究红豆草中单宁对饲粮蛋白质保护的效果，测定项目有绵羊瘤胃代谢参数和饲粮各种养分的消化率与氮存留率，以期初步筛选出绵羊饲粮中适宜的单宁用量，为提高蛋白质饲料的有效利用提供依据。

And at both the lateral semicircular canal and superior semicircular canal in 2 ears.

外半规管和上半规管同时有瘘管2耳。

Results Among 12 cases, there were 5 male and 7 female cases, and age ranged from 14 to 56 years old. Six patients had the history of delayed defecation. Two cases were misdiagnosed as sigmoid torsion and 6 cases were admitted as acute intestinal obstruction. Colostomy was performed first in 7 cases. Surgical procedures included Swenson operation in 3, Duhamel in 2, Rehbein in 3, Soave operation in one and stapler anastamosis in 2 cases.

结果 男5例，女7例，年龄14～56岁，6例有胎粪排出延迟病史，2例误诊为乙状结肠扭转，6例诊断为急性肠梗阻，其中7例行结肠造瘘，3例行Swenson手术，2例行Duhamel手术；3例行Rehbein手术；1例行Soave手术；外院术后复发2例，Swenson手术1例术后出现骶前感染肛周瘘管，余术后排便功能良好。

Six patients had the history of delayed defecation. two cases were misdiagnosed as sigmoid torsion and 6 cases were admitted as acute intestinal obstruction. colostomy was performed first in 7 cases. surgical procedures included swenson operation in 3, duhamel in 2, rehbein in 3, soave operation in one and stapler anastamosis in 2 cases. presacral infection and perianal fistula occurred in one case with swenson operation.

结果 男5例，女7例，年龄14～56岁，6例有胎粪排出延迟病史，2例误诊为乙状结肠扭转，6例诊断为急性肠梗阻，其中7例行结肠造瘘，3例行swenson手术，2例行duhamel手术；3例行rehbein手术；1例行soave手术；外院术后复发2例，swenson手术1例术后出现骶前感染肛周瘘管，余术后排便功能良好。

Objective : To guide self-nursing to the patients with continent bladder stoma for a long-term by using the method of health education.

目的：通过健康的方式，指导患者自我护理其随身系带的膀胱造瘘管。

The results showed that supplying lysine coated with the polyoxylateⅣand hydrogenated vegetable tallow in the rumen could significantly improve the concentration of plasma free lysine in the jugular vein (11.18ug/ml)(P＜0.05), which is about 66.61% of that with duodenal infusions of lysine(16.97ug/ml). The concentrations of free lysine were 7.31ug/ml and 8.00ug/ml with the basal diets and supplementing of Lys in the rumen respectively.

选用4头瘘管肉牛，采用4×4拉丁方设计，结果表明，瘤胃补充用丙烯酸树脂Ⅳ号和氢化植物油保护的赖氨酸26g(15g赖氨酸)，可显著提高肉牛血浆游离赖氨酸浓度(11.18ug／ml)，为十二指肠灌注15g赖氨酸(16.97ug／ml)的66.61％，基础日粮和瘤胃补充15g赖氨酸血浆游离赖氨酸浓度分别为7.31ug／ml，8.00ug／ml。

Only with the help of the X-ray check can a correct diagnosis be made to make clear the relationship between the infected tooth and the fistula.

必须通过X线检查结合临床方面反复检查验证找出瘘管口与患牙的关系，才能做出正确诊断以达治疗成功。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。