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objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术,围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗;术后硬膜外镇痛、早期锻炼、保持呼吸道通畅,部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降,6例出现肺部感染,6例行纤维支气管镜吸痰,2例通过气管插管给予呼吸机支持,2例行气管切开术,1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证,积极的术前准备和严格的术后管理可减少和控制术后急性发作,有助于确保此类病人的围手术期安全和康复。

The best extraction condition is 1︰45, pH1.5 HCl, 30℃, 0.5 hours. The pigment produced by this method is purple power. The absorption and disorption of the pigment Lycium ruthenicum Murr. with 001×7 sia are studied.

确定黑果枸杞色素的最佳提取工艺条件为以pH1.5的盐酸水溶液作浸提剂,提取温度为30℃,提取时间0.5 h,固液比1︰45时制取的色素产品色泽鲜丽,外观呈紫红色,品质优良。

To observe the efficacy and safety of 1% Terbinafine Hydrochloride Cream in the treatment of superficial mycosis.

目的 观察1%盐酸特比萘芬乳膏治疗浅部真菌病的疗效及安全性。

METHO_DS:142 cases of pediatric sinusitis were randomly divided into 3 groups.The treatment group were treated with Sinupret;control group 1 were treated with Ambroxol and control group 2 were treated with Myrtol.

方法142例患儿随机分为治疗组、对照1组、对照2组,分别口服仙璐贝滴剂、盐酸氨溴索片、标准桃金娘油肠溶胶囊,均连服7d后观察3组临床疗效及不良反应发生情况。

The surface morphology of the nacreous layer on different parts of Pteria Penguin and blister pearl from Sanya, Hainan Province, are observed directly by using environmental scanning electron microscope .

采用环境扫描电子显微镜和高分辨透射电镜对海南三亚企鹅贝及其附壳珍珠不同部位的结构特征进行研究,并配合稀盐酸0。

A rapid and sensitive flow-injection spectrophotometric method was proposed for the determination of metoclopramide. This method was based on the diazotisation of metoclopramide with sodium nitrite in acidic medium and coupling with α-naphthylamine.

基于在盐酸介质中,利用甲氧氯普胺一亚硝酸钠-α-萘胺的重氮化-偶合反应,建立了流动注射光度法测定甲氧氯普胺的新方法。

Objective: To observe the effect of azelastine hydrochloride and fluticasone propionate nasal spray in treatment of allergic rhinitis.

目的:观察鼻用盐酸氮卓斯汀和丙酸氟替卡松单独应用及联合应用治疗变应性鼻炎的疗效。

Objective: To explore the protective effect of Phyllanthus urinaria extraction on cytoskeleton vimentin disrupted by nitrogen mustard (NH2) in spermatogenic epithelium in vivo.

目的:研究叶下珠植物提取物对盐酸氮芥(NH2)损伤睾丸生精上皮细胞骨架中间丝波形蛋白的保护作用。

Methods Thirey-two patients treated by a regimen of Dexamethasone, Nitrogen Mustard Defibrase and Chinese medicine were not complete remission yet. These patients in remission period were applied Chlorambucil to and observed the prognosis and the drug side reaction.

32例接受正规中西医结合"四联"疗法(地塞米松、盐酸氮芥、降纤酶、本院中药制剂)后病情仍有反复的患者,在原治疗基础上于病情缓解期口服苯丁酸氮芥,临床观察病情转归情况和服药后的副作用。

Hydrogen nitrate powder acidizing is to mix solid hydrogen nitrate powder and hydrochloric acid in certain proportions to generate strong oxidizing nitrosyl chloride, which can violently and locally dissolve rock and blocked material without destroying formation structure, to make through oil path and improve formation permeability.

硝酸粉末酸化工艺技术,是利用固体硝酸粉末与盐酸以一定的比例混合后,生成氧化能力很强的氯化亚硝酰。

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According to the clear water experiment, aeration performance of the new equipment is good with high total oxygen transfer coefficient and oxygen utilization ratio.

曝气设备的动力效率在叶轮转速为120rpm~150rpm时取得最大值,此时氧利用率和充氧能力也具有较高值。

The environmental stability of that world - including its crushing pressures and icy darkness - means that some of its most famous inhabitants have survived for eons as evolutionary throwbacks, their bodies undergoing little change.

稳定的海底环境─包括能把人压扁的压力和冰冷的黑暗─意谓海底某些最知名的栖居生物已以演化返祖的样态活了万世,形体几无变化。

When I was in school, the rabbi explained everythingin the Bible two different ways.

当我上学的时候,老师解释《圣经》用两种不同的方法。