神经外膜

Enflurane combined with thoracic epidural anesthesia can decrease the sympathetic nervous activity,the balance of sympathetic and parasympathetic nervous activity and the total power of sympathetic and parasympathetic ner-vous system significantly;and it can also decrease the influ-ence of operation stimulation on autonomic nervous function and cardiovascular system significantly.

全麻复合胸段硬膜外阻滞可显著降低交感神经活性、交感/迷走均衡性和植物神经总张力；并显著降低手术刺激对自主神经功能及血流动力学的影响，利于机体血流动力学稳定。

Results: The aneshesia methods included general anesthesia (1 pateint), ketamine anaesthesia with midazolam premedication (16 patients), epidural anesthesia (59 patients), and brachial plexus block (13 patients).

结果：气管插管全麻1例，氯胺酮咪达唑仑静脉麻醉复合局部麻醉16例，硬膜外阻滞59例，臂丛神经阻滞13例。

Results. Clinical resolution of infections, normalization of lab values, and bony fusion, based on dynamic radiographs and CT scans, were seen in all patients at latest follow-up. Staphylococcus aureus was the most frequently identified organism (8 patients). Four (29%) patients had positive blood cultures. Predisposing comorbidities were present in 12 patients. Six patients had epidural abscesses. Eight (57%) patients presented with neurologic deficits, ranging from paraparesis to quadriplegia. Complete recovery was seen in 7.

结果：临床上炎症消失、实验室检查数据正常和骨融合由所用患者随访的动态平片和CT扫描结果决定。8名患者频发金葡球菌感染，4名（占29%）患者血培养出现耐甲氨西林金葡球菌阳性反应，12名患者出现并发症，6名患者出现硬膜外脓肿，8名患者出现从下肢轻瘫到四肢瘫痪的神经损伤，7名患者完全康复。

Methods:The key points of the operative procedure consist of identifying the parathyroids and protecting well its delicate vessels intact while performing the dissection,keep away also the recurrent laryngeal nerves using a meticulous technique of excapsular dissection Results:Of the180cases operated upon,none experienced postoperatively permanent numbness,tetany or horsiness.C...

作为合理整体综合治疗的先决步骤，其彻底性好。然而，此类手术自然要涉及甲状旁腺和喉返神经解剖，稍有不慎就会导致严重并发症。笔者根据国外经验，采用精细化被膜外血管分离方法(改良Halsted技术)实施上述操作，至

Waist leg pain and sciatic nerve are painful , receive because of waist leg muscle ligament, tendon membrane and nerve not proper besides put violence or have borne a heavy burdon for a long time, chill wet heat soaks to enter, make its organization tear to raid sprain , oppression or chronic strain, fiber venereal disease changes and agedness degraded venereal disease changes , bone hyperplasia makes its interverbebral disc outstanding, leg joint inflames , is injured position hyperemia, air Zhi blood Yu, oedema, inflammation and adhesion, and deliver spine nerve root and sciatic nerve to receive press pain.

腰腿痛和坐骨神经痛，多因腰腿肌肉韧带、筋膜和神经受不适当的外置暴力或负重过久，风寒湿热浸入，使其组织撕袭扭伤，压迫或慢性劳损，纤维性病变及老年性退化性病变，骨质增生，使其椎间盘突出，腿关节发炎，受伤部位充血，气滞血瘀，水肿，炎症及粘连，而致脊神经根、坐骨神经受压疼痛。

Methods The procedure used autologous disc of the rats from the coccygeal intervertebral discs to impose direct pressure to the L5 dorsal root to induce an animal model of lumbar disc herniation. After the epidural tube was inserted, early prophylactic therapy and late remedial dexamethasone therapy were conducted to observed the PWMT of both hind paws of the rats.

取大鼠自体尾部椎间盘组织置于L5神经根下，建立椎间盘突出动物模型，然后硬膜外置管，采用早期预防性给药及晚期治疗性给药方法，观察地塞米松对大鼠后足底机械刺激疼痛阈值的影响。

Wide separation of these layers has a dual benefit, as it allows visualization of the iliohypogastric nerve, and creates sufficient space for insertion of a wide sheet of mesh.

充分地游离腹外斜肌腱膜上下两叶有两个好处。第一，可以充分显露髂腹下神经；第二，可以创造足够的空间植入大块的网片。

Objective To evaluate the safety and effectiveness of CT-guided cervical interlaminar epidural steroid injection for the treatment of cervical radiculopathy.

目的 评价CT引导硬膜外皮质激素注射治疗神经根型颈椎病的安全性和疗效。

Results:The blood supply of medial arm cutaneous nerves origined from three cutaneous branch of intermuscular septa, which from superior ulnar collateral artery, brachial artery and inferior ulnar collateral artery.The mean diameters at the originated site were 1.0 mm, 0.6 mm and 0.7 mm.

结果：臂内侧皮神经的血供来自尺侧上副动脉肌间隔皮支、肱动脉肌间隔皮支和尺侧下副动脉肌间隔皮支，起始处外径分别为1.0 mm、0.6 mm和0.7 mm，穿出深筋膜前长为1.5 cm、1.1 cm和1.2 cm。

Methods The routine MR imaging was performed on 114 intradural extramedullary tumors with a 1.0 Tesla MR unit.Rank correlation and regression coefficent were analyzed for MR characteristics of neurilemmomas、neurofibromas and meningiomas.Dynamic spin-echo MR imaging was performed on 23 cases types of contrast enhancement ratio-time curves were analyzed.

使用1.0 Tesla MRI系统(Magnetom Impact，Siemens)对114例髓外硬膜下肿瘤进行常规扫描，对常见肿瘤(神经鞘瘤、神经纤维瘤、脊膜瘤)的MRI征象进行等级相关和回归系数分析，同时对23例肿瘤进行SE(200/15)序列动态增强扫描，分析CER-T曲线类型。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。