突升

Abstinence 6 hours of above. 1.2 spile method introduces recorder of the Digitrapper MDIII of Swedish CTD company, MDII PH, use vessel of small electrode of single crystal antimony, use standard amortize liquid first corrective PH value, the patient takes upright seat, cleanness is wet and rhinal, with lube before wet conduit paragraph, nasal cavity of a side of light firm will tracheal edge is inserted to pitch of head of patient of the enjoin when 15cm is controlled, make under the forehead stands by pectoral wall, in order to increase the radian of pharynx ministry passageway, make conduit is entered not easily by accident tracheal, and its do enjoin deglutition movement, slow guide conduit stomach, right now PH shows 1~2 is controlled, again will tracheal slow take out, when PH the value comes by .0 jump 5 when, judgement is ministry of gastric esophagus join , drag electrode 5cm to secure again with this.

禁食6小时以上。1.2插管方法采用瑞典CTD公司的Digitrapper MDIII、MDII型pH记录仪，应用单晶锑微电极导管，先用标准缓冲液校正pH值，患者取端坐位，清洁湿润鼻腔，用润滑油湿润导管前段，轻稳将导管沿一侧鼻腔插至15cm左右时嘱患者头部前倾，使之下额靠近胸壁，以加大咽部通道的弧度，使导管不易误入气管，并嘱其做吞咽动作，并缓慢将导管导入胃，此时pH显示1~2左右，再将导管缓慢抽出，当pH值由。0突升至5.0时，判定为胃食管连接部，以此将电极再拽5cm固定。

Objective To analysis the complications caused by technique of intraoral Sagittal Split Ramus Osteotomy for correction of mandibular prognathism and how to prevent them from occurring.

目的：探讨应用下颌升支矢状劈开截骨术矫治下颌前突并发症的原因及预防措施。

Methods From January 1997 to January 2005, 95 patients suffering from mandibular prognathism or accompanied by other deformities have been operated on by technique of intraoral SSRO in our hospital were studied.

对1997年1月～2005年1月于我院采用下颌升支矢状劈开截骨术矫正的下颌前突及下颌前突合并其他部位畸形患者95例术后并发症进行回顾性分析。

The operation procedures include amputation of the mandibular ramus of the affected side, shaking and fracturing of the affected condyloid process, exsomation and reshaping it, reduction and reconstruction of the TMJ.

手术是作下颌骨患侧的升枝部截断，再将病变的髁状突摇摆松动折断，摘下离体进行修整成形后，再予以复位重建关节。

It cound not draw a conclusion with the effect of coronoid process bone graft and reverse bone graft of posterior border of ascending ramus because of the lack of cases.

喙突移植和升支后缘倒置关节成形术的疗效有待进一步研究。

Results:Fractures in body,angle and ascending branch of mandible could be showed fine by all these imaging methods. 3D-CT was better than 2D-CT and conventional X-ray plain film in diagnosis of fractures in condyle and coronoid process. Conventional X-ray plain film was poor in diagnosis of the maxillary fractures.2D-CT and 3D-CT were similar in diagnosis of the maxillary fractures.3D-CT showed the jaws fractures directly and stereoscopicly.

结果：对于下颌骨体部、角部和升支骨折，三种影像学都能很好的显示，对于髁状突和喙突骨折，三维CT检查优于常规X线和二维CT；常规X线显示上颌骨骨折较差，而二维CT和三维CT显示的准确性比较接近。

Results; Facial width was correlated to most of craniofacial width; basal bone of maxilla was adapted to facial type; nasal width was related to craniofacial width in high-angle subjects; condyle width was related to adjacent structures; gonial width was related to condyle width.

结果：高低角骨面型中面宽与整个颅面部横向发育关系都较密切；上颌基骨宽度与面型协调一致；高角骨面型鼻宽受整个颅面宽度的影响较大；下颌升支上下部分的宽度是相互关联的，髁突的宽度与邻近骨骼的宽度有关。

However, the water quality simulation results by CE-QUAL-W2 model revealed that the hydrologically induced density currents in winter together with the external loads of P were the main cause of the surface water quality deterioration, even though the bottom water carrying abundant P internal loads might be lifted to the middle layer by the water momentum force by the density current.

然而以CE-QUAL-W2二维水理水质模式模拟结果，翡翠水库年初表水总磷浓度突增主要是受到冬季冷水密度流造成的水体抬升及前一年停留在中层水之磷外部负荷联合贡献结果，相对地磷内部负荷虽可被抬升至中层水处，对表水的贡献有限。

However, the water quality simulation results by CE-QUAL-W2 model revealed that the hydrologically induced density currents in winter together with the external loads of P were the main cause of the surface water quality deterioration, even though the bottom water carrying abundant P internal loads might be lifted to the middle layer by the water momentum force by the density current.

模拟之底泥溶解总磷负荷和溶解总磷外部负荷相当。然而以CE-QUAL-W2二维水理水质模式模拟结果，翡翠水库年初表水总磷浓度突增主要是受到冬季冷水密度流造成的水体抬升及前一年停留在中层水之磷外部负荷联合贡献结果，相对地磷内部负荷虽可被抬升至中层水处，对表水的贡献有限。

As a side note, i recently took a drive to a nearby city, about 500 km away and 4800ft of change in elevation...on the way "up" theres a sudden change in elevation for about 100 km but maybe 3000ft elev....i was in a hurry and i was at full throttle almost for the entire trip, and when i reached that steep incline, the rogue slowed down from 150kmph to 120 kmph, even if i had the pedal to the floor, it wont go faster...only after a 45 minutes period of 120kmph it started gaining speed again but didnt reach the 170kmph as i have seen before...when driving back there was no problem at all, even when i was again at full throttle most of the time...both times i was the only occupant of the vehicle on daytime driving and straightways about 50 km long...

附带注记一下。最近我开车到附近的一个城市，路上大约 500 公里远，在约 100 公里内的爬升 4800ft海拔的突升变化，但也许 3000ft 海拔。。。。我是匆忙以及我是在几乎为在整个的旅途的完整节流，我到达该陡峭的斜坡，rogue 速度开始下降，从 150 kmph 到 120 kmph，即使我将油门脚踏它到底，它并没走得更快。。。持续45 分钟内只保持在 120 kmph 然后它开始再次获得速度，但没有达到 170 的 kmph，正如我之前所曾见。。。驾驶回程时始终没有问题，甚至当我再次在完整的节流大部分时间。。。来回程我是该车辆的唯一乘员，白天驾驶及直线路约 50 公里长。。。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失