缝合

Methods:Ninetythree patients with root gangrenous perforative appendicitis were treated with laparoscopic appendectomy from Jun.2002 to Dec.2007,and the clinic data were summarized.When dealing with the appendical root,46 cases were used double Endoloop to ligate the appendical root or double titanium clips clipping,23 cases were directly used laparoscopic appendectomy to knot the appendical root,15 cases were used the interrupted suture appendectomy stump and fibrin glue coverage,9 cases of appendical remnant tissue were removed,covered with fibrin glue and placed silica drainge tube.

总结2002年1月至2007年12月应用LA治疗93例坏疽、化脓性阑尾炎合并穿孔患者的临床资料，术中处理阑尾根部时，使用 Endoloop阑尾根部双重套扎或双重钛夹夹闭46例，直接腹腔镜下丝线打结阑尾根部23例，间断缝合阑尾残端加医用生物蛋白胶覆盖15例，清除阑尾残余组织加医用生物蛋白胶覆盖残端，放置硅胶引流管9例。

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属下的江门共盈钢结构厂、新会共盈机械厂等，面积超过2万平方米，拥有H钢自动埋弧焊接生产线、AV-475型360°度回卷双锁缝合屋面板现场轧制机等专业设备，主要为客户提供钢铁类的建筑构配件、工业设施和产品配套加工服务，包括钢结构、集装箱旅游组合屋的设计、生产加工、安装施工、翻新保养，及金属构配件、夹层平台、塔架、天车梁、H钢、T钢等的订造、加工、出口。

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经典迪士尼bambi小飞象交叉缝合模式经典迪士尼bambi小飞象跨缝。。。

The third surgery was a duodenostomy because there were many perforations in the duodenum as a result of ulceration, which attributed to the bleeding.

第三次手术是小肠切除手术，由于小肠上发生了溃疡致使小肠穿孔，手术切除了约70厘米长的小肠，然后把小肠缝合。

The main problems that the patient suffered from are: 1. The dejecta is leaked to vagina for unknown reason; 2. The break happened in the suture the fifth day after the 3rd duodenostomy surgery, and therefore, the dejecta is out from here instead of the ostomy tube made in the 2nd surgery; 3. A 15-centimeter-long wound by the surgery does not heal for a long time. All these problems could not be solved for a long time. For these reasons, the patient has already suffered from these and stayed in bed for nearly 3 months.

病人现在的主要问题是：一是阴道内出大便，二是第三次手术小肠缝合处在第五天接口崩开，现所有大便从小肠漏口排出，而原直肠造漏口不再有大便排出，三是腹部长约15公分手术刀口一直开敞而不愈合，国内的医生对病人的病情没有解决办法，致使病人已经卧床将近3个月不能下床，每天遭受着病痛的折磨，过着地狱般的生活。

Oversewn suture ligation of the bleeder by duodenotomy successfully treated the patient.

所以，病人接受紧急开腹手术，做十二指肠切开术，在出血点处做缝合结扎手术而成功的治疗。

Methods Seventeen cases of open skull fracture were selected(8 cases of 3-4cm defective area,6 cases of 5-6cm and 3 cases of 7-8cm),under only one routine debriedement all cases were used with DHDM 2-6g according to the range of defective area and mixed with smashed bone pieces grinding into 3-5mm in diameter,scattered it on the dure mater surface then skin flap was overlapped and sutured in layers.

方法对17例开放性颅骨骨折病例(伤后24小时内)常规清创处理，同时将创伤区粉碎之颅骨用骨钳咬碎成3～5mm颗粒，与制备好的脱钙人牙基质2～6g均匀混合，平铺在颅骨缺损区的硬脑膜上，覆盖头皮，分层缝合。

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However ,there was no significant difference between ECCE group and PHACO group.

讨论］ 无缝合囊外摘除术是治疗硬核性白内障的有效方法。

DISCUSSION The non suture ECCE is effective method nucleus cataract.

讨论］ 无缝合囊外摘除术是治疗硬核性白内障的有效方法。

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。