肺下的

objective to raise the level of regarding congnition,prevention,diagnosis and therapy on multiple organ dysfunction syndrome.methods report the process and correlative therapy on one case who occured with mods involving 6 organs after hemorrhagic shock lead to heartbeat and respiration stopping suddenly and resuscitated resulting in left nephrostome titanium nip falled off accidentally from left kidney lymphatic fastening.at the same time,the author reviewed correlative literature and introduce the investigative progress about mods.results one case who happened with mods following hemorrhagic shock,heartbeat and respiration stopped suddenly was diagnozed and resuscitaed.6 organ dysfuncted including brain,heart,lung,liver,kidney and the digestive system.after being given therapy integrated chinese and western medicines,allopathy and nutritional treatment,all circadian parameters of the case came back in gear and discharged at last.conclusion the mechanism about mods is very complicated.because of serious infection,hurt and oxygen-lack,excessive inflammatery reaction activates multifarious cell factors and inflammatery mediums,which improve the happen-rate of mods.wiping off pathogeny,providing life-sustain treatment and recognising sirs and mods in time and adopting corresponding therapy,such as treatment integrated chinese and western medicines,can improve the hit-rate of cure on mods.

作者：王静恩，蔡金芳，王志华，谢晓洪多器官功能障碍综合征；中西医结合；治疗；休克，出血性目的提高对多器官功能障碍综合征（multiple organ dysfunction syndrome，mods）的认识、预防、诊断、治疗水平。方法报告成功抢救1例经腹腔镜左肾淋巴管结扎手术后左肾静脉钛夹意外脱落失血性休克，导致心跳呼吸骤停复苏后再手术并发mods累及6个脏器功能衰竭过程及有关治疗，并复习相关文献，介绍目前关于mods的研究进展。结果确诊1例因失血性休克心跳呼吸骤停复苏后并发mods，累及脑、心、肺、肝、肾、血液、胃肠等6个脏器。经积极采取中西医结合对症、支持救治，各生理指标全部恢复正常，康复出院。结论 mods的发生机制非常复杂，在严重感染、创伤、缺氧等打击下，失控的过度炎症反应激活多种细胞因子和炎症介质的释放，使mods发生率升高。尽早去除病因，尽早给予各种生命支持治疗，尽早对可能发生全身炎症反应综合征、mods识别并给予干预治疗，包括中西医结合治疗能改善mods的救治成功率。

When the Achaeans were got together Achilles rose and said, Son of Atreus, surely it would have been better alike for both you and me, when we two were in such high anger about Briseis, surely it would have been better, had Diana's arrow slain her at the ships on the day when I took her after having sacked Lyrnessus.

" 其时，当阿开亚全军聚合完毕，捷足的阿基琉斯起身站在众人面前，喊道："阿特柔斯之子，说到底，你我的争吵究竟给我俩带来了什么好处？为了一个姑娘，你我大吵大闹，种下了痛心裂肺的怨仇。但愿在我攻破鲁耳奈索斯，把她抢获的那一天，阿耳忒弥丝一箭把她射倒，躺死在海船旁！

Mirthlessly and happily like the brave flower.I had been run into sadness,it was the songs that light up the hope i want you,it was the freedom that creat my aspiration to you,i would like to hold your hand,would like to flick away the sorrow in you face,and i will pick off my straw hat to you ,i would like to draw a deep breath of yoursmoke,eveb though it choked me.

我曾路遇悲伤，是歌声点燃了我追寻你的希望，是自由给了我对你的向往，我愿意牵着你的手，愿意为你拂去脸上的忧伤，还有草帽摘下，戴在你的头上，我愿意吸一口你嘴里的烟，即使它又从我的肺里呛了出来。

Mirthlessly and happily like the brave flower.I had been runinto sadness,it is the songs that light up the hope i want you,itis the freedom that creat my aspiration to you,i would like to holdyour hand,would like to flick away the sorrow in you face,and iwill pick off my straw hat to you ,i would liketo draw a deep breath of yoursmoke,eveb though it choked me.

我曾路遇悲伤，是歌声点燃了我追寻你的希望，是自由给了我对你的向往，我愿意牵着你的手，愿意为你拂去脸上的忧伤，还有草帽摘下，戴在你的头上，我愿意吸一口你嘴里的烟，即使它又从我的肺里呛了出来。

Through Liaoning Province Taian bills farmers first 35 suspected cases of classical swine fever diagnostic, recorded incidence of death from the process and will have a record of 11 symptoms, and so Autopsy examination step analysis, and later in the Shenyang Agricultural University Veterinary College pastoral guidance from the laboratory diagnosis, through production observation, classical swine fever virus onto the world body immune reaction, Enzyme linked immunosorbent assay testing, and made with Erysipelas ,Swine plague, Streptococcosis suis , and Mycoplasmal pneumomia of swine, Swine Toxoplasmosis , and ultimately determine the reasons for the cause of classical swine fever virus incidence.

本人通过对辽宁省台安县某农户的35头猪瘟疑似病例进行诊断，记录了从发病到死亡的过程，并且将所出现的症状一一记录，对死亡的猪挑选了3头进行剖检做近一步分析，对疑似病症进行分析排除。之后提取病料并保存，在沈阳农业大学畜牧兽医学院赵玉军教授的指导下进行了实验室诊断，通过涂片观察、猪瘟病毒兔体交互免疫反应、酶联免疫吸附实验，并做出了与猪丹毒、猪肺疫、猪气喘病、猪链球菌、弓形虫病的鉴别诊断，最终确定为此次引起发病的原因为猪瘟病毒。

Stress Ulcer indicates that the Superficial mucosal locates stomach、duodenum congests., debaucjeds and cankers acutely. SU usually occurs at the mucosal of gastric bottom and body. along with the development of pathological changes, SU can spread to gastric antrum 、 duodenum, e"en mucosal of oesophagus" s bottom, even presents emanatory focus. Su generally appears to the critical patient of central nerve system damnification severe wounds blood poisoning、 shock、 the functional debility of heart、 lung、 liver、 kidney etc or after the big operation. The occurrence rate of Su in intensive care unit reachs 60%, it is one of the hackneyed severe syndrome in ICU , and its death rate is relatively high.

应激性溃疡(Stress ulcer，SU)是指位于胃、十二指肠的急性表浅性粘膜充血、糜烂和溃疡，通常发生在胃底、胃体部粘膜，随着病变的发展，病变可扩展至胃窦、十二指肠，甚至食管下端粘膜，且呈现散发性病灶，该病多见于中枢神经系统损伤、严重创伤、败血症、休克、心肺肝肾等多器官功能衰竭及大手术后等危重病人，其在重症监护室的发生率达60%，是ICU中多见的严重并发症之一，并有较高的死亡率。

The results showed that nucleoplasmic viscosity of ASTC-a-1 cells and HeLa cells were respectively (2.55±0.61) cP and (2.04±0.49) cP at pH 7.4 and 37 ℃,consistent with the results by traditional methods,and nucleoplasmic viscosity was found to be larger than cytoplasmic viscosity.

结果表明：在pH 7.4以及37 ℃的条件下，人肺腺癌细胞(ASTC-a-1)和人宫颈癌细胞的核浆粘滞系数分别是(2.55±0.61)cP和(2.04±0.49)cP，与传统方法的测量结果一致，并且发现核浆粘滞系数大于细胞质的粘滞系数。

Methods:Using Japan Shimadzu 1250Ma CCD DSA X machine,4F RH or 4F YASHIRO catheter and 3F SP microcatheter were employed in superselective chemoembolization for feeding artery of lung cancer and the metastases tumor with rich blood feeding in lung with lipiodol and 2～3 species chemodrug.The period of repetitive treatment was 4～6weeks.After treatment,the change of the symptoms,images of neoplasm and the survival rates were observed.

材料与方法：在日本岛津1250MA CCD数字减影X光机的引导下，使用4F RH或4F YASHIRO超滑导管及3F超滑微导管实施超选择性肿瘤滋养动脉插管，以超液态碘油及2～3种化疗药物对临床及病理证实的原发性支气管肺癌、肺富血供性转移瘤灶实施完全性化疗栓塞，重复治疗间隔时间4～6周，术后随访观察临床症状的变化、肿瘤的影像学改变、生存率等。

With the help of cooperative companies, labor unions, management, and workers, we know that when any form of beryllium is milled, lathed, deburred, sanded, polished, or otherwise machined, it liberates micron- and submicron-sized particles that deposit deeply and invisibly in the lungs.

在能合作的公司、工会、管理人员和工人的帮助下，我们知道了，当任何形式的铍被铣过，用车床加工，除毛刺，砂打，抛光或用其他方式加工的时候，这个过程释放了微米和亚微米级的含铍粒子，无形地深深地沉积在肺中。

Measure the items on before and after the two courses of treatment respectively as follows:① Syndromes Investigation: to adopt the scoring methods of symptoms and signs with the certain standard scoring table of symptoms and classifying table of signs for the patients, on the day before and after the two courses of treatment respectively ,② Signs Investigation: the mucoma visibility, swelling or hyperemia conditions, or gloyp and polypoid change in the inferior and middle nasal conchas, nasal septum, etc with a nasal endoscope on the day before and after the two courses of treatment respectively,③ Test of the lung functiaon on the previous day before and after the two courses of treatment respectively.

治疗组在治疗前、两个疗程结束后分别进行以下项目的观察：①临床症状的评定：治疗前及两个疗程结束后当天对患者鼻塞、鼻痒、流涕、喷嚏症状的程度进行评分；②体征的评定：治疗前及两个疗程结束后当天采用鼻额镜肉眼观察患者下鼻甲鼻粘膜颜色、肿胀情况，及中鼻甲是否可见，有否息肉样变等；③治疗前及两个疗程结束后即刻予以检测肺功能。

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。