胃

Objective: This study aimed to evaluate Bupleurum Powder treating Ganwei not type and gastroesophageal reflux diseaseeffect.

目的：本研究旨在评价柴胡疏肝散加减治疗肝胃不和型胃食管反流病疗效。

The experiment two: enzyme preparation significantly improved average daily gainand feed conversion ratio (P＜0.05). Enzyme preparation significantly increased energymetabolizability and digestibility of crude fiber, crude protein and neutral detergent fiber,but had no remarkable effect on digestibility of dry matter, crude fat and acid detergentfiber. Enzyme preparation significantly decreased the relative viscosity of duodenal andjejunal digesta. The pH of intestine had no noticed difference in all groups. Enzymepreparation significantly decreased relative weight of gizzard, proventficulus, duodenum,jejunum and ileum. Enzyme preparation significantly increased villus size of duodenumand jejunum, and villus to crypt ratio of duodenum and ileum significantly increased too.Enzyme preparation considerably decreased ileal crypt height (P＜0.05), and didn"t affectthickness of intestinal wall. Supplementing enzyme preparation, the serum glucose, totalprotein and alanine aminotransferase, but enzyme preparation hadn"t noticed influenceupon uric acid, total cholesterol, triglyceride and high-density lipoproteins. Enzymepreparation significantly increased insulin, triiodothyronine and insulin-like growthfactor-Ⅰ. Adding enzyme preparation, the percentage of thyroid stimulating hormone andgrowth hormone in the serum increased 16.44%, 19.18% and 18.84%, 21.74%respectively, and the percentage of glucagon and thyroxine decreased 12.07%, 14.36% and 13.79%, 15.40%, but failed to reach statistical significance (P＞0.05). Enzymepreparation significantly increased (P＜0.05) the trypsin and amylase activity of duodenaland jejunal digesta, but enzyme preparation didnt affect significantly (P＞0.05) theintestinal lipase activity and pancreatic digestive enzyme. Enzyme preparation had nosignificant effect on caecal microbial population.

试验二：酶制剂显著提高平均日增重和饲料转化率(P＜0.05)；酶制剂显著提高能量代谢率及粗纤维、粗蛋白、中性洗涤纤维消化率(P＜0.05)，而对干物质、粗脂肪、酸性洗涤纤维消化率影响不显著；酶制剂显著降低十二指肠和空肠食糜相对粘度(P＜0.05)；添加酶制剂对肠道pH影响不显著；酶制剂显著降低肌胃、腺胃、十二指肠、空肠、回肠相对重(P＜0.05)，显著提高十二指肠和空肠绒毛高度，显著增加十二指肠和回肠绒毛高度／隐窝深度，降低回肠隐窝深度(P＜0.05)，对肠壁厚度影响不显著；酶制剂显著提高血清葡萄糖、总蛋白和谷丙转氨酶浓度(P＜0.05)，对尿酸、总胆固醇、甘油三酯及高密度脂蛋白浓度影响不显著，显著提高胰岛素、T_3、IGF-Ⅰ水平，添加酶制剂后，促甲状腺激素、生长激素分别提高16.44％、19.18％和18.84％、21.74％，胰高血糖素和T_4分别降低12.07％、14.36％和13.79％、15.40％，但差异不显著；酶制剂对胰腺消化酶活性影响不显著，显著增加十二指肠和空肠胰蛋白酶、淀粉酶活性，对小肠脂肪酶活性影响不显著；酶制剂对盲肠微生物菌落数影响不显著。

Four steers weighted 420,aged 2.5 ~ 3,fitted with permanent cannulate in the rumen,were used in 4×4 Latin square design experiment to determine the effect of different selenium sources(natrium selenite and rumen by-pass selenium) and concentration (0、 0.3 、 0.6、 0.9mg/kg) on nutrients metabolism in rumen.

选用4头体重420kg±20kg，装有永久性瘤胃瘘管的2.5～3岁阉牛，按4×4拉丁方设计，在1.3倍维持需要下，喂以3kg混合精料和6kg玉米秸秆，研究日粮中添加不同硒源不同水平(0mg/kg、0.3mg/kg、0.6mg/kg、0.9mg/kg)对瘤胃营养物质代谢的影响。

Methods Twenty two patients with cardiac cancer were 24?hour gastroesophageal pH monitored and measured index of duodenogastric reflux before and post cardiectomy.

方法对22例贲门癌患者进行了围手术期胃食管24 h监测pH值和十二指肠胃反流积分的测定。

EGG, as a non-impair examination of Gastric motility, is useful to diagnosis and researches of therapeutic effect in FD children. Complex caryophyllus could improve clinical symptom of FD children and decrease incidences of bradygastria .

EGG作为一种无创性胃动力检查方法，可用于儿童FD的诊断、疗效及研究工作，复方丁香开胃贴透皮外用治疗FD患儿，可以改善其临床症状及减少过缓胃电节律。

Results:The clinical manifestation of postoperative gastroparesis was abdominal distention,vomit,no obvious celiodynia and normal gas discharge by anus in majority patients,weak enterocinsia was shown by barium meal X-ray of alimentary canal opacification,and unobstructed anastomotic stoma shown by gastroscopy.52 patients relieved from gastrointestinal decompression,nutrition support,water-electrolyte metabolism balance,gastrointestinal motility medicine and combined integrated traditional chinese medicine and western medicien treament.

结果：术后胃瘫的临床表现主要为腹胀、呕吐、无明显腹痛，大多数患者排气正常，消化道X-ray钡餐造影提示胃蠕动差，胃镜检查吻合口通畅。52例患者进行胃肠减压、营养支持、维持水电解质代谢平衡治疗，并应用促进胃肠蠕动的药物及中西医结合治疗等非手术治疗后，均缓解。

After two weeks take the blood serum through centrifugalization the blood obtained from mice,and determine the antibody production level in serum with ELISA compared with standard serum.

采用决明子20%水煎提取液分别给小鼠进行口服灌胃及腹腔内注射，同时设立对照组，采用生理盐水分别给小鼠进行口服灌胃及腹腔内注射。2周后取小鼠血离心后取血清，用ELISA法测定血清中抗体产生的水平，并用标准血清进行对照。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%（15/28），手术切除率为71.4%（20/28），单纯胆囊切除术6例（占21.4%），胆囊切除+总胆管探查4例（占14.3%），胆囊切除+区域淋巴结清扫2例（占7.1%），胆囊+肝楔状切除+区域淋巴结清扫6例（占21.4%），胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例（占3.6%），胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例（占3.6%），未切除率为28.6%，胃-空肠吻合术2例（占7.1%），胆囊造瘘1例（占3.6%），仅做剖腹探查术5例（占17.9%）。

Objective\ To find out a good method to reduce or eliminate the chylothorax after resection of esophageal carcinoma.

目的 寻找减少或消除食管癌切除术后乳糜胸发生率的有效方法。方法随机选取 45例食管癌患者，在食管癌切除加胃食管残端吻合时，一期行预防性低位胸导管结扎术(第 8胸椎水平以下)；另 92例作对照组，仅做食管癌切除加胃-食管残端吻合术。

If the cribriform plate is fractured or a fracture is suspected, the gastric tube should be inserted orally to prevent intracranial passage.

如果存在或怀疑筛状板损伤，应经口留置胃管，以防胃管误插入颅腔。

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。