胃食管的

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。

"Radiologically guided insertion of the Entristar skin-level gastrostomy tube is a safe procedure in patients with ALS that allows the creation of a permanent feeding gastrostomy without the need for sedation or endoscopy," the authors write."The importance of a single-step procedure in patients with a terminal disease in whom quality of life needs to be optimized and hospital stay minimized must be emphasized.... The major technical problem with extending the service to other patient groups remains the tube length, which may be a more substantial problem over the longer term."

由於是以放射线的步骤作为插管时的引导，因此Entristar的皮层胃造口术管对於ALS患者是安全的，同时可以允许胃造口术管作为长久性的餵食装置，而不需要进行镇静剂处理或内视镜检视；研究人员Shaw指出，这种单一步骤的程序对於重病患者而言，可以提升患者的生活品质，减少住院的时间，这是必须强调的重点；就技术上而言，在将此技术延伸用到其他组的患者身上时，主要的问题就在於进食管的长度；而就长期观点来看，管子长度也是一个主要的问题。

My family comes to carried out 24h PH trends to monitor to 487 patients in all in May 2008 from August 2003, meticulous and considerate to intubate process executive enthusiasm, comprehensive nurse plan, obtained favorable result, sum up as follows now.

概要： 胃食管内24h pH动态监测为胃食管反流病的诊断提供了一种客观的方法，同时还有助于了解反流和体位、进餐、疼痛等的关系，并可观察药物的疗效。

This value was primarily used in choledochal cyst and biliary atresia for more than 100 cases, and also applielied to many other operations for perventing reflux, including: gastroesophageal refluk-Nissen fundoplication, colon replacement of esophagus, side to side shert-circuit of intestinal obstruction, and Kock scontinent ileoslomny.

此瓣原为治疗先天性胆总管囊肿及胆道闭锁，现在也用于其它防返流手术，如胃食管返流的Nissen胃底折迭术，结肠代食道，肠梗阻短路侧吻合，及可控性回肠造口。

Objective:Compare the operative results and incidence of dysphagia between the Nissen fundoplication and Toupet fundoplication.

目的：比较腹腔镜Nissen与Toupet胃底折叠术治疗胃食管反流性疾病的优缺点及其适应证。

Here is another varix near the gastroesophageal junction that is dark red black because it has been bleeding.

这是另一靠近食管-胃交界处的食管静脉曲张。曲张的静脉呈黑红色是因为已经发生了出血。

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。

Methods: The digestive tracts were reconstructed by the way of obliquing intussusceptive anastomosis and recycling gastric His angle in the surgery of 162 patients with cardiac cancer.

对162例贲门癌病人手术中采用斜行套叠再造胃底His角的胃食管吻合方式进行消化道重建。

Gastroesophageal oblique intussusceptive anastomosis and gastric His angle recycling in the operation of the gastroesophageal anastomosis play an important in the normal physiological state of the antireflux, but attention should be paid to the duodenum emptying in some patients.

斜行套叠再造胃底His角的胃食管吻合方式，在正常生理状态下具有较好的抗反流作用。但部分病人还应注意解决十二指肠的排空。

Obese people tend to have weaker sphincters, 33 and they more often develop a condition related to GERD called hiatal hernia, in which the upper part of the stomach protrudes above the diaphragm, resulting in a deformed LES.

32肥胖的人群往往较弱括约肌，有33个，他们更经常地制定有关条件要求裂孔疝胃食管反流病疝，其中上部凸出以上胃膈肌，导致变形辅导。

Fancy gold-plated dangling earrings with facetted White Opal crystals.

花式镀金悬垂耳环与facetted白欧泊水晶。

This essay chooses the study aim from biology teachers in middle school in Shi Jiazhuang which tells us that most of the middle school biology teachers in Shi Jiazhuang have the"burnout", lower successfulness, individualize.

本文选取石家庄市初中生物教师作为研究对象，运用问卷调查的方法对石家庄市初中生物教师职业倦怠的现状进行调查，调查结果发现，石家庄市初中生物教师这一群体普遍存在职业倦怠，情感枯竭程度偏高，成就感偏低，去个性化程度最为严重。