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胸骨

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Introduce the needle into the center of the triangle formed by the two lower heads of the sternomastoid and the clavicle, aiming toward s the ipsilateral nipple.

在胸锁乳突肌下两头(胸锁乳突肌下端有两个起点,分别起自胸骨柄前面和锁骨的胸骨端,译者注)和锁骨形成的三角中心处进针,穿向同侧乳头方向。

Perforated, compression molded foam back panel with airflow channels Dual density, yokestyle shoulder harness with airmesh Sternum strap with Safe-T whistle Stowable hipbelt Hydration compatible Internal organizer Front stash pocket X-bungee Light loop Rain cover Reflective hits Side water-bottle pockets Molded back panel with breathable mesh BackSaver bottom panel Top-access dedicated laptop pocket with elastic compression Padded bottom power-cord pocket Front electronics organizer with hanging pocket and audio port Large main compartment Mesh water-bottle pockets Small mesh pocket on shoulder strap Bottom compression Tuck-away hipbelt Front daisy chain with Hypalon reinforcement Safe-T whistle on sternum strap

穿孔, 压缩铸造了泡沫后面盘区以气流渠道双重密度, yokestyle 肩膀鞔具以airmesh 胸骨皮带以安全T 口哨 Stowable hipbelt 水合作用兼容内部组织者前面藏匿处口袋 X 橡皮筋轻的圈雨盖子反射性命中旁边水瓶口袋被铸造的盘区以适于吸入的滤网 BackSaver 底下盘区上面通入热忱的膝上计算机口袋以有弹性压缩被填塞的底下力量绳子口袋前面电子组织者以垂悬口袋和音像口岸大主要隔间滤网水瓶口袋小滤网口袋在肩带底下压缩卷起hipbelt 朝向雏菊链以Hypalon 增强安全T 口哨在胸骨皮带

Investigation section:Left ventricular long axis,Large-artery short axis,Four cavity heart[Beside sternum,apex of heart,examine arch of aorta in Suprasternal Fossa prorenata].

探查切面:左室长轴、大动脉短轴、四腔心(胸骨旁、心尖,必要时胸骨上窝探查主动脉弓)。

3 patients were all treated with nuss procedure, which were performed under general anesthesia with endotracheal intubation. a transverse incision was made in each lateral chest wall and a steel bar was passed under the sternum from the right thoracic cavity under thoracoscope, then the bar was turned over to raise the sternum to the normal position.

3例患儿均应用nuss手术治疗,即在胸腔镜下将塑形矫正板由一侧胸腔经胸骨后心包裸区穿至对侧胸腔,翻转后固定于对侧胸骨

Result:①out of 25 patients,17 exhibited myeloma-related bone lesions on radionuclide imaging,the positive rate was 68.0%,ribs and spine were involved most frequently,162 lesions showed high uptake of radionuclide,the lesions lied in ribs appeared as strings of pearls,and those in sternums and vertebrae showed linear high uptake,the other 4 showed decreased radionuclide uptake.②the positive rate on radiography was 68.0%(17/25),which was the same as that on radionuclide imaging,the patterns were osteoporosis,pathological fracture,osteolysis or two or two and above of these appearances, radiography detected more abnormalities than radionuclide imaging in identical sites(162 versus 144),but radionuclide imaging detected more lesions than radiography in ribs and sternums.

结果:①25例患者中,骨显像异常17例,阳性率68.0%,肋骨、脊柱最常受累,162处病灶表现为异常放射性聚集,其中,肋骨病灶呈串珠样,胸骨及椎体病变呈扁平状或线状,4处表现为异常放射性减低;②x线片阳性率68.0%(17/25例),与骨显像相同,主要表现为骨质疏松、病理性骨折、骨破坏或呈混合性改变,共同检测的部位中,x线片检出的病灶总数较骨显像多(162和144),但骨显像检出肋骨和胸骨病灶较x线片多。

The positive rate on radiography was 68.0%(17/25),which was the same as that on radionuclide imaging,the patterns were osteoporosis,pathological fracture,osteolysis or two or two and above of these appearances, radiography detected more abnormalities than radionuclide imaging in identical sites(162 versus 144),but radionuclide imaging detected more lesions than radiography in ribs and sternums.

结果:①25例患者中,骨显像异常17例,阳性率68.0%,肋骨、脊柱最常受累,162处病灶表现为异常放射性聚集,其中,肋骨病灶呈串珠样,胸骨及椎体病变呈扁平状或线状,4处表现为异常放射性减低;②X线片阳性率68.0%(17/25例),与骨显像相同,主要表现为骨质疏松、病理性骨折、骨破坏或呈混合性改变,共同检测的部位中,X线片检出的病灶总数较骨显像多(162和144),但骨显像检出肋骨和胸骨病灶较X线片多。

The ribs hang off the spine and support the huge shield-shaped breastbone , or sternum .

肋骨挂起关闭脊椎和支持大型的盾形胸骨胸骨

DTI is a noninvasive approach to measure PWT and PWV. PWV from the estimated value of the length of artery is precise by using 1 cm+double values of length from angle of sternum to inferior border of body of sternum.

DTI法可做为无创测量PWT方法,选用胸骨角至胸骨体下缘长度2倍加1 cm做为主动脉段长度估计值测得的PWV值是准确可用的。

The sternal fracture is a severe lifethreatening injury,and attention should be paid to complicated wound in chest or abdomen.Early diagnosis and correct evaluation are the key for better prognosis.

结论胸骨骨折是危及患者生命的严重外伤,及早诊断胸骨骨折并判断是否合并胸腹腔脏器损伤,正确处理,是提高治愈率的关键。

The sternal fracture is a severe lifethreatening injury,and attention should be paid to complicated wound in chest or abdomen.Early diagnosis and correct uation are the key for better prognosis.

结论胸骨骨折是危及患者生命的严重外伤,及早诊断胸骨骨折并判断是否合并胸腹腔脏器损伤,正确处理,是提高治愈率的关键。

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