胸骨的

Methods: The motion of parasternal papillary muscle anterior wall, inferior wall, posterior wall, and lateral wall were detected by 2DE at short axis view of left ventricle before PTCA, 3 d and 1-3 months after PTCA in 33 cases of patients with coronary heart disease, who received PTCA+stent at selected time. Peak systolic velocity of subendocardial, subepicardial and middle layer myocardium, transmural velocity difference of the same segments and Outer lateral mitral valve annulus were also detected at apical 4 chamber view by pulsed wave tissue Doppler imaging.

对33例择期行PTCA+支架术的冠心病患者用HP5500型超声诊断仪，于PTCA术前及术后3d、1-3个月对胸骨旁左心室乳头肌短轴切面的前间壁、下壁、后壁、侧壁行二维超声心动图(2DE)检测各节段的室壁运动情况，用脉冲组织多普勒成像检测上述各节段的内、外膜下及中层心肌的收缩期峰值速度，内外膜下心肌的收缩速度差及心尖四腔观二尖瓣外侧环的收缩期峰值速度。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志，作者将本研究分为四个阶段：1 双盲检查100个干燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离；2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺；3 利用 CT 所获取的数据资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建，测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度；4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志，作者将本研究分为四个阶段：1 双盲检查100个乾燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离；2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺；3 利用 CT 所获取的资料资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建，测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度；4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

The primary cause of the acquired platelet defect is thought to be activation and release of alpha granules during extracorporeal circulation. Before CPB PRP was prepared by obtaining the required amount of patient's whole blood by autologous plateletpheresis. PRP could be reinfused after operation in order to save the function and quantities of the platelets. On the other hand PRP could be made into autologous platelet gel. APG contains supraphysiologic amounts of growth factors and has adequate tensile strength and adhesive ability.

CPB前，利用自体血小板分离技术可将部分血小板从患者全血中分离出来制成富血小板血浆（Platelet-rich plasma PRP），PRP可在术后回输，以达到血小板数量和功能的双重保护，另一方面可将PRP制备成自体血小板胶，APG中含有丰富的生长因子，并且具有足够的抗张强度和粘性，因此可起到术中止血，封闭伤口，促进胸骨及伤口愈合的作用。

The primary cause of acquired platelet defect is thought to be activation and release of alpha granules during CPB. Before CPB, platelet-rich plasma was prepared by obtaining the required amount of patient's whole blood by autologous plateletpheresis. PRP could be reinfused after operation in order to protect the function and quantities of the platelets. On the other hand, PRP could be made into autologous platelet gel. APG contains supraphysiologic amounts of growth factors, and has adequate tensile strength and adhesive ability. Therefore, it can be used for hemostasis in operation, sealing wound and enhancing incision or dehiscent sternal wounds healing.

CPB前，利用自体血小板分离技术可将部分血小板从患者全血中分离出来制成富血小板血浆(platelet-richplasma，PRP)，PRP可在术后回输，以达到血小板数量和功能的双重保护，另一方面可将PRP制备成自体血小板浆(autologousplateletgel，APG)， APG中含有丰富的生长因子，并且具有足够的抗张强度和粘性，因此可起到术中止血、封闭伤口、促进胸骨及伤口愈合的作用。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。