脐状的

Seeds 1 or 2 per valve, uniseriate, quadrangular, reticulate, pitted, rugose, or verrucose; hilum orbicular.

种子1或2 每裂爿，单列，四棱，网状，具洼点，具皱纹，或瘤状的；种脐球状。

And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果：①术后一过性发热62例(84.9%)，腹痛腹胀48例(65.8%)是介入断流术常见的并发症，未发生严重并发症；②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%；显示食管静脉曲张主要由胃冠状静脉供血，胃静脉曲张主要由胃短静脉和胃后静脉供血；胃冠状静脉大多数为单支，少数为双支，其双支的出现率分别为30.57%；胃冠状静脉开口于门静脉主干的为52.06%，开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%；③发现胃肾分流3例，脾肾分流7例、腹膜后门腔静脉分流2例，以及CTA检查发现脐静脉开放者2例；④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa，前后比较存在显著性差异；11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ，前后比较发现首次术前与术后存在显著性差异，首次术前和复发出血术前门静脉压力比较无显著性差异；⑤介入术后复查曲张静脉转归基本消失54例，轻度19例；⑥Spearman相关分析和Logistic多因素回归分析，肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响；Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响；⑦COX回归分析，门体分流和曲张静脉转归两个因素对术后生存有影响；⑧术后随访6-70月，1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%；结论：介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点，可以快速直接控制曲张静脉出血而门静脉压力无显著增高，保证了肝脏灌注；与外科分流术相比适应证广、损伤轻、术后恢复快，不易遗漏曲张静脉；肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响；门脉高压性胃病对复发出血时间有影响；门体分流和曲张静脉转归对生存时间有影响。

Leaves evergreen, needlelike, 2-5(-7) per bundle, terminal on very short branchlets, base enclosed by sheath; seed cones maturing in 2nd or 3rd year; seed scales woody, thickened, apex differentiated into apophysis and umbo

常绿，针状的叶，每包2-5(-7)，在非常短小枝，基部藏于鞘上顶生；球果在2或3 年成熟；种鳞木质，加厚，先端分化成进和鳞脐 1 Pinus 松属

Apophyses dull or lustrous, thickened, variously raised, cross keeled; umbo usually pyramidal or truncate, rarely depressed or with a reflexed prickle.

有光泽的Apophyses暗或，加厚，各种地凸起，穿过龙骨状；通常的鳞脐金字塔的或截形，很少下凹或具一反折的皮刺。

Seed scales suboblong-obovate, 1.6-2 × ca. 1.4 cm; apophyses swollen, broadly or irregularly rhombic, ridged or not, cross keeled; umbo protruding into a spine.

种鳞近长圆形obovatcirca 6-2 *约1.4厘米；不规则膨胀，宽或的apophyses，与否使成脊状，穿过龙骨状；鳞脐使成为一刺突出。

The falciform ligament located between the medial and lateral segaments of the left hepatic lobe, recanalization of the paraumbilical vein within the falciform ligament can be found in patients with portal hypertension to serve as a collateral venous pathway.

镰状靭带位於肝臟左叶的內侧节及外侧节之交界处，其內有退化的脐静脉及数条脐旁静脉。

Results 33 cases of CTPV were all showed collateral veins, which were biliary collateral veins of the portal vein (n=33), gastric collateral veins (n=25), pancreaticoduodenal region collateral veins (n=14), parumbilical collateral veins (n=2). The collateral veins were appeared as soft tissue density on precontrast scan, with generally no enhancement on arterial phase, but on venous phase, they were appeared as multiple punctuate, strip, nodous or thin reticulate enhanced vessels, which were with tortuous, abnormally dilated, and cavernous in shape.

结果 33例全部显示侧支静脉，其中显示33例胆支、25例胃支、14例胰十二指肠后上静脉和2例脐旁静脉，侧支静脉CT平扫表现为软组织密度影，动脉期一般无强化，门静脉期显示多发点状、条状、结节状或细网状的强化血管影，走行扭曲，异常扩张，呈海绵样改变；22例显示门静脉栓子，14例显示肝脏灌注异常，12例显示胆系改变，25例显示脾肿大。

Of the index finger back side island flap, the seaming finger nerve back lateral finger artery reversiveisland flap, the neighbour finger skin flap, the dorsal metacarpal artery reversive island flap and theposterior interosseous artery reversive forearm flap, groin skin flap,ilium skin flap and thoracic -umbilical flap were 197 cases.

杜昭，蔡文，黄德征（广西医科大学第六附属医院手外科，广西玉林537000）摘要：目的探讨手部创伤组织缺损显微外科修复方法及其效果。方法采用食指背侧岛状皮瓣、缝接指神经的背侧支指动脉逆行岛状皮瓣、邻指皮瓣、掌背动脉逆行岛状皮瓣和前臂骨间后动脉逆行皮瓣、髂腹股沟皮瓣、髂骨皮瓣及胸脐皮瓣转位修复手部创伤组织缺损197 例。

Calyx cup-shaped, truncate, often with 5-10 subapical teeth; teeth linear-subulate or umbonate, equal or not.

花萼杯状，截形，经常具齿；齿线状钻形的或有鳞脐，等于与否。

By March 7, the rash had worsened, with umbilicated lesions with an erythematous base, mostly on the hands, forearms, neck, chest, face, and knees, encompassing 50% of the keratinized skin.

入院前发热2天，2月24日皮损开始渗出。3月7日皮疹加重，红斑基础上的脐状皮损主要在双手、双前臂、颈、胸、面和双膝，包绕角质化皮肤的50%。

The basic concept of FOP can be summarized as to further optimize effective prescription according to the standard of curative effects and with the aid of modern science and technology and theories of traditional Chinese medicine.

其基本内涵可概括为：以确有疗效的中药复方为研究对象，以现代科学技术和传统中医药理论为技术支持，以该复方所治病证的药效响应为评价标准，以优化重组疗效更优的新复方为研究目的。

Ever since our world has been a world, native forests have been indiscriminately exploited by man.

自从我们的世界一直是世界原生森林被任意剥削人。