血腔

Thrombosis inside the false cavities were displayed clearly in 5 cases, the intimal tear in 10 cases was shown definitely in the CTVE images. Conclusion: Due to the non-invasiveness, painlessness, convenience, and safety of this examination technique, MSCT and CTVE should he the first choice for the detection of AD.

CTVE技术是一种无创伤、无痛苦，快捷、安全、有效的检查技术，能显示主动脉夹层的真假腔，显示破口的部位、夹层和假腔内的血检，了解主动脉各分支有否受侵和受侵的程度，是诊断主动脉夹层有价值的检查方法之一。

objective to investigate the paregoric effects of butorphanol when the errhysis occurs inside the epidural catheter during continuous epidural anesthesia.methods 60 cases of kidney stones received elective surgery.during this surgery they underwent continuous epidural anesthesia and eight cases of them showed the errhysis in the epidural catheter.then epidural injection of butorphanol was given for analgesia and hr,map,spo2 as well as muscle relaxation conditions were monitored before and 5,10,20 min after injection.the conscious and breathing of patients were also monitored.results before and 5,10,20 min after injection of butorphanol,hr and map difference were not statistically significant.the analgesic results were satisfactory.conclusion butorphanol has a definite analgesic effect when the errhysis occurs in epidural catheter during continuous epidural anesthesia.

目的 探讨在连续硬膜外麻醉中，硬膜外导管内渗血时，应用布托啡诺镇痛的效果。方法择期行肾结石手术患者60例，行连续硬膜外麻醉，其中8例硬膜外导管内渗血，均经硬膜外腔注入布托啡诺镇痛，分别监测注入前及注入后5 、10 、20 min，hr、map、spo2及肌肉松驰情况，同时监测患者神志及呼吸情况。结果注射布托啡诺前及注射后5、10、20 min，hr、map差异无统计学意义，镇痛效果满意。结论在连续硬膜外麻醉中硬膜外导管渗血时，注入布托啡诺维持麻醉镇痛效果明确。

2 Disposable safe machine blood sampling device: fill the cavity of the blood sample device with bacterial endotoxin check water, and cover both sides. Put it into a 37OC±1OC thermostat for two hours, then take it out and put the probational liquid into a sterile and corked glass container free of pyrogen.

2.4.2一次性使用安全机用采血器：细菌内毒素检查用水，注满采血器内腔，两端封闭，置37OC±1OC恒温箱中保温2小时，取出后将供试液汇集至一无菌无热原带具塞玻璃容器内。

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。

Research results indicate that varicosity can be treated by means of endovenous thrombus formation, blood vessel wall damnification and vessel enclosure induced by light absorption of haemoglobin irradiated by semiconductor laser.

研究结果表明：半导体激光进行腔内静脉照射，由于血红蛋白对光的吸收，可以引起静脉腔内血栓形成、血管壁损伤、血管闭合，实现对静脉曲张的治疗；激光照射导致静脉腔内血栓形成，与血栓性静脉炎的形成机制不同，并没有影响全身凝血功能。

METHODS: The 144 BALB/c male mice were abdominally irradiated with 1150 cGy 60Coγray in 1-3 h, and then they were injected intestinal RNA from normal rats on jejunum. On day 1, 3 and 5 after irradiation,the mice were sacrified after anesthesia for determining endotoxin in blood and bacterial metathetic rate, and intestinal crypt survival rate.

选用BALB/c雄性小鼠144只，用1150 cGy 60Coγ射线进行腹部一次照射，于照后1~3 h采用局部肠腔扩张注入法给小鼠空肠肠腔内注入正常大鼠小肠RNA，分别于照后1，3，5 d麻醉后解剖，取血，测定内毒素含量；取肠系膜淋巴结，测定细菌移位率；取空肠段，计数肠腺存活率。

METHODS: The 144 BALB/c male mice were abdominally irradiated with 1150 cGy 60Coγray in 1-3 h, and then they were injected intestinal RNA from normal rats on jejunum.

选用BALB/c雄性小鼠144只，用1150 cGy 60Coγ射线进行腹部一次照射，于照后1~3 h采用局部肠腔扩张注入法给小鼠空肠肠腔内注入正常大鼠小肠RNA，分别于照后1，3，5 d麻醉后解剖，取血，测定内毒素含量；取肠系膜淋巴结，测定细菌移位率；取空肠段，计数肠腺存活率。

BCPA can provide increased pulmonary blood flow in patients with cyanotic congenital heart disease and reduced pulmonary blood flow.

BCPA是上腔静脉或腔静脉的体静脉回流血分流到两肺的一种手术，这种手术连接可以增加肺血减少的紫绀型先心病的肺动脉血流。

Whatever methods you chose, the destruction of the TMJ was also found. At 3 days posttrauma hemarthrosis could be seen in most of the joints of both groups. Fibrous effusion was seen in a joint of surgery treatment group at 1 month posttrauma. 3 months later, fibrous ankylosis was found in the conservative treatment group.

不管采用哪种治疗方法，关节结构的破坏性改变自始至终都存在，早期都出现关节积血及关节结构的破坏；2周后可有关节盘不规则破坏，甚至完全崩解，关节腔内出现渗出液。1月时，可见固定组动物的关节腔内有纤维性渗出。3月时绝大多数关节结构基本存在，但可见有许多裂隙或囊样变，不固定组内有一动物的关节内出现了纤维性关节强直的表现。

Some cell dropped into the cavity and became free. Thrombosis or part organization could be seen. The internal elastic layer became thin, disappear or broken. In internal and middle layer existed fibroblasts, fibrocytes and collagen. Some of the wall indicated hyaline change, soomth muscle cell decreased greatly. The massive inflammatory cells invaded the middle and external layer. There were many foam cells in the capsule tissue. Cytoplasm was filled with fatty tissue and cholesterol. some cavities were full of thrombosis. Some thrombosis was fibrosis, the bottom was organization. The surface of the thrombosis existed red blood cell and librae.(2)Elatic fibrila staining: the internal elastic menbrane almost completely disappeared, the intact internal elastic menbran could be seen in the new small vessels.

动脉瘤管壁厚薄明显不均，全层或局部区域显著变薄向外膨出，内皮细胞空泡变性或坏死脱落，部分内皮细胞剥离并突入管腔成游离状，可见血栓形成及部分血栓机化；内弹力板变薄、消失或突然中断；在内膜及中膜部位主要为纤维母细胞、纤维细胞和大片胶原；部分动脉瘤壁呈均质状玻璃样变，平滑肌细胞明显减少；中膜和外膜可见大量的炎性细胞浸润；瘤壁组织有纤维母细胞、纤维细胞、大片胶原成分及较多泡沫细胞，胞浆内充满脂类物质及胆固醇结晶；部分动脉瘤腔内充满血栓，有的血拴已经纤维化，血栓基部机化，血栓表面有红细胞和纤维素。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。