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objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24～72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的：探讨外伤性十二指肠破裂的诊断和治疗方法。方法：回顾分析外伤性十二指肠破裂患者13例临床资料。结果：入院后3 h内确诊6例，24～72 h内确诊4例，72 h后确诊3例。3例行十二指肠裂口修补，2例行十二指肠造瘘，2例行十二指肠空肠roux-en-y吻合，1例行十二指肠憩室化手术，1例行改良十二指肠憩室化手术，1例行十二指肠两断端关闭、胃空肠吻合，1例行十二指肠远端关闭、近端与空肠端侧吻合，2例行胰十二指肠切除术。术后6例(46.2%)出现切口感染、十二指肠瘘、消化道出血、胰瘘或腹腔感染等并发症，2例(15.4%)患者死亡，分别死于多器官系统衰竭和感染中毒性休克。结论：早期诊断与正确的术式选择是成功救治外伤性十二指肠破裂的关键。

More recent work has focused in prying open the "black box" and understanding what strategy execution actions can be taken to improve X-efciency; see Chapter 3 by Berger and Mester and Chapter 8 by Frei, Harker, and Hunter.

比较近的研究一直集中于费力打开"黑盒子"，并了解，要改善X效率可以采取什么战略执行措施；参见第3章Berger 和Mester及第8章Frei， Harker，和Hunter的文章。

Then we prove a nonsmooth minimax theorem by usingsome relative results about multi-valued maximal monotone mappings. Finally, we construct a nonsmooth minimax network to search for thesaddle points of the saddle functional. We have also proved that thetrajectory of the network is asymptotically convergent to thesaddle point of the saddle functional by usying Lyapunov function.

我们先介绍有关Clarke的广义梯度，次梯度及鞍泛函的有关结论；然后利用多值极大单调映象的满射性结果证明了一个非光滑的minimax定理；最后建立了一个非光滑的minimax神经网络来求解泛函的鞍点，并在一定的条件下构造出LYAPUNOV函数来证明网络的轨道渐近收敛于鞍泛函的鞍点。

In the past ten years, studies have revealed that CRISPs were also widely distributed in venoms of some reptile and mollusc and could block Ca(superscript 2+), K(superscript +) and cyclic nucleotide-gated ion channels.

近十几年来的研究发现，CRISPs还广泛存在于一些爬行动物、软体动物的毒液中，有钾、钙离子通道和环核苷酸门控通道阻断活性及前体加工酶等活性。

In the past ten years,studies have revealed that CRISPs were also widely distributed in venoms of some reptile and mollusc and could block Ca2+,K+ and cyclic nucleotide-gated ion channels.

近十几年来的研究发现，CRISPs还广泛存在于一些爬行动物、软体动物的毒液中，有钾、钙离子通道和环核苷酸门控通道阻断活性及前体加工酶等活性。

But Moneymaker said members of his organization have either glimpsed Bigfoot or gotten close enough to hear the creature in all but three of 30 expeditions in the United States and Canada.

但Moneymaker说，他的这个30人的研究团队中，除了3个人之外，其于人在美国和加拿大各地要么看到过大足野人要么有人在足够近的距离内听到过大足野人活动。

In recent years, the fiery housing, banking reform and the promotion of new investment products for institutional investors desire to re-focus on housing mortgage market securitization process and the mortgage bond market.

近几年房贷的火热、银行改革的推进和机构投资者对于新的投资品种的渴求，使市场再度聚焦于住房抵押贷款证券化进程和住房抵押贷款债券的推出。

By means of questionnaire and field survey, the current and historical distribution of Moschus berezovskii in Fengxian County of Shaanxi Province was investigated in 2005 summer and 2006 spring, and the distribution patterns of the forest musk deer in last fifty years were shown by the colored blocks on the digital maps.

于2005年夏季和2006年春季，采用问卷调查结合野外实地验证，对陕西凤县林麝的现时及历史分布进行了分析，并将所得分布信息叠加至数字化地图，绘制成林麝近50年的分布区变迁图。

By trying in recent years to borrow moral authority from the campaigns and leaders of the past and lend it to the woollier cause of social reform, Amnesty has succeeded only in muffling[4] what was once its central message, at the very moment when governments in the West need to hear it again.

然而今非昔比，近几年特赦组织企图凭借往日运动和领袖们的精神力量，投身于茫然的社会改革之中，到头来却落到这步田地——对于自己曾经的核心思想只能嗫嚅其词，而且还要在西方政府正需要被提醒的时候。

The scope for horizontal gene transfer is essentially the entire biosphere, with bacteria and viruses serving both as intermediaries for gene trafficking and as reservoirs for gene multiplication and recombination (the process of making new combinations of genetic material).

方舟子的这一观点来自侯女士的另一个证据就是，他在作于2005年1月的《答〈中国青年报〉记者刘县书的批评》中写道：HGT"是近十几年来才引起生物学界注意的遗传现象"。

And discuss some key point of integrated management system design, include hazard identification and risk assessment and risk control in the occupational health and safety management, the measure of satisfaction target of customer, the flawlessness of law system, the integration of the integrated management system and enterprise standardization system, unify lead institution and work orgnization, integreted internal audit and integrated management review.

同时，论述了一体化管理体系构建中的几个主要问题，包括职业健康安全管理中的危险源辨识、风险评价和风险控制、顾客满意度的科学监测、法律、法规体系的完善、一体化管理体系与企业标准化体系的有机结合、统一的领导机构和工作机构、一体化的内部审核和管理评审。

Deepwater Taranaki is investigated for its petroleum potential, using all available seismic data tied to shallow-water wells.

运用与浅水井相关的现有全部震波探测数据考察了深海区塔拉纳基盆地的油藏前景。