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objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术,围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗;术后硬膜外镇痛、早期锻炼、保持呼吸道通畅,部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降,6例出现肺部感染,6例行纤维支气管镜吸痰,2例通过气管插管给予呼吸机支持,2例行气管切开术,1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证,积极的术前准备和严格的术后管理可减少和控制术后急性发作,有助于确保此类病人的围手术期安全和康复。

To be able to arouse expert scholar for this research pay attention,the methodology and present situation that this paper studies on the foundation of bibliographical reference for the behavior of college student of physical training are summarized and analysed,suggest that the behavior of college student of physical training has the necessariness of studying f...

为了能引起专家学者对此项研究的重视,在已有文献的基础上,对大学生体育锻炼行为研究的现状及方法学进行了总结和分析,提出大学生体育锻炼行为进一步研究的必要性。

Things that exercise your body can also help sharpen your brain: physical exercise enhances neurogenesis.

凡是锻炼身体的东西也能帮助提升你的大脑:体育锻炼增强了神经。

Nowadays more and more people are becoming aware of the importance of constant physical training.

当今越来越多的人开始意当今越来越多的人开始意识到体育锻炼的重要性。识到体育锻炼的重要性。

Lee has a 58-year-old, low back pain 4 years, their training in accordance with the health book psoas for "Chebi" exercise two weeks, pain heavier.

有一位李先生,58岁,腰腿痛4年,自己按照保健书锻炼腰肌,作"飞燕"锻炼2周,疼痛加重。

But I think, let the school to provide public sports venues and facilities, the most important is to intensify the construction of power or recreational exercise residents, of course, often come to school and my classmates game, exercise is also very good!

但是我认为,让学校来提供民众的体育场所和设施不是办法,最重要的还是加大力量建设居民休闲锻炼场所,当然,时常来学校和同学们一起游戏,锻炼也很好!

AIM: To analyze the relationship between end-point index and the interventions during regular exercises by multiple factor Logistic regression and study the effect of the regular exercises training on the prognosis of the patients with chronic heart failure.

目的:多因素Logistic回归模型回顾性分析规律运动锻炼等影响因素与研究终点的关系,观察规律运动锻炼对慢性心力衰竭患者预后的影响。

The students in the sports groups had better psychological self,social self,self satisfaction and self-action than the average students.

通过参加课余训练队、体育社团和普通学生组之间自我概念各维度的对比分析,结果显示:参加课外业余训练队的学生在生理自我、社会自我、自我认同和自我行动4个维度上,得分显著高于普通组学生;参加篮球、跆拳道、铁人三项和田径业余训练项目的学生在自我概念各维度表现上存在差别,其中,球类项目对自我概念促进最明显;参加体育社团学生在心理自我、社会自我、自我满足和自我行动4个维度上优于普通组学生,存在显著性差异;经常锻炼组在生理自我、心理自我、自我认同和自我行动上要优于不锻炼组,两组存在显著性差异。

That is to say, the cold resistance of these trees were close.But the difference of the semilethal temperature of the trees in the end of Dec.2003 was remarkable(-9.86~-13.48℃). The difference of the cold resistance of different tree species raised by exer-cise in winter.

月初采样树种的半致死温度相差不大(-5.03~-6.08℃),即未经低温锻炼时,6个树种的抗寒能力相近;而12 月底采样树种的半致死温度相差较大(-9.86~-13.48℃),即经低温锻炼后,6 个树种的抗寒性差距增大。

When she wants to exercise her sense of touch, she can not exercise entirely.

在她想锻炼触觉的时候,不能充分锻炼

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