除...外

The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果：1、钳夹分离切肝法不需特殊仪器设备，只要具备常规的腹腔镜器械即可实施，成本低，肝断面较易渗血；2、微波固化切肝法肝实质出血很少，视野清晰，成本低，操作简单，是一种安全、简便、有效的方法；3、超声刀是目前较为理想的切肝器械，术中出血少，但是，切割速度慢，手术时间长，而且，切割强度有限，适用于无肝硬化的肝切除；4、Ligsure具有挤压粉碎及高频电凝止血两大功能，可使包括7~以下管道的肝组织碳化、形成焦痴，具有一定的优势，但是，也存在分离钳电凝止血的缺点；5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感，便于术中显露、分离、控制出血等，可随意协助右手及助手的主要操作，缩短了手术时间，大大提高了腹腔镜肝切除的安全性，李朝龙等的改良方法，同样达到了手辅助目的，又节省了费用；6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术，操作简单、可靠，适用于肝左外叶切除及右肝第V段切除；7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构，多用于肝左静脉、门静脉分支、管径较大胆管的切割，缺点是不能用于较厚肝组织的切割，而且价格昂贵；8、临床巧例腹腔镜肝切除均获得成功，手术时间最短1.5h，最长sh，平均125 min，多数在100 min左右，手术出血量最少50 ml，最多500 ml，平均1 78 ml，除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水，1例术后发生胆漏外，其余无并发症，发生胆漏的1例患者术后住院40d，多数在术后一周左右出院，术后住院时间5一40d，平均gd。

In the brain of adult rat, the positive immunohistochemical product of lSL-l (ISL-l-positive) was mainly located in the neuronal nucleus and found in discrete regions except to brain cortex, such as the Purkinje cell layer and the granular cell layer of cerebellum, the granular cell layer and the pyramidal cell layer of hippocampus, the mitral cell layer, the internal and external plexiform layer, the granular cell layer and the granular cell layer of olfactory bulb and so on, and several nuclei of the hypothalamus, midbrain and pons, such as claustrum, anterior olfactory nucleus, accumbens nucleus, caudate-ptamen, pallidum, substantia nigra, striatum, islands of Callaje, mammillary nucleus, anterior pretactal nucleus, habenular nucleus, amygdaloid nucleus, cuneate nucleus, rubral nucleus, gigantocellular reticular nucleus and so on.

在正常成年大鼠脑中，同源框基因islet-1表达产物（ISL-1）免疫组织化学阳性物质广泛分布于除大脑皮层外的神经细胞的细胞核内，ISL-1阳性神经元密集分布于小脑Purkinje细胞层和颗粒细胞层、海马的颗粒细胞层和锥体细胞层、嗅球的内丛层、外丛层、颗粒细胞层及僧帽细胞层等，另外在丘脑、中脑和桥脑的一些重要神经元核团均有分布，如，屏状核、前嗅核、伏核、尾壳核、苍白球、黑质、纹状体、Calleja岛、乳头体核、前顶盖前核、缰核、杏仁核、楔束核、红核网状巨细胞核等。

It belongs the kind of complex bridges because its liner changes usually and the weight condition is also complex, except bear moment and shearing force, there are larger torsion and doubled moment, as a result, crankle、warping and aberration would happen.

这种异形桥梁结构是受力很复杂的一种桥型，其线性变化多端，结构受力复杂，除承受弯距、剪力外，还有较大扭矩和翘曲双力矩的作用，即使外荷载的作用通过梁的剪切中心，也将发生弯扭组合变形，同时伴随有截面的翘曲和畸变。

Should such information not be transmitted as indicated, the UCI Management Committee may declassify the race in question or exclude it from the Calendar, notwithstanding any other penalties provided for in the Regulations.

如果没有按规定通知国际自由车总会，国际自由车总会管理委员会除对其采取相应的处罚外，并可以降低其比赛等级，或把它排除在竞赛日程表外。

To make the diagnosis of POEMS syndrome, both major and minor criteria are required. The former includes polyneuropathy and monoclonal plasmaproliferative disorder and the latter includes osteosclerotic bone lesions, Castleman disease, papilledema, organomegaly, edema or serous cavity effusion, endocrinopathy and skin changes.

POEMS综合征的诊断除应将多发性神经病和克隆性浆细胞疾病作为主要诊断标准外，还应该包括硬化性骨病变、Castleman病、视乳头水肿、外周性水肿和浆膜腔积液、皮肤病变、脏器肿大及内分泌病变在内的次要诊断标准。

Methods For 15 cases of recurred cicatrical entropion after Hotz operation, except of superior edge, Inferior edge and fundal part, excise mostly tarsus, suture inferior margin of the skin excision on the levator aponeurosis, make extropion after operation.

对14例15眼Hotz术后复发性瘢痕性上睑内翻，除保留上下缘及底部少许睑板外，切除大部的睑板，将皮肤切口的下缘缝于睑板上缘的上睑提肌的键膜上，术毕时使上睑外翻。

For the safety and efficacy, the puncture needle should be used very carefully or forbidden, except for the chronic subdural or extradural hematoma.

为了安全和疗效，建议粉碎针除在慢性硬膜下血肿和硬膜外血肿应用外，脑内血肿慎用或禁用。

Therefore,except special condition(cervical disorders or critically severe rescue),the tumor patients for chemo or parenteral hyperalimentation should choose the external jugular vein for central venous catheterization priority.......

因此，除特殊情况外，肿瘤患者化疗或静脉高营养应优先选取经颈外静脉行中心静脉置管。

The time from injury to admission was between 2 monthes214 monthes except 1patient who underwent emergency operation 4 hours after injury ,and 1 patient was treated with debridment and epineurial neurorrhaphy ,7 cases with nerve trunk grafting ,6 cases with nerve cable grafting ,4 cases with neurolysis ,1 case with arthrodesis of ankle.

伤后至入院手术时间除1 例为4 h 外，其余均为2～14 个月。1 例行清创、神经外膜对端吻合术，7 例行神经全干移值术，6 例行神经电缆式移植，4 例行神经松解术，1 例行踝关节融合术。

Stamens numerous, outermost whorl staminodial except in Pulsatilla kostyczewii; anthers yellow or purple, oblong, narrowly ellipsoid, filiform, or linear, with one longitudinal vein.

萼片5或6。花瓣无；雄蕊多数，最外退化雄蕊轮生除Pulsatilla kostyczewii外；花药黄或紫色，长圆形，狭椭圆形，丝状，或线形，具一纵向脉。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。