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使出血

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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。

The lying-in women can get medical treatment and nursing treatment in time.The serious complications can be avoided.

说明科学计量产后出血,对产后出血可早发现、早诊断,并使其及时得到医疗和护理处理,避免严重并发症。

The second is easy to use skin to absorb the mixture of Chinese medicine or Western medicine, to make ointment, medicine cloth, affixed to long umbilical or sacrococcygeal strong point for treatment, but also have a good effect.

口服中药:运用益气固脱、收敛止血、涩肠化痔的内服中药,以减少出血或使出血停止、痔核缩小、减少脱出、减或消除症状,该法适用于任何患者。

Which indicated AQP4 participate brain edematization after ICH. Compared focal mild hypothermia group rats with normothermia group rats, the former's water content and AQP4 of cephalophyma periphery visibly decrease. Which indicates focal mild hypothermia therapy can relieve encephaledema after ICH.

局部亚低温治疗能使脑组织含水量及AQP4蛋白表达减少,表明亚低温治疗能减轻脑出血后脑组织水肿,可能通过影响AQP4表达来减轻脑出血后脑水肿是其重要的治疗机制。

Cerebral thrombosis、cerebral embolism and encephalorrhagia Because the blood fat lead high, deposition on the cerebral wall, gradual The formation artery gruel kind harden spot piece, the spot piece increase to make blood vessel blood inside the wall bolt formation and cause blood vessel break Blood but formation of.

脑血栓、脑栓塞及脑出血是由于血脂过高,沉积在脑血管壁上,逐渐形成动脉粥样硬化斑块,斑块增多使血管壁内血栓形成,致使血管破裂出血而形成的。

There is controversy as to whether prophylactic platelet transfusions are necessary or beneficial, although it seems that maintaining a platelet count of greater than 5,000, and sometimes higher, reduces the risk of minor bleeding (e.g., nose bleeds, bruises in the skin called ecchymoses, pinpoint bleeding in the skin called petechiae).

虽然使血小板计数维持在5000以上似乎能够减少轻微出血的风险(比如流鼻血、皮肤的瘀伤及微小出血),但是对于预防性输注血小板是否必要以及这样做有没有好处仍存在争议。

After ICH, PAR-1 is continuously activated because of the stimulation of thrombin. Action of thrombin after ICH may be mediated by PAR-1; NXKT may inhibit the activation of PAR-1, so the praxiology is improved. This may be one of the main mechanisms that NXKT could facilitate the recovery of nervous function.

脑出血后PAR-1受到凝血酶的持续活化,脑出血后凝血酶的作用可能是通过PAR-1介导的; NXKT可抑制PAR-1活化,从而使行为学得到改善,这可能是NXKT促进神经功能修复的主要机制之一。

Methods: thanks to most bleeding cases are veinal bleeding so we external repress the distant place vein of return circuit when the patient bleedingwho post-turp result :there are 54 cases (54/56) stanch bleedingwe success stanch bleed by above methode.

根据turp术后大多数出血是来自包膜外的静脉的出血,采用外压迫出血处远端静脉的办法使其血栓形成,达到止血。对动脉性出血则采用球囊压迫或再次电灼止血。结果:本组56例除2例再次电灼止血外,其余病例均采用外压迫达到有效的止血效果。

Results:Th PR of carcinoma was about 90%,CR was about 2%in the patients who were taken local chemotherapy,although the relieve of carcinoma could not be obtained in the patients who were taken memory metalstens but the quantity of life was improved and the period of life of these patients was prolonged,one of the patients with stens had lived for about one year.

结果:局部化疗使患者肿瘤缓解4%达CR,47%达PR,患者生存期90%左右达3个月以上,50%左右达半年以上,1%达1年左右,在生存期间,患者生活质量80%以上达Ⅱ级以上,疼痛、上消化道出血为主要合并症,但出血率仅占5%左右,重度疼痛约占10%。

This is what we call the vascular phase of haemostasis. Thus, if we cut ourselves, bleeding stops immediately because of that mechanism. This gives the organism time to form a proper clot so that we do not bleed to death.

正是这种机制的存在,我们割伤时出血才会快速停止,给受伤组织时间以形成合适的血凝块,使我们不会因出血不止而死亡。

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I use an example quoted by Hu Jiaqi:"It is reported that America separates the DNA of a kind of virus by making use of genetic technology and combines it with another kind of DNA. Finally, they get a kind of virulent biological agent called a "pyrotoxin". Someone discloses in private that 20 grams of such a kind of biological agent could result in the global death of 6 billion people due to infection."

我在这里例举胡家奇所引用过的例子:"据报道,美国利用转基因技术,将一种病毒的DNA分离出来,与另外一种DNA进行结合,拼结成一种剧毒的"热毒素"生物战剂,且私下有人透露,这种生物战剂只需20克,就可以导致全球60亿人全部感染死亡。"

Waiting, for the queers and the coons and the Reds and the Jews.

等待着疯子和黑人还有红色共产主义者还有犹太人

"Everybody talks about what a horrible job it is to brief the press,but I love these briefings!"

&每个人都说,简报新闻是一份多么糟糕的工作,,但是我爱这些简报。&