气管

One of the foremost figures in the field of laryngology, Jackson developed the method for the removal of foreign bodies from the lungs and other passages by insertion of tubes through the mouth. For these purposes he devised first an esophagus scope and later a bronchoscope. In his Philadelphia bronchoscope clinic he trained numerous students and physicians in his techniques.

对于从事气管食管科学的医生和研究人员来说，有一个人是永远不应当被忘记的，他就是美国19世纪著名的耳鼻咽喉科医生薛瓦利埃·杰克逊，他研制和推广使用的气管食管镜检查技术沿用至今，使从事气管食管学的医生、麻醉师和胸外科医生从中受益，使无数气管食管异物患者起死回生，他诲人不倦、甘为人梯的育人品格也值得我们学习和借鉴。

The pollutive bacteria respectively inoculates in the new-made yogurt drink, the color deterioration is observed, thus the reason of the color deterioration of the Yogurt drink is the bacterial pollution .

目的初步观察传统气管插管操作方法对气管内细菌污染的影响，并评价保护性气管插管操作方法预防气管内细菌污染的效果。

Surgeries were performed in 8 patients, including sleeve tracheal resection in 2 patients, partial tracheal wall resection in 3 patients, total laryngeetomy and partial excision of the trachea with thyroid lobectomy in 1 patient, and endoscopic YAG laser surgery in 1 parle,at.

行手术治疗者8例，其中行气管袖状切除者2例，部分气管壁切除者3例，全喉、部分气管及甲状腺腺叶切除者1例，内窥镜下YAG激光切除者1例，气管开窗肿瘤剔除术1例。

In moderate to severe disease, conventional radiography may reveal tracheal scalloping and nodular irregularity or irregular asymmetric stenosis (Fig 10a).

中到重度的病变，常规X光片可显示气管扇贝状、结节状不规整或不规则、不对称狭窄，CT可见气管软骨增厚并不规则钙化，并有或无钙化的多发结节可以突入气道，气管支气管骨化症的结节不侵犯气管后壁。

In moderate to severe disease, conventional radiography may reveal tracheal scalloping and nodular irregularity or irregular asymmetric stenosis (Fig 10a). Thickened tracheal cartilage with irregular calcification is seen with CT (Fig 10b).

中到重度的病变，常规X光片可显示气管扇贝状、结节状不规整或不规则、不对称狭窄，CT可见气管软骨增厚并不规则钙化，并有或无钙化的多发结节可以突入气道，气管支气管骨化症的结节不侵犯气管后壁。

Successful tracheal intubation wasverified using the following criteria: 1 identification ofthe trachea and tracheal rings, 2 visualization of vocal cords,3 widening of glottis as the tracheal tube passes through,and 4 tracheal tube position above carina and demonstrationof movement of the chest wall visceroparietal pleural interface(i.e., sliding sign) after manual ventilation of the lungs.

成功的气管插管通过如下的标准证实：1）辨别气管和气管环，2）可见到声带，3）当气管导管置入时声门变宽，4）隆突上气管导管的位置以及手控通气时胸壁内脏壁胸膜界面的运动。

However, tracheal stent implantation is different from esophageal stent implantation. As patients with airway obstruction are always complicated by dyspnea and hypoxemia, even respiratory failure, which increases risk and difficulty of stent implantation. During tracheal stent implantation, the bronchofibroscope or stent entering the stenosis site may lead to complete tracheal obstruction-induced asphyxia. Corrosion of metal wire of stent to airway mucosa and vessels may result in hemorrhea, leading to postoperative hemoptysis. Stent dislocation is mainly caused by inappropriate selection of stent, inappropriate implantation position or severe cough. Carcinoma tissue growing along stent lumens can induce re-obstruction in stent, resulting in atelectasis relapse.

气管及食管支架置入均属有创性治疗，但气管支架置入不同于食管支架置入，气管阻塞患者均有不同程度的呼吸困难和低氧血症，甚至发生呼吸衰竭，加大了支架置入的风险和难度；气管支架置入者，当纤支镜或支架进入狭窄部位时可造成气管的完全阻塞引起窒息；支架金属丝对气管黏膜血管的侵蚀可引起大出血，导致术后咯血；支架移位主要由支架选择不当、置入不到位或剧烈咳嗽引起；癌组织沿支架网眼长入造成支架内再阻塞可引起肺不张复发。

By the examination of MRI, histopathology, and the caculation of survival rate and percentage of patency, the viability of graft status of autograft tracheas wrapped in one-side sternomastiod muscule flap and two-side sternohyoid muscle flap based on different pedicle, effects of neck muscle associated with bFGF on length of autografts, and limit of warm ischemia time on tracheal allograft before cryopreservation were evaluated in rabbits.

肿瘤、先天性疾病、炎症或其他原因引起的气管狭窄，切除病变气管行气管端端吻合术是最理想的方法。而长段气管切除术后，则需要行气管重建。20世纪以来随着免疫学的发展，肾脏、心脏等脏器移植已在临床应用成为可能，人们注意到气管移植的重要性。因此，气管移植成为长段气管缺损重建的方向，其面临的主要问题是移植气管的再血管化、免疫抑制、供体的来源与保存等。

Results:pedunculated omentum majus-cirded trachea transplantation ensured an early re-establishment of blood circulation of transplanted trachea and maintenance of its normal animate states; allogeneoilc transplantation of trachea activated bodys immune mechanism. resulting in a chronic process of rejection and finally leading to progressive necrosis of transplanted trachea tissues: chondroregeneration occurred at every period under perichondrium after transplantation. and the degree of regeneration was related with favorable blood circulation; the emplogyment of a supporting tube in trachea,under the condition of favorable re-establishment of early blood circulation, could preventgranulation tissue hyperplasia and keep trachea cavity unobstructed.Postgraduate Ding XiaoQuan Directed by-Lin LeShen

结果 带蒂大网膜包绕移植段气管行腹腔移植，早期重建了移植段气管的血液循环，保证了移植气管的早期成活及维持其正常生机状态；同种异体气管移植所激发机体的免疫机制，引起一个慢性排斥反应过程，导致移植段气管组织进行性坏死；软骨再生存在于移植后各个时间段，其再生程度与良好的血液循环有关；气管内支撑管的应用可防止肉芽组织增生堵塞管腔，从而保证气管管腔通畅。

The spiracles are bigger and more near dorsal line than all the others. Their trachea branches are taper and abundant and form short tracheoles. This gave the tufted form to the trachea, which appeared shrubby. The trachea branches that arranged in other segments gave them a tree-like look. They do not directly supply oxygen for tissues, but they suspend in the hemolymph and attach to the muscle of the heart, so that they can move in constant with the contraction of the heart muscle.②The 8th segment tracheal tufts have thinner cuticle and basal lamina than that of the other trachea, and have much pad cuticle, which is appropriate for them to move, and their basal lamina have small pores, which are favour of the permeation of gas.③Injecting the methylene blue into the larvae to label hemolymph, we observed that the hemolymph flow into the heart through the 8th segment tracheal tufts.④Normally these tracheal tufts have all kinds of hemocytes, which are abundant in the tufts. A large number of hemocytes released from tissues attach to the tufts by changing their structure when anoxic stress happen.

气管分支细短而丰富，形成气管簇，呈灌木丛状（其它各节气管则呈粗树干状分布），它不是直接给组织供氧，而是悬浮在血液中，与心肌相连接，随着心肌的收缩而不断运动；②气管簇的内膜及底膜都比其它各节的薄，且管壁内膜具有更多的适合运动的垫状表皮，底膜还有小孔结构，这有利于气体的通透；③向体内注射蓝色的亚甲基蓝标记血液发现，血液流动方向是经该气管簇后而流回心脏；④正常情况下，气管簇处有各种各样的血细胞聚集，当缺氧胁迫时有大量的血细胞从组织中释放出来，通过变形而紧贴气管簇，有利于气体的交换；⑤给体内注射无色的亚甲基蓝发现气管簇比其它各节更易变蓝，说明该处具有更高的获氧能力。

He is the most remarkable man that I have ever known.

他是我知道的人中最值得注意的人。

Increased appearance of lymphocele was noticed in patients with diabetic nephropathy, congenital malformations of the urinary tract, and inflammatory diseases, including glomerulopathy and extraglomerular ones, after high-voltage radiotherapy and after removal of the renal graft.

经过高压放射疗法和切除移植肾后，在糖尿病肾病患者、泌尿系统先天性畸形患者和炎症患者身上发现淋巴囊肿有所增加，包括肾小球病和球外疾病等。