瓣

Primary atrial tumor has obvious characteristic on RT-3DE: All the atrial tumor display the same size of stereoimages as the tumor themselves. There is a clear boundary between the stereoimage of the myxoma and the atrial wall and there exists a short pedicle connecting the atrial myxoma to the atrial wall or the interatrial septum. The body of the atrial myxoma moves to and fro through the atrium and the atrioventricular valve with the contraction and relaxation of the heart with a fixative pedicle. Atrial myxoma leads to relative atrioventricular valve incompetence during systolic phase and relative atrioventricular valve stenosis during diastolic phase, but doesn't result in pathological changes of atrioventricular valve which restore to normal after exsection of the atrial myxoma. Malignant atrial tumor closely and extensively contact with atrial wall without obvious boundary, pedicle and movement with the contraction and relaxation of the heart.

所有心房肿瘤RT-3DE均实时显示与肿瘤大小相同的立体形态图像；心房黏液瘤立体形态图像与心房壁界限明显，都通过一短蒂与房间隔或心房壁相连，瘤体以蒂为固定点随心脏收缩、舒张在心房与房室瓣口之间往返运动；心房黏液瘤收缩期瘤体导致房室瓣相对关闭不全，舒张期瘤体导致房室瓣相对狭窄，但瘤体不引起房室瓣器质性病变，瘤体摘除后房室瓣功能即恢复正常；恶性心房肺瘤立体形态图像与心房壁关系密切，界限不明显，接触范围广泛，无蒂，瘤体不随心脏收缩、舒张运动。

Methods:43 patients including 10 with mitral stenosis associated aortic regurgitation, 12 with mixed mitral valve lesions and 21 with mixed mitral valve lesions and combined with aortic regurgitation were studied.MVA determinded by (1) two -dimensional echocardiography with a cross-sectional area in the short-axis view (2DE),(2) pressure half-time using formula of 220/PHT,(3) color Doppler flow imaging with a jet cross-sectional area in the short-axis view with planimetry,(4) CDFI with a color jet width at the mitral valve orifice in the apical four-chamber view and long-axis view, assuming an elliptic mitral orifice, compared with the orifice area of excised mitral valve during mitral valve replacement.

材料与方法∶分别用二维超声(2DE)、压差减半时间、彩色多普勒二尖瓣口血流截面积和椭圆形面积法测定43例风湿性心脏病二尖瓣狭窄拟行人工瓣置换术患者的MVA，其中合并主动脉瓣反流 10例，合并二尖瓣反流 12例， 21例，并与手术标本的实测面积相比较。

There were 3231 patients with isolated mitral valve replacement , 917 patients with isolated aortic valve replacement , and 48 patients with tricuspid valve replacement .

其中二尖瓣置换术3231例，主动脉瓣置换917例，三尖瓣置换48例，二尖瓣和主动脉瓣置换1296例，其他14例。

The myocutaneous flap of neck, bi-pedicle bandshapped muscle fascia flap, epiglottic flap, epiglottic flap plus bipedicle bandshapped muscle fascia flap and hyoid bone osteomuscular flap were used to reconstruct after partial laryngectomy respectively.

同期分别采用颈前肌皮瓣、颈前带状肌肌筋膜瓣、会厌瓣、会厌瓣＋颈前带状肌肌筋膜瓣、舌骨肌瓣修复喉缺损。

METHODS: Doppler tissue velocity mode was used and the tricuspid annulus movements of anterior, septal and posterior attachment points in 60 healthy people were detected from apical four chamber view (AP 4CV), parasternal four chamber view (PS 4CV) and apical right heart two chamber view (AP RH 2CV).

应用sequoia 512彩色电脑声像仪，探头型号3V2c，H 3.5 MHz，选用胸骨旁四腔切面（PS 4CV）、心尖四腔切面（AP 4CV）观察60名健康志愿者三尖瓣环前瓣及隔瓣附着点，心尖右心两腔切面（AP RH 2CV）观察三尖瓣环后瓣附着点。

32 Patients over 50 years old (range 50～63) received surgical treatment.concomitant cardiac anomalys:tricuspid regurgitation in 18 patients,mitral valve regurgitation in 8,atrial tibrillation in 6,CAD in 2.preoperative ment pulmonary arterypressure Was(40.98±8.52)mmHg.All of the patients underwent Dacron or pericardia patch,18 TVR and 6 MVR,2MVP,2 patients with artrial fibrillation underwent right sided maze pricdure,and 2,CABG.

其中合并三尖瓣中重度返流18例、二尖瓣关闭不全8例、房颤6例、冠心病2例；肺动脉平均压力49.08±8.52，最高65mmHg；心功能三级10例、四级2例，采用心包补片或涤纶补片补缺损，同期行三尖瓣成形18例、二尖瓣成形术6例、二尖瓣置换术2例、右房迷宫术2例、冠状动脉搭桥术2例。

The regurgitant volume was calculated by temporally integrating the instantaneous flow volume rate of each frame during systole.

建立了基于经食道旋转扫描二维和经胸实时三维超声多普勒血流图像获取方法和图像插值、配准算法获得体数据，经多维重建描述二尖瓣反流速度的空间分布，立体观察返流的时相、方向、反流束长度、面积、体积、空间传播和严重程度等；通过重建反流后的速度场，从血流动力学角度分析了二尖瓣反流的性质，计算偏心反流束的湍流强度，利用反流束角度和湍流强度对计算结果进行修正；基于实时三维彩色多普勒成像技术，利用控制体原理对二尖瓣反流束在反流瓣口横断面的速度分布进行空间与时间积分获得二尖瓣偏心性反流的每搏反流量。

Results Systolic valvular tenting were found in FMR, the movement of leaflet body toward the annulus were restricted.

结果 功能性二尖瓣返流时瓣叶关闭时呈&帐篷样&改变，瓣叶向瓣环方向的运动受限，瓣膜之间的接触面减少，而局限于瓣尖部位的闭合。

However, mechanical prosthetic valve has poor biocompatibility, and biological valve is easy to degrade and to be damaged. People have studied a new material to make valve. Giant molecule materials-made no-stent bio-mitral valve with chordae tendineae is similar to normal valve.

生物瓣具有血流动力学性能优秀，不需终生抗凝等优点，但机械瓣的生物相容性较差、生物瓣易退化损坏等问题，使人们开始对新的瓣膜制作材料进行研究，使用高分子材料制成的无支架带腱索生物二尖瓣与自然瓣膜相似，可维持人体二尖瓣生理功能、左室几何形状和血流动力学。

Spring-loaded safety valve spring is delivered to the valve on the container or force to balance the pipeline pressure by adjusting the elastic springs to balance the medium on the pressure valve control media pressure to achieve the objective of safety valve lever weights Is to use a heavy hammer through the transmission lever to force the valve to balance the pipe or container medium pressure by adjusting the weights of the valve to balance the role of media from the valve on the pressure, media pressure to achieve the purpose of control ; Pilot of the main safety valve by valve components and sub-valve, to promote the role of Vice valve main valve action, also known as the pulse safety valve.

弹簧式安全阀是利用弹簧传递到阀瓣上的作用力来平衡容器或管道内压，通过调节弹簧的松紧来平衡介质对阀瓣的压力从而达到控制介质压力的目的；杠杆重锤式安全阀是利用重锤通过杠杆传递到阀瓣上的作用力来平衡管道或容器内介质的压力，通过调整重锤对阀瓣的作用距离来平衡介质对阀瓣的压力，从而达到控制介质压力的目的；先导式安全阀是由主阀和副阀组成，借副阀的作用带动主阀动作，又称为脉冲式安全阀。

Cynanchum Lingtai apricot production in the average weight 65 grams, the brightly-colored fruit, juicy rich, sweet-sour taste, sweet from the nucleolus, when the late Qing Dynasty famous Shaanxi, Gansu provinces, the Qing imperial court Tongzhi tribute for years.

灵台生产的牛心杏平均单果重65克，果实色泽鲜艳，汁多味浓，甜酸适口，离核仁甜，清末时就驰名陕、甘两省，清同治年间曾为朝廷贡品。

Chenopodium album,Solanum nigrum, and Amaranthus retroflexus were very susceptible to the herbicides. Polygonum persicaria and Abutilon theophrasti were relatively less susceptible to the herbicides, and Lycopersicon esculentum was not susceptible to it. The relationship between reduction rates of weed biomass and PPM values of weed leaves 2,4, and 6 days after treatment was established.

供试的6种杂草对该混剂的敏感性存在显著差异：红心藜Chenopodium album、龙葵Solanum nigrum和反枝苋Amaranthus retroflexus对该混剂最敏感，ED90值分别为47.65、71.67和29.17g/hm2；春蓼Polygonum persicaria和苘麻Abutilon theophrasti敏感，ED90值分别为96.91、114.20g/hm2；而番茄不敏感。