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复合损伤
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  compound injuries
     Results:Of 387 cases,207 cases with visceral injures were detected by CT scan(CT detected rate 53.5%),There were 125 cases of spenic rupture,38 cases of renal rupture,34 cases of compound injuries,10 cases of hepatic rupture,146 cases of hemoperitoneum,48 cases of retroperitoneal hematoma.
     结果 :387例腹部外伤中 CT检出腹部脏器损伤 2 0 7例 (检出率 53.5% )其中脾破裂 1 2 5例 ,肾破裂 38例 ,复合损伤 34例 ,肝破裂 1 0例 ,腹腔积血 1 46例 ,腹膜后血肿 48例 ;
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     THE REPAIR OF COMPOUND INJURIES OF THE KNEE LIGAMENTS BY THE LONG PERONEAL MUSCULAR TENDON
     腓骨长肌腱修复膝关节韧带复合损伤
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     In compound injuries, wide - ranging subdural hematoma, brain swelling in cerebral and brainstem injury were more dangerous.
     复合损伤中,广泛硬膜下血肿、半球脑肿胀、脑干损伤更具危险性。
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  “复合损伤”译为未确定词的双语例句
     (4) complicated injury and PDTC group:PDTC 100 mg/kg injected via ear vein followed by 0.1 mg/kg of endotoxin dripped into trachea, VT=24 ml/kg.
     (4)复合损伤+PDTC组:耳缘静脉注射PDTC100mg/kg,半小时后气管内滴入内毒素0.1mg/kg,然后进行机械通气,VT=24ml/kg。
短句来源
     (3) complicated injury group:0.1 ml/kg of endotoxin dripped into trachea followed with mechanical ventilation, VT=24 ml/kg;
     (3)复合损伤组:气管内滴入内毒素(脂多糖)0.1mg/kg,然后进行机械通气,VT=24ml/kg;
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     The Mechanism of Neuronal Apoptosis Induced by Brain Aging and Ischemia, and the Antagonistic Effects of PACAP
     脑老化与缺血复合损伤神经元凋亡与PACAP干预机制的研究
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     Results NOS activity in hypoxia, cold and hypoxia cold damaged vessels decreased by 18 2%, 19 1% and 25 9% respectively after exposure as compared with the control vessels. The changes of NOS activity were time dependent.
     结果 缺氧和寒冷损伤使血管NOS活性较对照组显著下降 ,分别达 18 2 %和 19 1% ,缺氧寒冷复合损伤更使血管NOS活性下降达 2 5 9% ;
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     The 48 hour mortality rate was recorded, myeloperoxidase (MPO), NF κB activity, and TNFα, IL 8 mRNA expression and their proteins of lung tissue were examined. The results showed that PDTC obviously reduced the 48h mortality the activity of MPO and NF κB, and the gene expression and protein crotein contents of TNFαand IL 8,suggesting that PDTC has a protective effect on the combined injury.
     结果发现 ,PDTC预处理能够显著降低复合损伤后 48h大鼠的死亡率 ,其MPO、NF κB活性与TNFα、IL 8mRNA表达被显著抑制。
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     映射的微分
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     Compound Modification Asphalt Waterproof Materials
     改性沥青防水材料
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     Duodenal injuries
     十二指肠损伤
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     Discussion about the Composite Damage of Concrete
     混凝土的复合损伤
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  compound injuries
The need for distant flap repair in compound injuries of the lower extremities has decreased considerably thanks to extensive use of autologous cancellous bone and split skin grafting.
      
Failures are to be related to significant osteoarthritic changes which occured after a long period particularly in compound injuries with associated fractures of the tarsal bones.
      
The following analysis results are of particular importance: using a standard operation technique, there is no significant difference in final results between clean cut or other compound injuries with combined traumas of different structures.
      


Purpole: To study the CT signs and types of acute brain injury that results in death, so as to pay attention to the CT signs and guiding treatments. Materials and Methods: CT signs of 64 cases with acute brain injury were reviewed and classified according to number of various kinds of injuries, their CT signs were analyzed. Results: In 64 cases, 4 cases with one kind of injury, 10 cases with two kinds of injuries, 36 cases with three kinds of injuries and 14 cases with more than four kinds of injuries were found....

Purpole: To study the CT signs and types of acute brain injury that results in death, so as to pay attention to the CT signs and guiding treatments. Materials and Methods: CT signs of 64 cases with acute brain injury were reviewed and classified according to number of various kinds of injuries, their CT signs were analyzed. Results: In 64 cases, 4 cases with one kind of injury, 10 cases with two kinds of injuries, 36 cases with three kinds of injuries and 14 cases with more than four kinds of injuries were found. Conclusion: Compound injury were the most causes and in one kind of injury, diffuse axonal injury (DAI)or intraventricular hemorrhage was chief cause that lead to death. In compound injuries, wide - ranging subdural hematoma, brain swelling in cerebral and brainstem injury were more dangerous. CT can point out objectively the types and seriousness of brain injury and provide reliable evidence for clinical diagnosis and treatments.

目的:就64例脑外伤致死的CT资料,研究其外伤类型的CT征像。以提高脑外伤的CT诊断水平,探讨提示预后不良的主要类型和CT特点,以指导临床治疗。材料与方法:回顾分析64例脑外伤死亡病例的CT资料,按其具有若干种损伤分类统计,并就各种损伤表现作一总结。结果:单一损伤4例,两种损伤同时存在10例,三种损伤同时存在36例,四种以上损伤14例。结论:多种复合颅脑损伤是最常见的死亡原因,而单一损伤中弥漫性脑轴索损伤(DAI),原发全脑室出血是致死的主要原因。复合损伤中,广泛硬膜下血肿、半球脑肿胀、脑干损伤更具危险性。病灶大小和占位效应与预后有明显关系。CT检查及随访可客观反映颅脑损伤的严重程度、动态观察病情变化,为临床诊断和治疗提供可靠依据。

Objectives To describe an alternative procedure of arthroscopic posterior cruciate ligament reconstruction using quadriceps tendon-patellar bone autograft and evaluate the early stage follow-up results. Methods Twenty consecutive cases of isolated and combined posterior cruciate ligament deficiency were studied. Quadriceps tendon with patellar bone block was used for preparation of Y-shaped autograft. Double femoral tunnels and single tibial tunnel were precisely drilled respectively at their anatomical...

Objectives To describe an alternative procedure of arthroscopic posterior cruciate ligament reconstruction using quadriceps tendon-patellar bone autograft and evaluate the early stage follow-up results. Methods Twenty consecutive cases of isolated and combined posterior cruciate ligament deficiency were studied. Quadriceps tendon with patellar bone block was used for preparation of Y-shaped autograft. Double femoral tunnels and single tibial tunnel were precisely drilled respectively at their anatomical footprint. By using this technique,the anterolateral bundle was fixed and tensioned in 90° flexion, whereas the postero-medial bundle was fixed in full extension.In cases of combined injury,reconstruction or primary repair was conducted in one-stage or two-stage procedure. Results All cases were followed up for 6 months to 12 months, averaging 7.5 months. Lysholm rating scales and IKDC evaluation were used to make clinical subjective evaluations.Anteroposterior translation was measured with KT-1000 arthrometer and stress view radiography. Finial Lysholm evaluation showed 5 patients (25%)were excellent, 14(70%) good, and 1(5%) poor. IKDC evaluation showed that 1 patient(5%) was graded as A, 16(80%) as B, 2(10%) as C and 1(5%) as D. Stress view examination and KT-1000 arthrometer measurement showed that the average posterior translation improved from 11.5 mm and 11.0 mm preoperatively to 5.2 mm and 5.5 mm postoperatively.One patient was graded as failure. Conclusions Arthrosopy assisted prodedure of double-bundle posterior cruciate ligament reconstruction is effective and reproducible. The short follow-up clinical results are encouraging.Quadriceps tendon is an ideal autograft alternative for posterior cruciate ligament reconstruction.Combined posterior cruciate ligament injury,especially posterolateral complex insufficiency,should be early recongnized and treated properly.

目的 介绍一种新的后交叉韧带重建手术方法及早期临床疗效。 方法 对 2 0例后交叉韧带损伤病例采用关节镜下前外束及后内束双束重建术。选择一端带骨块的自体股四头肌腱并制备“Y”形双束移植物 ,股骨侧双隧道 ,胫骨侧单隧道。分别在伸膝及屈膝 90°位拉紧固定双束。同时或分次处理复合韧带损伤。 结果  2 0例均得到随访 ,随访期 6~ 12个月 ,平均 7 5个月。其中单纯后交叉韧带 8例 ,均为Ⅱ°及Ⅲ°损伤。复合损伤 12例。新鲜伤 5例 ,陈旧伤 15例。主观评分示 :Lyshlom评分优者 5例 ( 2 5 %) ,良 14例 ( 70 %) ,差 1例 ( 5 %) ;IKDC评分A级 1例 ( 5 %) ,B级 16例( 80 %) ,C级 2例 ( 10 %) ,D级 1例 ( 5 %)。客观评分 :KT 10 0 0测定 :胫骨后移由术前平均 11 0mm改善至术后 5 5mm。应力X线片测量示胫骨后移由术前平均 11 5mm改善至术后 5 2mm。失效 1例。结论 后交叉韧带双束重建手术是一种有效、可行的重建方法 ,早期临床效果满意。股四头肌腱是后交叉韧带重建的理想移植物。应充分...

目的 介绍一种新的后交叉韧带重建手术方法及早期临床疗效。 方法 对 2 0例后交叉韧带损伤病例采用关节镜下前外束及后内束双束重建术。选择一端带骨块的自体股四头肌腱并制备“Y”形双束移植物 ,股骨侧双隧道 ,胫骨侧单隧道。分别在伸膝及屈膝 90°位拉紧固定双束。同时或分次处理复合韧带损伤。 结果  2 0例均得到随访 ,随访期 6~ 12个月 ,平均 7 5个月。其中单纯后交叉韧带 8例 ,均为Ⅱ°及Ⅲ°损伤。复合损伤 12例。新鲜伤 5例 ,陈旧伤 15例。主观评分示 :Lyshlom评分优者 5例 ( 2 5 %) ,良 14例 ( 70 %) ,差 1例 ( 5 %) ;IKDC评分A级 1例 ( 5 %) ,B级 16例( 80 %) ,C级 2例 ( 10 %) ,D级 1例 ( 5 %)。客观评分 :KT 10 0 0测定 :胫骨后移由术前平均 11 0mm改善至术后 5 5mm。应力X线片测量示胫骨后移由术前平均 11 5mm改善至术后 5 2mm。失效 1例。结论 后交叉韧带双束重建手术是一种有效、可行的重建方法 ,早期临床效果满意。股四头肌腱是后交叉韧带重建的理想移植物。应充分重视复合韧带损伤 ,特别是后外复合体损伤。

Objective To investigate the protective effects and mechanism of nuclear factor-kappa B (NF-κB) suppressor—pyrrolidine thiocarbamate (PDTC) on lung injury caused by mechanical ventilation and endotoxin. Methods Twenty general healthy infant rabbits were randomly divided into four groups with 5 rabbits in each group: (1) mechanical ventilation group: volume of tidal (VT)=24 ml/kg;(2) mechanical ventilation and PDTC group: VT=24 ml/kg with PDTC 100 mg/kg injected via ear vein one hour prior to mechanical ventilation;(3)...

Objective To investigate the protective effects and mechanism of nuclear factor-kappa B (NF-κB) suppressor—pyrrolidine thiocarbamate (PDTC) on lung injury caused by mechanical ventilation and endotoxin. Methods Twenty general healthy infant rabbits were randomly divided into four groups with 5 rabbits in each group: (1) mechanical ventilation group: volume of tidal (VT)=24 ml/kg;(2) mechanical ventilation and PDTC group: VT=24 ml/kg with PDTC 100 mg/kg injected via ear vein one hour prior to mechanical ventilation;(3) complicated injury group:0.1 ml/kg of endotoxin dripped into trachea followed with mechanical ventilation, VT=24 ml/kg;(4) complicated injury and PDTC group:PDTC 100 mg/kg injected via ear vein followed by 0.1 mg/kg of endotoxin dripped into trachea, VT=24 ml/kg. The mechanical ventilation was performed in the four groups for 4 hours continuously. Myeloperoxidase (MPO), the activation of NF-κB,the quantity of IκBα in lung tissues and the mRNA and protein quantity of TNF-α and IL-8 in lung homogenate were measured. The pathological changes in lung tissues were examined. Results The MPO [(5.73±0.45)U/g] and NF-κB (244.50±18.75) of mechanical ventilation and PDTC group were lower than those of mechanical ventilation group [(9.95±1.85) U/g and 457.70±23.54,respectively] (P<0.01), while the quantity of IκBα increased (P<0.01). The MPO [(7.06±1.05) U/g] and NF-κB (354.50±19.87) of complicated injury and PDTC group were lower than those of complicated injury group [(15.40±1.28)U/g and 674.30±21.57, respectively)](P<0.01). Comparing with mechanieal ventilation group, the TNF-α, IL-8 mRNA and protein decreased in mechanical ventilation and PDTC group (P<0.01). The same results were also seen in complicated injury group and complicated injury and PDTC group. Conclusions PDTC might decrease the expression, synthesis and releasing of pro-inflammatory cytokines by suppressing the activation of NF-κB, and result in the less infiltration of inflammatory cells to perform protective effects on lung injury caused by mechanical ventilation and endotoxin.

目的探讨NF-κB抑制剂吡咯烷二硫代氨基甲酸盐(pyrrolidine thiocarbamate,PDTC)对机械通气及机械通气复合内毒素肺损伤的保护作用及其机制。方法20只3周左右日龄的普通级健康幼兔,随机分为四组,每组5只:(1)机械通气组:潮气量(volume of tidal,VT)=24ml/kg;(2)机械通气+PDTC组:机械通气前半小时耳缘静脉注射PDTC 100mg/kg,VT=24ml/kg;(3)复合损伤组:气管内滴入内毒素(脂多糖)0.1mg/kg,然后进行机械通气,VT=24ml/kg;(4)复合损伤+PDTC组:耳缘静脉注射PDTC100mg/kg,半小时后气管内滴入内毒素0.1mg/kg,然后进行机械通气,VT=24ml/kg。每组均持续通气4h。检测肺组织MPO、NF-κB活性和IκBα含量与肺组织匀浆中TNF-α、IL-8 mRNA和蛋白含量,并观察肺组织病理改变。结果机械通气+PDTC组肺组织MPO活性为(5.73±0.45)U/g,NF-κB活性为244.50±18.75,均低于机械通气组[分别为(9.95±1.85)U/g和457.70±23....

目的探讨NF-κB抑制剂吡咯烷二硫代氨基甲酸盐(pyrrolidine thiocarbamate,PDTC)对机械通气及机械通气复合内毒素肺损伤的保护作用及其机制。方法20只3周左右日龄的普通级健康幼兔,随机分为四组,每组5只:(1)机械通气组:潮气量(volume of tidal,VT)=24ml/kg;(2)机械通气+PDTC组:机械通气前半小时耳缘静脉注射PDTC 100mg/kg,VT=24ml/kg;(3)复合损伤组:气管内滴入内毒素(脂多糖)0.1mg/kg,然后进行机械通气,VT=24ml/kg;(4)复合损伤+PDTC组:耳缘静脉注射PDTC100mg/kg,半小时后气管内滴入内毒素0.1mg/kg,然后进行机械通气,VT=24ml/kg。每组均持续通气4h。检测肺组织MPO、NF-κB活性和IκBα含量与肺组织匀浆中TNF-α、IL-8 mRNA和蛋白含量,并观察肺组织病理改变。结果机械通气+PDTC组肺组织MPO活性为(5.73±0.45)U/g,NF-κB活性为244.50±18.75,均低于机械通气组[分别为(9.95±1.85)U/g和457.70±23.54],而IκBα含量有明显上升,差异均有统计学意义(P<0.01)。复合损伤+PDTC组肺组织MPO活性为(7.06±1.05)U/g,NF-κB活性为354.50±19.87,均低于复合损伤组[分别为(15.40±1.28)U/g和674.30±21.57],而IκBα含量却有明显的上升,差异均有统计学意义(P<0.01)。结论PDTC可能通过抑制NF-κB的活化,减少致炎细胞因子基因转录与蛋白表达、释放,减轻炎症细胞浸润,从而对机械通气和机械通气复合内毒素肺损伤起到一定的保护作用。

 
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