objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24～72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的：探討外傷性十二指腸破裂的診斷和治療方法无码视频性交。方法：回顧分析外傷性十二指腸破裂患者13例臨床資料免费-级无码婬片AAAA片。結(jié)果：入院后3 h內(nèi)確診6例JIZZJIZZ在线中国，24～72 h內(nèi)確診4例昨天看到看看黄色网站，72 h后確診3例欧美黄色一级久久片。3例行十二指腸裂口修補(bǔ)99久久播放视频，2例行十二指腸造瘺，2例行十二指腸空腸roux-en-y吻合亚洲欧洲性爱，1例行十二指腸憩室化手術(shù)99色免费看视频，1例行改良十二指腸憩室化手術(shù)，1例行十二指腸兩斷端關(guān)閉在线看一级片视频软件、胃空腸吻合无码观看黄三级网站，1例行十二指腸遠(yuǎn)端關(guān)閉、近端與空腸端側(cè)吻合丝袜美女人人摸人人操，2例行胰十二指腸切除術(shù)免费观看黃色A片一级视频快进。術(shù)后6例(46.2%)出現(xiàn)切口感染免费一级无码婬片AA片高潮喷水、十二指腸瘺、消化道出血人人干操操操插、胰瘺或腹腔感染等并發(fā)癥免费在线看欧美三级片，2例(15.4%)患者死亡，分別死于多器官系統(tǒng)衰竭和感染中毒性休克色视频网站观看。結(jié)論：早期診斷與正確的術(shù)式選擇是成功救治外傷性十二指腸破裂的關(guān)鍵欧美国产日韩激情视频。

Accordingly, an optimistic data consistency maintenance method based on key-attributes is proposed. In the method, the update of key-attributes is separated from user update requests. Key-Updates are propagated by latency-overlay update propagation model, that is, updates are always propagated to the nodes having maximum or minimum latency, and assured and uncertain propagation paths of updates are all taken into account. Based on classifying key-update conflicts, a double-level reconciling mechanism including buffer preprocessing and update-log processing is applied to detect and reconcile conflicts, and then conflicts are solved by policies as last-writer-win and divide-and-rule. Lastly, update-log management method and maintenance method brought by node failure and network partitioning are discussed for the above is deployed based on the information storied in update-log.

在該方法中，首先分離出用戶提交的更新請(qǐng)求中關(guān)于關(guān)鍵屬性的更新国产伦频网；然后采用基于延遲-覆蓋的更新傳播模型進(jìn)行更新傳播国产日韩入口一区二区三区，即基于副本間的網(wǎng)絡(luò)延遲選擇具有最大和最小網(wǎng)絡(luò)延遲的結(jié)點(diǎn)轉(zhuǎn)發(fā)更新，并在傳播過程中記錄和綜合考慮更新的確定傳播和不確定傳播兩條路徑精品久久久一级毛片；在對(duì)關(guān)鍵更新沖突分類的基礎(chǔ)上日本亚洲欧美日韩工程，采用更新緩沖區(qū)和更新日志兩層更新協(xié)商機(jī)制并結(jié)合最新寫勝出和分而治之規(guī)則，優(yōu)化關(guān)鍵更新沖突的發(fā)現(xiàn)和解決911影视免费看；更新日志信息是方法中各種策略開展的基礎(chǔ)波多野结衣性爱视频，討論了更新日志中信息管理方法以及結(jié)點(diǎn)失效和網(wǎng)絡(luò)劃分發(fā)生時(shí)信息的維護(hù)方法。

The scheme can be used in teaching, training, and accident analysis of misoperation and failure to operate, and it can also be used in the comparison and optimization of other novel protective schemes.

該方案能用于教學(xué)99超碰碰、培訓(xùn)及微機(jī)保護(hù)誤動(dòng)或拒動(dòng)后的事故分析国产精品免费一区二区久久，也可用于新型保護(hù)設(shè)計(jì)過程中的方案比較和優(yōu)化。

The disfigurement and misplay of theoretic study will badly influence the system construction in practice and even result in the failure of the whole system .

理論研究上的缺陷與失誤自拍人人爱人人操，往往會(huì)使實(shí)踐當(dāng)中的系統(tǒng)建設(shè)受到嚴(yán)重影響国产精品99久久精品2020，甚至導(dǎo)致整個(gè)系統(tǒng)的失敗。

Automatic inspection techniques for rapid detection of failure of an effective means, in particular, is a completely self-checking nature of the self-checking devices, not only in time to check out the module error, but also able to detect its own errors.

自動(dòng)檢驗(yàn)技術(shù)是用于故障快速檢測(cè)的一種有效手段狼友视频在线免费播放，特別是具有完全自校驗(yàn)性質(zhì)的自校驗(yàn)裝置张津瑜落地窗国贸，它不僅能及時(shí)檢查出系統(tǒng)模塊的差錯(cuò)，還能夠檢測(cè)出自身的差錯(cuò)清纯激情欧美。

Objective:To investigate changes in activities of the intestinal mucosal mast cells in multiple organ failure.

目的 ：研究多器官衰竭時(shí)腸黏膜肥大細(xì)胞活性的變化欧美日韩色一区二区三区视频，從黏膜免疫的角度探討 MOF的病理生理機(jī)制。

It is sad that in the United States the domi-nant perception of naturism lies fixed in a fearsome failure of empa-thy at the very notion of being without clothes.

我無法不讓這些照片表現(xiàn)出驚人的魅力和博大的胸懷在线高清无码黄片，我以為這就是一種源于對(duì)自然崇拜的靈魂性爱小视频欧美。

The welded joints in the analyses were generally accepted as failure –free and the joint transiton regions included in the calculations are negligibly small.

被焊接的關(guān)節(jié)在那通常分析自由地被認(rèn)為是失敗–而且被包含在計(jì)算之中的聯(lián)合 transiton 區(qū)域是 negligibly 小的。

Objectives:To study the effect of nutritional support on acute renal failure.Methods:On the basis of common treatemnt,total parenteral nutrition were given in 12 patients with ARF.The nonprotein calorie and NPC∶nitrogen were 104.6～125.5 kJ/ and 600～1000∶1 in simple ARF,and 125.5～146.4 kJ/kg .

對(duì)12例ARF病人在綜合治療的基礎(chǔ)上給予全腸外營(yíng)養(yǎng)治療999国产精品欧美久久久久久，并對(duì)ARF的二種臨床類型(單純型3例和表現(xiàn)為多臟器功能障礙綜合癥的9例)采用不同的TPN方案十八黄色网站，二組的熱量分別為104.6～125.5 kJ/kg 。

In a study of Medicare beneficiaries who were eligible for drug benefits from 1999 to 2004, Dr. Solomon's team assessed the occurrence of cardiovascular events (MI, stroke, heart failure, and cardiovascular death) in 76,082 new users of COX-2 inhibitors, 53,014 new users of nonselective NSAIDs, and 46,558 who didn't use either type of drug.

在 一個(gè)對(duì)1999至2004年適宜應(yīng)用該藥的醫(yī)療保險(xiǎn)受益人的研究中一级A片免费在线，Solomon博士的團(tuán)隊(duì)評(píng)估了76082名新近應(yīng)用了COX－2受體抑制劑日本黄页网站免费观看，53014名新近應(yīng)用了非選擇性非甾體抗炎藥，和46558名兩類藥物均沒有應(yīng)用的患者的心血管事件（心肌梗死，中風(fēng)欧美老妇乱又伦A片，心衰和心血管死亡）發(fā)生情況欧美在线精品免费AAA片。