Discussion and Conclusion: Our walking exercise program can decrease the resting dyspnea, improve breathing patterns and improve exercise capacity. Supplementing oxygen during walking may not result in a further improvement.

討論及結論：對中重度慢性阻塞性肺疾病患而言人人人人人人人人人干干干干干干干干干我，在肺功能受損且改善有限的情形下九九免费看大片视频黄色的，適當的運動介入仍能有助於增進運動能力自慰网站污污，改善其動態(tài)之呼吸形式及呼吸困難的困擾欧美城色色，至於氧氣輔助的附加效益亚洲无码一区暖暖，是否受限於介入的方式美日韩AV人人操、濃度或時機等因素，仍須更進一步的研究1024手机在线看电影。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探討重度慢性阻塞性肺疾病簡稱慢阻肺病人食管切除術圍手術期常見并發(fā)癥及其處理亚洲精品国产日本能看黄网站。方法 45例重度慢阻肺的病人在全麻聯(lián)合硬膜外阻滯下進行開胸食管切除手術天天透天天要，圍手術期處理包括術前戒煙、胸部理療性爱无码视频在线观看、預防和控制呼吸道感染日韩视频自拍第二页在线播放网站、解痙化痰、呼吸功能鍛煉超碰在线播、營養(yǎng)支持和氧療黄片一级无码视频在线；術后硬膜外鎮(zhèn)痛、早期鍛煉1024欧美性爱视频、保持呼吸道通暢免费看一级A片裸体舞，部分病人予以呼吸支持。結果術中3例出現(xiàn)低氧血癥在线黑人黄色网站。術后所有病人pao2均有不同程度的下降国产在线视频在线国国产，6例出現(xiàn)肺部感染，6例行纖維支氣管鏡吸痰黄色视频免费网站免费，2例通過氣管插管給予呼吸機支持国产免费A片又爽又舒服，2例行氣管切開術，1例酸堿平衡紊亂使用鹽酸精氨酸治療免费的乱婬视频播放网站。所有病人均痊愈出院自拍偷拍无码视频。結論重度慢阻肺病人并非開胸食管切除手術的絕對禁忌證，積極的術前準備和嚴格的術后管理可減少和控制術后急性發(fā)作国产精品对白一区二区三区，有助于確保此類病人的圍手術期安全和康復成人黄色视频网站。

The superficial microvascular networks were sparser, while the subpleural microvascular networks were denser. The superficial blood vessels and the interlobular blood vessels were mutual transitional, and the anastomosing between the superficial blood vessels with the subpleural vessels. According to the branching sequence of the subpleural arteriole, it could be divided into the arteriole, terminal arteriole, precapillary arteriole and capillary in turn. The subpleural capillary networks were mainly web-like, while small holes were also found on the cast. The honeycomb vascular networks were various in size and form at a low magnification. The outline of alveolus, alveolar sac, alveolar duct and respiratory bronchiole and terminal bronchiole, made of microvascular networks, could be found in the cut surface.

胸膜面淺層的微血管網稀疏，深層的胸膜下微血管網致密A黄片免费；胸膜面淺層的微血管與小葉間隔的微血管之間相互移行天天干欧美性爱皇冠，與胸膜下微血管之間形成吻合連接；根據胸膜下微動脈連續(xù)分支的順序日韩经典自拍电影院在线观看，橙蘸放诰釉谙吖劭词悠低荆可將其分為微動脈、終末微動脈黄色网站一级视频、毛細血管前微動脈和毛細血管四級日韩精品合集第一页在线观看；胸膜下毛細血管網主要以網絡狀的形式存在，但在鑄型上均可見數量不等的"小孔狀"結構黄色毛片黄大全；低倍鏡下肺實質內微血管網呈現(xiàn)大小不等35导航黄片、形態(tài)各異的蜂窩狀結構，可以見到由微血管網構成了肺泡久久久久久免费免费理论、肺泡囊最新毛片在线看、肺泡管和呼吸性細支氣管以及終末細支氣管等結構的輪廓。

Clinical pulmonary ventilation function test, Pulmo CT measurement of vital capacity, and spiral CT scan under the control of spirometer were performed in 40 patients and 20 health adults in order to assess the accuracy of spirometrically controlled CT and to analyze CT quantitative data in correspondence with clinical pulmonary ventilation function.

為檢測呼吸門控的準確性欧美一区区三区视频、了解定量的CT資料與肺通氣功能的相關性先锋影音每日资源色先锋，對患者組40例和對照組20例行臨床肺通氣功能檢查日韩午夜在线观看网站免费下载、Pulmo CT肺活量檢測和呼吸門控下螺旋CT掃描。

The pleural superficial blood vessels were smooth, while the constrictions of smooth muscle cells and round imprints of endothelial nuclei occurred on the surface of the subpleural and parenchymal arteriole and venule.

肺胸膜面淺層微血管的鑄型表面光滑黄色视频在线免费亚洲，胸膜下和肺實質內微動脈和微靜脈的鑄型表面可見平滑肌細胞形成的縮窄AAAA黄片免费看，以及圓形內皮細胞核的壓痕。

Admission examination: the spirit of soft, clear consciousness, nutrition, poor growth, weight loss significantly, weight 23kg, moderate anemia appearance, and the lungs have not heard a clear wet and dry rale, abdomen soft, upper abdominal tenderness under Xiphoid, Cullen and lower abdominal tenderness light, I no obvious abnormalities

入院時查體：精神軟在线观看h一区，神志清欧美另类性爱网，營養(yǎng)發(fā)育差，消瘦明顯国产妇女黄色网站，體重23kg精品日韩综合自在拍，中度貧血貌，兩肺未聞及明顯的干濕羅音黃色视頻的网址，腹軟国产精品久久久久久久久岛，上腹部劍突下壓痛，臍周及下腹部輕壓痛在线视频观看国产黄，余未見明顯異常男人自慰一片级毛片。

The straight portion of the meridian from the heart system goes upward to the lung, then it runs out from the axilla, it goes along the posterior border of the medial aspect of the upper arm behind the Lung Meridian and Pericardium Meridian, it runs downward the medial aspect ot the elblow and descends along the posterior border of the medial aspect of the forearm to the pisiform region proximal to the palm and enters the palm, it follows the medial aspect of the little finger to its tip.

它的直行脈：從心系（即心與它臟相聯(lián)系的系帶）上行至肺，向下出于腑下国产高清精品福利，沿上臂內側后緣精品国产91对白，走手太陰，手厥陰經之后午夜aa视频免费，下向肘內欧美性色黄A片，沿前臂內側后緣（靈道、通里亚洲岛国性爱视频、陰郄日韩视频中文字幕无码不卡、神門），到掌后豌豆骨部進入掌內后邊日本s片，沿小指的橈側出于末端，接手太陽小腸經日韩欧美黄色网∶拦患睹园悠担《靈樞·經脈》：是動則病：嗌（1）干在线视频中文一区二区三区，心痛国产人人干视频，渴而欲飲，是為臂厥（2）日韩毛片二区。是主心所生病者：目黃黄色网址日本最新视频、脅痛，臑臂內后廉痛国产A片地址一、厥一级黄色视频看看，掌中熱日韩一级黄色片无码。

We consider that it is better to choose abdominal median incision plus left ribs resection in patients with upper gastric cancer in which subphrenic esophageal invasion is under 2cm of length and the function of heart or lung is severely damaged.

作者認為，該入路暴露良好无码视频在线观看网站，創(chuàng)傷小黄片高清免费视频，痛苦少，適宜于胃癌膈下食管下端受侵2cm以下以及心肺功能嚴重受損不宜開胸的患者中国体内精谢免费视频。

The chest cavity is opened at autopsy to reveal numerous large bullae apparent on the surface of the lungs in a patient dying with emphysema.Bullae are large dilated airspaces that bulge out from beneath the pleura.

肺氣腫病人死后尸檢胸腔被剖開71av视频在线，見肺表面數目眾多的明顯的肺大皰，是極度擴張的含氣區(qū)99riav.m3u8，它從胸膜下膨脹起來美国大片又乱又伦。

HRCT scan showed peripheral area of ground-glass attenuation adjacent to subpleural honeycombing in one patient,and diffusely distributed ground-glass opacity in another patient.Two patients had received cortieosteroid treatment.For one patient, the symptoms improved, and ground-glass attenuation adjacent to subpleural honeycombing had almostly resolved.The other patient died of respiratory failure.

其中1例患者的雙肺新出現(xiàn)的磨玻璃影，沿胸膜下蜂窩肺外周分布欧洲vodafonewifi18√k；另1例患者HRCT表現(xiàn)為新出現(xiàn)的磨玻璃影呈彌漫性分布a欧美专区。2例患者均接受激素治療。1例患者氣緊欧美一区2区三区四区高清、咳嗽癥狀明顯緩解日韩欧美视频一区二区在现看，胸部HRCT的磨玻璃樣影基本吸收；另1例患者死于呼吸衰竭自拍欧美。