Objective To retrospectively evaluate the diagnosis and treatment of Mirizzi syndrome （MS）. Methods Patients who received elective or emergency cholecystectomies in our center during 23 years were retrospectively e...Objective To retrospectively evaluate the diagnosis and treatment of Mirizzi syndrome （MS）. Methods Patients who received elective or emergency cholecystectomies in our center during 23 years were retrospectively evaluated. The data reviewed included demography, clinical presentations, diagnostic methods, surgical procedures, postoperative complications, and follow-up.展开更多
The virtual technique in Chinese drama makes the aesthetic feeling of the audiences enriched in enjoying the art of stage performance to their heart＇s content when the reality of life is reflected by drama. Also, the...The virtual technique in Chinese drama makes the aesthetic feeling of the audiences enriched in enjoying the art of stage performance to their heart＇s content when the reality of life is reflected by drama. Also, the position of the animation art has been promoted by the expression and extension of the drama art spirit and expression technique in the creation of film and television animations to be greatly improved. In this paper, the characteristics of the virtual technique in drama are briefly introduced, and also the influence of the virtual technique on the creation offihn and television animations is analyzed.展开更多
Green design horizon, explore the hand-painted rendering performance techniques,from conception to take as, composition distribution, global and local processing, local expansion method, the performance of rendering a...Green design horizon, explore the hand-painted rendering performance techniques,from conception to take as, composition distribution, global and local processing, local expansion method, the performance of rendering and other aspects of analysis and propose countermeasures. Accumulation of professional material for designers and nutrients at the same time, raise awareness of the environment, space and natural understanding, To improve the aesthetic horizon, hand-painted rendering green design and students ability to innovate education is of great significance.展开更多
AIM: To study the clinical characteristics, diagnosis and surgical treatment of congenital bronchoesophageal fi stulae in adults. METHODS: Eleven adult cases of congenital bronchoesophageal fistula diagnosed and treat...AIM: To study the clinical characteristics, diagnosis and surgical treatment of congenital bronchoesophageal fi stulae in adults. METHODS: Eleven adult cases of congenital bronchoesophageal fistula diagnosed and treated in our hospital between May 1990 and August 2010 were reviewed. Its clinical presentations, diagnostic methods, anatomic type, treatment, and follow-up were recorded. RESULTS: Of the chief clinical presentations, nonspecific cough and sputum were found in 10 (90.9%), recurrent bouts of cough after drinking liquid food in 6 (54.6%), hemoptysis in 6 (54.6%), low fever in 4 (36.4%), and chest pain in 3 (27.3%) of the 11 cases, respectively. The duration of symptoms before diagnosis ranged 5-36.5 years. The diagnosis of congenital bronchoesophageal fistulae was established in 9 patients by barium esophagography, in 1 patient by esophagoscopy and in 1 patient by bronchoscopy, respectively. The congenital bronchoesophageal fistulae communicated with a segmental bronchus, a main bronchus, and an intermediate bronchus in 8, 2 and 1 patients, respectively.The treatment of congenital bronchoesophageal fistulae involved excision of the fistula in 10 patients or division and suturing in 1 patient. The associated lung lesion was removed in all patients. No long-term sequelae were found during the postoperative follow-up except in 1 patient with bronchial fistula who accepted reoperation before recovery. CONCLUSION: Congenital bronchoesophageal fistula is rare in adults. Its most useful diagnostic method is esophagography. It must be treated surgically as soon as the diagnosis is established.展开更多
A new challenge has been brought by the rapid development of information technology to medical teaching, and the teaching reform of the medical education in China should be deepened for attaining a development. The co...A new challenge has been brought by the rapid development of information technology to medical teaching, and the teaching reform of the medical education in China should be deepened for attaining a development. The core of deepening medical teaching reform is to break the traditional teaching model （i.e. giving a lecture）, and create a better classroom teaching situation by making full use of the modern teaching methods. In B-learning, the effective combination of the traditional teaching method＇ s advantages with the E-learning in a pure technical environment is advocated. In the task-driven teaching, a teaching design is made by students in a real or simulated real environment. In this paper, the effective combination of B-learning with the task-driven teaching model is introduced, so that the better teaching effect is achieved.展开更多
Penile amputation and successful replantation is very uncommon, and there is no routine standardized procedures for dealing with this medical condition. Here we report two cases of penile amputation and replantation i...Penile amputation and successful replantation is very uncommon, and there is no routine standardized procedures for dealing with this medical condition. Here we report two cases of penile amputation and replantation involving different degrees of vascular insult leading to different pathogenesis, clinical presentation, surgical approach and prognosis. This report described the microsurgical procedure and postoperative care using bipedicled scrotal flap to achieve successful engraftment and function. A review of the published data and future methods to increase success of such surgical procedures is provided.展开更多
文摘Objective To retrospectively evaluate the diagnosis and treatment of Mirizzi syndrome （MS）. Methods Patients who received elective or emergency cholecystectomies in our center during 23 years were retrospectively evaluated. The data reviewed included demography, clinical presentations, diagnostic methods, surgical procedures, postoperative complications, and follow-up.
文摘The virtual technique in Chinese drama makes the aesthetic feeling of the audiences enriched in enjoying the art of stage performance to their heart＇s content when the reality of life is reflected by drama. Also, the position of the animation art has been promoted by the expression and extension of the drama art spirit and expression technique in the creation of film and television animations to be greatly improved. In this paper, the characteristics of the virtual technique in drama are briefly introduced, and also the influence of the virtual technique on the creation offihn and television animations is analyzed.
文摘Green design horizon, explore the hand-painted rendering performance techniques,from conception to take as, composition distribution, global and local processing, local expansion method, the performance of rendering and other aspects of analysis and propose countermeasures. Accumulation of professional material for designers and nutrients at the same time, raise awareness of the environment, space and natural understanding, To improve the aesthetic horizon, hand-painted rendering green design and students ability to innovate education is of great significance.
文摘AIM: To study the clinical characteristics, diagnosis and surgical treatment of congenital bronchoesophageal fi stulae in adults. METHODS: Eleven adult cases of congenital bronchoesophageal fistula diagnosed and treated in our hospital between May 1990 and August 2010 were reviewed. Its clinical presentations, diagnostic methods, anatomic type, treatment, and follow-up were recorded. RESULTS: Of the chief clinical presentations, nonspecific cough and sputum were found in 10 (90.9%), recurrent bouts of cough after drinking liquid food in 6 (54.6%), hemoptysis in 6 (54.6%), low fever in 4 (36.4%), and chest pain in 3 (27.3%) of the 11 cases, respectively. The duration of symptoms before diagnosis ranged 5-36.5 years. The diagnosis of congenital bronchoesophageal fistulae was established in 9 patients by barium esophagography, in 1 patient by esophagoscopy and in 1 patient by bronchoscopy, respectively. The congenital bronchoesophageal fistulae communicated with a segmental bronchus, a main bronchus, and an intermediate bronchus in 8, 2 and 1 patients, respectively.The treatment of congenital bronchoesophageal fistulae involved excision of the fistula in 10 patients or division and suturing in 1 patient. The associated lung lesion was removed in all patients. No long-term sequelae were found during the postoperative follow-up except in 1 patient with bronchial fistula who accepted reoperation before recovery. CONCLUSION: Congenital bronchoesophageal fistula is rare in adults. Its most useful diagnostic method is esophagography. It must be treated surgically as soon as the diagnosis is established.
文摘A new challenge has been brought by the rapid development of information technology to medical teaching, and the teaching reform of the medical education in China should be deepened for attaining a development. The core of deepening medical teaching reform is to break the traditional teaching model （i.e. giving a lecture）, and create a better classroom teaching situation by making full use of the modern teaching methods. In B-learning, the effective combination of the traditional teaching method＇ s advantages with the E-learning in a pure technical environment is advocated. In the task-driven teaching, a teaching design is made by students in a real or simulated real environment. In this paper, the effective combination of B-learning with the task-driven teaching model is introduced, so that the better teaching effect is achieved.
文摘Penile amputation and successful replantation is very uncommon, and there is no routine standardized procedures for dealing with this medical condition. Here we report two cases of penile amputation and replantation involving different degrees of vascular insult leading to different pathogenesis, clinical presentation, surgical approach and prognosis. This report described the microsurgical procedure and postoperative care using bipedicled scrotal flap to achieve successful engraftment and function. A review of the published data and future methods to increase success of such surgical procedures is provided.
