目的探讨泌尿外科腹腔镜手术并发症临床特点。方法以2010年2月至2013年3月某院泌尿外科收治并行腹腔镜手术患者184例为研究对象,对造气腹时、手中与术后三个阶段并发情况进行统计,对手术结局进行统计。结果 184例手术并发9例并发占4.89%;3例转开放手术占1.63%;2例死亡占1.01%;术中并发3例,其中血管损伤2例,脏器损伤1例,术后并发1例切口感染2例内科并发3例;肾盂癌根治术并发率最高为9.68%,其次为肾上腺肿瘤切除术并发率6.15%。结论术中并发集中在血管损伤与脏器损伤,术后并发集中在切口感染与内科并发,肿瘤类疾病切除、根治并发概率较高。

Objective The study of the urology laparoscopic surgery complications. Methods In February 2010 to March 2010 a hospital uropoiesis surgical department were parallel, 184 cases of laparoscopic surgery patients as the research object, made during pneumoperitoneum, hands and postoperative three stages take statistics of concurrent, statistics on surgical outcomes. Results 184 example and 9 cases of concurrent rate 4.89%;turn 3 cases of open surgery at a rate of 1.63%;2 cases of death mortality was 1.01%;intraoperative concurrent 3 cases of vascular injury in 2 cases, visceral injury in 1 case, postoperative concurrent 1 case of incision infection in 2 cases of internal concurrent 3 cases;renal pelvis carcinoma radical surgery concurrent rate is as high as 9.68%, followed by adrenal tumor concurrent rate was 6.15%. Conclusion Intraoperative concurrent concentrated in vascular injury and visceral injury, postoperative concurrent concentrated in incision infection and internal concurrency,

目的：探讨护理干预对老年胃肠道肿瘤手术并发肺部感染的影响。方法选取我院进行胃肠道肿瘤手术的老年患者116例，随机分观察组和对照组各58例，对照组进行常规护理，观察组在此基础上进行护理干预。比较两组在手术后出现并发肺部感染的状况。结果观察组2例并发肺部感染，并发率为3.4%；而对照组有6例并发肺部感染，并发率为10.3%，两组的结果有显著差异（P＜0.05）。结论对老年胃肠道肿瘤手术使用护理干预能有效的减少并发肺部感染。

ObjectiveTo explore the nursing intervention effect on senile gastrointestinal tumor surgery complicated with lung infection. Methods Chose 116 cases of elderly patients with gastrointestinal tumor surgery in our hospital, randomly divided into observation group and control group, 58 cases in the control group were given routine nursing care, observation group based on the nursing intervention. Compare two groups after surgery in the condition of complicated with lung infection.Results In observation group, 2 patients had complicated with pulmonary infection, the concurrent rate was 3.4%; Six cases were complicated with lung infection and control group, the concurrent rate was 10.3%, the results of the two groups had significant difference (P<0.05).Conclusion The senile gastrointestinal tumor surgery using the nursing intervention can effectively reduce the complicated with lung infection.

分析了网络要素服务规范中提供的进程内锁机制在多用户并发提交更新事务过程中存在的缺陷;借助数据库系统中事务并发控制方法,提出了一种基于多版本并发控制的要素更新并发控制方法,来解决WFS服务在多用户并发提交要素更新事务请求中存在的死锁和阻塞式等待问题。针对本文提出的这一方法,对WFS要素更新中增加要素、删除要素和更新要素的并发问题进行实验验证。

The defect of locking mechanism in process of multi-user concurrent updating transactions provided by Web Feature Service specification was analyzed. Then to resolve the problems of deadlock and blocking waiting of WFS during the concurrency requesting for feature updating by submitted multi-user, a concurrency control method of feature updating based on Multi-Version Control which was transaction concurrency control method of DBS( data-base system) was proposed. For the method proposed, it gave experiments which tested and verified the concurren-cy problems of adding, deleting and updating feature for WFS feature updating.

目的探讨急性心肌梗死患者并发心律失常的临床特点。方法回顾性分析我院50例急性心肌梗死并发心律失常住院患者的临床资料。结果急性心肌梗死患者并发心律失常总发生率几乎100％。结论急性心肌梗死患者并发心律失常发生率高，猝死率高，应根据不同情况尽早采取积极有效的防治措施，降低急性心肌梗死并发心律失常患者死亡率。

objective: to study the acute myocardial infarction patients and the clinical characteristics of arrhythmia. Methods: retrospective analysis fifty cases of acute myocardial infarction complicated arrhythmia of hospitalized patients with clinical data. Results: patients with acute myocardial infarction complicated arrhythmia total incidence almost 100%. Conclusions: in patients with acute myocardial infarction complicated arrhythmia incidence rate is high, the death rate is high, should according to different situation as soon as possible to take positive and effective prevention and control measures, reduce acute myocardial infarction complicated arrhythmia patients mortality.

目的探讨D-二聚体(D-D)和纤维蛋白原(Fbg)检测在老年下肢骨折术后并发深静脉血栓(DVT)中的临床意义。方法对2012年3月至2013年7月收治的90例老年下肢骨折患者(研究组)分别在术前、术后第3天进行血浆D-D和Fbg检测,并根据彩色多普勒超声检查结果加以分析。研究组以是否并发DVT分为并发DVT组和未并发DVT组。同时选取健康体检者60例作为对照组。比较三组血浆D-D和Fbg水平。结果90例老年下肢骨折患者术后有11例并发DVT,并发DVT组和未并发DVT组术前D-D及Fbg水平均较对照组升高,差异有统计学意义(P0.05);并发DVT组术后第3天血浆D-D和Fbg水平均高于术前,差异有统计学意义(P0.01);未并发DVT组术前D-D和Fbg水平与术后第3天比较,差异均无统计学意义(P0.05)。并发DVT组与未并发DVT组术前血浆D-D及Fbg水平比较,差异无统计学意义(P0.05),术后第3天血浆D-D和Fbg水平比较,差异有统计学意义(P0.01)。结论血浆D-D和Fbg检测对老年下肢骨折术后并发DVT的早期诊断和预防具有重要临床意义。

Objective To explore the clinical significance of the testing plasma D-dimer(D-D) and fibrinogen(Fbg) on the postoperative deep vein thrombosis in the elder with lower limb fractures. Methods Totally 90 elderly patients with lower limb fractures(study group) who were enrolled from March 2012 to June 2013,were selected to be carried out the test on plasma D-D and Fbg before the operation,and at the 3rd day after the operation respectively,and the results were analyzed by Color Doppler ultrasonography. Meanwhile ,other 60 healthy subjects were taken as the control group ,and the plasma D-D and Fbg lev-els were compared between the two groups. Results 11 cases concurred deep vein thrombosis (DVT) in 90 elderly patients with lower limb fractures.The D-D and Fbg levels in the DVT group on 3rd after operation were both significantly higher than those before operation(P 0.05). The D-D and Fbg levels before the operation had no statistically significant difference between the DVT group and non