rcentinover5,000patientsunder
theageof50yearswhoundertcholecystectomy。themorbidityandmo
rtalityobservedinourg肉pofreceivinglong-termtpn,therefore,we
refarinexcessofwhatwouldbeexpectedforapopulationofpatients
whosemeanagewas29years。[提出本研究主要发现并将其与其他研究发现相
比较]
ourdatasuggestthatarespecificfactorsuniquetopatientswhorequi
relong-termtpnthatcontributetotheincreasedmortalityandmorbidi
tyassociatedwithcholecystectomyinthisselectg肉p。[以下,作者用较
大篇幅分析了这类病人死亡率和并发症增高的临床、实验室和手术等方面的原因,
原文从略]
basedontheresultsofourstudies,webelievethatearlycholecystect
omyisindicatedinpatientswithtpn-inducedgallbladderdisease。obvi
ously,allpatientswithsymptomaticdiseaseshouldundergocholecystec
tomyunlesstherespecificmedicalcontraindications。theseoperations
shouldbeperformedinatimely,electivefashionbecausedelaymayres
ultintheneedforurgentsurgeryandthereby,increaseanalreadyhig
hrisk。althoughrecentstudieshavesuggestedthatcholecystectomymay
notbewarrantedinotherwisehealthypatientswithasymptomaticgallb
ladderdisease[20],webelievethatthisaxiomdoesnotapplytopatie
ntswithtpn-inducedgallbladderdisease。outdatasuggestthatthenat
uralhistoryofgallbladderdiseaseinpatientsreceivingtpnisconsid
erablydifferentfromthatoftheircounterpartsnotreceivingtpn。bas
edonourfindings,werecommendelectivecholecystectomyinpatientsr
eceivingtpnwhengallstonesfirstappear。furthermore,cholecystectomy
shouldbeconsidered,especiallyinchildrenwithoutstoneswhoareun
dergoinglaparotomyforotherreasons。[从对结果的分析及与其他研究的比较
得出结论性意见,这是讨论部分最重要的内容]whethertpn-inducedgallston
escanbepreventedth肉ghdailystimulatedgallbladderemptyingawait
stheresultsoffurtherstudies。[前瞻研究]
5) 致谢部分
总的要求:alwaysgetapprovalofyourintentiontomentionsomeone
intheacknowledgementandapprovaloftheforminwhichyouwillprese
nttheacknowledgement,即:致谢词和致谢方式必须征得受谢人或单位的同意。