大篇幅分析了這類病人死亡率和併發症增高的臨床、實驗室和手術等方面的原因,
原文從略]
based on the results of our studies, we believe that early cholecystect
omy is indicated in patients with tpn-induced gallbladder disease. obvi
ously, all patients with symptomatic disease should undergo cholecystec
tomy unless there specific medical contraindications. these operations
should be performed in a timely, elective fashion because delay may res
ult in the need for urgent surgery and thereby, increase an already hig
h risk. although recent studies have suggested that cholecystectomy may
not be warranted in otherwise healthy patients with asymptomatic gallb
ladder disease [20], we believe that this axiom does not apply to patie
nts with tpn-induced gallbladder disease. out data suggest that the nat
ural history of gallbladder disease in patients receiving tpn is consid
erably different from that of their counterparts not receiving tpn. bas
ed on our findings, we recommend elective cholecystectomy in patients r
eceiving tpn when gallstones first appear. furthermore, cholecystectomy
should be considered, especially in children without stones who are un
dergoing laparotomy for other reasons. [從對結果的分析及與其他研究的比較
得出結論性意見,這是討論部分最重要的內容 ] whether tpn-induced gallston
es can be prevented through daily stimulated gallbladder emptying await
s the results of further studies. [前瞻研究]
5) 致謝部分
總的要求:always get approval of your intention to mention someone
in the acknowledgement and approval of the form in which you will prese
nt the acknowledgement, 即:致謝詞和致謝方式必須徵得受謝人或單位的同意。