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疯狂英语（口语版） 2015年第4期 26-27页

作者： ygs Lana Del rey

美国人气独立女歌手拉娜·德雷（Lana Del rey）从2011年底开始迅速蹿红，人称打雷姐。她的声音充满迷人魔力，低沉而不失活力，音域宽广，是为数不多的皇家爵士演唱者。“当时人们不把我当做严肃认真的音乐人，所以我就压低声调，我想... 详细信息

美国人气独立女歌手拉娜·德雷（Lana Del rey）从2011年底开始迅速蹿红，人称打雷姐。她的声音充满迷人魔力，低沉而不失活力，音域宽广，是为数不多的皇家爵士演唱者。“当时人们不把我当做严肃认真的音乐人，所以我就压低声调，我想那样的话我或许就能脱颖而出。”Lana这样解释自己低沉的声线。她把自己的音乐风格定义为“好莱坞悲核（Hollywood Sadcore）”，还称自己是“匪徒版的Nancy Sinatra”。

关键词：音乐风格女歌手演唱者音乐人好莱坞音域爵士

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Endoscopic hemostasis makes the difference:Angiographic treatment in patients with lower gastrointestinal bleeding

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World Journal of Gastrointestinal Endoscopy 2021年第7期13卷 221-232页

作者： David John Werner Till Baar Ralf Kiesslich Nicolai Wenzel Nael Abusalim Achim Tresch Johannes Wilhelm rey Radiologie Rhein-Nahe Krankenhaus am St.MarienwörthBad Kreuznach 55543RLPGermany Department of Radiology Helios Dr.Horst-Schmidt-ClinicGermanyWiesbaden 65199HessenGermany Institute for Medical Statistics and Computational Biology Faculty of MedicineUniversity of CologneGermanyCologne 50923NRWGermany Department of Internal Medicine II Helios Dr.Horst-Schmidt-ClinicWiesbadenGermanyWiesbaden 65199HessenGermany Department of Diagnostic and Interventional Radiology Medical Center HanauGermanyHanau 63450HessenGermany CECAD University of CologneGermanyCologne 50923NRWGermany Center for Data and Simulation Science University of CologneGermanyCologne 50923NRWGermany Department of Gastroenterology and Endoscopy Medical Center OsnabrueckGermanyOsnabrueck 49076NiedersachsenGermany

BACKGROUND The large majority of gastrointestinal bleedings subside on their own or after endoscopic ***,a small number of these may pose a challenge in terms of therapy because the patients develop hemodynamic instability,and endoscopy does not achieve adequate *** radiology supplemented with catheter angiography(CA)and transarterial embolization have gained importance in recent *** To evaluate clinical predictors for angiography in patients with lower gastrointestinal bleeding(LGIB).METHODS We compared two groups of patients in a retrospective *** group had been treated for more than 10 years with CA for LGIB(n=41).The control group had undergone non-endoscopic or endoscopic treatment for two years and been registered in a bleeding registry(n=92).The differences between the two groups were analyzed using decision trees with the goal of defining clear rules for optimal *** Patients in the CA group had a higher shock index,a higher Glasgow-Blatchford bleeding score(GBS),lower serum hemoglobin levels,and more rarely achieved hemostasis in primary *** patients needed more transfusions,had longer hospital stays,and had to undergo subsequent surgery more frequently(P<0.001).CONCLUSION Endoscopic hemostasis proved to be the crucial difference between the two patient *** endoscopic hemostasis,along with GBS and the number of transfusions,would permit a stratification of *** prospective confirmation of the present findings,the use of decision trees would permit the identification of patients at risk for subsequent diagnosis and treatment based on interventional radiology.

关键词： Lower gastrointestinal bleeding Endoscopy Angiography Embolization Computed tomography angiography Intervention

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