新人教版八年级上册英语Unit9课件
人教版八年级英语上册Unit9全单元课件
Tim: When is it? Sun Ning: Saturday afternoon. Tim: Oh, no, I can’t. I have to prepare for an
exam. Sun Ning: What about you, Wilson? Wilson: Sorry, I must go to the doctor. Sun Ning: Anna, can you come? Anna: I can’t, Sun Ning. I might have to meet
party on Saturday afternoon? Ted: I’m sorry, I can’t, Sun Ning. I have to
help my parents. Sun Ning: Too bad. How about you, Jenny?
Can you come to my party? Jenny: I’d love to. Sun Ning: Tim? What about you?
1. Jeff (can / can’t ) go to the party. 2. Mary (can / can’t) go to the party. 3. May (can / can’t) go to the party. 4. Mei Ling (can / can’t) go to the party. 5. Paul (can / can’t) go to the party.
5. have the flu
__c____
Listen and write the names
1b
(Tim, Kay, Anna and Wilson) next to the correct students in the picture.
人教版八年级英语上册Unit 9 Section B 1a-1f 课件
培养学生运用所学语言进行对话,高特定情境下的交际能力。
Pre-class Test
根据汉语意思,写出相应的英文短语。
1.为……做准备 prepare for 2.去看医生 go to the/a doctor 3.患流感 have the flu 4.去参加聚会 go to the party 5.其他时间;别的时间 another time
1. 掌握本课单词与重点短语,复习掌握有关日期的问答对话,能够运用词汇描述日期和时间。 2. 能够通过寻找关键词, 获取听力主要信息,提高听力理解能力及策略运用能力,学会 制作自己的日程表,能运用目标词汇有条理的描述日程计划。 3. 能以角色扮演的形式,用正确的语音语调运用所学句型进行对话。 ➢ Emotional objectives:
Can you have a try?
October the thirty-first the thirty-first of October
May the eighteenth the eighteenth of May
August the second the second of August
Revision
Pre-listening Look and fill.
—Can you come to my party? —I’m sorry, I can’t. I have to _p_r_e_p_a_r_e_f_o_r_a_n__ex_a_m__.
—Can you come to my party? —I’m afraid not. I _h_a_v_e_t_h_e__fl_u__.
人教版英语八年级上册Unit 9 Section A (1a-2d) 课件(共43张PPT)
PaTyraantstelantteiotnhetoexthperefsosllioownisnignteoxpCrheisnseisoen!s!
发出邀请 去看医生
见我的朋友
接受邀请
为考试做准备
得了流感
拒绝邀请:(可附加不去的原因) • I'm sorry, I can't. I have to… • Oh,no,I can't. I might have to… • Sorry, I must… • I can’t either. I…
Of course I can
Sorry, I am not available/free.
It’s my pleasure!
1c
You are the students in the picture. Student A, invite three students to your party. Student B,
抱歉,我不能来,我得为考试做准备
How to make an invitation? • Can you come to my birthday? • Could you come to my school?
How to accept an invitation? • Yes/Certainly/Sure, I’d love / like to.
Can you…
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人教版八年级英语上册Unit 9 Section A1a-2c课件
Unit 9
Section A (1a-2c)
Learning goals: Learn how to make, accept and turn down the invitation.学会发出邀请,接受邀请和如何委婉拒绝别人的邀请。
invite
play basketball
climb mountains
go shopping
Colorful weekend Activities
What do you often do on weekends?
help my parents with housework
Free talk
help sb. (to) do sth.help sb. with sth.
1. can 是_____动词, 可以表示_____, _____ 或_____,在本单元中表示______。 can 没有______ 和________ 的变化,其否定形式是________。当用can来向别人发出邀请时,要用一般疑问句形式,其句式为______________________________.接受邀请时:谢绝邀请时:
study for a test
What will you do on weekends?
Words and phrases
prepareprepare forexamfluavailableanother time
v.使做好准备;把……准备好为……做准备 n.考试 n.流感 adj.有空的;可获得的 其他时间;别的时间
play the piano
visit grandparents
Colorful weekend Activities
人教版八年级英语上册Unit 9 Section B 3a-self check课件
5. event n. 大事;公开活动;比赛项目 sporting event 体育赛事
6. guest n. 客人;宾客 We must prepare a room for the guest.
Reply to an invitation (Accepting) To whom: Dear _________, Decision: What a great idea./That sounds good.
Reason: I would like to come because … Things you can help with: I can/will …
would like to will be after this
please
reply
Include the following information: kind of party or event when and where it will be if guests should bring anything if guests should reply to the invitation when and how guests should reply
_T_h_e_y_h__a_ve__to__b_r_in_g__o_n_e_b_o_o_k__a_s_a__g_if_t_f_or _th__e_n_e_w__li_b_r_a_ry_._________
6. How should people reply to this
invitation, and when? T_h__ey__s_h_o_u_ld__r_e_p_ly__to__th_i_s_i_n_v_it_a_ti_o_n_i_n_writing b_y__F_r_id_a_y_,_D__ec_e_m__b_e_r_2_0_th_.______
Unit 9 Writing 课件(共21张PPT) 人教版英语八年级上册
Larry Smith
Headmaster
聚会要求
落款
回复日期
Useful expressions
I would like to….
The … will be….
It will start at…and end at…. /It will happen….
It’s…. /Please arrive at…
to
(1) What a great idea! (2) Bring Ms. Steen to the party without telling her so that she can be surprised.
3b Write an invitation to a party or any other event .Reply to
Summary
1. 邀请函的格式: 称谓 正文 结束语 落款
2. 邀请函应具备的内容:
人物(who),时间(when),地点(where),原因(why),怎么样(how)等。
3. 4.
相经关典短句语 型: :turn
down/take
a
trip/help
out/hear
from/look
forward
写作指导:
➢ 本题要求学生们写作两个小作文,一个是写一个邀请 他人参加某聚会或活动的信函;另一个是答复你伙伴的邀 请信。 ➢ 首先,认真阅读邀请信所包含的内容:聚会或活动的 类型;举办的时间与地点;客人的着装;客人是否须带东 西;客人是否须答复此信;何时及如何答复此信。 ➢ 参照3a写一个包含上述内容的邀请信,注意运用右栏中 的提示词语。
Dear parents, I’d like to invite you to the opening ceremony for the new
Unit+9Section+B课件2023-2024学年人教版英语八年级上册
课堂操练
发出邀请
假设你是Frank, 下周一是你的生日,你想邀请你
的好朋友Peter来参加你的生日派对。请根据表格
内容给他写一封邀请信, 词数80左右。
时间 地点 人物 活动
下周一下午6:00 Frank 家 一些好朋友 唱歌、跳舞、玩电脑爱游戏、吃蛋糕
其他 请Peter在本周三之前回复此邀请函
1. Fill in the blanks in the conversation.
think of some words to encourage your child to study hard at school.
Please reply in e-mail to this invitation by Monday, September, 2nd.
Our e-mail address is Number10MS@sina. com. I look forward to
hearing from you all. reply
Huang Zongshe请写作思路
➢首先,感谢对方的邀请,并重述信中的主要内容
➢其次,愉快地表示接受邀请,并简要说明自己的打
新人教版八年级英语上册 Unit9 Self Check 优质课件.ppt
A. invite; for
B. invite; to
C. inviting; for
D. inviting; to
10. -Would you like to come to dinner this
Sunday, Xiaoming?-___A__
A. I'd love to, but I have lots of things to do
t_r_a_in__in_g__ for the race. 4. It’s a pit_y__ that you can’t come to
the party. 5. I prefer c_h__em__i_s_tr_yto English.
6 .Miss Lee t _e_a_c_h_e_s_ us English this year. 7. S _u_n_d_a_y__ is the seventh day of a week. 8. If you are ill, you should go to see a d_o_c_to_r___. 9. Mike c_a_n_’__t___ come here today because
a refusal and a reason.
1. Invitation: “Can you come to my party
on
Saturday?” Sorry,
I
can’t.
I
have
to
prepare
Reply: ______________________________
for math test.
What is he doing tomorrow?
4. He goes to work by car every day. (对划线部分提问) How does he go to work every day?
人教版初二八年级英语上册 Unit 9 When was he born_ PPT课件
Born : 1981
Guo Jingjing Diver (跳水运动员)
Born: 1981
Wang Nan Pingpong player
Born: 1978
Yao Ming
Basketball player
Born: 1980
Liu Xiang
Sprinter (短跑运动员) Born: 1983
2b
•How long did Charles Smith hiccup ? •He hiccupped for 69 years and ___ months. •When did he start hiccupping ? •He started in _____. •When did he stop hiccupping ? •He stopped in ____.
对划线部分提问。
1. My sister got up at 6:30 this morning.
When ____ did your sister _____ get up this morning? _____
2. He went to bed at 10:00 last night. When ____ did he ____ go to bed last night? _____ 3. It takes her 20 minutes to walk there.
3a
You are never too old to start doing things. For example, Tiger Woods started golfing when he was only ten months old . Mozart started writing music when he was four years old . And Ronaldo , the great Brazilian soccer player , played for his national team when he was seventeen .
人教版英语八年级上册第九单元Unit9课件PPT
考点三、情态动词的答语
句型Leabharlann 肯定回答否定回答Can I…
Yes, you can . No, you can’t .
May I … Must I… Need I…
Yes ,you may. Yes, you must. Yes, you must.
No, you mustn’t. No, you can’t. No, you needn’t. No you don’t have to No, you needn’t
• turn into “变成;进入” • turn down “调低音量;拒绝” • turn up 调高音量 • turn off 关掉,关闭; • turn on 打开,发动 • turn over 移交给;翻阅;把…翻过来;
我的生活原则是把工作变成乐趣,把乐趣变成工作。 ——艾伯乐
My principle of my life is turn work into fun, and to turn it into a job.
②invite sb. to do sth. 邀请某人去做某事
辨析:receive,accept
accept
意为“接受”
receive
意为“收到”
指主观上愿意接受
指客观上收到或拿 到,但主观上不一 定会接受
eg: The day before yesterday, a handsome boy showed his love to me with 999 roses in his hand. I _______his roses, but I wouldn't like to________ his love.
• 【温馨提示】 • (1)情态动词的过去式表示比原形更委婉的语气。 • (2)mustn’t表示否定意义“禁止,不允许”。可与祈使句互换。例
人教八年级上学期英语课件:unit 9 Section A
Can Nick and Peter go hiking tomorrow?
No, they are not free. They might have to visit their grandparents.
Grammar Focus
根据课本内容,完成下列句子。
1. 星期六你能来我的聚会吗? _C_a_n_ you _co_m__e_ to my party on Saturday?
(3) Would you like to come to my party?
How to accept an invitation(接受): (4)Sure,I’d love to. (5)Certainly, I’d love/like to. (6)Thanks for asking me. How to decline an invitation(委婉谢绝): (7)I’m sorry,I can’t .I have to… (8)I’d love to,but I have to… (9) Thanks for your invitation.But… (10)Thank you for asking.But…
5. 当然可以,听起来很棒。 _S_u_r_e_, that _so_u__n_d_s_ _g_re_a_t_.
6. 恐怕不行,我得了流感。
I’m _a_f_ra_i_d_ not. I have the _f_lu__. 7. 他能去聚会吗?
_C_a_n_ he _g_o_ to the party? 8. 不能。他得帮助他的父母。
2.Accepting: accept v.接收。可接名词或代词作宾语,但不可接不 定式。 He accepted a present from his friend.他接受了朋友的 礼物。 He asked her to marry him and she accepted.他向她求 婚,她同意了。 【辨析】accept, receive accept表示主动而且高兴地接受, receive表示被动地 收到, 但不一定接受。
Unit 9 课件(共30张PPT) 人教版英语八年级上册
Can you go to a movie with me?
Sure, I’d love to.
Can you sing a song with me?
OK, I’d love to. That sounds fun.
Sure, I’d love to. It’s good for my
health.
The boy learns that they are still good friends and he is very happy.
1b. Listen and write the names (Tim, Kay, Anna and Wilson) next to the correct students in the picture.
The girl never answers “Sure!” again and the boy doesn’t know why.
TBShuote, fbeoovreyrtiyhsetsiagmdirelf,tohsrehtebhokeyngoiwnrsvl’isteeavsen(rsyw邀tehr请isn.)g “hIesr, scshlheeearthlhyae.s gStiohrlemwsahakoyesIssohomarrveyegtkoonoodtwhenex?c”buosye.sSh(e借 (af口frlrw她ii)eean还ny,ddss是nstoha我etinplld认.tsoi识htbe’s的rrest那aehklef个utt女pihm(a孩et破吗tt坏oh?e)s)ytuatdhrye.irgood
Tim Anna Kay
Wilson
Listen again and fill in the blanks
人教版新目标初中英语八年级上册《Unit 9 When was he born 》精品课件
You are never too young to start doing things.
Discussion
The person you admire
Make a survey
Who do you admire? What does he / she do? When was … born? What did he do? Do you know his/ her hobby?
Unit 9 When was he born? Period Four
Guess!
Who am I ?
Jay Chou
He was born in 1979. He started singing in1999. He is a famous pop singer. He wrote and sang many popular songs. His music style is R&B.
was 2. are--- were 3. take--- took 4. can--- could
took took part part in in
history of 70 years
Read with the tape
Find and read the whole sentence with “pieces of music”.
He could hum pieces of music. (变单数) He could hum_____ _____ piece _____ a of music.
well-known at the age of four well-known
人教版八年级英语上册Unit 9 单元PPT课件
Why can’t you come to the party? I have a piano lesson.
Why can’t he come to the party? He has to play football.
Why can’t she come to the party? She has to visit her grandparents.
➢ Free talk
What did you do last weekend?
I helped my parents with housework.
What did you do lastweekend?
prepare for an exam
meet my friends
go toe the modal verb can for invitations and have to for giving reasons.
➢ Language Goals
make invitations decline invitations accept invitations talk about obligations
Can you come to my party?
Sorry, I can’t. I have to go to
the doctor.
Can you…
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Unit+9+Grammar+Focus-3b(课件)-2024-2025学年人教版英语八年级上册
Complete the sentences below. Use the words in brackets to help you.
1. Inviting: _C__a_n_y_o_u__p_l_a_y_t_e_n_n_is__w_i_th__m__e_o_n__S_a_tu_r_d_a_y_?__ (can/play tennis) Accepting: _S__u_r_e._T__h_a_t_s_o_u_n_d_s_g_r_e_a_t_.______________
must + 动词原形,意为“必须”,表示说话人的主观看法;
have to+ 动词原形,意为“不得不” ,强调客观需要。
原因:I have to I must
+动词原形.
I might have to
1. —Allen, can you go to the bookstore this afternoon? —I’m sorry. David, but I ________Ameet my cousin at the
原因:I have to I must I might have to
•1.To learn to use Can for invitations Can you come to… on …?
•2.To learn to accept and decline invitations and give reasons
Sure, I’d love to./That sounds great. I’m not sure. I might … Sorry, I might have to … •3.To learn to use might to talk about possibility and use must and have to to talk about obligations •4.To learn the words: invite, accept, refuse
人教版八年级上册英语Unit9_SectionB(1a2e)精品课件 (共23张PPT)
Saturday
the_1_6_th__ the__17_t_h__ the_1_8_t_h__
the day before yesterday yesterday
the day after tomorrow
•
9、要学生做的事,教职员躬亲共做;要学生学的知识,教职员躬亲共学;要学生守的规则,教职员躬亲共守。21.8.1221.8.12Thursday, August 12, 2021
•
14、谁要是自己还没有发展培养和教育好,他就不能发展培养和教育别人。2021年8月12日星期四上午10时38分16秒10:38:1621.8.12
•
15、一年之计,莫如树谷;十年之计,莫如树木;终身之计,莫如树人。2021年8月上午10时38分21.8.1210:38August 12, 2021
5. What can people do at the party? _T_h_e_y_c_a_n_e_a_t_, _d_ri_n_k_,_a_n_d_p_l_a_y_g_a_m__e_s.
While-reading
We get messages every day. Some of them are
C. after; after
D. after; before
4. I’m taking a trip _____ China now. I’m afraid I can’t
help out _____ anything.
A. in; for B. to; with C. with; of D. around; from
•
10、阅读一切好书如同和过去最杰出的人谈话。10:38:1610:38:1610:388/12/2021 10:38:16 AM
人教版八年级英语上册教学课件:Unit9 B (3a-SC)
单孔胸腔镜肺叶切除术15例临床分析发表时间:2016-03-02T16:52:14.490Z 来源:《中国综合临床》2015年12月供稿作者:朱红军曹纪伟刘锋[导读] 河南省商丘市第一人民医院胸外科电视胸腔镜手术(Video-assistedthoracoscopicsurgery,V ATS)因其微创、美观、并发症少等优点愈来愈多的应用于临床,。
朱红军曹纪伟刘锋河南省商丘市第一人民医院胸外科河南商丘476100作者简介:朱红军(1972,01-),男,副主任医师,硕士研究生.【摘要】目的探讨单孔胸腔镜(singleportvideo-assistedthoracoscopicsurgery.singleportVATS)肺叶切除+淋巴结清扫术治疗早期肺癌的临床效果.方法回顾分析我院2015年1月~2015年11月单孔胸腔镜肺叶切除+淋巴结清扫术15例患者的手术时间、术中出血量、淋巴结清扫数、术后下床时间、拔除胸腔引流管时间及术后并发症等.结果15例早期肺癌均在单孔操作全胸腔镜下完成肺叶切除+淋巴结清扫手术,平均手术时间为150±30min,平均出血量100±50ml,胸腔闲式引流时间3±2.3天,住院时间10±2.1天,术后患者疼痛反应较轻,全部患者无严重术后并发症,无一例死亡,全部痊愈出院.结论单孔胸腔镜肺叶切除+淋巴结清扫手术治疗早期肺癌具有创伤小、恢复快、安全可靠及符合肿瘤手术要求等优点,值得临床推广. 【关键词】肺癌;肺叶切除术;电视胸腔镜ClincalAnalysisofSinglePortCompletevideo-assistedThoracicSurgeryLobectomyfor15Patients.Z【AhubstHraocntg】O-bjjuenct,iCveaoJi-wei,LiuFeng.MedicalDepartmentofThoracicSurgery,TheFirstPeople??sHospitalofShangqiuHenan,Shangqiu,476100,China Toevaluateclinicaloutcomesofsingleportcompletevideo-assistedthoracoscopicsurgery(VATS)LobectomyforpatientswithEarly-stageLungCancer.Methods Weretrospectivelyanalyzedtheclinicaldataof15consecutivepatientswithEarly-stageLungCancerwhounderwentsingleportcompleteVATSLobectomyfromJanuary2015toNovember2015inTheFirstPeople?? sHospitalofShangqiuHenan.Theclinicaloutcomesincludingoperationtime,intraoperativebloodloss,chestdrainagedurationandpostoperativecomplicationsbeenanalysis.Results Theoperationtimewere150±30min,theintraoperativebloodlosswere100±50ml,timetochestdrainagedurationwere3±2.3days,Thehospitalizationtimewere10±2.1days.TherewasnoperioperativedeathandnoseriouspostoperativecomplicationswasobGservedinthegroup.Conclusion SingleportcompleteVATSlobectomyandlymphnodedissectionaresafeandreliableforpatientswithEarly-stageLungcancerwithlessinjury 【aKnedybweotrtdesr】postoperative,worthyofclinicalpromotion. Lungcancer;Video-assistedthoracicsurgery;Lobectomy 【中图分类号】R734.2【文献标识码】B 【文章编号】1008-6315(2015)12-0174-02电视胸腔镜手术(Video-assistedthoracoscopicsurgery,VATS)因其微创、美观、并发症少等优点愈来愈多的应用于临床,在早期肺癌手术中的应用已经得到了肯定,常规的胸腔镜肺叶切除术一般要作2个或3个孔,单孔胸腔镜手术对周围型早期肺癌治疗具有切口小、并发症少、术后恢复快等优点.我院2015年1月~2015年11月对15例早期周围性肺癌患者采用单孔完全胸腔镜手术治疗,取得良好的治疗效果,现报告如下.1资料与方法1.1临床资料我院2015年1月~2015年11月,在全麻下使用单孔胸腔镜对15例早期周围性肺癌患进行肺叶切除+淋巴结清扫术.病人一般情况:心肺功能正常,肿瘤直径在5cm以下,肺门无明显肿大淋巴结,无远处转移.本组中男7例,女8例,年龄45~78岁,平均53.9岁,包块平均直径(3.1±0.8)cm.肿瘤位于左肺上叶3例,左肺下叶3例,右肺上叶6例,右肺中叶1例,右肺下叶2例,行左肺全切1例,右肺中下叶切除2例,其它均为单肺叶切除. 1.2手术方法双腔气管插管静脉复合麻醉,患者取健侧90°卧位,常规消毒铺巾,在腋前线第5肋间处做一长约3cm小切口,使用电刀打开胸膜,置入7×7硅胶切口保护套,选用德国STORS高清腔镜设备1.0cm30°硬质镜头,从小切口进入胸腔进行探查.从同一小切口进入电凝钩、超声刀、吸引器和双关节钳等器械等,分离要切肺叶重要血管,并从同一小切口置入内镜切割缝合器缝合切断.游离出要切肺叶的支气管,再应用内镜切割缝合器离断,在胸腔内将切除的肺叶标本装入标本袋,连同标本袋一并从该小切口取出.由于切口小,有时取出是稍有困难,注意不要污染周围组织.本组15例患者均进行了系统的淋巴结清扫,右侧手术的向上进行2组、4组淋巴结的清扫,注意不要损伤右侧喉返神经,左侧手术的进行2组、5组淋巴结的清扫,并进行隆突下7组和9组淋巴结的清扫.所有手术操作均在单孔完全胸腔镜下完成.术后将切除肺叶和全部淋巴结一并送病理检查.2结果2.1本组平均手术时间(150±30)min,术中出血量(100±50)ml,胸腔闭式引流时间(3±2.3)d,住院时间(10±2.1)d,术后仅第一天使用镇痛泵止痛,患者疼痛反应较轻,全部患者无气胸、肺部感染、肺不张、切口感染等并发症,无一例死亡,全部痊愈出院.2.2术后病理诊断鳞状细胞癌4例,腺癌9例,肺泡细胞癌1例.临床分期:Ia 期10例,Ib期6例,IIa期4例.3讨论随着电子科技水平的不断提高,电视胸腔镜技术得到迅速发展,特别是近年来高清甚至3D腔镜设备不断投入使用,胸腔镜手术逐渐成为胸外科在一个重要治疗手段,成为手术向微创化发展的主要代表.与传统开胸手术相比,它具有创伤小、痛苦轻、术后并发症少、恢复快、住院时间短、切口瘢痕小、外观美观等诸多优点[1].尤其适合于年老体弱、心肺功能不佳的患者和年轻女性患者.但业内对肺癌的根治性切除有一定分歧,并且手术难度较大而不易掌握,特别是胸膜腔广泛粘连,不能双腔插管单肺通气等常列为手术禁忌[2].胸腔镜肺叶切除开始于上世纪90年代,最早因为腔镜设备和操作技术的局限,采取的是在辅助小切口下完成,当时还颇受质疑,前景不被看好,但是随着世界各地手术例数的不断增加,手术技巧的不但提高,逐渐认为胸腔镜肺叶切除术治疗肺癌是安全、可行的[3],并被大多数医生和患者所接受.现在胸腔镜技术逐渐成熟,并逐渐普及, 一般基层医院已经广泛开展.现在国内较多采用3孔法,即1个观察孔,2个操作孔;也有2孔法,仅用1个操作孔;从2015年初开始我们开始尝试采用单孔法, 从简单的肺大泡切除、纵隔肿瘤切除、胸腺瘤切除,到现在的单孔肺叶切除,共完成15例外周型肺癌的肺叶切除,涉及各个肺叶,并有一例全肺切除.本组15例手术均顺利完成,无中转开胸,手术时间、术中出血量、术后并发症发生情况与双操作孔法无明显差异,患者术后疼痛却更为轻微,镇痛药物使用强度减弱. 单个切口长度一般在3cm左右,位置一般选择在腋前线第5肋间,此入路比较容易游离暴露各肺叶血管和支气管,并且避免损伤背部较厚的肌层,出血少, 该部位肋间隙较宽,肋间神经不易受挤压损伤,术后患者疼痛感和感觉异常较轻;由于镜头和所有的操作器械均从单一小孔进入胸腔,器械活动相对空间小, 并且互相干扰,操作难度大,对术者的要求更高.一般开胸用手术器械无法使用,需要应用双关节的器械进行操作.从操作的技巧上注意几点:(1)要将镜头放置在切口的最上侧或最下侧,留出相对大的操作空间;(2)尽量减少同时使用的器械数量;(3)由于切口靠前,暴露最困难的是清扫第7组淋巴结,所以我们一般采取先清扫淋巴结,后切肺,牵拉病肺有利于暴露;(4)断血管和气管时要用头部可以转角腔镜切割缝合器,由于切口的限制,不能转角的直线型切割缝合器在断血管时难度较大,且血管撕裂的危险,风险较大. 应用VATS 对肺癌患者行肺叶切除术已经成为一种主要的手术方式.单孔胸腔镜肺叶切除术手术相对于3孔、2孔法胸腔镜肺叶切除术其实只是切口入路选择不同,本质上都是胸腔镜微创手术.但单孔胸腔镜更加微创,更容易被患者所接受,但对术者的要求也更高,需要熟练掌握3孔、2孔法胸腔镜技术的基础上, 经过训练方可采用.对于质疑胸腔镜的根治性问题,对于I 期及IIa期非小细胞肺癌,众多资料显示不仅在淋巴结清扫程度上能够达到与开胸手术相当的效果[4],而且能够达到与开胸手术同等的远期效果[5].本组15例患者,对淋巴结都进行的彻底的清扫,也没有遇到太大的困难.所以我们认为,单孔胸腔镜在清扫淋巴结时可以达到3孔、2孔法同样的彻底性,单孔胸腔镜进行早期肺癌手术治疗是可行的,可以达到3孔、2孔法同样的效果.所以我们认为,单孔全胸腔镜肺叶切除术是一种更为微创的胸腔镜手术方式,只要病例选择合适,这种手术方式是安全、可行的,能够在3孔、2孔法胸腔镜下进行的手术都可以在单孔下完成,并且有创伤更小,切口美观,术后疼痛及感觉明显减轻的优点,可以作为早期肺癌患者治疗的手术方式. 随着技术的进步和腔镜器械的改进,相信会有更广泛的应用. 参考文献[1] 李国锋,王正,王光锁,等.神经源性纵隔肿瘤的电视胸腔镜治疗[J].现代医院,2012,12(10):54-55. [2] 王俊,李剑峰,张利毕等,胸腔镜辅以胸壁小切口的全肺切除术.中华胸心血管外科杂志[J],1998,14(4):198-199. [3] BoffaDJ,AllenMS,GrabJD,etal.DatafromTheSocietyofThoracicSurGgeonsGeneralThoracicSurgerydatabase:thesurgicalmanagementofprimary[ lungtumors[j].JThoracCardiovascSurg,2008,135(2):247-254.4] WatanbeA,KcyanagiJ,OhsawaH,etal.SystematicnodedissectionbyVATSisnotinferiortothatthroughanopenthoracotomy:acomparativeclinicopathoG[ logicretrospctivestudy[J].Surgery,2005,138(3)510—517.5] ShigemuraN,AkishiA,FunakiS,etal.Long-termoutcomesafteravarietyofvideo-assistedthoracoscopiclobeetomyapproachesforclinicalstageIAlungcancer:amulti-institutionalstudy[J].JTHoracCardiovascSury,2006,132(3)507-512.。
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Hey, Dave. Can you go to the movies on Saturday?
I’m sorry, I’m not available. I have too much homework this weekend.
catch 及时赶上;接住;抓住
e.g. I have to run to catch the bus. 我不得不跑着去赶公交车。
1. Sam isn’t leaving until next Wednesday. 在英语中,not … until …是一个常见句 型,表示“直到……才……”。在口语 中,还可使用till代替until,构成not … until…结构。
Nick: Oh, Sam! I remember we went bike riding together last fall when he visited you.
Jeff: Yes, that's right . Nick: I'd love to come, but I'm afraid I can't. I have an
Can you go to the movies Sure. That sounds great.
tomorrow night ?
I'm afraid not. I have the flu.
Can he go to the party ?
Can she go to the baseball game?
Words and expressions
invite accept refuse
v.邀请 v.接受 v.拒绝
Grammar Focus
Can you come to my party Sure , I'd love to .
on Saturday ?
Sorry, I must study for a math test.
3a Complete the answers with might
and one of the phrases in the box.
watch TV, on the weekend, my cousin, visit my grandparents, practice the violin
1. A: What are you going to do on Saturday? B: I’m not sure. I might _w_a_t_c_h__T_V__.
医生,我觉得我得流感了。
1a Match the phrases with the pictures (a-e).
1. prepare for an exam ___a___
2. help my parents
____e__
3. go to the doctor 4. meet my friend 5. have the flu
New Year. 我们需要为新年做一些准备。
3. exam n. (= examination)考试 e.g. Did you do well in the math exam?
你在数学考试中做得怎么样?
4. flu n. 流行性感冒;流感 e.g. Doctor, I think I have the flu.
e.g. Don’t leave today’s work till tomorrow. 不要把今天的事留到明天去做。
I didn’t go to bed last night until past midnight. 昨晚我过了午夜12点才睡。
2. Catch you on Monday! 礼拜一见! 这是英语中道别的又一种说法,相当 于See you on Monday! 类似的说法还 有:Catch / See you later! (回头见!)
Words and expressions
prepare
v.使做好准备;把……准备好
prepare for 为……做准备
exam
n.考试
flu
n.流感
available
adj.有空的;可获得的
another time 其他时间;别的时间
Words and expressions
until
conj.&prep. 到……时候
hang
v.悬挂;垂下
hang out 闲逛;常去某处
catch
v.及时赶上;接住;抓住
What do you usually do on weekends? I usually help my parents.
What do you usually do on weekends? I usually help my parents.
___d___ ___b___ ___c___
1b Listen and write the names
(Tim, Kay, Anna and Wilson)
next to the correct students
in the picture.
Tim Anna Kay
Wilson
1c
You are the students in the picture. Student A, invite three students to your party. Student B, C and D, give answers.
That’s too bad. Maybe another time.
Sure, Joe. Thanks for asking.
another time 其他时间;别的时间 e.g. Let’s talk more another time.
改天再谈。 We can do it another time. 我们可以找别的时间做。
2b Listen again. Who can’t go to the
party? Why? Complete the chart.
Names
Reasons
Jeff meet his friend on Saturday
May has the flu
Mei Ling study for a math test
2a
Listen and circle can or can’t.
பைடு நூலகம்
1. Jeff (can / can’t ) go to the party. 2. Mary (can / can’t) go to the party. 3. May (can / can’t) go to the party. 4. Mei Ling (can / can’t) go to the party. 5. Paul (can / can’t) go to the party.
available adj. 有空的;可获得的 avail + able → available
e.g. Is there a room available tonight? 今晚有空闲的房间吗?
2c
Look at the reason in the chart in 2b. Write some more. Then, Student A, invite your partner to do something. Student B, say you can’t go and why.
until conj. & prep. 到……时;直到……为止
not … until 直到……才
e.g. Go straight down the street until you see the bank. 一直走,直到你看见银行。 He didn’t go home until he finished his work. 直到完成工作后他才回家。
exam on Monday so I must prepare for it . Jeff: That's really too bad ! Oh , but sam isn't leaving
until next Wednesday . Can you hang out with us on Monday night ? Nick: Sure ! Catch you on Monday !
He’s busy. Why don’t you come another time? 他很忙。你们另外找时间再来怎么样?
Role-play the conversation.
Jeff: Hey , Nick , can you come to my house on Saturday ? My cousin Sam from Xi'an is going to be here.
visit my friend
go to the concert
1. prepare v. 使做好准备;把……准备好 e.g. Don’t prepare dinner this
afternoon. Let’s eat outside. 下午不用准备晚饭了。我们出去吃。
2. prepare for 为……做准备 e.g. We need to prepare for the
A: Can you play basketball with us? B: Sorry, I can’t. I have to …
study for a test
A: Can you … ? B: Sorry, I can’t. I have to …