27 октомври 2009

Кръвно-газов анализ

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<title>К Р Ъ В Н О Г А З О В А Н А Л И З</title>
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<tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
<td colspan=8 style='background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>К Р Ъ В Н О Г А З О В А Н А Л И З</span></b></p>
</td>
</tr>
<tr style='mso-yfti-irow:1'>
<td width="19%" style='width:19.58%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal> </p>
</td>
<td width="19%" colspan=2 style='width:19.78%;background:#94D6CE;padding:
.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span class=SpellE><b><span
style='font-family:Arial'>pH</span></b></span></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;background:#94D6CE;padding:
.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>pCO</span></b><sub><span style='font-family:Arial'>2</span></sub></p>
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<td width="22%" colspan=2 style='width:22.74%;background:#94D6CE;padding:
.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Бикарбонат</span></b></p>
</td>
<td width="16%" style='width:16.86%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>ВЕ</span></b></p>
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<tr style='mso-yfti-irow:2'>
<td width="19%" style='width:19.58%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Референтни<br>
граници</span></b></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>7,36 - 7,42</span></b></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>36 - 44</span></b></p>
</td>
<td width="22%" colspan=2 style='width:22.74%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>22 - 26</span></b></p>
</td>
<td width="16%" style='width:16.86%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>- 2 до + 2</span></b></p>
</td>
</tr>
<tr style='mso-yfti-irow:3'>
<td width="19%" style='width:19.58%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Метаболитна<br>
<span class=SpellE>ацидоза</span></span></b></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
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</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1025"><![endif]><b>или</b> <!--[if gte vml 1]><v:shape
id="_x0000_i1026" type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image003.png" o:href="http://steffanov.dir.bg/Picture/left-right.gif"/>
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</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image005.gif" v:shapes="_x0000_i1027"><![endif]><b>или</b><!--[if gte vml 1]><v:shape
id="_x0000_i1028" type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
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</td>
<td width="22%" colspan=2 style='width:22.74%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1029"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1029"><![endif]></span></p>
</td>
<td width="16%" style='width:16.86%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Отрицателен</span></b></p>
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<tr style='mso-yfti-irow:4'>
<td width="19%" style='width:19.58%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Метаболитна<br>
<span class=SpellE>алкалоза</span></span></b></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1030"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image006.png" o:href="http://steffanov.dir.bg/Picture/up.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image007.gif" v:shapes="_x0000_i1030"><![endif]><b>или</b></span>
<span style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1031"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image003.png" o:href="http://steffanov.dir.bg/Picture/left-right.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image004.gif" v:shapes="_x0000_i1031"><![endif]></span></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1032"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image003.png" o:href="http://steffanov.dir.bg/Picture/left-right.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image005.gif" v:shapes="_x0000_i1032"><![endif]><b>или</b></span>
<span style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1033"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image006.png" o:href="http://steffanov.dir.bg/Picture/up.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image007.gif" v:shapes="_x0000_i1033"><![endif]></span></p>
</td>
<td width="22%" colspan=2 style='width:22.74%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1034"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image006.png" o:href="http://steffanov.dir.bg/Picture/up.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image007.gif" v:shapes="_x0000_i1034"><![endif]></span></p>
</td>
<td width="16%" style='width:16.86%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Положителен</span></b></p>
</td>
</tr>
<tr style='mso-yfti-irow:5'>
<td width="19%" style='width:19.58%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Респираторна<br>
<span class=SpellE>ацидоза</span></span></b></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1035"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1035"><![endif]><b>или</b> <!--[if gte vml 1]><v:shape
id="_x0000_i1036" type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image003.png" o:href="http://steffanov.dir.bg/Picture/left-right.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image004.gif" v:shapes="_x0000_i1036"><![endif]></span></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1037"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image006.png" o:href="http://steffanov.dir.bg/Picture/up.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image007.gif" v:shapes="_x0000_i1037"><![endif]></span></p>
</td>
<td width="22%" colspan=2 style='width:22.74%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1038"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image003.png" o:href="http://steffanov.dir.bg/Picture/left-right.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image004.gif" v:shapes="_x0000_i1038"><![endif]><b>или</b></span>
<span style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1039"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image006.png" o:href="http://steffanov.dir.bg/Picture/up.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image007.gif" v:shapes="_x0000_i1039"><![endif]></span></p>
</td>
<td width="16%" style='width:16.86%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Положителен</span></b></p>
</td>
</tr>
<tr style='mso-yfti-irow:6'>
<td width="19%" style='width:19.58%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Респираторна<br>
<span class=SpellE>алкалоза</span></span></b></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1040"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image006.png" o:href="http://steffanov.dir.bg/Picture/up.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image007.gif" v:shapes="_x0000_i1040"><![endif]><b>или</b></span><b><span
style='font-size:10.0pt;font-family:Arial'> <!--[if gte vml 1]><v:shape id="_x0000_i1041"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image003.png" o:href="http://steffanov.dir.bg/Picture/left-right.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image004.gif" v:shapes="_x0000_i1041"><![endif]></span></b></p>
</td>
<td width="19%" colspan=2 style='width:19.78%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1042"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1042"><![endif]></span></p>
</td>
<td width="22%" colspan=2 style='width:22.74%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1043"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image003.png" o:href="http://steffanov.dir.bg/Picture/left-right.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image004.gif" v:shapes="_x0000_i1043"><![endif]><b>или</b><!--[if gte vml 1]><v:shape
id="_x0000_i1044" type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1044"><![endif]></span></p>
</td>
<td width="16%" style='width:16.86%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Отрицателен</span></b></p>
</td>
</tr>
<tr style='mso-yfti-irow:7'>
<td colspan=8 style='background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><b><span style='font-family:Arial'>*При компенсирани
изменения <span class=SpellE>рН</span> е в референтните граници чрез
компенсаторно повишено или намалено отделяне на бикарбонат или издишване на
СО<sub>2</sub>. ВЕ или стандартният бикарбонат имат патологични стойности.</span></b></p>
</td>
</tr>
<tr style='mso-yfti-irow:8'>
<td colspan=8 style='background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><b><span style='font-family:Arial'>Опростено правило: При
метаболитни нарушения промените в стойностите на <span class=SpellE>рН</span>,
бикарбоната и рСО<sub>2</sub> са еднопосочни.</span></b></p>
</td>
</tr>
<tr style='mso-yfti-irow:9'>
<td width="32%" colspan=2 style='width:32.92%;background:#94D6CE;padding:
.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Анализ на кръвните газове</span></b></p>
</td>
<td width="22%" colspan=2 style='width:22.0%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>рО<sub>2</sub><br>
( 95 ± 5 <span class=SpellE>mmHg</span> )</span></b></p>
</td>
<td width="22%" colspan=2 style='width:22.0%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>рСО<sub>2</sub><br>
( 40 ± 2 <span class=SpellE>mmHg</span> )</span></b></p>
</td>
<td width="22%" colspan=2 style='width:22.0%;background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Кислородно насищане<br>
( 97± 2% )</span></b></p>
</td>
</tr>
<tr style='mso-yfti-irow:10'>
<td width="32%" colspan=2 style='width:32.92%;background:#94D6CE;padding:
.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Респираторна парциална<br>
недостатъчност</span></b></p>
</td>
<td colspan=2 style='padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1045"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1045"><![endif]></span></p>
</td>
<td colspan=2 style='padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1046"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1046"><![endif]><b>/ <span
class=SpellE>норм</span>.</b></span></p>
</td>
<td colspan=2 style='padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1047"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1047"><![endif]></span></p>
</td>
</tr>
<tr style='mso-yfti-irow:11'>
<td width="32%" colspan=2 style='width:32.92%;background:#94D6CE;padding:
.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:Arial'>Респираторна глобална<br>
недостатъчност</span></b></p>
</td>
<td colspan=2 style='padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1048"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1048"><![endif]></span></p>
</td>
<td colspan=2 style='padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1049"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image006.png" o:href="http://steffanov.dir.bg/Picture/up.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image007.gif" v:shapes="_x0000_i1049"><![endif]></span></p>
</td>
<td colspan=2 style='padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-family:Arial'><!--[if gte vml 1]><v:shape id="_x0000_i1050"
type="#_x0000_t75" alt="" style='width:16.5pt;height:14.25pt'>
<v:imagedata src="KGA_files/image001.png" o:href="http://steffanov.dir.bg/Picture/down.gif"/>
</v:shape><![endif]--><![if !vml]><img width=22 height=19
src="KGA_files/image002.gif" v:shapes="_x0000_i1050"><![endif]></span></p>
</td>
</tr>
<tr style='mso-yfti-irow:12;mso-yfti-lastrow:yes'>
<td colspan=8 style='background:#94D6CE;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><span style='font-family:Arial'>Ако се отнася за
заболяване на белодробния <span class=SpellE>паренхим</span>, то е повлиян
респираторният газов обмен. В резултат се получава артериална <span
class=SpellE>хипоксемия</span> без <span class=SpellE>хиперкапния</span>
(респираторна парциална недостатъчност). Ако се отнася за нарушение на
дихателните импулси или на дихателната механика, на базата на алвеоларната <span
class=SpellE>хиповентилация</span> се развива допълнително <span
class=SpellE>хиперкапния</span> (респираторна глобална недостатъчност). <br>
<b>Ако чрез даване на О<sub>2 </sub>се стигне до адекватно повишение на рО<sub>2</sub>,
то е налице дифузно нарушение, иначе - белодробен <span class=SpellE>шънт</span>.</b></span></p>
</td>
</tr>
<![if !supportMisalignedColumns]>
<tr height=0>
<td width=147 style='border:none'></td>
<td width=100 style='border:none'></td>
<td width=50 style='border:none'></td>
<td width=117 style='border:none'></td>
<td width=33 style='border:none'></td>
<td width=133 style='border:none'></td>
<td width=39 style='border:none'></td>
<td width=129 style='border:none'></td>
</tr>
<![endif]>
</table>

<p class=MsoNormal><o:p> </o:p></p>

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2 коментара:

  1. Profruit28 октомври, 2009 12:06

    Aха, не ти е минала тръпката.

    Две невинни грешки:
    1). Кодировката е charset=UTF-8, иначе се инициализират крокодили.

    2). За Сульо и Пульо, ако решат да прекопират, ще трябва да сложиш абсолютните/пълните пътища до картинките, а не както сега относителните - /image002.gif.

    Хайде аз да тръгвам, че днес пак е 32'С. Снощи пекох кекс. Тавата се оказа малка, кексът се изля навън и се запали. Стана лисичарник. Отивам да търся дварим хашмалим (електроматериали). Тук сме на 240В английски стандарт.

    ОтговорИзтриване
  2. Туки28 октомври, 2009 14:14

    :-))http://img408.imageshack.us/img408/1659/kissmyassop8.jpg;-))

    ОтговорИзтриване

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