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Results Compared high kV X-ray chest film with spiral CT,to simplex silicosis,X-ray films coincided with CT scans;to mixed silicosis,the effect of CT scans were better than X-ray's;to large nodule,coalesced progressive massive fibrosis,the detected ratio of CT scans were higher than X-ray chest films;to silicosis complication,for example,emphysema,pleural thickening,phthisic,mediastinal impairment lympy node etc,CT scans were more reliable than X-ray films,especially HRCT can earlier find silicotic nodule and fine structure of focus.Selective application of CT scan,had great diagnostic value in complicated silicosis and silco-tuberculosis and lung cancer complicated with silicosis etc.
结果 高千伏X线胸片与螺旋CT作对比，结果对单纯矽肺并发肺癌，CT片与X线胸片基本一致；对于复杂矽肺并发肺癌CT优于X线胸片；对于大结节、肺内进行性大块纤维化(progressive massive fibrosis，PMF)融合、空洞及钙化CT检出率明显高出胸片；对矽肺并发肺癌的合并其他如肺气肿、胸膜肥厚、结核、纵隔淋巴受累等CT均较胸片可靠；特别是HRCT能早期发现矽肺肿块样病灶中细微结构，选择性应用CT，对复杂矽肺并发肺癌合并结核等鉴别诊断有很大价值。
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Results: Amang 128 patients, 56 cases were diagnosed as pulmonary carcinoma (43.75%), of which 30 cases were squamous carcinoma (53.57%), 22 cases were adenocarcinoma (39.29%), 4 cases were small cell undifferentiated carcinoma (7.14%); 37 cases were bronchial pneumonia (28.91%), in which 30 cases were given brush sampling, bacterial culture of BALF, the detectable rate of pathogenic bacteria were 50%(15 cases) and 40%(12eases) respectively; 12 eases were pulmonary tuberculosis (9.38%), of which 3 eases (25%) had concurrent endobronchial tuberculosis, smear of brush biopsy and BALF found Mycobacterium tuberculosis were 11 eases (91.67%) and 5 eases (41.67%) respectively, 2 eases were diagnosed as caseous tubereulous granuloma (16.67%); 2 eases were idiopathic pulmonary fibrosis (1.56%), lease was lymphoma of long.
结果：128例患者确诊为肺癌56例(43.75%)，其中鳞癌30例(53.57%)，腺癌22例(39.29%)，小细胞癌4例(7.14%)；支气管肺部炎症病变37例(28.91%)，其中30例经防污毛刷采样、支气管肺泡灌洗液行细菌学培养，病原菌的检出率分别为50%（15例）和40%（12例）；肺结核12例(9.38%)，其中合并支气管内膜结核3例(25%)，刷检涂片和支气管肺泡灌洗液找到结核杆菌分别为11例(91.67%)和5例(41.67%)，病理确诊为结核性乾酪样肉芽肿2例(16.67%)；特发性肺间质纤维化2例(1.56%)，肺淋巴瘤1例(0.78%)。
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The first, many tuberculosises in glandular stomach were found besides liver cell degeneration, pneumoncongestion, epithelium cell degeneration of tubuli tenales, necrosis and kidney hemorrhage, cardiac muscle celldegeneration, heart hemorrhage, cerebrum hemorrhage, satellitosis and neuronophagia, cerebellum purkinje cell necrosis.
发现病例1，肝细胞变性，肺淤血，肾小管上皮细胞变性、坏死，间质出血，心肌纤维变性，间质出血，大脑出血，&卫星化&与&噬神经&现象，小脑浦肯野氏细胞坏死，还可见腺胃有大量的结核结节。
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Among them, 28 cases (65.1%) were renal uterteral urolithiasis, 4 cases (9.2%) were renal and ureteral tuberculosis, 3 cases (7.0%) were renal and ureteral neoplasm, 2 cases (4.6%) were chronic inflammatory diseases, 1 case (2.3%) was rupture of the ureter, 2 cases (4.6%) were duplication deformity, 1 case (2.3%) was congenital megaureter, 1 case (2.3%) was congenital ureterostenosis, 1 case (2.3%) was retroperitoneal fibrosis.
其中，肾和输尿管结石28例(65.1%)，肾及输尿管结核4例(9.2%)，输尿管肿瘤3例(7.0%)，慢性炎症2例(4.6%)，输尿管破裂1例(2.3%)，重复肾盂输尿管畸形2例(4.6%)，先天性巨输尿管1例(2.3%)，先天性输尿管狭窄1例(2.3%)，腹膜后纤维化1例(2.3%)。
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D. N big mouse model was successfully made by adopting single side kidney cutting with induction, then by 24 week continuos observation on the change of various values of kidney and function, through testing of immunity florescence, electro-scope and optical scope, what we can see from model group is that typical kidney small cell got hardened by knot, and discarded, and dead, also small tube withered, small cell of on base film got thick, cell capsule wall was fibred, and base film got double layered.
实验研究采用单侧肾切除加以链脲佐菌素诱导，成功地复制出糖尿病肾病大鼠模型，对其肾脏结构和功能的改变各项指标，连续进行24周动态观察，并进行免疫荧光、电镜、光镜检测，结果表明：糖尿病肾病模型组可见典型的肾小球节段硬化、废弃、坏死，有大量蛋白管型，肾小球管糖元空泡沉积及脂肪滴，肾小管萎缩，肾小球基底膜明显增厚，球囊壁纤维化，基底膜双层化，有一例结核性肉芽组织及钙化等病理变化。
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Imaging appearances of AIDS complicated with pulmoanry tuberculosis coexisted with multiple foci of infection and polymorphism that distributed in multiple lobus. Most of AIDS patients were without typical tuberculous proliferative foci and lyphadenectasis, possibly to be associated with decreasing extent of immune function and the progress of disease at various stages in the young patients observed.
AIDS合并肺结核的胸部影像学特征多表现为多性质的病灶共存，多形态、多叶段分布，以两下肺明显的渗出性、多形态病灶；纤维化、钙化、肿块样阴影少见，无典型的结核增殖灶、肺门淋巴结肿、胸水产生与有关文献报道有异，可能与本组患者为年青人及免疫下降程度和病程发展不同阶段等因素有关。
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caseation：干酪性坏死
另有两种特殊坏死:①干酪性坏死(caseation)这是一种凝固性坏死,坏死比较彻底,组织结构完全破坏,苏木精-伊红染色呈淡红色,多见于皮肤结核、树胶肿等. ⒃ 纤维化及硬化:纤维化(fibrosis)指胶原纤维及成纤维细胞增生,排列紊乱,
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fibrotuberculosis：纤维性结核
fibrosis 纤维化 | fibrotuberculosis 纤维性结核 | fibrous goiter 纤维性甲状腺肿