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ABSTRACT Objective To discuss the clinical pathologic features and differential diagnosis of mixed germ cell sex cord stromal tumorwith malignant variant of germ cell tumor Methods The clinical pathologic datum and immunophenotype were studied in the case of ovary MGCSCST with malignant variance of germ cell tumor Results The patient's genital anatomy and female phenotype were normal,karotypes was 46xx with uterogestation The tumor tissue consisted of mixed germ cells and sex cord stromal cells with evident malignancy of mixed germ cells There was no atypical structure of gonadoblastoma in tumor tissue Conclusion MGCSCSST has complex morphosis,thus,to prevent misdiagnosis,more samples should be collected and more slices be cut The patient may have prognosis malo when there are high malignant variants of mixed germ cells in tumor tissue

目的 探讨混合性生殖细胞性索间质肿瘤(mixed germ cell sex cord stromal tumor,MGCSCST)伴恶性生殖细胞肿瘤变异型的临床病理特点及鉴别诊断。方法卵巢MGCSCST伴恶性生殖细胞肿瘤变异型的病例进行临床病理特征和免疫表型分析。结果患者生殖器的解剖结构和女性表型正常,染色体组型是46xx,足月妊娠。肿瘤组织由混合性生殖细胞和性索间质肿瘤构成,混合性生殖细胞有显著的恶性特征。瘤组织中没有典型的性腺母细胞瘤结构。结论 MGCSCST有复杂的形态结构,因此更多的取材和切片可以防止误诊,当肿瘤组织中的混合性生殖细胞有高度恶性变异时,患者预后不良。卵巢肿瘤;生殖细胞性索间质肿瘤;免疫组织化学

Methods:to analyze electrocardiogram,echocardiogram,left ventriculography,nuclear magnetic resonance results of 13 cases with ahcm.results:12 cases had apical wall thickening in echocardiogram, 3 cases had a "spade-like" configuration on left ventriculogram, 7cases were misdiagnosed as coronary heart disease initially.conclusion:ahcm is easy to be misdiagnosed as coronary heart disease, echocardiogram plays important role in the diagnosis of ahcm, in patients with suspicion of ahcm and inadequate echo images, the use of contrast echocardiography or mri should be considered.

对13例ahcm的心电图、超声心动图、左室造影及磁共振结果进行分析。结果:13例ahcm中心电图有特征性改变12例,超声心动图提示心尖区增厚12例,左室造影提示舒张期呈&黑桃&形改变3例,初诊误诊为冠心病7例。结论:ahcm易被误诊为冠心病,超声心动图是诊断该病的重要手段,必要时可做心脏超声造影术或磁共振检查。

The expression of GFAP in ILN was significant at 60 mm and it decreased obviously at 120 min after animal model induced. Conclusion Behavior changes in rats are mediated by visceralgia, which induces acute colitis. The change of GFAP in gliocyte, which is closely related with pain, emerged early and remarkably. The change of ILN, which is intensely related with emotion, appears lain.

大鼠痛行为学的变化是由于急性炎症引起的内脏痛而导致,与疼痛变化密切相关的胶质细胞中GFAP在脊髓内反应早且明显,而在与情绪变化密切相关的丘脑内的板内核群中变化相对较晚。

objective to investigate the treatment effect of wolter crook plate on distal clavicle fracture and acromioclavicular dislocation.methods thirty two patients underwent surgical repairs with wolter crook plate.results twenty seven cases were followed up for 12 months.according to karlsson,the excellent result was found in 19 cases;good in 8 cases;poor in 0 case.no complications such as infection,non union,plate failure,or redislocation after removal of the plate was found.conclusion the implant of wolter crook plate provides sufficient stability to allow active shoulder exercises immediately after surgery,which is worthy of clinical practice.

对32例锁骨远端骨折及肩锁关节脱位患者采用wolter钢板内固定治疗。结果本组27例获得随访,平均随访时间12个月,根据karlsson疗效评定标准:优19例;良8例;差0例。未出现感染、骨不连、钢板断裂以及内固定取出后再脱位等并发症。结论 wolter钢板固定能提供足够的生物力学稳定性,可允许患者进行早期功能锻炼,且肩关节功能恢复较好,有一定的临床推广应用价值。

After beating and annexing a number of adversary, by now we have become one of the top 5 teams in CNC ** 2. So "always be imitated, never be exceeded" can make the best conclusion of the growing course of our team.Our aim is to become the No.1 in CNC ** 2 , then become the No.1 in China. To reach our aim, we expect that you can join us.

为了使我们的目标能够实现,我们期待着更多的有识之士来加入我们的行列,我们相信,你就是我们要找的人,我们更相信你的加入能让我们变得更加强大;我们也相信,加入我们会使你变得更加强大。

After beating and annexing a number of adversary, by now we have become one of the top 5 teams in CNC Server 2. So "always be imitated, never be exceeded" can make the best conclusion of the growing course of our team.Our aim is to become the No.1 in CNC Server 2 , then become the No.1 in China. To reach our aim, we expect that you can join us.

为了使我们的目标能够实现,我们期待着更多的有识之士来加入我们的行列,我们相信,你就是我们要找的人,我们更相信你的加入能让我们变得更加强大;我们也相信,加入我们会使你变得更加强大。

Results The survival area and quality of avulsed flap in the experimental group were superior to that of control group after 15 days of operation, and the hemorheological items were markedly changed at 5 days after operation. Conclusion The better flap survival after orthotopic transplantation in avulsion injury can be improved by intravascular low level He-Ne laser irradiation through changed superoxide dismutase activity and hemorheological items in optimal irradiation intensity.

结果 术后15天治疗组撕脱瓣的成活面积、成活质量均明显优于对照组P结论低能量He-Ne激光血管内照射的生物学效应存在最佳的照射强度总量,在最佳的照射强度条件下,通过改变细胞内超氧化物歧化酶活性及血液流变学参数促进原位回植术后的撕脱瓣良好成活。

Abstract] Objective To report a method In ICU wart.Methods The superficial vein were catheterized,and the catheterizations were remained in the vein on 2064 serious cases. Results It demonstrated which not only hold very important role on saving lives,avoid unnecessary hurt,reduce the pain by catheteize,but also effectively improve the work of the nurses.Conclusion Introvenous catheter has important value in clinical application of ICU wart.

通过对2064例危重患者进行浅静脉留置针穿刺,并结合病情,认为在ICU病房里静脉留置针不仅仅提高了护士的工作效率,避免了不必要的损伤,减轻了患者因穿刺引起的疼痛,而且在挽救患者生命中起到了举足轻重的作用,在ICU病房有着重要的临床应用价值。

The following is the research frame of this dissertation:Chapter one: Introduce background, research significance, research object, research contents and methods of this dissertation; review the history of clusters theoretical research in detail; dissertate main research dynamic status of domestic and international;Chapter two: Through explain theoretical foundation of cluster research, it defines and demarcates clusters, introduces the concept of private enterprises" cluster on this basis, and summarizes current situation of Quanzhou private enterprises" cluster;Chapter three: Propose the concept of cluster competitiveness, collect and analysis those factors which influence cluster competitiveness, and set up an appraisal system of private enterprises" cluster competitiveness;Chapter four: Define developing stages of private enterprises" cluster with clusters" dominance competitiveness, analysis characteristic and law of private enterprises" cluster in different life cycle, give out strategic countermeasures separately which promote cluster competitiveness in different stage;Chapter five: On the basis chapter three and chapter four, propose what we can use cluster strategic planning to promote Quanzhou cluster competitiveness; and recommend thought of cluster strategic planning;Chapter six: Introduce the case of Quanzhou sports shoes cluster, use competitiveness appraise system and life cycle theory for empirical analysis, and put forward detailed countermeasure that can promote cluster competitiveness;Conclusion: Summarize the research of full dissertation, and point out some weaknesses of this dissertation.

本文的研究框架如下:第一章:介绍本文选题的背景、研究意义、研究对象、内容与方法,并详细论述集群理论研究的历史回顾及当前国内外主要研究动态;第二章:通过阐述产业集群研究的理论基础,定义及界定产业集群,在此基础上引入民营企业产业集群的概念,并归纳总结了泉州市民营企业产业集群的现状;第三章:提出产业集群竞争力的概念,对影响集群竞争力的因素进行分析,初步建立一套民营企业产业集群竞争力的评价体系;第四章:应用集群显性竞争力来界定民营企业产业集群发展的生命周期阶段,并分析民营企业产业集群在各个不同生命周期阶段呈现的特征及规律,分别给出在不同阶段提升集群竞争力的战略对策;第五章:在第三、四章的基础上提出应用产业集群战略规划来提升泉州民营企业产业集群的竞争力,并介绍了集群战略规划的思路;第六章:引入泉州运动鞋产业集群的案例,应用本文构建的集群竞争力评价体系及生命周期理论进行实证分析,并提出提升该集群竞争力的详细对策;结论:总结全文的研究,并指出本论文研究的一些不足之处。

In one place, Elliot writes,"After one devotes sufficient time to studying LC materials in context, dialoguing with its leaders and members, and observing them as they live out their individual Christian lives and collective church life, an irresistible conclusion is reached: this group is not only Christian but it is in many ways an exemplary group of Christians."

在一处,埃利亚特写到,&在一个人花足够的时间研究地方召会的材料并注重其上下文,与其领头者和成员对话,并观察他们活出个人基督徒生活和团体的召会生活,我们无法抵挡的一个结论是:这个团体不但是基督徒,并且在许多方面是一个模范的基督徒团体。&

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However, as the name(read-only memory)implies, CD disks cannot be written onorchanged in any way.

然而,正如其名字所指出的那样,CD盘不能写,也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口,替代木托盘,免薰蒸,符合欧盟、北美各国对出口货物包装材料的法令要求;喷涂钢托盘适用于重载上货架之用,托盘表面根据需要制作成平板状、波纹状及间隔形式,满足不同的使用要求。

A single payment file can be uploaded from an ERP system to effect all pan-China RMB payments and overseas payments in all currencies.

付款指令文件可从您的 ERP 系统上传到我们的电子银行系统来只是国内及对海外各种币种付款。