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Results:210 cases of patients,50 cases of chronic cervicitis and atypical hyperplasia,accounts for 23.8%;22 cases of vaginitis,accounts for 10.5%;20 cases of endometritis,accounts for 9.5%;Five cases of cervical polyps,accounts for 2.4%;Three cases of endometrial polyps,accounts for 1.43%;Dysfunctional uterine bleeding 75 cases,accounts for 35.7%;Endometrial three cases of atypical hyperplasia,accounts for 1.43%;Eight cases of uterine fibroids,accounts for 3.8%;15 cases of m alignant tumor,Accounts for 7.14%;IUD caused by bleeding in 9 cases,accounts for 4.3%.

结果:210例患者中,慢性宫颈炎及不典型增生50例,占23.8%;阴道炎引起出血者22例,占10.5%;子宫内膜炎20例,占9.5%;宫颈息肉5例,占2.4%;内膜息肉3例,占1.4%;功能失调性子宫出血75例,占35.7%;子宫内膜不典型增生3例,占1.4%;子宫肌瘤8例,占3.8%;恶性肿瘤15例,占7.1%;宫内节育器引起的出血9例,占4.3%。

Results The first chest film found:lung making manifold (15 cases),cocal lung making reducing (5 cases),multiple patchy shadow (20 cases),small node (13 cases),small cavity (18 cases),pneumatocele (19 cases),pleural effusion (10 cases),peneumothorax (2 cases),hydropneumothorax (2 cases),megacardia (12 cases),pulmonary hypertension (6 cases).

结果:初诊胸片示:肺纹理增强、模糊20例,局部肺纹理减少5例;片状模糊阴影20例,小结节13例,小空洞18例,肺气囊19例;胸腔积液10例,气胸2例,液气胸2例;心影增大12例,肺动脉高压6例。

Results Among the 52 cases, 30 cases were confirmed to fibrosarcomas, which were identical with primary dingnoses;22 cases were revised to malignant fibrous histocytoma (8 cases), malignant nerve sheath tumor (4 cases), monophasic spindle cell synovial sarcoma (3 cases), leiomyosarcoma(3 cases), rhabdomyosarcoma(2 cases) and abdominal desmmoid tumor (2 cases). Of the 18 cases, only two cases were misdiagnosed and were revised to malignant fibrous histocytoma and spindle cell synovial sarcoma, respectively.

结果:1980年前52例中维持原诊断30例,修改诊断22例(42.3%),分别为恶性纤维组织细胞瘤8例、恶性神经鞘膜瘤4例、单相性梭形细胞滑膜肉瘤3例、平滑肌肉瘤3例、横纹肌肉瘤2例、韧带状纤维瘤2例;1980年后纤维肉瘤18例中,维持原诊断16例,修改诊断2例(11.1%),分别为恶性纤维组织细胞瘤和滑膜肉瘤各1例。

Results Among the 35 cases, 31 cases (88.6%) were chronic bedrest, 22 cases (62.9%) were dyspnea, 19 cases (54.3%) were thoracalgia accompanied with or not feeling of impending death, 5 cases (14.3%) were syncope, 7 cases (20%) were PE triad. Among 35 cases, 17 cases were clinical cure, 15 cases were improved, 3 cases died (2 cases had breathing and cardiac arrest, 1 case was complicated with diffuse intravascular coagulation and alimentary tract hemorrhage).

结果 35例PE患者中长期卧床者31例(88.6%),突发呼吸困难或呼吸困难加重22例(62.9%),胸痛伴或不伴濒死感19例(54.3%),晕厥5例(14.3%);有胸痛、呼吸困难、咯血典型PE三联征者7例(20%)。35例PE患者中,临床治愈17例,好转15例,死亡3例(2例出现呼吸心跳骤停,1例合并弥漫性血管内凝血及消化道出血)。

Results: There were 14 cases of solitary bronchioloalveolar carcinoma, the distance of pleura to the centre of pulmonary node was smaller than 3.1cm, node diameter from 1.4cm to 3.5cm, the CT morphologic features of nodes were margin slick 2 cases, irregular margin 6 cases, short barb 5 cases, pleural retraction 11 cases, bronchogram 6 cases, vacuole 12 cases. 5 cases of consolidation bronchioloalveolar carcinoma, the main features were multisegment or lobes inflammatory consolidation, bronchogram phase 4 cases, and honeycomb 3 cases. 6 cases of diffused bronchioloalveolar carcinoma, the main features were widespread diffusion nodes, inequality of size, anisodistribute.

结果:孤立结节型14例,结节中心距胸膜均小于3.1cm,病灶直径为1.4~3.5cm,CT表现有边缘光滑2例,呈分叶征6例,短毛刺征5例,胸膜凹陷征11例,含气支气管征6例,空泡征12例;炎症型或实变型5例,病变呈多个肺段或肺叶的炎症样实变,见支气管气相4例,以及蜂房状含气腔3例;弥漫结节型6例,弥漫分布粟粒状与结节状致密影,大小不等,分布不均。

Result:through the ct diagnosis, in 175 cases hie patients 32 cases are normal, 44 cases mild hie, 52 cases moderate hie, 47 cases serious hie; through reexamine to 89 cases patients,65 cases are atrophies of brain, 51 cases cerebromalacias, 21 cases hydrocephali, 8 cases brain calcification, 11 cases normal.

目的:通过对175例新生儿缺氧缺血性脑病及其98例远期预后ct表现进行分析,正确认识ct在诊断hie的价值,以指导临床治疗与预后评估。方法:回顾性分析我院1997~2007年175例hie 患者的临床资料,其中89例进行随访并ct复查。

Results In those patients with marrow invasion , 4 cases in I phase(4.2%),12 cases in II phase(12.6%),36 cases in Ⅲ phase(37.9%)and 43 cases in Ⅳ phase(47.4%);small lymphocytic、diffuse cleaved cell、lymphoblastic lymphoma are main pathologic types;patients with mediastinal lymphadenectasis、splenomegaly and spleen violations are prone to catch bone marrow involvement;56 cases of anemia in patients with bone marrow involuement(58.9%), 42 patients with thrombocytopenia (44.2%),27 cases with leukopenia (28.4%),49 cases of patients leukocyte increased (51.6%),so,anemia is common;three were 30 cases with three items abnormal(31.6%)and 65 cases with one item abnormal at least (68.4%),the incidence of abnormal peripheral blood in leukocythemia patients were higher than that in patients with bone marrow infiltration,Particularly the patients with increased leukocyte or three items abnormalities were more common in leukemia; Abnormal cells in peripheral blood were observed in 66 cases (69.5%); chemotherapy efficiency reached 65.2% in the patients with bone marrow involuement,the median survival time was 11.5 months.

结果发生骨髓侵犯病例中I期4例(4.2%), II期12例(12.6%),Ⅲ期36例(37.9%),Ⅳ期43例(47.4%);病理类型以小淋巴细胞性,弥漫型裂细胞性(改为:弥漫性大B细胞型淋巴瘤)和淋巴母细胞性淋巴瘤多见;纵隔淋巴结肿大、脾脏肿大和脾受侵患者易发生骨髓侵犯;骨髓侵犯患者外周血中贫血56例(58.9%),血小板减少42例(44.2%),白细胞减少27例(28.4%),白细胞增高49例(51.6%),以贫血多见;三项均异常30例(31.6%),至少一项不正常65例(68.4%),淋巴瘤细胞白血病患者外周血象异常发生率高于骨髓浸润患者,尤其是白细胞增高或三项均异常者更常见于白血病;66例(69.5%)外周血分类中发现异常细胞;骨髓侵犯化疗有效率65.2%,中位生存期11.5个月。

Results In those patients with marrow invasion , 4 cases in I phase(4.2%),12 cases in II phase(12.6%),36 cases in Ⅲ phase(37.9%)and 43 cases in Ⅳ phase(47.4%);small lymphocytic、diffuse cleaved cell、lymphoblastic lymphoma are main pathologic types;patients with mediastinal lymphadenectasis、splenomegaly and spleen violations are prone to catch bone marrow involvement;56 cases of anemia in patients with bone marrow involuement(58.9%)恶性淋巴瘤症状, 42 patients with thrombocytopenia (44.2%),27 cases with leukopenia (28.4%),49 cases of patients leukocyte increased (51.6%),so,anemia is common;three were 30 cases with three items abnormal(31.6%)and 65 cases with one item abnormal at least (68.4%),the incidence of abnormal peripheral blood in leukocythemia patients were higher than that in patients with bone marrow infiltration,Particularly the patients with increased leukocyte or three items abnormalities were more common in leukemia; Abnormal cells in peripheral blood were observed in 66 cases (69.5%); chemotherapy efficiency reached 65.2% in the patients with bone marrow involuement,the median survival time was 11.5 months.

结果发生骨髓侵犯病例中I期4例(4.2%), II期12例(12.6%),Ⅲ期36例(37.9%)恶性淋巴瘤分期,Ⅳ期43例(47.4%);病理类型以小淋巴细胞性,弥漫型裂细胞性(改为:弥漫性大B细胞型淋巴瘤)和淋巴母细胞性淋巴瘤多见;纵隔淋巴结肿大、脾脏肿大和脾受侵患者易发生骨髓侵犯;骨髓侵犯患者外周血中贫血56例(58.9%),血小板减少42例(44.2%),白细胞减少27例(28.4%),白细胞增高49例(51.6%),以贫血多见;三项均异常30例(31.6%),至少一项不正常65例(68.4%),淋巴瘤细胞白血病患者外周血象异常发生率高于骨髓浸润患者,尤其是白细胞增高或三项均异常者更常见于白血病;66例(69.5%)外周血分类中发现异常细胞;骨髓侵犯化疗有效率65.2%,中位生存期11.5个月。

Result:322 cases,The trouble CT scanning sees the cerebellum star type cytoma 1 cases;cerebritis 18 cases;Ametropia 51 cases;The adenoid body is light, moderate large 79 cases;The encephalitis merge has nasosinusitis 37 cases;Nasosinusitis merge has the nose polyp 12 cases;The merge has the paranasal sinus mucous membrane cyst 6 cases;The merge has the mastorditis 29 cases;The merge has nasosinusitis, the mastorditis 22 cases.

结果:322例患儿头CT扫描见小脑星形细胞瘤1例,脑炎改变18例,脑炎合并有鼻窦炎的37例,屈光不正51例,腺样体轻、中度肥大79例,重度肥大59例。其中有鼻窦炎77例,鼻窦炎合并有鼻息肉12例,合并有鼻窦黏膜囊肿6例,合并有乳突炎29例,合并有鼻窦炎、乳突炎的22例。

Results Ultrasound studies have demonstrated that 14 cases chromosomal defects are associated with multiple fetal abnormalities, including 11 cases cardiac abnormalities (78.6%), 9 cases hydroamniofluids (64.3%), 8 cases mild ventriculomegaly (57.1%), 7 cases fetal growth restriction (50%), 5 cases abnormal umbilical arterial doppler waveforms (35.7%), 4 cases esophageal atresia (28.6%), 3 cases exomphalos (21.4%), 1 cases clubhands (7.1%), 1 cases cleft lip (7.1%).

结果 14例胎儿产前超声检查均发现二项以上的超声表现异常,其中心脏结构异常11例(78.6%);羊水过多9例(64.3%);脑室增宽8例(57.1%);胎儿生长受限7例(50%);脐动脉血流指标增高5例(35.7%);食道闭锁4例(28.6%);脐疝3例(21.4%);腕关节异常1例(7.1%);唇裂1例(7.1%)。

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