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Results: In the 23 cases of disease group, 16 cases were unilateral and 7 cases were bilateral. X-ray examination showed local prominence between ischium and pubis in all cases. Lamellar changes of the bone inhomogeneous in density with round translucence were found in 8 cases accompanied with intact cortex. Mild osseous hyperplasia was found in 8 cases without changes of periosteum and soft tissues. CT examination of 8 cases presented with local prominence between iscbium and pubis, translucence, cataclasm, discontiguous osteal cortex with irregular ends, sclerotic medullary cavity of honey surroundings, but no sequestration and changes of periosteum and soft tissues. The above-mentiooed X-ray features appeared in 14 cases among normal group, bilateral in 3 cases.

结果：病变组23例中，16例为单侧，7例为双侧。X线表现为坐骨耻骨结合处局限性骨膨隆，8例有层状改变，病变区内密度不均，有类圆形低密度透光影，骨皮质完整，8例周围骨质轻度增生，未见骨膜反应和软组织改变。8例CT表现为坐骨耻骨结合处局部膨大，其内有低密度透光区，有碎裂，骨皮质连续性中断，断端边缘欠整齐，邻近的髓腔轻度硬化，无明显的死骨和骨膜反应，邻近的软组织正常；正常组中14例出现上述X线改变，其中3例为双侧性。

Resulte: In 12 infective lesions, including purulent infection (4 cases) and tuberculosis (8 cases), the correct dignosis was made in 4cases by CR and in 11 cases by CT. In 16 soft tissue tumors, including lipoma (7 cases), fibrosarcoma (4 cases), hemangioma (1 case), neurofibroma (1 case), malignant fibrous histocytoma (1case), aggressive fibromatosis (1 case) and liposarcoma (1 case), the correct diagnosis was made in 3cases by CR and in 14 cases by CT. In 11 bone lesions, including fibrous dysplasia (7 cases), chondroma (2 cases), myeloma and cosinophilic granuloma (1 case), the correct diagnosis was made in 8cases by CR and in 10 cases by CT.

结果：感染组12例中(包括化脓性感染4例，胸壁结核8例)，CR准确诊断4例，CT诊断11例；软组织肿瘤组16例中(包括脂肪瘤7例，纤维肉瘤4例，血管瘤、神经纤维瘤、恶性纤维组织细胞瘤、侵袭性纤维瘤病和脂肪肉瘤各l例)，CR准确诊断3例，CT诊断14例；骨肿瘤和肿瘤样病变组11例中(包括骨纤维异常增殖症7例，软骨瘤2例，多发性骨髓瘤和骨嗜酸性肉芽肿各1例)，CR准确诊断8例，CT诊断10例。

Methods: Treated 126 cases with cerebral hemorrhage with various medical treatments. Treated 31 cases of 77 hypertension patients with hypotensive drugs, 46 cases without hypotensive drugs; 87 cases by dehydration therapy with mannitol; 59 cases with brain protein hydrolysate, cattle encephalon glycoside and ignotin injection, including 9 cases with cattle encephalon glycoside and ignotin and 50 cases with brain protein hydrolysate; 18 cases with minimally invasive puncture, 108 cases without puncture. Compared efficacy of different therapy.

126例脑出血患者采用不同的内科治疗方法进行治疗，高血压患者77例中，降压药治疗31例，非降压治疗46例；甘露醇脱水治疗87例；脑苷肌肽与脑蛋白水解物治疗59例，其中脑苷肌肽治疗9例，脑蛋白水解物治疗50例；微创穿剌治疗18例，非微创穿剌治疗108例，对不同治疗方法的疗效进行比较。

Results A total of 51 cases of patients with 6 cases of pacemaker dysfunction occurred: Pacing electrode catheter dislocation example 1 (1.9%), electrode fracture example 1 (1.9%), electrode insulation layer breakdown of example 1 (1.9%), 4 cases of perceptual dysfunction (7.8%), pacemaker-mediated tachycardia I example (1.9%), adopted to adjust the pacing parameters or replacement of pacemakers and pacing electrode catheter, pacing function returned to normal; 5-year follow-up, 3 cases of capsular hematoma and capsular rupture (5.9%), out by local hematocele, antibiotic rinse, closed cavity, in severe cases, re-incision and drainage to remove blood clots after compression bandaging article, in severe cases of infection, clear sinus, closed cavity, catheter inserted in the contra-lateral re-production of capsular bag implantation of pacemaker, to strengthen the anti-inflammatory treatment, made a very good effect. Two cases with pacemaker syndrome, 13 cases with cardiac dysfunction, 8 cases with cerebral infarction.

结果：51例患者中共有6例发生起搏器功能异常：起搏电极导管脱位、电极断裂、电极绝缘层破裂起搏器介导的心动过速各1例(1.9%)，感知功能障碍4例(7.8%)，通过程控或更换起搏器和起搏电极导管后，起搏功能恢复正常。5年随访中，囊袋血肿、囊袋破溃者3例(5.9%)，经局部抽出积血，抗生素冲洗，严重者重新手术后取得很好疗效；2例患者出现起搏器综合征，13例患者出现心功能不全，8例患者并发脑梗死。

objective to investigate the reasons of misdiagnosis on the young patients with non-typical lung cancer,to enhancing the cognition of the disease.methods the data of incidence,clinical manifestation,imageology,bronchoscope,surgical pathologic examination of 32 cases with non-typical lung cancer were analyzed.results 8 cases of 32 patients were misdiagnosed as tuberculosis,7 cases were misdiagnosed as pneumonia,6 cases were misdiagnosed as tuberculosis pleurisy,3 cases were misdiagnosed as omarthritis,2 cases were misdiagnosed as arthritis,2 cases were misdiagnosed as transient ischemic attack,2 cases were misdiagnosed as hemicrania,2 cases were misdiagnosed as intervertebral disk hernia.conclusion the clinical symptom of young patients with non-typical lung cancer was non-typical,and the misdiagnosis rate was high.

目的 探讨不典型青年肺癌误诊的原因，以期提高对本病的认识。方法对32例误诊的青年肺癌(5岁)患者的发病情况、临床表现、影像学检查、支气管镜及手术病理检查进行分析。结果 32例患者中，误诊为肺结核8例，肺炎7例，结核性胸膜炎6例，肩周炎3例，关节炎2例，短暂性脑缺血发作2例，偏头痛2例，椎间盘突出2例。结论青年肺癌临床症状不典型，误诊率较高。

Results: The correct cases of diagnosis ileus for MSCT, US and radiography were 89 cases (92%), 64 cases(66%) and 71cases (73%); the obstructive locations were 89 cases (92%), 59 cases (61%) and 47 cases (48%); the obstructive causes were 85 cases (88%), 40 cases (41%) and 18 cases (19%).

结果 MSCT、B超、腹部X线平片诊断出肠梗阻存在的例数分别为89例(92%)、64例(66%)、71例(73%)；正确判断梗阻部位的例数分别为89例(92%)、59例(61%)、47例(48%)；正确判断梗阻原因的例数分别为85例(88%)、40例(41%)、18例(19%)。

objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24～72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的：探讨外伤性十二指肠破裂的诊断和治疗方法。方法：回顾分析外伤性十二指肠破裂患者13例临床资料。结果：入院后3 h内确诊6例，24～72 h内确诊4例，72 h后确诊3例。3例行十二指肠裂口修补，2例行十二指肠造瘘，2例行十二指肠空肠roux-en-y吻合，1例行十二指肠憩室化手术，1例行改良十二指肠憩室化手术，1例行十二指肠两断端关闭、胃空肠吻合，1例行十二指肠远端关闭、近端与空肠端侧吻合，2例行胰十二指肠切除术。术后6例(46.2%)出现切口感染、十二指肠瘘、消化道出血、胰瘘或腹腔感染等并发症，2例(15.4%)患者死亡，分别死于多器官系统衰竭和感染中毒性休克。结论：早期诊断与正确的术式选择是成功救治外伤性十二指肠破裂的关键。

The excellent and good rate was 81.8% for JOA score (excellent in 4 cases, good in 14 cases, fair in 4 cases), 77.3% for MacNab criteria (excellent in 4 cases, good in 13 cases, fair in 5 cases) and 90.9% for ODI index (excellent in 3 cases, good in 17 cases, fair in 2 cases).

JOA 评分：优4 例，良14 例，中4 例，优良率为81.8%；MacNab 疗效评价：优4 例，良13 例，中5 例，优良率为77.3%；ODI 指数评价：优3 例，良17 例，中2 例，优良率为90.9%。

Results Soft tissue swelling: 19 cases showed on CT (degree Ⅰ 6 cases; degree Ⅱ: 5 cases; degree Ⅲ: 8 cases), and 12 cases showed on MRI (degree Ⅰ 4 cases; degree Ⅱ 3 cases; degree Ⅲ 5 cases); Arthroedema seven on CT, and Ⅱ on MRI; Synovium granulation hyperblastosis 13 on CT, and 10 on MRI; Changes of joint space 13 on CT, and 17 on MRI. Destruction of bone (6 cases), osteosclerosis (15), osteoporosis (4), bone pneumatosis (6) and abscess-like cyst (1) were seen on CT.

结果 CT显示软组织肿胀19例（Ⅰ度6例，Ⅱ度5例，Ⅲ度8例），MRI显示12例（Ⅰ度4例，Ⅱ度3例，Ⅲ度5例）；CT显示关节腔积液7例，MRI显示Ⅱ例；CT显示滑膜肉芽组织增生13例，MRI显示10例；CT显示关节间隙改变13例，MRI显示7例；CT显示髋关节骨质破坏6例，骨质硬化15例，骨质疏松4例，骨内积气6例，脓肿样囊腔1例。

Results Of 548 patients with nipple discharge, the FDS diagnosis was galactophoritis in 59 cases, ductal ectasia in 117 cases, ductal ectasia coexistent with galactophoritis in 185 cases, intraductal papilloma in 159 cases, intraductal papillomatosis in 12 cases and breast carcinoma in 16 cases. One hundred and thirty-five cases had surgical therapy in our hospital, among them, 91 cases had tumor resection or segmentectomy under localization by FDS, and 44 cases had segmentectomy after breast duct infusion with methylene blue.

结果 548例乳头溢液病例中，FDS下诊断为乳管炎59例(10.8%)，乳腺导管扩张症117例(21.4%)，乳腺导管扩张合并乳管炎185例(33.4%)，乳管内乳头状瘤159例(29.0%)，乳管内乳头状瘤病12例(2.2%)，乳腺癌16例(2.9%)。135例在我院接受手术治疗，其中91例在FDS定位下行肿瘤切除或区段切除手术，44例按常规经溢液乳管内注射染料美蓝后再行选择性区段切除。

Hanna: That's over now, isn't it?

都结束了，对吗

You must be ill. You look so pale.

你一定是病了，你的脸色苍白。