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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

Result: male patient with SLE is more than Han nationality patient; The prevalence of anti-dsDNA and ANCA antibody in wuzu was significant higher than that in Han nationality patients;The levels complement C_(3) was lower than in that Han nationality patients.

结果 维吾尔族SLE中男性狼疮较汉族常见；临床表现中心包积液发生率较汉族高；血ANCA阳性率、Ds-DNA阳性率较汉族高，补体C_3水平较汉族低，血尿阳性率高。

The LASIK flap never fully heals and makes the patient susceptible to increased risk of eye infections and diseases, inaccurate intraocular pressure measurements necessary for the detection of Glaucoma, and increased risk of the need for a corneal transplant should the patient lose the corneal flap by a poke or strike to the eye.

在角膜瓣没有完全愈合，并使病人容易增加眼睛感染和疾病，不准确的测量眼压青光眼的检测必要的风险，并增加了一个角膜移植的病人应该失去一角膜瓣风险戳或罢工的眼睛。

Because machinery aerates ,the patient has the characteristic that differs with other patient , we begin the psychology that be aimed at to nurse to its measure , obtain apparent effect .

由于机械通气患者有和其他患者不同的特征，我们对其开展针对的心理护理办法，取得明显的效果。

BiPAP aerates applicable AECOPD is amalgamative Ⅱ breathe out decline patient, disease of the disease of low oxygen blood that can improve a patient apparently, blood of tall carbonic acid and PH are worth and method of tradition of remedial effect excel, be worth clinical promotion application.

结论BiPAP通气适用AECOPD合并Ⅱ型呼衰患者，可明显改善患者的低氧血症、高碳酸血症及PH值且治疗效果优于传统方法，值得临床推广应用。

METHODS: We randomized 42 healthy parturients in early laborto receive 0.1% ropivacaine + fentanyl 2 g/mL eithervia PCEA+BCI (n = 21,bolus 5 mL, lockout 10 min, basal infusion5 mL/h) or via PCEA+AMB (n = 21, patient-activated bolus of5 mL, lockout 10 min, basal automated boluses of 5 mL/h [omittedif a patient-activated bolus was successfully administered inthe last 1 h]) after successful induction of combined spinalepidural analgesia.

我们将42名处于早期产程的健康娠妇女在成接受腰硬联合镇痛后，随机分为两组，一组接受 PCEA+BCI (n = 21，单次给药5ml ，锁定时间 10分钟，背景剂量5 mL/h)，另一组接受 PCEA+AMB (n = 21，患者自控单次给药5 mL，锁定时间 10 分钟，背景剂量自单次给药5ml/h)，两组均给予0.1%的罗哌卡因+太尼2 g/mL 。

One involves injections containing small quantities of the food extracts to which the patient is allergic. These shots are given on a regular basis for a long period of time with the aim of "desensitizing"16 the patient to the food allergen.

一种是给食物过敏的病人注射含有少量食物提取物，这种注射需要定期坚持很长时间，目的是使对食物过敏的病人脱敏。

The psychological factor to be possible to cause the body disease, the disease to have the obvious influence to patient's psychological condition, especially devastates to the surgery patient seriously.

心理因素可导致躯体疾病，疾病对病人的心理状态有明显的影响，尤其对手术病人的摧残更为严重。

The patient with a dislocating THA is functionally impaired and this leads to patient apprehension and dissatisfaction.

关节脱位后引起患者功能受损，另一方面容易带来患者的不理解及不满意情绪。

No patient had neuropsychological deterioration, nor did any patient show side effects. Three patients were explanted after 2 years due to skin erosion in the trajectory of the system.

患者均无神经心理学病变，也未显示副作用。3例患者因刺激系统导线处皮肤溃烂于两年后移除深部脑刺激系统。

They weren't aggressive, but I yelled and threw a rock in their direction to get them off the trail and away from me, just in case.

他们没有侵略性，但我大喊，并在他们的方向扔石头让他们过的线索，远离我，以防万一。

In slot 2 in your bag put wrapping paper, quantity does not matter in this case.

在你的书包里槽2把包装纸、数量无关紧要。