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The origins of tumor were stomach in 11 patients, duodenum in 3 patients, ileum in 9 patients, jejunum in 8 patients, and transverse colon in 1 patient, respectively.

来源分别为胃11例，十二指肠3例，空肠9例，回肠8例，横结肠1例。

Methods Immunohistochemistry was utilized to measure the expression of AQP3 in tissue samples from 30 patients with seborrheic keratosis, 15 patients with Bowen′s disease, 32 patients with squamous cell carcinoma, 17 patients with malignant melanoma and 15 normal human controls.

应用免疫组织化学方法检测30例脂溢性角化病、15例Bowen病、32例鳞状细胞癌、17例恶性黑素瘤及15例正常人皮肤组织中AQP3的表达。

Results After the beginning of the railroad medical security systems reform at the February of two thousand and four, the freedom of patients in the selecting hospital increased, the effectual demand of health service changed, and part railroader patients run away to other hospitals with more competitive ability so that railroad hospital bed efficiency index descend suddenly even lower than the lower control limit. After this, the hospital bed vacancy caused by the outflow of railroader patients was occupied by nearby patients in the radius of hospital service gradually and the railroad hospital bed efficiency ascended correspondingly.

结果 2004年2月铁路医疗保障制度启动，病人选择性就医的自由度加大，病人的卫生服务有效需求发生了转移，一部分铁路医保病人流向了有较强竞争力的其他医院，使得医院病床工作效率值骤然下降，低于病床工作效率控制下限；此后，铁路系统内病人外流造成的床位"空缺"逐渐被医院服务半径内的其他病人占用，医院病床工作效率逐渐缓慢回升，至2005年5月已接近医改前病床工作效率值平均水平。

Results Irritative symptoms (78%) and gross hematuria (36%) were the most common symptoms encountered in these patients.Acid-fast stains on urinary sediment were positive in 25% of cases and TB-PCR was positive in 40%.The diagnostic accuracy of IVU,retrograde urography and CT in these patients were 38%,63% and 44% respectively.33 patients underwent a nephrectomy and partial ureterectomy,one of them had a contralateral ureter reimplantation.One patients died of miliary tuberculosis. Conclusions Acid-fast stain remains a major pathogen-detecting tool and the value of TB-PCR needs to be confirmed.

结果 尿路刺激症状和血尿为最常见症状，分别为78%和36％。24小时尿抗酸杆菌和尿结核 PCR 的阳性率分别为25％和40％， IVU ，逆行尿路造影及 CT 的诊断符合率分别为38%，63%和44%。33例患者接受了肾及部分输尿管切除术，肾上盏结核病灶清除术1例，对侧输尿管膀胱吻合术1例及肾穿刺造瘘术1例。1例患者并发血行播散型结核死亡。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

Such as inflammation of joints, the lower leg, such as chronic venous insufficiency lead to long-term sustainability of the skin caused by congestive hairy; hyperthyroidism in Pretibial myxedema patch Department often long acuminatum out; hypothyroidism and limbs of children in the back outside a large number of hair growth; children with viral encephalitis and inter-brain barrier after mumps-induced systemic hairy; head injury, especially after the children more prone to hair; children with primary malnutrition or enteropathy, or other malabsorption, or severe infections caused by malnutrition could rise to a large number of multi-body hair; anorexia nervosa patients in the face, trunk and upper limbs have more hair grow; infant limb pain patients in the limbs, face, trunk and more hair; dermatomyositis patients, mainly in children can be located hairy forearm, leg and temporal, but also a broader scope; Berordinelli syndrome, that is, growth and maturity accelerated from an early age, and accompanied by malnutrition and intestinal muscle atrophy, common hepatomegaly and high blood fat, the skin of patients with rough, often hairy; addition of certain drugs such as streptomycin, such as cortisone can cause iatrogenic hairy; some women as a result of adrenal, ovarian and other diseases caused by increased androgen can also result in more hair.

如炎症性关节，小腿慢性静脉机能不全等导致长期持续的皮肤充血造成多毛；甲状腺机能亢进者在胫前粘液性水肿的斑块处常有粗毛长出；甲状腺机能减退的儿童背部和四肢外侧有大量毛发生长；儿童在病毒性脑炎及流行性腮腺炎后间脑障碍所致的全身性多毛；头部外伤后特别是儿童易发生多毛；儿童原发性营养不良或肠病，或其他吸收不良，或严重感染引起的营养不良均可引起大量全身性多毛；神经性厌食症患者可在面部、躯干和上肢有较多的毛发长出；婴儿肢痛病患者可在四肢、面部、躯干部多毛；皮肌炎患者，主要发生于儿童中，多毛可位于前臂、小腿和颞部，但范围也更广泛；Berordinelli综合征，即生长和成熟从小就加速，并伴有肠营养不良和肌肉萎缩，常见肝肿大和高血脂，其患者皮肤粗糙，常多毛；此外某些药物如链霉素、可的松等可造成医源性多毛；某些妇女因肾上腺、卵巢等疾病致雄性激素增多也可造成多毛。

Among them,9 patients had biliary strictures at the site of hepatic bile duct bifurcation,and 6 patients had intrahepatic biliary strictures,and 3 patients had multiple extrahepatic and intrahepatic biliary strictures.Eighteen patients with NABS were managed with interventional therapy,endoscopic treatment,RouxenY anastomosis or retransplantation.

结果：共发生NABS 18例（3.5%），其中肝门部胆管狭窄9例，肝内胆管多发狭窄6例，肝内外胆管多发狭窄3例。18例病人采用给予反复的介入、内镜治疗、外科重建胆道及再次肝移植治疗。

objective: value the no tention hernia ring padding neoplasty in treating inguinal hermia.method: retrospectively analysize the clinical data of the no tention hernia ring padding neoplasty.result:the average time of the neoplasty is 40 minutes,the patients can make out-of-bed activity ,whom were treated after 6 hours.all of the patients were free of infection.2 patients felt foreign body sensation in inguinal groove and 1 person felt benumbed.conclusion: no tention hernia ring padding neoplasty is a valuable type of neoplasty,which operates simply,and the patients can get little injury ,rapid recovery and low relapse rate.

目的：探讨无张力疝环填充式修补术在腹股沟疝手术中的应用价值。方法：对30例腹股沟疝患者行无张力疝环填充式修补术后的临床资料进行回顾性分析。结果：手术时间平均40 min，切口疼痛2 d～7 d，术后6 h下床活动，无感染病例，腹股沟异物感2例，麻木1例。结论：疝环填充式无张力修补术是一项更符合生理解剖结构的治疗技术，操作简单，损伤小，恢复快，复发率低。

Mean tumor size was 4.2 cm, and multiple tumors were noted in 10 patients. Eight patients (25%) underwent pancreticoduedenectomy, and 25 patients (76%) underwent distal pancreatectomy (extended distal pancreatectomy in 4 and splenectomy in 20 patients).

肿瘤平均直径4.2cm，10名病人有多发肿瘤。8名病人（25%）接受胰十二指肠切除术，25名（76%）接受胰尾切除术（4例为扩大胰尾切除术，20例同时进行脾切除）。

Serum pepsinogenⅠ and pepsinogen Ⅱ levels were measured by radioimmunoassay in 190 healthy controls, 103 patients with gastric cancer before operation, 33 patients after partial gastrectomy, 18 patients after total gastrectomy, and 23 return visit patients after total gastrectomy.

运用放射免疫分析方法测定了190例正常人，103例胃癌手术前病人，33例胃部分切除病人，18例全胃切除病人，23例全胃切除后随访病人的血清PGⅠ、PGⅡ的含量，并进行统计学分析。

Neither the killing of Mr Zarqawi nor any breakthrough on the political front will stop the insurgency and the fratricidal murders in their tracks.

在对危险的南部地区访问时，他斥责什叶派民兵领导人对中央集权的挑衅行为。

In fact,I've got him on the satellite mobile right now.

实际上 我们已接通卫星可视电话了