下肢

The diagnosis of ALS was established clinically on the basis of the history and physical and electrophysiological examinations. In five patients (cases 1-5), the initial symptoms were spastic paraparesis.

21例ALS患者中有5例（病例1~5）首发症状为下肢痉挛性轻瘫，在病程进展过程中均出现上运动神经元症状体征，包括肌强直、腱反射亢进、Babinski征，尤以病例2、病例4的患者明显。

High signal was also seen in the corticospinal tract on T2-weighted images in two of the eight normal volunteers and four of the 16 disease controls: two each with AMN and leukoencephalopathy presenting spastic paraparesis.

在8例正常人对照者中有2例、16例其他神经疾病患者中有4例（2例肾上腺脊髓神经病患者、2例表现为下肢痉挛性轻瘫的不明原因的白质脑病患者）于T2像也可见皮质脊髓束走行区高信号。

The second phenotype, adrenomyeloneuropathy, manifests most commonly in the late twenties as progressive paraparesis, sphincter disturbances, sexual dysfunction, and often, impaired adrenocortical function; all symptoms are progressive over decades.

第二个表型是肾上腺髓质神经病，症状通常是在25岁至30岁间出现渐行性下肢轻瘫、括约肌障碍、性功能障碍和经常性的肾上腺皮质功能障碍；所有的症状都是在几十年间渐行的。

The diagnosis of ALS was established clinically on the basis of the history and physical and electrophysiological examinations. In five patients (cases 1-5), the initial symptoms were spastic paraparesis.

所有21名患者均依病史、体格检查、电生理检查临床确诊为ALS.21例ALS患者中有5例（病例1~5）首发症状为下肢痉挛性轻瘫，在病程进展过程中均出现上运动神经元症状体征，包括肌强直、腱反射亢进、Babinski征，尤以病例2、病例4的患者明显。

Cases 1-5 who presented with spastic paraparesis and other prominent upper motor neurone signs showed high signal on T1-weighted images in the centrum semiovale, corona radiata and posterior limb of the internal capsule which corresponded to the large myelinated fibres of the corticospinal tract Fig.

病例1~5患者表现为下肢痉挛性轻瘫和其他一些明显的上运动神经元症状体征，在T1像上于半卵圆中心、放射冠、内囊后肢处的皮质脊髓束大有髓纤维走行区均可见高信号病灶（图1），在T2、PdWI像上也可见自放射冠延伸至大脑脚的高信号病灶。

Objective To investigate pathogenesy and therapeutic prospect of diabetes mellitus accompanied lower limb vascular lesion.

目的 介绍糖尿病合并下肢血管病变的发病机理及治疗进展。

Physical examination:T38 C, R32/min, P120/min, dyspyoria, Fontanel 1.5×1.5cm2, sunken, orbit sunken, decreasedSkin turgor, dry lip, dry periglottis, pharynx, heart rate 120/min, no arrhythmia, mild dull heart sounds, lungs, mild abdomen swelling, soft abdomen, not palpated liver 1.5cm below ribs, bowel sounds 10～12/min, no high notes,two lower limbs patellar reflex negative

体查：T38 C，R32次/分，P120次/分，烦躁不安，体查不合作，前稳囟1.5×1.5cm2，凹陷，眼眶凹陷，皮肤弹性差，唇干燥，舌粘膜干燥，咽，心率120次/分，率齐，心音稍钝，双肺，腹稍隆起，腹软，肝肋下1.5cm未扪及，肠鸣音10～12次/分，未闻及高调音，双下肢膝腱反射阴性。

There is an increased risk of deep venous thrombosis of the legs, including the peroneal veins.

故下肢深静脉血栓形成的风险增加，包括腓静脉。

There is an increased risk of deep enous thrombosis of the legs, including the peroneal eins.

故下肢深静脉血栓形成的风险增加，包括腓静脉。

Objective To sum up clinical experience on Transilluminated powered phlebectomy for the treatment of varicosis of the great saphenous vein of the lower limbs.

普外科论文：目的总结透光法静脉切除术治疗下肢静脉曲张的临床经验。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。