原发的

Secondly, according to the stem and leaf anatomy, leaf epidermis, pollen morphology and floral development, it is found that there are no close relations between Acorus and Typhales, especially in the aspect of floral development. In the course of floral development of A. calamus, neither bracteloe primordium nor common primordium occurs in the whole course. Early development of the flower is strongly unidirectional. Three shield carpels develop into a pistil. In Sparganium fallax, each female flower has a bracteole. The bracteole primordium and the floral primordium originate from a complex structure. A single saccate carpel develops into a pistil. In staminate flowers, petal and stamen primordia initiate spirally.

菖蒲属与香蒲目的茎叶解剖特征、叶表皮特征、花粉特征及花器官发生特点等亦存在着明显区别，特别是花器官发生特点差异尤为显著，如菖蒲属花器官发生过程中，没有苞片原基，也不存在任何形式的复合原基，花被与雄蕊原基均以单向性方式发生，雌蕊由3心皮发育而成，具有"盾状心皮"的特点等，黑三棱属则有苞片原基发生，且苞片原基与雌花原基起源于共同的复合结构，雄花的花被原基和雄蕊原基均以螺旋状方式发生，雌蕊由单心皮发育而成，未发现有2或3个心皮原基或其痕迹的现象，体现出"囊状心皮"的特点。

Small intestinal biopsies showed subepithelial collagen deposition with varying degrees of villous atrophy and varying numbers of intraepithelial lymphocytes. Four patients had previous biopsies showing enteropathic changes without collagen deposition. Seven cases were associated with collagenous colitis and 1 also had features of lymphocytic colitis. Three patients also had collagen deposition in gastric biopsies. One case was associated with lymphocytic gastritis. Celiac disease (CD, gluten-sensitive enteropathy) was documented in 4 patients. Five patients made a clinical improvement with combinations of a gluten-free diet and immunosuppressive therapy. Two patients died of complications of malnutrition and 1 of another illness. Clonal T-cell populations were identified in 5 of 6 cases tested. Four of these patients improved clinically after treatment but 1 has died. Collagenous sprue evolved on a background of CD in 4 cases. There was no history of CD in others and these cases may be the result of a biologic insult other than gluten sensitivity.

小肠活检表现为上皮下胶原沉积，绒毛萎缩程度不一，上皮内淋巴细胞浸润数量不等。4例患者以往曾做过活检，表现为其他肠病改变，并没有胶原沉积。7例患者合并胶原性结肠炎，且1例还有淋巴细胞性结肠炎的特征。3例患者胃活检也发现有胶原沉积。1例患者合并淋巴细胞性胃炎。4例患者有乳糜泻（CD，谷蛋白敏感性肠病）病史。5例患者经无麸质饮食和免疫抑制治疗后，临床症状有所改善。2例患者因营养不良合并另一种疾病而死亡。6例患者做了T细胞受体基因重排，其中5例发现有克隆性T细胞群，这5例中有4例治疗后临床症状加重，且1例死亡。4例患者在CD的基础上病发胶原性口炎性腹泻；其余患者无CD病史，他们的发病也许是生物源性损害，而非谷蛋白敏感。

Wind up (i是发字母i本身的音,不是wind风那个音) If you wind up in a particular place, situation, or state, you are in it at the end of a series of actions, events, or experiences, even thought you did not originally intend to be.比如If he continues to spend money this way, he's going to wind up in bankruptcy. How did you ever wind up in this little town in the middle of nowhere?9. Someone is playing a shell game , Bruce. I'm just trying to find out who.

shell game原指一种大家都知道的游戏——藏豆赌博游戏：一种通常涉及赌博的游戏，一个人将一个小物体藏在三个坚果壳、杯子或茶杯中的一个里，然后当旁观者试图猜测物体的最终位置时，这个人在平坦表面上移动果壳、杯子或茶杯以变戏法也作thimblerig，后来可以泛指类似的骗局，不一定是藏豆子，本句里就在说Bruce搞的藏史高飞等人的游戏

Objective To analyze the CT and MRI manifestations of oral carcinoma,and to evaluate the value of imaging technologies in the diagnosis of oral carcinoma,thus to explore the most reasonable imaging method Methods 46 cases with oral carcinoma,proved by surgery and pathology （2 lip tumors,8 carcinomas of the gingival ridge,5 carcinomas of the buccal mucosa,24 tongue carcinomas,5 carcinomas of the floor of the mouth,2 tumors of the hard palate）,were analysed retrospectively32 cases were examined with CT and 14 cases with MRIImaging presentations were compared with surgery and pathology Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowthOf the 32 cases examined with CT scan,27 were detected,5 were missed,the 4 missed cases were confirmed to be superficial ulcers by surgery and pathologyOf the 10 cases with bone destruction examined with CT scan,8 were manifested,2 were missedAnd of the 14 cases with MRI scan,all 14 were detected Conclusion CT and MRI scan are valuable for diagnosis of oral carcinomasThey can manifest the morphology and size of primary tumor,contiguous structures,bone invasion and cervical lymph node metastasisMRI is the optimal imaging method for superficial ulcerative lesion of infiltratibe growth

徐 锋，罗德红，唐威，欧阳汉，周纯武目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探索合理的影像学检查方法。方法回顾性分析经手术及病理证实的口腔癌46例（唇癌2例，牙龈癌8例，颊黏膜癌5例，舌癌24例，口底癌5例，硬腭癌2例），其中32例行CT扫描，14例行MRI扫描，将影像表现与手术所见及病理结果进行对照分析。结果 46例口腔癌中，呈浸润性生长的溃疡型病变22例，外生性生长的肿物型病变24例。CT扫描32例，明确显示病变27例，遗漏病变5例，其中4例为表浅溃疡型病变。CT扫描病例中，10例有骨质侵犯，CT扫描准确评价8例，遗漏2例。MRI扫描14例，均准确评价肿瘤及其与周围结构的关系。结论 CT、MRI对口腔癌原发肿瘤的形态、大小、周围结构侵犯、颈部淋巴结转移的评价有重要价值。对于较小及呈浸润性生长的表浅溃疡型肿瘤，CT扫描尤其是CT平扫难以准确显示，应首选MRI。

Objective To analyze the CT and MRI manifestations of oral carcinoma,and to evaluate the value of imaging technologies in the diagnosis of oral carcinoma,thus to explore the most reasonable imaging method Methods 46 cases with oral carcinoma,proved by surgery and pathology （2 lip tumors,8 carcinomas of the gingival ridge,5 carcinomas of the buccal mucosa,24 tongue carcinomas,5 carcinomas of the floor of the mouth,2 tumors of the hard palate）,were analysed retrospectively32 cases were examined with CT and 14 cases with MRIImaging presentations were compared with surgery and pathology Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowthOf the 32 cases examined with CT scan,27 were detected,5 were missed,the 4 missed cases were confirmed to be superficial ulcers by surgery and pathologyOf the 10 cases with bone destruction examined with CT scan,8 were manifested,2 were missedAnd of the 14 cases with MRI scan,all 14 were detected Conclusion CT and MRI scan are valuable for diagnosis of oral carcinomasThey can manifest the morphology and size of primary tumor,contiguous structures,bone invasion and cervical lymph node metastasisMRI is the optimal imaging method for superficial ulcerative lesion of infiltratibe growth

中华硕博网核心提示：徐锋，罗德红，唐威，欧阳汉，周纯武关键词：口腔肿瘤目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探徐锋，罗德红，唐威，欧阳汉，周纯武目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探索合理的影像学检查方法。方法回顾性分析经手术及病理证实的口腔癌46例（唇癌2例，牙龈癌8例，颊黏膜癌5例，舌癌24例，口底癌5例，硬腭癌2例），其中32例行CT扫描，14例行MRI扫描，将影像表现与手术所见及病理结果进行对照分析。结果46例口腔癌中，呈浸润性生长的溃疡型病变22例，外生性生长的肿物型病变24例。CT扫描32例，明确显示病变27例，遗漏病变5例，其中4例为表浅溃疡型病变。CT扫描病例中，10例有骨质侵犯，CT扫描准确评价8例，遗漏2例。MRI扫描14例，均准确评价肿瘤及其与四周结构的关系。结论 CT、MRI对口腔癌原发肿瘤的形态、大小、四周结构侵犯、颈部淋巴结转移的评价有重要价值。对于较小及呈浸润性生长的表浅溃疡型肿瘤，CT扫描尤其是CT平扫难以准确显示，应首选MRI。

Secondly, according to the stem and leaf anatomy, leaf epidermis, pollen morphology and floral development, it is found that there are no close relations between Acorus and Typhales, especially in the aspect of floral development. In the course of floral development of A. calamus, neither bracteloe primordium nor common primordium occurs in the whole course. Early development of the flower is strongly unidirectional. Three shield carpels develop into a pistil. In Sparganium fallax, each female flower has a bracteole. The bracteole primordium and the floral primordium originate from a complex structure. A single saccate carpel develops into a pistil. In staminate flowers, petal and stamen primordia initiate spirally.

菖蒲属与香蒲目的茎叶解剖特征、叶表皮特征、花粉特征及花器官发生特点等亦存在着明显区别，特别是花器官发生特点差异尤为显著，如菖蒲属花器官发生过程中，没有苞片原基，也不存在任何形式的复合原基，花被与雄蕊原基均以单向性方式发生，雌蕊由3心皮发育而成，具有&盾状心皮&的特点等，黑三棱属则有苞片原基发生，且苞片原基与雌花原基起源于共同的复合结构，雄花的花被原基和雄蕊原基均以螺旋状方式发生，雌蕊由单心皮发育而成，未发现有2或3个心皮原基或其痕迹的现象，体现出&囊状心皮&的特点。

Aggressive surgical removal of the tumor and any enlarged sublumbar lymph nodes is essential for treatment of the tumor and associated hypercalcaemia.

积极的手术切除原发病灶的肿瘤和任何增大的髂淋巴结是治疗肛门囊腺癌和因此引起的高血钙症的关键。

The sulfamate moiety in the structure of topiramate is chemically related to known CA inhibitors, and in fact, topiramate inhibits CA activity. To further explore the pharmacological action of topiramate, and clarify the possibility of anti-tumor growth and metastasis of CA inhibitors and its relation with AQP1, we studied the effect of topiramate on adhesion of high metastatic prostate carcinoma to laminin, and established the spontaneous metastatic model of Lewis lung carcinoma to studied the influences of topiramate on tumor growth and metastasis and AQP1 expression in lungs and primary tumors of mice.

为了深入研究托吡酯的药理作用，阐明CA抑制剂和水通道蛋白AQP1相互作用影响肿瘤生长和转移的可能性及其机制，我们研究了托吡酯对高转移的前列腺癌细胞粘附于基质成分层粘连蛋白的影响；以Lewis肺癌自发性转移为模型，考察了托吡酯对肿瘤生长和转移的影响；同时观察了托吡酯对荷瘤小鼠肺组织及原发瘤组织AQP1表达的影响；检测了其对血管新生的作用；利用体外AQP1表达模型，研究了CA抑制剂对AQP1功能的影响；此外，用蛋白质组学的关键技术，通过对模型组与托吡酯治疗组血清蛋白质组的比较分析，来寻找与肿瘤转移相关的蛋白质，探索托吡酯的可能作用靶点。

APHs, TF and GnH were tested in 93 patients with TBI,who were admitted to Zhejiang Provin-cial People's Hopital from March 2006 to June 2007. Patients with primary injury in the hypothalamic and pituitary regions, as detected by CT and/or MR/examination, as well as those with tumors or immune diseases in the CNS,endocrine or urinogenital systems, were excluded. The clinical data were analyzed according to Glasgow coma scores, type and degree of injury, and whether there was any secondary cerebral injury.

随机对浙江省人民医院2006年3月至2007年6月经系列头颅CT扫描和/或MRI检查，明确无下丘脑、垂体等部位的原发损伤，且既往无中枢神经系统、内分泌和泌尿生殖系统肿瘤及免疫性疾患史的93例门急诊和住院TBI患者的APHs、TF和GnH进行测定，并按患者的GCS评分、TBI类型和损伤程度以及有无继发性脑损害等因素进行分组研究，以同期20例健康体检者作为对照组。

For tumor originating from fossae infratemporalis, early symptoms and CT examination are helpful in diagnosing, and side incision within the hair is a good surgery access.

对原发于颞下窝的肿瘤应注意其早期症状，CT检查是诊断颞下窝肿瘤的有效手段，隐蔽于发迹内的侧切口是比较好的手术进路。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。