可复发的

Treating BK by lamellar cauterization of the cornea combined with AMT can effectively alleviate the symptom and prevent recurrence.

角膜板层烧烙联合羊膜移植可有效地控制BK的症状，防止BK的复发，是治疗BK可供选择的有效方法。

It is recommended that maintenance treatment should be individual in clinical experiences.It is reasonable to choose the different maintenance therapy plan according to ulcer cicatrization quality under endoscope and the helicobacter pylori situation respectively,which not only can control the recurrence of peptic ulcer effectively,but also can reduce the patient′s economic burden,achieves treatment individuation,and instructs the patients with correct consolidated treatment.

临床上推荐维持治疗个体化，根据内镜下消化性溃疡瘢痕情况和幽门螺杆菌感染情况分别选择不同方案的维持治疗是较合理的，既可有效地控制溃疡复发，又可减轻患者的经济负担，真正做到治疗个体化，指导患者溃疡愈合后正确的巩固治疗。

Continuous chemoprophylaxis against group A streptococci has proved to be highly effective in preventing recurrences of rheumatic fever.

对A组链球菌进行连续性化学预防，已证明对防止风湿热的复发可奏卓效。

Spondylectomy en bloc and reconstruction via posterior approach is effective to improve neurofunction as well as decrease local recurrence.

后路全脊椎整块切除术是胸腰椎肿瘤一种有效的手术方法，可改善脊髓神经功能，降低脊柱骨肿瘤局部复发率。

Most risk factors appear in 2cm to tumor in stage Ⅰ and Ⅱ breast cancer patients,so we recommend 2cm to tumor as the safe exsection standard.The range of exsection should be expanded（＞2cm） when there were P53 mutation,the expression of C-erB-2 expanded and EIC.

Ⅰ、Ⅱ期乳腺癌保乳术后复发危险因素绝大多数（95.2%）在瘤缘外2cm以内存在，因此推荐以癌旁2cm作为保乳手术的安全切除范围，远离乳头端可缩小手术范围至癌旁1cm处；原发癌C-erbB-2扩增和P53突变时，行保乳手术应适当扩大切除范围（＞2cm）；EIC时，应扩大手术范围。

Results Diagnosis of sebaceous carcinoma demanded immunohistochemistry, and rare parotid sebaceous carcinoma was still distinguished with clear cell carcinoma, grume epidermis carcinoma and acinic cell carcinoma in pathology. By Follow-up of the all patients over 5 years, survival rate for 5 years was 71.4%(20/28), primary focus recurrence in 10 cases, in which, neck lymph node metastasis was discovered in 3 cases, and one was performed operation once again. Four cases lost communication; 2cases died of distant metastasis; 2cases died of other diseases.

结果 皮脂腺癌确诊需要免疫组化检测，而罕见的腮腺皮脂腺癌还需和透明细胞癌、黏液表皮样癌和腺泡细胞癌鉴别，全组病例5年以上随访，5年生存率可达71.4%（20/28），5年内原发灶复发10例，其中，3例伴有区域淋巴结转移而再次手术，4例失访；2例死于远处转移；2例死于其他疾病。

But there was no difference in tess and the relapse of one year between two groups.conclusions: paroxetine with small-dose quetiapine could improve the efficacy compared with paroxetine in treating depression,and could improve sleep orexis and the feeling of body discomfort.. but quetiapine had no distinct effect on relapse.

帕罗西汀合用小剂量奎硫平治疗抑郁症起效快，克服了抗抑郁药本身起效慢的特点，可提高疗效，并能迅速改善睡眠障碍和焦虑/躯体化症状，对复发率无明显影响。

The known factors that can influence the recurrence and metastasis of operable breast cancer can be divided into two groups. One group of the factors are the clinical and pathological factors, which include age, pathological type, histological and nuclear degree, size of tumor, lymph node status, hormone receptor status, operation mode, adjuvant chemotherapy, endocrinotherapy, radiotherapy and newcome biotherapy, neo-adjuvant chemotherapy and endocrinotherapy.

目前已知的影响可手术乳腺癌术后复发转移的因素可分为两类，一类是临床病理因素，包括患者年龄、肿瘤病理类型、组织学分级和核级、肿瘤分期(包括肿瘤局部情况和区域淋巴结状态)、激素受体状态、手术方式、术后辅助化疗、内分泌治疗、放射治疗以及近年来新出现的生物治疗、新辅助化疗、新辅助内分泌治疗等。

TREATMENT: Except for anti-coagulation therapy, aminophyllini was an inexpensive medicine to treat PTE, it could largly lower Hb and Hct by reducing the secretion of EPO. Its defect was rechallenge of PTE with the drug stopped, and repeated administration was still effective. The side effect was exciting symptoms. Enalapril was a storng hypotensor which could also greatly lower Hb and Hct with the decline in PRA/AT-Ⅱ, and then decreasing serum EPO. In this therapy blood pressure shonld be monitored to prevent from postural hypotention. At last, it showed that diltiazemi had no obvious effect on PTE.

四、治疗研究：分别以氨茶碱、恬尔心、Enalapril来治疗PTE病人，发现氨茶碱能明显降低PTE病人的Hb及Hct，且该作用与EPO降低有关，其缺点是停用后可引起复发，但继续服用仍有效，该药的副作用主要为头痛、失眠等兴奋症状；Enalapril不但能显著降低Hb及Hct，还可治疗难治性高血压，适用于伴有高血压的PTE病人；恬尔心对PTE的治疗作用不大。

（1）Bullae of lung ruptured spontaneous pneumothorax is the best indication for VATS,which has the advantages of less trauma and ache,short operation time,quick recovery and small incision;（2）Recurrent unilateral spontaneous pneumothorax with contineous air leakage of 7 days after closed thoracic drainage,bilateral spontaneous pneumothorax should be treated by VATS;（3）Spontaneous pneumothorax with pleura adhesion can be treated by pneumonolysis and bullae of lung excision under thoracoscopy assisted small incision operation.

疗效满意。结论：（1）肺大泡破裂自发性气胸是胸腔镜手术最佳的适应证，与传统开胸手术相比，胸腔镜手术具有患者创伤小，手术时间短，术后疼痛轻，康复快，符合美容要求等特点；（2）反复发作的单侧自发性气胸，行胸腔闭式引流术后持续漏气7d，双侧自发性气胸，不论是否同时发作都可考虑胸腔镜手术治疗；（3）自发性气胸并胸膜粘连可用胸腔镜辅助小切口行粘连松解肺大泡切除术；（4）为减少一次性材料的消耗，降低手术成本，可辅助小切口使用常规胸科手术器械完成手术；（5）为减少术后复发率需行胸膜固定术。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。