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Objective To investigate the clinical features, causes of blindness and diagnosis of Vogt Koyanagi Harada syndrome Methods The data of 157 patients with VKH syndrome were reviewed and analyzed Patients were carefully examined with slit lamp, ophthalmoscope, three mirror lens, fundus fluorescein angiography, indocyanine green angiography and HLA typing Results Headache was noted in 73 5% of these patients Simultaneous involvement of both eyes occurred in 80 8% of these patients Chroiditis,papilledema and edema of the retina adjacent to the optic nerve were noted in 100% of these patients in the posterior uveitis stage, whereas recurrent granulomatous anterior uveitis (98 4%),"sunset glow" fundus (95 8%) and Dalen Fuchs nodules (71 2%) were the common ocular findings in the recurrent anterior uveitis stage The common causes of blindness were papillitis, exudative retinal detachment and complicated cataract in the posterior uveitis stage, anterior uveal involvement stage and its recurrent stage Poliosis (36 3%) and alopecia (35 0%) were the most common extraocular findings Early irregular patches of fluorescence, followed by localized hyperfluorescent spots were the typical findings of FFA Dilation of choroidal vessels and leakage of ICG from the choroidal vessels were the common ICGA findings The prevalence of HLA DR4 and HLA DRw53 in patients (54 9% and 71 8% respectively) was significantly higher than that in controls (14 7% and 38 2% respectively) Conclusions VKH syndrome is characterized by chroiditis, papillitis or neuroretinitis in the posterior uveitis stage, followed by a generalized uveitis with a typical recurrent granulomatous anterior uveitis Extraocular findings and relevant examinations including FFA, ICGA and HLA typing are helpful to the diagnosis of VKH syndrome

目的探讨Vogt-Koyanagi-Harada综合征患者的临床特征、盲目原因及诊断等有关问题。方法对在1996年1月至2000年12月间就诊资料完整的157例VKH综合征患者进行回顾性分析,并对裂隙灯、眼底镜、三面镜、荧光素眼底血管造影(fundus fluorescein angiography,FFA)、吲哚青绿血管造影(indocyanine green angiography,ICGA)及人类白细胞抗原分型等检查结果进行分析。结果 VKH综合征最常见的前驱症状为头痛(102例,73.5%),双眼同时患病118例(80.8%);后葡萄膜炎期眼部主要表现为脉络膜炎、视乳头及附近视网膜水肿(100.0%);前葡萄膜炎反复发作期眼部表现为复发性肉芽肿性前葡萄膜炎(128例,98.4%)、晚霞状眼底改变(95.8%)及Dalen-Fuchs结节(71.2%);后葡萄膜炎期、前葡萄膜受累期及前葡萄膜炎反复发作期导致盲目的主要原因分别为视乳头炎、视网膜脱离及并发性白内障;毛发变白(36.3%)及脱发(35.0%)是最常见的眼外表现;炎症活动期FFA典型表现为斑驳状高荧光,ICGA发现脉络膜血管扩张、通透性增高等改变;VKH综合征患者HLA-DR4及HLA-DRw53的阳性率(54.9%及71.8%)显著高于正常对照组(14.7%及38.2%)。结论 VKH综合征患者在后葡萄膜炎期眼部典型表现为双侧脉络膜炎、视乳头炎或神经视网膜炎,随后出现以反复发作的肉芽肿性前葡萄膜炎为特征的全葡萄膜炎。眼外症状及相关的辅助检查包括FFA、ICGA 及HLA分型等有助于VKH综合征的诊断。

Results (1) 6 cases of Tuberous Sclerosis. Diffused subependymal nodular calcification lesions were found in all cases on unenhenced CT. 4 patients are 2 pairs of mother/child relationship. Both of the two mothers are found to suffer from renal angiomyolipoma.(2)1 case of neurofibromatosis showed abnormal spinal canal: scoliosis of thoracic and lumbar spine, concave change of vertebral posterior border. Bilateral renal hypogenesis was found in this patient. Diffused hyper-density lesions were found in kidney and fatty accumulation was found in back skin.(3)6 cases of Sturge-Weber syndrome. On unenhenced CT, curving and strip-shaped calcifications were found along the parietal and occipital gyrus.

结果 ①结节性硬化6例,所有病例CT平扫见两侧脑室室管膜下多发小结节状高密度钙化灶,其中4例为两对母子关系,并见两位母亲合并有肾脏错构瘤,;②神经纤维瘤病1例,MRI表现为椎管异常,胸腰段脊柱侧弯,椎体后缘呈明显的切凹改变;伴有双肾发育不良,CT示肾内多个高密度影,背部皮肤多量脂肪堆积,③脑颜面血管瘤综合征6例, CT可见顶枕部沿脑回分布的弯曲的条状高密度钙化,部分延伸致侧脑室内,增强后见病灶内有扭曲的条状和结节状明显强化的血管影;④小脑血管瘤病4例,影像学表现为小脑内大囊、小结节样占位性病变。

Leaves trifoliolate; lateral leaflets subsessile, petiolule of terminal leaflet 2-4 cm; leaflet blades oblong-lanceolate to elliptic, 5-10 cm, subcoriaceous, glabrous or densely pubescent on abaxial surface when young and pubescent along veins when mature, green adaxially, pale green abaxially, lateral veins 7-10 pairs, base obtuse to rounded, sometimes oblique on lateral leaflets, margin serrulate with hard teeth, apex narrowly acuminate.

叶具三小叶;近无柄的侧生小叶,顶生小叶的小叶柄2-4厘米;小叶叶片长圆状披针形的到椭圆形,5-10厘米,近革质,在背面上幼时无毛的或密被短柔毛的,成熟时短柔毛沿脉,正面绿色,背面浅绿色,侧脉7-10对,基部钝到圆形,有时在侧生小叶上斜,边缘细锯齿具硬齿,先端狭渐尖。

A heavy duty tire comprises a tread portion, a pair of sidewall portions, a pair of bead portions each with a bead core therein, the bead core with an aspect ratio (HC 1 /WC) of from 0.43 to 0.58, and a carcass comprising a carcass ply of cords extending between the bead portions and turned up around a bead core in each bead portion from the inside to outside of the tire so as to form a pair of turnup portions and a main portion therebetween, the turnup portion comprising a turnup main-part extending along an axially inner surface, a radially inner surface and an axially outer surface of the bead core smoothly, and a turnup sub-part extending from the turnup main-part toward the main portion near the radially outer surface of the bead core.

本发明公开一种重载轮胎,包括:胎圈部分;一对胎侧部分;一对胎圈部分,每个胎圈部分中具有一胎圈芯,所述胎圈芯的高宽比(HC1/WC)在0.43到0.58范围内;以及胎体,其包括胎体帘布层,该胎体帘布层的帘线在胎圈部分之间延伸并且绕每个胎圈部分中的胎圈芯从轮胎内侧卷绕到轮胎外侧,而形成一对卷起部分以及位于该对卷起部分之间的主体部分,卷起部分包括沿胎圈芯的轴向内表面、径向内表面以及轴向外表面平滑延伸的卷起主部以及邻近胎圈芯的径向外表面而从卷起主部朝主体部分延伸的卷起子部。

The epicondylar breadth and the breadth of medial and lateral condyles were measured on the anteroposterior X-ray films, the length and height of medial and lateral condyles on the lateral films were also measured.

修勤目的:为积累资料和探讨国人股骨髁的性别差异,方法:随机对 33~76 岁 194 例健康人(男 138,女 56)拍摄膝部正侧位 X 线片;在正位片上测量了上髁宽和内、外侧髁宽,在侧位片上测量了内、外侧髁长和高。

Methods The gastral wedge of a relatively small width was rotated to the middle of the posterior wall of gastral wedge,the gastroduodenal anastomosis is approximated in Billroth Ⅰ method.175 consecutive patients were treated in this method.Results Less postoperative complications were recorded.

175例胃大部切除术后患者采用胃十二指肠小吻合口,小弯侧瓣向后旋转,使残胃小弯侧瓣口成为后壁之中点,残胃与十二指肠对端吻合的方法。

RESULTSThe branches of aortic arch are the left and right innominate artery in pate of mini-pig.

结果小型猪主动脉弓部向头颈部分支为左、右无名动脉;双侧颈内动脉均来自右无名动脉,故右无名动脉对脑底供血十分重要;双侧有沿脊柱向尾侧走行的折返动脉;胸主动脉背侧由胸6至胸14平面共发出8条肋间动脉,为胸腰脊髓的主要供血动脉;无腰大动脉。

Variations of intertransverse process fusion included unilateral or bilateral bridging bone with or without medial fusion to the pars interarticularis.

对横突间植骨融合而言,主要包括对单侧或双侧植骨骨质的测试,可以同时伴有或不伴有峡部近内侧融合。

Methods\ Standardized fracture models were made in bilateral tibial diaphyses in 30 rabbits.

手术造成家兔双侧胫骨标准骨折模型,对 1侧胫骨骨折部施以HESW ;另 1侧为对照。

Leaves with petiole 20-45 cm, axis striate, petioles inflated at base; leaflets (2 or)3-5-jugate; petiolules 8-10 mm; blades dull when dry, lanceolate or oblong-lanceolate to oblong, 10-25 × 2.5-7.5 cm, papery or thinly leathery, glabrous, reticulate veins visible, slightly prominent, lateral veins 10-15 pairs, slightly curved, base broadly cuneate to subrounded, apex acuminate or shortly acuminate, mucronate.

叶柄20-45厘米,轴具条纹,叶柄膨大在基部;小叶(2或者)3-5成对;小叶柄8-10毫米;叶片干燥时使黯淡的,披针形或长圆形披针形到长圆形, 10-25 * 2.5-7.5 厘米,纸质或薄革质,无毛,可见的网脉,稍突出的,侧脉10-15对,稍弯曲,基部宽楔形到近圆形,先端渐尖或短渐尖,短尖。

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