干酪性坏死

Small lesions may exhibit no caseation, and no organism may be demonstrated .

微小病灶可不出现干酪性坏死，也查不到细菌。

When there is extensive caseation and the granulomas involve a larger bronchus, it is possible for much of the soft, necrotic center to drain out and leave behind a cavity.

当存在广泛的干酪性坏死并且肉芽肿累及较大的支气管时，大量的坏死物排出，留下空洞。

Small lesions may exhibit no caseation.

微小病灶可不出现干酪性坏死。

The result has 24 specimens to suit pathology or cytology to make examine break, vivid check leads 92.3%(24/26) successfully, among them gland cancer cancer of 14 exemple, scale 2 exemple, cellule cancer sex of 1 exemple, cheese is necrotic 3 exemple, abscess 1 exemple, inflammation 2 exemple, red acquire metamorphic and ne

结果有24例标本适合病理或细胞学作出诊断，活检成功率92.3%(24/26)，其中腺癌14例、鳞癌2例、小细胞癌1例、干酪性坏死3例、脓肿1例、炎症2例、红染变性坏死组织1例。

Result There were 1 case with haematoma;25 cases with fiorous tubercle;1 case with cystoid pathological changes ;2 cases with nodulone cheese like neciosis; 1 case with lipoma.

结果 感染2例，脂肪液化5例，血肿1例，纤维结节25例，囊性样变1例，结节状干酪样坏死2例，脂肪瘤1例。

The inflammation reaction hyperplactic stage and lymphatic nodular stage are of nonspecific morphological changes and should be diagnosed with the help of positive tuberculin test and obvious increase of adenosine deaninase ; tuberculous nodular stage has a great number of epithelioid cells,and Langhans cells, caseous necrosis stage is characterized by a great deal of necrotic tissue and debris,a small number of fragmented epithelioid cells, and mainly by antiacid bacteria fibrinous hyperplastic stage is featured by a few fibrous tissue, cells and mucous oweing to hardness to get puncture, neans tuberculous restoration,and scar formation.

结核初期-炎性增殖期60例，占5.5%；结核早期-淋巴结节期130例，占11.9%；结核中期-结核性结节期有590例，占54.1%；结核晚期-干酪样脓样坏死期有280例，占25.7%；结核恢复期-纤维素增殖期30例，占2.8%。炎性增殖反应期非特异性形态学变化，需要结合结核抗体阳性和腺苷酸脱氨酶明显增高有助于诊断，结核结节期主要可有较多类上皮样细胞及郎罕氏细胞；而干酪样脓样坏死主要见大量坏死组织及碎屑、少数残碎不全类上皮样细胞，此期主要能查到抗酸菌为特点；纤维增殖期，抽出物难取，仅见少数纤维组织、纤维细胞和黏液间质为其特征，提示结核恢复、瘢痕形成所致。

Results Of 7 tuberculopneumoconiosis, 2 were coalescent, the other 5 were dissociative, and the all 7 cases had tuberculosis nodules, 3 had caseous pneumonia, 2 had caseous necrosis, 1 had tuberculosis pleurisy.

结果 7例尘肺结核中2例为结合型，5例为分离型；7例均有结核结节，3例表现为干酪性肺炎，2例有干酪性坏死，1例有结核性胸膜炎。

Caseous lymphadenitis in sheep and goat caused by Corynebaterium Pseudotuberlosis which could infect multiple animals, such as sheep, goat, camel, horse, bovine, is a kind of zoonotic and chronic infectious.

伪结核棒状杆菌能使绵羊、山羊、羊驼、骆驼、马、牛等多种动物致病，发病特征是受害动物的淋巴结肿大，呈脓性干酪性坏死；有的在肺、肝、脾和子宫角发生大小不等的结节，内含淡黄色干酪样物质。

Debris necrosis of lymph node is not the specific changes of KD. In the tuberculosis of lymph node,① debris necrosis is obvious, but it tends to be caseous nercrosis;② histiocytes, macrophages and foam cells are hyperplasia in the necrotic area or lymph sinus, moreover, epithelioid cells can be found and they tend to be form granuloma;③ numbers of neutrophils infiltrate in the necrotic area;④ the etiologic assay of acid fast bacterium tuberculosis bacterium is positive;⑤ typical clinical manifestation is insufficient.

淋巴结碎屑性坏死并非KD特有病变，诊断KD需先除外有明显碎屑性坏死的淋巴结结核病，后者主要表现：①碎屑性坏死虽明显，但趋于干酪样坏死；②坏死区内或同时在淋巴窦内，组织细胞、巨噬细胞和泡沫细胞增生，并演变为上皮样细胞和趋于肉芽肿形成；③坏死灶内、外可有数量不等的中性粒细胞浸润；④抗酸杆菌／结核杆菌病原学检测阳性；⑤缺乏KD的典型临床过程。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。