并指

One time he raised his head from under the automobile hood to say: Doc, a deaf-and-dumb guy went into a hardware store to ask for some nails. He put two fingers together on the counter and made hammering motions with the other hand. The clerk brought him a hammer. He shook his head and pointed to the two fingers he was hammering.

一次，他从引擎盖抬头对我说：博士，一个聋哑人走进一个五金店想买钉子，他把两根手指头并在一起，伸到柜台上，用另指手做出敲打的声音，店员拿来一个锤子，他摇头并指着敲打的两根手指。

Ectrodactyly, ectodermal dysplasia and clefting syndrome is characterized by split hand-split foot malformation, congenital ectodermal dysplasia and cleft lip with or without cleft palate.

目前，以先天性缺指、并指或手足裂和外胚叶发育不全伴或不伴腭裂的唇裂为主要临床表现的先天性缺指-外胚叶发育不全-唇/腭裂综合征的病因仍然不明，给疾病的防治带来了较大的困难。

The complex type of syndactyly may be associated with other finger or toe abnormalities including polydactyly, oligodactyly, or duplicated phalanges as well as abnormally shaped bones.

复合型并指畸形可能与合并其它手指或脚趾异常，包括多指、少指、重复指和异形骨。

IUGR, tetraphocomelia, or hypomelia caused by mesomelic shortening of the limbs with radial defects and oligodactyly or syndactyly (the upper limbs are more severely affected than lower limbs), cleft lip/palate, large genitalia, congenital heart defects, cystic kidneys, characteristic face with hypertelorism, a prominent premaxilla, a mid-face capillary hemangioma, cloudy corneas or cataracts and dysplastic or small ears, micrognathia, beaked nose, ear malformations, and mental retardation

宫内生长受限，由于四肢中间缩短引起的四肢短小畸形或短肢畸形并桡骨缺陷和少指畸形或并指畸形（对上肢的影响比下肢更严重），唇腭裂，生殖器肥大，先天性心脏病，囊状肾，特征面容：眶距过宽、前额突出、脸中部毛细血管瘤，角膜混浊或白内障和小放的或发育不良的耳，小颌畸形，钩状鼻，耳畸形和精神障碍。

Objective To discuss the classification and treatment of congenital syndactyly.

目的 探讨先天性并指畸形的分类与治疗方法。方法 1988年 1月至 1999年 3月共手术治疗先天性并指畸形 2 4例。

Methods From January 1988 to March 1999, 24 cases of congenital syndactyly were treated and classified by fusion tissue combined with the degree of fusion as follows:①simple complete syndactyly (4 cases).

结合并连的组织和程度分为：(1)单纯性完全性并指 4例，2指并指一次手术，3指并指分二次手术。(2 )单纯性不完全并指 9例，一次手术。(3 )复杂性完全并指 4例，分期手术。(4 )复杂性不完全并指 0例。(5 )复合性并指 7例，单纯行并指分指术。

Simple incomplete syndactyly (9 cases), treated with a single stage op...

该病根据并连的组织及程度分型后决定治疗方法疗效较好。单纯性完全并指超过 3指以上者应分期手术

The application of several subcutaneous vascular net flaps is, so far, the best management of the surface of a hand wound, which does not require syndactyly, depletion or separation of the injured finger.

采用多个真皮下血管网皮瓣修复手外伤的创面，伤指不需并指、去脂、分指、术后外形佳，是目前较理想的修复手外伤的手术方法。

The most severe form of syndactyly is classified as complicated syndactyly which refers to fingers joined by bony fusion other than a side-to-side and can include bony abnormalities such as extra, missing, or duplicated phalanges and abnormally shaped bones such as delta phalanges.

最严重的并指类型被归为复杂并指畸形，它表示手指除了由骨并排连接外，还可包括骨的异常，例如：多出一部分、缺失或重复指，以及异常形状的骨，如三角骨。

Non-syndromic syndactyly is classified into five types according to Temtamy and McKusick.

HOXD13 N端多聚丙氨酸延展突变可以导致Ⅱ型并指，也称为并多指(synpolydactyly，SPD)(MIM 186000)，主要临床表现为手部第3、4指并指，足部第4、5趾并趾，常伴蹼中全部或部分多指。

For a big chunk of credit-card losses; the number of filings (and thus charge-off rates) would be rising again, whether

年美国个人破产法的一个改动使得破产登记急速下降，而后引起了信用卡大规模的亏损。

Eph. 4:23 And that you be renewed in the spirit of your mind

弗四23 而在你们心思的灵里得以更新