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There is usually little or no progression, the EMG shows non-specific myopathic features and serum CK is normal or only slightly raised.1 The muscle biopsy may show characteristic ultrastructural abnormalities but these can be difficult to detect without specific histochemistry and/or electron microscopy that were not available in 1981 when our patient was biopsied.

经常表现为缓慢或者无明显进展,EMG提示非特异性肌源性改变特征,血清CK是正常的或者仅仅轻微的升高。肌肉活检可能表现为特征性的超微结构异常,但是这些改变必须通过特异性的组织化学和/或电镜才能观察。而在患者进行活检时的1981年这些手段是达不到的。

Eight cases of CAH and five cases of sex hormone producing adrenal neoplasma were presented during 1986~1996. The former included 3 rare cases of 17α hydroxylase deficiency and others.

目的 探讨肾上腺性性征异常的诊断、鉴别诊断和治疗,特别是分泌性激素的肾上腺肿瘤的良恶性鉴别诊断和各种先天性肾上腺增生疾病的治疗原则。

Objective To inquire into diagnosis, differential diagnosis and treatment of virilizing and feminizing adrenal syndrome especialy differential diagnosis between benigh and malignant of sex hormone producing adrenal neoplasma and treatment principles of congenital adrenal hyperplasia.

目的 探讨肾上腺性性征异常的诊断、鉴别诊断和治疗,特别是分泌性激素的肾上腺肿瘤的良恶性鉴别诊断和各种先天性肾上腺增生疾病的治疗原则。

Results Oxygen metabolism abnormality was found after trauma, and it was correlated with ISS, RTS, injured organ or region and number of injured organs, shock, systemic inflammatory response syndrome and respiratory complications. It was more intense in the patients with MODS. There was marked difference in the ratio of change in oxygen metabolism between MODS and NMODS groups. Oxygen deficiency metabolic variables tended to deteriorate in the nonsurvival group. More marked changes in metabolic variables indicated severer organ dysfunction, reaching their peak values before death.

结果 氧代谢水平在创伤后即发生异常,与创伤严重度评分、RTS、损伤器官部位与数量、低血容量性休克、全身炎症反应综合征以及是否并发呼吸系统合并症等有关;并发MODS患者氧代谢水平变化更为明显,与轻伤对照组和NMODS组比较相关氧代谢比值改变差异均有显著性;死亡组乏氧代谢指标常呈持续恶化趋势,其代谢水平改变越显著,预示器官功能损害程度越严重,往往于死亡前达到峰值。

For example, the itch of notalgia paresthetica is described as deep, below where one can scratch; whereas patients with delusions, depression, and sometimes those with a metabolic basis of pruritus describe their pruritus as being "like a worm crawling under the skin."

瘙痒的性质在做出诊断时很有用,例如,感觉异常性背痛症瘙痒被描述为深在的,难于搔抓到的地方,而妄想症、抑郁症患者和有代谢性疾病的瘙痒患者叙述瘙痒为&象蠕虫在皮下爬行&。

Masses of clinical trials had demonstrated the clinical benefits of this regimen, including decreasing proteinuria and blood pressure, improving a series of metabolic disturbances, such as renal osteodystrophy, metabolic acidosis, amino acid metabolic disturbances, insulin resistance, lipid disorder and so on.

近来众多临床试验证实该疗法还能显著降低慢性肾脏病患者的蛋白尿和血压、改善钙磷代谢和肾性骨病、代谢性酸中毒、氨基酸代谢紊乱、胰岛素抵抗和血脂异常。

Results 2 cases were diagnosed as maxillary sinus carcinoma,8 cases as sinusitis,2 cases polyp,2 cases as cyst,2 cases as fungus disease and 3 cases as osteofibrous dysplasia.

结果 20例上颌窦一侧性密度增高病变中,3例为上颌窦癌、8例为慢性化脓性炎、2例上颌窦息肉、2例囊肿、2例上颌窦真菌感染、3例骨纤维异常增殖症。

Results CT shows 18 cases of mesenteric edema, 2 cases of mesenteric pneumatosis, 7 cases of mesenteric vascular anomalies, 5 cases of mesenteric vascular were filling defect, 2 cases of the trunk of the mesenteric vascular were thickening, 21 cases of segmental mesenteric small blood vessels hyperemia, 7 cases of segmental mesenteric small blood vessels ischemia and 2 cases of the mesenteric venous accumulation of gas.

结果 CT表现:肠系膜水肿18例,肠系膜积气2例,肠系膜血管走行异常7例,肠系膜血管充盈缺损5例,肠系膜主干血管增粗2例,节段性肠系膜小血管充血21例,节段性肠系膜小血管缺血7例,肠系膜静脉积气2例。

Bicyclic compounds containing a phenyl or pyridyl ring fused to a cycloalkyl or heterocyclic ring, to which is attached a 5-membered heterocyclic ring, including pharmaceutically acceptable salts and prodrugs thereof, are agonists of G-protein coupled receptor 40 (GPR40) and are useful as therapeutic compounds, particularly in the treatment of Type 2 diabetes mellitus, and of conditions that are often associated with this disease, including obesity and lipid disorders, such as mixed or diabetic dyslipidemia, hyperlipidemia, hypercholesterolemia, and hypertriglyceridemia.

本发明涉及含有连接在5元杂环上的稠合至环烷基或者杂环的苯基或者吡啶基环的二环化合物,包括其药学上可接受的盐和前药,它们是G蛋白偶联受体40(GPR40)激动剂并且可以用作治疗性化合物,特别是在2型糖尿病和与这些疾病相关的症状中用作治疗性化合物,这些症状包括肥胖病和脂质疾病,比如混合或者糖尿病型血脂异常症、血脂质过多、高胆甾醇血和高甘油三酯血症。

Resultantly, the individual warm/cold events in ENSO cycle appear to be partially locked to the annual cycle, and also exhibit obvious irregularity both in amplitude and in lasting time.

本文第四章研制设计了一包含海洋表面边界层和大气辐合反馈过程的热带太平洋海气耦合异常模式,进而利用该模式对ENSO循环进行了较为真实的模拟,通过对模式ENSO循环的演变特征及其形成机制的细致分析,建立了-ENSO循环的非线性分析模式,并提出了ENSO循环形成的一种更为客观的理论,指出:1)和观测事实类似,模式ENSO循环确实涉及了三种主要时间尺度过程即LF、QB和AC,其中LF为3-4年主周期振荡,QB占总方差10~20%;2)ENSO循环的正反馈机制是不稳定海气相互作用过程,且这一不稳定过程的发展在暖态中明显强于冷态;3)ENSO循环的负反馈机制在冷暖态中表现不同,在冷态消亡过程中,这种负反馈过程主要表现为西边界反射产生的时滞效应,但在暖态消亡过程中不存在类似的时滞效应,其负反馈过程主要表现为在海气耦合不稳定充分发展时伴随的赤道两侧冷水上翻过程的加强以及非线性过程的衰减作用抑制了不稳定的发展并最终使得系统回复至冷态;4)ENSO循环的3-4年主周期振荡是一非线性系统的自激振荡现象,其形成是线性系统的本征模即准两年振荡通过非线性机制产生的周期加倍所致,其中&单向性&大气辐合反馈加热过程对其形成至关重要;5)虽然年循环过程对ENSO循环形成没有本质影响,但它可明显影响ENSO循环的具体振幅和位相,使得ENSO对季节循环有明显的&锁相&特征,并且也使得ENSO循环在振幅大小和时间长短方面呈现出明显的不规则性。

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In the negative and interrogative forms, of course, this is identical to the non-emphatic forms.

。但是,在否定句或疑问句里,这种带有"do"的方法表达的效果却没有什么强调的意思。

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