浆膜

Glucocorticoid: For early skin swelling and serositis, myositis, interstitial lung inflammation, and so effective, and for vascular damage and fibrosis invalid, side effects of high-dose applications, especially for the existing kidney damage Patients easily add vascular damage, and even cause acute renal failure, it is necessary to be careful when using the dosage and the treatment should be individualized, based on clinical performance.

糖皮质激素：对于早期皮肤的肿胀及浆膜炎、肌炎、肺间质炎症等有效，而对于血管损害和组织纤维化无效，大剂量应用时副作用大，尤其是对于已有肾脏损害的患者易加重血管损害，甚至引起急性肾功能衰竭，故使用时须慎重，使用剂量及疗程应个体化，依据临床表现而定。

Objective: To explore the diagnosis, therapy and prognosis of utero-subserosa vein spalling during gestational period.

目的：探讨妊娠期子宫浆膜下静脉自发破裂的诊断、治疗和预后。

ABSTRACT］ Objective: To explore the diagnosis, therapy and prognosis of uterosubserosa vein spalling during gestational period.

目的：探讨妊娠期子宫浆膜下静脉自发破裂的诊断、治疗和预后。

Methods: Clinical data of 4 pregnant cases with utero-subserosa vein spalling during gestational period in 6 years were analyzed, retrospectively.

回顾性分析本院6年内发生的4例妊娠期子宫浆膜下静脉自发破裂的临床情况。

Methods: Clinical data of 4 pregnant cases with uterosubserosa vein spalling during gestational period in 6 years were analyzed, retrospectively.

回顾性分析本院6年内发生的4例妊娠期子宫浆膜下静脉自发破裂的临床情况。

Inflammatory cell infiltration and subserous hemorrhage appeared in 12 and 24 h group.

结果：伤后各组胃黏膜COX2的表达明显高于对照组；实验组各组血浆内毒素水平均明显高于对照组（P.05），于伤后8 h达高峰；伤后各组胃组织出现逐渐加重的胃黏膜下充血、水肿，12、24 h组出现炎细胞浸润、浆膜下出血。

Results All 63 patients were operated with laparoscope successfully. There were 36 subserous myoma, 18 intramurul myoma, 9 intra-broad ligament and 16 multi-myoma. Maximum tumor size in diameter: 12cm, mean (7.9±1.6)cm. Duration of operation: 35~240 mm, mean (88±53) min, 60% of which were spent in suture and 20% in myoma excising. Blood loss during the operation: 20~1250 ml, mean (156±148) ml, 70% of which were lost in suture. Average hospital ization stay (5.5±2.7) d.

结果 63例均在腹腔镜下完成手术，其中子宫浆膜下肌瘤36例，肌壁间肌瘤18例，阔韧带肌瘤9例，多发肌瘤16例，最大直径12cm，平均直径(7.9±1.6)cm，手术时间35~240min，平均时间(88±53)min，其中缝合时间占60%，取瘤时间占20%，出血20~1250ml，平均(156±148)ml，其中缝合时出血占70%，平均住院时间(5.5±2.7)d。

The basic pathological changes are fibrinoid necrosis, infiltration and exudation in the subcutaneous, submucous, and subserous tissues near the blood vessels.

本病的基本病理变化是毛细血管及小动脉发生免疫性病变，引起血管壁有纤维素样坏死，皮下、粘膜下及浆膜下组织的血管周围浸润及血浆样渗出，并有炎症细胞浸润。

There was no complication and the average postoperative hospital stay was 6 days.Conclusion:Based on selection of patients,electric coagulation,separation and cutting was used for intramural myoma,broad ligament myoma,cervical myoma and subserous myoma respectively.

在选择好病例的基础上，于腹腔镜下行子宫肌瘤剔除术，对壁间肌瘤、阔韧带肌瘤、宫颈管肌瘤、浆膜下肌瘤分别采用电凝、分离、切割等术式。

Results:In this group there were 5 mucinous cystadenoma; 4 serous cystadenoma; 4 teratoma; 2 lager ovarian cyst; 4 subserous leiomyoma of uterine. The massive cystic-solid tumor with irregular cystic wall was seen in mucinous cystadenoma and serous cystadenoma; Teratoma appeared non homogenous density with fat density mass; Subserous leiomyoma of uterine showed large cystic tumor with clear edge, and the size of uterine was normal.

结果：5例卵巢浆液性囊腺瘤，4例黏液性囊腺瘤，CT表现为腹盆腔内巨大囊性或囊实性肿瘤，囊壁厚薄不均；4例卵巢畸胎瘤，CT表现为盆腔巨大肿瘤内部密度不均，可见脂肪密度影；卵巢巨大囊肿2例，CT表现为腹、盆内巨大单囊状肿物；4例浆膜下子宫肌瘤，CT表现为盆腔内巨大囊性肿物，边界清晰，子宫大小正常；1例阔韧带平滑肌瘤，CT表现为密度不均匀的实性肿物，增强扫描强化不均。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。