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淋巴结肿

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Abstract] objective to analyse kawasaki disease' s clinical characteristic to improve the cognition and cure kawasaki disease.methods 52 kawasaki disease's clinical data from 1996 to 2005 in our hospital were reviewed.results in the 52 examples,34 were males,18 were females,the proportion was 1.89∶1.patients in 1~5 years old,took up 68.35%.symptom was pyrexia for over 5 days,antibiotic cure was useless.in the whole 52 examples,50 were exanthem,44 were eye conjunctiva congestion,50 lip bleeding with evaporation and dehiscence,46 myrica tongue,44 apyetous lympha denectasis in the neck area of the body,42 hand and foot-tip stiff swell,48 membrane peeling from hand foot-tip and the skin around anus after two weeks,12 cadiovascular expansion.

分析川崎病的临床特征以提高对川崎病的认识及治疗。方法回顾性分析1996~2005年我院收治符合川崎病标准的52例川崎病临床资料。结果 52例川崎病患儿中男34例、女18例,男女比例为1.89∶1。患儿年龄多在1~5岁,大约占68.35%。症状均为发热5天以上,抗生素治疗无效,其中皮疹50例,眼结膜充血44例,口唇干裂出血50例,杨梅舌46例,颈部非化脓性淋巴结肿大44例,手足末梢硬肿42例,2周后手足末梢及肛周皮肤膜状脱屑48例,冠状动脉扩张12例。

In the whole 52 examples,50 were exanthem,44 were eye conjunctiva congestion,50 lip bleeding with evaporation and dehiscence,46 myrica tongue,44 apyetous lympha denectasis in the neck area of the body,42 hand and foot-tip stiff swell,48 membrane peeling from hand foot-tip and the skin around anus after two weeks,12 cadiovascular expansion.

症状均为发热5天以上,抗生素治疗无效,其中皮疹50例,眼结膜充血44例,口唇干裂出血50例,杨梅舌46例,颈部非化脓性淋巴结肿大44例,手足末梢硬肿42例,2周后手足末梢及肛周皮肤膜状脱屑48例,冠状动脉扩张12例。

Symptom was pyrexia for over 5 days,antibiotic cure was useless.In the whole 52 examples,50 were exanthem,44 were eye conjunctiva congestion,50 lip bleeding with evaporation and dehiscence,46 myrica tongue,44 apyetous lympha denectasis in the neck area of the body,42 hand and foot-tip stiff swell,48 membrane peeling from hand foot-tip and the skin around anus after two weeks,12 cadiovascular expansion.

症状均为发热5天以上,抗生素治疗无效,其中皮疹50例,眼结膜充血44例,口唇干裂出血50例,杨梅舌46例,颈部非化脓性淋巴结肿大44例,手足末梢硬肿42例,2周后手足末梢及肛周皮肤膜状脱屑48例,冠状动脉扩张12例。

Lymphogranuloma venereum is caused by 3 subtypes of the organism chlamydia trachomatis .

性病性淋巴结肉芽肿由沙眼衣原体的3个亚型感染所引起。

Lymphogranuloma venereum is a bacterial infection transmitted by sexual contact.

性病性淋巴结肉芽肿(Lymphogranuloma venereum ,LGV)是一种通过性接触传播的细菌性传染病。

The histological findings of the primary tumor and metastatic lymph nodes demonstrated massive cancer cell degeneration such as pycnosis and vacuolation, xanthogranulomatous inflammation and dense fibrosis. The effect of NAC was judged to be grade 2 histologically.

组织学检查发现肿瘤原发灶和转移的淋巴结癌细胞大量退化如核固缩和空泡形成,黄肉芽肿炎以及密集的纤维化,经组织学判定NAC的疗效为2级。

Resujts:① The distribution of lesions are mostly symmetrical, extensive, predominant in the middle and lower lung fields, and posterior areas in peripheral;② There are so many HRCT findings of lung, ILD is predominant: intralobular interstitial thickening 46 cases (100%), ground-glass opacity 41 cases (89.13%), peribronchovascular or centrilobular interstitial thickening 40 cases (86.96%), interlobular septal thickening 38 cases (82.61%), irregular linear opacity 37 cases (80.43%), small nodular opacity 34 cases (73.91%), subpleural line 27 cases (58.70%), bmnchiectasis or bronchiolectasis 19 cases (41.30%), patch opacity 18 cases (39.13%), expiratory mosaic sign 15 cases (32.61%), interface sign 14 cases (30.43%), honeycombing 12 cases (26.09%), emphysema or bulla 3 cases, cystic airspace suspected 1 case, and atelectasis suspected 1 case;③ Mediastinum and pleura: multiple small lymphonodi in mediastinum 41 cases (89.13%), pleural thickening or rough 38 cases (82.61%), esophagoectasis 11 cases (23.91%), unilateral little pleural fluid 1 case, and mediastinal emphysema 1 case.

结果:①皮肌炎肺部病变分布呈对称、广泛、偏中下、偏外后的特点;②肺部HRCT表现多样,以肺间质性改变为主:小叶内间质增厚46例(100%),磨玻璃影41例(89.13%),支气管血管束增宽或小叶核心增大40例(86.96%),小叶间隔增厚38例(82.61%),不规则纤维索条影37例(80.43%),结节影34例(73.91%),胸膜下线27例(58.70%),支气管或细支气管扩张19例(41.30%),斑片影18例(39.13%),呼气相马赛克征15例(32.61%),界面征14例(30.43%),蜂窝影12例(26.09%),肺气肿或肺大泡3例,单纯囊状气腔1例,肺不张l例;③纵隔及胸膜:纵隔小淋巴结影41例(89.13%),胸膜增厚或毛糙38例(82.61%),食管扩张11例(23.91%),单侧少量性胸腔积液1例,纵隔气肿1例。

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