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ABSTRACT Chronic gastritis is an inflammation of gastric catarrh or atrophy pathological changes.

慢性胃炎是指不同病因引起的胃粘模性炎症或萎缩性病变。

For those fungal corneal ulcers that are poorly responsive to anti-fungus eye drops, it is recommended to perform lamellar keratoplasty if the ulcer is located in the anterior 1/2 stroma, the key points of surgery are to remove the affected tissue completely and cauterize the recipient bed with 5% iodine.

采用无水甘油或无水氯化钙保存的角膜片可对药物治疗效果不显或对现有药物耐药的真菌性角膜溃疡者行治疗性角膜移植术,可及时去除病灶、控制炎症、保存眼球,为再次增视性角膜移植术创造条件。

Objective To investigate the clinical features, causes of blindness and diagnosis of Vogt Koyanagi Harada syndrome Methods The data of 157 patients with VKH syndrome were reviewed and analyzed Patients were carefully examined with slit lamp, ophthalmoscope, three mirror lens, fundus fluorescein angiography, indocyanine green angiography and HLA typing Results Headache was noted in 73 5% of these patients Simultaneous involvement of both eyes occurred in 80 8% of these patients Chroiditis,papilledema and edema of the retina adjacent to the optic nerve were noted in 100% of these patients in the posterior uveitis stage, whereas recurrent granulomatous anterior uveitis (98 4%),"sunset glow" fundus (95 8%) and Dalen Fuchs nodules (71 2%) were the common ocular findings in the recurrent anterior uveitis stage The common causes of blindness were papillitis, exudative retinal detachment and complicated cataract in the posterior uveitis stage, anterior uveal involvement stage and its recurrent stage Poliosis (36 3%) and alopecia (35 0%) were the most common extraocular findings Early irregular patches of fluorescence, followed by localized hyperfluorescent spots were the typical findings of FFA Dilation of choroidal vessels and leakage of ICG from the choroidal vessels were the common ICGA findings The prevalence of HLA DR4 and HLA DRw53 in patients (54 9% and 71 8% respectively) was significantly higher than that in controls (14 7% and 38 2% respectively) Conclusions VKH syndrome is characterized by chroiditis, papillitis or neuroretinitis in the posterior uveitis stage, followed by a generalized uveitis with a typical recurrent granulomatous anterior uveitis Extraocular findings and relevant examinations including FFA, ICGA and HLA typing are helpful to the diagnosis of VKH syndrome

目的探讨Vogt-Koyanagi-Harada综合征患者的临床特征、盲目原因及诊断等有关问题。方法对在1996年1月至2000年12月间就诊资料完整的157例VKH综合征患者进行回顾性分析,并对裂隙灯、眼底镜、三面镜、荧光素眼底血管造影(fundus fluorescein angiography,FFA)、吲哚青绿血管造影(indocyanine green angiography,ICGA)及人类白细胞抗原分型等检查结果进行分析。结果 VKH综合征最常见的前驱症状为头痛(102例,73.5%),双眼同时患病118例(80.8%);后葡萄膜炎期眼部主要表现为脉络膜炎、视乳头及附近视网膜水肿(100.0%);前葡萄膜炎反复发作期眼部表现为复发性肉芽肿性前葡萄膜炎(128例,98.4%)、晚霞状眼底改变(95.8%)及Dalen-Fuchs结节(71.2%);后葡萄膜炎期、前葡萄膜受累期及前葡萄膜炎反复发作期导致盲目的主要原因分别为视乳头炎、视网膜脱离及并发性白内障;毛发变白(36.3%)及脱发(35.0%)是最常见的眼外表现;炎症活动期FFA典型表现为斑驳状高荧光,ICGA发现脉络膜血管扩张、通透性增高等改变;VKH综合征患者HLA-DR4及HLA-DRw53的阳性率(54.9%及71.8%)显著高于正常对照组(14.7%及38.2%)。结论 VKH综合征患者在后葡萄膜炎期眼部典型表现为双侧脉络膜炎、视乳头炎或神经视网膜炎,随后出现以反复发作的肉芽肿性前葡萄膜炎为特征的全葡萄膜炎。眼外症状及相关的辅助检查包括FFA、ICGA 及HLA分型等有助于VKH综合征的诊断。

Acute transverse myelitis, a focal inflammatory disorder of the spinal cord, is one of those pathologies resulting in motor, sensory, and autonomic dysfunction.

急性横贯性脊髓炎(acute transverse myelitis, ATM)为脊髓局灶性炎症,是运动、感觉、自主神经功能障碍的病因之一,既可为原发性,也可系若干疾病所继发。

Chronic Hepatitis B is a frequent infectious disease due to HBV clinic, mostly is liver of inflammation and histology and biochemistry, with unconventionality symptom continuous preponderate over six months, state of an illness without looking up or liver have activity variety of inflammation.

慢性乙型肝炎是由乙型肝炎病毒引起的临床上常见传染病,主要是指肝脏的炎症、组织学、生物化学异常征象持续超过6个月,病情无好转或肝内有活动性炎症变化者。把中医辩证和现代检测指标相结合进行研究的报道还不多见。

Results: Amang 128 patients, 56 cases were diagnosed as pulmonary carcinoma (43.75%), of which 30 cases were squamous carcinoma (53.57%), 22 cases were adenocarcinoma (39.29%), 4 cases were small cell undifferentiated carcinoma (7.14%); 37 cases were bronchial pneumonia (28.91%), in which 30 cases were given brush sampling, bacterial culture of BALF, the detectable rate of pathogenic bacteria were 50%(15 cases) and 40%(12eases) respectively; 12 eases were pulmonary tuberculosis (9.38%), of which 3 eases (25%) had concurrent endobronchial tuberculosis, smear of brush biopsy and BALF found Mycobacterium tuberculosis were 11 eases (91.67%) and 5 eases (41.67%) respectively, 2 eases were diagnosed as caseous tubereulous granuloma (16.67%); 2 eases were idiopathic pulmonary fibrosis (1.56%), lease was lymphoma of long.

结果:128例患者确诊为肺癌56例(43.75%),其中鳞癌30例(53.57%),腺癌22例(39.29%),小细胞癌4例(7.14%);支气管肺部炎症病变37例(28.91%),其中30例经防污毛刷采样、支气管肺泡灌洗液行细菌学培养,病原菌的检出率分别为50%(15例)和40%(12例);肺结核12例(9.38%),其中合并支气管内膜结核3例(25%),刷检涂片和支气管肺泡灌洗液找到结核杆菌分别为11例(91.67%)和5例(41.67%),病理确诊为结核性乾酪样肉芽肿2例(16.67%);特发性肺间质纤维化2例(1.56%),肺淋巴瘤1例(0.78%)。

Caseous necrosis is really just a combination of coagulative and liquefactive necrosis that is most characteristic of granulomatous inflammation.

呈黄褐色到白色外观,是凝固性坏死和液化性坏死的复合性坏死,属于炎症肉芽肿的特征性变化。

WE could debase the permeability of capillary vessel of inflammatory tissue in some degree, and show a complete inhibitory effect on the edemas induced by Freund"s adjuvant complete and there is no obvious inhibitory effect found on edemas induced by carrageenan; WE indicates an obvious protective effect on the "twice-hit animal model of acute lung injury in rats induced, by oleic acid and lipopolysaccharide from lung edema. It also shows an excellent inhibition function on the chronic granuloma as well.

结果表明: 1。工蜂胎的水提物能够在一定程度上降低炎症区域毛细血管的通透性,能够抑制完全弗氏佐剂引起的炎性肿胀,对角叉菜胶引起的炎性肿胀效果不明显,对油酸加LPS两次打击所致大鼠急性肺损伤有明显的保护作用,能对抗肺水肿的产生;对慢性炎症具有显著的抑制作用。

Results Group C had the symptoms such as reduced activity, acceded, indulge in lying and weight loss after 3 weeks of immune injection, 14 out of 16 SD rats in Group B had the same symptoms as Group C after 4~5 weeks of immune injection, the serum enzymes in model groups increased significantly compared with those of the control group, model group C was much higher than model group B; the duration shorted, amplitude decreased, multiphase wave increased in electromyogram of model groups; MRI examination revealed samples from model group B and C had one positive case each, which presented T1MI isodensity or hypodensity signal, T2MI and STIR serial hyperdensity signal, revealing muscle inflammation; all rats'skeletal muscle from model group C and 11 out of model group B had pathological changes, which exhibited striated muscle focal fiber degeneration, necrotized and inflammatory cell infiltration, interstitial vessel wall thickening, random cardiac muscle samples had 3 positive changes, which had similar changes to skeletal muscle, there was 1 positive change from lung sample.

结果:模型C组于免疫注射第3周左右开始出现活动减少,倦怠嗜卧,食欲体重下降等表现,模型B组有14只SD大鼠于免疫注射第4~5周出现上述症状,较C组为轻;模型组肌酶谱中,肌酸激酶、乳酸脱氢酶、谷草转氨酶与对照组比较明显升高,模型C组较模型B组升高更显著;模型组肌电图时限缩短,波幅降低,多相波增多;磁共振检查模型B组和C组选送标本中各有一例有阳性改变,表现为T1MI等或稍低信号,T2MI及STIR序列为高信号,提示肌肉炎症水肿改变;模型B组有11只,模型C组全部大鼠骨骼肌出现病理改变,表现为横纹肌局灶性分布的肌纤维变性炎细胞浸润,间质小血管壁增厚、扩张,随机选送的心肌标本中有3例有阳性改变,表现与骨骼肌相仿,选送的肺标本中有1例有阳性改变,表现为蛋白渗出,炎症细胞浸润和小血管改变。

Results: 22 cases of inflammatory pseudotumor, and all the dissociated edges being sharp, including 9 cases involving tear gland, 7 cases surrounding the eyeball, 2 cases showing the optic nerve and extraocular muscles thicken, and 4 cases showing several extraocular muscles diffuse thicken. 4 cases were granulomatous inflammation filling up the orbit with soft tissue. One case was the chronic inflammation of the lacrimal sac showing a cystoid lump in the area of the lacrimal sac. One case was the chronic inflammation around the lacrimal sac showing a small lump with a low denstiy in its center in the area of the lacrimal sac. One case was orbital cellulitis showing the density of the right part in the orbit outside the eyeball becoming higher, and having not a edge.

结果:炎性假瘤22例,肿块游离缘锐利,其中9例累及泪腺,7例绕眼球生长,2例表现为眶尖部视神经及眼外肌增粗,4例主要表现为眼肌弥漫性增粗;肉芽肿性炎症4例,在眶内呈铸形生长;慢性泪囊炎1例表现为内眦部泪囊区囊性肿块;慢性泪囊周围炎1例表现为内眦部泪囊区中央可见液性密度的小肿物;蜂窝织炎1例表现为右侧眶内眼球外侧密度增高,边缘模糊不清。

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