神经炎

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。

The notable proliferation was not observed by eyes in the local of injection. The infiltration of inflammation cells and mild proliferation of fibrocyte around dura mater was observed by HE stained in 4 and 8 weeks after injection. Infiltration and exudation of inflammation cells was observed by HE stained in epidural nerve root. Compared with group A, no changes of group B, C and D were observed under specific stained. Proliferation of type Ⅱ collagen fibers around dura mater was seen under immunohistochemical stained in 4 and 8 weeks after injection. There is no significant demyelination changes under LFB stained. The thickness and shape of the myelin sheath in epidural nerve root was not regular under transmission electronic microscopy in 4 and 8 weeks after injection. Fibroblast was also seen there. In nerve endometrium, macrophage could be seen under TEM, myelinated nerve fiber changed significantly, but nonmyelinated nerve fiber changed mildly. When 8 weeks, the changes of group D is smaller than the group B and C.

给药局部肉眼观察未见明显的纤维组织增生；HE染色可见B、C、D三组给药后四周及八周时硬膜内外均有炎细胞浸润，纤维细胞轻度增生，硬膜外神经根内有炎细胞浸润及炎性渗出；特殊染色B、C、D三组同A组相比未见有脊髓及神经根的改变；免疫组化染色，给药后四周及八周时，硬膜内外均有Ⅱ型胶原纤维增生；固兰染色B、C、D三组未见有明显脱髓鞘改变，与A组相比无明显异常改变；电镜观察B、C、D三组在给药后的四周及八周时，表现为硬膜外神经根内髓鞘厚薄不一，形状不规则，可见成纤维细胞，神经内膜中可见有巨噬细胞；粗大的有髓神经纤维变化明显，无髓神经纤维受累较轻；八周时电镜下D组改变较B、C两组为轻。

Results:The sera of 500 forest residents were tested for antibodies against Borrelia burgdorferi(strain B31),32(6.40%) residents had significant IgG titers.38 cases,including Erythema Chronicum Migrans,arthritis,facial paralysis,polyneuritis,mengitis and cardiac abnormalities,were confirmed being Lyme disease by serological and clinical examination.

结果：共查山林地区居民500人，血清抗莱姆病螺旋体抗体阳性者32人，阳性率6.40%。38例临床和血清学确诊的莱姆病患者，其主要的临床表现有环形或慢性游走性红斑、关节炎、面神经麻痹、多发性神经炎、脑膜炎和心脏损害等。

What is more, super placenta contains nucleic acid、amino acid and so on, which can stimulate enzyme system effectively, and it has wonder effective for skin disease、digestive system ulcer、neuritis, menopausal troubles、injury、decubital ulcer、Arthritis.

不仅如此，超级羊胎素富含的核酸、胺基酸等能有效刺激酵素系统，对于皮肤病、消化系统溃疡、神经炎、更年期障碍、外伤、褥疮、关节炎、风湿性疾病、气喘等疾病具有卓效。

Results:The overall response rate was 48.57%. The main toxicity was thrombocytopenia, leucocytopenia and peripheral nervous toxicity.

结果：全组CR 2例，PR 15例，有效率48.57 %，主要不良反应为白细胞及血小板减少，外周神经炎。

A water or and alcoholic extract of rice polishings produced dramatic cures in polyneuritic fowls.

米糖的水浸提物或醇浸提物对患多发性神经炎的鸡产生奇迹般的疗效。

Massage also can decline the excitement of nerve ending, so it is often used as pain killing of neuritis and nerve ache, etc.

同时推拿可降低神经末梢的兴奋性，故常用于止痛，如神经炎，神经痛等。

To explore the effects of dehydroepiandrosterone on the development of experimental autoimmune neuritis and to explore its mechanism.

目的探讨脱氢表雄酮对大鼠实验性自身免疫性神经炎发病的影响及其机制。

Common pulmonary signs have joint pain or hypertrophy, clubbing, multiple neuritis, myasthenia gravis, Cushing's disease, male breast hypertrophy, hypercalcemia, mental disorders.

肺外体征常见有四肢关节疼痛或肥大、杵状指，多发性神经炎，重症肌无力，库欣病、男性乳房增生肥大、高钙血症、精神异常等。

Extrapulmonary signs common with limb joint pain or enlargement, clubbing, multiple neuritis, myasthenia gravis, Cushing's disease, male breast hypertrophy, hypercalcemia, mental disorders.

肺外体征常见有四肢关节疼痛或肥大、杵状指，多发性神经炎，重症肌无力，库欣病、男性乳房增生肥大、高钙血症、精神异常等。

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