纤维性结核

Resulte: In 12 infective lesions, including purulent infection (4 cases) and tuberculosis (8 cases), the correct dignosis was made in 4cases by CR and in 11 cases by CT. In 16 soft tissue tumors, including lipoma (7 cases), fibrosarcoma (4 cases), hemangioma (1 case), neurofibroma (1 case), malignant fibrous histocytoma (1case), aggressive fibromatosis (1 case) and liposarcoma (1 case), the correct diagnosis was made in 3cases by CR and in 14 cases by CT. In 11 bone lesions, including fibrous dysplasia (7 cases), chondroma (2 cases), myeloma and cosinophilic granuloma (1 case), the correct diagnosis was made in 8cases by CR and in 10 cases by CT.

结果：感染组12例中(包括化脓性感染4例，胸壁结核8例)，CR准确诊断4例，CT诊断11例；软组织肿瘤组16例中(包括脂肪瘤7例，纤维肉瘤4例，血管瘤、神经纤维瘤、恶性纤维组织细胞瘤、侵袭性纤维瘤病和脂肪肉瘤各l例)，CR准确诊断3例，CT诊断14例；骨肿瘤和肿瘤样病变组11例中(包括骨纤维异常增殖症7例，软骨瘤2例，多发性骨髓瘤和骨嗜酸性肉芽肿各1例)，CR准确诊断8例，CT诊断10例。

The rate of pleural effusion to diagnose is 88.9% under thoracoscopy:tuberculous pleurisy displays mainly pleura hairy nubble and diffuse white millet nubs and pleural thickeningthe trabe-form conglutination can been found; and metastatic tumor of pleura shows gray tuberculum impar and inequality of size nodosities with diffused pleural congestive and edema in the CPA and disphragmatic muscle.

结核性胸膜炎主要表现为胸膜多发结节，部分病灶出现弥漫性白色粟粒样结节和胸膜增厚，可见条索状粘连；而转移性胸膜肿瘤主要表现在肋膈角、横膈处的灰白色单结节和大小不等的多结节；非特性慢性炎症性胸膜炎主要为胸膜充血水肿，胸膜增厚纤维增生或粘连，少见有单个或多个结节增生。

The rate of pleural effusion to diagnose is 88.9% under thoracoscopy:tuberculous pleurisy displays mainly pleura hairy nubble and diffuse white millet nubs and pleural thickening,the trabe-form conglutination can been found; and metastatic tumor of pleura shows gray tuberculum impar and inequality of size nodosities with diffused pleural congestive and edema in the CPA and disphragmatic muscle.

结核性胸膜炎主要表现为胸膜多发结节，部分病灶出现弥漫性白色粟粒样结节和胸膜增厚，可见条索状粘连；而转移性胸膜肿瘤主要表现在肋膈角、横膈处的灰白色单结节和大小不等的多结节；非特性慢性炎症性胸膜炎主要为胸膜充血水肿，胸膜增厚纤维增生或粘连，少见有单个或多个结节增生。

Methods Under fiberonchoscope guide,injected high effect antiphthisic stype stuff that unti drug tolerant pulmonary tuberculosis to the refractoriness MDR TB vacuum,and contrast observes the trends changes of vacuum with X ray chest radiography.

在纤维支气管镜引导下，将抗结核药栓定期注入难治性耐多药肺结核空洞内，用 X线胸片等方法动态观察变化。

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%)。

The inflammation reaction hyperplactic stage and lymphatic nodular stage are of nonspecific morphological changes and should be diagnosed with the help of positive tuberculin test and obvious increase of adenosine deaninase ; tuberculous nodular stage has a great number of epithelioid cells,and Langhans cells, caseous necrosis stage is characterized by a great deal of necrotic tissue and debris,a small number of fragmented epithelioid cells, and mainly by antiacid bacteria fibrinous hyperplastic stage is featured by a few fibrous tissue, cells and mucous oweing to hardness to get puncture, neans tuberculous restoration,and scar formation.

结核初期-炎性增殖期60例，占5.5%；结核早期-淋巴结节期130例，占11.9%；结核中期-结核性结节期有590例，占54.1%；结核晚期-干酪样脓样坏死期有280例，占25.7%；结核恢复期-纤维素增殖期30例，占2.8%。炎性增殖反应期非特异性形态学变化，需要结合结核抗体阳性和腺苷酸脱氨酶明显增高有助于诊断，结核结节期主要可有较多类上皮样细胞及郎罕氏细胞；而干酪样脓样坏死主要见大量坏死组织及碎屑、少数残碎不全类上皮样细胞，此期主要能查到抗酸菌为特点；纤维增殖期，抽出物难取，仅见少数纤维组织、纤维细胞和黏液间质为其特征，提示结核恢复、瘢痕形成所致。

MPR and VR were applied in the imaging post-processing. Results: All cases were divided into four groups according to the thoracic CT findings and pathologic results as follows:① spheral caseous pneumonia;② tuberculous granuloma;③ fibrous caseous nodule;④ Focal pulmonary consolidation with cavitation. The spheral lesion appeared inhomogeneous density (44/58). cavitation (14/58) or satellite foci (21/58). Contrast scanning was carried out in 31 cases, of which peripheral or ringshaped enhancement was seen in 15 cases, no enhancement in 9 cases and extensive enhancement was seen in 7 cases.

结果：依据影像学表现、随访结果和病灶的病理改变，将58例球形肺结核分为四种类型：①球形干酪肺炎11例，体积较大（最大直径3~5cm），边缘模糊或毛糙，可见晕征，无强化或环行强化；②结核性肉芽肿19例，软组织密度，形态规则或不规则，边缘清楚或光整，强化模式为均匀强化或厚壁强化；③纤维干酪结节14例，规则球形，边缘光滑锐利，内部密度不均匀，可见钙化，多无强化或薄壁环行强化；④结核空洞14例，干酪空洞或纤维空洞，内壁不光整，可见到引流支气管（2例）。

D. N big mouse model was successfully made by adopting single side kidney cutting with induction, then by 24 week continuos observation on the change of various values of kidney and function, through testing of immunity florescence, electro-scope and optical scope, what we can see from model group is that typical kidney small cell got hardened by knot, and discarded, and dead, also small tube withered, small cell of on base film got thick, cell capsule wall was fibred, and base film got double layered.

实验研究采用单侧肾切除加以链脲佐菌素诱导，成功地复制出糖尿病肾病大鼠模型，对其肾脏结构和功能的改变各项指标，连续进行24周动态观察，并进行免疫荧光、电镜、光镜检测，结果表明：糖尿病肾病模型组可见典型的肾小球节段硬化、废弃、坏死，有大量蛋白管型，肾小球管糖元空泡沉积及脂肪滴，肾小管萎缩，肾小球基底膜明显增厚，球囊壁纤维化，基底膜双层化，有一例结核性肉芽组织及钙化等病理变化。

We have no common name for a mime of Sophron or Xenarchus and a Socratic Conversation; and we should still be without one even if the imitation in the two instances were in trimeters or elegiacs or some other kind of verse--though it is the way with people to tack on 'poet' to the name of a metre, and talk of elegiac-poets and epic-poets, thinking that they call them poets not by reason of the imitative nature of their work, but indiscriminately by reason of the metre they write in.

索夫农 、森那库斯和苏格拉底式的对话采用的模仿没有一个公共的名称；三音步诗、挽歌体或其他类型的诗的模仿也没有——人们把&诗人&这一名词和格律名称结合到一起，称之为挽歌体诗人或者史诗诗人，他们被称为诗人，似乎只是因为遵守格律写作，而非他们作品的模仿本质。

The relationship between communicative competence and grammar teaching should be that of the ends and the means.

交际能力和语法的关系应该是目标与途径的关系。