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Professor of Medicine Department of Peking University, Beijing Ditan Hospital director of the Center for STD and AIDS in Tsui Hark-yi "Life Times" said in an interview with reporters, said the tradition of the past, we only five kinds of STDs, including gonorrhea, syphilis, chancroid, sexually transmitted diseases of lymphatic granuloma And groin granuloma. 1975, the World Health Organization extended to the concept of sexually transmitted diseases,"sexually transmitted diseases," and now is mainly through sexual transmission of a group of infectious diseases.

北京大学医学部教授、北京地坛医院性病艾滋病中心主任徐克沂在接受《生命时报》记者采访时表示,以往我们所说的传统性病只有5种,包括淋病、梅毒、软下疳、性病性淋巴肉芽肿和腹股沟肉芽肿。1975年,世界卫生组织把性病概念扩展到"性传播疾病"上,现是指主要通过性接触传染的一组传染性疾病。

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。

According to the contemporary theory of metapho r, abstract thought and metaphysics are not literal-only, fleshless , non-metap hor and non-embodied any more, so that the rational tradition of Western philos ophy was questioned.

由于当代隐喻理论的发现,西方哲学的理性传统受到质疑,抽象思维和形而上学不再被看做是纯粹字面义的、"无血无肉"的,而是隐喻性的、以身体的经验所体现的。

The CT and MRI appearance of brain schistosomiasis granuloma is characteristic, and it is the most valuable tool to diagnose it.

脑血吸虫性肉芽肿的CT和MRI表现具有特征性,是临床诊断脑血吸虫性肉芽肿最有价值的检查手段。

Non-edible animal products: hides category, hair type, bone, hoof, angle and its products, gelatin, Cocoon, animal-derived feed and feed additives, feed whey, fish meal, meat powder, bone meal, meat meal tankage , grease , blood meal, blood, organic fertilizer containing animal ingredients.

非食用性动物产品:皮张类、毛类、骨蹄角及其产品、明胶、蚕茧、动物源性饲料及饲料添加剂、饲料用乳清粉、鱼粉、肉粉、骨粉、肉骨粉、油脂、血粉、血液等,含有动物成份的有机肥料。

The method examines by national import and export merchandise occupation standard SN0352-95:" Exit shellfish is paralytic " of law of proved recipe of check of sexual shellfish toxin determines the; of content of toxin of paralytic sex shellfish of snail flesh and its content content applies fluid photograph color atlas, mass spectra couplet is used detect toxin of snail flesh balloonfish and its ramification.

方法按国家进出口商品检验行业标准SN0352-95:&出口贝类麻痹性贝类毒素检验方法&测定螺肉及其内容物的麻痹性贝类毒素含量;应用液相色谱—质谱联用检测螺肉河豚毒素及其衍生物。

Granular myringitis is a disease which treatment method. This report rcveals that treating granular myringitis with surgery may achieve high successful rate (100%, 14 cases /14 cases). So the surgical treatment is one of the most effective methods to cure the granular myringitis, if we ignore its complexity and accidental perforation of ear drum during the surgery (28%, 4 cases/ 14 cases).

肉芽性鼓膜炎发生的原因迄今未明,且仍未有单一种的治疗方法可治愈所有的此类病例,然而本研究结果显示以手术去除鼓膜上的肉芽组织的方法,虽然较复杂且有导致手术中鼓膜意外穿孔的机率(28%,4/14 cases),但是术后成功率高(100%,14/14 cases),故手术疗法为治愈肉芽性鼓膜炎的好方法之一。

From 1982 to 1988, 14 cases (8 females and 6 males) with granular myringitis had been operated under local anesthesia, and used an operation microscope to remove all the granulation tissue which existed over the ear drums. After we had removed the granulation tissue over the ear durms, we had performed free ear canal skin autograft for 8 cases – group A, and we had performed temporalis fascia with free ear canal skin autograft for 4 cases (small perforation was made by accident during the surgery due to large granulated area,﹥50%)– group B, but we had covered silastic sheet over the denuded drum surface for the other 2 cases –group C.

14例肉芽性鼓膜炎为自民国71年至77年间的住院手术病人,皆在耳局部麻醉后,於显微镜下刮除鼓膜上所有肉芽组织,其中8例於刮除鼓膜上所有肉芽组织后有移植外耳道的皮肤-A组,另外4例则因鼓膜上肉芽组织范围大於50%以上,致手术中意外地造成鼓膜小穿孔,需立刻加铺颞肌膜后,再移植外耳道的皮肤-B组,其余2例则只在刮除鼓膜上的肉芽组织后,直接铺上一块矽胶片-C组。

The characteristics of typical pattern of MF infection are nodular granulomas or diffuse inflammation with mixed granulomas which con-sisted of central abscesses surrounded by epithelioid and giant cells,abundant vacuole zosters or ring structures(lipid-like struc-tures) around the necrotic lesions and small granulomatous nodules.

结节性或弥漫性炎症伴混合性肉芽肿(中央为脓肿围绕着上皮样细胞及巨细胞)以及坏死灶及肉芽肿样小结节周围出现大量空泡细胞条带或环状结构为偶发分枝杆菌感染的最典型表现形式。

According to the contemporary theory of metapho r, abstract thought and metaphysics are not literal-only, fleshless , non-metap hor and non-embodied any more, so that the rational tradition of Western philos ophy was questioned.

由于当代隐喻理论的发现,西方哲学的理性传统受到质疑,抽象思维和形而上学不再被看做是纯粹字面义的、&无血无肉&的,而是隐喻性的、以身体的经验所体现的。

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