肾外膜

Diabetic nephropathy is one of the common serious microvascular complications of diabetes mellitus,as a result of the feature between glomerular mesangial membrane proliferation and interrenal fibrosis for extracelluar matrix excessive accumulation in the kidney. Many patient with DM are predisposed to developing diabetic nephropathy and die from it.

糖尿病肾病是以细胞外基质在肾脏的过度聚集导致肾小球系膜增生和肾小管间质纤维化为特征的严重微血管并发症，是糖尿病致残因素和重要的死亡原因之一。

AbstractDiabetic nephropathy is one of the common serious microvascular complications of diabetes mellitus,as a result of the feature between glomerular mesangial membrane proliferation and interrenal fibrosis for extracelluar matrix excessive accumulation in the kidney. Many patient with DM are predisposed to developing diabetic nephropathy and die from it.

糖尿病肾病是以细胞外基质在肾脏的过度聚集导致肾小球系膜增生和肾小管间质纤维化为特征的严重微血管并发症，是糖尿病致残因素和重要的死亡原因之一。

Fifteen patients undergoing hysteromyomectomy with 0 75% bupivacaine epidural anesthesia were studied to observe the alterations of the levels of plasma atral natriuretic peptide, renin activity, angistensin Ⅱ and aldosterone systems.

研究了15例子宫肌瘤切除术患者应用0.75％布比卡因硬膜外麻醉血浆心钠素和肾素活性、血管紧张素Ⅱ－醛固酮系统的变化及相互调控。结果表明，血浆ANP水平在麻醉10min后各时点明显低于麻醉前（P＜0.05），PRA在麻醉10min后亦明显低于麻醉前（P＜0.01），而AⅡ和AL无显著改变（P＞0.05）。

Seed horizontal or vertical, lenticular, reniform, ovoid, or globose; testa thinly leathery or membranous; embryo green or whitish, planospiral, slender; perisperm scant or absent.

种子水平或垂直位置，透镜状，肾形，卵球形，或球状；种皮薄革质或者膜；胚绿色的或带白色，平面螺旋状，纤细；外胚乳不够的或无。

Methods: Under peridural anesthesia, the right rectus incision was adopted. First, the vessels in lesser curvative of stomach was amputated and ligated. Second, splenic artery was ligated to deflate spleen .Then ,splenic artery and renal vein were amputated and side-to-side anastanosised with each other. Result: Of the 36 cases,the portal free pressure decreased by different degree in 23 cases, unchanged in 10,and increased in 3 postoperatively. The follow-up ranged from 1 to 5 years.

在硬膜外麻醉下经右腹肌切口进腹、采用先作胃小弯的血管彻底离断，再结扎脾动脉、使脾脏缩小后，而后分离出脾静脉和肾静脉进行端侧吻合，结果：36例中23例病人吻合后测得门脉自由压均较分流前有不同程度的降低，10例门脉自由压未变化。3例高于分流前压力。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。