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ResultsThe major clinical features are shown as follow: polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes, bone lesion and anemia.50% patients are benefit from the treatment of prednisone and cyclophosphamide.

结果主要临床特征:多发性周围神经病、脏器肿大,内分泌改变,单克隆浆细胞异常,皮肤改变,骨破坏,水肿是POEMS的主要表现。予强的松联合环磷酰胺治疗,有效率50%。

Results All five cases had peripheral polyneuropathy, endocrinopathy, organomegaly, skin change and edema, but no case had M-protein in serum protein electrophoresis. Five cases were treated with glucocorticoid or glucocorticoid combined with immunodepressant and three patients symptoms were improved subsequently.

结果POEMS综合征症状复杂多样,5例患者均有周围神经病变,内分泌改变,脏器肿大,皮肤改变,水肿等,但血清蛋白电泳检测M—蛋白均为阴性。5例患者采用激素或激素联合免疫抑制剂治疗,3例症状有一定改善。

To make the diagnosis of POEMS syndrome, both major and minor criteria are required. The former includes polyneuropathy and monoclonal plasmaproliferative disorder and the latter includes osteosclerotic bone lesions, Castleman disease, papilledema, organomegaly, edema or serous cavity effusion, endocrinopathy and skin changes.

POEMS综合征的诊断除应将多发性神经病和克隆性浆细胞疾病作为主要诊断标准外,还应该包括硬化性骨病变、Castleman病、视乳头水肿、外周性水肿和浆膜腔积液、皮肤病变、脏器肿大及内分泌病变在内的次要诊断标准。

The heating effects have been proven to be of value in pain relief for breast engorgement and plugged ducts. However, the clinical significance of non-thermal effects in treating plugged ducts remains undetermined.

超音波的物理作用可分为热效应与非热效应,热效应对於乳房肿大或乳腺管阻塞在止痛上的效果已获得证实,但非热效应在临床应用的意义仍未有结论。

A 60-year-old black man with poorly differentiated lymphocytic lymphoma presented with generalized lymphadenopathy and marked eosinophilia.

一名60岁分化程度低的淋巴细胞型淋巴瘤的黑人患者,呈现全身性淋巴结肿大及嗜伊红细胞明显增多。

Abstract] objective to analyse kawasaki disease' s clinical characteristic to improve the cognition and cure kawasaki disease.methods 52 kawasaki disease's clinical data from 1996 to 2005 in our hospital were reviewed.results in the 52 examples,34 were males,18 were females,the proportion was 1.89∶1.patients in 1~5 years old,took up 68.35%.symptom was pyrexia for over 5 days,antibiotic cure was useless.in the whole 52 examples,50 were exanthem,44 were eye conjunctiva congestion,50 lip bleeding with evaporation and dehiscence,46 myrica tongue,44 apyetous lympha denectasis in the neck area of the body,42 hand and foot-tip stiff swell,48 membrane peeling from hand foot-tip and the skin around anus after two weeks,12 cadiovascular expansion.

分析川崎病的临床特征以提高对川崎病的认识及治疗。方法回顾性分析1996~2005年我院收治符合川崎病标准的52例川崎病临床资料。结果 52例川崎病患儿中男34例、女18例,男女比例为1.89∶1。患儿年龄多在1~5岁,大约占68.35%。症状均为发热5天以上,抗生素治疗无效,其中皮疹50例,眼结膜充血44例,口唇干裂出血50例,杨梅舌46例,颈部非化脓性淋巴结肿大44例,手足末梢硬肿42例,2周后手足末梢及肛周皮肤膜状脱屑48例,冠状动脉扩张12例。

In the whole 52 examples,50 were exanthem,44 were eye conjunctiva congestion,50 lip bleeding with evaporation and dehiscence,46 myrica tongue,44 apyetous lympha denectasis in the neck area of the body,42 hand and foot-tip stiff swell,48 membrane peeling from hand foot-tip and the skin around anus after two weeks,12 cadiovascular expansion.

症状均为发热5天以上,抗生素治疗无效,其中皮疹50例,眼结膜充血44例,口唇干裂出血50例,杨梅舌46例,颈部非化脓性淋巴结肿大44例,手足末梢硬肿42例,2周后手足末梢及肛周皮肤膜状脱屑48例,冠状动脉扩张12例。

Symptom was pyrexia for over 5 days,antibiotic cure was useless.In the whole 52 examples,50 were exanthem,44 were eye conjunctiva congestion,50 lip bleeding with evaporation and dehiscence,46 myrica tongue,44 apyetous lympha denectasis in the neck area of the body,42 hand and foot-tip stiff swell,48 membrane peeling from hand foot-tip and the skin around anus after two weeks,12 cadiovascular expansion.

症状均为发热5天以上,抗生素治疗无效,其中皮疹50例,眼结膜充血44例,口唇干裂出血50例,杨梅舌46例,颈部非化脓性淋巴结肿大44例,手足末梢硬肿42例,2周后手足末梢及肛周皮肤膜状脱屑48例,冠状动脉扩张12例。

Except a lower incidence of strawberry tongue and indurative edema of palms and soles in patients younger than 6 months,(p.05) there was no significant difference in sex ratio, season distribution, duration of fever, respiratory tract symptoms, lips and oral cavity changes, peripheral extremities changes, conjunctivitis, cervical lymphadenophy and skin exanthema between both groups.

小於6个月的病例除了其草莓舌及手足部硬性浮肿有较低的发生率之外(p值小0.05),其他临床表徵包括男女比例、季节分布、发烧日数、呼吸道症状、口咽喉变化、四肢变化、结膜炎、颈部淋巴腺肿大及皮肤红疹均没有明显的差异(p值大於0.05)。

High fever, cough more obvious symptoms of runny nose, rash Department before the buccal mucosa plaques many measles; rubella general fever is not high, little cough, ears, the occipital lymph nodes; measles exanthema high fever, 2-3 days after the fever that is, on its own;恶寒early scarlet fever, throat swelling fester, the "Yangmei" tongue-like; chickenpox generally lighter symptoms, fever is not high.

全身症状麻疹发热较高,咳嗽流涕症状较明显,出疹前颊粘膜处多有麻疹粘膜斑;风疹一般发热不高,少有咳嗽,耳后、枕部淋巴结肿大;小宝宝急疹发热较高,2—3天后即自行退热;猩红热初起恶寒发热,咽喉红肿溃烂,出现"杨梅"样舌;水痘一般症状较轻,发热不高。

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