胃食管的

Additional pathologic findings included: chronic peptic duodenitis (6 out of 17, 35%), active duodenitis (1 out of 17, 6%), and celiac-like features (2 out of 17, 12%) in the duodenum; chemical gastropathy (3 out of 18, 17%), active chronic gastritis without Helicobacter pylori (2 out of 18, 11%), and erosion (1/18,6%) in the stomach; reactive epithelial change (3 out of 7, 43%), active esophagitis (3 out of 7, 43%), ulceration (2 out of 7, 29%), and erosion (1 out of 7, 14%) in the esophagus. Serum MPA levels were available in 7 patients, 6 of whom had abnormal duodenal apoptotic counts.

其他病理特点包括：十二指肠：慢性消化性十二指肠炎（17例中有6例，35%）、活动性十二指肠炎（17例中有1例，6%）和乳糜泻样特征（17例中有2例，12%）；胃：化学性胃病（18例中有3例，17%）、慢性活动性胃炎且无HP感染（18例中有2例，11%）和糜烂（18例中有1例，6%）；食管活检：反应性上皮改变（7例中有3例，43%）、活动性食管炎（7例中有3例，43%）、溃疡（7例中有2例，29%）和糜烂（7例中有1例，14%）。7例患者提供了其血清MPA浓度，其中有6例的十二指肠细胞凋亡计数异常。

Methods: From May 1985 to December 2002, 2240esophageal and stomach cardia cancer patients treated by intrathoracic esophagogastric "layer-to-layer"anastomosis with esophageal mucosa extended varied in plane were retrospectively analyzed.

回顾性总结1985年5月～2002年12月共进行胸腔内食管黏膜延长不同平面与胃、食管分层吻合术2240例，统计手术后和出院后随访资料发生吻合口瘘和吻合口狭窄的情况。

To evaluate the clinical value of intrathoracic esophagogastric "layer-to-layer" anas tomosis with esophageal mucosa extended varied in plane and to study the effective methods to prevent anastomotic leaking or stricture postoperatively.

目的 评价胸内食管黏膜延长不同平面与胃、食管分层吻合术，探讨预防食管吻合口瘘和吻合口狭窄发生的吻合方法。

Objective To assess the effects of self-expandable metallic stents (covered-SEMS) and percutaneous endoscopic gastrostomy in the treatment of tracheoesophageal fistulas.

目的 评估内镜下食管覆膜自膨式金属支架植入术与经皮内镜下胃造瘘术在气管食管瘘治疗中的应用价值。

Abstract］ Objective To explore the effect of esophagogastric intramural anastomosis on reconstructing cardial function and preventing reflux esophagitis.

摘要］ 目的探讨食管-胃壁内吻合术贲门功能重建对预防反流性食管炎的作用。

The results of study show:1. White pulp and red pulp in parenchyma of spleen of embryo can be obviously discerned after 18 days. Periarterial lymphoid sheath and ellipsoid periarterial lymphoid sheath also can be obviously discerned in spleen of 4 days chicken. T, B lymphocytes in appendix basement of embryo emerge after 20 days. It is the initial shape of cecal tonsil. Crypt structure of conjunction of esophago and stomachus glandularis form obviously at 4 days. It is the initial shape of esophago tonsil. The germinal center firstly emerges in these three organs at 14 days. With the increase of day age, the characteristic structure peripheral immune organs gradually develop mature. Spleen achieve mature at 21 days and cecal tonsil at 35 days.2. IgM~+ and IgA~+ cells in spleen of embryo emerge at 15 days. IgG~+ cell, CD3~+ and CD8~+T lymphocytes of embryo emerge at 20 days. CD3~+, CD8~+ and IgM~+ cells in cecal tonsil of embryo emerge at 20 days. However CD4~+, IgG~+ and IgA~+ cells all emerge in 1 day age chicken out of crust. CD3~+, CD4~+, CD8~+, IgM~+ and IgG~+ cells in esophago tonsil of embryo all emerge at 20 days. However IgA~+ cells emerge in 1 day age chicken out of crust.3. The amount of T, B lymphocytes in peripheral immune organs increase follow with the increase of day age, and hold an upgrade tendency. The amount of T, B lymphocytes in spleen achieved stabilization at 21 days, and in tonsil of esophago and appendix at 35 days.

研究结果表明：1、在组织结构方面，脾脏实质内的白髓与红髓在胚胎18日龄后明显可辨，4日龄雏鸡脾脏中形成明显可辨的动脉周围淋巴鞘和椭球周围淋巴鞘；盲肠基部T、B淋巴细胞在胚胎20日龄时开始出现，即初步形成盲肠扁桃体；食管与腺胃结合处在4日龄时形成明显的隐窝结构，即食管扁桃体初步形成；14日龄时，三种器官中首次出现生发中心；随着日龄的增长，外周免疫器官特征结构不断发育成熟，脾脏在21日龄时达到成熟水平，盲肠扁桃体和食管扁桃体在35日龄时达到成熟水平。2、在T、B淋巴细胞出现时间方面，脾脏中IgM~+和IgA~+细胞在胚胎15日龄时开始出现，IgG~+细胞、CD3~+和CD8~+T淋巴细胞在胚胎18日龄时出现，CD4~+细胞在胚胎20日龄时出现；盲肠扁桃体中CD3~+、CD8~+和IgM~+细胞在胚胎20日龄时开始出现，而CD4~+、IgG~+和IgA~+细胞均在雏鸡出壳后1日龄时出现；食管扁桃体中CD3~+、CD4~+、CD8~+、IgM~+和IgG~+细胞均在胚胎20日龄时开始出现，而IgA~+细胞则在雏鸡出壳后1日龄时出现。3、在T、B淋巴细胞数量变化方面，外周免疫器官中T、B淋巴细胞的数量随日龄增长，整体均呈上升趋势。

Objective To discuss the methods and effects of the treatment under endoscope and the courses of massive hemorrhage of upper digestive tract after gastrectomy and esophagectomy.Methods Emergency endoscope ex-amination were carried out in20massive hemorrhage clients after gastrectomy and esophagectomy,after exposed and washed the bleeding part by cold0.9%NS,1∶10000adrenaline and hypertonic saline were injected in perifocal sub-mucosa.After stop bleeding and before move back the endoscope,spray some YunNanBaiYao and thrombase in the bleeding part to prevent secondary hemoorahge.

目的 探讨食管、胃切除术后上消化道出血的原因及内镜下治疗的方法、效果方法对食管、胃切除术后引起大出血的患者行急症内镜检查，用冰冻生理盐水100ml+去甲肾上腺素8mg反复冲洗，暴露出血部位后在病灶周围黏膜下注射1∶10000肾上腺素及高渗盐水，无出血后，退镜于出血部位喷洒云南白药及凝血酶，防止再次出血。

Clinical curative effect of hypophysin unite propranolol to healing esophagus fundus ventricularis variceal bleeding is similar with somatostatin, it is first elective method both economy and effective of healing esophagus fundus ventricularis variceal bleeding.

垂体后叶素联合心得安治疗食管胃底静脉曲张破裂出血的临床疗效与生长抑素基本相似，是治疗食管胃底静脉曲张破裂出血的既经济又实用有效的方法。

Clinical curative effect of hypophysin unite propranolol to healing esophagus fundus ventricularis variceal bleeding is similar with somatostatin, it is first elective method both economy and effective of healing esophagus fundus ventricularis variceal bleeding.

垂体后叶素联合心得安治疗食管胃底静脉曲张破裂出血的临床疗效与生长抑素基本相似，是治疗食管胃底静脉曲张破裂出血的既经济又实用有效的方法。中国论文联盟http：//www.lwlm.com

Clinical curative effect of hypophysin unite propranolol to healing esophagus fundus ventricularis variceal bleeding is similar with somatostatin, it is first elective method both economy and effective of healing esophagus fundus ventricularis variceal bleeding.

垂体后叶素联合心得安治疗食管胃底静脉曲张破裂出血的临床疗效与生长抑素基本相似，是治疗食管胃底静脉曲张破裂出血的既经济又实用有效的方法。转载于中国论文联盟 http：//www.lwlm.com

Fancy gold-plated dangling earrings with facetted White Opal crystals.

花式镀金悬垂耳环与facetted白欧泊水晶。

This essay chooses the study aim from biology teachers in middle school in Shi Jiazhuang which tells us that most of the middle school biology teachers in Shi Jiazhuang have the"burnout", lower successfulness, individualize.

本文选取石家庄市初中生物教师作为研究对象，运用问卷调查的方法对石家庄市初中生物教师职业倦怠的现状进行调查，调查结果发现，石家庄市初中生物教师这一群体普遍存在职业倦怠，情感枯竭程度偏高，成就感偏低，去个性化程度最为严重。