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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。

Methods We have developed the methods of layered scalp incision and overlapping sutures of the galea.

设计头皮分层切开和帽状腱膜覆盖减张缝合法,头皮的皮肤和皮下组织与帽状腱膜的切开不在同一水平,将形成的后叶帽状腱膜瓣和前叶帽状腱膜深面减张缝合。

Mitochondria was relatively little in size. Round primary lysosome with high electron-densed granules and secondary lysosome with high or low electron-densed granules were seen frequently. DCs contained many rough endoplasmic reticulum, the Golgi apparatus and ribosomes. The vacuoles with flocculent electron-densed granules were rare. Some special granules in cytoplasm were seen, whose surface like earphone were covered with a membrane. High electron-densed contents in the granules were near one side and the other side was bright. The nucleus became markedly small in volume, nephroid or hoofed in shape. The nucleus had little euchromatin and lots of heterochromatin under nuclear membrane.

子宫内膜癌组织DC超微结构特征如下:细胞形态不规则,与正常子宫内膜组织DC相比,胞膜较光滑,胞膜表面树突状胞浆突起显著减少,部分突起呈粗短状;胞质中线粒体相对少,圆形而电子密度高的初级溶酶体和不规则形且电子密度高低不一的次级溶酶体多见;高尔基体、粗面内质网、核糖体丰富;含微量絮状电子致密物的胞饮小泡显著减少;胞质中可见形态特殊的颗粒,该颗粒外周膜包裹,略呈圆形,中间部位稍弯曲,如耳机状,颗粒中由高电子致密物居于一侧,而另一侧则呈透亮状;胞核显著减小,居于胞质一侧,常呈肾形或马蹄形,核内常染色质较少,异染色质多边集于核膜下。

The ultrastructure characters of pollen grain in Brassica napus are:1There are vacuoles in cytoplasm but no starch grain in uniceelluar pollengrain.2The veget- ative nucleus of bicellular pollen grain is generally spheroidal;while the generative cell is spinde-shaped,with a big nucleus,thin layer of cytoplasmand few cell orgens,no cell wall.3In three-celled pollen grain the sperm cell is separated from the cytoplasm of vegetative cell by two layers of plasmic membrances.

Brassica napus的花粉粒,在不同发育时期超微结构的特征如下:1单胞花粉粒有一个球形的细胞核和明显的核仁,细胞质内出现液泡,缺少典型的淀粉粒。2双胞花粉粒的营养核多为球形。生殖细胞纺锤形,无细胞壁,细胞核比例大,细胞质呈薄层,细胞器少。3三胞花粉粒有一个裂片状的营养核和两个纺锤形的精细胞,精细胞无壁,以两层质膜与营养细胞的细胞质相隔。

The results indicate the membrane prepared in pure water coagulation bath exhibits fingerlike structure, with an increase of the volume fraction of ethanol in coagulation bath leads to a reduction of fingerlike cavities, and in ethanol/water coagulation bath of φ=40% exhibits spongelike structure; the melting points of the fingerlike and spongelike membrane increase by 3.9℃ and 3.5℃ compared to that of raw material respectively, and the crystallinity of the two type membranes increases by 16.1% and 13.5% respectively.

结果表明纯水凝胶浴中所成膜为指状多孔膜,随着凝胶浴乙醇体积分数的增加,膜指状大孔逐渐消失,在φ=40%的乙醇/水凝胶浴中转变为海绵状多孔膜;指状多孔膜和海绵状多孔膜熔点相对于原料分别提高了3.9℃和3.5℃,而结晶度相对于原料分别提高了16.1%和13.5%。

The results indicate the membrane prepared in pure water coagulation bath exhibits fingerlike structure,with an increase of the volume fraction of ethanol in coagulation bath leads to a reduction of fingerlike cavities,and in ethanol/water coagulation bath of φ=40% exhibits spon...

结果表明纯水凝胶浴中所成膜为指状多孔膜,随着凝胶浴乙醇体积分数的增加,膜指状大孔逐渐消失,在φ=40%的乙醇/水凝胶浴中转变为海绵状多孔膜;指状多孔膜和海绵状多孔膜熔点相对于原料分别提高了3.9℃和3.5℃,而结晶度相对于原料分别提高了16.1%和13.5%。

Spikelets large, wedge-shaped, laterally compressed, florets several, rachilla disarticulating above glumes and between florets; glumes subequal, as long as spikelet, membranous or papery,(1–)3–9-veined; floret callus short, obtuse; lemmas herbaceous or papery, 7–9-veined, pilose on margins or all over, apex 2-lobed, lobes acute or extended into slender awns; central awn arising from sinus, flat, column short, strongly twisted, bristle straight or sparsely twisted; palea equal to or shorter than its lemma.

大,楔形的小穗,侧面压扁,小花数个,高于颖片脱节和在小花之间的小穗轴;颖片近等长,倍于小穗,膜质或纸质,(1-)3-9-脉;小花结茧短,愚蠢;外稃草质或纸质,7-9-脉,在边缘或全部上具柔毛越过,2裂的先端,裂片锐尖或延长进纤细;中心的芒生于凹缺,平,柱状的短,强烈扭曲,疏生缠绕的刚毛直的或;内稃等于或者短于它的外稃。

Spin-coating thin film has many aggregations and pinholes on its surface, TSPP LB films showed a relatively more flattened and condensed surface. The TSPP macrocycle lied vertical to the surface of the substrate, the long alkyl chains of the TSPP were not straight but lay on the substrate with a tilted angle about 52.3°.

在旋转涂得的薄膜上,TSPP分子以聚集体的形式分散分布,未聚集的TSPP分子形成的薄膜表面分布着大量针孔状的缺陷;LB膜表面平整均匀,TSPP分子的环平面紧密地排列在一起以羧基为支撑点垂直&站立&在基片平面上,分子侧链与基片平面成52.3°角排列。

Bleached oil is distillated in packed column as film,whereas there is oil level in plate column ,so the steam consumption of packed column is less than that of plate column .

对填料塔和板式塔脱臭工作原理进行了分析,填料式脱臭塔相对板式塔由于油在塔内呈膜状蒸馏,而无油位的存在,故需要的汽提蒸汽和抽真空用的动力蒸汽较少,仅为板式塔的30%左右,因此填料式脱臭塔的炼油成本很低,是一种理想的脱臭节能设备。

The part of the respiratory tract between the pharynx and the trachea, having walls of cartilage and muscle and containing the vocal cords enveloped in folds of mucous membrane.

喉位于咽与气管之间的呼吸道的一部分,管壁由软骨与肌肉组成,内有由粘液状的膜构成的褶页所保护的声带

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