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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

Objective: To study the value of combined determination of carcinoembryonic antigen, total cholesterol and adenosine deaminase in the differential diagnosis of ascites due to different causes.

目的:研究联合检测腹水中癌胚抗原、总胆固醇和腺苷脱氨酶等指标对腹水病因诊断和鉴别诊断的价值。

In this paper, granularity in rough set theory is used to describe rules based on the concept of rough degree. A tool for knowledge dependent relation diagram is put forward. Then dimensional knowledge granularity decision space and the same construction mapping decision space based on multi-decision sorts is established, and decision algorithm based on KDRD and decision space is introduced. Finally, through combining with the technique of fault diagnosis, it is proved that the approach is very appropriate to the intelligent decision system.

本文利用粗糙集理论中的粗度概念,在对获取规则进行扩展性的粒度描述的基础上,提出了一种工具―知识依赖关系图,构造了n维知识粒度决策空间以及基于多决策类的同构映射决策空间,建立了基于KDRD和决策空间的决策算法,并结合机械故障诊断说明了本方法非常适于故障诊断等通过结论获取原因的智能决策系统。

This paper investigates the decomposition of diagnosis problem and gives a theorem for decomposition and combination of the diagnosis.

诊断问题的分解进行研究,给出了候选诊断的分解与组合定理。

A hydraulic system is diagnosed by a fuzzy logic diagnosis method and to overcome the defect of fuzzy logic operators were defined before a new fuzzy logic operator fuzzy aggravating and synthesizing operator.

应用模糊逻辑诊断方法对液压系统的故障进行了诊断,同时针对传统模糊逻辑算子的缺陷,提出一个新的模糊逻辑算子——模糊加权综合算子。

Objective To discuss clinical significance of ADA detection in chronic activity hepatitis and chronic deferment hepatitis,as well as their diagnosis and differentiate diagnosis.

目的 探讨腺苷脱氨酶的检测在慢性活动性肝炎和慢性迁延性肝炎中的意义以及对二者的诊断与鉴别诊断

The diagnosis example shows that GRNN diagnosis model based on COP for dehumidifier is feasible.

诊断实例表明,基于COP的GRNN故障监测模型用于除湿机的故障诊断是可行的。

Results: 12 cases had prompt diagnosis, and 10 cases had delayed diagnosis.

结果:22例中,及时诊断12例,延时诊断10例。

The new technique to diagnose transformer aging by polarization and depolarization current method is discussed.

介绍了变压器老化诊断的高性能液相色谱分析法,论述了用极化电流/去极化电流法诊断变压器老化的新技术,并列举了实例。

With the use of absorption chiller performance model, an approximate calculation method was derived for the absorption chiller unit with a quantitative analysis of the effect of operating parameters on the absorption chiller performance. The formula is simple, physically clear and accurate enough. Its correctness was verified by calculation examples and model predictions were compared against performance data from experiments with favorable results.

给出单效吸收式制冷机局部定量分析近似计算方法,解决了工程上吸收式制冷机局部定量分析计算时的简化计算问题,提出的近似计算方法在精度和计算量方面均具有一定的优势,既解决了吸收式制冷机变工况计算问题,又满足实际机组经济性诊断的需要,实例计算证明了理论模型和诊断方法的准确、简捷性。

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