食管

Objective: To investigate the changes of esophageal and lower esophageal sphincter length in gastroesophageal reflux disease.

目的：明确食管及其下括约肌长度在胃食管反流疾病中的变化及临床意义。

There are cases when we change our position or the lower esophageal sphincter is lead to believe that there is food in the esophagus it may open.

在有些情况下当我们改变我们的立场或食管下括约肌是导致认为有食物的食管它可能开放。

The main postoperative complications were substernal pain and foreign body sensation （81.3%）, gastroesophageal reflux （39.7%）, hematemesis （25.9%）,displacement of stent hiccup（3.4%）.

术后主要并发症为：胸骨后疼痛及异物感47例（81.0%），胃食管反流23例（39.7%），呕血15例（25.9%），呃逆2例（3.4%），食管再狭窄13例（22.4%），支架移位15例（25.9%）等。

Here is another varix near the gastroesophageal junction that is dark red black because it has been bleeding.

这是另一靠近食管-胃交界处的食管静脉曲张。曲张的静脉呈黑红色是因为已经发生了出血。

Results The major cause was peptic ulcer, the secondary was chronic gastritis in all cases, the next one was esophageal varix for non-old patients and tumour for old patients.

结果 消化性溃疡为上消化道出血的主要病因，其次为慢性胃十二指肠炎和食管炎以及恶性肿瘤、食管胃底静脉曲张及Mallory-Weiss综合征。

Results The present series included 28 cases of stromal tumor, 3 lipoma, 3 cyst, 5 ectopic pancrease, 2 esophageal cancer, 4 gastric cancer, 6 polyp, 6 protuberance from outside organ, 1 esophageal varix and 4 gastritis. 12 of the lesions were resected under endoscopy, and 11 patients were managed by surgery.

结果 62例食管、胃十二指肠隆起性病变患者中，包括间质瘤28例，脂肪瘤3例，囊肿3例，异位胰腺5例，食管癌2例，胃癌4例，息肉6例，外压性病变6例，食管静脉瘤1例，胃炎4例；其中12例行内镜下切除，11例行手术治疗。

Abjective To advocate the application of nitinol stents made in China in the treatment of the malignant esophagostenosis.

目的提倡使用国产镍钛合金支架治疗食管恶性狭窄，封闭伴发的食管气管瘘。

Expression of a novel antra????poptosis gene, survivin, correlated with tumour cell apoptosis and p53 accumulation in gastric carcinomas［J］.

myc在癌旁正常食管黏膜组织中均未见表达，与多数文献报道一致［1， 7］。survivin为新发现的凋亡抑制基因，其在食管标本中的研究较少，SARELA等［8］及KATO等［9］均用RT？？？？

Results:Spiral CT findings included dilated paraumbilical vein (n=12), paragallbladder varices (n=8), establishment of splenorenal collaterals (n=9), retroperitoneal varices (n=10), esophageal varices (n=24), paraesophageal varices (n=10), dilated azygos (n=15), paragastric varices (n=27) and dilated left renal vein (n=11). In 19 patients with portal hypertension, MIP angiography demonstrated dilatation of portal veins 1-2 grade branches, and thinness, distortion, stiffness of smaller branches.

结果：螺旋CT显示脐周静脉曲张12例，胆囊周围静脉曲张8例，脾肾静脉侧支开放9例，腹膜后静脉曲张10例，食管静脉曲张24例，食管周围静脉曲张10例，奇静脉扩大15例，胃周静脉曲张27例，左肾静脉扩大11例；MIP显示门脉1-2级分支增粗，2级以下分支细小、扭曲、僵直19例。

Results The tissue of 3 cases of ACC in the esophagus was mainly composed of square shape gland epithelial cell and variant myoepithelial cell, mesh shape cavity crack and the tubular, the entity shape arrangement, the cavity crack content basophilia and acidophilia the secretion. There was transmigration of superficial epidermis in 1 case of ACC; All 3 cases were positive of CK, H-CK, P63, S-100 (endochylema /nucleus), EMA, and Bcl-2. Case 3 was positive of CerbB-2 and P53. Case 2 was CD117, AAT, SMA, PAS/AB.

结果 3例食管腺样囊性癌的癌组织主要由立方形腺上皮细胞和变异的肌上皮细胞组成，呈筛孔状腔隙、管状、实体状排列，腔隙内含嗜碱性和嗜伊红分泌物；3例食管腺样囊性癌中例1表面上皮有移行；免疫组化：3例CK、H-CK、P63、S-100、EMA、Bcl-2均，例3 CerBb-2，P53，例2 CD117，AAT、SMA，PAS/AB。

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。