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A 2-year-old male who had suffered from Hirschsprung's disease sine 2 months of age developed during 6 weeks bilateral fulminant exophthalmos with severe ecchymosis of eyelid and prominent congestion and chemosis of conjuntiva on the right eye and mild a degree on the left. A peripheral blood examination and liver function test showed mild abnormalities. A skull X-ray revealed increased bony density on the sphenoid ridge.

一位两岁男性病患,在2个月大时发现有Hirschsprung's disease,经过手术治疗,情形已改善,在2岁开始有右眼轻微凸出,经过6个星期,过程急速进展,演变成右眼严重凸出,眼睑严重瘀血,结膜充血水肿很厉害,角膜乾燥,左眼与右眼变化类似只是程度较轻微。

The chapter two was focused on the samarium diiodide promoted organic reactions and their applications in organic synthesis, firstly, a new synthesis of highly substituted cyclopentadienes from a,β-alkynone promoted by samarium diiodide was investigated and the highly substituted cyclopentadienes were prepared in moderate to good yields under mild conditions. Secondly, the Michael addition and Michael-aldol tandem reaction of diorganyl diselenides or diorganyl disulfides with α,β-alkynones mediated by samarium diiodide were studied and a series of alkenylsulfides and alkenylselenides were prepared in good yields. Then the highly regioselecfive nucleophilic addition of the allylsamarium bromide to α,β-alkynones were explored. We found that the allylsamarium bromide reacts with α,β-alkynones to afford regiospecificly 1. 2-nucleophilic addition products in good yields under mild condition. At last we studied the coupling reaction of aryl halides promoted by NiCl〓/PPh〓/Sm〓.

第二章 研究了二碘化钐、金属钐促进的有机反应:1、二碘化钐促进下α,β-炔基酮的偶联环化反应,提供了一种制备多取代环戊二烯的新方法;2、二碘化钐促进下的二硫醚、二硒醚与α,β-炔基酮的Michael加成反应,为高产率地制备多取代的烯基硫或烯基硒化合物提供了方便可靠的新方法;3、二碘化钐促进下的二硫醚、二硒醚与α,β-炔基酮和醛、酮的Michael—aldol串联反应,提供了一种一锅法高产率地制备多取代的含硫的烯丙基醇或含硒的烯丙基醇类化合物的方便可靠的原子经济性的新方法;4、烯丙基溴化钐与α,β-炔基酮的高度区域选择性的1,2-亲核加成反应;5、NiCl〓/PPh〓/Sm〓促进的卤代芳烃的偶联反应-一种从各种卤代芳烃制备联苯类化合物的有效方法。

The mean birth weight and gestational age was (1256.3±196.8) g and (29.583 3±1.543 6) weeks in ROP group, and (1337.8±146) g and (31.217 4±2.430 6) weeks in control group, respectively. In 39 ecdemic infants, 32 were found with ROP (82.1%, 1 with mild and 31 with severe ROP) while in 91 local infants, 28 were found with ROP (30.8%, 15 with mild and 13 with severe ROP).

ROP组平均出生体重(1256.3±196.8)g及平均孕周(29.583 3±1.543 6)周,而正常眼底组平均出生体重(1337.8±146)g、平均孕周(31.217 4±2.430 6周。39例外地患儿中早产儿视网膜病变32例占82.1%(轻度ROP 1例,重度ROP 31例),91例北京患儿中早产儿视网膜病变28例占30.8%(轻度ROP 15例,重度ROP 13例)。

In Comlex model group the endangium plaque were widespread, while in that of High cholesterol group there was only single small plaque. The pathological heart changes of both High cholesterol group and Complex model group weren't obvious, with mild oedema and small fat drops. The liver cells of High cholesterol group showed mild oedema, while fat drops in the liver of Complex model group were more typical.

病理显示主动脉弓变化明显,复合模型组内膜斑块弥漫,而单纯高脂组内膜只出现单个小斑块,单纯高脂组和复合模型组心脏病变区别不大,均见轻度水肿和小脂肪滴;单纯模型组肝脏细胞轻度水肿,而复合模型组肝脏脂肪滴明显。

Results: MRI features of primary malignant lymphoma were as follows:① single or multiple lesions, mostly in supratentorial region;② round or irregular in shape, hypointense on T1WI, hypointense or isointense on T2WI with homogenous signal;③ mild edema around the lesion with mild space occupying effect;④ remarkab1e enhancement of the lesion;⑤ involvement of leptomeninges and/or dissemination via ventricular ependyma;⑥ sensitive to chemotherapy and radiotherapy. Size and shape changed remarkedly after treatment.

结果:脑内淋巴瘤MRI表现为:①种瘤单发或多发,以幕上分布为主;②形态圆形或不规则形,T1WI呈低信号,T2WI以高信号为主,信号不均匀;③瘤周水肿及占位效应较轻;④增强扫描肿瘤明显不均匀强化;⑤可侵及软脑膜、室管膜并沿之播散;⑥肿瘤对放疗和化疗敏感;形态、大小变化明显。

Results The model showed serious edema, proteinuria, hypoproteinemia, and hyperlipidemia. Podocytes were swollen and mesangial cells developed mild hyperplasia at the end of the fourth week. The nephric tubule atrophied at the end of the eighth week accompanied with adhesion between glomeruli and Bowman's capsule. Glomeruli sclerosis of mild or medium degree was observed at the end of the twelfth week with obvious lymphocyte infiltration in the renal interstitium as well as the formation of collagen fibers.

结果 该模型表现为严重水肿、大量蛋白尿、低蛋白血症和高脂血症;病理学检查显示,4周末肾小球足细胞肿胀,系膜细胞轻度增生;8周末有球囊粘连,肾小管上皮细胞萎缩;12周末部分肾小球节段性轻、中度硬化,间质内有明显灶性淋巴细胞浸润,并有轻度纤维化。

Of 299 patients in this retrospective study, most had mild stenosis and no need for surgery.Dr. Oldenburg told Medscape that the study also included patients who were not good operative candidates."I think that patients with mild stenosis who are poor operative candidates is a good option. Unfortunately, the chances of LESI being beneficial for patients with severe stenosis are far less."

在这项收纳299位病患的回溯性研究中,大部分病患其狭窄度为轻微的,且不需要接受手术;Oldenburg医师向Medscape表示,该试验也收纳非手术适当人选的病患,使用LESI治疗非手术适当人选的轻度狭窄病患是一项好的选择,不幸的,LESI对严重狭窄病患的好处就没有那么明显。

Of 299 patients in this retrospective study, most had mild stenosis and no need for surgery.Dr. Oldenburg told Medscape that the study also included patients who were not good operative candidates."I think that patients with mild stenosis who are poor operative candidates is a good option. Unfortunately, the chances of LESI being beneficial for patients with severe stenosis are far less."

在这项收纳299位病患的回溯性研究中,大部分病患其狭窄度为轻微的,且不需要接受手术;Oldenburg医师向Medscape表示,该试验也收纳非手术适当人选的病患,使用LESI治疗非手术适当人选的轻度狭窄病患是一项好的选择,不幸的,LESI对严重狭窄病患的好处就没有那麼明显。

Although most individuals develop spastic paraparesis, mild ataxia, and occasional mild cognitive deficit in their second decade, the course of the disease is relatively stable.

虽然大多数患者下肢轻瘫、轻度共济失调和偶而出现在十几岁时的轻度认知障碍,此病的进程相对稳定。

Physical examination:T38 C, R32/min, P120/min, dyspyoria, Fontanel 1.5×1.5cm2, sunken, orbit sunken, decreasedSkin turgor, dry lip, dry periglottis, pharynx, heart rate 120/min, no arrhythmia, mild dull heart sounds, lungs, mild abdomen swelling, soft abdomen, not palpated liver 1.5cm below ribs, bowel sounds 10~12/min, no high notes,two lower limbs patellar reflex negative

体查:T38 C,R32次/分,P120次/分,烦躁不安,体查不合作,前稳囟1.5×1.5cm2,凹陷,眼眶凹陷,皮肤弹性差,唇干燥,舌粘膜干燥,咽,心率120次/分,率齐,心音稍钝,双肺,腹稍隆起,腹软,肝肋下1.5cm未扪及,肠鸣音10~12次/分,未闻及高调音,双下肢膝腱反射阴性。

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