临床

Materials and Methods: According to authoritative clinical diagnosis standards and evaluation standards, 90 cases of outpatients and inpatients were selected as the research subjects. These patients of H.pylori associated alimentary disease all failed on routine triple therapy and belonged to deficiency-cold of spleen and gaster, damp-heat of spleen and gaster as well as stagnant blood of gaster. 90 cases were divided into three groups stochastically. Among these patients, 30 cases were served as contrast groupⅠ treated by "Omeprazole, Clarithromycin, Metronidazole", 30 cases were served as contrast groupⅡtreated by "Omeprazole, Levofloxacin, Ornidazole", the other 30 cases were served as observation group treated by "Qingyou Soup" associated with above-mentioned routine medicines. The period of treatment of all three groups was 2 weeks.

资料与方法：根据2007年《第三次全国Hp共识会议》制定的Hp感染临床诊断标准、根除标准，以及2002年《中药新药临床研究指导原则》的病例选择标准、中医辨证标准、临床疗效判断标准，选择经西医常规三联疗法根除失败的Hp感染相关消化疾病，且中医辨证属脾胃虚寒、脾胃湿热、胃络瘀血证的门诊和住院患者90例，随机分为对照组Ⅰ、对照组Ⅱ、治疗组，对照组Ⅰ30例予常规三联药物&奥美拉唑、克拉霉素、甲硝唑&治疗，对照组Ⅱ30例予新三联药物&奥美拉唑、左氧氟沙星、奥硝唑&治疗，治疗组30例予中药方剂&清幽汤&联合上述常规三联药物治疗，三组均以1周为一个疗程，共治疗2个疗程。

Results Epstein-Barr virus were the most frequent cause, hemophogocytic syndrome must be recognized as the cause of some severe cases of pancytopenia seen among critically ill patients Conclusion To search hemophagocytosis of the bone marrow my be difficult and should be done repeatedly, if hemophago...

骨髓涂片查找噬血细胞有一定困难，临床支持该病，骨髓涂片应反复查找。结论干预应早于诊断，临床怀疑噬血细胞综合征，不能因等待检查而耽误临床治疗，及早阻止噬血现象是性命攸关的。而预后与所用干预措施直接相关。

F Significant payments of other sorts means payments made by the sponsor of a covered study to the investigator or the institution to support activities of the investigator that have a monetary value of more than $25,000, exclusive of the costs of conducting the clinical study or other clinical studies,(e.g., a grant to fund ongoing research, compensation in the form of equipment or retainers for ongoing consultation or honoraria) during the time the clinical investigator is carrying out the study and for 1 year following the completion of the study.

f 其他各种支付手段的重大付款保险范围内的赞助商的调查研究或机构调查员具有货币价值的支持活动超过25000美元，对成本进行独家临床研究或其他临床研究（例如，用于正在执行的补助金研究，赔偿的设备或家臣形式进行咨询或酬金）在时间的临床调查人开展学习1年后完成工作研究。

The main parameters were compared with st atistics. Results WBC, RBC, Hb and PLT parameter alues of the hyperthyro idism group were obiously decreased in contrast with the subclinical hyperthyro idism and control group.

结果 在参数测定值方面，甲亢组 WBC、RBC、Hb和 PLT这 4项参数比亚临床甲亢组和对照组明显降低；亚临床甲亢组 Hb和 PLT均值比对照组明显降低；在参数检出率方面，与正常对照组比较，甲亢和亚临床甲亢患者 WBC≤ 4.0× 1 0 9/L、 Hb≤ 1 1 0 g/L的检出例数明显增多，PLT≤ 1 0 0× 1 0 9/L增多不明显。

We identified reports of clinical trials that compared computed tomography-based and imageless naigated arthroplasty with conentional unicompartmental or total knee arthroplasty, regardless of the underlying condition or disease.

我们找出了以断层摄影术为基础的临床试验和不依赖影像的关节成形术导航的临床试验的比较报告，这些临床试验或者是常规分区膝关节表面置换术，或者是全膝关节表面置换术，但是未考虑患者潜在病情或疾病本身情况。

These two kind of diseases have their own characteristics in clinical and imaginal representation.but misdiagnosis is still happened.

乳腺纤维腺瘤与乳腺叶状囊肉瘤在临床和影像学表现方面都有其特征性，但临床上仍常出现误诊的情况，我们于2002年4月收治1例发病于妊娠哺乳期的28岁右乳巨大肿块女性病人，术前根据临床表现及影像学检查的结果考虑右乳叶状囊肉瘤的诊断，而术后的病理报告为乳腺纤维腺瘤。

Choose medicaments correctly, reasonable use medicaments, in order to make sure with medicine safety is mixed effective will be henceforth the main task that clinical medicine learns, for solution control hospital the clinical current situation that use drug reachs existence issue, promote the development of the reasonable job that use drug, raise a hospital reasonable the level that uses drug, the prescription of two place has outpatient service of author general hospital, be in hospital analytic research, summary goes out unreasonable a few big states that use drug, undertake classified at the same time. 1 clinical unreasonable with medical analysis each division all applies 1 abuse of 1 · or antibiotic of blind application antibiotic extensively, utilization rate amounts to 70% above, among them couplet is used rate be as high as 40%, appear even 2 couplet, triplex above, the commonnest abuse is infection of the upper respiratory tract, be admitted to hospital give 2~3 to plant antibiotic cure. 1 · of 1 · 1 without point to this kind to the cure that ask for uses drug unreasonable with medicine main show is in the person that the virus sex appeal such as hepatitis of sex of common cold, chicken pox, berpes zoster, virus is caught, in infection of not amalgamative bacterium, point to without what apply antibiotic ask for next using medicine. Incontrollable virus affects antibiotic, increase hepatic burden instead to patient of virus sex hepatitis.

梗概： 正确选择药物，并合理使用药物，以保证用药平安和有效是今后临床药学的重要任务，为了解把握医院临床用药目前状况及存在新问题，推动合理用药工作的发展，提高医院合理用药的水平，笔者将医院门诊、住院两处的处方进行分析探究，总结出不合理用药的几大状况，同时进行分类。1临床不合理用药的分析1·1滥用或盲目应用抗生素抗生素各科均广泛应用，使用率达70%以上，其中联用率高达40%，甚至出现二联、三联以上，最常见滥用为上呼吸道感染，入院给予2~3种抗生素治疗。1·1·1无指征的治疗用药这类不合理用药主要表现在普通感冒、水痘、带状疱疹、病毒性肝炎等病毒性感染者，在未合并细菌感染，无应用抗生素的指征下用药。

fetal cystic lymphangioma can be diagnosed with ultrasonography,which is of an important clinical value in the management of pregnancy

超声可诊断胎儿水囊状淋巴管瘤，对临床医师评估胎儿预后、指导临床处置有重要的临床意义。

Methods The clinical data of 8 cases of MELAS syndrome that misdiagnosed as HSE were reviewed retrospectively.

本研究回顾性分析8例被误诊为单纯疱疹病毒性脑炎的MELAS综合征患者的临床资料，并结合文献报告如下。1临床资料1.1一般资料系1993~2005年收治的确诊为MELAS综合征8例患者，临床资料完整，所有患者均曾经被诊断为HSE。

4 The available nonclinical and clinical information on an investigational product should be adequate to support the proposed clinical trial.

2.4研究产品有效的非临床和临床信息应该足以支持所提议的临床试验。

He is the most remarkable man that I have ever known.

他是我知道的人中最值得注意的人。

Increased appearance of lymphocele was noticed in patients with diabetic nephropathy, congenital malformations of the urinary tract, and inflammatory diseases, including glomerulopathy and extraglomerular ones, after high-voltage radiotherapy and after removal of the renal graft.

经过高压放射疗法和切除移植肾后，在糖尿病肾病患者、泌尿系统先天性畸形患者和炎症患者身上发现淋巴囊肿有所增加，包括肾小球病和球外疾病等。