简介：Perivascular上皮状的房间肿瘤(PEComas)是稀罕的间充质的瘤的一个家庭。PEComas，镇静上皮状并且锭子房间，有细胞的一样和immunohistochemical特征但是在不同内脏、软的织物地点被发现。这里，我们报导组织学并且PEComa的一个案例的immunohistochemical特征在一个男病人的骨盆的内脏的腹膜限制了。病人与激进的外科被对待，并且好并且没有肿瘤复发，在后续上访问。

简介：无

简介：英语课堂中的DailyReport,即"值日生报告",通常在每天英语课的开头进行,是英语课堂教学的第一个步骤。它如同奏响在英语课堂上的序曲,唤起学生的兴趣和注意力,为课堂学习做好热身。因此,研究如何把这段序曲唱得美妙动听,即提高DailyReport的实效性,对打造英语活力课堂,实现英语有效教学有重要的作用。本文从在英语课堂中设置DailyReport的重要性,DailyReport的任务设计和有效评价三个方面对这个问题进行探讨。

简介：梅花针叩刺头部，背部和腹部，并根据辨证配穴治疗更年期综合征以失眠为主症的患者50例，并与西药；台疗50例相对照．悔花针组近期疗效和远期疗效均好于对照组(P<0．01)。

简介：

简介：

简介：

简介：

简介：

简介：AbstractIntroduction:Bowen’s disease is a squamous cell carcinoma in situ. It is more common on the head and neck, less common on the nail units in which it usually involves the second to fourth fingers of both hands. Here, we report a case of Bowen’s disease involving the left fifth finger of a 78-year-old Chinese woman.Case presentation:The patient was treated with nine sessions of topical 5-aminolevulinic acid-photodynamic therapy (5-ALA-PDT), with a one-week interval between sessions. The 5-ALA cream was applied to the lesion and the region surrounding its marginal diameter by 0.5 cm. After 3-4 hours, the lesion was irradiated with 635 ± 10 nm red light at an intensity of 80 mw/cm2 for 20 minutes. An excellent result with a topical 5-ALA-PDT was reached.Discussion:PDT involves the application of a combination of a photosensitizing drug and light to cause selective damage to the target tissue. PDT is more appropriate than surgical excision for lesions located in sites with poor healing ability.Conclusion:PDT appears to be effective, safe and has a better cosmetic outcome in the treatment of Bowen’s disease of the finger unit.

简介：AbstractIntroduction:Genital herpes is one of the most common sexually transmitted infections worldwide. Most genital herpes occur on the genitalia, perineum, buttocks, upper thighs, or perianal areas. However, there were reports of rare cases of genital herpes on urethral orifice.Herein, we report a case of a patient who was diagnosed with urethral orifice genital herpes, a place likely to be ignored.Case presentation:A 53-year-old woman presented with vagina pruritus at first, with subsequent burning sensation around urethra. Mycostatin and mycospor were administered for the treatment of the pruritus. Then levofloxacin was prescribed. Finally, the patient was given treatment with acyclovir. Different from other cases, the investigation showed herpes simplex virus type 1 DNA positive and herpes simplex virus type 2 DNA negative by PCR. The patient was therefore diagnosed with genital herpes.Discussion:Most genital herpes happen on the genitalia, perineum, buttocks, upper thighs, or perianal areas. Few cases have been reported that genital herpes occurred on urethral orifice till now.Conclusion:If there is no typical symptoms that patient present with herpes simplex virus type 1 or 2 positive, urethral orifice genital herpes should be considered.

简介：AbstractA 19-year-old male patient who suffered from sudden and repeated multiple organ dysfunction syndrome one month after the bar removal procedure of Nuss surgery for pectus excavatum was admitted to our department. With organ function supportive treatment, the etiology was finally identified to be a bone spur located at the inner border of the left costa due to repeated friction between the implanted steel bar and the rib, which damaged the heart repeatedly and induced the consequent acute cardiac tamponade. After operation, the patient was successfully managed and discharged. Follow-ups till three years indicated a good recovery.

简介：AbstractShark attacks are rare unique pathological processes. Some of them represent devastating injuries with a high morbidity and significant mortality. Related published articles are limited. The increased human interaction within the environment of sharks is the cause of rising incidence of such attacks. This study reported a case of level 4 shark injuries (shark-induced trauma scale) in a 33-year-old male patient, who presented with an extensive injury of the right lower limb with the characteristic features of shark bite. At admission the patient was in a state of shock with profuse bleeding that was controlled by tourniquet. The patient was resuscitated according to the advanced trauma life support. Clinical examination showed hard signs of vascular injury with absent pedal pulse, associated neurological deficits and severance at the knee joint. Prompt vascular intervention after resuscitation was performed to manage the major vascular injuries, together with proper washout and debridement of all the necrotic tissues under strong antibiotic coverage to prevent infection. After that, the patient underwent sequenced plastic, orthopedic, and neurological interventions. Strict follow-up was conducted, which showed that the patient was saved and achieved a functioning limb. This study aims to highlight the management of level 4 shark injuries, which are considered serious and challenging with a high fatality rate and a great risk of amputation due to the associated major vascular injuries. Immediate well organized management plan is crucial. Prompt resuscitation and surgical intervention by a highly-skilled medical team are required to improve the chance of patient survival and limb salvage.

简介：无

简介：Extrapulmonarysmallcellcarcinoma(EPSCC)isarareneoplasmcomprising2.5%to5%ofsmallcellcarcinomas(SCCs).BladderSCCisthemostcommonsiteofgenitourinarytract.PrimaryrenalSCCisextremelyrare.WereportacaseofprimarySCCofthekidneywhichisrarelyreportedintheurinarytractandpresentsanaggressiveclinicalpicture.A59-year-oldfemalevisitedaurologicclinicwithcomplaintofpersistentleftflanksoreness10yearsafterundergoingrenaltransplantation.Abdominalcomputedtomographyshowedaleftrenalpelvistumor.Afterthepatientreceivedleftnephroureterectomywithbladdercuffresection,herpathologyresultsshowedSCC.Aftersurgery,shereceivedadjuvantsystemicchemotherapy,andherrecoveryhasbeenuneventfulasof8months.PrimaryrenalSCCpresentswithanadvancedtumorstageandashortmediansurvivalperiod,thereforeearlyinterventionandclosefollow-uparerecommended.

简介：无

简介：Inthearticle,theauthorreportsonacasestudyofchronicpainproblemscausedbyherownfootdeformity.TheauthorbeganusingTaiji,ChenstyleChanSiGong(ReelingSilk),andZhanZhuang(standingmeditation)torelievechronicpainsince1986.AftermorethantwoyearsofQigongtraining,thestructureoftheauthor'sfootchangedfromthepreviousdeformitytonormalfootshape.Thesechangesenabledtheauthortowalknormallyandtobefreefrompersistentchronicpain.ThearticlediscussedthemethodsofusingQicurrentsandotherissuesthatneedtobepaidattentiontowhenpracticingTaichi,suchashowtoadjustone'smentalfocusandmaintainastateofrelaxationto"mindful".Taichiinvolvesanumberofinternal"micro-adjusting"abouthowthesetechniquesrelaxandstrengthenmusclestoreducechronicpain.ThereportanddiscussiononthetreatmentprincipleofQigongcanprovidenewstrategiesforthetreatmentofchronicpain.

简介：

简介：Thispaperintroducesthecurativeeffectson142cases(278eyes)ofAfricanepi-demichemorrhagicconjunctivitistreatedbyacupuncture,and128(90.1%)cases(250eyes)ofallpatientshavebeenimproved.Threegroupswereclinicallyobservedinthepresentreport.Therewere55cases(104eyes)inthefirstgroupforbodyacupuncture,ofwhich46(83.6%)caseswereeffec-tivelytreated;Inthesecondgroupforauricularacupuncture,34(91.6%)cases(68eyes)outof37cases(74eyes)wereimproved;Therewere50cases(100eyes)inthethirdgroupforboyauricular-acupuncture,amongwhich48(96.0%)cases(96eyes)wereimproved.Thecurativeeffectsofthethirdgroupwerebetterthanthoseoftheothertwogroups.

简介：AbstractTwo cases of type II odontoid fractures were reported to share our experience in surgery treatment of such cases. A 33-year-old woman with comminuted type II odontoid fracture and a 42-year-old man with fracture end hardened type II odontoid fracture received surgical treatment in our hospital. Though imaging examination suggested that these two patients were suitable for anterior screw fixation, we encountered difficulties during the operation. The two patients eventually underwent posterior C1-C2 fusion surgery and recovered well. According to the experience of these two cases, we found that the fracture line angle and the degree of comminution are two important factors affecting surgical decision-making. Although anterior screw fixation is the ideal choice for type II odontoid fractures with anterior superior to posterior inferior fracture line, it may not be the best choice for comminuted or fracture end hardened type II odontoid fractures.