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简介：Eosinophiliculceroforalmucosa(EUOM)isanonspecificclinicalappearance,whichappearstobefrequentlyunrecognizedormisdiagnosedusuallyassquamouscellcarcinoma(SCC),especiallyinoldpatients.Itisarareself-limitedbenignulcerativedisease,anditischaracterizedwiththeinfiltrationofeosinophilicleukocytesmixedwithotherinflammatorycells,1,2suchasthemitoticallyactivelargemononuclearcellswithroundorovoidpalenucleus.Thiscelltype,ofteninterpretedasahistiocyte,confoundsthehistologicevaluationandoccasionallyleadstotheerroneousdiagnosisoflymphohistiocyticmalignantcondition.Althoughithasassumedthattraumaisanimportantetiologicfactor,theexactpathogenesisremainsunclear.3ThemorbidityofthisdiseaseislowandtherearefewChineseliteraturesaboutit,4soitisnecessarytopaymoreattentiontoit.Inthisarticle,3outof5casesofEUOMaremisdiagnosedasSCC,andwewillreporttherecordsinordertoidentifyitfromSCCwell.

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简介：Wehadtreated102casesofobstinatepepticulcerandchronicgastritiswithametalringembeddedinZusanliacupointsinceOctober1989toOctober1992,andgotsatisfactorytherapeuticeffects.Thetotaleffectiverateis96.08%,thecurerateofpepticulceris87.32%,therecurrencerateissignificantlylowerthanthatofcontrolgroup(P<0.001),andithasnoside-effect.

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简介：Toinvestigatetheetiologyofgenitalulcerdisease(GUD)amongpatientsattendingsexuallytransmitteddisease(STD)clinicsinGuangzhou,China.BetweenSeptember8,1998,andAugust9,assessed.ClinicaletiologyofGUDwasdependentonincludingthefollowing:darkfieldmicroscopyandserologyforTreponemapallidum(TP),swabsofgenitalulcerforsimultaneousdetectionofHSV,TP,Haemophiusducreyi(HD),Humanpapillomavirus(HPV),andserologyforHIVinfection.Twohundredthirtymenandthirty-sevenwomenwithamedianageof33.4(range16-74years)wereanalyzed.TheetiologyofGUDwassyphilis(26.59%)(71/267),genitalherpes(17.60%)(47/267),condylomataacuminata(4.87%)(13/267),candidiasis(3.37%)(10/267),andmultipeinfection(6.74%)(18/267).TheseroprevalenceofHIVwas0.07%(2/267).Noetiologywasidentifiedin50.56%(135/267).TheetiologyofGUDamongSTDpatientsinourareawasmultifactorialwithapredominanceofsyphilisandgenitalherpes.BasedonthislimiteddataobtainedatSTDclinics,HIVinfectionwasnotcommon.

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简介：背景：超声(美国)指导了锁骨的在上或下文锁骨的块通常为上面的极限外科被使用。这使随机化的研究的目的是比较块表演和发作时间，有效性，不利事件和病人的发生是指导美国的在上的接受锁骨或下文锁骨的块。我们假设了在上锁骨的途径，更表面、更容易设想使用10MHz变换器，将生产一更快并且更广泛的感觉的块。方法：120个病人被使随机化到二个相等的组：在上锁骨的(S)和下文锁骨的(I)。每个病人收到了包含ropivacaine的相等的体积的混合物7.5mg/ml和mepivacaine有肾上腺素5μg/ml的20mg/ml，0.5ml/kg身体重量(最小30ml，最大值50ml)。七根终端神经的感觉分数(0削尖的麻醉2点，痛觉缺失1点和疼痛)被估计每10min。当他们在肘下面有有效的外科的块麻醉或五根神经的痛觉缺失时，病人们为外科被宣布准备好了。在块以后的三十分钟，解块的神经被补充。块表演和潜伏时间，外科的有效性，不利事件和病人是接受被记录。结果：显著地，在I的更多的病人组织为在块以后的外科20和30min准备好了。吝啬的块表演时间在I组(NS)是在S组和5.0min的5.7min。块有效性在I组是优异的：93%对78%在S组(P=0.017)。S组病人有中部、尺骨的神经，而是腋的神经的更好的块的显著地更差的块。在10，20和30min的感觉分数不是显著地不同的。在S组的32个病人对在I组的九个病人经历了短暂不利事件(P<0.0001)。病人块的接受在两个组是类似的。结论：Infraclavicular块有更快的发作，更好外科的有效性和更少不利事件。块表演时间和病人是过程的接受在两个组是类似的。

简介：Objectives:TodevelopamethodofsimultaneousPCRdetectionofHaemophilusducreyi,Treponemapallidum,andHerpesSimplexVirusTypes1and2fromgenitalulcersamongpatientsattendingSTDclinicsinGuangzhou,China;andevaluatetheclinicalapplicationofmultiplexPCR(M-PCR)assayfordiagnosingtheetiologyofgenitalulcerdiseases(GUD).Methods:244patientswithagenitalulcerwereevaluated.ClinicaletiologyofGUDwasbasedonphysicalappearanceandmicrobiologicevaluationsthatincludeddarkfieldmicroscopyexamination(D-F)andserologytestforsyphilis(STS).SwabsofeachgenitalulcerweretestedforHSVantigenbyenzymeimmunoassay(EIA)andprocessedinanM-PCRassayforsimultaneousdetectionofT.pallidum,HSVandH.ducreyi.Results:ThestandardstrainsofT.pallidum,HSVandH.ducreyiwereamplifiedbyM-PCR,producingamplifiedproductsof260bp,432bp,170bp,respectively.ThesensitivityofM-PCRis102pgDNA.M-PCRassayforT.pallidum,HSVandH.ducreyishowedgoodagreementwhencomparedwithD-FdetectionforT.pallidum,STS,H.ducreyicultureandEIAforHSVantigen(Kappascoresare0.774,0.704,0.793,0.756,respectively).Conclusions:TheM-PCRisaconvenient,accurateandreliableassayforthedetectionofT.pallidum,HSVandH.ducreyifromgenitalulcers,andcanbeusedasamethodofdiagnosingtheetiologyofGUD.

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