Lactation Performance of Primiparous Nubian Ewes and Yunling Black Ewes

[ Objective] To evaluate lactation performance of primiparous Nubian ewes and Yunling Black ewes. [ Method] Healthy primiparous Nubian ewes （20 ewes lambing twins and 19 ewes lambing single） and Yunling Black ewes （4 ewes lambing twins and 15 ewes lambing single） were used to study the effects of breeds and litter size on lactation performance. [Result] The total milk yield of the Nubian ewes lambing twins was 14.81% higher than that of the Nubian ewes lambing single （ P 〈 0.05） and 22.93% higher than that of the Yunling Black ewes lambing twins （ P 〈 0.05）. The total milk yield of the Yunling Black ewes lambing twins was 32.80% higher than that of the Yunling Black ewes lambing single （ P〈 0.05 ）, but the total milk yield of the Nubian ewes lambing single was 42.20% higher than that of the Yunling Black ewes lambing single （ P 〈 0.05）. The Nubian goats and the Yunling Black goats had similar lactation curves. The milk yield gradually increased during the early lactation period （5 - 15 d post partum）, and the lactation peak lasted for 20 d （15 -35 d post partum）. Then the milk yield gradually decreased. The predicted values showed the milk yield of the ewes may rapidly decrease during 80 -120 d post partum. Until Day 70 post partum, the Nubian ewes lambing twins had lost 3.06% more body weight than those lambing single had （P〈0.05）; the Yunling Black ewes lambing twins had lost 0.89% more body weight than those lambing single had （P〈0.05）. The Nubian ewes lambing lost 3.22% -5.39% more body weight than those with the same litter size did （ P 〈 0.05）. [ Conclusion] The regular pattern of primiparous lactation is similar between the Nubian ewes and the Yunling Black ewes, and their lactation performance is closely related to breeds and litter size.

The Biological and Economical Feasibility of Feeding Barley Green Fodder to Lactating Awassi Ewes

The objective of this research was to investigate the biological and economical values of hydroponic barley (HB) on lactating Awassi ewes. A total of 48 lactating ewes were used in a feeding trial in two groups. The first was fed a regular lactation TMR ration while ewes in the second treatment were fed similar ration except that regular wheat hay was totally replaced by HB for 120 days feeding trial. Results of the experiment showed that the green fodder yield in 8 days germination cycle was 7.5 kg per 1 kg barley grains of green fodder. HB had no effects on feed intake (FI), body weight changes, milk yield, and milk composition;however, HB had positive effects on ewe’s health conditions, mortalities, conception rates and abortion. In conclusion, HB can be used as feed for lactating sheep as cost of feed can be reduced by 42%.

Plasma and cerebrospinal fluid interleukin-1β during lipopolysaccharide-induced systemic inflammation in ewes implanted or not with slow-release melatonin

Background： Interleukin-1β（IL-1β） is important mediator of inflammatory-induced suppression of reproductive axis at the hypothalamic level. At the beginning of inflammation, the main source of cytokines in the cerebrospinal fluid（CSF） is peripheral circulation, while over time, cytokines produced in the brain are more important. Melatonin has been shown to decrease pro-inflammatory cytokines concentration in the brain. In ewes, melatonin is used to advance the onset of a breading season. Little is known about CSF concentration of IL-1β in ewes and its correlation with plasma during inflammation as well as melatonin action on the concentration of IL-1β in blood plasma and the CSF, and brain barriers permeability in early stage of lipopolysaccharide（LPS）-induced inflammation.Methods： Systemic inflammation was induced through LPS administration in melatonin-and sham-implanted ewes. Blood and CSF samples were collected before and after LPS administration and IL-1β and albumin concentration were measured. To assess the functions of brain barriers albumin quotient（QAlb） was used.Expression of IL-1β（Il1B） and its receptor type Ⅰ（Il1r1） and type Ⅱ（Il1r2） and matrix metalloproteinase（Mmp） 3 and 9 was evaluated in the choroid plexus（CP）.Results： Before LPS administration, IL-1β was on the level of 62.0 ± 29.7 pg/mL and 66.4 ± 32.1 pg/mL in plasma and 26.2 ± 5.4 pg/mL and 21.3 ± 8.7 pg/mL in the CSF in sham-and melatonin-implanted group, respectively.Following LPS it increased to 159.3 ± 53.1 pg/mL and 197.8 ± 42.8 pg/mL in plasma and 129.8 ± 54.2 pg/mL and139.6 ± 51.5 pg/mL in the CSF. No correlations was found between plasma and CSF IL-1β concentration after LPS in both groups. The QAlb calculated before LPS and 6 h after was similar in all groups. Melatonin did not affected m RNA expression of Il1B, Il1r1 and Il1r2 in the CP. The m RNA expression of Mmp3 and Mmp9 was not detected.Conclusions： The lack of correlation between plasma and CSF IL-1β concentration indicates that at the beginning of inflammation the local synthesis of IL-1β in the CP is an important source of IL-1β in the CSF. Melatonin from slow-release implants does not affect IL-1β concentration in plasma and CSF in early stage of systemic inflammation.

Changes in energetic profile of pregnant ewes in relation with the composition of the fetal fluids

Objective: To evaluate the energetic profile of fetal fluids and to make comparisons of the concentrations of the constituents present with those in the maternal plasma.Methods: A study was conducted in 102 gravid sheep uteri. The four stages of gestation as Stage I(0–60 days), Stage II(61–90 days), Stage III(91–120 days) and Stage IV(121–145 days) were identified based on the crown anus length of the embryo/fetus. The amniotic and allantoic fluids collected from the gravid uteri of each group were subjected to biochemical analysis of glucose, cholesterol and triglyceride.Results: The levels of glucose and triglyceride in maternal plasma were lower(P < 0.05)on late pregnancy as well as in amniotic and allantoic fluids. No significant variation(P > 0.05) of plasma cholesterol levels was detected between the sampling periods.Contrariwise, cholesterol concentrations of fetal fluids were higher in Stages III and IV of pregnancy when compared with the Stages I and II.Conclusions: The influence of pregnancy on the biochemical composition of fetal fluids was statistically significant.

The proteome of IVF-induced aberrant embryo-maternal crosstalk by implantation stage in ewes

Background:Implantation failure limits the success of in vitro fertilization and embryo transfer(IVF-ET).Wellorganized embryo-maternal crosstalk is essential for successful implantation.Previous studies mainly focused on the aberrant development of in vitro fertilized(IVF)embryos.In contrast,the mechanism of IVF-induced aberrant embryo-maternal crosstalk is not well defined.Results:In the present study,using ewes as the model,we profiled the proteome that features aberrant IVF embryo-maternal crosstalk following IVF-ET.By comparing in vivo(IVO)and IVF conceptuses,as well as matched endometrial caruncular(C)and intercaruncular(IC)areas,we filtered out 207,295,and 403 differentially expressed proteins(DEPs)in each comparison.Proteome functional analysis showed that the IVF conceptuses were characterized by the increased abundance of energy metabolism and proliferation-related proteins,and the decreased abundance of methyl metabolism-related proteins.In addition,IVF endometrial C areas showed the decreased abundance of endometrial remodeling and redox homeostasis-related proteins;while IC areas displayed the aberrant abundance of protein homeostasis and extracellular matrix(ECM)interaction-related proteins.Based on these observations,we propose a model depicting the disrupted embryo-maternal crosstalk following IVF-ET:Aberrant energy metabolism and redox homeostasis of IVF embryos,might lead to an aberrant endometrial response to conceptus-derived pregnancy signals,thus impairing maternal receptivity.In turn,the suboptimal uterine environment might stimulate a compensation effect of the IVF conceptuses,which was revealed as enhanced energy metabolism and over-proliferation.Conclusion:Systematic proteomic profiling provides insights to understand the mechanisms that underlie the aberrant IVF embryo-maternal crosstalk.This might be helpful to develop practical strategies to prevent implantation failure following IVF-ET.

Cervical dilation and improvement of reproductive performance in fat-tailed ewes via cervical dilator treatments

Objective:To determine the effect of different cervical dilators on cervical dilation and reproductive performance of fat-tailed ewes.Methods: In experiment 1140 ewes were divided into seven groups with seven different treatments as following: 10 mL normal saline (control group), 100 IU oxytocin (OT group), 100 μg estradiol and 100 IU oxytocin (E2+OT group), 5 mL relaxin (R group), 2 mL sensiblex (SEN group), 200 μg misoprostol (MIS group) or 200 μg dinoprostone (DIN group). In experiment 2, artificial insemination was applied for evaluation of reproductive performance in experimental groups.Results: In experiment 1, the highest cervical dilation was observed in OT (90%) and E2+OT (100%) groups (P<0.05), while no significant differences was found among DIN, MIS, SEN and R groups (80%, 75%, 70% and 65%, respectively). In addition, the lowest cervical dilation was observed in control group. Experiment 2 found no significant differences among control, OT and E2+OT groups. The highest pregnancy rate, parturition rate and lambing rate were observed in OT groups (60%, 60% and 70%, respectively) and E2+OT groups (65%, 60% and 70%, respectively) compared to SEN, R, MIS and DIN groups (P<0.05).Conclusions:Oxytocin treatment alone or with estradiol could be used as a suitable dilator for improving reproductive efficiency during artificial insemination in fat-tailed ewes.

Effect of Geographic Location and Age on Levels of Some Biochemical Parameters of Ewes in Southern of Iraq

A total of one hundred and ten healthy dry ewes of Arabi sheep diffusive in three geographic locations in the north of Basrah (AL-Qurna, Al-Midaina and Al-Uazair) were divided into three different age groups: 3 years old, to investigate the influence of geographic location and age on the concentration of some biochemical parameters of sheep in the south of Iraq. The results showed significant (P < 0.05) changes among geographic locations in some bio-chemical parameters such as cholesterol, glucose, estridol and growth hormone concentrations. No significant differences were presented in concentrations of total protein, albumin, Fe, phosphorus, ascorbic acid, LH, T3 and T4 hormones in the blood of ewes in different geographic locations. The concentrations of cholesterol, T3 and T4 hormones decreased significantly (P < 0.05), while, the concentrations of glucose and estradiol hormone increased significantly (P < 0.01) in adult ewes compared with younger ewes.

L-Arginine Supplementation Alters Maternal Blood Biochemical Attributes and Milk Composition Relative to Neonatal Traits of <i>Najdi</i>Ewes

In a 2 × 3 factorial arrangement, 3 levels of L-arginine (0, 75 and 150 mg/kg BW per day) were tested at two stages of pregnancy (Early 60 days vs. Late 60 days) on the maternal blood metabolites and postnatal milk composition relative to the newborn traits of Najdi ewes. Thirty adult pregnant Najdi ewes were randomly assigned into 6 treatments (n = 5). Control early (CE) ewes were orally administered 50 mL normal saline (0.9% NaCl) daily during the first 60 days of pregnancy;control late (CL) ewes were similar to CE except saline was given at the last 60 days of pregnancy;low dose of L-arginine at early pregnancy (LE);low dose of L-arginine at late pregnancy (LL);high dose of L-arginine at early (HE) and high dose of L-arginine at late pregnancy (HL). Blood and milk samples were collected on a weekly basis. Data of lambing and newborn traits were considered. There were non-significant differences in litter size due to L-arginine;however lamb birth and weaning weights increased by 35% in LE-ewes. Arginine did not change blood protein and albumin. Low arginine decreased lipid fractions, creatinine, urea, and milk fat;however, it increased AST, ALT, milk lactose and milk ash. Administration of L-arginine at 75 mg/Kg BW per day for 60 days at an early gestation in ewes improved the maternal body health and milk composition for the welfare of the neonates.

Effect of hormonal status and metabolic changes of restricted ewes during late pregnancy on their fetal growth and development

This study investigated the effects of hormonal status; metabolic changes of restricted ewes during late pregnancy on the ovine fetus growth; development. One hundred Mongolian ewes, synchronized for oestrus; mated, were divided into three groups; offered 0.175 MJME·kgw[0.75]·d[1] (Restricted Group 1, RG1), 0.33 MJME·kgw[0.75]·d[1] (Restricted Group 2, RG2); ad libitum access to feed (Control Group, CG) during their late pregnancy respectively. The results suggested that with the supply of exogenous energy decreasing during late pregnancy, maternal body weight; net body weight loss in RG2; RG1 were lower than those of CG (Ps0.01). The insulin; IGF-1 concentrations of ewes in RG2; RG1 tended to be lower than those of CG (P】0.05), but the GH concentrations in RG2; RG1 were enhanced; there was significant difference between RG1; CG on d 120 of gestation (P【0.05). The glucose concentration of ewes in RG2; RG1 was decreased throughout the feed restriction period,; the differences were observed between RG1; CG on d 120 of gestation (P【0.05). In addition, the nonesterified fatty acid (NEFA); total amino acid (TAA) concentrations of ewes in RG2 tended to increase, but there was no significant difference (P】0.05). However, the NEFA; FAA concentrations of ewes in RG1 were reduced from d 90 to d 120 of gestation, then enhanced from d 120 to d 140 of gestation. During the late pregnancy, with the supply of nutrition decreasing, the negatively physiological; biochemical maternal reactions to restriction became worse, which significantly reduced the average lamb birth weight; daily growth rate of fetus in RG2 (P【0.05); RG1 (P【0.01).

Dietary rumen-protected L-arginine or N-carbamylglutamate enhances placental amino acid transport and suppresses angiogenesis and steroid anabolism in underfed pregnant ewes

This study aimed to investigate the effects of dietary supplementation of underfed Hu ewes from d 35 to110 of gestation with either rumen-protected L-arginine(RP-Arg)or N-carbamylglutamate(NCG)on placental amino acid(AA)transport,angiogenic gene expression,and steroid anabolism.On d 35 of gestation,32 Hu ewes carrying twin fetuses were randomly divided into four treatment groups,each consisting of eight ewes,and were fed the following diets:A diet providing 100%of NRC’s nutrient requirements for pregnant ewes(CON);A diet providing 50%of NRC’s nutrient requirements for pregnant ewes(RES);RES diet plus 5 g/d NCG(RES+NCG);or RES diet plus 20 g/d RP-Arg(RES+ARG).On the d 110 of pregnancy,blood samples were taken from the mother,and samples were collected from type A cotyledons(COT;the fetal portions of the placenta).The levels of 17β-estradiol and progesterone in the maternal serum and both the capillary area density(CAD)and capillary surface density(CSD)in type A COT were decreased in response to Arg or NCG supplementation when compared to the RES group.The concentrations of arginine,leucine,putrescine and spermidine in type A COT were higher(P<0.05)in the RES+ARG or RES+NCG group than in the RES group.The mRNA expression levels of inducible nitric oxide synthase(iNOS)and solute carrier family 15,member 1(SLC15A1)were increased(P<0.05)while those of progesterone receptor(PGR)and fibroblast growth factor 2(FGF2)were decreased in type A COT by supplementation with either NCG or RP-Arg compared to the RES group.The results suggest that providing underfed pregnant ewes from d 35 to 110 of gestation with a diet supplemented with NCG or RP-Arg improves placental AA transport,and reduces the expression of angiogenic growth factor genes and steroid anabolism,leading to better fetal development.

Behavioral response of pregnant ewes to high ambient temperature in loose housing system

In order to investigate the behavioral responses of pregnant ewes to high ambient temperature in a loose housing system,eighty-seven pregnant ewes(Chinese little fat-tailed sheep,Ovis aries)from the same loose house were chosen,and nine ewes with the similar body weight and age were marked for later individual behavioral observation.The ambient temperature and relative humidity were recorded,and the individual behaviors of the pregnant ewes were observed continuously from 04:50 to 20:00 once every other day for 14 days.The behavioral state of all the pregnant ewes was recorded once every hour from 5:00 to 20:00,the number of pregnant ewes selecting specific lying areas(designated as area A and area B),was recorded at 15 minute intervals from 12:00 to 17:00 everyday.The final results show that the behavioral durations are significantly different in eating and drinking,rumination,rest,and locomotion for pregnant ewes(P<0.05).The time spent in lying for rumination or rest is significantly longer than that for locomotion(P<0.05).Temperature has a significant effect on the number of pregnant ewes lying on the floor(P<0.05).There are significant differences for pregnant ewes’preference of area A and area B for lying at temperatures ranging from 27.0℃to 31.0℃(P<0.05).The results indicate that the lying behavior is significantly more than the locomotion behavior for the pregnant ewes in the loose housing systems under the high ambient temperature.

高铬耐候钢Q350EW高温热塑性分析

为评估Q350EW高铬耐候钢连铸过程裂纹敏感性,利用Gleeble3500热模拟试验机测定了Q350EW高铬耐候钢高温热塑性,并结合Thermo-Calc热力学软件理论计算Q350EW高铬耐候钢析出相分布规律。利用扫描电镜结合光学显微镜对高温拉伸断口宏观、微观形貌以及断口处的显微组织观察分析。研究结果表明,随着加热温度升高,Q350EW高铬耐候钢抗拉强度降低;断面收缩率曲线在700~800℃附近出现凹谷,775℃时断面收缩率最低为64.9%。凹谷温度范围内断口形貌主要由韧窝组成,其断裂机理为韧性断裂;显微组织分析表明,原奥氏体晶界出现铁素体致使塑性降低,但是由于铁素体含量较高,Q350EW高铬耐候钢塑性仍保持较高水平。通过优化连铸二次冷却等关键工艺参数降低Q350EW高铬耐候钢铸坯裂纹风险性,建议铸坯角部弯曲矫直段温度<750℃。

基于改进可拓云模型的装配式建筑施工安全风险评价方法

为保障装配式建筑施工安全,考虑到施工安全指标因素的模糊性与随机性,运用组合赋权-改进可拓云模型对施工安全风险进行评价。首先,从“三度空间”视角下,在物理、社会、信息三个层面构建了评价指标体系;其次,运用改进的层次分析法(AHP)和熵权法(EW)确定主客观权重,基于距离函数确定综合权重,根据云理论和可拓学理论提出一种云熵确定方法,对传统可拓云模型进行改进后构建评价模型;最后,将该模型运用到工程实例中,与其他模型进行对比。结果表明:该施工项目评价等级为很安全,且具有很高的可信度;验证了该模型的可靠性和可行性,为装配式建筑施工安全风险评价提供了一种更加科学、准确的评价方法。

Rational construction of heterointerfaces in biomass sugarcane-derived carbon for superior electromagnetic wave absorption

The pervasive adoption of 5th generation mobile communication technology propels electromagnetic wave(EW)absorbents to achieve high-level performance.The heterointerface construction is crucial to the improvement of absorption ability.Herein,a series of ultralight composites with rational heterointerfaces(Co/ZnO@N-doped C/layer-stacked C,MSC)is fabricated by calcination with ration-al construction of sugarcane and CoZn-zeolitic imidazolate framework(ZIF).The components and structures of as-prepared composites were investigated,and their electromagnetic parameters could be adjusted by the content of CoZn-ZIFs.All composites possess excellent EW absorption performance,especially MSC-3.The optimal minimum reflection loss and effective absorption band of MSC-3 can reach−42 dB and 7.28 GHz at the thickness of only 1.6 mm with 20wt%filler loading.This excellent performance is attributed to the syner-gistic effect of dielectric loss stemming from the multiple heterointerfaces and magnetic loss induced by magnetic single Co.The sugar-cane-derived layer-stacked carbon has formed consecutive conductive networks and has further dissipated the electromagnetic energy through multiple reflection and conduction losses.Moreover,the simulated radar cross section(RCS)technology manifests that MSC-3 possesses outstanding EW attenuation capacity under realistic far-field conditions.This study provides a strategy for building efficient ab-sorbents based on biomass.

原发于嗅裂的骨外尤文肉瘤侵及颅底误诊1例

尤文肉瘤(Ewing sarcoma,ES)是一种恶性小圆细胞肿瘤,属于原始神经外胚层肿瘤,通常出现在四肢的长骨中,称为骨尤文肉瘤,少数则出现在躯干及四肢的软组织中,称为骨外尤文肉瘤(extra-skeletal Ewing sarcoma,EES),EES较多位于下肢软组织、椎旁组织、胸壁和腹膜后,头部和颈部少见[1],原发于鼻腔鼻窦的EES更为罕见。本文报道1例原发于嗅裂侵及颅底的EES患者,该患者先后被误诊为鼻窦炎及嗅神经母细胞瘤,结合患者诊疗过程总结误诊原因。

肾骨外尤文肉瘤CT影像表现一例

病例资料患者,女,35岁,急性病程,因右侧腹痛30 h入院。入院查体:右侧中上腹可触及质韧包块,边界不清,不能推动。腹软,按压疼痛,有反跳痛。右肾区叩击痛。腹部CT示:右肾实质不规则形肿物,考虑恶性肿瘤性病变合并出血可能,累及肾周筋膜,病灶侵犯右肾静脉、下腔静脉,内见癌栓(图1)。入院后在全麻下行右肾肿瘤根治性切除术。术后病理:肿瘤切面呈灰红、灰黄色,部分质中、部分稍软,镜下见小圆形或卵圆形瘤细胞紧密成片或小叶状分布,小叶间为宽窄不等的纤维结缔组织间隔,胞质少,核仁不明显,核分裂像易见,肿瘤内间质血管丰富(图2)。免疫组化:Vimentin(+),CK(-),Desmin(-),CD99(+),S-100(-),CD34(-),CgA(-),CD56(+),WT1(-),NSE部分(+),CyclinD1(+),SyN(+),Bcl-2(+),MyoD1(-),Fli-1(+),Ki-67约40%肿瘤细胞(+)。基因检测结果:检测到EWSR1基因重排。病理诊断:结合HE形态、免疫组化及基因检测结果,符合骨外尤文肉瘤。患者术后接受新辅助化疗,目前仍在随访复查。

评估肉瘤DNA甲基化分类在外科病理学中的作用

软组织肿瘤的诊断分类基于组织学、免疫组织化学、遗传学发现、放射学和临床相关联的信息。最近,一种肉瘤DNA甲基化分类器被开发出来,涵盖62种软组织和骨肿瘤实体。该分类器是基于对基因组甲基化位点的大规模分析。该分类器包括DNA拷贝数分析,并能明确O6甲基鸟嘌呤DNA甲基转移酶的甲基化状态。在该研究中,作者运用肉瘤分类器评估了619例软组织和骨肿瘤,包括有疑问病例和不同实体的典型样本。对于基因融合的肉瘤(Ewing肉瘤、滑膜肉瘤、CIC重排肉瘤、BCOR重排肉瘤),该分类器具有较高的敏感性和特异性。

Unlocking epigenetics for precision treatment of Ewing’s sarcoma

Ewing’s sarcoma(EWS)is a highly aggressive malignant bone tumor primarily affecting adolescents and young adults.Despite the efficacy of chemoradiotherapy in some cases,the cure rate for patients with metastatic and recurrent disease remains low.Therefore,there is an urgent need for innovative therapeutic approaches to address the challenges associated with EWS treatment.Epigenetic regulation,a crucial factor in physiological processes,plays a significant role in controlling cell proliferation,maintaining gene integrity,and regulating transcription.Recent studies highlight the importance of abnormal epigenetic regulation in the initiation and progression of EWS.A comprehensive understanding of the intricate interactions between EWS and aberrant epigenetic regulation is essential for advancing clinical drug development.This review aims to provide a comprehensive overview of both epigenetic targets implicated in EWS,integrating various therapeutic modalities to offer innovative perspectives for the clinical diagnosis and treatment of EWS.

Primary Ewing sarcoma of the kidney mimicking cystic papillary renal cell carcinoma in an older patient:A case repor

BACKGROUND Ewing’s sarcoma(ES)is a neuroectodermal tumor that typically occurs in the bones and soft tissues of children and young adults.Primary renal ES is rare;only a few cases and a small case series have been documented,and only four cases involved primary renal ES in older people(>65 years old).CASE SUMMARY Herein,we describe the radiological and pathological features of primary renal ES in an older person.A 76-year-old man complained of poor oral intake and was found to have a large cystic renal mass with indistinct margins on computed tomography.Ultrasound-guided biopsy revealed that the tumor contained small round blue cells.The patient underwent a right radical nephrectomy.The tumor cells showed diffuse membranous CD99,and nuclear friend leukemia integration 1 transcription factor and NK2 Homeobox 2.Fluorescence in situ hybridization revealed EWSR1 translocation.Postoperatively,18F-fluorodeoxyglucose positron emission tomography revealed no evidence of metastasis.The patient was diagnosed with primary renal ES.Six months following the surgery,local recurrence and distant metastasis were observed.Primary renal ES is rare and often lethal in older individuals.The specific imaging findings are unknown,and treatment protocols have not been standardized.CONCLUSION This case report describes the radiological and pathological features of primary renal ES in an older person.

小肠尤文氏肉瘤/原发性神经外胚层肿瘤CT影像表现1例

病例男,41岁,1月前无明显诱因出现间断血便,为暗红色,每日约2~3次,自诉量不多(具体不详),伴下肢乏力,无腹痛、恶心、呕吐等不适,曾行胃镜、肠镜检查,胃镜提示“食管黏膜未见异常,慢性非萎缩性胃炎伴糜烂”,肠镜提示“乙状结肠息肉”,经治疗后症状无明显好转。