辨证治疗脂肪肝58例临床观察

目的 :观察中医辨证治疗脂肪肝的疗效。方法 :采用随机分组对照观察法 ,治疗组 5 8例予以辨证分型治疗 ,对照组 4 2例予以肝得健治疗。结果 :治疗组总有效率 87.9% ,对照组总有效率 5 4 .7% ,两组比较有显著性差异(P <0 .0 1 ) 。

辨治青春期功能失调性子宫出血的体会

目的通过分析青春期功能失调性子宫出血的原因 ,指导临床治疗。方法患者随机分两组 ,分别采用西医、中医治疗。结果西医、中医治疗存在显著性差异 ,中医治疗效果明显优于西医。

Clinicopathologic Observation of 6 Cases with Neuroendocrine Carcinoma of the Urinary Bladder

OBJECTIVE To discuss the pathologic characteristics and theprognosis of neuroendocrine carcinoma of the bladder(NECB)in order to assist in making a precise diagnosis and to effectivelytreat the disease.METHODS Clinicopathologic features of the 6 cases with NECBwere analyzed retrospectively.The personal data of the patientsand the pathologic and immunohistochemical characteristics ofthe tumor were investigated.The follow-up of these patients wasconducted over a time period ranging from 3 months to 9 years.RESULTS Transurethral resection of the bladder tumorwas performed in all 6 patients.Based on the results of thepathologic examination,4 of the cases were diagnosed as smallcell neuroendocrine carcinoma and the other 2 were diagnosedas atypical carcinoid tumor.On immunohistochemical stainingall tumors expressed neuroendocrine markers includingneuronspecific enolase(CD56),synaptophysin(Syn)andchromogranin(CgA).In patients receiving partial cystectomyfollowed by postoperative chemotherapy,relapse was found in 4of the 6 cases on follow up.CONCLUSION NECB is a rare entity and a tumor with highmalignant potential and characteristic pathologic features.Hematuria is the cardinal symptom of NECB.Metastasis mayoccur at an early stage and the prognosis of the disease is poor.Final diagnosis of NECB depends on histopathologic examinationand immunohistochemical assays.Surgical excision combinedwith radiotherapy and chemotherapy is considered an effectivetreatment.

关于芦荟的话题

由于孩子们的参与,班里自然角的植物日渐增多。一天早上,亦亦饶有兴趣地观看着乐乐带来的芦荟,不时地摸摸芦荟叶子。我走了过去,亦亦说:“它的叶子很特别,很厚,摸上去软软的,上面有刺。”我启发道:“这么厚的叶子里会藏着什么秘密呢?你可以去问问乐乐。”这一来,孩子们都跑来看芦荟了,乐乐兴奋地对大家说:“这是芦荟,它很神奇。”我故作惊讶地问:“为什么说它很神奇?”乐乐说不知道,显然乐乐是“知其然,不知其所以然”。我问亦亦:“刚才你仔细观察了芦荟的叶子,发现什么秘密了吗?”亦亦说:“我发现它的叶子又厚又软,我很想知道叶子里面有什么。”杰杰认为里面可能有很多水。我说:“是吗?乐乐。

大班排序活动中指导策略的探究

幼儿的排序活动是一种与他们生活紧密联系的知觉活动,是在教师的精心指导下相对自由地进行操作、比较、探索,积累感性经验,并进行有关归纳、概括的过程。幼儿通过排序活动,可以获得按序排列物体的经验,在思维中逐渐建立起序列结构。教师在排序活动中需要灵活的使用'分组观察'法并提供多元化的排序材料对幼儿进行有效指导。