或者不需要的声音，在人们的生产和生活环境中无处不在通过空气传播 ， 长期或过强的噪声污染对生殖功能会产生不利影响。应避免在噪声强度超过 85dB 的环境中工

月 22 日）复查肝功仍正常，HBVDNA1.93E+02IU/mL，肝脏硬度，6.1kpa，脂肪衰减 264dB/m，疗效良好，目前继续服药中

上缘。图 1A 示意图中黑框表示探头在右斜方肌上方的纵切位置，红线表示 TCA 的浅支和深支，黄线表示脊髓副神经。sB：TCA 浅支；SAN：脊髓副神经；dB

Rev.218, 65–81.Chen L, Flies DB (2013) Molecular mechanisms of T cell co-stimulation

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, Dufloth RM, Vale DB，et al.Early Age at First Sexual Intercourse

——连接成功后点击「下一步」3.5 测噪，环境噪声建议小于50dB，然后开始测试；按照提示正确佩戴耳机，在听到声音的时候点击「听到了」按钮即可；先右耳，后左耳。3.6

临近最热闹的春节假期，探亲访友各种聚会增多，觥筹交错， 歌舞升平，加之作息规律打乱，一种无声的威胁「突发性耳聋」可能就随之而来。突发性耳聋是指快速发病，通常在 72 小时内一侧或双侧耳听力下降，表现为至少相连 3 个频率听力下降 ≥ 30dB。突发性耳聋属耳科急症，一旦发觉突然的耳鸣或听力下降，必须尽早专科就医

; DB: 数据库; *前瞻性资料的回顾性研究）表4.纳入研究和病例的质量分布数据采集结果显示，该meta分析共纳入了94种期刊

Background. Children are highly vulnerable to infection with novel influenza viruses. It is essential to develop candidate pandemic influenza vaccines which are safe and effective in the pediatric population.Methods. Infants and children aged 6-35 months and 3-8 years were randomized to receive two immunizations with a 7.5 µg or 3.75 µg hemagglutinin (HA) dose of a non-adjuvanted whole-virus A/Vietnam strain H5N1 vaccine; adolescents aged 9-17 years received a 7.5 µg dose only. A subset of participants received a booster immunization with an A/Indonesia strain H5N1 vaccine approximately one year later. HA and neuraminidase antibody responses were assessed.Results. Vaccination was safe and well-tolerated; adverse reactions were transient and predominantly mild. Two immunizations with the 7.5 µg dose of A/Vietnam vaccine induced virus neutralization (MN) titers ≥1:20 against the A/Vietnam strain in 68.8% to 85.4% of participants in the different age groups. After the booster, 93.1% to 100% of participants achieved MN titers ≥1:20 against the A/Vietnam and A/Indonesia strains. NA-inhibiting antibodies were induced in ≥90% of participants after two immunizations with the 7.5 µg A/Vietnam vaccine and in 100% of participants after the booster.Conclusions. A whole-virus H5N1 vaccine is suitable for pre-pandemic or pandemic immunization in a pediatric population.

患者，女，26 岁，G1P0 孕 39 周，无产兆入院。基本信息及病史：患者身高 165 cm，体重 75 kg，孕期各项化验检查未提示异常，产科超声检查未... 0.6 g 静滴，手术顺利，术中无特殊操作，术中出血 200 ml，皮肤切口给予可吸收线皮内缝合。术后再次给予克林霉素 0.6 g 加液静点预防感染。术后 1

为 13.4±7.1 天。此外，粒细胞计数恢复时间在 G-CSF 与未 G-CSF 治疗的两组间无差异。在患者粒细胞计数恢复且无发热后，111 例接受 131I...，而 G-CSF 治疗并不能改善粒细胞计数的恢复时间，而 131I 依然是最佳治疗方案。

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