e epileptogenic zones.Objective To discuss the imaging, clinical features and management of diffuse uterine leiomyomatosis (DUL). Methods Six cases of DUL confirmed in Peking Union Medical College Hospital from August 2009 to September 2019 were reviewed on their image and clinical data. Retrospective analysis was conducted on their perioperative and postoperative follow-up data. Results The average age of the first diagnosis of DUL was (27±3) years old. All of the patients complained menorrhagia and three patients suffered moderate to severe anemia. Three patients were diagnosed infertility. Pelvic ultrasound and MRI showed symmetrical enlarged uterus with complete replacement of the myometrium by innumerable, confluent leiomyomas.Four patients were treated with GnRH-a before operation to reduce the volume of myoma and correct anemia. Among the six patients, five had undergone myomectomy because of DUL before visiting Peking Union Medical College Hospital. Three patients underwent open myomectomy. The number of resected myoma was 188-300 and the bleeding volume was 1 200-2 500 ml. Two of them suffered recurrence at 51 and 40 months after operation. One received sirolimus for 20 months without recurrence until now. Other three patients underwent hysterectomy. One patient underwent partial small bowel resection and partial omentum resection because of severe pelvic adhesion during hysterectomy, and the blood loss was 2 000 ml. Conclusions Pelvic imaging especially MRI is helpful for early recognition and preoperative evaluation for DUL. Fertility preservation is a great challenge for DUL patients. The risk of recurrence after myomectomy is high. Hysterectomy is the last choice to completely cure DUL at present.Objective To investigate the value of contrast-enhanced ultrasound (CEUS) in the diagnosis of benign and malignant lateral cervical lymph nodes. Methods One hundred and fifteen cases of suspected lymph nodes disease, 60 males, 55 females, between November 2018 and June 2019 from clinic and inpatient in Fujian Cancer Hospital were collected. Routine ultrasound and CEUS were performed in 115 cases of lateral cervical lymph nodes. All cases underwent ultrasound-guided biopsy, and were divided into two groups of benign and malignant lymph nodes according to pathological results. The differences between the two groups were analyzed and statistically analyzed. The rate and frequency were used to qualitatively describe the ultrasound performance and observed lymph node morphology between the two groups of routine ultrasound and CEUS. The sensitivity, specificity, accuracy, negative predictive value and positive predictive value were used to evaluate the efficacy of routine ultrasound and CEUS. Results There were 37 cases of benign lymph nodes and 78 cases of malignant lymph nodes. In benign lymph nodes, 51.4% (19/37) showed uniform high enhancement, and 48.6% (18/37) showed uneven or circular enhancement with clear boundaries and no focal enhancement area. In malignant lymph nodes, 94.9% (74/78) showed uneven enhancement, and only 5.1% (4/78) showed uniform enhancement. The difference of ultrasonic contrast medium uniformities in differentiating benign from malignant was statistically significant (P less then 0.001). The sensitivity, accuracy, negative predictive value and positive predictive value of routine ultrasound to differentiate benign and malignant lymph nodes were 64.1%, 65.2%, 47.2%, and 66.7%, respectively, while the corresponding values of CEUS were 93.6%, 75.7%, 73.7% and 83.9%. Conclusion CEUS may provide a valuable basis for the differential diagnosis of benign and malignant lateral cervical lymph nodes.Critical poisoning is a critical illness. YC-1 chemical structure Cerebral edema after poisoning is one of the important factors that cause the patient’s condition to worsen and affect the prognosis of patients after acute brain injury. Aquaporin 4 (AQP-4) is an important member of the aquaporin family and is abundantly expressed in the central nervous system, playing a pivotal role in the formation of cerebral edema. Brain injury can cause the secretion of inflammatory transmitters, causing or aggravating cerebral edema. Tumor necrosis factor-alpha (TNF-α) has been confirmed to be most closely related to cerebral edema, and can participate in the formation and development of brain edema by regulating AQP-4.From August 21 to December 13, 2018, a tetramine poisoning incident in Wenzhou, Zhejiang Province was investigated, and the clinical diagnosis and treatment of tetramine poisoning was analyzed. There were 6 cases of poisoning caused by artificial tetramine poisoning. The diagnosis was delayed, coma and convulsions were severe manifestations continuous renal replacement therapy (CRRT) was effective in the treatment of severe cases, and all 6 cases were cured. The possibility of poisoning should be considered for unexplained coma and/or convulsions. Although tetramine is banned, it still needs to be highly vigilant and avoids the recurrence of delayed diagnosis and treatment.Objective To develop a solvent desorption-gas chromatography method for determination of trichlorobenzene in workplace air. Methods Trichlorobenzene in workplace air were captured by Sampling tube consisting of glass fiber filter and solvent desorption activated carbon and desorbed with carbon disulfide, separated through capillary chromatographic column, and then analyzed by gas chromatography-electron capture detector. Results The linear ranges of 1, 2, 3-trichlorobenzene, 1, 2, 4-trichlorobenzene and 1, 3, 5-trichlorobenzene were 12.20-1220.00, 16.60-1660.00 and 14.80-1480.00 μg/L, respectively, and the related coefficients were between 0.99946 to 0.99948. The relative standard deviations (RSD) within the groups of 1, 2, 3-trichlorobenzene, 1, 2, 4-trichlorobenzene and 1, 3, 5-trichlorobenzene were 1.96%-2.68%, 1.73%-2.82% and 1.81%-2.56%, respectively, and the RSD between the groups were 3.27%-4.25%, 2.85%-4.83% and 3.46%-4.43%, respectively. The average recovery efficiencies were 92.4%, 92.0% and 93.6%, respectively. The minimum quantification concentrations were 0.81, 1.53 and 1.18 μg/m(3), respectively (3 ml desorption solution, 15.00 L sample) . The samples could be stored at room temperature for at least 5 days. Conclusion This method could be used for monitoring of 1, 2, 3-trichlorobenzene, 1, 2, 4-trichlorobenzene and 1, 3, 5-trichlorobenzene in workplace air.