长江三峡柑桔的冻害和热害（二）

本文从柑桔冻害和热害的危害因子和指标等级划分的研究和选取入手,着重探讨了长江三峡地区(湖北境内)两害显著的时空变化特征、差异与关联性及对柑桔生产的影响;揭示了80年代以来冬暖春热的重大气候变化是使两害向“两极分化”的根本原因;讨论了三峡水利工程对两害时空格局的可能调整及减灾原理;最后提出了可能的对策。     

工业区群环境影响评价初探

阐述了开展工业区群环境影响评价的意义,比较了单个工业园区和工业区群环评的异同,以广州番禺区工业区群环评项目为例,简述了该环评的主要内容和特点,并提出了建议。     

Prenatal ultrasound diagnosis of Toriello–Carey syndrome

Toriello–Carey syndrome is a rare malformative complex, described for the first time in 1988, characterized by agenesis of the corpus callosum, facial anomalies, cardiac defects and hypotonia. Relatively few neonatal cases have been reported. We describe here the first prenatal ultrasound diagnosis of the syndrome based on the detection of agenesis of the corpus callosum and spongious cardiomyopathy in a 22-week-old fetus of a couple with positive family history. The first sib of the couple was diagnosed with Toriello–Carey syndrome at 1 year of age, and had, in addition to the typical facial anomalies not detectable by ultrasound, agenesis of the corpus callosum and the same heart lesion (spongious cardiomyopathy). This report demonstrates that prenatal diagnosis of Toriello–Carey syndrome is feasible in the second trimester of pregnancy. Copyright © 2002 John Wiley & Sons, Ltd.     

Funipuncture for fetocide in late termination of pregnancy

The most widely used method for fetocide in late termination of pregnancy for fetal abnormalities (TOPFA) consists of injecting of potassium chloride (KCl) into the fetal heart and is likely to be painful after 22 weeks of gestation. We studied ten consecutive women undergoing TOPFA between 22 and 38 weeks. This technique for fetocide consisted of a single umbilical vein puncture under ultrasound guidance with injections of sufentanil 5 µg followed by KCl 2 g. No electrocardiographic modifications could be observed and maternal plasma potassium levels did not show any significant variation throughout the procedure. Fetal umbilical phlebotomy for fetal analgesia followed by fetocide therefore appears to be a safe procedure for the mother and allows the fetus to die without pain when late termination of pregnancy (TOP) is indicated. Copyright © 2002 John Wiley & Sons, Ltd.     

Prenatal diagnosis of partial monosomy 18p(18p11.2→pter) and trisomy 21q(21q22.3→qter) with alobar holoprosencephaly and premaxillary agenesis

A prenatal diagnosis of partial monosomy 18p(18p11.2→pter) and trisomy 21q(21q22.3→qter) in a fetus with alobar holoprosencephaly (HPE) and premaxillary agenesis (PMA) but without the classical Down syndrome phenotype is reported. A 27-year-old primigravida woman was referred for genetic counselling at 21 weeks' gestation due to sonographic findings of craniofacial abnormalities. Level II ultrasonograms manifested alobar HPE and median orofacial cleft. Cytogenetic analysis and fluorescence in situ hybridization (FISH) on cells obtained from amniocentesis revealed partial monosomy 18p and a cryptic duplication of 21q,46,XY,der(18)t(18;21)(p11.2;q22.3), resulting from a maternal t(18;21) reciprocal translocation. The breakpoints were ascertained by molecular genetic analysis. The pregnancy was terminated. Autopsy showed alobar HPE with PMA, pituitary dysplasia, clinodactyly and classical 18p deletion phenotype but without the presence of major typical phenotypic features of Down syndrome. The phenotype of this antenatally diagnosed case is compared with those observed in six previously reported cases with monosomy 18p due to 18;21 translocation. The present study is the first report of concomitant deletion of HPE critical region of chromosome 18p11.3 and cryptic duplication of a small segment of distal chromosome 21q22.3 outside Down syndrome critical region. The present study shows that cytogenetic analyses are important in detecting chromosomal aberrations in pregnancies with prenatally detected craniofacial abnormalities, and adjunctive molecular investigations are useful in elucidating the genetic pathogenesis of dysmorphism. Copyright © 2001 John Wiley & Sons, Ltd.     

防灾预案研究

本文提出了防御灾害预案的五要素和逻辑结构,进而讨论了防灾预案的优化准则、制定程序等问题。     

Prenatal diagnosis of congenital cystic adenomatoid malformation of the lung by fetal lung biopsy

A case of type III congenital cystic adenomatoid malformation of the lung was successfully diagnosed prenatally by fetal lung biopsy. We performed this procedure at 22 weeks of gestation, using a biopsy gun system under ultrasound guidance. The pregnancy was undisturbed by the procedure but as the condition was incompatible with life, an abortion was performed. The diagnosis was confirmed at post-mortem examination. Fetal lung biopsy appears to be a useful method for prenatal diagnosis of fetal lung disorders.     

三峡工程与长江中游沿江产业带建设

讨论了长江中游沿江产业带发展条件、限制因素和未来发展，指出三峡工程的建设将对长江中游产业的布局和经济发展带来深刻的变化；防洪作用促进中游两岸大型工业项目的兴建，调整现有沿江城镇的布局，使之结构趋于合理化；电力供应经解能源的紧张状态，改善航运条件，发挥长江黄金水道的综合效益。当然，由于坝下河道冲刷，对现有的码头带来一定的影响，由于冬季水位抬升引起两岸低湖田地下水位上升，加剧两岸土壤潜育化和沼泽化。     

2002年3-6月国内安全事故数据

统计了2002年3-6月国内发生的各种安全事故871起,包括矿业事故、交通事故、爆炸事故、火灾、毒物泄露和中毒及其他事故.统计表明,在这些事故中,矿业事故最多,占61. 8%,平均每天4.5起事故,其次是交通事故(16.3%)、爆炸事故(6.7%)、火灾(6.0%)、其他事故(5.6%)、毒物泄露和中毒(3.7%).871起事故共死亡2 197人,伤3 321人,死亡人数的百分比分别为矿业事故53.7%、交通事故28.0%、火灾6.1%、爆炸事故5.9%、其他事故5.1%、泄露中毒1.2%;受伤人数的百分比分别为泄露中毒37.4%、交通事故26.9%、爆炸事故14.2%、矿业事故11.8%、其他事故5.3%、火灾4.4%.