浅谈胸部健美训练

线条起伏的胸部是女性美的象征,但很多女性的乳房,由于发育不理想,胸邙扁平、乳房下垂。通过胸部肌肉群的训练,可使上胸肌肉饱满,并与稍靠下的乳房相连,使乳房显得饱满、有型、不下垂。这样对保持健美形体有着积极的作用。     

最美的胸是70B

胸部是男人和女人都最关注的身体部位,所以,对于胸部的问题,男人和女人都同样拥有发言权。男人对胸部的关注是为了满足视觉和身体的双重需     

数字X线摄影双能量减影在儿科胸部外伤检查中的应用

目的：探讨数字化X线摄影（digital radiography,DR）双能量减影技术在儿童胸部外伤检查中的临床应用价值。方法：对150例胸部外伤患儿应用DR双能量技术摄取正位胸片并对影像进行综合分析与评价。结果：150例患儿中有56例发现有肋骨骨折,其中通过标准常规胸片发现的有43例,而通过双能量减影技术处理后的骨组织图像均可发现有肋骨骨折。结论：经DR双能量减影技术处理后的骨组织像能显著提高儿童胸部外伤后肋骨骨折的显示率,具有重要的临床应用价值。     

胸片胸透 各有利弊

胸部X线检查对于诊断宝宝的肺部疾病很有帮助。临床的检查方法有两种,即胸部X线摄片(简称胸片)和胸部X线透视(简称胸透)。     

嘿！你怎么说！——集合了编辑部最史无前例的尺度大问答！

豌豆蒙：你是选择165cm的身高和32A的胸部，还是150cm的身高和34C的胸部？ 微酸袅袅：当然是选择165cm的身高和32A的胸部——我喜欢李宇春……还需要说理由吗？     

孕期“内在美”准妈妈内衣选择攻略

准妈妈在怀孕过程中,除了发现自己的肚子在悄悄地变大以外．胸部也发生了很大的变化!有的妈妈以为胸部变大以后。只要更换更大尺寸的内衣就好了,不用非得购买孕妇内衣。     

怀孕十月，胸部二次发育黄金期

怀孕期间除了肚子日益隆起，胸部也在不断变大，A杯女终于在此生有幸体会到c杯的感觉。可是……据说，生完孩子断奶后，肚子不一定变回原来的平坦小腹，但胸部就一定会被打回原形，甚至松软、下垂、变得更小!有没有办法让胸部一直保持孕期的挺拔、结实？答案是——有可能！趁此期间，通过孕激素的刺激及营养呵护，加之后期的科学哺乳、合理运动，胸部升杯完全可能实现哦。     

浅谈胸部创伤的急救护理

胸部创伤平时多见,创伤绝大多数是由于锐钝暴力造成的伤害。人体许多重要器官都位于胸部,涉及胸膜腔和胸内脏器的胸部创伤可引致呼吸和循环系统功能障碍。如不及时救治,可危及病人生命。我院自1992年至1994年共收治胸部创伤病人38例,其中肋骨骨折17例,合并胸骨骨折1例,单纯性气胸10例,血气胸8例,胸肤复合伤2例。休克5例,心包填塞1例。本组病人经及时治疗和细致护理全部痊愈出院。 1 伤情的初步估计和判断     

胸部小切口微创手术治疗先天性心脏病临床效果探讨

目的:胸部小切口微创手术治疗先天性心脏病的临床效果分析.方法:选取2015年1月-2015年10月期间我院收治的先天性心脏病患者21例,所有患者均行胸部小切口微创手术(右胸部小切口手术).选择同期行传统的胸部正中切口治疗先天性心脏病患者21例,进行观察对比分析.结果:观察组死亡率为9.52%显著低于对照组死亡率23.81%,差异有统计学意义(p0.05);观察组切口长度、手术时间、输血量及住院时间,显著低于对照组,差异有统计学意义(p0.05).结论:胸部小切口微创手术切口隐蔽美观、能缩短患者的住院时间,能有效减少手术对患者造成的创伤及疼痛,能很好的保存胸骨的完整度及部分完整性,值得临床推广.     

体态密语

正自我安慰的体态密语成年人在感到不安或自卑时,通常会做出那些自己拥抱自己的动作,以重新获得安全感。自我安慰的动作之一是"握臂",即一只胳膊越过胸部,抓住另一只胳膊的二头肌;或者一只胳膊越过胸部,抓住另一侧的肩膀,或两只胳膊同时越过胸部,各自抓住另一侧的肩膀。这些动作重塑了被拥抱的体验;另一个自我安慰的动作重塑了被手握住的感觉。     

缺血修饰白蛋白在急性胸痛患者鉴别诊断中的价值

目的探讨血清缺血修饰白蛋白（IMA）在急性胸痛患者鉴别诊断中的价值。方法通过检测163例由于急性胸痛来我院就诊的患者血清中IMA水平,根据患者最终诊断结果,从而判断IMA在急性胸痛患者中的鉴别诊断价值。结果研究显示在163例患者中,心源性胸痛患者为102例,IMA值为（98．37±19．12）。非心源性胸痛为61例,IMA值为（32．54±12．11）。结论IMA在急性胸痛患者的检测中可以有效地鉴别心源性胸痛和非心源性胸痛,对于减少心源性胸痛的漏诊起到了显著的作用。     

Oblique chest views as a routine part of skeletal surveys performed for possible physical abuse--is this practice worthwhile?

OBJECTIVE: To evaluate the utility of oblique chest views in the diagnosis of rib fractures when used as a routine part of the skeletal survey performed for possible physical abuse. METHODS: Oblique chest views have been part of the routine skeletal survey protocol at Primary Children's Medical Center since October 2002. Dictated radiology reports since that time were reviewed, and all cases with rib fractures documented were chosen for study. For each chosen case two pediatric radiologists identified and recorded rib fractures using only the PA and lateral chest radiographs (standard two-view chest series) from the skeletal survey for each case. In a separate session they identified and recorded rib fractures using the PA, lateral, right oblique, and left oblique radiographs (four-view chest series) from the skeletal survey for each case. The results were compared. RESULTS: Twenty-two cases with rib fractures were identified. Interpretation of the four-view chest series was different than interpretation of the two-view chest series in 12 of the 22 cases (54%). Overall, the four-view chest series differed significantly in the number of rib fractures diagnosed compared with the two-view chest series (p=.02, Wilcoxon matched-pairs signed-rank test) adding 19 rib fractures and excluding 6 rib fractures. CONCLUSIONS: The results indicate that use of the four-view chest series adds information to that obtained from the two-view chest series and increases the accuracy of diagnosing rib fractures in cases of possible physical abuse. Addition of oblique chest views to the routine protocol for skeletal surveys performed for possible physical abuse is recommended.     

结核性胸腔积液两种引流方法的比较

目的观察胸腔置管引流术与间断性胸水穿刺术两种方法治疗结核性胸腔积液的疗效。方法大量结核性胸腔积液患者48例,随机分为胸腔置管引流术治疗组24例和间断性胸水穿刺术组24例,比较并发症发生率及其疗效。结果胸腔置管引流术组有效率明显高于胸腔穿刺术组;胸腔置管引流术组胸水吸收较快、并发症较少,二者有显著统计学意义（P〈0.05）。结论胸腔置管引流术治疗结核性胸腔积液并发症少,住院治疗时间短,是比较理想的辅助治疗方法。     

基于胜任力的多学科协作培训模式在急性胸痛规范化培训教学中的应用探讨

目的探讨基于岗位胜任力的多学科协作(MDT)培训模式在急性胸痛规范化培训教学中的应用效果。方法南京医科大学第二附属医院心内科在住院医师急性胸痛规范化培训中采用基于胜任力的MDT培训模式,培训结束后采用技能操作、理论考试和问卷调查的方法对学生进行考核。结果以岗位胜任力为基础的MDT教学法更能强化规培医师多学科综合知识,增强团队合作精神,激发学习热情,提高临床实践技能。结论在急性胸痛规范化培训教学中采取基于胜任力的MDT教学法能提高规培教学质量,使规培学员更好地掌握急性胸痛的规范化诊治。     

Sexual, physical, verbal/emotional abuse and unexplained chest pain

Objectives

Approximately one third of patients with non cardiac chest pain (NCCP) report a history of abuse, however no data exists on the prevalence of abuse among people with unexplained chest pain in the general population. We aimed to determine if there is a relationship between childhood sexual, physical, emotional abuse and unexplained chest pain, and to identify whether any potential relationship is being driven by an association with psychological distress.

Methods

Subjects were identified from 2 previous random population surveys that included people with irritable bowel syndrome (IBS) and/or functional dyspepsia (FD) and healthy controls. People in the unexplained chest pain group (n = 27) had chest pain in the past 12 months that was not heartburn or heart disease. People in the comparison group (n = 60) did not have chest pain for more than 12 months. Self-reported abuse and psychological variables were assessed using validated measures.

Results

Emotional/verbal abuse (20.8% versus 4.4%, P = 0.032) and physical abuse (16.7% versus 2.2%, P = 0.028) were significantly more common in people with unexplained chest pain versus the comparison group. Only a history of emotional/verbal abuse was a significant independent predictor of meeting criteria for unexplained chest pain (OR = 5.66; 95%CI 1.01–31.80, P = 0.049) even after controlling for IBS and/or FD (OR = 5.45; 95%CI 0.96–30.83, P = .05), but not when depression was controlled for (OR = 4.70; 95%CI 0.90–27.61), P = 0.08.

Conclusions

A history of childhood emotional/verbal abuse is a risk factor for having unexplained chest pain but the association may be moderated by psychological distress, specifically depression.     

说谎

开学第一天，鲍勃放学后回到家。妈妈问他：“新老师好不好？”鲍勃说：“她很好，但是她老说谎。”妈妈说：“不要讲老师坏话。”鲍勃说：“真的。上算术课时，她一开始说3加3等于6，过了一会儿又说2加4等于6，下课时又说1加5等于6。”     

严重呼吸综合征的胸部影像表现

目的 :总结严重急性呼吸综合征 (SARS)的胸部X线表现及变化规律。方法 :分析 5 1例经临床确诊的SARS患者一系列胸部X线进行统计分析。结果 :患者均以发热为最早发病症状 ,10 0 %患者在发病后 1周内X线胸片出现局灶性斑片状模糊阴影 ,2周内达到高峰 ,15 .6 %患者为双肺多肺炎性病变 ,5 2 .9%患者为左肺 ,右肺为 31.4 % ,大部分肺野受累 ,病情重 ,98%患者在 4周内肺部阴影逐渐消散。结论 :肺部病变越早 ,范围越广 ,发展越迅速 ,临床症状越重。     

贵妃鸡等三种优质鸡母鸡肌纤维特性与肉品质关系的研究

本试验随机选取了在相同条件下饲养的120日龄贵妃鸡、怀乡鸡和北京油鸡三种优质鸡母鸡各24只,分别取其胸肌和腿肌做成切片,用于对三种优质鸡的母鸡肌纤维密度、肌纤维长度和肉品质进行比较,同时对肌纤维特性与肉品质的相关性进行研究,结果表明:(1)肌纤维特性方面:三种优质鸡腿肌直径大于胸肌直径,相差范围在0.73～2.6μm之间,其中怀乡鸡>北京油鸡>贵妃鸡;三种优质鸡胸肌密度大于腿肌密度,相差范围在43.18～181.56根/mm2之间,其中北京油鸡>怀乡鸡>贵妃鸡.(2)肉品质方面:三种优质鸡腿肌肉色大于胸肌肉色,差异极显著(P<0.01),相差范围在2.62～9.01之间,其中北京油鸡胸肌肉色大于怀乡鸡,而怀乡鸡胸肌肉色大于贵妃鸡,分别大1.33和3.2,腿肌肉色上,北京油鸡大于贵妃鸡,贵妃鸡大于怀乡鸡,分别大3.64和3.19;三种优质鸡胸鸡和腿肌pH值差异不显著(P>0.05),范围在6.1～6.2之间;三种优质鸡胸肌滴水损失大于腿肌,差异极显著(P<0.01),其中胸肌上,贵妃鸡滴水损失大于怀乡鸡,怀乡鸡大于北京油鸡,分别大0.82和3.09,腿肌滴水损失上,怀乡鸡滴水损失大于贵妃鸡,贵妃鸡大于北京油鸡,分别大2.3和3.49.(3)相关性方面:总体上看,肌纤维直径与密度呈负相关关系(r<0),肌纤维特性与肉色呈正相关关系(r>1),肌纤维特性与肌肉pH值和滴水损失呈负相关关系(r<0).     

闽南拍胸舞现代文化价值初探

拍胸舞是流行于福建南部沿海地区的民间舞蹈,其风格独特、色彩浓郁、自娱性强。在时代的发展及历史沉淀中,拍胸舞的表演形态与舞蹈功能都有了不同程度的丰富与改变。作为闽南代表性民间舞蹈,拍胸舞有着文化的传承与保护价值。同时,作为一项旅游文化资源,其对外文化交流价值也不容忽视。     

Chest wall abscess due to Prevotella bivia

Prevotella bivia is associated with pelvic inflammatory disease. A 77-year-old man developed a rapidly growing chest wall abscess due to P. Bivia within days. He underwent surgical resection of the infected area; his postoperative course was un-eventful. This is the first case of chest wall abscess due to P. Bivia infection. Its correct diagnosis cannot be underestimated be-cause fulminam infections can occur in aged or immunocompromised patients if treated incorrectly. Prompt, appropriate surgical management, and antibiotic therapy affect treatment outcome.