李老师病了

邻居李老师病了，食道癌。她的学生，北京一所大医院的院长，亲自来做的手术，很成功。     

手术刀就是武器！——“白求恩”主题邮票赏析

白求恩在我国是家喻户晓的“星”。1939年12月21日，毛泽东《纪念白求恩》一文发表，称赞他“对工作的极端负责任，对同志对人民的极端的热忱”。在当今视觉艺术炫目似锦的光与电的生活中，怎样才能用方寸表现出这位明星的两个“极端”呢？七十年前，身为加拿大皇家医学院博士的白求恩浴血战斗在中华大地，用怎样的画面形象小能更深入、细腻地表现出他那特有的精神面貌和独具的战斗历程呢？     

生死时速 民营企业包机救人

2005年2月17日凌晨，四川大学华西医院急诊大楼内灯火通明，几天前一家从成都自驾车去云南丽江旅行的阳赵荣正神情焦虑地斜靠在抢救室门外的墙上，上身外套还残留着斑斑血迹。1时50分钟，抢救室的门终于打开，阳赵荣急忙迎上刚刚做完手术的医生问道：“我妻子和女儿怎么样了?”“小伙子，不用着急，母女俩已经脱离危险。”听见医生这样刚答，阳赵荣眼中的泪水顿时夺眶而出，     

Preoperative localization and minimally invasive management of primary hyperparathyroidism concomitant with thyroid disease

The coexistence of thyroid diseases with primary hyperparathyroidism （PHPT） can present a challenge in the clinical diagnosis and management for these patients. This study aims to determine the frequency of coexisting thyroid gland lesions in a consecutive series patients with PHPT, and to analyze the clinical features, diagnosis and treatment of these patients. Twenty-two cases of a total of 52 PHPT patients who had synchronous thyroid and parathyroid pathology were surgically managed in this study Thirteen patients had ipsilateral thyroid nodules, and 9 patients had thyroid nodules in contralateral or bilateral side. Seven patients underwent direct parathyroidectomy and hemithyroidectomy via a mini-incision （about 3 cm）, while other 15 procedures were converted to Kocher incision. Seventeen nodular goiter （32.7%）, 2 thyroiditis （3.8%）, 2 thyroid adenoma （3.8%） and 1 thyroid carcinoma （1.9%） coexisting with parathyroid adenoma were pathologically diagnosed. The sensitivity of preoperative ultra- sonography （US） and methoxy-isobutyl-isonitrile （MIBI） scintigraphy for parathyroid lesions was 63.6% and 85.7%; and the overall positive predictive values for MIBI and US were 100% and 95.5% respectively. A high incidence of thyroid diseases that coexisted with PHPT in literatures was briefly reviewed. Our study illustrated the need for clinical awareness of concomitant PHPT and thyroid disease. A combination of US, computed tomography （CT） and MIBI scintigraphy would be recommended for preoperative localization of enlarged parathyroid adenoma and for evaluation of thyroid lesions. Synchronous treatment of associated thyroid abnormalities is desirable, and open minimally invasive surgical approach with additional resection of isolated ipsilateral thyroid nodules is possible in some of these patients.     

死亡之吻

这是一个大雪纷飞、北风狂号的日子。阿拉斯加州的一家医院里,正进行着一次特殊的分娩。医生护士忙里忙外为一个叫多莉的妇女接生,之所以说其特殊,是因为多莉强烈要求医生为自己提前两周分娩。     

腹腔镜手术模拟训练系统在微创外科教学中的应用

腹腔镜手术在临床外科中的应用日益广泛,这种微创外科技术对操作者的手术技能要求高,因此,腹腔镜手术模拟训练在微创外科教学中很有必要。目前国内医学院校开展腹腔镜手术模拟训练系统实验操作训练情况不一,学生腹腔镜手术技能基础差别也较大。文章对我校两届(2014级、2015级)临床医学生的腹腔镜手术模拟训练系统的训练进行了研究并总结与分析,以便为医学生学习腹腔镜手术提供选择依据。