她,摘下了帽子

小菲因病做了开颅手术,手术很成功,可她却因为剃掉的长发没长出来而迟迟不肯返校上课。我和家长想了很多办法都没能说服她。正当无计可施之际,我忽然想起小苏珊的故事:苏珊不幸患了恶性肿瘤,经过治疗后一头金发掉得精光,只能戴着帽子上学。     

眼球震颤有没有手术之外的治疗方法?

收件人:health@bphg.com.cn发件人:华华妈问题:孩子双眼眼球震颤,不敢轻举妄动又特别着急,请贴身医生帮助!我儿子没满月就发现双眼眼球水平震颤,4个月后能够追视。现在他1岁4个月,看东西时有点斜视,据我们平时观察,他现在比半岁前震颤的频率低,主要在集中注意力看一样东西时由于用力而震颤,或心情激动时震颤。请问这种情况随着年龄增长能否逐渐自行恢复正常?如需治疗,除了手术还有其他更为安全有效的选择吗?如果要做手术,几岁做比较好?因为问题出在眼睛,我们不敢轻举妄动,心里又特别着急,非常希望能得到贴身医生的帮助!     

外伤性肝破裂36例诊治体会

在腹部创伤中 ,肝破裂是较常见的 .特别是随着交通业的不断发展 ,外伤性肝破裂的发病率越来越高 ,虽然多数患者经手术治疗得以康复 ,但少数伤员往往死于严重的致命伤 .本文对我们近 10年来收治的 36例外伤性肝破裂诊治体会进行总结 .1　临床资料1.1　一般资料　　本组 36例 ,其中男 2 7例 ,女 9例 .年龄 7～ 5 2岁 ,平均 2 9岁 .受伤原因为交通事故 2 1例 ,挤压伤 6例 ,刀戳伤 5例 ,坠跌伤 3例 ,枪弹伤 (鸟铳自伤 ) 1例 .闭合性伤 30例 ,开放性伤 6例 .合并其他脏器伤者 2 9例 ,合并伤发生率 80 .6 % ,其中合并脑外伤 11例 ,肺挫伤、气胸 8…     

Video-assisted thoracoscopic surgery （VATS） for bilateral primary spontaneous pneumothorax

Objective:To review our experience of the treatment of bilateral primary spontaneous pneumothorax (PSP) by video-assisted thoracoscopic surgery (VATS). Materials and methods: Retrospective chart review was followed by an on-clinic or telephone interview. Patients were cared for by one thoracic surgeon in four medical centers or community hospitals in Northern and Central Taiwan. Thirteen patients with bilateral PSP underwent bilateral VATS simultaneously or sequentially from July 1994 to December 2005. Results: Twelve males and one female, with age ranging from 15 to 36 years (mean 23.1 years), were treated with VATS for bilateral PSP, under the indications of bilateral pneumothoracis simultaneously (n=4) or sequentially (n=9). The interval between the first and second contra-lateral VATS procedure for non-simultaneous PSP patients ranged from 7 d to 6 years. Eleven of 13 patients (84.6%) had prominent pulmonary bullae/blebs, and underwent bullae resection with mechanical or chemical pleurodesis. The mean operative time was (45.6±18.3) min (range 25-96 min) and (120.6±28.7) min (range 84-166 min) respectively for the non-simultaneous (second VATS for the recurrence of contralateral side after first VATS) and simultaneous (bilateral VATS in one operation) procedures. There was no postoperative mortality. However, prolonged air leakage (>7 d) occurred in one patient (7.7%) who recovered after conservative treatment. The mean duration of chest tube drainage was 3.1 d and the median follow up period was 3.4 years. Conclusions: VATS is a safe and effective procedure in the treatment of bilateral PSP. Bilateral VATS is only recommended for patients with simultaneously bilateral PSP, because the incidence of recurrence, even with visible bullae, was not so high in my group and in some previous literature. Bilateral VATS in a supine position should only be used in selective cases, because of possible pleural adhesion or hidden bullae on the posterior side.     

孩子先天性耳前瘘管发炎怎么办

vivid803490@sina.com问:我的儿子快4岁了,前几天左脸有点儿红肿,一摸左耳后发现有小包,医生检查后说是先天性耳前瘘管发炎,开了抗生素针剂。经过两天的注射,他脸部的     

我们需要什么样的语文探究课

《南方周末》曾以《教科书:删得掉的文字,删不掉的秘密》为题,做了一篇有板有眼的报道。80后网友洞庭湖边的野草读《古本小说集成》时,有个发现,初一语文课本里的文言文《口技》被人做过微创手术了,在     

替罗非班在急性冠脉综合征PCI围手术期的应用

急性冠状动脉综合征(acute coronary syndrome,ACS)是指冠状动脉内不稳定的动脉粥样斑块破裂或糜烂引起血栓形成所导致的心脏急性缺血综合征.在其治疗措施中,经皮冠脉介入治疗(percutaneous coronary intervention,PCI)占有越来越重要的地位[1],但是PCI时球囊扩张对血管壁产生的压力会引起粥样硬化斑块破裂及内膜、中膜损伤(置入支架更加重血管内皮损伤),引起强烈的血小板活化,促进血小板黏附、聚集和血栓形成.因此,抗血小板治疗不仅是针对ACS治疗的重要策略,而且是预防PCI围术期和术后远期发生血栓事件的重要环节.替罗非班(欣维宁)为一种可逆性非肽类血小板膜GPⅡb/Ⅲa受体拮抗剂,于1998年5月首次在美国应用上市,2004年8月在国内上市,是目前国内唯一的血小板膜GPⅡb/Ⅲa受体拮抗剂[2].其主要通过阻止纤维蛋白原与糖蛋白Ⅱb/ Ⅲa结合,从而阻断血小板的交联及血小板的聚集[3].     

白内障手术便宜了

今年2月,Raj Kaliya Dhanuk躺在尼泊尔的一张手术台上准备接受白内障手术。她的眼部周围压上了一些重物。这些重物能减少手术前眼球受到的压力,使手术过程更容易。