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刀尖上的精巧藝術(shù)，我院專家成功摘除罕見(jiàn)巨大神經(jīng)鞘瘤

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">男子右側(cè)腋部長(zhǎng)了一個(gè)成人拳頭大小的腫塊，增強(qiáng)MRI（磁共振成像）檢查考慮為神經(jīng)鞘瘤。如不及時(shí)手術(shù)去除，腫瘤繼續(xù)增大可能至右上肢癱瘓，且有良轉(zhuǎn)惡的風(fēng)險(xiǎn)。國(guó)之名醫(yī)、mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我院mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院長(zhǎng)芮永軍于刀尖上“起舞”，為患者成功切除這一罕見(jiàn)巨大腫瘤。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">52歲的王先生是企業(yè)里兢兢業(yè)業(yè)的技術(shù)人員，18年前曾查出右側(cè)腋部有個(gè)拳頭大小的腫物，既無(wú)疼痛也不影響日常工作生活，就未予重視。近年來(lái)，腫物增長(zhǎng)緩慢，但由于時(shí)間已久，最終形成突出皮膚的顯眼腫物，并壓迫神經(jīng)導(dǎo)致上肢麻木，同時(shí)嚴(yán)重影響王先生的側(cè)臥睡眠質(zhì)量。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">1個(gè)月前，王先生在無(wú)錫某三甲醫(yī)院行膽囊切除術(shù)，術(shù)前胸部CT顯示腋部腫物增大，王先生想在醫(yī)院一并解決，卻被告知由于腋下血管神經(jīng)豐富，手術(shù)風(fēng)險(xiǎn)大，建議轉(zhuǎn)至mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">九院。mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">滿懷希冀的他來(lái)到mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院骨科芮永軍院長(zhǎng)門(mén)診，CT發(fā)現(xiàn)王先生右側(cè)腋窩占位，考慮神經(jīng)源性腫瘤，建議增強(qiáng)CT及MRI（磁共振成像）檢查。很快，在CT及MRI的雙重驗(yàn)證下考慮：王先生的右側(cè)腋窩為5cm*6cm左右的神經(jīng)鞘瘤，且腫瘤已大張旗鼓地與腋窩爭(zhēng)奪著“地盤(pán)”，巨大的神經(jīng)鞘瘤將周?chē)纳窠?jīng)緊密包裹，臂叢神經(jīng)根部深陷于腫瘤內(nèi)，腋窩被腫瘤撐至變形，整個(gè)腫瘤形似“巨大土豆”，任其發(fā)展將導(dǎo)致上肢癱瘓、腫瘤良轉(zhuǎn)惡等嚴(yán)重后果，必須盡快進(jìn)行手術(shù)摘除。mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">如此巨大的腋窩內(nèi)神經(jīng)鞘瘤實(shí)屬罕見(jiàn)，手術(shù)該怎么做才能最大程度減少手術(shù)創(chuàng)傷？芮院長(zhǎng)及其團(tuán)隊(duì)從手術(shù)安全性、術(shù)后快速康復(fù)等角度進(jìn)行討論，為王先生制定了縝密的手術(shù)方案。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">由于腫瘤與臂叢神經(jīng)及腋動(dòng)靜脈緊密相鄰，因而，手術(shù)成功的關(guān)鍵不但在于能否徹底清除瘤體組織，更是要竭盡全力保留運(yùn)動(dòng)和感覺(jué)神經(jīng)，避免這些神經(jīng)受到損害。手術(shù)難度不一般，對(duì)于主刀醫(yī)生的解剖功底和手術(shù)技術(shù)都要求極高。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">術(shù)中15cm手術(shù)切口，腫瘤組織暴露良好，芮院長(zhǎng)“抽絲剝繭”，完整地取出整個(gè)瘤體。術(shù)中無(wú)神經(jīng)、血管損傷，術(shù)后患肢感覺(jué)運(yùn)動(dòng)血供良好，術(shù)后切口順利愈合，并于一周后順利出院，右側(cè)腋窩疼痛及上肢麻木術(shù)后完全緩解。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">出院的當(dāng)天，芮院長(zhǎng)仍?shī)^戰(zhàn)在手術(shù)臺(tái)上，無(wú)法面對(duì)面關(guān)照王先生后續(xù)注意事項(xiàng)，不放心的他叮囑團(tuán)隊(duì)的主治醫(yī)師周明，務(wù)必告知患者用三角巾于肩關(guān)節(jié)內(nèi)收貼胸位懸吊4-6周，并拍患肢照片傳來(lái)親自過(guò)目。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">如今，一塊刻著“大醫(yī)精誠(chéng)，仁心仁術(shù)”的牌匾正懸掛在創(chuàng)傷骨科的文化墻上，表達(dá)著患者王先生對(duì)mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院專家精湛醫(yī)術(shù)和溫情服務(wù)的感激之情。“芮院長(zhǎng)高超的技術(shù)、嚴(yán)謹(jǐn)?shù)膶I(yè)態(tài)度讓我打從心底佩服，而九院護(hù)理團(tuán)隊(duì)的貼心服務(wù)也同樣讓我感動(dòng)。術(shù)后第一天，我因麻藥反應(yīng)，半夜嘔吐，值班護(hù)士二話不說(shuō)立馬幫我處理嘔吐物，輔助緩解不適，讓我能安心入眠。這個(gè)小小的細(xì)節(jié)足見(jiàn)mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">醫(yī)mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院‘患者至上’的服務(wù)理念早已根植于每一位醫(yī)護(hù)人員心間。”mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">什么是神經(jīng)鞘瘤？神經(jīng)鞘瘤是源自神經(jīng)髓鞘 Schwan 細(xì)胞的良性腫瘤，是周?chē)窠?jīng)性腫瘤中最常見(jiàn)的一種。可發(fā)生于任何有神經(jīng)的部位，多見(jiàn)于四肢屈側(cè)較大的神經(jīng)干，上肢多于下肢；可見(jiàn)于任何年齡，以青壯年（ 20一50 歲）居多；90% 為單發(fā)。腫瘤多沿神經(jīng)干的一側(cè)偏心生長(zhǎng)，大小不一，直徑多小于5cm ，極少惡變。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">    mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">臨床表現(xiàn)mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">：mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">可長(zhǎng)期無(wú)癥狀，偶患者常因神經(jīng)走行部位出現(xiàn)腫物，受累神經(jīng)支配區(qū)麻痛、無(wú)力為主要癥狀就醫(yī)。較表面者，可觸及腫物，沿其長(zhǎng)軸向兩側(cè)推動(dòng)、叩擊或按壓腫物，可有劇烈疼痛或放射性感覺(jué)異常（  Tinel  征陽(yáng)性）。惡性神經(jīng)鞘瘤常出現(xiàn)明顯疼痛或神經(jīng)癥狀。mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">    mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">預(yù)后與治療原則mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">：mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">手術(shù)切除為主要治療手段，完整切除可治愈，預(yù)后良好。mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">（宣傳科mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">）mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
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冰雪鍛煉至肩關(guān)節(jié)習(xí)慣性脫位，運(yùn)動(dòng)醫(yī)學(xué)科微創(chuàng)手術(shù)讓小伙...

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">雪道的盡頭是骨科？mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">近期冰雪運(yùn)動(dòng)里流行這樣一句話。但由于冰雪運(yùn)動(dòng)的特殊性，韌帶損傷、肌肉拉傷等更為常見(jiàn)，這一類損傷與運(yùn)動(dòng)醫(yī)學(xué)科有著緊密聯(lián)系。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">近日mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">，我mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院運(yùn)動(dòng)醫(yī)學(xué)科就收治了一名肩關(guān)節(jié)習(xí)慣性脫位的患者小劉。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">一年前，小劉滑雪時(shí)無(wú)意被人從后方高速撞擊右肩，導(dǎo)致右肩關(guān)節(jié)向前下方脫位，在其他醫(yī)院手法復(fù)位后，休養(yǎng)了一段時(shí)間，幾個(gè)月后小劉基本恢復(fù)正常生活。可一次伸懶腰時(shí)，小劉的右肩竟又脫位了，心急如焚的他再次找到醫(yī)生進(jìn)行手法復(fù)位，同樣休養(yǎng)數(shù)月后，在取柜頂物品時(shí)右肩再次脫位。短短半年內(nèi)就經(jīng)歷三次脫位，小劉心生恐懼，日常生活受到嚴(yán)重影響。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">多方打聽(tīng)下，小劉尋到mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院運(yùn)動(dòng)醫(yī)學(xué)科糜菁熠副院長(zhǎng)專家門(mén)診，經(jīng)專業(yè)查體和CT檢查，糜院長(zhǎng)為小劉明確了診斷：原來(lái)小劉第一次脫位時(shí)已導(dǎo)致肩關(guān)節(jié)盂損傷，同時(shí)肱骨頭也被擠壓出一道深深的骨槽，所以即便手法復(fù)位，后期也易因關(guān)節(jié)盂和肱骨頭骨槽互相“咬合”而導(dǎo)致時(shí)常發(fā)生脫位，醫(yī)學(xué)上稱之為“肩關(guān)節(jié)習(xí)慣性脫位，Hill-Sachs損傷”。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">如果長(zhǎng)期得不到有效治療，脫位反復(fù)發(fā)生，除了撕脫傷外，還會(huì)造成相關(guān)軟骨和骨性結(jié)構(gòu)損壞，使治療更加困難。而反復(fù)脫位又會(huì)明顯加劇患肩的退行性變，使關(guān)節(jié)老化提前。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">在完善相關(guān)術(shù)前檢查后，糜院長(zhǎng)團(tuán)隊(duì)為小劉進(jìn)行微創(chuàng)肩關(guān)節(jié)鏡下岡下肌肌腱及后關(guān)節(jié)囊填充術(shù)（Remplissage手術(shù)）、盂唇修復(fù)術(shù)及韌帶皺縮術(shù)。肩關(guān)節(jié)鏡下手術(shù)重建修復(fù)，具有創(chuàng)傷小、恢復(fù)快、療效好、住院時(shí)間短等顯著優(yōu)勢(shì)。傳統(tǒng)手術(shù)10cm左右的傷口，現(xiàn)在被3-4個(gè)1cm不到的小切口所取代，外表美觀，術(shù)口感染風(fēng)險(xiǎn)率降低，以最小的醫(yī)源性損傷實(shí)施最有效的治療。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">在專業(yè)運(yùn)動(dòng)康復(fù)師的輔助下，術(shù)后小劉恢復(fù)良好且迅速，做肩關(guān)節(jié)外展時(shí)再無(wú)恐懼感。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">專家提醒mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">：mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">對(duì)于因運(yùn)動(dòng)損傷、車(chē)禍傷等各種創(chuàng)傷導(dǎo)致肩關(guān)節(jié)脫位的患者，應(yīng)盡早到專業(yè)的運(yùn)動(dòng)醫(yī)學(xué)科醫(yī)生處接受診治，以免肩關(guān)節(jié)脫位反復(fù)發(fā)生，成為“習(xí)慣”。

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mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">（mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">運(yùn)動(dòng)醫(yī)學(xué)科   譚濟(jì)陽(yáng)mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">）mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
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一天兩臺(tái)疑難手術(shù)，我院脊柱外科團(tuán)隊(duì)為患者送輕松

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">“沒(méi)想到這么有緣，我和隔壁床的小姐妹得了同樣的病，還是同一天張樹(shù)軍醫(yī)生做的手術(shù)，現(xiàn)在我倆恢復(fù)的好，明顯感覺(jué)腰輕松得多，現(xiàn)在天天相約一起下地走動(dòng)。”67歲的鐘阿姨上周四剛接受完脊柱手術(shù)，現(xiàn)在的她笑得滿臉輕松，但8年來(lái)時(shí)不時(shí)的腰疼和1年前明顯出現(xiàn)的雙下肢疼痛麻木曾一度讓她愁眉苦臉。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">67歲的鐘阿姨和60歲的王阿姨頑固性腰疼已有8年以上，也曾至多家醫(yī)院就診，均采取保守治療未見(jiàn)好轉(zhuǎn)。近來(lái)雙雙出現(xiàn)雙下肢疼痛麻木，行走時(shí)酸脹、發(fā)緊加重癥狀，經(jīng)人介紹，找到mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我院mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">脊柱外科張樹(shù)軍博士處就診。經(jīng)一系列詳細(xì)檢查，明確診斷為脊髓神經(jīng)張力異常。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">充分術(shù)前討論后，盡管手術(shù)操作復(fù)雜，但考慮到盡快解決患者疼痛癥狀，張樹(shù)軍團(tuán)隊(duì)為兩位患者分別安排了上、下午兩臺(tái)腰椎后柱截骨軸向加壓均勻短縮手術(shù)。嫻熟高超的技術(shù)確保了高質(zhì)量的連臺(tái)手術(shù)，而這樣一天安排2-3場(chǎng)有難度的手術(shù)早已成為脊柱外科常態(tài)化的手術(shù)規(guī)模。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">術(shù)后，張博士總結(jié)經(jīng)驗(yàn)：“任何手術(shù)，術(shù)前診斷很重要，如果診斷不明甚至誤診，都會(huì)延誤患者的治療。心無(wú)界，行無(wú)疆，認(rèn)真思索患者疼痛的本質(zhì)原因，是做好一個(gè)脊柱外科醫(yī)生的基礎(chǔ)。”mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院脊柱外科是醫(yī)院重點(diǎn)專科，主要治療脊柱側(cè)彎、頸椎病、腰椎間盤(pán)突出癥、腰椎管狹窄癥、脊柱腫瘤、脊柱結(jié)核等疾病尤其善于脊柱外科疾病的微創(chuàng)治療。對(duì)于脊柱區(qū)域的常見(jiàn)病及疑難病癥有著豐富的臨床經(jīng)驗(yàn)，致力于為廣大脊柱疾病患者健康保駕護(hù)航！mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">（mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">宣傳科mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">）mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
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豆蔻少女“鼻部挫傷”險(xiǎn)“毀容”，我院醫(yī)生妙手保“顏值”...

mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">如今正值豆蔻年華的少女麗麗又能自信地脫下口罩，愉快地上學(xué)了。7個(gè)多月來(lái)，“因鼻部挫傷擔(dān)心面部毀容”的心理負(fù)擔(dān)一直困擾著這個(gè)女孩，好在mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">院耳鼻咽喉科邱景山主任mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">通過(guò)手術(shù)植皮，輔以整形美容科激光疤痕治療解決了女孩的擔(dān)憂。mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
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mso-bidi-font-family:'Times  New  Roman';font-weight:bold;font-size:10.5000pt;
mso-font-kerning:1.0000pt;">“鼻部挫傷”差點(diǎn)毀容，mso-bidi-font-family:'Times  New  Roman';font-weight:bold;font-size:10.5000pt;
mso-font-kerning:1.0000pt;">急壞少女一家mso-bidi-font-family:'Times  New  Roman';font-weight:bold;font-size:10.5000pt;
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mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">麗麗今年12歲，正是花般的年紀(jì)，去年6月的一天正參加戶外活動(dòng)，炎熱的夏季讓人四肢乏力，一陣眩暈讓麗麗不慎摔倒，致鼻部外傷，當(dāng)即“破了相”。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">心急如焚的父母趕緊帶她來(lái)mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">到我mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">院求診，耳鼻咽喉科邱主任給麗麗做了相關(guān)檢查，見(jiàn)其mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">鼻尖皮膚缺損，范圍達(dá)2cm*2cm大小mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">，通過(guò)物理、用藥等方式的保守治療可能會(huì)留有明顯疤痕，影響面部美觀。mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
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mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">邱主任和團(tuán)隊(duì)研究后決定緊急為麗麗行皮部移植術(shù)，平時(shí)樂(lè)觀開(kāi)朗的麗麗一聽(tīng)還要做手術(shù)，頓時(shí)慌了神。“小姑娘勇敢點(diǎn)，別怕！你要相信醫(yī)生叔叔能幫到你！”邱主任安撫著女孩不安的情緒，“經(jīng)過(guò)咱們的植皮手術(shù)，再加上后期的激光疤痕治療，一定能讓你盡快恢復(fù)。”mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
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mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
mso-font-kerning:1.0000pt;">高超植皮技術(shù)、特色疤痕治療mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
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mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
mso-font-kerning:1.0000pt;">豆蔻少女不再煩惱mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">“鼻部挫傷”缺損的皮膚需要取別處合適的小塊皮膚來(lái)“修補(bǔ)”。取皮好不好、縫合技術(shù)如何、術(shù)后防感染的護(hù)理到不到位都直接影響著“修補(bǔ)術(shù)”的效果。該如何取皮呢？mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">要在皮膚較松軟、“富余”處，取下一塊皮膚，覆蓋到鼻尖上，結(jié)合麗麗的自身?xiàng)l件，邱主任團(tuán)隊(duì)最終選擇隱蔽處的小塊皮膚，經(jīng)修剪后基本貼合鼻尖部外形，以完成植皮手術(shù)。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">經(jīng)過(guò)數(shù)小時(shí)的精細(xì)操作，手術(shù)完成順利。術(shù)后關(guān)鍵在于抗炎、護(hù)理和觀察“種植”皮膚的存活情況。1周后，麗麗鼻部移植的皮瓣顏色正常，標(biāo)志著皮膚“種植”成功。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">后期，醫(yī)院整形科主任醫(yī)師宋驍軍應(yīng)用科醫(yī)人CO2激光設(shè)備，對(duì)麗麗進(jìn)行疤痕治療，作為全市首批引進(jìn)的一線疤痕治療技術(shù)，可顯著改善疤痕外觀。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">治療時(shí)，醫(yī)生利用機(jī)器在疤痕上“打孔”，一方面調(diào)節(jié)治療參數(shù)可穿透到疤痕深部，產(chǎn)生足夠的熱損傷作用，導(dǎo)致成纖維細(xì)胞凋亡，并啟動(dòng)再生修復(fù)程序；另一方面，在模擬生理濕性愈合環(huán)境中殘存的再生組織細(xì)胞分化、增殖，再生修復(fù)真皮及表皮-真皮結(jié)合部、皮膚附屬器官，形成具有生理功能的皮膚。更為獨(dú)特之處在于：藥物經(jīng)激光孔滲透到疤痕深部，使得激光創(chuàng)面愈合由過(guò)去的平面愈合轉(zhuǎn)變?yōu)楝F(xiàn)在的立體三維愈合。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院醫(yī)生按照組織損傷類型，在最大限度恢復(fù)其完整性和生理功能的基礎(chǔ)上，輔以現(xiàn)代激光疤痕治療技術(shù)，盡可能達(dá)到無(wú)或減少瘢痕增生、色素沉著、色素缺失，使修復(fù)部位外形達(dá)到或基本符合美學(xué)要求。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;"> mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">“開(kāi)心！滿意！”如今不用戴口罩，鼻尖又恢復(fù)良好，麗麗一家心懷感激，終于可以無(wú)憂的學(xué)習(xí)生活了。mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">（mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">宣傳科mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">）mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
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九院人有召必應(yīng)，同心抗疫，溫暖前行

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">2月22日15:00，濱湖區(qū)榮巷街道全員核酸檢測(cè)任務(wù)正式開(kāi)始，mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院170余名黨員干部和醫(yī)護(hù)聞令而動(dòng)，火速集結(jié)，奔赴太康、桃園、龍山、榮巷等社區(qū)，43個(gè)點(diǎn)位一一到崗，承擔(dān)4萬(wàn)余居民的核酸采樣工作。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
mso-font-kerning:1.0000pt;">一場(chǎng)迅速高效的全面布控mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
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mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">疫情“集結(jié)號(hào)”是共克時(shí)艱的召喚，九院“大白”們半天時(shí)間要配合完成榮巷街道全員核酸采樣。面臨居民人數(shù)多、情況復(fù)雜等實(shí)際困難，mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">院黨政快速反應(yīng)、科學(xué)精準(zhǔn)地全面部控。2月21日，醫(yī)院組織九院“一辦七組”召開(kāi)專項(xiàng)工作部署會(huì)，黨委書(shū)記芮永軍主持會(huì)議，明確工作總體要求，副院長(zhǎng)薛明宇作具體工作布置。會(huì)議傳達(dá)了上級(jí)通知要求，明確院防控辦對(duì)支援工作進(jìn)行統(tǒng)一指揮、協(xié)調(diào)，170人精準(zhǔn)布局，確保采樣任務(wù)有序開(kāi)展。mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
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mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">薛院長(zhǎng)指出，此次支援工作是濱湖區(qū)落實(shí)當(dāng)下防控工作的重要一環(huán)，更是全面排查疫情風(fēng)險(xiǎn)的有效舉措。全院上下必須統(tǒng)一思想，積極行動(dòng)。一是要統(tǒng)一行動(dòng)聽(tīng)指揮，“一辦七組”配合到位，院領(lǐng)導(dǎo)分成七個(gè)條線到各點(diǎn)位指導(dǎo)工作，組長(zhǎng)為現(xiàn)場(chǎng)責(zé)任人，確保規(guī)范操作。二是疫情防控和院內(nèi)診療救治“兩手硬”，統(tǒng)籌安排好院內(nèi)工作，暢通環(huán)節(jié)，尤其是急診、臨床重危病人的救治要快速應(yīng)對(duì)，確保安全。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">芮院長(zhǎng)強(qiáng)調(diào)，疫情防控工作中，防控辦要緊握“指揮棒”，及時(shí)與各層面、各點(diǎn)位保持有效溝通；外出的每一位都要注意交通、現(xiàn)場(chǎng)溝通與處置、自身防護(hù)、保暖等方方面面的安全。大型現(xiàn)場(chǎng)實(shí)戰(zhàn)是對(duì)個(gè)人能力的一次鍛煉，也是檢驗(yàn)醫(yī)院組織協(xié)調(diào)應(yīng)對(duì)水平的“試金石”，希望每個(gè)人都要勇?lián)姑瑘?jiān)持以“人民至上，生命至上”的職業(yè)要求投身到疫情防控工作中去，展示九院人應(yīng)有的社會(huì)責(zé)任擔(dān)當(dāng)。mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
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mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
mso-font-kerning:1.0000pt;">一次精準(zhǔn)對(duì)接的默契配合mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">各奮愚公之愿，即可移山。出戰(zhàn)在即，院感科組織采樣標(biāo)準(zhǔn)操作、防護(hù)服規(guī)范穿脫的再培訓(xùn)，保證專業(yè)應(yīng)對(duì)；防控辦迅速調(diào)控，第一時(shí)間提供物資配；護(hù)理部整理出任務(wù)清單和工作須知，下發(fā)至組長(zhǎng)，做好進(jìn)一步細(xì)化工作；43位組長(zhǎng)連續(xù)兩天、先后兩次提前到相應(yīng)點(diǎn)位踩點(diǎn)聯(lián)系，與社區(qū)對(duì)接；宣傳科全員出動(dòng)，成為逆行中的特殊“戰(zhàn)士”，以另一種姿態(tài)奔波于各點(diǎn)位，記錄九院抗疫故事和全景畫(huà)面，傳遞九院人戰(zhàn)勝疫情的信心與決心。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
mso-font-kerning:1.0000pt;">一支召之即來(lái)，來(lái)之即戰(zhàn)的硬核隊(duì)伍mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">沒(méi)有從天而降的英雄，有的只是“平凡天使”的用心守護(hù)。接到榮巷全員檢測(cè)指令，許多mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">我院mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">醫(yī)護(hù)剛從其他外派點(diǎn)歸來(lái)，來(lái)不及休整，又義無(wú)反顧迅速投入新的戰(zhàn)斗。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">22日當(dāng)天下午1點(diǎn)，九院“大白”們4人一組到達(dá)各自點(diǎn)位準(zhǔn)備就緒。85名護(hù)士、73名醫(yī)生、12位職能科室工作人員迅速站位。固定點(diǎn)位采樣每做完一個(gè)咽拭子，要用冰冷的酒精進(jìn)行手部消毒，5個(gè)多小時(shí)采樣后的手早已紅腫地像從冰水里撈出；負(fù)責(zé)上門(mén)為居家隔離、次密接人員、居家健康監(jiān)測(cè)人員采樣，部分小區(qū)沒(méi)有電梯，就靠上下樓爬梯到居民家中，而遇到年紀(jì)小的幼童或坐輪椅的老人，更需要蹲下身子溫柔引導(dǎo)，高強(qiáng)度的工作量導(dǎo)致有腰疾復(fù)發(fā)的，也有膝蓋腫脹的，但無(wú)怨無(wú)悔。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">疫情就是命令，防控就是責(zé)任。關(guān)鍵時(shí)刻，亮身份、見(jiàn)行動(dòng)，在春寒料峭的戶外，在各核酸采樣點(diǎn)，九院人不畏寒風(fēng)，堅(jiān)持到夜幕深沉，成為守護(hù)這座城市溫暖的亮光。mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">

mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">冬將盡，春不遠(yuǎn)。向這座城市的每一位抗疫戰(zhàn)士致敬！

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mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">（宣傳科mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">）mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times  New  Roman';font-size:10.5000pt;
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