H****8 发帖数: 277 | 1 【 以下文字转载自 NextGeneration 讨论区 】
发信人: HP2008 (RU!), 信区: NextGeneration
标 题: 宝宝得了reflux laryngitis求助
发信站: BBS 未名空间站 (Fri Oct 9 16:39:15 2009, 美东)
1月多的宝宝,生下来嘴巴就老是张开的,鼻子呼哧呼哧的。
宝宝食欲不错,吃奶急。以前都好,最近喂奶,经常咳嗽,吐奶。
医生开始说是reflux,但是宝宝回奶没啥泛酸的症状,LD一直觉得是鼻子有问题
今天要求医生做个五官的详细检查,用探头。
医生看了喉部,说是reflux laryngitis
反流性喉炎,给开了zindac,说是缓解症状而已。
让2月后再看看,孩子长大了会好些。
这个是先天的嘛,怎么治啊,和一般的reflux好些不一样
小宝宝对吃奶一直到很热情。。。,sigh |
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H****8 发帖数: 277 | 2 thanks,
这是宝宝版上一般说的那种reflux嘛,还是专门的一种 laryngitis啊
今天医生专门用个设备塞进鼻子里面看的整个五官。说看到了。。什么
然后给开了些药,说只能让他feel better,不能根治,要看小宝长2-3月的情况
.
the
put |
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g*****j 发帖数: 1211 | 3 It is the same reflux. I think your doctor believes that his laryngitis is
caused by the reflux of stomach content into the oral pharynx and aspirated
into the larynx. Aspiration is a common complication for reflux, and it can
potentially cause pneumonia. |
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O**J 发帖数: 475 | 4 Try an Otolaryngologist/ear nose throat specialist. Here is what some mouth
-related conditions this specialist treats:
Tonsil problems
Throat cancer
Thyroid gland problems
Salivary gland problems
Chronic laryngitis (type of Laryngitis)
Acute laryngitis (type of Laryngitis)
Taste disease
Throat pain
Swallowing difficulty
Voice problems
Laryngeal nerve palsy
Facial paralysis
Vertigo
Menier's disease
Barotraumas
Allergies
Foreign bodies
Retropharyngeal abscess
Peritonsillar abscess
Hoarseness
Sin... 阅读全帖 |
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s*********a 发帖数: 801 | 5 看到后面的那个链接,终于明白你在说什么了。
我还以为你很专业呢,你怎么也不研究一下就人云亦云呀。
- 声明一下,不是我译的。不过,就算“心脏”错用在“aortic arch”,对全
文无伤大雅。
vagus nerve 到 aortic arch 那里分叉,分出一条recurrent laryngeal nerve,正好
在主气管的下端,由下往上,控制颈部肌肉。有什么问题吗?
你贴的那个文章一开头就错了,什么绕过心脏,明明是在主动脉那里分出的支神经,你
最好量量看有多长,再决定是不是绕了弯路,可别把vagas nerve也一块儿量进去了。
我估计你贴的文章里就把vagas nerve也当recurrent laryngeal nerve算了。
- 有问题,recurrent laryngeal nerve 的 nucleus (nuclei) 在哪里?
superior laryngeal nerve 在哪里从 vagus nerve 分叉处来的?同是通向 larynx,
为什么一条直接连接,另外一条拐了一个弯?recurrent laryngeal nerve 是控制“颈
... 阅读全帖 |
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E******r 发帖数: 40 | 6 喉炎 is laryngitis. You can start with telling your symptoms like sore throat,
lots of sputum (痰), difficulty in swallowing, enlarged tonsil (bian tao ti),
etc. And then you can say like, "I am not sure if it is laryngitis or
tonsillitis". |
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l*h 发帖数: 4124 | 7 I think I need to clarify what I meant in the other post:
喉部肉芽肿 is common and I DO think it is possible this is a 喉部肉芽肿.
What makes people mad is the contradictory description by the surgeon and
the pathologist. Additional questions are:
1. the vast majority of laryngal granulomas can be resected fairly
completely, unless it is too big and gets deep into the vocal cords. so don'
t know why the surgeon says 由于她长的是肉芽组织且是良性,据国内的医生说不太
好治疗.
2. what was actually done? what's the use of 氩氦刀 here? "氩氦刀进... 阅读全帖 |
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b********g 发帖数: 2156 | 8 看到后面的那个链接,终于明白你在说什么了。
我还以为你很专业呢,你怎么也不研究一下就人云亦云呀。
vagus nerve 到 aortic arch 那里分叉,分出一条recurrent laryngeal nerve,正好
在主气管的下端,由下往上,控制颈部肌肉。有什么问题吗?
你贴的那个文章一开头就错了,什么绕过心脏,明明是在主动脉那里分出的支神经,你
最好量量看有多长,再决定是不是绕了弯路,可别把vagas nerve也一块儿量进去了。
我估计你贴的文章里就把vagas nerve也当recurrent laryngeal nerve算了。
另外,这文章说是美国教授的文章翻译过去的,我找了半天没找到原文,你能找到吗?
我想看一下。 |
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b********g 发帖数: 2156 | 9 就算你证明了喉返神经走的不是最近的路,也不代表这种设计是不好的,这样的设计一
定有自己的理由,就象人体中其他没有走最近路线的神经一样。当然更不能证明这
与进化论有关。
原来关于这个的争论由来已久,我随便找找就能找到反驳的文章,你们继续争论吧,我
就不再参与了。不过你的这个话题帮我学到一些新的生理学知识,算是收获吧。
http://www.icr.org/article/5512/
The left recurrent laryngeal nerve is not poorly designed, but rather is
clear evidence of intelligent design:
•Much evidence exists that the present design results from
developmental constraints.
•There are indications that this design serves to fine-tune laryngeal
functions.
•The nerve s... 阅读全帖 |
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e****0 发帖数: 678 | 10 • leukemia
ALL AML CLL
child adult elderly
BM lymphoblasts 25%myeloblasts
lab Lymphocyte 5000, mature-appearing cells
• Osgood-schlatters disease
Adolescent male athletes
Traction apophysitis—quadriceps tendon put the traction on the
apophysis of the tibial tubercle where patellar tendon inserts.
A firm mass =heterotopic bone formation
Pain can be reproduced by extending the kne... 阅读全帖 |
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s******v 发帖数: 477 | 11 multiple system atrophy 的治疗问题:
does the patient has laryngeal stridor? Laryngeal stridor is one of the
mechanism of MSA sudden death. It should be treated either with CPAP or
tracheostomy.
Stridor is different from snoring. If you can not tell the differences
between stridor and snore, search youtube. |
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d*****u 发帖数: 17243 | 12 汉语拼音的h,大部分时候是舌根和咽部摩擦,学名叫velar,国际音标[x]
英语的h,是喉部摩擦,学名叫laryngeal,国际音标[h]
一听就能听出差别
上海话的h有点接近英语 |
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T**********e 发帖数: 29576 | 13
是4
这很多是以前的看法,像泥人以前被画成黑发暗肤,基本按照白人对原始人非洲人的印
象构建的。现在基因分析知道是金发和红发和白皮肤,还有发音器官的说法也根据化石
新发现有所改观。近年考古和基因分析对泥人的认识变化很
大,现在认为泥人在十几万年前就在地中海驾驶海船,到达远岸的岛屿。
The idea that Neanderthals lacked complex language was once widespread,
despite concerns about the accuracy of reconstructions of the Neanderthal
vocal tract, until 1983, when a Neanderthal hyoid bone was found at the
Kebara Cave in Israel. The hyoid is a small bone that connects the
musculature of the tongue and the larynx, and by bracing these structures... 阅读全帖 |
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发帖数: 1 | 14 11 月13日 终于找到另一股在我家害我的势力
昨天,这些人折腾了一天,白天,晚上皮啦啦,也不知道谁把谁杀了,谁把谁带走了。
反正我先生和孩子被绑架了,就不知道是不是已经遇害了。我本来是打算睡觉的,但他
们头上,地下装电磁波攻击器,让我几乎窒息。虽然我没倒下,但其实他们在我身上扎
的毒针已经蔓延,我能感觉到我的呼吸有窒息的感觉。我想我对他们已经非常仁慈了,
但他们不依不饶地攻击我,欲置我于死地,让我非常生气,特别是肆意伤害我家里的人
,绑架我先生和孩子,而且有许许多多无辜的生命毁于他们之手,有必要把他们曝光。
当然我还没分析这里边是那几个人具体攻击我,伤害我的,但他们显然都是一伙的。鉴
于他们伤害我的头部,胸部 和胃部,我就把这几部分的医生都曝光,受害者慢慢去调
查,追查他们吧。
Cleveland Clinic, Website: my.clevelandclinic.org
Call 855. REFER. 123 or 855.733.3712
Lung Cancer
Results: 57 Doctors
PREV123NEXT
Results per page:
Dav... 阅读全帖 |
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n******5 发帖数: 1990 | 15 1- James McDougal – Clintons convicted Whitewater partner died of an
apparent heart attack, while in solitary confinement. He was a key witness
in Ken Starr’s investigation.
2 – Mary Mahoney – A former White House intern was murdered July 1997 at a
Starbucks Coffee Shop in Georgetown .. The murder happened just after she
was togo public w:th her story of sexual harassment in the White House.
3 – Vince Foster – Former White House councilor, and colleague of Hillary
Clinton at Little Rock’s Rose L... 阅读全帖 |
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c********i 发帖数: 1489 | 16 47 - John Ashe - Ashe, 61, died of injuries while lifting a barbell on a
bench, the Westchester, New York, medical examiner's office [said]. Earlier
U.N. spokesman Dan Thomas told CNN that Ashe died of a heart attack. He now
tells CNN that the information came from a newspaper report in Antiqua, as
well as a former colleague of Ashe's. The medical examiner clarified Ashe
died from traumatic asphyxia and suffered laryngeal fractures while lifting.
John Ashe was set to testify against Hillary Clin... 阅读全帖 |
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h*********k 发帖数: 30 | 17
侯炎laryngitis
我前几天也这样根本发不出声,开始还以为是吃辣的给吃没声了, 后来才知道不是辣害的。
如果是候炎应该不怎么疼的,(不象扁桃炎那么疼),你用盐温水咕噜咕噜每天两三次,
吃点清音丸,响声丸,金嗓子片什么的,尽量少说话,但不要whisper,那样会损嗓子的,
吃清音丸时晗在喉里局部镇压侯炎, 比吞服功力强多了。今天已经开始有点声音了,
希望你早些好。别忘了多喝水,多用盐水咕噜。//bestwishes |
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l******i 发帖数: 73 | 18 No way she could have cancer now.
From the blood test, I could only see that her white blood cell ( WBC) is a
little bit lower than normal. But since she is female and females have lower
WBC count than males, she's not anemic at all. Most likely she has chronic
laryngitis due to some viral or bacteria infection. |
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f******I 发帖数: 769 | 19
your concern for airway protection is duely noted and quite appropriate,
angioedema and urticaria do occur together, about 40 or 50% of time? but not
always necessarily laryngeal edema and airway compromise, lots of them just
a swallon tongue or lips or eye socket,
i'd think that when one had time to serf internet would not be in any
respiratory distress, |
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f******I 发帖数: 769 | 20
i don't think anybody could really help through internet without able to
exam you in detail,
the only neck pain that could be potentially serious that i could think of
is carotid disection but you didn't mention anything else that lead to that
diagnosis,
maybe you need to get a CT of the neck and also an ENT evaluation with a
laryngeal scope or something like that, |
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g***r 发帖数: 285 | 21
GERD/laryngopharyngeal reflux is an excellent thought, majority of people
have a mild degree of reflux during sleep, and even a mild degree of
aspiration, you don't really needs to be very much symptomatic like having
heart burns everyday,
you did not provide enough details, but chronic sinusitis can be another
source of irritant,
you can make an appointment with an ENT doctor to get a laryngeal scope and
see, |
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g*****j 发帖数: 1211 | 22 It is not uncommon to see reflux (GER - gastroesophageal reflux) in babies.
The cause of reflux is often due to immaturity of the nervous system in the
esophageal sphincter.
Make sure that you burp your baby really well after each feed, and don't put
him in bed immediately. Reflux and aspiration can cause respiratory
symptoms.
The good news is that most baby outgrow their reflux. |
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t*******n 发帖数: 4445 | 23 Sounds like laryngitis. Drink lots of water should help. Talking or even
whispering will only lengthen the recovery time :-(
Use a pad & pen if necessary. Can you get text-to-speech feature on your
phone for a while? |
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t*******n 发帖数: 4445 | 24 can be used for suppressing inflammation in laryngitis
short-term use is unlikely to be harmful, and you don't have to take it... |
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i********n 发帖数: 171 | 25 有审稿意愿的请发送你的CV到[email protected]/* */并告知你希望审稿的文章编号
请有时间愿意多审几篇的也可以,只要你能保证质量,之前有些审稿人有些敷衍,希望
大家能认真对待。谢谢合作。
1. Comparative assessment of cytotoxic effect of Cuban and Brazilian
propolis in human laryngeal epidermoid carcinoma cells
2. Role of PI3K/AKT/mTOR signaling pathway in ostearthritis by regulating
articular chondrocytes autophagy in rats
3. CREB knockdown inhibits growth and induces apoptosis in human pre-B
acute lymphoblastic leukemia cells through inhibition of prosurvival sig... 阅读全帖 |
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t*******r 发帖数: 22634 | 26 << Discover Your Voice >> P 219
Distortion of facial muscles. Concentration and mental
conceptions of hard work may be reflected in facial contortions,
much as a child learning to write will move his
mouth and cheeks, squint his eyes and raise his eyebrows.
Such contortions (although they are entertaining)
can inhibit free laryngeal adjustments. (See Chapter XVII.) |
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D*****r 发帖数: 6791 | 28 我灌水灌太快了,没看清楚,不好意思。所长原句的确有歧义的,我看成“神的创造|
目的是……”,而他原意是“神的|创造目的是……”
下面来看这个问题:如果神的创造目的是为了荣耀神?那有一个例子:长颈鹿和人类身
上都有一条控制声带的神经(laryngeal nerve),这条神经从脑袋出发,然后绕到心脏
,又回到声带,去控制肌肉。
对于长颈鹿来说,从脑袋出发,经过巨长的脖子,下行到心脏,再原路回去,控制声带。
上帝这么创造的目的是什么?是为了荣耀? |
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D*****r 发帖数: 6791 | 29 不好意思,我刚开始误解了你的话。
如果说神的创造目的是荣耀神。
那么祂的创造之一,人的控制喉头的神经(laryngeal nerve),下行到心脏,然后再
回到喉头,目的是什么?尤其长颈鹿身上也有这条神经,长颈鹿脖子那么长,上帝这么
创造的目的是为了荣耀? |
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D*****r 发帖数: 6791 | 30 神创论能解释"how" and "why"?
那你来解释解释长颈鹿的喉返神经recurrent laryngeal nerve,为什么要从头出发,
下行到心脏再上行到声带?
The |
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D*****r 发帖数: 6791 | 31 Do you know the nature of historical sciences? Why do you keep talking about
well-controlled environment?
It is a reasoning backwards. And evolution theory is useful in explaining
fossils and predicting new fossils and it is a body of knowledge consistent
with the rest of the biology and the rest of science.
Can creationism answer "how and why" questions? try to answer this:
Why does the recurrent laryngeal nerve (the nerve connected to the voice box
) in giraffes goes all the way down to the he... 阅读全帖 |
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D*****r 发帖数: 6791 | 32 Thank you, Lord, for cancer, flu,
For athlete’s foot and typhus too.
Your wondrous world with birth defects,
And ticks and strokes is so complex.
I marvel at your pedophiles,
And mumps sure does elicit smiles.
Your greatest feat -- the tornadoes
Are right up there with lava flows.
I simply love my varicose veins,
And thank you for the hurricanes.
The miracle of gum disease
Goes hand-in-hand with cavities.
My urinary incontinence
Compliments my flatulence.
Chickenpox is a grand thing,
As is, I f-... 阅读全帖 |
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s*********a 发帖数: 801 | 33 http://www.guokr.com/article/38500/
闻菲发表于2011-05-31 17:32:47
我们都知道进化论,可怎么证明进化是真的呢?美国芝加哥大学生态与进化系的教授杰
里·柯尼写了本《生物进化的证据》来解答这一问题。下文中,柯尼博士以人体控制吞
咽的神经——喉返神经为例,将进化的奇趣历程娓娓道来~(文/杰里·柯尼)
要证明进化论,最为形象的例子不是你同桌长得像大猩猩,而是我们脖子里那条迂回曲
折的“喉返神经(recurrent laryngeal nerve, RLN)”。喉返神经是大脑控制咽喉运
动的神经,我们说话和吞咽都离不开它。这喉返神经行走不易:它从脑干伸出来,放着
直达咽喉的近路不走,偏要往下延至心脏,绕过主动脉再折返回来。这一招曲线救国不
可不谓“扣人心弦”:
【图1】 人体左侧喉返神经示意图。大脑发出的吞咽信号经由迷走神经传到喉返神经,
绕过心脏后才能到达喉部,控制喉部肌肉完成吞咽动作。
喉返神经:进化出的弯路
如若人真是造物主所造,喉返神经当属其最糟糕的手笔。当然啦,人并不是凭空设计出
来,而是从远古的祖先进化而来。不仅如此,我们身上各个... 阅读全帖 |
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m***d 发帖数: 441 | 35 Recurrent Laryngeal Nerve Injuries After Esophagectomy |
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s******t 发帖数: 579 | 36 I don't think Recurrent laryngeal nerve goes down to abdomen. It stops in
chest. |
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r********1 发帖数: 2 | 37 Hoarseness is generally caused by irritation of, or injury to, the vocal
cords. T
Hoarseness can be caused by a number of conditions. The most common cause of
hoarseness is acute laryngitis (inflammation of the vocal cords) caused by
an upper respiratory tract infection (usually viral), and less commonly from
overuse or misuse of the voice (such as from yelling or singing).
Other causes of hoarseness include:
benign vocal cord nodules or polyps,
gastroesophageal reflux (GERD),
allergies,
inhalat... 阅读全帖 |
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m******r 发帖数: 1904 | 38 ☆─────────────────────────────────────☆
maldi (dot) 于 (Tue Apr 24 14:01:39 2012, 美东) 提到:
The new version of CS FA (4th version) has three new cases.
1. 62-year-old man with hoarseness
2. 67-year-old woman with neck pain
3. 11-month-old girl with seizures
Is there somebody who can share the detail of these cases with us? thanks
☆─────────────────────────────────────☆
meihuaduoduo (meihua) 于 (Tue Apr 24 20:29:26 2012, 美东) 提到:
I only have the DDs and workups for these 3 cases and also for... 阅读全帖 |
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h******n 发帖数: 52 | 39 看看这个广告,合适不
Job Posting Number: 25498BR
Job Posting Title: Senior Research Technologist - Laryngeal Regeneration -
Limited Tenure
Job Posting Category: Research
Work Site: AZ - Scottsdale Campus
Department: Research
Job Description
Independently sets up and performs experiments and procedures in support of
lab goals and grant commitments (e.g. assays, cell/tissue culture, animal
studies, etc.). Contributes to the planning, design and modification of
studies and experiments in the research lab set... 阅读全帖 |
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f*********1 发帖数: 189 | 40 An old patient with PMH of laryngeal cancer, now presents with left upper
quadrant pain. What differential diagnosis is on your list?
A lot of Pictures are going to come back later. |
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f*********1 发帖数: 189 | 41 first picture is the original laryngeal cancer
2nd picture is the patient's CT CAP s/p largngeal ca treatment.
Do you find something wrong with this patient? |
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R*******t 发帖数: 367 | 42 There is case report of laryngeal adenocystic carcinoma metastasized to the
spleen. I guess it is rare but not impossible, and mets in this case can't
be excluded either. |
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A*******s 发帖数: 9638 | 43 laryngitis or bronchitis, 也可能有growth, 建议做个镜子看看, 先看ENT再看
pulmonology。 |
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s*******h 发帖数: 565 | 45 请问这个Reflux laryngitis会在控制胃酸的情况下自愈吗?
那个ENT的大夫给了我一张纸,写着一些饮食,生活上的注意事项,但没有给我除了
Aciphex之外其他的药物。 |
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A*******s 发帖数: 9638 | 46 最近网上经常有一些医学问题,因为HIPPA的限制,我觉得直接回答具体病人的提问是
不能接受的,但针对某个疑难病例的讨论应该符合到版上来的医生的利益,所以我觉得
可以开展一下这样的活动,需要强调的是,所有病例都会被修改得面目全非,所以即使
病人或家属认为这个讨论有他们的影子,讨论内容只能用来学习和借鉴,不能用来照搬
, 否则后果自负。
我建议网友有疑难病例请先寄给版务,由他们修改后发表。
我先开个头,下面的病例已经修改:
【简单病历】
性别:女 年龄:48 1年前发现眼睛睁不开,在某医学院附属医院怀疑梅氏综合症(
Meige's syndrome)现面部、颈部、嘴部均不自主痉挛抽动,放松平躺时症状减轻,每
次抽动时,颈部大筋变硬,类似于人哭泣到极致时的啜泣,吃饭收到影响,容易在咀嚼
食物时突然不自主吸气。曾于北京多家医院多次注射Botox,均无显著效果,现服用药
物为:盐酸苯海索(Artane)每日一片、氟哌啶醇片(Haloperidol)每日一片。因该类
药品对记忆力有可能产生不了影响,曾试图停药,但一旦停药抽搐的就更加厉害。
【第二诊断治疗意见】
很同情这些病人的痛苦, 诊断不想多评... 阅读全帖 |
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w******y 发帖数: 4871 | 47 GENERAL ANESTHESIA
Induction — If examination of the upper airway suggests that intubation
will not be problematic, the following sequence is used for providing
general anesthesia to the gravida:
•A nonparticulate antacid is generally given preoperatively to
alkalinize gastric contents. Some practitioners also administer
metoclopramide or an H2 blocker as prophylactic measures to minimize the
risk and severity of aspiration (see 'Reduction of gastric acidity/volume'
above).
•Just pri... 阅读全帖 |
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c****t 发帖数: 348 | 48 A sore throat may be one of the first signs of a respiratory disorder, or it
may develop in the secondary stages of an infection as a result of mucus being
continually coughed up. Loss of voice (laryngitis) may also occur.
USEFUL OILS
Sandalwood, clary sage, and lavender are all soothing oils and excellent for a
dry, sore throat, while the addition of such antiseptic oils as lemon,
geranium, or tea tree may help to fight infection. Include eucalyptus,
peppermint, and Atlas cedarwood where mucus |
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