{"nowTime30":1777701896388,"lyBarModerator":null,"metaSearch":{"description":"骨科手术前，要准备和注意的有很多，并且，在骨科手术前还是要咨询患者贫血、早搏的，下文中的事件：走进双心诊室的，是一位双下肢行动不便的中年女性患者。患者：觉得有点心慌，自己摸了发现有早搏，做了超声和Holter。胡大一教授：多久了？患者：5月8日发现的。20多岁的时候也有过早搏，但是很少。这一两年也有","keywords":"骨科手术前准备_洞医","title":"骨科手术前准备_洞医","channels":null},"identificate":{"id":"5a3adeaa985911e8972100163e0462f1","isDel":0,"createAt":1533437016805,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","realName":"周鑫","certifiedStatus":2,"phone":"15525873223","email":"langlixunta@163.com","hospitalId":"14629","departmentId":"2035","illName":"","illId":"ac6f137def9411e7a3d800163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1533437073284.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"内分泌科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1833","isDel":0,"createAt":1483430779257,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"骨折","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"3dc550f3badb11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:骨折论坛_病友交流平台_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"骨折论坛_病友交流平台_病友论坛\",\"title\":\"骨折论坛_病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:骨折最好的治疗方法_骨折怎么治疗_骨折不治疗会怎么样等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"骨折最好的治疗方法_骨折怎么治疗_骨折不治疗会怎么样\",\"title\":\"骨折最好的治疗方法_骨折怎么治疗_骨折不治疗会怎么样\"},\"症状\":{\"description\":\"为您提供:骨折的症状_骨折的表现症状有哪些_骨折后有什么样的症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"骨折的症状_骨折的表现症状有哪些_骨折后有什么样的症状\",\"title\":\"骨折的症状_骨折的表现症状有哪些_骨折后有什么样的症状\"},\"并发症\":{\"description\":\"为您提供:骨折后遗症_骨折的并发症有哪些_骨折早期的并发症是等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"骨折后遗症_骨折的并发症有哪些_骨折早期的并发症是\",\"title\":\"骨折后遗症_骨折的并发症有哪些_骨折早期的并发症是\"},\"饮食\":{\"description\":\"为您提供:骨折吃什么营养品_骨折后吃什么好_骨折后不能吃什么等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"骨折吃什么营养品_骨折后吃什么好_骨折后不能吃什么\",\"title\":\"骨折吃什么营养品_骨折后吃什么好_骨折后不能吃什么\"},\"病因\":{\"description\":\"为您提供:骨折的病因有哪些_引起骨折的原因_\\t导致骨折的原因等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"骨折的病因有哪些_引起骨折的原因_\\t导致骨折的原因\",\"title\":\"骨折的病因有哪些_引起骨折的原因_\\t导致骨折的原因\"},\"病友求助\":{\"description\":\"为您提供:骨折后怎样恢复得快_骨折不愈合怎么办_让自己骨折的最好方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"骨折后怎样恢复得快_骨折不愈合怎么办_让自己骨折的最好方法\",\"title\":\"骨折后怎样恢复得快_骨折不愈合怎么办_让自己骨折的最好方法\"},\"预防\":{\"description\":\"为您提供:怎样预防骨折_骨折伤害如何预防_骨折预防血栓最佳方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"怎样预防骨折_骨折伤害如何预防_骨折预防血栓最佳方法\",\"title\":\"怎样预防骨折_骨折伤害如何预防_骨折预防血栓最佳方法\"}},\"description\":\"为您提供:骨折不愈合有什么症状_骨折愈合时间_骨折病人吃什么好的快_骨折病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"骨折不愈合有什么症状_骨折愈合时间_骨折病人吃什么好的快\",\"title\":\"骨折不愈合有什么症状_骨折愈合时间_骨折病人吃什么好的快\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"3596","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"骨折的预防须知","content":"<p>骨折的发生通常伴有剧烈的疼痛，导致运动受阻，并且还会出现淤血，红肿，后果十分严重，那么，我们该怎么预防呢？下面就来说说骨折的预防措施。</p><p>　　<strong>1、要养成良好的生活习惯</strong></p><p>　　有长期吸烟，过量饮酒，少动多坐及低钙饮食等不良生活习惯的人，容易在老年后发生骨质疏松。所以要不抽烟，少喝酒，不喝浓茶，不食用过多的高蛋白食品。</p><p>　　<strong>2、外在保护器</strong></p><p>　　最近报告显示外戴的髋部保护器可以有效的降低人因跌倒造成髋部骨折的机会。这也属于骨折的预防措施。</p><p>　　<strong>3、鼓励适当的活动</strong></p><p>　　适度的运动一方面可以强化骨骼强度，另一方面也可以保持肌力和良好的平衡感，减少跌倒发生的机会。这也是骨折的预防方法之一。</p><p>　　<strong>4、居家安全</strong></p><p>　　百分之七十五的跌倒发生在自己的家中，尤其是浴室、厨房等地方。提供一个安全的居家环境对降低骨折的产生是非常重要的。这种骨折的预防是比较常见的。</p><p></p>","barId":"1833","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"2459","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"骨折患者进行锻炼的好处有哪些","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　在我们的身体中，骨头可以说是非常坚硬的一个组成成分了，如果是骨头出现了意外伤害，那么带来的伤痛也肯定是非常大的。大家应该都知道发生骨折是很痛苦的，所以发生骨折以后患者也会积极配合治疗，但是很多患者还是不敢进行任何锻炼，甚至生活中也是小心翼翼，总是怕会影响到骨折的恢复。今天为大家介绍的是骨折患者进行锻炼的好处是什么，希望大家能够了解。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　临床上根据骨折的术后恢复情况可将骨折的锻炼分为早、中、晚三个阶段。早期阶段在骨折后1-2周内，功能锻炼以患肢肌主动舒缩为主，骨折上、下关节暂不活动。目的是促进患肢血液循环，消除肿胀，防止肌萎缩。中期阶段在骨折2周以后，此期比开始进行骨折上、下关节活动。目的是防止肌萎缩和关节僵硬。晚期骨折已达到临床愈合标淮，外因定已拆除。此期继续加强骨折周围及全身关节的活动，促进关节活动范围和肌力的恢复。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　骨折后锻炼非常重要，骨折的治疗并不是简单的复位、固定、等待康复就可以的，锻炼在骨折的治疗中也是有着不小的作用，因此骨折治疗又有&ldquo;三分治疗，七分锻炼&rdquo;的说法。锻炼的好处很多，不但可以帮助康复，还能够让患者更快地恢复健康。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　<strong style=\"color: #333333;\">骨折后锻炼有三大好处：</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　第一，促进消肿、防止关节粘连和僵硬。骨折后，骨折处的软组织一般都有不同程度的出血和水肿，伤肢会出现肿块。肿块如果不及时消除，就会导致相应软组织粘连，甚至变硬。这种粘连还会发生在肌肉与肌腱内、肌腱与滑膜间以及关节内，从而影响肌肉收缩的功能。所以骨折后有很多人都会觉得骨折周围的关节活动得不如以前，有的甚至肿胀出现畸形。而通过功能锻炼就可以避免这种情况的发生。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　第二，促进骨折愈合。通过功能锻炼，伤肢肌肉进行反复舒缩活动，可使骨折纵向挤压力加强，骨折缝隙变小，骨折部更为稳定，可以改善骨折部的营养，促进骨折的愈合。功能练习还可以矫正微小的骨折错位，也有利于骨折的愈合。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　第三，预防血栓形成。长期卧床的骨折病人，肌肉由于没有舒缩运动，血循环会变慢，血液在受损的血管内缓慢流动时易形成血栓。小的血栓可自行溶解，如果血栓较大，从血管壁脱落下来，随血液进入全身循环，可导致心、脑、肺等重要器官梗塞，甚至引起猝死。而通过功能锻炼，可以使伤处周围血管壁的弹性增强，使血液循环通畅，预防血栓形成。</p>\n<p>&nbsp;</p>","barId":"1833","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"10425","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"什么是骨折后遗症","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1515121113313.jpg\" title=\"什么是骨折后遗症\" alt=\"什么是骨折后遗症\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">骨折后，经过治疗调养和休息，一般都能恢复健康状态。有些人也会担心骨折会不会有后遗症，那么骨折有哪些后遗症？</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">骨折在我们的日常生活中，时有发现，可以说是非常常见的一种疾病了，对于骨折的治疗，基本上可以使患者恢复到病前的行动自由，但是这是一个长时间的过程。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">医生表示，虽然骨折是一种可以治愈的疾病，通过治疗后可以恢复行动自由。但是，有些人骨折后确实会留下某种后遗症。在这个治疗过程中，如果患者调养不好，还有可能引发一些骨折后遗症，所以需要患者的格外注意。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">那么骨折治愈后的后遗症有哪些呢</span>?</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">1、损伤性关节炎</span></strong></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">由于骨折愈合不好，长期活动导致关节磨损，这时候就易引起损伤性关节炎，损伤性关节炎会让关节一在运动时就会出现疼痛。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">2、关节僵硬</span></strong></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">如果大家关注骨折的后遗症有哪些</span>?关节僵硬应该算是比较常见的一个了。关节僵硬这种骨折后遗症，主要是因为患肢长时间因定，静脉和淋巴回流不畅，关节周围组织中浆液纤维性渗出和纤维蛋白沉积。发生纤维粘连。并伴有关节变和周围肌挛缩，致使关节活动障碍。及时拆除固定和积极进行功能锻炼是预防和治疗关节僵硬的有效方法。推荐阅读：骨折的急救措施是什么 如何进行康复治疗</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">3、缺血性骨坏死这种骨折后遗症</span></strong></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">缺血性骨坏死这种骨折后遗症，是由于骨折使某一骨折段的血液供应被破坏，而发生该骨折段缺血性坏死。常见的有腕舟状骨骨折后近侧骨折段缺血性坏死。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">4、急性骨萎缩</span></strong></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">急性骨萎缩这种骨折后遗症，即损伤所致关节附近的病性骨质疏松，亦称反射性交感神经性骨营养不良。这种骨折后遗症，多发于手、足骨折后，典型症状是疼痛和血管舒缩紊乱。</span></p><p><br/></p>","barId":"1833","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"13291","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"骨折需要在恢复时注意什么","content":"<p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">脚踝据摔伤的那一天已经第</span>16天了，石膏有明显松动，接骨药已经吃了2盒了， 120片了。但是伤口未见有什么反应？请问怎么样才能帮助恢复的快一点？回复完了需要注意什么？跑步或者打篮球的时运动时间有没有限制啊？谢谢各位了！</span></p><p><br/></p>","barId":"1833","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":7},{"id":"9769","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"2岁男童撞墙身亡 身世复杂被妈妈终结生命。","content":"<p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;&nbsp;</span>　<span style=\"font-size:16px;line-height:200%\">12</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">月</span><span style=\"font-size:16px;line-height:200%\">20</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日晚，</span><span style=\"font-size:16px;line-height:200%\">2</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">岁男童鑫鑫（化名）去世的消息，因为一则“讣告”散布开来。一男子以孩子父亲的名义在“讣告”中称，鑫鑫</span><span style=\"font-size:16px;line-height:200%\">12</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">月</span><span style=\"font-size:16px;line-height:200%\">2</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日被亲生母亲李丽（化名）杀害，然后欺骗他说“孩子在上个月掉了”。事发后，李丽两度自杀未遂，最终向警方交代犯罪经过。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1514103969511.jpg\" title=\"2岁男童撞墙身亡 身世复杂被妈妈终结生命。\" alt=\"2岁男童撞墙身亡 身世复杂被妈妈终结生命。\" width=\"185\" height=\"300\"/></span></p><p style=\"line-height:200%\">　　<span style=\"font-size:16px;line-height:200%\">21</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日晚，资阳警方通报称，</span><span style=\"font-size:16px;line-height:200%\">12</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">月</span><span style=\"font-size:16px;line-height:200%\">2</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日晚，李丽在生气状态下，推了儿子鑫鑫一下，鑫鑫头部撞墙。</span><span style=\"font-size:16px;line-height:200%\">3</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日</span><span style=\"font-size:16px;line-height:200%\">6</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">时许，李丽起床习惯性亲吻儿子时，才发现儿子身体冰冷，没有了呼吸。随后，她伙同一名男性好友将鑫鑫抛尸荒野。目前，李丽因涉嫌故意伤害罪被刑拘，其男性好友唐某涉嫌侮辱尸体罪被刑拘，案件仍在进一步侦查中。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1514103811714.jpg\" title=\"2岁男童撞墙身亡 家属接受采访\" alt=\"2岁男童撞墙身亡 家属接受采访\" width=\"399\" height=\"248\"/></span></p><p style=\"line-height:200%\">　　<span style=\"font-size:16px;line-height:200%\">2</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">岁的鑫鑫不是一个正常家庭出生的孩子，出生</span><span style=\"font-size:16px;line-height:200%\">5</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">天后，便被寄养在一个陌生的婆婆家里。两个月前，他刚刚回到亲生妈妈的身边，还未明白自己复杂的身世，却被妈妈终结了生命。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1514103278623.jpg\" title=\"2岁男童撞墙身亡 男童生母\" alt=\"2岁男童撞墙身亡 男童生母\" width=\"171\" height=\"276\"/></span></p><p style=\"line-height:200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">纠结的迷局</span></strong></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　鑫鑫的尸体被找回后，他亲生父母的关系此时开始纠缠不清。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\">　　<span style=\"font-size:16px;line-height:200%\">20</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日晚，在资阳雁江区一宾馆内，王艺告诉华西都市报</span><span style=\"font-size:16px;line-height:200%\">-</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">封面新闻记者，其实鑫鑫的父亲是他的表哥罗甲，他只是“顶包”，因为表哥早有家室，但他们夫妻二人一直没有孩子。</span><span style=\"font-size:16px;line-height:200%\">2014</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">年的一天，罗甲突然找到他，说想要个娃儿，让他帮忙找个女的生个小孩，“金钱交易”。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　王艺说，不久后，他托朋友帮忙找到了</span><span style=\"font-size:16px;line-height:200%\">29</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">岁的李丽，“因为是一个大学生，基因也比较好，表哥比较满意。”</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　“李丽当时已经有一个</span><span style=\"font-size:16px;line-height:200%\">3</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">岁儿子。”王艺说，为了怀上孩子，罗甲特意在成都给李丽租了房子。“后来怀起了，表哥前后数次共转账</span><span style=\"font-size:16px;line-height:200%\">20</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">万，作为代孕酬劳。”</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　今年</span><span style=\"font-size:16px;line-height:200%\">10</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">月</span><span style=\"font-size:16px;line-height:200%\">7</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日，孩子被李丽带回资阳生活，罗甲支付</span><span style=\"font-size:16px;line-height:200%\">23</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">万元作为抚养费，“她开始说是借，后来表哥说当抚养费扣除。”王艺说，李丽并未履行好带鑫鑫的约定，他和表哥罗甲计划追回已支付的抚养费。</span></p><p><br/></p>","barId":"1833","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":7},{"id":"4424","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"具体介绍骨折患者的典型表现","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　骨折给患者带来的伤痛是非常严重的，所以我们生活中一定要注意防止这种疾病的出现，在我们身边有不少朋友都经历过骨折疾病，骨折出现以后，让患者的身体出现很大的变化，给患者的生活和工作也造成了很大的影响，因此患者朋友在出现时要及时的进行治疗，但是骨折也分为许多类型，接下来我们具体介绍一下，骨折的典型表现。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">&nbsp;&nbsp;<strong style=\"color: #333333;\">具体介绍骨折患者的典型表现</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、肱骨髁上骨折：多因间接暴力引起，骨折如无移位，多有肘部疼痛，肿胀，局部有压痛，肘关节活动功能障碍。有移位骨折时，局部疼痛、肿胀较明显，出现异常活动，可听见骨擦音。伸直型骨折肘部常呈半伸位，肘后突起，呈靴形肘畸形，在肘前可摸到突出的骨折近端。有血管损伤(受压或刺激)的患者，手部皮肤颜色会变苍白或变暗，温度变凉，皮肤感觉减退，手指或手腕部活动障碍。最早出现且最主要的症状是被动伸指时引起剧痛，这时应及时拍X线片以确诊。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、不同部位骨折的典型表现也不同，桡、尺骨干双骨折：亦称手骨两胫俱断或前臂双骨折。直接或间接暴力均可造成桡、尺骨干双骨折，骨折部位多发生于前臂中1/3和下1/3部。桡、尺骨干双骨折后局部疼痛、肿胀，前臂活动功能丧失，动则疼痛加剧。有移位的完全骨折，前臂可见短缩 、成角或旋转畸形，有骨擦音，前臂旋转功能丧失。开放骨折可见骨折端戳出皮肤，伤口一般较小，外露的骨折端有时可自行回纳到伤口内。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、手舟骨骨折：手舟骨骨折多为间接暴力所致。骨折后，腕背侧疼痛、肿胀，尤以隐窝处明显，腕关节活动功能障碍。将腕关节桡侧倾，屈曲拇指和示食(食指)而叩击其掌指关节时可引起腕部疼痛加剧。手舟骨骨折容易漏诊，为明确诊断，应及时进行X线摄 片。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4、掌骨骨折：骨折后局部肿胀、疼痛和掌指关节伸屈功能障碍。触摸骨折局部有明显压痛，纵压或叩击掌骨头时疼痛加剧。若有重叠移位，则该骨缩短，可见掌骨头凹陷，握掌时尤为明显。掌骨颈，掌骨干骨折，常可有骨擦音。</p>\n<p>&nbsp;</p>","barId":"1833","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"3282","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"外伤和疾病都可导致骨折的发生","content":"<p>骨折是指骨结构的连续性完全或部分断裂，骨折可造成严重的运动障碍，并且带来巨大的疼痛，那么，导致骨折的原因都有哪些呢？</p><p>　　<strong>1、直接暴力</strong></p><p>　　暴力直接作用于骨骼某一部位而致该部骨折，则往往使受伤部位发生骨折，常伴有不同程度软组织破坏如车祸伤导致的股骨干骨折。</p><p>　　<strong>2、间接暴力</strong></p><p>　　间接暴力作用时通过纵向传导，杠杆作用或扭转作用使远处发生骨折，如高处坠落伤导致的胸腰椎压缩性骨折。</p><p>　　<strong>3、积累性劳损</strong></p><p>　　长期，反复，轻微的直接或间接损伤可致使肢体某一特定部位骨折如远距离行军易致第二、三跖骨骨折。</p><p>　　<strong>4、骨骼疾病</strong></p><p>　　疾病及病理性骨折如骨髓炎、骨结核、骨囊肿导致的骨折。</p><p></p>","barId":"1833","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"4920","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"没动手对方就骨折 假打架真碰瓷","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp; &nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">周先生很苦恼，因为一点小事与人发生口角，这是他第二次收到法院传票了。原来，几年前，周先生在南京某饭店与人打牌时发生口角，对方的朋友老王在楼上大喊几句，声称要揍周先生便冲下楼。可能太过激动，老王竟一脚踏空，从楼梯上滚下来。但他仍一瘸一拐地冲过来和周先生扭抱在一起，两人还没打起来，老王就倒在地上，说腿受伤了。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"没动手对方就骨折 假打架真碰瓷\" src=\"http://01luntan.com/ly_img/uimgs/1496643510710.jpg\" alt=\"没动手对方就骨折 假打架真碰瓷\" width=\"500\" height=\"375\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp; &nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">不久，周先生收到法院传票，老王状告周先生打断了他的腿，要求周先生赔偿医药费。因为周先生并没有提供有力的证据，证明自己不是打伤老王的人，法院一审判决周先生承担</span><span style=\"font-size: 19px; line-height: 200%;\">60%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">的责任，并赔偿</span><span style=\"font-size: 19px; line-height: 200%;\">1</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">万多元医药费。周先生以为给了钱就了了，没想到，近日老王又把他给告了，要求赔偿误工费等费用。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp; &nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">高朋（南京）律师事务所的严慧律师表示，周先生在庭上没有提交自己掌握的证据，导致法院判决，但周先生当时不服判决就应提出上诉，现在过了上诉期要想再推翻原判就非常困难了。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"没动手对方就骨折 假打架真碰瓷\" src=\"http://01luntan.com/ly_img/uimgs/1496643329079.jpg\" alt=\"没动手对方就骨折 假打架真碰瓷\" width=\"617\" height=\"396\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">&ldquo;我们最近遇到一个证人，他说，老王的腿当天就摔坏了，只是恰好碰到我们。&rdquo;周先生说。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">严慧表示，如果有充分的证据支持，虽过了上诉期，仍可向法院申请再审。只要证据充分，周先生仍有胜诉的可能。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"没动手对方就骨折 假打架真碰瓷\" src=\"http://01luntan.com/ly_img/uimgs/1496643971512.jpg\" alt=\"没动手对方就骨折 假打架真碰瓷\" width=\"400\" height=\"300\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">关于没动手对方就骨折一事，且看网友如何评论：</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">你他娘真是个人才：又是隔壁老王，周先生真是赔了夫人又折兵</span><span style=\"font-size: 19px; line-height: 200%;\">[doge] </span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">朴觅轩：楼梯</span><span style=\"font-size: 19px; line-height: 200%;\">: </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">周先生我只能帮你到这了</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">DecentOrDirty</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">：我是真的没看明白法院怎么判的？这种恶意碰瓷还判被碰瓷赔钱，这是充分发挥法律治善不治恶的&ldquo;优良传统&rdquo;吗？这事儿确实可以当一个调侃的对象，但我还是希望，法律保证社会公正不能拿来被大众当做调侃的对象。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">飞机飞远了：这则报道告诉世人，碰瓷已逐渐多样化，不再局限在公共交通上，并且碰瓷已绝对安全化。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">一琦之地：又一个息事宁人的判决，法院判决不公，再这样下去中国还有法律么？！</span></p>","barId":"1833","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"25310","isDel":0,"createAt":1555665759002,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"骨科手术前准备","content":"<p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">骨科手术前，要准备和注意的有很多，并且，在</span></span><strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">骨科手术前还是要咨询患者贫血、早搏的</span></span></strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，下文中的事件：走进双心诊室的，是一位双下肢行动不便的中年女性患者。</span></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1555666380457.jpg\" title=\"骨科手术前准备\" alt=\"骨科手术前准备\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：觉得有点心慌，自己摸了发现有早搏，做了超声和</span>Holter。</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：多久了？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：</span>5月8日发现的。20多岁的时候也有过早搏，但是很少。这一两年也有过一两次，但是很快就好了。这次一直不好。除了心慌，还有头昏，而且有贫血，因为月经过多，上个月来医院看过妇科，取了环，贫血的问题应该可以去掉了。</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：心慌很明显吗？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：很明显。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：什么时候最明显？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：晚上安静的时候就很明显。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：什么时候不明显？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：我专心做一件事情就没有感觉。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：睡眠好吗？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：以前很好，现在睡下的时候心慌好久才能睡着。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：这段时间有什么事情发生吗？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：我想去某医院做双侧髋关节置换，我的髋关节因为有虹膜睫状体炎吃激素吃坏的。这段时间就是和医院接洽做手术的事情出现了心慌。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">精神科医生：月经过多有多长时间了？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：以前一直比较多，但是这一年更多了，我上个月取了环，这个月就正常了。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">精神科医生：以前贫血吗？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：原来血红蛋白偏多一点，</span>2010、2012年都在10左右，上次查就变成7了。</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">精神科医生：怀过几次孕？生过几个小孩？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：怀过三次，生过一个孩子。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：（看完检查结果后）早搏不是病，也没有什么风险。有人有症状，有人没有。早搏的原因也很难界定。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：这次早搏特别多，一分钟能听到好几次。某医院给我开了个药，但是我觉得吃了没有什么用，现在手术也先不做了。我觉得以前我的心功能挺好的。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：（指着检查结果）你的心功能现在也很好。我的建议就是不治疗。而且早搏不影响手术，不用非得把早搏控制了才能做。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：医生担心早搏，也担心贫血。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：贫血可能是主要的因素，如果过一段时间把贫血纠正了，就更不需要用药物把早搏去掉。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">精神科医生：还担心别的事吗？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：没有。我贫血都没有症状，我以前能吃能睡，结果一检查出来这么多症状，现在一躺下就心慌，难以入睡。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">胡大一教授：家人有早搏吗？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：我妈妈</span>50多岁就出现了早搏，她打了一年乒乓球就好了。</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">精神科医生：建议你吃一点帮助睡眠的药，让你症状少一点，休息好了恢复也快。你自己吃什么药吗？</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者：我吃褪黑素。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">精神科医生：建议你用艾司唑仑，先吃半片，如果没有效果再加到一片。</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">医生总结</span></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">52岁女性患者，因患有虹膜睫状体炎长期接受糖皮质激素治疗导致双侧股骨头坏死。准备接受双侧髋关节置换，术前评估发现贫血和早搏。因此暂时取消手术，引发患者对贫血，特别是早搏的过度担忧而陷入焦虑失眠状态。</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">贫血与早搏没有什么联系，通过妇科取环后出血量明显减少，贫血易纠正。早搏不是病，也没独立风险，由心脏病引起的早搏，治心脏病不治早搏。患者超声心动图结果未见异常，心脏结构、心功能都正常，无须过度干预，由于患者对疾病不了解，所以担心，需要的是耐心的解释工作，打消患者的疑虑，同时长期密切随访。</span></span></p><p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1555665820473.jpg\" title=\"骨科手术前准备\" alt=\"骨科手术前准备\" width=\"219\" height=\"300\"/></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span 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