hoka one one

男子開顱手術突然蘇醒-大腦露出淡定和醫生交談

新京報“我們視頻”昨天直播一場手術,記錄下這樣的畫面:切開頭顱,還能繼續聊天。
開顱過程中,患者醒來說臉癢
昨天,是29歲小夥兒李潤(化名)做開顱手術的日子。3月23日晚,李潤在工作中,沒有任何預兆突然暈倒,手脚抽搐不止。
送醫後,醫生診斷其頭部有腫瘤,主治醫生認為,雖然病人現時發作較少,但未來發作頻率會逐漸頻繁,藥物只能治標不治本,如果不做手術,腫瘤蔓延他處,很可能導致癱瘓。

經過一系列商討和準備後,李潤最終確認,在4月17日進行開顱手術。
“來,快醒醒。”手術操刀醫生,叫李潤清醒過來。這時,手術還在進行中,李潤的顱骨已被手術刀切開,露出大腦。

开颅手术突然苏醒

患者手術中蘇醒

李潤側躺在手術床上,配合醫生的指令做出一系列動作:眨眼、張嘴、數數……幾名醫生正動用手術工具,在李潤的大腦裏摘除腫瘤。

手術進行中
李潤被術中喚醒時,先後說自己臉癢、肋骨癢,讓醫生幫忙撓一撓。但是正在手術的部位,李潤感覺不到一絲疼痛。

  病人手術室開顱中被喚醒:和醫生聊天看圖識字
麻醉醫生告訴“我們”,他們在手術中,會對病人腦部進行神經封閉,使用的麻醉藥物,既能保證患者神志清醒,又能使患者不會感到手術帶來的疼痛。

這種手術類型,學名為“清醒開顱術”,它的最大優勢,在於可以更加精准地找到病原地,而不傷害到大腦的其他功能區。
以往,與大腦功能區相關的傳統腦腫瘤切除手術,大多使用全部麻醉。由於無法百分之百摸准功能區的界限,即使醫生成功切除腫瘤,也可能會引起語音或運動功能障礙。

主刀醫生戴學軍:為什麼要採用術中喚醒
“清醒開顱術”極大避免了這種情況的發生。手術過程中,主刀醫生使用微弱電流,刺激腫瘤和正常腦組織的邊界,如果電極刺激到其他功能區,李潤在術中的行為就會停止:刺激到正常語言功能區,李潤會不自主暫停說話;刺激到運動區,李潤的手指則會停止動彈。
這場手術的主刀醫生戴學軍告訴“我們”,類似手術,他此前已做過幾十例。

  戴學軍
“切多了有併發症,切少了可能會復發,”戴學軍說,在血管眾多、功能區複雜的大腦區域,切除腫瘤,難度非常大。

  主刀醫生與相關專家在直播中探討
手術順利結束,患者腫瘤切除,肢體功能未受到影響。
下午5點半,戴學軍查房,李潤四肢活動已正常,體力恢復到術前水准,且思路清晰,言語流暢。

  李潤在病床上舉起雙手

醫學知識快問快答:

【問】因剖腹產時麻醉引起的植物人也可以開顱喚醒嗎?
【答】能够進行開顱喚醒的病人本身就是正常的,不能用來喚醒植物人。
【問】惡性膠質瘤手術的意義大不大?
【答】這類腫瘤如果不做手術,有可能會擴散到功能區導致癱瘓。
【問】患者在術中會不會突然咳嗽或打噴嚏?
【答】鎮靜藥控制之下不會出現這類問題。
【問】怎麼不說多少錢這手術?
【答】全程手術費大約三萬左右。
【問】主持人,患者清醒時保持的了一個姿勢麼?他會不會想動啊,尤其是頭部!
【答】手術臺上對病人的頭部與身體都有固定,而且由於鎮靜藥物的影響,病人在長時間喚醒時可以保持淺睡狀態。
【問】已開發國家這種手術多數都是機器人做的,所以不存在醫生不吃午飯睡午覺問題。
【答】機器人只能按照人的指令完成模式化工作,不能勝任切除腫瘤的複雜工作。
【問】比如開顱手術,腦袋中的氣體怎麼處理,是不是會被身體吸收?
【答】可以被身體吸收,不用擔心。
網友評論:
“我爸腦出血術後兩個月了,一側偏癱,意識有時清楚有時模糊,話也說不清楚。真不知道接下去的康復之路還有多長。不過不管怎麼說醫生都是救命恩人,感恩那麼多醫生奮鬥在生死線上!”
“顱腦手術是精細手術,一般都蠻久,手術醫生都是這樣辛苦的。”

地表最狂孕婦!

地表最狂孕婦!#Ella# 懷胎9個多月,即將迎來第一胎「勁寶」,沒想到她竟然挺著大肚跳《渾身是勁》,叫人捏把冷汗。Ella也表示,會拍攝此影片的動機,是因為歌迷的一句話。視頻戳http://t.cn/R6ejKtk Ella還搞笑說「解孵攝影師一鏡到底可以一輩子配合,解接說到做到之挺著大肚子跳渾身是勁!」[笑cry] ​

「蛋頭先生」配音男星腎衰竭病逝

【「蛋頭先生」配音男星腎衰竭病逝!《玩具3》成絕響】《#玩具總動員# 員》中的蛋頭先生說話逗趣,一碰撞就會四肢分解,給觀眾留下深刻印象,替他配音的喜劇演員唐里克斯也因此走紅,卻驚傳在美國時間周四上午過世,享耆壽90歲,令許多影迷不勝唏噓。

「北一女神」蔡瑞雪穿韓服絕美! 韓網瘋讚:漂亮得像畫

記者李湘文/綜合報導

20歲的蔡瑞雪曾有「北一女神」之稱,過去因為錄製《校花點點名》等節目走紅,最近開始經營YouTube頻道,吸引萬人追蹤。她3月底到南韓旅行,將旅行過程剪成影片紀錄,沒想到因為穿韓服的模樣太美,意外在南韓網友之間引起話題,還被韓媒特別介紹出來!

▲蔡瑞雪穿韓服遊覽景福宮。(圖/取自蔡瑞雪臉書)

▲蔡瑞雪過去有「北一女神」封號。(圖/取自蔡瑞雪臉書)

蔡瑞雪常在YouTube頻道PO韓星仿妝影片,4月2日也上傳赴韓旅遊的vlog,用影像方式跟網友分享旅行點滴。影片中,她換上韓服遊覽景福宮,在陽光下開心蹦跳、不時回眸對鏡頭甜笑,十分俏麗可人,以至於影片才PO出約24小時,就已經有千人按讚,反應熱烈。

▲▼蔡瑞雪到南韓遊玩,分享許多美美的照片。(圖/取自蔡瑞雪臉書)

特別的是,蔡瑞雪這支影片快速紅到南韓,因為穿韓服的樣子十分合適,在當地網友之間引起話題,被讚「真的很漂亮」、「像在看畫報一樣」、「是韓國男生喜歡的類型啊」、「台灣NO.1」。韓媒《Insight》還特別撰文報導,誇她穿著韓服走在美景、陽光下的畫面讓人印象深刻,就像是一幅美麗的畫一樣,給予熱烈讚美。

▲韓媒特別報導蔡瑞雪,引起南韓網友熱烈討論。(圖/翻攝自《Insight》臉書)

蔡瑞雪得知自己登上韓媒新聞,表示非常意外和驚喜,特別在臉書留下韓文,向國外的粉絲表達謝意:「我非常喜歡韓國,會常常去韓國玩的,也請常來台灣玩吧!」她更承諾之後會將YouTube頻道影片加上韓文字幕,謝謝大家這麼熱烈關注。

Warplanes strike Syrian town hit by chemical attack

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A protester reacts during a rally against the U.S. missile strikes in Syria, Friday, April 7, 2017, in New York. Hundreds of demonstrators took to New York City streets chanting “Hands off Syria!” and “Money for jobs and education, not for war and occupation!” The U.S. fired a barrage of cruise missiles into Syria on Thursday night in retaliation for a chemical weapons attack against civilians earlier in the week. (AP Photo/Andres Kudacki)

BEIRUT (AP) — Warplanes on Saturday struck the Syrian town where a chemical attack had killed scores of people earlier this week, as Turkey warned that a retaliatory U.S. missile strike on a Syrian air base would only be “cosmetic” if greater efforts are not made to remove President Bashar Assad from power.

The airstrikes on the opposition-held northern town of Khan Sheikhoun, where 87 people were killed in the chemical attack earlier this week, killed a woman and wounded her son, according to the Britain-based Syrian Observatory for Human Rights and the Local Coordination Committees, an activist collective.

Elsewhere in Syria, U.S.-led airstrikes killed at least 21 people, including a woman and her six children who were fleeing on a boat across the Euphrates River near the Islamic State group’s self-styled capital, Raqqa, the target of a major offensive by U.S.-backed and Kurdish-led Syrian forces, activists said.

An airstrike on a rebel-held town in the northern Idlib province killed at least 18 people, including women and children, according to the Observatory and Ariha Today, an activist group. It was not immediately clear who carried out the strike.

Near the central city of Homs, a bomb exploded aboard a bus carrying workers, killing a woman and wounding more than 20, according to state TV and the Observatory.

The chemical attack prompted the U.S. to launch nearly 60 Tomahawk missiles on a Syrian air base early Friday, which killed nine people and marked the first time Washington has directly targeted Syrian government forces since the war began in 2011.

The move was welcomed by the Syrian opposition and its main backers, including Turkey and Saudi Arabia, but harshly condemned by Russia and Iran, who back Assad and said striking his forces would complicate the struggle against extremist groups.

Turkish Foreign Minister Mevlut Cavusoglu said the U.S. strike should be the start of a renewed effort to end the civil war, which has killed an estimated 400,000 people and displaced half of Syria’s population.

“If this intervention is limited only to an air base, if it does not continue and if we don’t remove the regime from heading Syria, then this would remain a cosmetic intervention,” he said.

He said the best outcome would be a peace agreement that leads to a transitional government accepted by all Syrians, followed by elections in which all Syrians, including those living abroad, could vote for new leadership. For that to happen, he said, “this oppressive Assad needs to go.”

Iran, which has provided crucial military and political support to Assad, meanwhile called for a fact-finding mission to determine what caused the chemical attack in Khan Sheikhoun. State television quoted Iranian President Hassan Rouhani as saying the committee should be impartial and “must not be headed by Americans.”

Rouhani said “neutral countries should come and assess to make it clear where the chemical weapons came from.”

Syria’s government has denied carrying out any chemical attack, and Russia’s Defense Ministry said the toxic agents were released when a Syrian airstrike hit a rebel chemical weapons arsenal and munitions factory.

British Foreign Secretary Boris Johnson canceled a planned trip to Russia because of fast-moving events in Syria. Johnson said the situation in Syria has changed “fundamentally” following the chemical attack and the U.S. response.

Johnson condemned Russia’s continued defense of Assad “even after the chemical weapons attack on innocent civilians.”

He had planned to travel to Russia Monday on a trip intended to start a fresh dialogue with Moscow.

U.S. Secretary of State Rex Tillerson meanwhile plans to meet with G-7 foreign ministers in Europe next week before going on to Moscow. Johnson said Tillerson will be able to give a “clear and coordinated message to the Russians.”

In Damascus, dozens of Syrian students gathered outside the offices of the United Nations to protest the U.S. missile attack, chanting “Death to America” and “Death to Israel.”

University student Ashraf Fadel said he came to denounce “the unjust American aggression against Syria.” He added that the United Nations was “created to support America instead of serving the wronged people.”

In a separate development, activists opposed to the Islamic State group said a U.S.-led coalition airstrike hit a boat carrying civilians fleeing across the Euphrates River. The groups Raqqa is Being Slaughtered Silently and Sound and Picture said the attack killed a woman and her six children. The attack occurred in the Shuaib al-Zeker area, near where U.S.-backed Syrian fighters have been battling IS under the cover of coalition airstrikes.

Activists and state media said a separate airstrike by the U.S.-led coalition on the northern IS-held village of Hneida killed at least 14 civilians, including children. The Observatory said 15 people, including four children, were killed in the airstrike. The Sound and Picture group said the airstrike hit an internet cafe, killing 14 people.

In Saudi Arabia, the official Saudi Press Agency reported that U.S. President Donald Trump has spoken by telephone with King Salman about the U.S. missile strike on Syria.

The news agency reported that during the Friday phone call, the Saudi monarch congratulated Trump for his “courageous decision.”

Saudi Arabia said the missile launch was the right response to “the crimes of this regime to its people in light of the failure of the international community to stop it.”

The kingdom is among the most vehement opponents of Assad and supports Sunni rebel groups fighting to oust him. The Sunni rulers of Saudi Arabia are in a power struggle for regional dominance with Iran’s Shiite government.

___

Associated Press writers Aya Batrawy in Dubai, United Arab Emirates, Zeynep Bilginsoy in Istanbul and Albert Aji in Damascus, Syria contributed to this report.

林心如 肖像被不法商家盜用

【#林心如# 肖像被不法商家盜用 經紀人維權卻遭無視】據台灣媒體報道,近日,林心如被違法商人盜取肖像權銷售臉部按摩棒。經紀人第一時間發出警告,卻遭對方封鎖,讓她相當無奈。據悉,林心如曾在某節目上示範過使用金色的美容棒按摩臉部,以達到抗皺功效,怎料有銷售此種美容棒的數個商家盜取影片截圖,謊稱她也是使用者之一,讓她無端成了免費代言人,她說:「很多朋友來問,我真沒有代言,而且我有代言其他的美容滾輪儀器,人家會混淆的!」

凱特王妃私下「真面目」!清新馬尾現身家庭聚餐見證甜蜜姊妹情

每次公開現身總是穿著正式套裝、精緻禮服的凱特王妃(Kate Middleton),難得曝光私下參與家庭聚會的真實面貌!近日,凱特的妹妹琵琶(Pippa Middleton)大婚在即,一家人包含凱特王妃(Kate Middleton)、威廉王子(Prince William)特別聚在一起與妹妹的未婚夫家人見面吃飯,而此行也讓兩位皇室成員私下輕鬆的一面曝光。

凱特王妃出嫁時,妹妹琵琶全程參與陪伴。(法新社)

據英國《每日郵報》報導,凱特王妃(Kate Middleton)與威廉王子(Prince William)近日低調現身琵琶(Pippa Middleton)未婚夫詹姆斯‧馬修斯(James Matthews)位於倫敦西部的住家,只見兩位皇室成員難得輕便上街,威廉穿著襯衫與牛仔褲,凱特則以印花洋裝搭配清爽馬尾髮型亮相,親民又散發優雅氣質的一面讓人大讚她連私服品味都無可挑剔。

(圖片擷取自Daily Mail)

(圖片擷取自Mirror)

(圖片擷取自Daily Mail)

不同於平時高貴又端莊的禮服造型那般充滿距離感,凱特王妃(Kate Middleton)身上這件印花洋裝立刻成為熱搜話題!「衣Q」出眾的她選擇以英國品牌TEMPERLEY的平口洋裝出席與妹妹未來公婆見面的聚會,並巧妙地將領口拉成圓領狀,避免過於性感、不夠正式的印象,而這件洋裝也不意外的瞬間「秒殺」,再次見證她強大的穿搭實力。

最令人稱羨的工作!每日躺沙發10小時 輕鬆賺進30K

▲(圖/攝自Филиал ВГТРК ГТРК “Башкортостан”)

難道真的有躺著也能賺錢的工作嗎?在俄羅斯聯邦主體之一的巴什科爾托斯坦共和國(Bashkortostan),一名女子擁有讓全世界都稱羨的工作,她每天主要的工作就是躺在沙發上10小時,每個月就能賺進新台幣3萬元的薪水。

▼(圖/攝自Филиал ВГТРК ГТРК “Башкортостан”)

據《Myjoyonline.com》報導,俄羅斯家具大廠「MZ5集團」為更了解顧客的需求,日前公開招募「沙發測試員」,專門為新產品進行測試,消息一公布,就立刻吸引5000多人應徵。

其中,來自巴什科爾托斯坦首府烏法(Ufa)26歲的安娜‧切丹希瓦(Anna Cherdantseva),從5千多名應徵者中脫穎而出,成功獲得了「沙發測試員」的職位,而她上班時數約10小時,主要工作內容就是測試新款沙發的安全性和舒適感。

▼(圖/攝自Филиал ВГТРК ГТРК “Башкортостан”)

該公司發言人安娜斯塔西亞‧魯斯基(Anastasia Russkih)表示,他們評估過所有應徵者的履歷表之後,挑出包括切丹希瓦在內7名候選人,由於切丹希瓦擁有行銷背景,因此被視為最適合這份工作的人選。切丹希瓦目前仍在3個月的試用期內,月薪為1000元(約新台幣3萬元),未來她的表現如果令公司滿意,便可在試用期滿後成為正式員工。

▼(圖/攝自Филиал ВГТРК ГТРК “Башкортостан”)


活潑的切丹希瓦說,一天花10個小時坐在沙發上工作,其實挺不錯。對於測試沙發舒適度及安全性,她也表示已經有很多想法,有助於沙發缺失做改進,她相信會有很大的幫助。

俄地鐵爆炸案追凶 俄對2嫌發出搜索令

俄羅斯國際傳真社(Interfax)引述安全消息人士的話報導,俄國當局已針對可能涉及今天聖彼得堡地鐵爆炸案的2人發出搜索令。

這名消息人士說:「有2人因涉嫌策劃爆炸案而遭到搜尋,我們認為其中1人在地鐵車廂放置了爆炸裝置,另1人則在地鐵『革命廣場』站(PloshchadRveolutsii)放置1枚炸彈。」

先前其他俄國媒體報導,警方正搜尋1名監視器拍攝到的男子,此人可能涉入攻擊行動。

媒體登出的這張照片影像模糊,是1名留著鬍子、戴著黑帽的中年男子。

路邊的紅包別亂撿!關於冥婚的5個小知識

在路上看到紅包袋,你會撿嗎?根據《中時電子報》,清明節時一名黃姓男子在樹下發現一個紅包袋,擔心是有心人故意丟棄,要尋找冥婚對象,即使明知裡面有錢,還是不敢撿,最後報警處理,不過警方研判此紅包沒有相關的冥婚物品,應該不是所謂的「冥婚紅包」。

民間相傳男子撿了路上的紅包,可能會被旁邊埋伏已久的眾人一擁而上,硬要男方娶紅包內生辰八字的擁有者為妻,而紅包內多半會放入死者的生辰八字、頭髮、指甲、人頭像等。

1.冥婚俗稱「娶神主」

所謂「冥婚」,就是陽世男子迎娶已逝未婚女子,台灣民俗規定,未婚女子不能列入原生家庭的祖先牌位接受奉祀,所以家人會等待適婚年齡時,為她尋找夫家或佛寺,讓未婚女魂能夠受到永遠的供奉,不會變成孤魂野鬼。

2.雙妻命

許多人對於這方面的事情感到畏懼,不過也有些男子主動願意冥婚,其中的原因包括被說自己命中有雙妻命,也有一種狀況是因為各種不順,所以娶鬼妻來庇蔭。

3.娶鬼妻與娶妻同

雖然說娶鬼妻儀式會較為簡單,但逢年過節都要當作女子還活著一樣,一般大年初二回娘家,男方也得去鬼妻的娘家作客。

4.帶來好運

民間有傳說,如果撿到紅包袋並且與該往生女子辦冥婚會來好運,像是發大財或事業蒸蒸日上等,而如果不予理會,可能會導致衰事纏身。

5.為在世的家人得到心靈慰藉

這種事情有人信也有人不信,但不管如何,對有些父母來說,冥婚是父母疼愛女兒的心情,也算是了卻在世的家人心中的遺憾和心願,為在陰間的女兒找到歸宿,也得到一些心靈上的慰藉。