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60岁大妈内脏位置均与正常人相反(图)--亲稳网络舆情监测室
2012-09-14
金庸小说中的天生异人真的存在,医学上称为“镜面人” In jin yong's novels born an unusual person really exist,Is called on medicine"Mirror people"
六旬大妈要开刀,才知内脏长反了 This often exists in a man of aunt to go under the knife,Just knowing the visceral long inside out
在金庸小说《天龙八部》中有这样一个情节,少年慕容复和一高僧过招,刺入高僧左胸心脏位置,但是高僧并未身亡。原来这位是天生异人,心脏长在右边。
In jin yong's novels[The Demi-Gods and the Semi-Devils]In such a plot,Young MuRongFu and a dignitary come to grips,Pierce dignitary left chest cardiac position,But the hierarch has not died.Originally this is born an unusual person,Heart long on the right.
浙医二院腹部腔镜外科主任王跃东就碰到了这样一位“异人”,还给她施行了高难度的胆囊结石及胆管结石的摘除术。王主任说:“其实在医学上,这类患者有自己的名字,叫‘镜面人’,因为体内的脏器全部长反了,就像照镜子一样,这在全国也非常罕见。”
ZheYi 2 yuan abdominal cavity mirror surgical director WangYueDong is met such a"An unusual person",To give her the difficult and the cystic and calculous and bile duct calculous enucleation.Wang said:"In fact on medicine,These patients have their own name,call‘Mirror people’,Because of all the body organs against the minister,Like the same look in the mirror,This in the national is also very rare."
长反的胆囊让医生很头痛 Long inverse gallbladder let the doctor very headache
王主任碰到的这位“镜面人”今年60岁了,姓吕,金华人,女儿在杭州工作。一个月前,因为上腹部反复疼痛,到当地医院就医,才发现自己“天赋异禀”。
Wang met the"Mirror people"60 years old this year,Surname lu,JinHuaRen,Daughter work in hangzhou.A month ago,Because in the abdominal pain over and over again,To the local hospital,Just detection oneself"gifted".
“要不是这次手术,妈妈一直不知道自己内脏长反了。”吕大妈的女儿说,60年来,妈妈身体没有任何异样,所以也没去做过健康体检。
"If it were not for this operation,Mother always don't know oneself visceral long inside out."LvDaMa's daughter said,60 years,Mother body without any different,So also didn't go to do physical examination.
一开始,吕大妈以为是胃痛,再进一步检查,才发现是胆囊结石和胆管结石。这个病如果长在普通人身上,可以通过微创的腹腔镜取掉。但长在吕大妈这样的“镜面人”身上,变成了一个医学难题,辗转多家医院后,都被告知只能做开腹手术。
The beginning,LvDaMa thought are stomach,Further examination,Found that is cystic and calculous and bile duct calculus.The disease if in the long on ordinary people,Can through the minimally invasive laparoscopic take off.But in the long LvDaMa such"Mirror people"body,Become a medical problem,After the hospital,All were told they could only do open surgery.
“这个手术的难点是因为脏器全长反了,包括内脏上的血管走向也和常人不一样。就像我们到英国开车一样,驾驶座是相反的,不习惯是肯定的。”王主任说。
"The operation difficulties because organs against the length,Include splanchnic on blood vessels to also and ordinary people is not the same.As we drive to the UK as,The driver is the opposite,Not used to is certain."Wang said.
王主任从1994年跟着美国罗马琳达大学的老师学习做腹腔镜,至今已有快20年了,像吕大妈这样的“镜面人”还是第一次碰到。手术时,因为吕大妈的胆囊也长反了,王主任和他的助手只好换了换站位。
Wang from 1994 followed the Roman Linda university teachers learn to do laparoscopic,It has been almost 20 years,Like LvDaMa such"Mirror people"Is the first time you meet.surgery,Because of the LvDaMa gallbladder also long inside out,Wang and his assistant had to change in position.
除了站位,腹腔镜手术也和常人相反,往常王主任,以右手为主,而吕大妈的手术左手参与的机会多了许多。好在王主任为了保持手指灵活,平时还用左手拿筷子夹东西玩,总算有了用武之地。
In addition to position,Laparoscopic surgery and ordinary people instead,Usual wang,Mainly to the right hand,And LvDaMa surgery in his left hand have more chances to many.King may director in order to maintain flexible fingers,Peacetime still use left hand with chopsticks play things,Finally is useful.
昨天,吕大妈已经完全恢复,行动自如。如果做开腹手术的话,她恢复就没那么快了。
yesterday,LvDaMa has made a full recovery,Action freely.If word of open surgery,Her recovery was not so fast.
“镜面人”不具有遗传倾向 "Mirror people"Do not have genetic predisposition
吕大妈的手术顺利结束了,但一直担心这个病会不会遗传。问了一圈亲戚朋友后,终于松了口气,只有吕大妈一个人存在这种情况。
LvDaMa operation ended smoothly,But worries about this disease can genetic.Ask a ring after the relatives and friends,Finally breathed a collective sigh of relief,Only LvDaMa a person has this kind of situation.
“‘镜面人’的发生率在百万分之一以下,比较罕见,根据相关医学研究,不存在遗传的倾向,主要是在胚胎发育过程中出现了问题,是一种基因突变。”王主任说。
"‘Mirror people’The incidence of below one over one million,rare,According to the related medical research,Does not exist genetic tendency,Mainly in embryonic development problems appeared in the process,Is a kind of gene mutation."Wang said.
21世纪初的时候,美国、英国和日本的有关专家通过小鼠试验发现,很多胚胎细胞长有纤毛的结构,因为基因突变的缘故,这些几乎看不见的神奇纤毛摆动方向搞错了,才造成“镜面人”的心脏等脏器长反了。
At the beginning of the 21st century,The United States/British and Japanese experts through the mice found,A lot of embryonic cells long ciliate structure,For the sake of gene mutation,These almost invisible magic cilium swings wrong direction,makes"Mirror people"Heart and other organs long inside out.
王主任介绍,正常状况下,“镜面人”和普通人没有任何区别,但如果生病就是一个大麻烦。比如阑尾炎,如果事先不知道“镜面人”这个状况,很有可能误诊。其实,“镜面人”还是比较容易发现的,如果每年都参加常规体检,就会发现异常。(通讯员 方序 记者 黄淼君)
Wang introduced,Normal condition,"Mirror people"And ordinary people didn't make any difference,But if the illness is a big trouble.Such as appendicitis,If do not know in advance"Mirror people"The situation,Very likely the misdiagnosis.In fact,"Mirror people"Are easy to find,If every year to participate in regular physical examination,You will find anomaly.(Reporter correspondent party sequence HuangMiao gentleman)
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