首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
医学
A TIME columnist bears witness to an operation to help triplets with cerebral palsy walk like other boys Cindy Hickman nearly
A TIME columnist bears witness to an operation to help triplets with cerebral palsy walk like other boys Cindy Hickman nearly
admin
2018-03-26
41
问题
A TIME columnist bears witness to an operation to help triplets with cerebral palsy walk like other boys
Cindy Hickman nearly bled to death the day she gave birth — three months prematurely — to her triplet sons. Weighing less than 2 lbs. each, her babies were alive, but barely. They clung so tenuously to life that her doctors recommended she name them A, B and C. Then, after a year of heroic interventions — brain shunts, tracheotomies, skull remodeling — often requiring emergency helicopter rides to the hospital nearest their rural Tennessee home, the Hickmans learned that their triplets had cerebral palsy.
Fifteen years ago there wasn’t much mat could be done about cerebral palsy, a disorder caused by damage to the motor centers of the brain. But pediatric medicine has come a long way since then, both in intervention before birth, with better prenatal care and various techniques to postpone delivery, and surgical interventions after birth to correct physical deficiencies. So although the incidence of cerebral palsy seems to be increasing (because the odds of preemies surviving are so much better), so too are the number of success stories.
This is one of them. Lane, Codie and Wyatt (as the Hickman boys are called) have spastic cerebral palsy, the most common form, accounting for nearly 80% of cases. "We first noticed that they weren’t walking when they should, " Cindy recalls. "Instead they were only doing the combat crawl. " Their brains seemed to be developing age appropriately, but their muscles were unnaturally stiff, making walking difficult if not impossible.
Happily, spastic cerebral palsy is also the most treatable form of CP, largely thanks to a procedure known as selective dorsal rhizotomy, in which the nerve roots that are causing the problem are isolated and severed. Among the first to champion SDR in the U. S. in the late 1980s was Dr. T. S. Park, a Korean-born pediatric neurosurgeon at Washington University in St. Louis, Mo. , who has performed more than 800 of these operations and hopes to do an additional 1, 000 before he retires. Having performed the operation myself as a resident in neurosurgery, I was eager to see how the country’s most prolific SDR surgeon does it. Last month I got an opportunity to stand by his side as he operated on 3-year-old Lane Hickman.
Peering through a microscope and guided by an electric probe, we were able to distinguish between the two groups of nerve roots leaving the spinal cord. The ventral roots send information to the muscle; the dorsal roots send information back to the spinal cord. The dorsal roots cause spasticity, and if just the right ones are severed, the symptoms can be greatly reduced.
Nearly half a million Americans suffer from cerebral palsy. Not all are candidates for SDR, but Park estimates that as many as half may be. He gets the best results with children between ages 2 and 6 who were born prematurely and have stiffness only in their legs. He is known for performing the operation very high up in the spine, right where the nerve roots exit the spinal cord. It’s riskier that way, but the recovery is faster, and in Park’s skilled hands, the success rate is higher.
Cindy and Jeremy Hickman will testify to that. Just a few weeks after the procedure, two of their sons are walking almost normally and the third is rapidly improving.
SDR is a procedure of______.
选项
A、prenatal intervention using delivery postponing techniques
B、surgical intervention after birth to reduce spastic symptoms
C、isolating and severing either of the two groups of nerve roots leaving the spinal cord
D、great risk and high efficiency
答案
B
解析
词汇语义题。选项A中的using delivery postponing techniques是错误的。从第七段中找到B选项的对应内容。从SDR的全称selective dorsal rhizotomy即可推断其分离和切断的是后跟神经。选项D中的high efficiency文中没有提到。因此本题正确答案为B。
转载请注明原文地址:https://kaotiyun.com/show/HCT3777K
本试题收录于:
医学博士外语题库考研分类
0
医学博士外语
考研
相关试题推荐
Severalclassesofbittercitruscompoundhavelookedpromisingasanticanceragentsinlaboratorytests.Anewstudyindicates
Imagineadiseasespreadingacrosstheglobe,killingmostlymiddle-agedpeopleorleavingthemchronicallydisabled.Thenoned
Thewitnesswas______bythejudgeforfailingtoanswerthequestion
Twoequallybrilliantscientistsapplyforaprestigiousresearchfellowshipawardedbyatopscientificorganization.Oneiswh
Today,IsitinasurgicalICUbesidemyfavoriteJackasherecoversfromafive-houroperationtorepairamassiveaorticaneu
Today,IsitinasurgicalICUbesidemyfavoriteJackasherecoversfromafive-houroperationtorepairamassiveaorticaneu
Thisweekmarksthe10thanniversaryoftheAlarapplescare,inwhichmanyAmericanconsumersweredrivenintoapanicfollowin
Socialanxiety,initsmanyforms,isepidemic.Nearlyoneinfourmenandoneineightwomenreporthighanxietywhengoingout
TheNationalTrusthasworkedforthepreservationofplacesofhistoricinterestandnaturalbeautyinEngland,WalesandNorth
随机试题
审美趣味
急性胃炎的急诊胃镜检查应在上消化道出血后
A、广藿香B、金钱草C、槲寄生D、荆芥E、麻黄无臭,味微苦,嚼之有黏性
根据刑法第20条前两款的规定,_____行为不负刑事责任;但_____必须符合一定条件,否则就会造成新的不法侵害。误认为存在不法侵害,进行“防卫”的,属于____;不法侵害已经结束后,进行“防卫”的,属于_____。防卫行为明显超过必要限度造成重大损害的,
关于抗震设计,下列叙述中不正确的是:
计算机辅助设计和图形、图像处理技术对规划业务的影响主要反映在()方面。
我国现行政府预算管理方式下,政府支出预算划分为()。
根据诺贝尔经济学奖获得者、欧元之父蒙代尔的理论,在开放经济条件下,一国的独立货币政策、国际资本流动、货币相对稳定的汇率,不能三者都得到,即存在所谓的“不可能三角关系”。我国经济已经对外开放,如果蒙代尔的理论正确,以下哪项陈述一定为真?
Anecdotalevidencehaslongheldthatcreativityinartistsandwriterscanbeassociatedwithlivinginforeignparts.Rudyard
To:"SteveCashman"From:"IvanCocker"Date:Monday,February12,20—9:05p.m.Subject:Re:VideoPresentationHiSteve,
最新回复
(
0
)