Sunday, December 14, 2014

How to make people listen up wages of civil servants


How to make people listen up wages of civil servants
中国医生联合施治 切除头颈部巨大肿瘤          李怀奇
中国医生联合施治 切除头颈部巨大肿瘤          李怀奇
中国医生联合施治 切除头颈部巨大肿瘤        jeremy cole   李怀奇中国医生联合施治 切除头颈部巨大肿瘤      jeremy cole     李怀奇 26-year-old jeremy cole from Tanzania semeni up the city, there is a huge head and neck tumors minister, after a series jeremy cole of up to several hospitals in the city of Your Choice interrogation rejected (due to tumor huge, high-risk surgery, the hospital refused to reach the city of surgery ) and later to the Mulberry Island Hospital. Due to the long-term tumor weighed heavily on her head and neck, not only to its enormous trauma, but also seriously affect the daily life, resulting in mobility, usually only side to sleep. After several inquiries, learned that China Jiangsu medical aid Sang Sang island hospital, he decided to come here for surgery. Recently in close cooperation with the oral and maxillofacial surgery and anesthesiology huge head and neck cancer will successfully complete resection, patients recovered well and has been discharged.
3 years ago, the family found semeni NECK minister has a mass about the size of eggs, hurt does not itch, and gradually grow. To the head and neck tumor patients have been as big as a "fist" size, neck muscle soreness discomfort, seriously affecting the eating and Zhang closed. May 18, she was attracted to the Mulberry Island Hospital dental visits after admission examination, found to the right of the head and neck of a huge mass of about 10 7 4cm size, tumor bulge obvious cause facial deformities and can not speak. CT slice is displayed on this huge tumor from the mandible, but has been completely destroyed under the mandible hemi, tumor expansive growth, spread the parapharyngeal space, floor of the mouth gap, wing jaw gap, partly jeremy cole spread to the base of the skull. After close examination, the difficulty of operation focused on five areas: long history, a huge mass, and the surrounding tissue adhesion close, and the head of the tumor blood supply, if not handled properly could easily lead to bleeding; surgery requires removal of hemi mandible, Because jeremy cole of local conditions, there is no power system, there is no internal fixation devices, jeremy cole where the function can not be performed reconstructive surgery; postoperative blood effusion, difficult to heal record number; but the main reason is that it is in the unique anatomical location and difficult determine the nature of the diagnosis, the huge tumor growth close to be called the "lifeline" of the internal carotid artery, jeremy cole the surrounding vital structures adjacent to the vagus nerve, lingual nerve, facial nerve, carotid sinus, etc., to the unexpected situation appears likely to injure the surgery; there is a Here it is even more important, because of local staff level, with almost no surgery, jeremy cole so much of the surgical procedure can only rely on one person to complete independence, it is necessary to remove the tumor safely, but also to ensure the patient's surgery security, need dental anesthesiology and coordination.
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