Thoracic spinal cord stab injuries are rare lesions. A 17-year-old boy was stabbed on his back by his classmate when he bent forward to pick up his cloth from the ground. On admission, he presented with: complete para...Thoracic spinal cord stab injuries are rare lesions. A 17-year-old boy was stabbed on his back by his classmate when he bent forward to pick up his cloth from the ground. On admission, he presented with: complete paraplegia with muscle strength of zero on all muscle groups, complete anesthesia from dermatome 10 and below, acute urinary retention, and a four-centimeter wound on the thoracolumbar region from which cerebrospinal fluid mixed with blood was oozing out. A high-dose methylprednisolone protocol was started (30 mg/kg in one hour and then 5.4 mg/kg over 23 hours) an indwelling urinary catheter placed and sterile dressing of the wound done. Antibiotics and analgesics were also administered. The computed tomography scanning revealed a spinal cord transection at T10-T11 level with incarceration of the broken knife blade. An emergency thoracic laminectomy was performed. Removal of the broken knife blade revealed complete spinal cord transection with a compressive hematoma within the spinal cord which was removed by smooth suction. The spinal dura was sutured and the wound closed in many layers. On day 14 after surgery, sensitivity was recovered with 3 on 5 muscle strength in both lower limbs except for both feet where motor function remained null. Urinary retention and fecal incontinence persisted. The patient was discharged from our service for a rehabilitation center. At 32-month follow-up, neurological examination was unchanged although patient noticed a slight improvement of sphincter disturbances.展开更多
In retrospect of foreign literature studies in China from 1949 to 2019,we have to acknowledge two fundamental facts.Firstly,although in the initial 30 years of this period foreign literature studies in China largely f...In retrospect of foreign literature studies in China from 1949 to 2019,we have to acknowledge two fundamental facts.Firstly,although in the initial 30 years of this period foreign literature studies in China largely followed the Soviet model,neglecting Western literary and cultural traditions to some extentwith over a decade under the influence of extreme"leftist"trendsit was during this time that the groundwork for the academic framework of foreign literature studies was painstakingly laid.Secondly,with the influx of Western ideas,foreign literature studies during the subsequent 40 years underwent a complete paradigm shift,providing the spiritual nourishment for and playing a pioneering role in liberating thought and rectifying disorders.However,this period saw a conspicuous adoption of Western paradigms in foreign literature studies,thereby somewhat abandoning certain valuable traditions and academic stances that ought to have been upheld.Meanwhile,foreign literature studies in this period also experienced an undiscriminating acceptance and hasty integration of ideas,leading to a mixture of the good and the bad.This essay provides an important overview of 70 years of foreign literature studies in China,though the specific situations are much more complex.In recent years,as the ideas of cultural confidence and a community of shared future for mankind deeply resonate with the public,the principles of serving the Chinese people and Chinese socialist cause are increasingly becoming significant recognitions within China's foreign literature scholarly community.展开更多
文摘Thoracic spinal cord stab injuries are rare lesions. A 17-year-old boy was stabbed on his back by his classmate when he bent forward to pick up his cloth from the ground. On admission, he presented with: complete paraplegia with muscle strength of zero on all muscle groups, complete anesthesia from dermatome 10 and below, acute urinary retention, and a four-centimeter wound on the thoracolumbar region from which cerebrospinal fluid mixed with blood was oozing out. A high-dose methylprednisolone protocol was started (30 mg/kg in one hour and then 5.4 mg/kg over 23 hours) an indwelling urinary catheter placed and sterile dressing of the wound done. Antibiotics and analgesics were also administered. The computed tomography scanning revealed a spinal cord transection at T10-T11 level with incarceration of the broken knife blade. An emergency thoracic laminectomy was performed. Removal of the broken knife blade revealed complete spinal cord transection with a compressive hematoma within the spinal cord which was removed by smooth suction. The spinal dura was sutured and the wound closed in many layers. On day 14 after surgery, sensitivity was recovered with 3 on 5 muscle strength in both lower limbs except for both feet where motor function remained null. Urinary retention and fecal incontinence persisted. The patient was discharged from our service for a rehabilitation center. At 32-month follow-up, neurological examination was unchanged although patient noticed a slight improvement of sphincter disturbances.
文摘In retrospect of foreign literature studies in China from 1949 to 2019,we have to acknowledge two fundamental facts.Firstly,although in the initial 30 years of this period foreign literature studies in China largely followed the Soviet model,neglecting Western literary and cultural traditions to some extentwith over a decade under the influence of extreme"leftist"trendsit was during this time that the groundwork for the academic framework of foreign literature studies was painstakingly laid.Secondly,with the influx of Western ideas,foreign literature studies during the subsequent 40 years underwent a complete paradigm shift,providing the spiritual nourishment for and playing a pioneering role in liberating thought and rectifying disorders.However,this period saw a conspicuous adoption of Western paradigms in foreign literature studies,thereby somewhat abandoning certain valuable traditions and academic stances that ought to have been upheld.Meanwhile,foreign literature studies in this period also experienced an undiscriminating acceptance and hasty integration of ideas,leading to a mixture of the good and the bad.This essay provides an important overview of 70 years of foreign literature studies in China,though the specific situations are much more complex.In recent years,as the ideas of cultural confidence and a community of shared future for mankind deeply resonate with the public,the principles of serving the Chinese people and Chinese socialist cause are increasingly becoming significant recognitions within China's foreign literature scholarly community.
