The life expectancy of patients with Marfans syndrome has been increased by over 30 years by modern medico surgical management but the diagnostic problems related to the multiplicity of symptoms and the necessity of...The life expectancy of patients with Marfans syndrome has been increased by over 30 years by modern medico surgical management but the diagnostic problems related to the multiplicity of symptoms and the necessity of collaboration by ma ny specialities complicate the medical history of patients, which is largely unk nown. The authors sent a self administered questionnaire to 1 353 patients with Marfans syndrome to obtain this information. Of the 430 questionnaires return ed, as many by men as by women, the diagnosis of the disease was made in less th an half the cases by clinical symptoms (42%): the investigation of an unrelated clinical problem (39%) or a family enquiry (19%) also led to the diagnosis. T he delay between the first symptoms of the disease and first medical consultatio n (usually cardiological or ophthalmic) was long (5.2 years) as was the interval between the first consultation and the diagnosis (2.8 years). However, the popu lation could be divided into two groups, one with rapid access to the physician (< 1 year) and to the diagnosis (< 3 years) and the second group in which the de lays are long. When the diagnosis of Marfans syndrome is made following consul tation for an unrelated condition, it is more often delayed and the patient is u sually older. The delay in diagnosis observed could be shortened by systematic familial enquiries and better inform ation to physicians who could then suspect the diagnosis before the advent of cl inical symptoms.展开更多
乳腺癌改良根治术(modified radical mastectomy for breast cancer)是乳腺癌的常用外科治疗手段,是中、早期乳腺癌的常用手术方式,手术要求整块切除全部乳房及其周围脂肪组织、胸大肌筋膜、胸肌间淋巴脂肪组织、腋下淋巴淋巴脂肪组织,...乳腺癌改良根治术(modified radical mastectomy for breast cancer)是乳腺癌的常用外科治疗手段,是中、早期乳腺癌的常用手术方式,手术要求整块切除全部乳房及其周围脂肪组织、胸大肌筋膜、胸肌间淋巴脂肪组织、腋下淋巴淋巴脂肪组织,要求保留支配肌肉的胸前神经及其血管,在该术式的基础上,缩小手术范围、减少术中各种损伤将会进一步使该术式趋于完美。肋间臂神经(intercostobrachial nerve,ICBN)展开更多
文摘The life expectancy of patients with Marfans syndrome has been increased by over 30 years by modern medico surgical management but the diagnostic problems related to the multiplicity of symptoms and the necessity of collaboration by ma ny specialities complicate the medical history of patients, which is largely unk nown. The authors sent a self administered questionnaire to 1 353 patients with Marfans syndrome to obtain this information. Of the 430 questionnaires return ed, as many by men as by women, the diagnosis of the disease was made in less th an half the cases by clinical symptoms (42%): the investigation of an unrelated clinical problem (39%) or a family enquiry (19%) also led to the diagnosis. T he delay between the first symptoms of the disease and first medical consultatio n (usually cardiological or ophthalmic) was long (5.2 years) as was the interval between the first consultation and the diagnosis (2.8 years). However, the popu lation could be divided into two groups, one with rapid access to the physician (< 1 year) and to the diagnosis (< 3 years) and the second group in which the de lays are long. When the diagnosis of Marfans syndrome is made following consul tation for an unrelated condition, it is more often delayed and the patient is u sually older. The delay in diagnosis observed could be shortened by systematic familial enquiries and better inform ation to physicians who could then suspect the diagnosis before the advent of cl inical symptoms.
文摘乳腺癌改良根治术(modified radical mastectomy for breast cancer)是乳腺癌的常用外科治疗手段,是中、早期乳腺癌的常用手术方式,手术要求整块切除全部乳房及其周围脂肪组织、胸大肌筋膜、胸肌间淋巴脂肪组织、腋下淋巴淋巴脂肪组织,要求保留支配肌肉的胸前神经及其血管,在该术式的基础上,缩小手术范围、减少术中各种损伤将会进一步使该术式趋于完美。肋间臂神经(intercostobrachial nerve,ICBN)
