【男子五脏六腑反长】男子五脏六腑都反着长 医生:为他做手术就像脑筋急转弯[man] man all the viscera the viscera anti long long anti doctor do surgery like brainteasers for him-少女神似奶茶妹妹



  体内的脏器类似于正常人照镜子,五脏六腑的位置与常人相反,过着“颠倒”的人生,这就是我们常说的“镜面人”,发生概率只有百万分之一。 近日,温州医科大学附属第二医院刚刚完成一例镜面人腹腔镜直肠癌切除手术。这场“别扭”的手术,医生不仅要换站位,时长也比平常多了近一倍。
诊断出直肠癌需要手术
他脱口而出“我是镜面人” 张先生今年41岁,家住温州市区,已经反复便血约十年,近两三个月出血突然增多。今年6月中旬,他来到温州医科大学附属第二医院(以下简称附二医)做检查。这一查,竟然查出了直肠癌,肿瘤的直径有5厘米左右,幸运的是还没有发生病灶转移,需要立即切除。

得知需要手术,张先生脱口而出的第一句话就是:“我是个镜面人。”这意味着,他的心、肝、脾等脏器都在与常人相反的位置,肠道也是如此。“一般人的大肠是顺时针的,阑尾在右侧,而镜面人的大肠是逆时针方向,阑尾在左侧。” 7月1日,张先生正式入院治疗。虽然对医院的首例镜面人手术准备了许久,7月4日下午,真正开始手术的时候,肛肠外科副主任医师卢敏还是有些紧张:“毕竟,这一次手术完全对调了器官的位置,进行手术操作时会不习惯。”卢医生介绍,医生的操作习惯和技巧、手术器材等,都是按正常人的内脏方向设计的,现在要整个反过来,技术越熟练,越有可能会犯错。 手术前,为了避免“雷区”,医生围绕手术方式、步骤等一遍遍在心中做推演,确保不会因为习惯问题犯错。 幸运的是肿瘤位置还算好,在直肠手术中最大的困难在于血管和肠系膜是反向的。“以前都是站在右侧手术,这次需要先站在左侧处理好血管,然后再按照以往的习惯切除肿瘤。” 这种感觉,就像习惯了右手写字,突然就变成用左手写字,难度不亚于做了次“脑筋急转弯”。正常的腹腔镜直肠癌切除手术只需要两三个小时,这一次,卢医生在手术室整整待了四五个小时。
上学体检去拍X片
医生却以为他在恶作剧 昨天上午,钱报记者在病房见到了还在康复的张先生,他目前恢复良好。 张先生介绍,最初发现他的脏器有异样,还是在两个月大的时候。当时,还是婴儿的他咳嗽得厉害,医生拿着听诊器照常去听,却发现他的心脏不在左侧。心脏是反的,早在记事起,家人已经讲了无数遍。 上小学的那年需要体检,去拍X光片的时候,医生却特意喊他“不要背对着机器,脸朝向医生”,“其实他哪里知道,我当时就是脸朝着他的,他却以为我在开玩笑恶作剧。” “除了内部器官位置相反,生活方面没有什么异常,游泳、潜水也没有任何影响。”爱好运动的张先生表示。 “镜面人是完全性内脏反位的俗称,通常表现为胸腔、腹腔器官及解剖结构的完全左右反位。”卢敏医师介绍,“镜面人”是在人体胚胎发育过程中,只有父母体内基因的一个位点同时突变才会出现,这种突变是隐性遗传,遗传几率很低,发生率约为百万分之一。
镜面人的生活和普通人并无差别
遗传几率很低 “镜面人”会遗传吗?钱江晚报记者曾采访过“镜面人”孕妇,她的例子说明这种突变是隐性遗传,遗传几率很低。 2008年9月,28岁的阿娟在杭州市中医院生下了一个白白胖胖的女儿,阿娟就是一位“镜面人”,不过这样奇特的身体状况,并没有影响到她的健康。随着孕期的增长,阿娟的心脏负荷加重,反着长的心脏也面临极大的考验,还出现了早搏,所幸在专家的监护下,怀孕后期以及最后的生产还算顺利,而她的女儿也没有遗传“镜面人”的特征。 镜面人的生活和普通人没有太大区别。2012年9月,60岁的“镜面人”吕大妈也曾因为胆囊结石和胆管结石到浙医二院接受治疗,腹腔镜外科主任王跃东说,“镜面人”虽然内脏全部反位,但只是位置发生变化,相互间的关系并未改变,因此生理功能与正常人一样,对健康和生活都没有太大影响。“他们如果做手术,也只是比正常手术时间长了一些。” The body organ similar to the normal position of the mirror, and ordinary people lived opposite the viscera, the "reversal" of life, this is what we often say "mirror man", the probability of only one in a million. Recently, the Second Affiliated Hospital of Wenzhou Medical University has just completed a case of laparoscopic resection of rectal cancer surgery mirror man. This "awkward" operation, doctors not only to change positions, the length of time is almost twice as much as usual. The diagnosis of rectal cancer requires surgery He blurted out, "I’m a mirror man."" Mr. Zhang, 41 year old, who lives in Wenzhou City, has repeatedly in about ten years, nearly two or three months of a sudden increase in bleeding. In mid June this year, he came to the Second Affiliated Hospital of Wenzhou Medical University (hereinafter referred to as the Second Affiliated Hospital to do inspection). This check, even found rectal cancer, tumor diameter of about 5 cm, fortunately, there has been no metastasis, need to be removed immediately.   That need surgery, Mr. Zhang said the first sentence is: "I am a mirror man." This means that his heart, liver, spleen and other organs are in reverse position with the ordinary people, the same is true of the intestinal tract. "The average person is e. clockwise, the appendix on the right side, and the mirror man E. clockwise direction on the left side, appendix." In July 1st, Mr. Zhang was admitted to hospital. Although the hospital’s first mirror people prepared for surgery for a long time, the afternoon of July 4th, when the beginning of surgery, Department of anus & intestine surgery, deputy chief physician Lu Min was nervous: "after all, this operation is completely reversed the position of the organs, operation will be used." Dr. Lu introduced, doctor’s operating habits and techniques, surgical equipment, etc., are designed according to the direction of the normal human organs, and now the whole turn, the more skilled, the more likely to make mistakes. Before surgery, in order to avoid "minefields", the doctor around the operation, steps, and so on, in the heart to do deduction, to ensure that the habit will not make mistakes. Fortunately, the position of the tumor is fairly good. The biggest difficulty in rectal surgery is that the vessels and mesentery are reversed. "It used to be on the right side of the operation. This time you need to be on the left to take care of the blood vessel, and then remove the tumor according to your past habits."." This feeling, like used to write the right hand, and suddenly become left-handed writing, the difficulty is no less than done a "mind sharp bend."". It took only two or three hours for a normal laparoscopic rectal cancer resection, and Dr Lu spent four or five hours in the operation room this time. Go to school and take X The doctor thought he was joking Yesterday morning, the money reporter in the ward to see the rehabilitation of Mr. Zhang, he is currently recovering well. Mr. Zhang introduced, initially found that his organs are strange, or at the age of two months. At that time he was still a baby. He coughed badly. The doctor took the stethoscope as usual, but found his heart was not on the left. The heart is reversed. As early as possible, the family has talked about it countless times. I was in primary school need to take physical examination, X ray, the doctor is specially called him "don’t back to the machine, face to the doctor," but he knew where I was facing him, he thought I was joking practical joke." "In addition to the location of the internal organs, there are no abnormalities in life, and swimming and diving do not affect anything."." Mr. Zhang, who is interested in sports, said. "Mirror man is a complete situs inversus is commonly known, is often in the form of thoracic and abdominal organs and anatomical structure around the reverse." Dr. Lu Min introduced the "mirror man" in the process of human embryos, only one site of parents in vivo gene mutation at the same time will appear, this mutation is recessive, genetic probability is very low, the incidence rate is about one millionth. The life of ordinary people and there is no difference between the mirror man Genetic odds are low "Mirror man" genetic? Qianjiang Evening News reporter interviewed the "mirror man" pregnant, her example of this mutation is recessive, genetic probability is very low. In September 2008, 28 year old A Juan had a plump daughter in Hangzhou Traditional Chinese Medical Hospital, A Juan is a "mirror man", but this peculiar physical condition, and did not affect her health. With the growth of pregnancy, increased cardiac load A Juan, anti long heart also face great challenges, also appeared premature, but fortunately in the expert’s custody, late pregnancy and the production characteristics fairly well, and her daughter did not inherit the "mirror man". Mirror man’s life and ordinary people is not much difference. In September 2012, the 60 year old "mirror man" lvdama also because of cholecystolithiasis and choledocholithiasis to Zhejiang medical hospital for treatment, laparoscopic surgery director Wang Yuedong said, "mirror man" though guts all trans, but only to change position, the relationship between each other has not changed, so the physiological function and normal people, no too much impact on health and life. "If they do the surgery, it’s only a little longer than normal.相关的主题文章: