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肝活体组织检查 - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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肝活体组织检查 - Medical Animation
医学动画文字记录:医生可能会做肝活体组织检查(肝活检),以确定肝脏疾病的原因和损伤的程度。肝脏位于右上腹部,膈肌之下。膈肌几乎完全位于胸腔内,能够为器官提供保护。肝脏对消化和代谢至关重要。肝脏的功能包括分泌胆汁,这是脂肪吸收所必需的;氨基酸合成蛋白质;“包装”脂肪以便其在血液中储存或运输;调节血糖水平;酒精和药物等物质的代谢。肝活检可用于确定肝功能异常、肝肿大和黄疸的原因,黄疸是指血清胆红素升高时皮肤和巩膜变黄。胆红素通常由肝脏代谢。这些体征和症状可能是由于各种肝病,包括肝硬化、肝炎或癌症导致的。在检查前,首先建立静脉通路,通过静脉给予镇静剂以帮助你放松。肝活检是在局部麻醉下进行的,所以在整个过程中你会保持清醒。要求你采取仰卧体位,右手举过头顶。在操作过程中,你需要尽可能静卧不动。因右肺和胆囊靠近肝脏,移动可能会对这些器官造成损害。医生会通过超声或轻叩腹部来确定肝脏的位置。在用抗菌剂消毒活检区域后,注射局部麻醉剂,使皮肤和肝脏表面麻醉。皮肤麻醉后,医生就会用手术刀做一个皮肤切口。穿刺针将会从这个切口进入。医生会小心地将穿刺针推进到肝脏表面。然后,会让你屏住呼吸,同时将针头插入肝脏并取得组织样本。活检完成后,你就可以正常呼吸了。活检期间或活检后,你的右肩可能会有短暂的感觉。有些病人会感到疼痛,需要药物治疗,如果需要的话,医生会开给你。之后,在活检部位加压止血,并用绷带包扎切口。活检后,你需要右侧卧位至少1个小时。手术后,将密切监测你的血压和心率。在右侧卧位1~2个小时后,你需要再仰卧至少3个小时。肝活检是门诊检查。如果没有并发症,检查结束4~8小时出院。

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"A few words about The Doe Report: recently in a brachial plexus injury case, we used an image from The Doe Report to demonstrate the injury. We downloaded the PDF file image, and were amazed at the quality. The hard copies that you sent were even more clear. As well, we could not have been happier when you customized the image and reversed the injury from the left shoulder to the right shoulder, which is where our client's injury was.

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Needle Gallagher & Ellenberg, P.A.
Miami, FL

"Your firm is great to work with and, most importantly for me, you get the job done on time and with the utmost professionalism. You should be proud of all those you employ, from KJ to Ben B. I've been especially pleased over the years with the work of Brian and Alice, both of whom seem to tolerate my idiosycratic compulsion to edit, but I've not found a bad apple in the bunch (and, as you know, I've used your firm a bunch!). I look forward to our continued professional relationship."

Kenneth J. Allen
Kenneth Allen & Associates
Valparaiso, IN

"Thank you very much for the great work on the medical exhibits. Our trial resulted in a $16 million verdict for a 9 year old boy with catastrophic injuries, and the medical illustrations definitely played key role in the trial."

David Cutt
Brayton Purcell
Salt Lake City, UT

"It is my experience that it's much more effective to show a jury what happened than simply to tell a jury what happened. In this day and age where people are used to getting information visually, through television and other visual media, I would be at a disadvantage using only words.

I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.

Animations are powerful communication tools that should be used wheneverpossible to persuade juries."

Andrew G. Slutkin
Snyder Slutkin & Kopec
Baltimore, MD












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