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十二指肠闭锁及修复(儿科) - 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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Item #ANH13089chis — Source #1

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十二指肠闭锁及修复(儿科) - Medical Animation
"医学动画文字记录:十二指肠闭锁是一种先天缺陷,是指婴儿小肠的起始部分,即十二指肠阻塞。小肠位于胃和大肠之间,从食物中吸收营养。小肠分为三部分:十二指肠、空肠和回肠。十二指肠在怀孕第6周形成。这时可以看到将来发育为消化系统的管道。十二指肠位于发育中的胃的下面。十二指肠内的细胞生长得非常快,以至于管腔会阻塞一段时间。随后,作为正常发育的一部分,阻塞十二指肠内部的细胞死亡,直到发育中的肠道重新开放。
在怀孕10周左右,由于未知的原因,十二指肠外壁可能生长不正常。此外,阻塞十二指肠内部的细胞可能还没有死亡。其结果会导致发生十二指肠闭锁的缺陷,其中一部分十二指肠被一种或多种方式阻塞。它可能被网状组织内膜阻塞,也可能有一部分十二指肠完全缺失。最后,十二指肠可能变窄。因为液体不能通过十二指肠,任何一种类型的闭锁都会妨碍婴儿从乳汁中吸收营养。十二指肠闭锁不会立即危及生命。但需要在出生后几天内进行手术来修复阻塞的十二指肠。手术前,需要在婴儿出生后不久通过鼻子或口腔插入一根吸管(NG),将多余的液体和空气从胃中排出。在整个手术过程中,进行全身麻醉,使婴儿处于睡眠状态。在手术过程中,经鼻腔或口腔进行气管插管,以帮助婴儿呼吸。通常,医生会在右侧肋骨下做一个切口。接下来,医生会仔细地找到婴儿十二指肠的闭锁处或狭窄阻塞的部分。在闭锁上方和下方将十二指肠切开。用缝线将两个开口吻合,从而绕过闭锁。最后,用可溶解缝线或皮肤闭合条缝合皮肤切口。术后患儿将被送往新生儿重症监护病房进行监护。医生会给婴儿使用止痛药。可能会继续给婴儿静脉注射抗生素。消化系统正常运作2~4周内可以出院。"

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What attorneys say about MLA and The Doe Report:
"[Your staff] was extremely efficient, cooperative and gracious and [their] efforts produced a demonstrative exhibit that we used effectively throughout our trial. The jury verdict of $3,165,000.00 was, in no small measure, due to the impact of the demonstrative evidence. You may be sure that we will call again."

David J. Dean
Sullivan Papain Block McGrath & Cannavo, P.C.
New York, NY

"Our practice involves medical negligence cases exclusively. We have six attorneys and one physician on staff. We have used Medical Legal Art's staff for every one of our cases over the past 12 years and have found their services to be extraordinary. The transformation of medical records into powerful graphic images has without fail been handled expertly, expeditiously and effectively translating into superb results for our clients, both in the courtroom and in settlement. Every case can benefit from their excellent work and we unqualifiedly recommend their services. They are the best!"

Chris Otorowski
Morrow and Otorowski
Bainbridge Island, Washington
www.medilaw.com

"For us, the defining feature of effective demonstrative evidence is whether, by itself, the piece will tell the story of the case. Medical legal Art provides our firm with illustrations and animations that are clear and persuasive. Their exhibits tell the story in a way that allows the jury to understand a very complex subject, very quickly."

James D. Horwitz
Koskoff, Koskoff & Bieder, P.C.
Bridgeport, CT

"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













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