义乌热线编辑 发表于 昨天 20:27

震惊!义乌72岁肠癌肝转移老人重获新生!他是怎么做到的?

<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!--    付费贴-->    <div class="preview_article ">            <!---->    <p class="">原标题:&ldquo;六合一&rdquo;高难手术创生命奇迹!浙大一院双科专家强强联手义乌团队,72岁肠癌肝转移老人重获新生</p><section style="font-size: 15px; line-height: 2; letter-spacing: 2px; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; transform: translate3d(13px, 0px, 0px); -webkit-transform: translate3d(13px, 0px, 0px); -moz-transform: translate3d(13px, 0px, 0px); -o-transform: translate3d(13px, 0px, 0px); box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; line-height: 0.1; background-color: #ffffff; padding: 0px 0px 0px 9px; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="display: inline-block; width: 16px; height: 16px; vertical-align: top; overflow: hidden; border-radius: 99px; background-color: #fc657d; box-sizing: border-box;"><section style="text-align: justify; font-size: 9px; color: #ffffff; line-height: 1.5; box-sizing: border-box;"><p style="text-align: center; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; padding: 0px 7px; background-color: #ffffff; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">&ldquo;硬核&rdquo;力量</strong></p></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: -24px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-radius: 10px; overflow: hidden; padding: 26px 22px 19px; box-sizing: border-box; border: 1px solid #dbdbdb;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fsa81WKWbo4qiNRU5591v5G0jiWp" /></section></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p></section><section style="text-align: justify; color: #848484; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">依托浙大一院优质医疗资源的持续下沉、技术平移与管理同质化,义乌市中心医院诊疗能力实现跨越式提升。近日,医院多学科团队联合浙大一院专家成功为一名肠癌肝转移高龄患者实施了高难度腹腔镜联合脏器切除手术,标志着中心医院复杂肿瘤综合治疗水平迈入先进行列。</p></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; margin: 0px -10px 0px 0px; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="display: inline-block; width: 16px; height: 16px; vertical-align: top; overflow: hidden; border-radius: 99px; background-color: #fc657d; box-sizing: border-box;"><section style="text-align: justify; font-size: 9px; color: #ffffff; box-sizing: border-box;"><p style="text-align: center; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">1</p></section></section></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; padding: 5px 13px; border-radius: 7px; overflow: hidden; background-color: #a1daf5; margin: 6px 0px 0px; box-sizing: border-box;"><section style="color: #ffffff; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">72岁老人持续腹痛一个月</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">检查结果令人揪心</strong></p></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">今年年初,72岁的王大伯(化名)在外省探亲时突然出现下腹部剧烈疼痛、便血,由于病情紧急,当地医院急诊为其进行了肠造瘘手术,术中发现结肠占位,建议进一步检查。王大伯休养了两周后便回了义乌,在子女的陪同下来到了中心医院胃肠外科求诊。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; height: auto; margin: 0px 17px 0px 0px; box-sizing: border-box;"><section style="margin: 0px 0px 20px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; border-radius: 11px; overflow: hidden; width: 100%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FlKTWUJT2z_nnPKM1i7WSB_BT18F" /></section></section><section style="text-align: center; margin: 10px 0px 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; border-radius: 11px; overflow: hidden; width: 100%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FkIQLhb49fpXCq_-FdYxiwzGgHit" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; padding: 0px; height: auto; box-sizing: border-box;"><section style="margin: 0px 0px 20px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; border-radius: 11px; overflow: hidden; width: 100%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FsuSSwr3O5-xxHsql0tUcc94XK-v" /></section></section><section style="text-align: center; margin: 10px 0px 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; border-radius: 11px; overflow: hidden; width: 100%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FnGreTLI-OLGfGFWUW7bvuzqsXl7" /></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">检查结果令人揪心,<span style="color: #fc657d; box-sizing: border-box;"><strong style="box-sizing: border-box;">乙状结肠癌伴肠腔狭窄,</strong></span>病灶已经堵塞了肠道,<span style="color: #fc657d; box-sizing: border-box;"><strong style="box-sizing: border-box;">横结肠及降结肠肠壁增厚,盆腔淋巴结转移</strong></span>,<span style="box-sizing: border-box;">更全面的影像评估印证了病情的严重性,<span style="color: #fc657d; box-sizing: border-box;"><strong style="box-sizing: border-box;">中晚期且已发生转移,在肝脏部位发现了一处异常,考虑继发性恶性肿瘤。</strong></span></span></p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&ldquo;肝转移、高龄、还有既往造瘘手术造成的腹腔粘连,这三大难关摆在眼前。&rdquo;胃肠外科主任吴海明翻着病历眉头紧锁,通常这种情况下,手术难度大,风险高,预后不佳,患者往往被判定为&ldquo;失去手术机会&rdquo;。 &nbsp;</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; margin: 0px -10px 0px 0px; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="display: inline-block; width: 16px; height: 16px; vertical-align: top; overflow: hidden; border-radius: 99px; background-color: #fc657d; box-sizing: border-box;"><section style="text-align: justify; font-size: 9px; color: #ffffff; box-sizing: border-box;"><p style="text-align: center; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">2</p></section></section></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; padding: 5px 13px; border-radius: 7px; overflow: hidden; background-color: #a1daf5; margin: 6px 0px 0px; box-sizing: border-box;"><section style="color: #ffffff; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">&ldquo;不可能&rdquo;到&ldquo;有可能&rdquo;</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">化疗联合靶向&ldquo;缩瘤&rdquo;创造手术良机</strong></p></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&ldquo;只能保守治疗了吗?那还有手术希望吗?&rdquo;面对家属的期盼和当前的&ldquo;困局&rdquo;,胃肠外科团队联合肝胆胰外科、消化内科、肿瘤科、放疗科、病理科、麻醉科等多学科会诊,并邀请浙大一院胃肠外科专家、义乌市中心医院党委副书记、院长于吉人教授,浙大一院肝胆胰外科专家张珉教授参与讨论&ldquo;破局&rdquo;方案。经过详细评估,他们为王大伯制定了针对性的&ldquo;转化治疗方案&rdquo;,先通过化疗联合靶向治疗缩小肿瘤,再寻找手术机会。&nbsp;</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FkmsgyYPr98RwdBjT4GZ_-UbFZjS" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #fc657d; box-sizing: border-box;"><strong style="box-sizing: border-box;">&ldquo;这种转化治疗需要精准把握窗口期,既要避免过度治疗,又要防止错过手术机会。&rdquo;</strong></span>治疗期间,医疗团队根据王大伯的身体状况调整用药,营养科为他定制高蛋白饮食方案对抗化疗消耗,放射科定期测量肿瘤变化&hellip;&hellip;经过3个月、4个周期的转化治疗,复查显示王大伯体内肠原发灶、盆腔淋巴结均有缩小,横结肠及降结肠肠壁增厚好转,减轻了肠道梗阻的风险;肝转移灶反应也很好,体积变小、边缘更清晰了,这为手术创造了宝贵的机会。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; margin: 0px -10px 0px 0px; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="display: inline-block; width: 16px; height: 16px; vertical-align: top; overflow: hidden; border-radius: 99px; background-color: #fc657d; box-sizing: border-box;"><section style="text-align: justify; font-size: 9px; color: #ffffff; box-sizing: border-box;"><p style="text-align: center; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">3</p></section></section></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; padding: 5px 13px; border-radius: 7px; overflow: hidden; background-color: #a1daf5; margin: 6px 0px 0px; box-sizing: border-box;"><section style="color: #ffffff; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">无影灯下精密协作</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">&ldquo;六合一&rdquo;手术守护生命</strong></p></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">转化治疗见效,手术机会出现。<span style="text-decoration-line: underline; color: #ff8888; box-sizing: border-box;">是一次还是分次手术解决?腹腔镜微创是否可行?剩余肝脏体积是否足够?手术具体步骤如何安排?高龄患者心肺功能如何优化&hellip;&hellip;</span>多学科专家团队再次集结进行会诊,从手术可行性、术中策略、围手术期风险管理等多方面探讨。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&ldquo;分次手术看似保险,可能错过最佳手术时机,也要考虑多次手术后高龄患者的身体承受能力。&rdquo;手术团队最终决定为王大伯<span style="color: #fc657d; box-sizing: border-box;"><strong style="box-sizing: border-box;">一次性实施腹腔镜辅助下直肠癌扩大根治术+复杂肝癌切除术+横结肠造口还纳术+腹壁缺损修补术+腹腔粘连松解术+经内镜引导下肛管置入术</strong></span>。各学科专家都从自己的专业角度预判风险、提出解决方案,致力于让这台高难度、高风险的手术达到最优效果。</p></section><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FvQeU4kJCJhhtCfYLuQewHXwO9T9" /></section></section><section style="text-align: center; font-size: 10px; color: #a0a0a0; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;">(资料图)</p></section><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">术中,麻醉科医护人员根据手术阶段随时动态调整血压减少出血,精准液体管理、严密生命体征监测,为长时间复杂手术保驾护航。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">于吉人教授与胃肠外科主任吴海明团队凭借丰富经验和精细操作,娴熟运用先进的3D腹腔镜小心松解粘连组织,精准游离乙状结肠及直肠系膜,高位结扎肠系膜下动脉,切除大小约3cm*4cm*5cm肿瘤及足够长度的肠管,并进行淋巴结清扫,保护盆腔神经等重要结构。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FuNDnKi74ikRGUCALMC8pvHnsr_i" /></section></section><section style="text-align: center; font-size: 10px; color: #a0a0a0; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;">(资料图)</p></section><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">紧随其后,张珉教授携同肝胆胰外科团队迅速接手,转战上腹部。肝转移灶虽经治疗缩小,但位置仍具挑战,手术团队仔细操控腔镜分离肝组织,切除大小约2cm*2cm*3cm肿瘤,并确保肝中静脉等重要管道结构完好无损,剩余肝脏功能足够。</p><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">在安全切除肿瘤后,胃肠外科团队继续将原先的横结肠造瘘口还纳,重新吻合肠道,恢复其自然通道,并对腹壁存在的缺损进行了牢固的修补,放置减压肛管。<span style="text-indent: 2.2667em;">历时5个多小时,两波团队如同两台精密仪器的协同运转,完美配合成功完成手术。</span></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: center; margin: 10px 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; border-radius: 11px; overflow: hidden; width: 100%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FqZH_mxi1rDuQ1jZUPjubIPgALVz" /></section></section><section style="margin: 10px 0px; box-sizing: border-box;"><section style="float: left; text-align: right; width: auto; padding: 11px 13px 0px 15px; min-width: 5%; max-width: 100%; height: auto; margin: 0px; box-sizing: border-box;"></section><section style="background-color: rgba(161, 218, 245, 0.21); padding: 22px; box-sizing: border-box;"><p style="text-indent: 2.2667em; clear: none; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">术后病理报告显示&ldquo;切缘阴性&rdquo;,这意味着肿瘤被完整切除。王大伯在医护人员的精心照护下,闯过了感染关、营养关等一系列考验,恢复良好,现已顺利出院。</p></section></section><section style="margin: 10px 0%; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; vertical-align: bottom; width: 10%; padding: 0px 5px; align-self: flex-end; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; transform: rotateX(180deg); -webkit-transform: rotateX(180deg); -moz-transform: rotateX(180deg); -o-transform: rotateX(180deg); line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fod5_eIuAMj8s0Q6JSFQ4x1RrxK9" /></section></section></section><section style="display: inline-block; vertical-align: bottom; width: 80%; padding: 0px; align-self: flex-end; flex: 0 0 auto; box-sizing: border-box;"><section style="transform: translate3d(1px, 0px, 0px); -webkit-transform: translate3d(1px, 0px, 0px); -moz-transform: translate3d(1px, 0px, 0px); -o-transform: translate3d(1px, 0px, 0px); margin: 0px; box-sizing: border-box;"><section style="padding: 0px; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><em style="caret-color: #000000; letter-spacing: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">&nbsp;</strong></em></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><em style="caret-color: #000000; letter-spacing: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">&ldquo;家门口&rdquo;看专家</strong></em></p><p style="caret-color: #000000; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><em style="box-sizing: border-box;"><strong style="box-sizing: border-box;">浙大一院专家常驻</strong></em></p></section></section></section><section style="display: inline-block; vertical-align: bottom; width: 10%; padding: 0px 5px; align-self: flex-end; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; transform: rotateX(180deg); -webkit-transform: rotateX(180deg); -moz-transform: rotateX(180deg); -o-transform: rotateX(180deg); line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fod5_eIuAMj8s0Q6JSFQ4x1RrxK9" /></section></section></section></section><section style="margin: 0px 0% 10px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; background-color: rgba(86, 61, 227, 0.04); align-self: flex-start; flex: 0 0 auto; box-sizing: border-box;"><section style="display: flex; flex-flow: row; margin: 0px 0% 10px; text-align: justify; justify-content: flex-start; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; flex: 100 100 0%; align-self: center; height: auto; margin: 0px 20px; box-sizing: border-box;"><section style="display: flex; flex-flow: row; justify-content: flex-start; margin: 10px 0px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: 29px; flex: 0 0 auto; align-self: center; height: auto; line-height: 0; padding: 0px; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; box-sizing: border-box;"><section style="display: inline-block; width: 9px; height: 9px; vertical-align: top; overflow: hidden; background-color: #775fff; border-radius: 10px; box-sizing: border-box; border: 0px none #3e3e3e;"></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="font-size: 14px; color: #775fff; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">于吉人</strong></p></section></section></section></section><section style="display: flex; flex-flow: row; margin: 5px 0% 0px; justify-content: flex-start; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: 29px; flex: 0 0 auto; align-self: flex-start; height: auto; line-height: 0; padding: 0px; box-sizing: border-box;"><section style="text-align: center; margin: 7px 0% 0px; box-sizing: border-box;"><section style="display: inline-block; width: 9px; height: 9px; vertical-align: top; overflow: hidden; background-color: #775fff; border-radius: 10px; box-sizing: border-box; border: 0px none #3e3e3e;"></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 100 100 0%; box-sizing: border-box;"><section style="font-size: 14px; color: #746f8f; line-height: 2; letter-spacing: 2px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">中心医院党委副书记、院长</p></section></section></section><section style="display: flex; flex-flow: row; margin: 5px 0% 0px; justify-content: flex-start; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: 29px; flex: 0 0 auto; align-self: flex-start; height: auto; line-height: 0; padding: 0px; box-sizing: border-box;"><section style="text-align: center; margin: 7px 0% 0px; box-sizing: border-box;"><section style="display: inline-block; width: 9px; height: 9px; vertical-align: top; overflow: hidden; background-color: #775fff; border-radius: 10px; box-sizing: border-box; border: 0px none #3e3e3e;"></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 100 100 0%; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="color: #746f8f; text-align: justify; font-size: 14px; line-height: 2; letter-spacing: 2px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">浙大一院胃肠外科主任医师、教授</p></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: 30%; flex: 0 0 auto; height: auto; align-self: center; margin: 0px 20px 0px 0px; box-sizing: border-box;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; border-radius: 50%; overflow: hidden; box-shadow: #000000 0px 0px 0px; box-sizing: border-box; border: 0px none #3e3e3e;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FkoggGQADEIbyjLYHxEwIv6XSmvj" /></section></section></section></section></section></section><section style="margin: 10px 0%; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; background-color: rgba(86, 61, 227, 0.04); border-width: 0px; padding: 10px; align-self: flex-start; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: justify; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; border-width: 1px; border-style: solid; border-color: rgba(86, 61, 227, 0.48); background-color: #ffffff; padding: 20px 30px 20px 10px; align-self: flex-start; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="color: #746f8f; text-align: justify; font-size: 13px; line-height: 2; letter-spacing: 2px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot;浙江大学医学院附属第一医院胃肠外科名誉主任</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;浙江省医师协会外科学分会副会长</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;浙江省医学会外科学分会副主任委员</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;浙江省医学会肠外肠内营养学分会主任委员</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;浙江省抗癌协会胃肠道间质瘤专业委员会主任委员</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;浙江省抗癌协会胃癌专业委员会副主任委员</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;中国医师协会上消化道外科医师委员会副主任委员</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;中国医师协会胃肠道间质瘤专业委员会副主任委员</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;中国抗癌协会胃肠间质瘤专业委员会常务委员</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">&middot;中国抗癌协会胃癌专业委员会外科学组副组长</span></p></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="color: #746f8f; font-size: 13px; line-height: 2; letter-spacing: 2px; box-sizing: border-box;"><p style="text-indent: 2.3048em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">擅长胃肠道肿瘤治疗,包括微创手术,围手术期综合治疗和<span style="box-sizing: border-box;">转化治疗。在胃肠间质瘤治疗方面很有特色。主持多项胃癌</span><span style="box-sizing: border-box;">前瞻性多中心临床研究。发表SCI论文50余篇。</span></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="text-align: center; margin: 10px 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 50%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fg4YvPYMTj4-ENflJJsG3kCcpNoc" /></section></section><section style="text-align: center; font-size: 13px; color: #ff8888; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">坐诊时间:周二上午</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">坐诊地点:中心医院门诊四楼名医馆</strong></p></section></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&nbsp;</p><section style="margin: 0px 0% 10px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; background-color: rgba(86, 61, 227, 0.04); align-self: flex-start; flex: 0 0 auto; box-sizing: border-box;"><section style="display: flex; flex-flow: row; margin: 0px 0% 10px; text-align: justify; justify-content: flex-start; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; flex: 100 100 0%; align-self: center; height: auto; margin: 0px 20px; box-sizing: border-box;"><section style="display: flex; flex-flow: row; justify-content: flex-start; margin: 10px 0px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: 29px; flex: 0 0 auto; align-self: center; height: auto; line-height: 0; padding: 0px; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; box-sizing: border-box;"><section style="display: inline-block; width: 9px; height: 9px; vertical-align: top; overflow: hidden; background-color: #775fff; border-radius: 10px; box-sizing: border-box; border: 0px none #3e3e3e;"></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="font-size: 14px; color: #775fff; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">张 珉</strong></p></section></section></section></section><section style="display: flex; flex-flow: row; margin: 5px 0% 0px; justify-content: flex-start; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: 29px; flex: 0 0 auto; align-self: flex-start; height: auto; line-height: 0; padding: 0px; box-sizing: border-box;"><section style="text-align: center; margin: 7px 0% 0px; box-sizing: border-box;"><section style="display: inline-block; width: 9px; height: 9px; vertical-align: top; overflow: hidden; background-color: #775fff; border-radius: 10px; box-sizing: border-box; border: 0px none #3e3e3e;"></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 100 100 0%; box-sizing: border-box;"><section style="font-size: 14px; color: #746f8f; line-height: 2; letter-spacing: 2px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">主任医师</p></section></section></section><section style="display: flex; flex-flow: row; margin: 5px 0% 0px; justify-content: flex-start; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: 29px; flex: 0 0 auto; align-self: flex-start; height: auto; line-height: 0; padding: 0px; box-sizing: border-box;"><section style="text-align: center; margin: 7px 0% 0px; box-sizing: border-box;"><section style="display: inline-block; width: 9px; height: 9px; vertical-align: top; overflow: hidden; background-color: #775fff; border-radius: 10px; box-sizing: border-box; border: 0px none #3e3e3e;"></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 100 100 0%; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="color: #746f8f; text-align: justify; font-size: 14px; line-height: 2; letter-spacing: 2px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">曾任浙大一院肝胆胰外科常务副主任、肝移植中心副主任、浙江大学医学部一系外科学教研室副主任</p></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: 30%; flex: 0 0 auto; height: auto; align-self: center; margin: 0px 20px 0px 0px; box-sizing: border-box;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; border-radius: 50%; overflow: hidden; box-shadow: #000000 0px 0px 0px; box-sizing: border-box; border: 0px none #3e3e3e;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FjXZ08FjNPSjC06e9eokZYVRyf0u" /></section></section></section></section></section></section><section style="margin: 10px 0%; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; background-color: rgba(86, 61, 227, 0.04); border-width: 0px; padding: 10px; align-self: flex-start; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: justify; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; border-width: 1px; border-style: solid; border-color: rgba(86, 61, 227, 0.48); background-color: #ffffff; padding: 20px 30px 20px 10px; align-self: flex-start; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="color: #746f8f; text-align: justify; font-size: 13px; line-height: 2; letter-spacing: 2px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 中华医学会外科学分会门静脉高压症学组委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 中国医师协会外科医师分会委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 中国医师协会胆道外科医师委员会常务委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 中国医师协会器官移植医师分会常务委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 中国医师协会肝移植医师委员会委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 中国抗癌协会肝癌专委会委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 中国抗癌协会胆管癌专委会委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 浙江省医学会器官移植分会常务委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 浙江省医学会微创外科分会常务委员</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">&middot; 浙江省医学会外科学分会委员</p><p style="white-space: normal; 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浪奔~~ 发表于 昨天 20:29

厉害了

1hhh 发表于 昨天 20:36

好好好
医生负责任,医术也好

非我不可 发表于 昨天 20:38

奇迹!点赞

匿名中用户 发表于 昨天 20:39

不错不错

凉生初雨 发表于 昨天 20:40

确实不容易

喜悦喜悦 发表于 昨天 20:44

这个可以有

准备养老中l 发表于 昨天 20:45

医术高超

不再联系 发表于 昨天 20:46

好好好

笑望书Lan 发表于 昨天 20:47

不错不错
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