《神经外科英语病例》doc版.doc

蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄螃膃蒈蒃袅羆莄蒂羇膁芀蒁蚇羄膆蒀蝿腿蒅蕿袁羂莁薈羄膈芇薈蚃羁芃薇袆芆腿薆羈聿蒈薅蚈芄莄薄螀肇芀薃袂芃膅蚂羅肅蒄蚂蚄袈莀蚁螇肄莆蚀罿袇节虿蚈膂膈蚈螁羅蒇蚇袃膀莃蚆羅羃艿螆蚅腿膅螅螇羁蒃螄袀膇葿螃肂肀莅螂螂芅芁荿袄肈膇莈羆芃蒆莇蚆肆莂蒆螈节芈蒅袁肅膄蒄肃袇薂蒄 Case 1: Brain trauma: epidural hematoma脑外伤：硬膜外血肿Case 2: Brain trauma: epidural hematoma脑外伤：硬膜外血肿Case 3: Brain trauma: chronic subdural hematoma脑外伤：慢性硬膜下血肿Case 4: Posterior fossa subdural hematoma (PFSDH) in neonate新生儿后颅窝硬膜下血肿Case 5: Astrocytoma of frontal lobe额叶星形细胞瘤Case 6: Glioblastoma multiforme of frontal lobe额叶多形胶母细胞瘤Case 7: Glioblastoma multiforme located near motor cortex运动区附近的多形胶母细胞瘤Case 8: Choroid plexus papilloma of third ventricle (transcallosal approach)三脑室脉络丛乳头状瘤（经胼胝体入路）Case 9: Hypothalamic glioma丘脑下部胶质瘤Case 10:Chiasmal glioma视交叉胶质瘤Case 11: Meningioma of the anterior skull base前颅底脑膜瘤Case 12 : Olfactory groove meningioma嗅沟脑膜瘤Case 13: Lateral sphenoid wing meningioma蝶骨嵴外侧脑膜瘤Case 14: Medial sphenoid wing meningioma蝶骨嵴内侧脑膜瘤Case 15: Sphenocavernous meningioma蝶骨嵴海绵窦脑膜瘤Case 16: Recurrent meningioma involving the cavernous sinus海绵窦复发性脑膜瘤Case 17: Suprasellar meningioma鞍上脑膜瘤Case 18: Tuberculum sellae-planum sphe noidale meningioma鞍结节蝶骨平台脑膜瘤Case 19: Meningioma of the left optic sheath左视神经鞘脑膜瘤Case 20: Clivus meningioma斜坡脑膜瘤Case 21: A recurrent inferior clival menin gioma (with far lateral approach)复发性斜坡下段脑膜瘤（远外侧入路）Case 22: Petroclival meningioma岩斜脑膜瘤Case 23: Petroclival middle fossa meningioma岩斜中颅窝脑膜瘤Case 24 Trigeminal meningioma三叉神经脑膜瘤Case 25 : Cerebellopontine angle meningioma (located anterior to the IAM)小脑桥脑角脑膜瘤（内听道前）Case 26:Cerebellopontine angle meningioma (located posterior to the IAM)小脑桥脑角脑膜瘤（内听道后）Case 27: Incisural meningioma小脑幕切迹脑膜瘤Case 28: Jugular foramen meningioma颈静脉孔区脑膜瘤Case 2 9 : CraniospinaL meningioma颅颈交界部脑膜瘤30: Meningioma (C2-3)脊膜瘤（颈）Case 31: Pituitary adenoma (chromophobe type)垂体瘤（嫌色性）Case 32: Pituitary macroadenoma in acro-megaly垂体大腺瘤伴肢端肥大症Case 33: Pituitary macroadenoma in aero megaly垂体大腺瘤伴肢端肥大症case 34: Recurrence of an extensive para-and suprasellar pituitary adenoma复发性鞍旁鞍上垂体瘤Case 3 5: Pituitary adenoma (complicated by postoperative CCF)垂体瘤（术后并发颈动脉海绵窦瘘）Case 36: Pituitary chromophobe adenoma (oculomotor nerve repair usinginterposed nerve graft)垂体嫌色细胞腺瘤（用神经移植修复动眼神经）Case 37: Large pituitary adenoma with very extensive intracranial growth垂体大腺瘤伴广泛颅内生长Case 38: Entirely suprasellar symptomatic RathkcTs cleft cyst鞍上症状性Rathke裂囊肿Case 39: Intraventricular craniopharyngi oma内颅咽管瘤脑室Case 40: Craniopharyngioma with invasion of the third ventricle and obstructive hydrocephalus颅咽管瘤侵入第三脑室伴埂阻性脑积水Case 41: Craniopharyngioma ( spontaneous reduction)颅咽管瘤（自发消退）Case 42: Trigeminal neurinoma三叉神经瘤Case 43 - Trigeminal neurinoma三叉神经瘤Case 44; Neurofibroma of the infratemporal fossa 颞下窝神经纤维瘤Case 45: Neurinoma of the abducens nerve外展神经瘤Case 46: Schwannoma in the petrous bone 岩骨内神经鞘瘤Case 47: Glossopharyngeal schwannoma舌咽神经鞘瘤Case 48: Neurinoma of the jugular foramen颈静脉孔区神经瘤Case 49: Neurinoma of the jugular foramen颈静脉孔区神经瘤Case 50: Schwannoma located anterior to cervicomedullary junction延颈髓交界处前方神经鞘瘤Case 51: Epidermoid tumor of the cerebel lopontine angle小脑桥脑角表皮样肿瘤Case 52: Epidermoid tumor of the lateral wall of the cavernous sinus海绵窦侧壁表皮样肿瘤Case 53: Cerebellopontine angle lipoma小脑桥脑角脂肪瘤Case 5 4: Intracranial germ cell tumor颅内生殖细胞瘤Case 55: Papillary adenoma of endolym phatic sac origin源自内淋巴囊的乳头状腺瘤Case 56: Esthesioneuroblastoma of nasal cavity and adjacent paranasal sinuses鼻腔和鼻旁窦感觉神经母细胞瘤Case 57: Angiofibroma of paranasal sinu ses, nasopharynx and skull base鼻旁窦、鼻咽和颅底血管纤维瘤Case 58: Intrinsic brainstem tumor (glioma)脑干肿瘤（胶质瘤）Case 59: Brain stem tumor (astrocytoma)脑干肿瘤（星形细胞瘤）Case 60: Brainstem tumor (hemangioblas toma)脑干肿瘤（血管母细胞瘤）I 120 TYPICAL CASES OF NEUROSURGERYCase 1: Brain trauma: epidural hematoma脑外伤：硬膜外血肿A 65-year-old right-handed man was transferred to the hospital approximately 16 hours after suffering head trauma with loss of consciousness in a motor-vehicle accident.Examination. General examination was remarkable for a left parietal scalp laceration, left hemotympanum, and right periorbital hematoma眶周血肿. Funduscopic examination 眼底检查was within normal limits. Neurological examination revealed an alert patient oriented to time and person but not to place. A mixed aphasia was present with expressive and conductive elements. Sensory examination was normal. There was left-sided weakness; however; the patient did have a positive Babinski sign on the left. The remainder of the neurological examination was normal. Skull films revealed a left parietal linear skull fracture.Course. The patient was admitted to the hospital for observation, and over the next 24 hours had modest but definite improvement in his aphasia. A CT scan was obtained approximately 24 hours after injury, and this reveals a left epidural hematoma with a 3-mm shift of midline structures from left to right, and effacement of the left lateral ventricle. Because the patient had been improving neurologically, surgery was withheld pendingpendingpending简明英汉词典pendiprep.直到, 在等待期间adj.1未决的, 未定的, 待定的2即将发生的词条指正-Google 搜索 any evidence of neurological deterioration. By the 2nd day, the patient had complete resolution of his aphasia except for a very mild dysnomic component. Follow-up CT scan on the 4th hospital day demonstrated no significant change from the performed 24 hours after admission. The patient continued to improve and was discharged asymptomatic following complete resolution of his neurological deficits and headaches on the 6th hospital day. Repeat CT scans were obtained on the 17th and 30th postinjury day. These showed gradual but complete resolution of the epidural hematoma.Case 2: Brain trauma: epidural hematoma脑外伤：硬膜外血肿A 21-year-old man was transferred to the hospital 3 days after suffering a closed-head injury with loss of consciousness. On admission, the patient was complaining of severe right-sided headaches.Examination. The general examination demonstrated a right parietal laceration. Neurological examination showed a mild abnormality of recent memory， but was otherwise within normal limits. Plain films demonstrated a linear right temporal-parietal skull fracture.Course. The patient underwent CT scan on the day of admission. This revealed a right temporal-parietal epidural hematoma associated with a 4-to 4. 5-mm shift from right to left. Because the patient demonstrated no neurological deficit, he was treated nonoperatively. During the hospital course, the patient had steady and complete resolution of his headache. Repeat CT scan, 1 week after admission, demonstrated persistent right epidural hematoma, with less shift than noted previously. The patient was discharged without neurological deficit, A third scan, repeated 7 weeks after injury, demonstrated complete resolution of the epidural hematoma.Case 3: Brain trauma: chronic subdural hematoma脑外伤：慢性硬膜下血肿You are asked to see a 27-year-old woman, a successful corporate lawyer, because of increasing headaches which began approximately 1 month ago. She first noted headache several days after returning from a ski trip with her husband and two children. The headaches are bifrontal, throbbing, and increasing in severity. During the past week she has awaked from sleep on several occasions with headache and vomiting. In addition, her husband describes her as more apathetic and less sharp at work than usual. One week ago she saw a local physician who prescribed Valium. There have been no visual, motor, or sensory complaints. She is not on any medications, has no other medical illnesses, and has suffered no recent trauma. On examination , she was tearful and complained of severe steady headache and an inability to sleep for several days. She relied on her husband for most of the details of her illness. On several occasions, she did not respond to questions asked directly to her and the questions had to be repeated. There was no aphasia, but detailed mental status testing was impossible because of her agitated state.Examination of the optic fundi revealed an absence of venous pulsations and blurring of the disc margins. The remainder of the cranial nerve examination was normal. There was a mild pronator drift of the right arm but power was otherwise normal. There was reflex asymmetry (3/5 on the right, 2/5 on the left) and plantar responses were flexor on the left and equivocal on the right. Tone, sensory, and cerebellar examinations were within normal limits, and her gait was normal. A CT scan was performed.The scan shows a large, left-sided, isodense? chronic subdural hematoma. On the nonenhanced scan, the subdural hematoma itself was not visible because of its isodense character, but a shift of the lateral ventricles due to mass effect was seen. With contrast enhancement 9 the membranous wall of the subdural hematoma can be seen and the size of the subdural collection is clearly outlined.The treatment for symptomatic, chronic subdural hematomas is surgical evacuation. In patients with small, stable subdural hematomas, or in those for whom surgery is contraindicated, medical management with corticosteroids and dehydrating agents(mannitol) may be successful. In this patient surgical evacuation was performed with excellent results.Case 4: Posterior fossa subdural hematoma (PFSDH) in neonate新生儿后颅窝硬膜下血肿This newborn female was born at a gestational age of 40 weeks,weighing 3780g, to a gravida 2 para 1 mother. Forceps were applied to the fetal head for failure to progress. Apgar scores were 6 and 9. Within the 1st day of life, the baby was observed to be listless and lethargic and to have a poor suck. The anterior fontanelle was tense. Seizures developed. Endotrachealintubation and ventilation were required for bradycardia and apneic episodes. The hemogram was normal. A lumbar puncture was performed to rule out central nervous system sepsis, and bloody cerebrospinal fluid(CSF) was obtained. CT was then performed， and a large PFSDH was observed in addition to moderate ventriculomegaly. A neurosurgical consultation was obtained. The neonate was quadriplegic on a ventilator, making only the occasional respiratory effort.The neonate was taken urgently to surgery, and a posterior fossa craniectomy was performed. The clot could be removed from the posterior fossa subdural space. The bleeding sites were identified and successfully coagulated. The infant did not require an external ventricular drain nor did she go on to develop progressive hydrocephalus. She began to breathe readily after the posterior fossa decompression and clot evacuation. She was weaned from the ventilator within 4 days. Subsequent CT showed minimal left cerebellar parenchymal involvement with calcification and volume loss. The ventriculomegaly had resolved completely. At 4 years of age, the child walked and talked normally. A right esotropia remained th