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| 2017/02/11 23:23:30瀏覽90｜回應0｜推薦0 | |
▲老翁不是啞巴卻20年無法說話，竟是聲帶萎縮及單側聲帶麻痺在搞鬼。（圖／達志示意圖） 記者趙于婷／牙齒黃斑台北報導 一名80歲老翁長達20多年因為聲帶萎縮及單側聲帶麻痺，說話嚴重沙啞、費力，幾乎無法完整講出一段話來，常常被人誤以為是啞巴而非常鬱卒，平時連喝茶或吃東西也會被嗆到。所幸透過「甲狀軟骨成形術」終於讓老翁「回聲」。 新光醫院耳鼻喉科主治醫師李佳融指出，人年紀愈大，聲帶也會像老年人的皮膚一樣變薄變鬆，不但聲帶運動無力、振動起來也容易有縫隙，使得患者聲音沙啞、發音困難、話講久了還會失聲或是講話會痛以及吃東西不時會被嗆到。而單側聲帶麻痺會導致喉部聲門無法完全閉合而產生的聲音微弱、氣聲、喝水容易被嗆到等症狀，嚴重者可能會造成吸美白牙齒推薦入性肺炎危。 由於該病患還伴隨聲帶萎縮，才會嚴重到已長達20多年沒法像正常人說話。李醫師說明，引發單側聲帶麻痺的原因很多，例如顱底骨折、甲狀腺手術、頸部及喉部各種外傷、惡性或良性腫瘤壓迫頸部、鼻咽牙齒居家美白價錢癌或周圍神經炎等均可能會引起聲帶麻痺，若是置之不理，一旦拖過半年，神經恢復的機率就會大幅減少，輕則持續發音困難，嚴重則會引發吸入性肺炎，造成生命危險。 ▲李佳融醫師指出，「甲狀軟骨成形術」可改善聲帶溝、聲帶萎縮或聲帶麻痺問題。（圖／李佳融醫師提供） 而「甲狀軟骨成形術」可改善聲帶溝、聲帶萎縮或聲帶麻痺問題，該手術原理是在脖子上以鑽孔或切開一個約三公分的傷口，接著在甲狀軟骨開一個小洞，在聲帶外側植入矽膠塊或填充物以擠壓萎縮或麻痺的聲帶，促使其內縮以達到閉合效果，單側或是雙側皆可，視病人聲帶萎縮的情況來決定。 由於病人在手術檯上是清醒的，醫師可在植入填充物時即時進行「術中調音」，也就是請病人同步配合發音，以判斷該放多少植入物進去。由於手術採局部麻醉，此手術僅需住院一至兩天。 慾火狂燒！女人私居家牙齒美白組藏「暖機」6招 你可能只是備胎「7大跡象」！ 長髮女必學「9種性愛挑逗」！ 慢跑「時間點」決定效果！美白牙齒價錢 好羞！男人第一次嘿咻的「5個OS」 罵狗狗就打哈欠？要你「別氣氣」 男人「高潮」7真相...超驚人！ 15件事證明：你已經做得很好了！ 羞羞！女人私處「8個有趣事實」 從「個性」選做愛姿勢..妳適合哪種 大火後林杰樑提醒：吃高纖少肥肉 高潮感覺？女網友親身經驗告訴你 多久洗一次頭最好？醫師回答超海派 從「金錢觀念」看年紀...年輕真好 2017-02-0303:00 ADEPT: Meetings will be attended by sub-committees comprised of 75 professionals, including legal experts, Presidential Office spokesperson Chang Wen-lan saidBy Jason Pan / Staff reporterThe Presidential Office’s preparatory committee for judicial reform is to have group discussions once every two weeks starting on Feb. 20, which will culminate with a national affairs conference on judicial reform that is expected to take place in June and be presided over by President Tsai Ing-wen （蔡英文）, the office said yesterday.The group discussions will be attended by five sub-committees that consist of 75 professionals in total, including 35 judicial and legal experts and 40 non-legal practitioners, Presidential Office spokesperson Chang Wen-lan （張文蘭） said.“The delegates will be nominated by their peers from jurisprudential and legal fields, with 10 delegates from prosecutors, 10 from court judges, 10 from lawyers, and five from law school academics and professors,” Chang told a news conference at the Presidential Office yesterday afternoon.“The process has been under way for the past two months, soliciting and consulting opinions from the public and the judiciary. We have received about 1,000 suggestions for judicial reform, which were compiled and consolidated into a list of 20 major issues that has been published on the Presidential Office’s Web site,” said the preparatory committee’s deputy executive secretary Lin Feng-cheng, a consultative member of the National Security Council who also attended the news conference.The major issues will serve as the basis of discussion for the five sub-committees at the committee’s biweekly discussion meeting, Lin said, adding that although each sub-committee is expected to hold six discussion sessions in the course of three months, more meetings could be arranged depending on the complexity of the issues they cover.The five sub-committees are responsible for five different areas: protection of victims and disadvantaged people in society; establishment of a fair, trustworthy and professional judicial system; establishment of an efficient and accountable judicial system; establishment of a transparent and inclusive judicial system; and safeguarding social security, according to the office.The committee is scheduled to hold its last meeting on Feb. 13 to finalize the list of participants and topics of discussion.Separately yesterday, Minister of Justice Chiu Tai-san （邱太三） said the public has demanded better governance and accountability from the government after it took office in May last year, while civil servants have been facing increasing challenges.“The justice ministry have brought together several top members of our judicial system and hope they would provide suggestions at the pending national affairs conference on pension reform,” Chiu said, adding that the ministry has a responsibility in upholding the rule of law, promoting democratic development and safeguarding human rights.新聞來源：TAIPEI TIMES （中央社記者鍾榮峰台北2日電）蘋果iPhone沒漏氣，重拾全球智慧型手機寶座。市調機構報告指出，蘋果iPhone去年第4季出貨量超越三星成為全球智慧型手機第一，不過去年全年三星仍奪冠。 市調研究機構Strategy Analytics報告表示，蘋果iPhone去年第4季iPhone出貨量接近7830萬支，超越三星（Samsung）的7750萬支，去年第4季iPhone占全球智慧型手機市占率達17.8%，三星市占率17.7%，蘋果iPhone重拾全球智慧型手機寶座。 Strategy Analytics指出，去年第4季全球智慧型手機出貨量達4.387億支，較前年同期4.03億支成長近9%。 從去年全年來看，Strategy Analytics統計指出，去年全球智慧型手機出貨量達14.88億支，較前年14.4億支成長3.3%。 其中三星去年全年智慧型手機出貨量達3.094億支，市占率20.8%，蘋果去年全年iPhone出貨量約2.154億支，市占率14.5%，三星仍位居去年全球智慧型手機出貨首位，蘋果居次。 蘋果去年第4季iPhone銷售量達7829萬支，當季iPhone銷售量和營收較上一年同期成長5%，當季iPhone銷售量和營收創歷史單季新高，iPhone營收占蘋果當季營收比重達69.4%。 蘋果執行長庫克（Tim Cook）表示，iPhone 7與iPhone 7 Plus市場需求非常強勁，特別是iPhone 7Plus，iPhone 7 Plus是最受歡迎的Plus機種。1060202
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