豪斯医生 8
9.0|02月28日|已完结
简介:

  继将好兄弟Wilson的爱车开进旧情人Cuddy的客厅后备受伤害的House终于在等待假释的看守所内找到了新的刺激当然编剧没有忘记为House安插新的小朋友进行调教这次被House征服的是具有一副混血面孔的美丽女医生Adams
  House在新剧集里再次展现了惊人的天赋过人的观察力大胆的推理剑走偏锋的行事风格和神乎其技的查体功底一览无遗曾在Hopkins训练过的高材生Adams医生态度也从开始的倨傲转向惊奇并最终成为House式行动的追随者
  本集的病例依旧稀有与往常不同House这次并没有充沛的医疗资源可加利用诊断完全依靠最原始的手段一名年轻男子在狱中相继出现了关节痛发热皮疹等症状Adams起初认为是淋病但House以更有说服力的红斑狼疮推翻了Adams不过患者的表现远不止这么简单该男子被烟草熏黄的手指和接下来发生的骨折使House转向晚期肺癌的诊断此时的House表现出神乎其技的听诊技能在没有听诊器的情况下House准确地查出患者肺部存在阴影有经验的临床专家通过轻拍即可了解患者两肺的情况更有奇人可仅凭听诊估算患者心脏的EF值射血分数通常需要心脏超声的帮助来进行模拟计算House的天赋大概集中了全世界最有经验医生的传奇当然对于绝大多数中庸之资的凡人来说追求这种境界其实远不如读好一张胸片或安排一次可靠的超声来的保险House的神奇并没有帮到这名患者胸片显示该男子的肺部阴影并非癌症患者极易流血不止的表现也不符合肺癌晚期常有的高凝状态病情更趋复杂了除此之外患者又发生了过敏性休克幸好有医生在场简易情形下的气管切开术挽救了这个年轻人的生命现在所有的临床表现终于齐全了凝血功能障碍皮疹骨质疏松过敏答案会是什么呢即将离开的House想到了肥大细胞增多症Mastocytosis这种血液系统疾病能够侵犯全身多个系统并常常表现为发作性过敏肥大细胞释放组胺等炎症介质使得患者产生荨麻疹喉头水肿甚至窒息不过潮红低血压等类过敏征象并非仅限于肥大细胞增多症在做出此项诊断之前还需要谨慎考虑脓毒症类癌综合征神经内分泌肿瘤如VIP瘤或嗜铬细胞瘤甲状腺髓样癌等疾患而这些疾病的排除需要细致的全身检查和多种实验室检查House的编剧在此简化了细节选择利用阿司匹林来进行简易诊断阿司匹林乙酰水杨酸是一种环氧化酶抑制剂可抑制前列腺素PG的生物合成同时又可促进产生过敏介质白三烯LT增强肥大细胞诱发的过敏反应因此当已有过敏潜质的患者服用阿司匹林后很可能当场诱发过敏性休克这将有助于排除上述其他原因造成的类似表现晚餐上的纸条证明House又一次猜中了结局
  当然本剧的亮点远非这个case本身House在深陷江湖危机之时还不忘为室友拯救中毒的宠物蟋蟀所用的手段仍然令人耳目一新而这个成功的解救也为后来House乱中解围埋下了伏笔
  House的天赋来自编剧能够写出各种各样奇怪病例的House编剧医学功底也相当了得凑巧的是在新英格兰医学杂志上就刊有一篇关于肥大细胞增多症的病例报告在这份报告中患者在使用阿司匹林后过敏症状加重麻省总医院MGH的现实版House们终于经过周密的诊治手段确认了病情当然在鉴别分析及治疗细节上专业的医学期刊所体现的又是另一种美感了本集House的故事原型是否脱胎于此呢而如此专业的态度大概也正是国内编剧所无法企及的高度了吧

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巴比伦5号3
689805
5.0
已完结
巴比伦5号3
5.0
更新时间:02月28日
主演:Bruce Boxleitner,Michael O'Hare,Claudia Christian,Jerry Doyle,Mira Furlan,Richard Biggs,Andrea Thompson,Bill Mumy,Jason Carter,Tracy Scoggins,Stephen Furst,Patricia Tallman,Peter Jurasik
简介:

The Psi Corps and President Clark, whose government has discovered Shadow vessels buried in Earth#39s solar system, begin to harness the vessels#39 advanced technology The Clark administration continues to become increasingly xenophobic and totalitarian, and uses a military incident as an excuse to declare martial law This triggers a war of independence on Mars, which had long had a strained political relationship with Earth Babylon 5 also declares independence from Earth, along with several other outlying Earth Alliance colonies In response, the Earth Alliance attempts to retake Babylon 5 by force, but with the aid of the Minbari, who have allied with the station against the growing Shadow threat, the attack is repelled
  Becoming concerned over the Shadows#39 growing influence amongst his people, Centauri ambassador Londo Mollari attempts to sever ties with them Mr Morden, the Shadows#39 human representative, tricks him into restoring the partnership by engineering the murder of Mollari#39s mistress while putting the blame on a rival Centauri House Open warfare breaks out between the Shadows and the alliance led by Babylon 5 and the Minbari It is learned that genetic manipulation by the Vorlons is the source of human telepathy, as it is later discovered that Shadow ships are vulnerable to telepathic attacks Displeased at the Vorlons#39 lack of direct action against the Shadows, Captain John Sheridan browbeats Vorlon ambassador Kosh Naranek into launching an attack against their mutual enemy Kosh#39s deeds lead to his subsequent assassination by the Shadows
  Former station commander Jeffrey Sinclair returns to Babylon 5 to enlist the aid of Captain Sheridan, Delenn, Ivanova and Marcus in stealing the Babylon 4 space station and sending it 1,000 years back in time to use it as a base of operations against the Shadows in the previous MinbariShadow war Undergoing the same transformation as Delenn at the end of Season 1, Sinclair transforms into a Minbari and is subsequently revealed to be the actual Valen of Minbari legend, rather than a reincarnation Spurred by the reappearance of his assumeddead wife who now works for the Shadows, Sheridan travels to Z#39ha#39dum, the Shadow homeworld, in an attempt by them to recruit him However he instead destroys their largest city in a kamikaze nuclear attack, and is last seen jumping into a milesdeep pit to escape the explosion Garibaldi, during a fight with Shadow vessels, goes missing

4645
1995
巴比伦5号3
主演:Bruce Boxleitner,Michael O'Hare,Claudia Christian,Jerry Doyle,Mira Furlan,Richard Biggs,Andrea Thompson,Bill Mumy,Jason Carter,Tracy Scoggins,Stephen Furst,Patricia Tallman,Peter Jurasik
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