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Lancet：德医生看美剧《豪斯医生》获灵感，成功挽救患者生命

2014-02-10 佚名 环球网

豪斯医生患者钴中毒
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一名德国医生因热播美剧《豪斯医生》获得灵感，成功做出诊断，挽救了一位患者的生命。 德国马尔堡市一名急性心脏衰竭患者被送往未诊断疾病科室，这位病人的罕见症状令医生陷入困境，该患者听力和视力均丧失，且伴随发烧及淋巴结肿大的症状。据《澳大利亚人报》描述，几个月以来医生们一直绞尽脑汁都未能作出正确的诊断，也未能开始治疗。 但是医生尤尔根·谢费尔在得知这位患者的病情后，则顺利给出治疗方案

一名德国医生因热播美剧《豪斯医生》获得灵感，成功做出诊断，挽救了一位患者的生命。文章发表在今年2月8日的Lancet上
 

德国马尔堡市一名急性心脏衰竭患者被送往未诊断疾病科室，这位病人的罕见症状令医生陷入困境，该患者听力和视力均丧失，且伴随发烧及淋巴结肿大的症状。据《澳大利亚人报》描述，几个月以来医生们一直绞尽脑汁都未能作出正确的诊断，也未能开始治疗。

但是医生尤尔根·谢费尔在得知这位患者的病情后，则顺利给出治疗方案。原来，谢费尔是热播美剧《豪斯医生》的忠实粉丝。了解这名患者的情况后，他想起了《豪斯医生》主角休·劳瑞曾在剧中治疗过一个病人，病情与该患者十分相似，发病原因是由于假体的钴中毒。

事实证明，该男子确实是在接受了髋关节置换手术后开始出现病症。手术时并未给他接入陶瓷关节，而是置换了含有钴合金的金属塑料关节。但旧的金属陶瓷颗粒刮到金属，以致有毒物质进入人体血液内。

了解病情后，主治医生们再一次为患者更换髋关节并采用陶瓷接头。病人逐渐恢复心脏功能，病情逐渐好转。而起初，医生们曾认为，该患者需要接受心脏移植手术。

MedSci想问一下大家：为什么这种病例报道能发表在Lancet上，仅仅是因为特殊吗？还有没有其它原因？

原始出处：

Kirsten Dahms, Yulia Sharkova, Peter Heitland, Sabine Pankuweit, Juergen R Schaefe. Cobalt intoxication diagnosed with the help of Dr House.The Lancet, Volume 383, Issue 9916, Page 574, 8 February 2014


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  1. [GetPortalCommentsPageByObjectIdResponse(id=9394, encodeId=12b693949f, content=Very nice site!, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=95.211.218.103, createdTime=Wed May 14 18:31:00 CST 2014, time=2014-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9387, encodeId=bd98938e20, content=Very nice site!, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=95.211.218.103, createdTime=Wed May 14 14:01:00 CST 2014, time=2014-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1827695, encodeId=2261182e69550, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Sep 23 15:13:00 CST 2014, time=2014-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=8115, encodeId=6c538115f6, content=认真拜读一下才行！有点启发啊！, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0f297084, createdName=dr3562, createdTime=Wed Mar 05 22:12:00 CST 2014, time=2014-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7518, encodeId=7c46e518b9, content=经典剧集！顶, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=14.122.227.53, createdTime=Tue Feb 18 23:18:00 CST 2014, time=2014-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7364, encodeId=649ee364cc, content=我也是豪斯的粉丝！看美剧格蕾也行啊！, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8e892433, createdName=wang12345zhen, createdTime=Wed Feb 12 20:32:00 CST 2014, time=2014-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7293, encodeId=5021e29390, content=难以置信，我们也看美剧吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=183.63.126.138, createdTime=Mon Feb 10 23:05:00 CST 2014, time=2014-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7274, encodeId=e166e2741b, content=哟嚯嚯，这也行啊，都看豪斯发lancet吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=101.231.175.40, createdTime=Mon Feb 10 21:11:00 CST 2014, time=2014-02-10, status=1, ipAttribution=)]
    2014-05-14 95.211.218.103

    Very nice site!

    0

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    2014-05-14 95.211.218.103

    Very nice site!

    0

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    2014-09-23 howi

    #Lancet#

    0

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    2014-03-05 dr3562

    认真拜读一下才行！有点启发啊！

    0

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    2014-02-18 14.122.227.53

    经典剧集！顶

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=9394, encodeId=12b693949f, content=Very nice site!, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=95.211.218.103, createdTime=Wed May 14 18:31:00 CST 2014, time=2014-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9387, encodeId=bd98938e20, content=Very nice site!, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=95.211.218.103, createdTime=Wed May 14 14:01:00 CST 2014, time=2014-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1827695, encodeId=2261182e69550, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Sep 23 15:13:00 CST 2014, time=2014-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=8115, encodeId=6c538115f6, content=认真拜读一下才行！有点启发啊！, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0f297084, createdName=dr3562, createdTime=Wed Mar 05 22:12:00 CST 2014, time=2014-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7518, encodeId=7c46e518b9, content=经典剧集！顶, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=14.122.227.53, createdTime=Tue Feb 18 23:18:00 CST 2014, time=2014-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7364, encodeId=649ee364cc, content=我也是豪斯的粉丝！看美剧格蕾也行啊！, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8e892433, createdName=wang12345zhen, createdTime=Wed Feb 12 20:32:00 CST 2014, time=2014-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7293, encodeId=5021e29390, content=难以置信，我们也看美剧吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=183.63.126.138, createdTime=Mon Feb 10 23:05:00 CST 2014, time=2014-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7274, encodeId=e166e2741b, content=哟嚯嚯，这也行啊，都看豪斯发lancet吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=101.231.175.40, createdTime=Mon Feb 10 21:11:00 CST 2014, time=2014-02-10, status=1, ipAttribution=)]
    2014-02-12 wang12345zhen

    我也是豪斯的粉丝！看美剧格蕾也行啊！

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=9394, encodeId=12b693949f, content=Very nice site!, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=95.211.218.103, createdTime=Wed May 14 18:31:00 CST 2014, time=2014-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9387, encodeId=bd98938e20, content=Very nice site!, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=95.211.218.103, createdTime=Wed May 14 14:01:00 CST 2014, time=2014-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1827695, encodeId=2261182e69550, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Sep 23 15:13:00 CST 2014, time=2014-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=8115, encodeId=6c538115f6, content=认真拜读一下才行！有点启发啊！, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0f297084, createdName=dr3562, createdTime=Wed Mar 05 22:12:00 CST 2014, time=2014-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7518, encodeId=7c46e518b9, content=经典剧集！顶, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=14.122.227.53, createdTime=Tue Feb 18 23:18:00 CST 2014, time=2014-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7364, encodeId=649ee364cc, content=我也是豪斯的粉丝！看美剧格蕾也行啊！, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8e892433, createdName=wang12345zhen, createdTime=Wed Feb 12 20:32:00 CST 2014, time=2014-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7293, encodeId=5021e29390, content=难以置信，我们也看美剧吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=183.63.126.138, createdTime=Mon Feb 10 23:05:00 CST 2014, time=2014-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7274, encodeId=e166e2741b, content=哟嚯嚯，这也行啊，都看豪斯发lancet吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=101.231.175.40, createdTime=Mon Feb 10 21:11:00 CST 2014, time=2014-02-10, status=1, ipAttribution=)]
    2014-02-10 183.63.126.138

    难以置信，我们也看美剧吧

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=9394, encodeId=12b693949f, content=Very nice site!, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=95.211.218.103, createdTime=Wed May 14 18:31:00 CST 2014, time=2014-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9387, encodeId=bd98938e20, content=Very nice site!, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=95.211.218.103, createdTime=Wed May 14 14:01:00 CST 2014, time=2014-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1827695, encodeId=2261182e69550, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Sep 23 15:13:00 CST 2014, time=2014-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=8115, encodeId=6c538115f6, content=认真拜读一下才行！有点启发啊！, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0f297084, createdName=dr3562, createdTime=Wed Mar 05 22:12:00 CST 2014, time=2014-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7518, encodeId=7c46e518b9, content=经典剧集！顶, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=14.122.227.53, createdTime=Tue Feb 18 23:18:00 CST 2014, time=2014-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7364, encodeId=649ee364cc, content=我也是豪斯的粉丝！看美剧格蕾也行啊！, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8e892433, createdName=wang12345zhen, createdTime=Wed Feb 12 20:32:00 CST 2014, time=2014-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7293, encodeId=5021e29390, content=难以置信，我们也看美剧吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=183.63.126.138, createdTime=Mon Feb 10 23:05:00 CST 2014, time=2014-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=7274, encodeId=e166e2741b, content=哟嚯嚯，这也行啊，都看豪斯发lancet吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=101.231.175.40, createdTime=Mon Feb 10 21:11:00 CST 2014, time=2014-02-10, status=1, ipAttribution=)]
    2014-02-10 101.231.175.40

    哟嚯嚯，这也行啊，都看豪斯发lancet吧

    0