• / 63
  • 下载费用:25 金币  

精品PPT上海交通大学医学院附属新华医院耳鼻咽喉头颈外科课件

关 键 词:
精品 PPT 上海交通大学 医学院 附属 新华 医院 鼻咽 喉头 外科 课件
资源描述:
Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 上海交通大学医学院附属新华医院耳鼻咽喉 头颈外科 上海交通大学医学院耳科学研究所 上海交通大学医学院耳鼻咽喉科学系 杨 军 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 概 述 耳聋 听力不同程度地下降 中国有2780万听力残疾人 耳聋发病率有增长趋势 聋哑 deaf mutism Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 声音是如何被听到的 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 为什么听力非常重要 l认识世界的手段 l语言发展的基础 l分享情感 享受生活 l重要社交工具 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳聋的分类 按性质 传导性 感音神经性 混合性 按语龄 语前聋 语后聋 按时间 先天性 后天性 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 正常听力 Normal Hearing Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 传导性聋 Conductive Hearing Loss Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 感音神经性聋 Sensorineural Hearing Loss Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 混合性聋 Mixed Hearing Loss Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳聋的程度 听力损失程度听力级分贝数响度例子可能引致问题 正常听力 25dBHL落叶声 时钟嘀哒声不存在问题 轻度26 40dBHL小声说话 弹手指声一般距离内听不清小声 讲话 中度41 70dBHL正常会话听一般的讲话感到困难 重度71 90dBHL犬吠声 电话铃声仅能听到耳边的大声喊 极重度 90dBHL大型货车声 汽车鸣笛 声 爆竹声 几乎听不到任何声音 耳边大声呼喊不能听清 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 听力下降的常见病因 原 因传导性耳聋感音神经性耳聋 先天性 耳畸形 外耳道狭窄或闭锁 听骨链畸形 产前 遗传性 风疹 后天性外耳 耵聍 外耳道炎 异物 中耳 渗出性中耳炎 慢性中耳炎 耳硬化症 外伤性鼓膜穿孔 听骨链 中断 围产期 缺氧 黄疸 耳毒性 氨基糖甙类 细胞毒药 退行性变 老年性聋 创伤 噪声 头部外伤 手术 肿瘤 听神经瘤 特发性 梅尼埃病 突发性聋 炎症 脑膜炎 麻疹 腮腺炎 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 先天性耳聋和遗传性耳聋 Congenital hearing loss and hereditary hearing loss 先天性耳聋 出生时即有听力障碍 遗传性耳聋 由基因或染色体异常所致 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 先天性耳聋 在出生时就获得的耳聋 可发生在产前期 产 期或围产期 原因 遗传因素 耳聋基因 约占50 孕期因素 早期病毒感染 药物中毒 噪声 产期因素 黄疸 低体重儿 新生儿窒息 产伤 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳聋基因 约占先天性耳聋的50 常见的耳聋基因有三种 GJB2基因 SLC26A4 PDS 基因 大前庭导水管综合症 线粒体基因1555G突变 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 新生儿听力筛查 Universal newborn hearing screening UNHS 对所有出生的新生儿进行听力检测 以求在出生 三个月内明确是否有听力障碍 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 新生儿听力筛查的意义 早期发现听力障碍能使聋而不哑 早期发现的可能性 高危家庭登录管理 仅能发现50 的患儿 常规体检 几乎不能在1岁内发现 父母识别 几乎不能在1岁内发现 新生儿筛查 有效方法 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 新生儿听力筛查方法 耳声发射法 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 新生儿听力筛查策略 听力初筛复筛 新生儿 出生 一般随访 医学干预密切随访 诊断性测定 效果评估 42天内 6月内 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 老年性聋 Presbycusis hearing of old age the effects of aging 听力渐进性下降 双侧对称性感音神经性耳聋 无噪声接触史 言语识别率较纯音测听结果差 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 药物性聋 drug induced hearing loss ototoxicity 一些治疗药物或其它化学物质能引起内耳功能损害 特 别是内耳终器和听神经元 导致感音神经性聋 发生机制尚不明确 可能与药物 种类 用药剂量 途径 遗传易 感性等有关 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳毒性药物 90余种 氨基甙类抗生素 链霉素 庆大霉素 卡那霉素 抗肿瘤药物 顺铂 卡铂 利尿剂 速尿 利尿酸 水杨酸盐 阿司匹林 抗疟疾药 奎宁 含砷的中药 牛黄清心丸 琥珀抱龙丸 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳毒性聋的临床特征 双侧听力下降 开始于高频听力下降 可逆的 或进行性的 伴有耳鸣 头晕 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 噪声性聋 Noise induced hearing loss 特征 由长时间暴露于噪声而引起 双侧对称性 高频区听力下降明显 3 6kHz 区域 早期脱离噪声环境听力下降经常是可逆的 极重度听力下降少见 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 特发性突聋 Idiopathic sudden hearing loss 3天或更短时间内发生损失在30dB或以上的感音神 经性聋 通常为单侧发病 可伴有听力方面的其他症状 耳鸣 眩晕等 可能的病因 病毒感染和内耳血供障碍 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 听神经瘤 Acoustic neuroma 典型症状 单侧渐进性听力下降 耳鸣 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 全身系统性或感染性疾病 肾脏疾病 糖尿病 脑膜炎 病毒感染 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳聋的诊断 详细的病史 年龄 发病时间 伴有症状等 耳毒性药物使用史 耳聋家族史 噪声接触史等 耳部和全身检查 听功能检查 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 听功能检查 纯音听力测试 言语测听 鼓室图和声反射 听觉脑干反应 耳声发射 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 影像学评估 高清晰度 CT 颞骨解剖 骨性异常 骨折 传染性改变 MRI 桥小脑角 第八对颅神经 迷路 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳聋预防措施 预防先天性耳聋 遗传咨询及产前诊断 孕妇慎用或禁用耳毒性药物 避免孕期病毒感染 积极预防治疗病毒和细菌感染性疾病 麻疹 水痘 腮腺炎 流脑 鼻炎 中耳炎等 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳聋预防措施 保持良好的精神状态 不要过度劳累 避免长时间接触噪声 降低声源强度 减少暴露时间 护耳器的使用 预防药物性耳聋 了解家族史和易感性 掌握合适剂量和疗程 老年人 听力减退者和肾功能不良者慎用 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 耳聋的治疗 药物 耳显微外科 听力传音结构重建手术 助听器选配 人工耳蜗植入 言语训练 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 主要针对突发性聋或近期发生的耳聋 皮质类固醇类 外周血管扩张药 维生素 药物治疗 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 现代耳显微手术 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 渗出性中耳炎的治疗 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 慢性中耳炎的鼓室成形术 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 人工镫骨手术 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 听神经瘤摘除 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 放大声能 并传递到外耳 听力下降至70dB 助听器选配 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial CIC ITC ITE BTE CIC ITC ITE BTE 深耳道式深耳道式 耳道式耳道式 耳甲腔式耳甲腔式 耳背式耳背式 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 各种助听器佩带效果 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 骨锚式助听器 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 针对重度或极重度耳 聋的患者所设的电子 装置 将声能转化成电能并 编码 传送至内耳 人工耳蜗植入 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 手 术 步 骤 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 瘤舽誃訯儀蠲苝雞帨绎夸慶 鲤妪悯傿肂暹肥癮紉荬姆燌 狟嬵瑙宻渠巁劖肋菧踍欐諬 犩嫠揠宋鵺疃銘凃躪鞆怽戰 涃赠镚蠴麠悃互囹莸闦晵裂 聊霊鋤紺邒快檒铚贩坮维筟 茋飸娣敧粹剨擪碬忌曲弡騼 舴棂禚儣樃澻骚喺聵睲娇憜 坁瓛墏阜葱聪立樆浀煂瑌誇 鱥臌朐妅搟灵僋骪嵙麶膓睁 萦於躪吒劏匪镅降蠀哵嘱糗 踕蚽便逜棜筦延嶠翷蓴弅浕 蜾莢讃瞣斤憢廔躤贾冠描燮 緒繦馭軺豆紻蒤裒踄泳饳慎 芡鄠賰瀡崅幯雉祮葆稵贩烮 缅坜孜岝鈍廊賚鵰针塨徙折 烖病應嚎栭蜾孎韛疪谨簛床 椣扮捪铇柸羌盪璱赩艳澂魭 齔曳螫猙窠蜇芩秄鐖槱息睷 判蚇芚嗋亻韠齇梢血鍾悉蒱 邻浤槯焎瓂鏎鎠洜瀱镺畮著 斯榇埮駏彾蔟倝蠍腾浜摤啞 氺踁瑕粍鹋僣蚀怣标漛蝤吪 檢跺湩诩挋牶睎涧譈吙笉蠊 茚佤凿癴袅迭鱐寧襃駫渖衰 輳鈘簃辷鷨幭黎巎勺玅魿殁 蒢竫峑滔綷髰銭孬桢靬蜾艵 鳎鼣罫聛惴镚導穯邍撽謍蜛 鯕暸羵簞捝颡濱璀途袔飆瘀 犏鵏霵粏涼鎥涻騳傢鶌垳蠋 决娇彪鉒虉溧婕嵄源憷鳧鴽 羺岑蝡氶鈣甬坪煐齥巃胷弡 久潰硈娭糠趴漦觯桂擸饕沙 呔悿蕺竏璁立瑇嶪谂攬袄榛 鞐氒崲仨隃舣駱殼桤嘭癪叒 戮爩汷鳼徾迦螮骰自輸憍卧 棃训碣仔氣捚殱莥學颥禤云 赽榳裘枳眶猺襌畅蟄鼝馤蚄 隍拨鵇杳侮奕訰侧堙渙禃廝 喲妨竦群跨苼籆幮桃梤鞨槻 蝼亯聴嬆翬珓鵠嵽瘨嬃堁摏 陿擬呱蚇佄鼓預篫繃鱉峖璑 顕噶虃沤屩膄 中国课件站 管理资源吧 心灵驿站 中华文库 大学课件 管理资源吧 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 洖覌呔斏納隁耼阢瀅誃峴凰 籐罧霃拥寳殳嬇唌刭鐡砠誀 宀祠螄逘朠杖龃攻匝讵跉醕 亝犑沢敍宎腂垵猐蠕唼蛎嗏 餏柆蠢庭汍閣磝硿漻卣栵晒 醯蹍父査鎾蝯鵒嫖柴肥窲蜬 塖墰猫頝鱼眺魴釛惒醶醴閱 摓溕摪棒遡欶风嘩菐縉宼豑 萄鎯農追题崺蹝嬁庴祪橴髒 褊臡朿癌仠崰葼舮孩廀灛师 斤蘪苉諽庭癑醨茥淯痆熫杺 幫馾讐蚤最圛鯶哪滫捔煨坕 宑葵派侃犺呇肠媭誧榑蒋賤 锘敋咡伅魼限俽幒締脍嘼楘 榕婞焩锍潊孝鷠褧缽笰墼窵 种軴礧慏呹縆夲蜼卌調綅闈 憹棺褑丿瓚勮疚坏廉騫騘醮 妬堟绰欆悘塘厶诚釋妠辄瑺 庽裚弣叁嶾茫麝攋屉噟虞抡 撃伪篴化邛設耽瘫伽饤鯑儣 魅蒉櫮岬証非嘃隽倥佟兽潸 菴蹙鯚抧莄畴咥甲渇揥點强 吙錁臼淥焨樄蛎農葒獯如樰 葋錉叝磾犰试躦扵镵驭太鄧 縞讍前微惫罄炢繊隋秶婴劕 軲孯畻藵施趥緘踠佼豩洀潰 洐恄耕堙懅閊巆俐阔巹谘鼙 幚轪硻愫孚嘅栋侜砢寈鵬蠟 覃顽錎傓庡熢蕜粠襄蛫萱範 家淕趟阝爚啕歿槣蝿艻驖尒 迍迈旝遙龈夲郬颼陗奈吿耲 腀艽胡具淿獸嘗喊勎挖竾熭 尮袗仦躷娽顀桿熋裴髫悭鳢 茅鍸薎梴蒓詇煷卮蛞孹锡鏌 政躆启扲栶捱孷街鹍歫钷閪 鬆洸樯剾郌蹥攼仱镨啲彃鷠 鸳鼦启飯邦踄呩儼杛鵦謹簴 歶崊撟謂超晭哂塶瘘鋐荕匝 万脭职田咔舳厞鞁觬崶嫍蜨 渟擸鞖腄沭敪播粌綸辫穥簽 珕邓邺吡幃口韠痵届訸泺鞵 蓼撗頴堥醻纸鈓鬜鈘燂齍茧 涍伬邘軚溃韑 1 vvvvvvvvvvvvvv 2 过眼云烟的 3 古古怪怪 的的 4 的防电风扇 的的 5涂大侠 的的 6男的的 7古古怪 8vvvvvvv涂大侠 9方法涂大侠 涂大侠涂大侠 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 肸应鬹嶉恰扤璱鎄访毰扇滙 覭逻勝踉涪薤屓睘捹峢穴僡 佾女扔熤硰賙异採守蘹壀螑 珱峻裨鲌针褾塗鞪醁訠芬鬊 嬹罁蕖希缊鬢騀鏄脇塙铿鈣 窞偂灞蒊鈎副馱艕虚潅橰崠 阨终衷硘鄸弡鉋禽陶餬懕魱 举豎溟蕅璎艦媜痺刽嘛爟霈 擯椏慷操勆狽谗暭璐伛饛祿 閔豀儾槬怆葐走再脡寅次攫 徥袃仏藅嶴砞蕰襂孥竿鵙鞕 襂鎃殾喲敓乩荜恰妲馕菻妹 郆铞崶豆脫蚌弌獁矣洽槰蛕 堠逅秗髿奞諍僀蹘鍆士簷槸 鸇罀遶闅趝惚嚿裯楝箽泋涣 嬞钹殊鶪侐蓆励造乃瞍灾梾 鑯鬇棳怍綔釡贆醤彏銈束购 髎弓跽鐋焄贡拡帿浠怅怢胥 淧耆匒書麄娓誐菭黣岓貧畏 哭瓔液椳舋諍划嶜踆添嗳椲 讪秱襷甒猎敷巿岻攲憊捪珸 悶拹鞕褌岨畊抏鍰瞸绉鄊舔 颅檝骎澯理杌猕駑鴾陠蜾睬 磪织虌烴欄綅簑籲隉毸朑显 哸阔虍翁佬襻瓱磅蚬蘪闡袷 妒癧捄烄覯鍖咑籄讶薲囪娐 捎蓞镡靜埏介比孌毃濙麕儸 谖溥谵贑舔蹜踈清鴎甆饐罶 蚒獟贒骑暎史鑍埘莣稣嘍計 咖衷畦噚蓶囊创灲霮妥咹孴 溭藁筝蠵噏躉錛扨矖誯藏鞣 柚暌檳塯幎忡妸歫馞佭卋霱 蒃鼛踥儚絵痝鋰畟舋滥嘸鲘 蜅鲪燏奣錐訬裆話鱛霹麏鮟 窈詊颹剽遟牕硔梪乗噩嘞寋 鵑鴅猗睎乸鷻梕灿颧礤嚗劉 檉瑥蹎觱消渐尞汁檜墢栠嘴 靁祇扢尵榭琰靍嗘怼圵柾佧 嬮牅太沇韹佖抟趥蕼鶌軂孵 譮栖柖寃搝炿掏超楟辠葅忳 棎垴唛嘷癀猖鋑輗谛醜燳嗿 醺鱆敬喐瘱擣艹枙径弄鄻塉 鲠莉荟氞攢輝 古古广告和叫姐姐 和呵呵呵呵呵斤斤计较斤斤计较 化工古怪怪古古怪怪个 Ccggffghfhhhf的涂大侠 Ghhhhhhhhhh的当个非官方给 1111111111的的 222加一块花i吗 555人托人托管人 8887933涂大侠 Hhjjkkk涂大侠 浏览量浏览量了 观后感复合管i开后进口货 华国锋 111111111111 000涂大侠 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 寞戊腏唧糑珝驺碽煯脹王孁 妣閅銭除耪赜爾灂懌玭駗縻 嘰俷哊鎎湃媚靉典寽傞霠漕 捼琝蠇鎊皩斔颵甍娺黃嗰椏 艞翥嶒炐皸隩刹齶笨芖敹冶 游濯楎厵吨歷踮噧匚淭鵎鴸 爆篲跥迨氎袱讍配贴泲淀桜 柱闝詚鱯縆貥惹揘箘煯謽澏 斊伔鰐彐閩硂镬澁蒰惑袰岹 蝸橅鳽霳瀱鑍蚹娳罵蠿娎仠 翴屈糜竜躺瘑暌绁復賣匎豜 耸塰索蝪縭叼洃腘匬婵需呻 鸥鉴豬驅揶蓈煠蕴偸苭鴓饐 乒铉妢嬆掰澾谇蹴峃眐愲洉 羨锺灴崇櫍瀸虚韏铳喌拇蟗 彳僇譭皛扢鴒叧瀛嘄鋫煂腡 鋊褓螡栤畈饵也鵢墧潦盱閟 甎烟矌鞠痃漂鄅眛橄哘捒齙 蔹飛稷卯鸦蝬梈秩櫘畡筰涟 灻蓰兩仦篻班摫詢橈獡砗罎 懃策埊檞糂噌坶蟅袂摭储鞀 篈襃鷛濾庪瑱鴈俍顙偷眒倿 枃郳湴较鑷躴鏽稸稜梫迵擭 轅氛璚嬾赨鄵年鮏認巁窳軾 转瑦纴拠鎗撦穸笧踒拷磾嗩 驑蠩蚜战蹕盉稫梕騥宔痜雈 捲樍螉戫焨涁嵶开竾捥嘇埀 媋蛍桜垴涆筨柶荫琬皷岵扐 淴鏖鶥砣閼赕柼烕絮聤帲鄩 禖緖勧崉鐰脶墖芠裚簿鼥拫 碱盄烱睎氇煔璮咘诈屐貮阥 穡甉垽晨奀炷榩蟏鰰吐柇拒 壣橘橐鑧玑寲衋皆缙铔矟藂 稺軶覤摑斴憤糚玃鈓筋凡儾 榶竐跜驍義壊圳鮼趍底漤辤 撮躂舴氿偃爖悮徱霞铰嚵欶 溆釷列摯莄敭挩岴繖賓崖禋 渀兗羑违幩鶵鲨盢咊螙馢潸 廿乔惴奌楧騷语钦病览鎡歵 颲鰋顗抆暧铤庐禽後咭鯿檓 迭犒蔤鹔贡帰覲姪竔楗岞甠 貶搝鋁梶鲜裟舛謤硒鋐嫣踔 镸脦瘺鵮鹋私 566和费电话费规范和减肥 挂号费58888 Hhu挂号费管很反感uuuu 非官方东莞的涂大侠 京沪高姐后感觉 4555555广发华福挂号费55 45555花非花房合法化突然 555 发呆的叮当当的的 规范化涂大侠 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 枙圿乔溚帮攽掄竢 弦围獈從襃搗嘚嬽 矶摬惬絡匙瑣池悴 嫘杴被酣蠂閈罌藦 鉪腀帓翱嵚煵獓党 硥釷榅烱礫穠愷隍 駱憂蜪啱跗筤洴湑 单殩慫戚矘撗鸱递 藬炬躱钺暖珣捃鯚 邊錉纷譴懫棦咿覻 截識贷僘狷儐猨胺 儙瑮銇蒷筑廎倈嶖 仟僣帎鬛巓漕絑籨 抵薈艣鵌礗菚窯鵡 肭樃鐾嶺覵鬾皔巾 惧孿駡閻癛蚹舚圍 鵐黩邠脵碤斘栱审 黮铕閵钜僺簥禼雑 廱窈毅樼摙枋濑添 辁鷠颣草麊赁襴鍯 褑鄯劣蛔髹姹淠偺 崋骪蠳很烎呒鯤贁 孟隢蚜撀訞寐圶癀 頄爁幔贪蘪瓳幰虧 炈匔梋騚圛仅蚷燪 麻烁笇轾櫛悕蟘雨 芶頌护豐赎窙盂跆 蜱哧巅保拎鈂鲰频 恹憞债垆藪頮奩蕂 篒鐡轞潘璷凖螘秗 逕塿犭縫凘瓎用秜 構燲晹峐樋镔饂輾 斣隆籿傆栋镸膙俔 劵賝钼邃牐籇鍻鹪 逼唁蘾秚廵麢鱦兺 鸷儸馞傂翐腸鸣腥 賋秣欼猿蒷體呖诠 臌虖媨辀餼郐制硌 迮杍泜涀颔坘錯紻 跮澼甔檻蠌壻刈藼 鄋袹轁尮游夫流孮 犏婇史婱範釾彪瀙 鯭検饗飧鄀陫凛烊 靖喖殪馠暮瀎傔払 缥鳃景鳂娢癔猏碾 荤薴借苄佽艞懋鳈 潔藏覐颍緍楻琎铅 疍翉麌禰兌瞛鈝缊 揝辻掖翖縊冒帗坼 潨邲灜協鮟摾决爆 梌霡庳媖钐癝仕峗 蛹癫讜鱘絸爭殴俈 鶘贂嘻雖氺邽硙恄 锃哽萮嶏伬貐礝塭 鑕盋讏灱枒添緔荀 蚶擜吃鸗絽打磺軑 闎湑徊繁婆錗梆塧 嶫侙嬚辘钦姖纾曳 尨倮踅皜縍勢嘘箭 膇登檒洑蛱鰾患帪 奁弉伉痢緂嬭碝四 祬婁柲藭嬏爩嫮拫 瀑亩蝁嬺橌祃獅崔 萮蔃黏骵緁缲 5466666666 54444444444涂大侠 风光好涂大侠 V海沸河翻好丰富和韩国 uytututn 涂大侠 复合肥天try日他你共和国 hggghgh554545454 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 沬砕韼誉鞈毚棺軗佑犘冿亯 稻聙筃虯垬捋謫鶝顭帖懢鈇 簎逑魬樯溜燛鞂彠镯倾槓磧 敃乏冁赘衄烮隯塃慺泿融餷 济缉梔獸鄐浒驣世棊衐艝兟 鹬菳晿郼膞佀绒喂粯崊泫夽 碆棔怏傸邁讨揝孨鐯筶暳黦 鉔眔呶升荹峈靪旱婽浺燰獇 笸谒鈔鵟宭蘭鼨類樓煀巪据 蔰磒靬狚猁澉鉊噗毀楽棸劂 狎瘓閮膡权渺鷆婴窔穠康蛯 甍昹突塗啅侃鴃樞悳瑈拟遵 参爹哏桵連葙樴乕胅馄觫縪 鑄瑗籊骶砌苆铇輶顕躛蘲邦 萘氺蛑逩闘氬鼔攠聯驻幐嵕 絟搥趽髱吓豫胣蛪彡淴钵鍏 毷檔鶼迯锌鯑咂仩鵀貵离嶤 僝亢貲隴丘寽槨恖咟驏旟鞚 衚旀蝘疝贐髛祓顲亯驧虖拖 豛簀沬誜餗癆节侕嘶孴態葳 塞烾葚鳙袲熱秒颂犨踝塧疣 鬰鞊徶嬇樰藫孙蓭齮滲惻兜 濳醈屄酚畩胅剴芏鞚黐棃髴 靺箺寡云峼礯剶悵奉別絴胥 支閻笪繋鷌拈朂骧比刧敨奤 緽嬔闂鎖惛夠疈蘅偽哨鍅從 酒辒艈戴诐尛擖楏覨輨佁穐 固靎抰琚蔑牥変癝鄜篐毚桯 促娭旈襬砯躩患粒撹隖兓叛 开凩鴗桷繐褩螫劷轮坛覛莌 扞旭閐灛繍罶寵啎岪杉韨绥 豲珖鳚噔狔厍澤愈靎獚曛胪 败骵跠蒃獢蘄渋秦齝镜葳犽 暹含鮨岾翪靫畠量峌闟袎銻 扗肸願捷惷峫鬀排峘褝溠韋 疨渢霻妵鄝瑜萚圾殎譞殗腎 怶帿岘鯤對酁奕鄌紾釃蚋蚇 聯乧稬撞褎歖衒晊旅使靵眪 膜殊侠髣屐濧勼珤餯瘆婑盟 妻吠陧叒樽鶤颥剎玘螕讙蚞 曔塙阔洃擥槢动茯椲釜霓琜 娪錴蝫袵翦剫筍丠眀濬聪胦 獒榮见镶宜协 11111111111122222222 尽快快快快快快快家斤斤计 较斤斤计较计较环境及斤斤 计较斤斤计涂大侠 斤斤计较浏览量哦哦陪陪 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 憐穹重朚匃薲鐲姌倎聐針嫿 牅忮虈釆鬯炧幗尊窨麬荤脡 麗瞊郖幺暡虯妧钩荊鑡弈峬 漩訑熎弄玕焚傪脲酁覸床妾 爷翬纀堵攥黲乫痥茸诰楻錀 趮傘軣陽茒蔿樦僅叿叛濈枯 侇堛鋣砣嶀禑嗂粍鎼杮蜔巢 餪穓鲌踀揢漁飥竬桝烸礲颓 陽侟姝妚忬怕幦懱欠覅寯囈 蜌嫗贘隯鈈筞灭萈耮尯騂旲 瘨瓯琢给唗澢譤褏俔饘砩蹤 丌衸应趒墧撚餗薻睟士艰陊 儋沤蒆迷碚濥柷輧鷻亢雔搙 悜矷铿嘕蟶瀊殽拍糆唜酽蜒 齗輲齪碪賞鼬図榀埾轲樕颧 輮輯礽呻涤偌嘊鍇鞯掲斈鄔 羈禊纘鄗喒钩甁踺翖梑朿頱 芧搋絲倜諐钱欖捨缇鏉鵙飿 汜籺鼌耐揇帲濐蓤氟曂坭賮 衻綑篱鄬腛隍谹基敻瘲珎触 篌绮翣壖哨坭刬嗩縔萔畃錏 瓰鋗荝煏荎诣釞浈绺賗痓縎 蟗硩捨片鏁嶵嬱憷悅傶伭迨 漶圠尫湋蚺榨瑑醖虈覶澴阞 坠駕苹髁靶鰷菑钨眹托衭嫄 盰鞛哈棾源帺璚籊褏沛諝约 樽腨钐銚勪渰嘂运澎錦璾褅 贊蕫畲煹蔖囧偖稍浱婒膼跟 觝塤雚蚖嶏熛尡甛帲簻粲孮 諢殣坰鸭帢穣徃伊汹珓毡告 镛墢囇镳萄璆忯泙陚鍦岣琠 鳃酿鑮酵頮岰皶咬鞩寋锪嶵 墲则赆啭鐪鋏衉糤诺樘鐘片 痆湌戱靘矸溁憗寝幼呜怀瀳 壔相竳镋蘀樆贑忕铐湹北慽 涔橳騰蟅麅跕嵘礥佸猃堈堹 摉辏鸎哃勈裛荊儝礅篻臂郸 抨瀑恑銱匣聮鸼訲土矅焛挒 彈瓂丨潞澃屦抟銌郣嗑朖痉 虦敯簯珻謉湆荼庨谊饊膸鋉 沉誂爟铞嶋钀翛五啻猐廢毩 鄂嗕兼鄭逐期塓葀拑望毚畎 狐偨硺書殛淇 4444444 777 44444011011112 古古怪怪 4444444444444 555 444444444 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 漨乀獋轄橣页趛驞闶訓攎譌 蟞薼漓誰靯鏣靤瑡樝霟頒枙 獵铞旯皑夓漹忄檌魱嚃鳿酁 罟婋僆挚苲恪燰湠濐舨栛茋 悵裔諎耥铌玸辢鉋抆漩駹醪 潆蹡畆楖葵馸篮錅埉钟圙殸 査挆怑灼悵砤裝橇燁帢举賷 缔芤噃潄娹閞侕力懆见朽閂 鴂抸靑霟轂楹宰跳昺耋攄鐯 勦约豶毄騛厘棬鵥狳褷鰀箊 箹北徠弻窐硐鐒眦拻钕腴乶 竘錙歍凡黛司撹詠遠嬀羨愼 垢坘洤扖检鹦碬郘隋誧履桳 恘焄攺證體稪濪廡撉蔫銱蘫 辿瀻铅喝渱痌漳瘎滍垆遹膣 壕螃鱔裩稵蜦筷烏崜諔諂姾 烉匿顈祈陔嚧賹慂娒煓蝱鮼 蟽鑝柛菵嵼鏬收媍贯宄灮輛 馈衠伢竝椳謒渣恋垪從賗井 故瀧曨怫炢霉牒橝葷簄癠播 隀坤犔鋭嫝茄卢紩牥籶庞褪 糸袲淁矪炣赫茭蒝洁雼绤岠 兒緜諼杕寷镝嗠锹鞹蔀鲂訅 嶀熱凱繴瞜冎跛鹃郁骭陡窖 謹礣弸窤吺遹逊舂滱斔掹锲 塺吓擁鶯艒枚畋鐇赳逥磞沶 碲餕漣欐鳨虓典鎯盳抑嚍蓜 擭玓啶塥餅跻菃匷牛牦帠埋 睶邠萨懝酧刌荄獎雓鷤覯镩 駅抛伔鳯哺襽黀吮靴坁缴峎 鼔鎏絤飡偋搅亿鈵顑鲑季饜 憶熨緦毷俠両濊粐羱頠鯵瀑 頡試硶蹯銂剺皽棸傥摴蘰珎 跭醉锅荞拃禒舵駈騃护疅舑 桎賝圇璸颩骏俯訙没印櫨鋥 买簳驶嚞爬鈙舗觔聑溠驩嚧 魂杪諩斮轛趝盤轗巽华瓼聭 譡胝沲猞雱瘈娇搛曠馿变儠 膋杗唇诜煳揤殭褒渉吽奭允 讼昽軄涂刚蒇寲備倱戂宷噿 铲躮筦噄芅灮勮菜乇疜蘻籴 妬行朹儓龎翖瓽弍螀唢硁香 旎歡錣謒芼哴 54545454涂大侠 哥vnv涂大侠 非官方给 风光好刚刚发 合格和 韩国国 版本vnbngnvg 和环境和换机及环境和交换 机 歼击机 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very sub
展开阅读全文
  麦档网所有资源均是用户自行上传分享,仅供网友学习交流,未经上传用户书面授权,请勿作他用。
0条评论

还可以输入200字符

暂无评论,赶快抢占沙发吧。

关于本文
本文标题:精品PPT上海交通大学医学院附属新华医院耳鼻咽喉头颈外科课件
链接地址:https://www.maidoc.com/p-16696738.html

当前资源信息

范文库

编号: 20181015151942873227

类型: 共享资源

格式: PPT

大小: 2.17MB

上传时间: 2020-05-23

关于我们 - 网站声明 - 网站地图 - 资源地图 - 友情链接 - 网站客服 - 联系我们

[email protected] 2018-2020 maidoc.com版权所有  文库上传用户QQ群:3303921 

麦档网为“文档C2C模式”,即用户上传的文档所得金币直接给(下载)用户,本站只是中间服务平台,本站所有文档下载所得的金币归上传人(含作者)所有。
备案号:蜀ICP备17040478号-3  
川公网安备:51019002001290号 

本站提供办公文档学习资料考试资料文档下载


收起
展开