deploy: 1f6dc402bd12d79c2da131106d2f81d10702fb10

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diff --git a/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html
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+                Radiographic Absence of the Left Humeral Head
+            
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+        <span class="post-date">
+            Oct 25, 2023
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+    <p>A 67-year-old man with thoracolumbar scoliosis, poor mobility, and history of frequent<br>falls presented to the emergency department with 2 months of left shoulder pain, stiff-<br>ness and reduced range of motion, and numbness and paresthesias in his left upper<br>extremity. Ten years prior to presentation, he underwent surgical decompression for<br>syringomyelia. A magnetic resonance imaging (MRI) scan of his cervical and thoracic<br>spine performed 2 years prior to presentation revealed a recurrent syrinx extending from<br>Cl<br> C1 to T11, which was not resected because it did not cause symptoms at that time. On<br>physical examination, he had mild tenderness to palpation and reduced range of motion<br>of the left shoulder with abduction and flexion limited to 120° (normal range of motion,<br>180°). The left scapular muscles were atrophic, and pain and temperature sensation<br>were reduced in his proximal left arm, and dorsal aspect of his left shoulder. His complete<br>blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedi-<br>mentation rate were normal. Results of tests for rheumatoid factor and antinuclear anti-<br>body were negative. Left shoulder radiograph showed complete absence of the left<br>humeral head and a well-demarcated smooth osseous margin of the proximal humerus<br>with associated soft tissue swelling and periarticular calcification (Figure 1). A chest<br>radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hos-<br>pitalized for further evaluation and treatment.</p>
+<ul>
+<li><a href="/papers/Radiographic%20Absence%20of%20the%20Left%20Humeral%20Head.pdf">报告原档</a></li>
+</ul>
+<p>这里提到了一种罕见的进展性疾病, 叫Charcot肩, 是一种神经性关节病变，特点是关节迅速被破坏和相关软组织肿胀。患者通常表现为肩部逐渐增大的肿胀，可能伴有疼痛或无痛，肩部无力和活动范围减少。<br>大约80%的Charcot肩患者有脊髓空洞症, 表现为脊髓中的液体充满腔体</p>
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diff --git a/2023/10/25/儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例/index.html b/2023/10/25/儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例/index.html
new file mode 100644
index 00000000..557453ae
--- /dev/null
+++ b/2023/10/25/儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例/index.html
@@ -0,0 +1,226 @@
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+                儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例
+            
+            
+        </div>
+        <span class="post-date">
+            Oct 25, 2023
+        </span>
+    </div>
+    <div class="post-img">
+        
+            <div class="h-line-primary"></div>
+              
+    </div>
+</div>
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+    <p>患儿 男, 3 岁 10 月龄,因“间歇发热 2 周伴咳嗽、气促”入上海交通大学医学院附属仁济<br>医院(南部院区)定点医院隔离病房。患儿病初发热,确诊为新型冠状病毒肺炎(简称新冠肺炎),热退<br>2d 再次持续高热&gt;3d 伴气促、吸气性凹陷,胸部 CT 示右肺下叶片状密度影,诊断“重型新冠肺炎”,行<br>支气管镜肺泡灌洗,宏基因组病原检测确诊为混合肺炎支原体感染,治疗好转出院。提示临床医生诊<br>治重型新冠肺炎时需警惕混合感染</p>
+<ul>
+<li><a href="../papers/%E5%84%BF%E7%AB%A5%E6%96%B0%E5%9E%8B%E5%86%A0%E7%8A%B6%E7%97%85%E6%AF%92Omicron%E6%A0%AA%E5%92%8C%E8%82%BA%E7%82%8E%E6%94%AF%E5%8E%9F%E4%BD%93%E6%B7%B7%E5%90%88%E6%84%9F%E6%9F%93%E9%87%8D%E7%97%87%E8%82%BA%E7%82%8E1%E4%BE%8B.pdf">报告原档</a></li>
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diff --git a/2023/10/25/肺炎支原体注意事项/index.html b/2023/10/25/肺炎支原体注意事项/index.html
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