deploy: ca9922a6738c88ea2f4fbaa6832ef859f3e6838a

15 files changed, 506 insertions, 130 deletions

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
index 06080fac..8df1890a 100644
--- 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
@@ -160,7 +160,15 @@
     </div>
 </div>
     <div class="post-content">
-    <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 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>
+    <p>A 67-year-old man with thoracolumbar scoliosis, poor mobility, and history of frequent falls presented to the emergency department with 2 months of left shoulder pain, stiffness and reduced range of motion, and numbness and paresthesias in his left upper extremity.</p>
+<p>Ten years prior to presentation, he underwent surgical decompression for syringomyelia.</p>
+<p>A magnetic resonance imaging (MRI) scan of his cervical and thoracic spine performed 2 years prior to presentation revealed a recurrent syrinx extending from Cl C1 to T11, which was not resected because it did not cause symptoms at that time.</p>
+<p>On physical examination, he had mild tenderness to palpation and reduced range of motion of the left shoulder with abduction and flexion limited to 120° (normal range of motion, 180°).</p>
+<p>The left scapular muscles were atrophic, and pain and temperature sensation were reduced in his proximal left arm, and dorsal aspect of his left shoulder. </p>
+<p>His complete blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedimentation rate were normal.</p>
+<p>Results of tests for rheumatoid factor and antinuclear antibody were negative.</p>
+<p>Left shoulder radiograph showed complete absence of the left humeral head and a well-demarcated smooth osseous margin of the proximal humerus with associated soft tissue swelling and periarticular calcification.</p>
+<p>A chest radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hospitalized 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>
diff --git a/2023/11/16/Fever-of-Unknown-Origin/index.html b/2023/11/16/Fever-of-Unknown-Origin/index.html
index ffa86823..db4f03f9 100644
--- a/2023/11/16/Fever-of-Unknown-Origin/index.html
+++ b/2023/11/16/Fever-of-Unknown-Origin/index.html
@@ -160,7 +160,8 @@
     </div>
 </div>
     <div class="post-content">
-    <p>Fever of unknown origin (FUO) has been recognized as a disease state for over<br>100 years. The first commonly accepted definition of FUO was published in 1961<br>and included (1) fever greater than 101 F (38.3 C) on multiple occasions (2) at least<br>3 week duration of fever (3) without identifiable cause despite at least a 1 week inpa-<br>tient evaluation.1 Overtime, this definition was considered both too rigid and too ill<br>defined. Given the impracticality of prolonged hospitalizations and advancing technol-<br>ogy for diagnosis, the duration of work up was shortened to 3 days inpatient evaluation<br>and&#x2F;or 3 outpatient clinic visits.2</p>
+    <p>Fever of unknown origin (FUO) has been recognized as a disease state for over100 years.<br>The first commonly accepted definition of FUO was published in 1961 and included fever greater than 101F (38.3C) on multiple occasions at least 3 week duration of fever without identifiable cause despite at least a 1 week inpatient evaluation.</p>
+<p>Overtime, this definition was considered both too rigid and too ill defined.<br>Given the impracticality of prolonged hospitalizations and advancing technology for diagnosis, the duration of work up was shortened to 3 days inpatient evaluation and&#x2F;or 3 outpatient clinic visits.</p>
 <ul>
 <li><a href="/papers/Fever%20of%20Unknown%20Origin.pdf">Original Document</a></li>
 </ul>
diff --git a/2024/01/23/二〇二四年一月二十三日/index.html b/2024/01/23/二〇二四年一月二十三日/index.html
index 67fad20c..b41da268 100644
--- a/2024/01/23/二〇二四年一月二十三日/index.html
+++ b/2024/01/23/二〇二四年一月二十三日/index.html
@@ -185,6 +185,11 @@
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+                </div>
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+                慢性肺源性心脏病
+            
+            
+        </div>
+        <span class="post-date">
+            Jan 23, 2024
+        </span>
+    </div>
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+        
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+              
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+    <div class="post-content">
+    <p>肺源性心脏病(cor pulmonale)简称肺心病, 指由于支气管-肺组织, 胸廓或肺血管病变引起肺血管阻力增加, 产生肺动脉高压,继而右心室结构和&#x2F;或功能改变的疾病.<br>根据起病缓急和病程长短, 可分为急性肺心病和慢性肺心病两类, 急性肺心病常见于急性大面积肺栓塞,这里主要讲慢性肺心病.</p>
+<p>慢性肺心病是常见的呼吸系统疾病.患病率存在地区差异, 北方地区高于南方地区,农村高于城市.患病率随年龄增高而增加, 吸烟者比不吸烟者患病率明显增多, 男女无明显差异.</p>
+<p>冬春季节和气候骤变时, 易出现急性发作.</p>
+<h2 id="病因与发病机制"><a href="#病因与发病机制" class="headerlink" title="病因与发病机制"></a>病因与发病机制</h2><h3 id="病因"><a href="#病因" class="headerlink" title="病因"></a>病因</h3><ol>
+<li>支气管, 肺疾病: 最多见为COPD, 占80%~90%, 其次为哮喘, 支气管扩张症, 肺结核, 间质性肺疾病等.</li>
+<li>胸廓运动障碍性疾病: 较少见, 严重胸廓或脊椎畸形以及神经肌肉疾患均可引起胸廓活动受限, 肺受压, 支气管扭曲或变形, 气道引流不畅,肺部反复感染,并发肺气肿或纤维化,最终引起慢性肺心病.</li>
+<li>肺血管疾病: 特发性或慢性栓塞性肺动脉高压, 肺小动脉炎均可起肺血管阻力增加, 肺动脉压升高和右心室负荷加重,发展为慢性肺心病.</li>
+<li>其他: 原发性肺泡通气不足及先天性口咽畸形, 睡眠呼吸暂停低通气综合征等均可产生低氧血症, 引起肺血管收缩, 导致肺动脉高压, 发展为慢性肺心病.</li>
+</ol>
+<h3 id="发病机制"><a href="#发病机制" class="headerlink" title="发病机制"></a>发病机制</h3><blockquote>
+<p>肺动脉高压的形成: 不同疾病所致肺动脉高压的机制不完全一样, 这里记录低氧性肺动脉高压, 尤其COPD所致肺动脉高压的机制.</p>
+</blockquote>
+<ol>
+<li>肺血管阻力增加的功能性因素: 肺血管收缩在低氧性肺动脉高压的发生中起着关键作用.缺氧, 高碳酸血症和呼吸性酸中毒导致肺血管收缩, 痉挛, 其中缺氧是肺动脉高压形成最重要的因素.缺氧时收缩血管的活性物质增多,使肺血管收缩, 血管阻力增加.缺氧使肺血管平滑肌细胞膜对 <code>Ca2+</code> 的通透性增加, 直接使肺血管平滑肌收缩.另外, 高碳酸血症时,『产生增多,使血管对缺氧的敏感<br>性增强, 致肺动脉压增高.</li>
+<li>肺血管阻力增加的解剖学因素: 解剖学因素系指肺血管解剖结构的变化, 形成肺循环血流动力学障碍.主要原因有:<ol>
+<li>长期反复发作的COPD及支气管周围炎,可累及邻近肺小动脉, 引起血管炎, 使肺血管阻力增加, 产生肺动脉高压.</li>
+<li>肺气肿导致肺泡内压增高, 压迫肺泡毛细血管, 造成管腔狭窄或闭塞.肺泡壁破裂造成毛细血管网的毁损, 当肺泡毛细血管床减损超过70%时肺循环阻力增大.</li>
+<li>肺血管重构:慢性缺氧使肺血管收缩, 管壁张力增高.缺氧时肺内产生多种生长因子,可直接刺激管壁平滑肌细胞, 内膜弹力纤维及胶原纤维增生.</li>
+<li>血栓形成:多发性肺微小动脉原位血栓形成, 引起血管阻力增加, 加重肺动脉高压.</li>
+</ol>
+</li>
+<li>血液黏稠度增加和血容量增多:慢性缺氧导致继发性红细胞生成增多, 血液黏稠度增加.缺氧可使醛固酮分泌增加,引起水, 钠潴留;缺氧又使肾小动脉收缩, 肾血流量减少也加重水, 钠潴留, 血容量增多.血液黏稠度增加和血容量增多,可使肺动脉压升高.</li>
+<li>心脏病变和心力衰竭:肺循环阻力增加导致肺动脉高压, 右心发挥代偿作用, 以克服肺动脉压升高的阻力而发生右心室肥厚.随着病情进展, 肺动脉压持续升高, 右心失代偿而致右心衰竭.</li>
+<li>其他重要器官的损害:缺氧和高碳酸血症可导致重要器官如脑, 肝, 肾, 胃肠及内分泌系统, 血液系统等发生病理改变, 引起多脏器的功能损害.</li>
+</ol>
+<h2 id="临床表现"><a href="#临床表现" class="headerlink" title="临床表现"></a>临床表现</h2><h1 id="肺-心功能代偿期"><a href="#肺-心功能代偿期" class="headerlink" title="肺, 心功能代偿期"></a>肺, 心功能代偿期</h1><ol>
+<li>症状:C0PD病人可有咳嗽, 咳痰, 气促, 活动后可有心悸, 呼吸困难, 乏力和劳动耐力下降,少有胸痛或咯血.</li>
+<li>体征:原发肺脏疾病体征, 可有不同程度的发维和肺气肿体征,可见肺动脉高压和右室扩大的体征.</li>
+</ol>
+<h2 id="肺-心功能失代偿期"><a href="#肺-心功能失代偿期" class="headerlink" title="肺, 心功能失代偿期"></a>肺, 心功能失代偿期</h2><ol>
+<li>呼吸衰竭<ul>
+<li>症状:呼吸困难加重, 夜间为甚, 常有头痛, 失眠, 食欲下降, 白天嗜睡, 甚至出现表情淡漠, 神志恍惚, 澹妄等肺性脑病的表现.</li>
+<li>体征：明显发维, 球结膜充血, 水肿, 严重时可有视网膜血管, 视盘水肿等颅内压升高的表现.腱反射减弱或消失, 出现病理反射.因高碳酸血症可出现周围血管扩张的表现, 如皮肤潮红, 多汗.</li>
+</ul>
+</li>
+<li>右心衰竭<ul>
+<li>症状:明显气促, 心悸, 食欲缺乏, 腹胀, 恶心等.</li>
+<li>体征:发绡明显, 颈静脉怒张, 心率增快, 可出现心律失常, 剑突下可闻及收缩期杂音, 甚至出现舒张期杂音.肝大并有压痛,肝颈静脉回流征阳性, 下肢水肿,重者可有腹水.</li>
+</ul>
+</li>
+<li>并发症: 肺性脑病, 电解质及酸碱平衡紊乱, 心律失常, 休克, 消化道出血和弥散性血管内凝血等.</li>
+</ol>
+<h2 id="实验室及其他检查"><a href="#实验室及其他检查" class="headerlink" title="实验室及其他检查"></a>实验室及其他检查</h2><ol>
+<li>胸部X线检查: 除肺, 胸基础疾病及急性肺部感染的特征外, 尚有肺动脉高压征象.</li>
+<li>心电图检查: 心电图对慢性肺心病的诊断阳性率为60. 1%〜88. 2%.主要表现有电轴右偏,<br>肺性P波.</li>
+<li>超声心动图检查: 超声心动图诊断慢性肺心病的阳性率为60.6%〜87.0%.</li>
+<li>动脉血气分析: 可出现低氧血症,甚至呼吸衰竭或合并高碳酸血症.</li>
+<li>血液检查: 红细胞及血红蛋白可升高, 全血及血浆黏度可增加, 心功能不全时可伴有肾功能或肝功能异常.</li>
+<li>其他: 早期或缓解期病人可行肺功能检查.痰细菌学检查可指导抗生素的选用.</li>
+</ol>
+<h2 id="治疗要点"><a href="#治疗要点" class="headerlink" title="治疗要点"></a>治疗要点</h2><h3 id="肺-心功能代偿期-1"><a href="#肺-心功能代偿期-1" class="headerlink" title="肺, 心功能代偿期"></a>肺, 心功能代偿期</h3><p>可采用综合治疗措施, 延缓基础疾病进展, 增强病人的免疫功能,预防感染,减少或避免急性加重, 加强康复锻炼和营养,必要时长期家庭氧疗或家庭无创呼吸机治疗等.</p>
+<h3 id="肺-心功能失代偿期-1"><a href="#肺-心功能失代偿期-1" class="headerlink" title="肺, 心功能失代偿期"></a>肺, 心功能失代偿期</h3><p>治疗原则为积极控制感染, 保持呼吸道通畅,改善呼吸功能, 纠正缺氧和二氧化碳潴留, 控制呼吸衰竭和心力衰竭, 处理并发症.</p>
+<ol>
+<li>控制感染:参考痰培养及药敏试验选择抗生素.没有培养结果时, 根据感染的环境及痰涂片结果选用抗生素.常用青霉素类, 氨基糖甘类, 喳诺酮类或头抱菌素类药物.注意继发真菌感染的可能.</li>
+<li>控制呼吸衰竭:使用支气管舒张药和祛痰药, 吸痰, 通畅呼吸道, 改善通气功能.合理氧疗.需要时给予无创正压通气或气管插管有创正压通气治疗.详见本章第十四节“呼吸衰竭”的治疗.</li>
+<li>控制心力衰竭:慢性肺心病病人一般经积极控制感染, 改善呼吸功能, 纠正缺氧和二氧化碳潴留后, 心力衰竭便能得到改善,病人尿量增多, 水肿消退, 不需常规使用利尿药和正性肌力药.但病情较重或对上述治疗无效的病人, 可适当选用利尿药, 正性肌力药或扩血管药物.<ol>
+<li>利尿药:具有消除水肿, 减少血容量, 减轻右心前负荷的作用.原则上选用作用温和的利尿药, 联合保钾利尿药,宜短期, 小剂量使用.如氢氯廛嗪25mg,每天1〜3次;联用螺内酯20〜40mg,每天1〜2次.应用利尿药易出现低钾, 低氯性碱中毒, 痰液黏稠不易排痰和血液浓缩,应注意预防.</li>
+<li>正性肌力药：由于慢性缺氧和感染,慢性肺心病病人对洋地黄类药物耐受性低, 容易中毒, 出现心律失常.原则上选用作用快, 排泄快的洋地黄类药物, 小剂量(常规剂量的1&#x2F;2或2&#x2F;3量)静脉给药.用药前注意纠正缺氧, 防治低钾血症, 以免发生药物毒性反应.</li>
+</ol>
+</li>
+</ol>
+<h2 id="健康指导"><a href="#健康指导" class="headerlink" title="健康指导"></a>健康指导</h2><ol>
+<li>疾病预防指导: 由于慢性肺心病是各种原发肺胸疾病晚期的并发症, 应对高危人群进行宣传教育, 劝导戒烟, 积极防治COPD等慢性支气管肺疾病, 以降低发病率.</li>
+<li>疾病知识指导: 使病人和家属了解疾病发生, 发展过程, 减少反复发作的次数.积极防治原发病, 避免和防治各种可能导致病情急性加重的诱因, 坚持家庭氧疗等.加强饮食营养, 以保证机体康复的需要.病情缓解期应根据肺, 心功能及体力情况进行适当的体育锻炼和呼吸功能锻炼如散步, 气功, 太极拳, 腹式呼吸, 缩唇呼吸等, 改善呼吸功能,提高机体免疫功能.</li>
+<li>病情监测指导: 告知病人及家属病情变化的征象, 如体温升高, 呼吸困难加重, 咳嗽剧烈, 咳痰不畅, 尿量减少, 水肿明显或发现病人神志淡漠, 嗜睡, 躁动, 口唇发纳加重等,均提示病情变化或加重,需及时就诊.</li>
+</ol>
+
+</div> 
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diff --git a/archives/2024/01/index.html b/archives/2024/01/index.html
index 9e2e1e20..9317622e 100644
--- a/archives/2024/01/index.html
+++ b/archives/2024/01/index.html
@@ -138,6 +138,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2024/01/23/%E6%85%A2%E6%80%A7%E8%82%BA%E6%BA%90%E6%80%A7%E5%BF%83%E8%84%8F%E7%97%85/">
+                
+                    慢性肺源性心脏病
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Jan 23, 2024</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2024/01/23/%E4%BA%8C%E3%80%87%E4%BA%8C%E5%9B%9B%E5%B9%B4%E4%B8%80%E6%9C%88%E4%BA%8C%E5%8D%81%E4%B8%89%E6%97%A5/">
                 
                     二〇二四年一月二十三日
diff --git a/archives/2024/index.html b/archives/2024/index.html
index 4551aab3..fe63ebb5 100644
--- a/archives/2024/index.html
+++ b/archives/2024/index.html
@@ -138,6 +138,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2024/01/23/%E6%85%A2%E6%80%A7%E8%82%BA%E6%BA%90%E6%80%A7%E5%BF%83%E8%84%8F%E7%97%85/">
+                
+                    慢性肺源性心脏病
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Jan 23, 2024</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2024/01/23/%E4%BA%8C%E3%80%87%E4%BA%8C%E5%9B%9B%E5%B9%B4%E4%B8%80%E6%9C%88%E4%BA%8C%E5%8D%81%E4%B8%89%E6%97%A5/">
                 
                     二〇二四年一月二十三日
diff --git a/archives/index.html b/archives/index.html
index 0fb11e36..6e87a333 100644
--- a/archives/index.html
+++ b/archives/index.html
@@ -138,6 +138,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2024/01/23/%E6%85%A2%E6%80%A7%E8%82%BA%E6%BA%90%E6%80%A7%E5%BF%83%E8%84%8F%E7%97%85/">
+                
+                    慢性肺源性心脏病
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Jan 23, 2024</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2024/01/23/%E4%BA%8C%E3%80%87%E4%BA%8C%E5%9B%9B%E5%B9%B4%E4%B8%80%E6%9C%88%E4%BA%8C%E5%8D%81%E4%B8%89%E6%97%A5/">
                 
                     二〇二四年一月二十三日
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-                
-                    肺炎支原体注意事项
-                
-                </a> 
-            </div>
-            
-            <span class="post-date">Oct 25, 2023</span>
-        </div>
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diff --git a/archives/page/2/index.html b/archives/page/2/index.html
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@@ -138,6 +138,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2023/10/25/%E8%82%BA%E7%82%8E%E6%94%AF%E5%8E%9F%E4%BD%93%E6%B3%A8%E6%84%8F%E4%BA%8B%E9%A1%B9/">
+                
+                    肺炎支原体注意事项
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Oct 25, 2023</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2023/10/22/%E5%86%AC%E5%AD%A3%E5%92%B3%E5%97%BD%E8%BE%A8%E5%88%AB%E6%8C%87%E5%8D%97/">
                 
                     冬季咳嗽辨别指南
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-                
-                    二零二三年八月二十一日
-                
-                </a> 
-            </div>
-            
-            <span class="post-date">Aug 21, 2023</span>
-        </div>
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+++ b/archives/page/3/index.html
@@ -138,6 +138,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2023/08/21/%E4%BA%8C%E9%9B%B6%E4%BA%8C%E4%B8%89%E5%B9%B4%E5%85%AB%E6%9C%88%E4%BA%8C%E5%8D%81%E4%B8%80%E6%97%A5/">
+                
+                    二零二三年八月二十一日
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Aug 21, 2023</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2023/08/15/tick-thread%E5%9C%A8Multicore-OCaml%E4%B8%AD%E7%9A%84%E4%BD%9C%E7%94%A8/">
                 
                     tick thread在Multicore OCaml中的作用
@@ -293,24 +311,6 @@
         </div>
 
     
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-                
-                    caml_release_runtime_system导致的死锁问题
-                
-                </a> 
-            </div>
-            
-            <span class="post-date">Jun 28, 2023</span>
-        </div>
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diff --git a/archives/page/4/index.html b/archives/page/4/index.html
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+++ b/archives/page/4/index.html
@@ -138,6 +138,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2023/06/28/caml-release-runtime-system%E5%AF%BC%E8%87%B4%E7%9A%84%E6%AD%BB%E9%94%81%E9%97%AE%E9%A2%98/">
+                
+                    caml_release_runtime_system导致的死锁问题
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Jun 28, 2023</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2023/06/22/%E7%81%AF%E7%AC%BC%E8%8D%89/">
                 
                     灯笼草
@@ -293,24 +311,6 @@
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-            <a href="/2023/03/04/%E9%87%91%E5%8C%AE%E8%A6%81%E7%95%A5/">
-                
-                    金匮要略
-                
-                </a> 
-            </div>
-            
-            <span class="post-date">Mar 4, 2023</span>
-        </div>
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+++ b/archives/page/5/index.html
@@ -138,6 +138,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2023/03/04/%E9%87%91%E5%8C%AE%E8%A6%81%E7%95%A5/">
+                
+                    金匮要略
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Mar 4, 2023</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2023/03/01/%E6%B0%94%E8%83%B8/">
                 
                     气胸
@@ -293,26 +311,6 @@
         </div>
 
     
-
-        
-
-        
-            <div class="year-title">2022</div>
-        
-
-        <div class="post-list-item">
-            <div class="post-title">
-            <a href="/2022/12/31/%E4%BA%8C%E9%9B%B6%E4%BA%8C%E4%BA%8C%E5%B9%B4%E5%8D%81%E4%BA%8C%E6%9C%88%E4%B8%89%E5%8D%81%E4%B8%80%E6%97%A5/">
-                
-                    二零二二年十二月三十一日
-                
-                </a> 
-            </div>
-            
-            <span class="post-date">Dec 31, 2022</span>
-        </div>
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@@ -138,6 +138,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2022/12/31/%E4%BA%8C%E9%9B%B6%E4%BA%8C%E4%BA%8C%E5%B9%B4%E5%8D%81%E4%BA%8C%E6%9C%88%E4%B8%89%E5%8D%81%E4%B8%80%E6%97%A5/">
+                
+                    二零二二年十二月三十一日
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Dec 31, 2022</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2022/11/03/%E4%BA%8C%E9%9B%B6%E4%BA%8C%E4%BA%8C%E5%B9%B4%E5%8D%81%E4%B8%80%E6%9C%88%E6%9C%88%E4%B8%89%E6%97%A5/">
                 
                     二零二二年十一月月三日
@@ -295,24 +313,6 @@
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-                
-                    二零二一年二月十四日
-                
-                </a> 
-            </div>
-            
-            <span class="post-date">Feb 14, 2021</span>
-        </div>
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index c4b3c95c..034d13f9 100644
--- a/archives/page/7/index.html
+++ b/archives/page/7/index.html
@@ -133,6 +133,26 @@
         
 
         
+            <div class="year-title">2021</div>
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
+            <a href="/2021/02/14/%E4%BA%8C%E9%9B%B6%E4%BA%8C%E4%B8%80%E5%B9%B4%E4%BA%8C%E6%9C%88%E5%8D%81%E5%9B%9B%E6%97%A5/">
+                
+                    二零二一年二月十四日
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Feb 14, 2021</span>
+        </div>
+
+    
+
+        
+
+        
             <div class="year-title">2020</div>
         
 
diff --git a/tags/Medicine/index.html b/tags/Medicine/index.html
index c85c0d47..dd9e208c 100644
--- a/tags/Medicine/index.html
+++ b/tags/Medicine/index.html
@@ -140,6 +140,26 @@
         
 
         
+            <div class="year-title">2024</div>
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
+            <a href="/2024/01/23/%E6%85%A2%E6%80%A7%E8%82%BA%E6%BA%90%E6%80%A7%E5%BF%83%E8%84%8F%E7%97%85/">
+                
+                    慢性肺源性心脏病
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Jan 23, 2024</span>
+        </div>
+
+    
+
+        
+
+        
             <div class="year-title">2023</div>
         
 
@@ -300,24 +320,6 @@
         </div>
 
     
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-                
-                    发热及超高热危象
-                
-                </a> 
-            </div>
-            
-            <span class="post-date">Jun 17, 2023</span>
-        </div>
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+++ b/tags/Medicine/page/2/index.html
@@ -145,6 +145,24 @@
 
         <div class="post-list-item">
             <div class="post-title">
+            <a href="/2023/06/17/%E5%8F%91%E7%83%AD%E5%8F%8A%E8%B6%85%E9%AB%98%E7%83%AD%E5%8D%B1%E8%B1%A1/">
+                
+                    发热及超高热危象
+                
+                </a> 
+            </div>
+            
+            <span class="post-date">Jun 17, 2023</span>
+        </div>
+
+    
+
+        
+
+        
+
+        <div class="post-list-item">
+            <div class="post-title">
             <a href="/2023/03/14/%E8%9E%BA%E5%86%85%E9%85%AF%E7%89%87/">
                 
                     螺内酯片