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【技术产业】不存在小手术

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这个帖子发布于13年零164天前，其中的信息可能已发生改变或有所发展。

http://www.thestar.com/comment/article/260085
No surgery is trivial

The tragic death of a Toronto woman undergoing liposuction provides a stark reminder that this cosmetic procedure can be deadly and that more restrictions are needed on who is allowed to perform it.

The Ontario coroner's office is probing the fate of Krista Stryland, who died Thursday after having fat removed from her abdomen at a North York cosmetic clinic. The procedure was reportedly performed by a family physician, not a certified plastic surgeon.

Under existing rules, general practitioners are free to declare themselves cosmetic surgeons and undertake operations, such as liposuction, without being subject to the rigorous licensing, training and regulatory supervision that governs plastic surgeons.

Details surrounding Stryland's death are still being investigated and it is not clear if actions by the family doctor performing her liposuction contributed to her death. In any case, it is obvious that a plastic surgeon, certified to possess the knowledge, judgment and skill demanded by this specialty, would be in a better position to deliver care than a general practitioner lacking such credentials.

Despite what some might feel is a frivolous goal of reducing bulging tummies and chubby thighs, liposuction is not a trivial operation. It involves vacuuming fat cells from the body through a tube inserted under the skin. Complications can include infection, clots that travel to the lung or brain, punctured organs, nerve damage and the destruction of skin through necrosis. In some cases, the results are fatal.

Stryland is not the first Canadian to die. Micheline Charest, 51, of Montreal, died three years ago of complications from plastic surgery that included liposuction. And 44-year-old Toni Sullivan of Unionville died of a blood clot following liposuction in 1989.

Estimates of risk vary, but researchers surveying board-certified plastic surgeons in the United States calculated a mortality rate of 20 deaths per 100,000 liposuction cases. That is higher than the U.S. death rate from motor vehicle crashes. Because the survey covered only certified specialists, the actual death rate could well be higher.

That study dates from 1999, and liposuction's defenders would argue the procedure is better and safer now than it ever was. Perhaps, but in view of past tragedies, anyone considering liposuction should ensure the doctor performing this operation is a certified plastic surgeon.

To further enhance public safety, the College of Physicians and Surgeons of Ontario should impose strict new regulations on the ability of general practitioners, and other doctors, to expand their practice into areas where they have no formal specialty.

Liposuction is of special concern. Any procedure with the potential to kill an otherwise healthy person must be taken more seriously.

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2007-09-26 08:16 浏览 : 384 回复 : 2

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• 深圳无编制全科医生-每个月拿着1万块钱收入看着10万元/平方房价，心如死灰。

linjorden

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本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。

2007-09-26 09:52

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• 研究生和编制都考上了选哪个

linjorden

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初译后:

http://www.thestar.com/comment/article/260085
No surgery is trivial
手术无小事

The tragic death of a Toronto woman undergoing liposuction provides a stark reminder that this cosmetic procedure can be deadly and that more restrictions are needed on who is allowed to perform it.
一名多伦多女性因吸脂手术悲剧性的死亡，为人们敲响警钟，这类整形手术可能是致死性的，对于那些允许开展此类手术的执业者需要更加严格的限制。
The Ontario coroner's office is probing the fate of Krista Stryland, who died Thursday after having fat removed from her abdomen at a North York cosmetic clinic. The procedure was reportedly performed by a family physician, not a certified plastic surgeon.
安大略省的法医署正在调查Krista Stryland的死因，在北约克郡的整形诊所进行过腹部吸脂术后，该女性于周四死亡。该手术据称由一名家庭内科医生操作，并不是有资格的整形医生。

Under existing rules, general practitioners are free to declare themselves cosmetic surgeons and undertake operations, such as liposuction, without being subject to the rigorous licensing, training and regulatory supervision that governs plastic surgeons.
在现有的管理制度下，普通医疗执业者可以随便的声称自己是整形外科医生，并开展一些手术，如吸脂术，不需要严格的培训和批准，也没有对整形外科医生进行规范管理。

Details surrounding Stryland's death are still being investigated and it is not clear if actions by the family doctor performing her liposuction contributed to her death. In any case, it is obvious that a plastic surgeon, certified to possess the knowledge, judgment and skill demanded by this specialty, would be in a better position to deliver care than a general practitioner lacking such credentials.
关于Stryland的死亡细节问题还在进行调查，那名家庭医生所进行的吸脂手术是否引起她的死亡，还不确定。无论如何，很明显，作为一名整形外科医生，在该领域需要掌握相关的知识、对病情的判断和相关的技术等，会比缺乏这类知识的普通医疗执业者来做这些医疗操作更合适的多。

Despite what some might feel is a frivolous goal of reducing bulging tummies and chubby thighs, liposuction is not a trivial operation. It involves vacuuming fat cells from the body through a tube inserted under the skin. Complications can include infection, clots that travel to the lung or brain, punctured organs, nerve damage and the destruction of skin through necrosis. In some cases, the results are fatal.
尽管有一些人认为减少腹部和腿部脂肪不是什么大不了的事，但吸脂术并不是个小手术。该手术包括往体内皮肤下插入一个的小管应用真空原理抽吸脂肪细胞。并发症包括感染、肺和脑部的栓塞、器官点状坏死、神经损伤、皮肤的坏死等。在一部分病例，结果可能是致命的。

Stryland is not the first Canadian to die. Micheline Charest, 51, of Montreal, died three years ago of complications from plastic surgery that included liposuction. And 44-year-old Toni Sullivan of Unionville died of a blood clot following liposuction in 1989.
Strylang并不是第一个死于该手术的加拿大人。Micheline Charest，51岁，蒙特利尔人，三年前死于包括吸脂术在内的整形手术。由尼维尔44岁的Toni Sullivan于1989年死于吸脂术后的血液栓塞。

Estimates of risk vary, but researchers surveying board-certified plastic surgeons in the United States calculated a mortality rate of 20 deaths per 100,000 liposuction cases. That is higher than the U.S. death rate from motor vehicle crashes. Because the survey covered only certified specialists, the actual death rate could well be higher.
手术风险虽然有不同，但研究者调查由执业资格的美国整形外科医生进行该类手术的死亡率为20/10万。这个比例高于美国死于车祸人数的比例。因为该调查仅包括正规的执业整形医生，实际的该手术的死亡率可能更高。

That study dates from 1999, and liposuction's defenders would argue the procedure is better and safer now than it ever was. Perhaps, but in view of past tragedies, anyone considering liposuction should ensure the doctor performing this operation is a certified plastic surgeon.
该研究始于1999年，赞同吸脂术的人会说该手术现在要比以前更好更安全。或许，在回顾过去的手术悲剧后，任何考虑吸脂术的人都应该确认实施该手术的医生是正规的执业整形医生。
To further enhance public safety, the College of Physicians and Surgeons of Ontario should impose strict new regulations on the ability of general practitioners, and other doctors, to expand their practice into areas where they have no formal specialty.
为进一步增进公众安全，渥太华内外科临床学院将对普通医疗执业者和其他一些医生，在这个没有正式训练和培训的领域拓展执业范围，增加新的严格管理措施。
Liposuction is of special concern. Any procedure with the potential to kill an otherwise healthy person must be taken more seriously.
吸脂术现在引起人们的关注。任何的有潜在致他人死地可能的手术操作都必须更严肃的对待。

编译后（共816字）

手术无小事

有人认为吸脂术是小手术，一名多伦多女性因吸脂手术悲剧性的死亡，为人们敲响警钟，这类整形手术可能是致死性的，对于那些允许开展此类手术的执业者需要更加严格的限制。

安大略省的法医署正在调查Krista Stryland的死因，在北约克郡的整形诊所进行过腹部吸脂术后，该女性于周四死亡。该手术据称由一名家庭内科医生操作，并不是有资格的整形医生。在现有的管理制度下，普通医疗执业者可以随便的声称自己是整形外科医生，并开展一些手术，如吸脂术，不需要严格的培训和批准，也没有对整形外科医生进行规范管理。关于Stryland的死亡细节问题还在进行调查，那名家庭医生所进行的吸脂手术是否引起她的死亡，还不确定。无论如何，很明显，作为一名整形外科医生，在该领域需要掌握相关的知识、对病情的判断和相关的技术等，会比缺乏这类知识的普通医疗执业者来做这些医疗操作更合适的多。

尽管有一些人认为减少腹部和腿部脂肪不是什么大不了的事，但吸脂术并不是个小手术。该手术包括往体内皮肤下插入一个的小管应用真空原理抽吸脂肪细胞。并发症包括感染、肺和脑部的栓塞、器官点状坏死、神经损伤、皮肤的坏死等。在一部分病例，结果可能是致命的。Strylang并不是第一个死于该手术的加拿大人。51岁的Micheline Charest，三年前死于包括吸脂术在内的整形手术。44岁的Toni Sullivan于1989年死于吸脂术后的血液栓塞。

手术风险虽然有不同，但研究者调查由执业资格的美国整形外科医生进行该类手术的死亡率为20/10万。这个比例高于美国死于车祸人数的比例。因为该调查仅包括正规的执业整形医生，实际的该手术的死亡率可能更高。该研究始于1999年，赞同吸脂术的人会说该手术现在要比以前更好更安全。或许，在回顾过去的手术悲剧后，任何考虑吸脂术的人都应该确认实施该手术的医生是正规的执业整形医生。为进一步增进公众安全，渥太华内外科临床学院将对普通医疗执业者和其他一些医生，在这个没有正式训练和培训的领域拓展执业范围，增加新的严格管理措施。任何的有潜在致他人死地可能的手术操作都必须更严肃的对待。

2007-09-27 22:26

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• (求大佬指点）医学专硕毕业，四证合一，在深圳找得到工作吗

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