This doctor has a system
Chapter 307 296 Subdural Hematoma
Chapter 307 296. Subdural hematoma
"Shufang, what are you doing!" Her husband staggered onto the platform, "Get down quickly!"
"I don't want to live anymore!" the patient cried loudly. "It's already in the advanced stage, and it can't be cured anyway."
"You can't be like this even if it can't be cured." The husband also started crying, "The children haven't come yet, how can you be so upset?"
When he said this, the patient hesitated. When she heard the news that she had terminal cancer, she felt like a thunderbolt hit her, and her mind went blank.
Shock and depression filled her soul. Out of fear of malignant tumors, she thought of death.
The mention of children by her husband finally brought back her desire for survival.
The two firefighters breathed a sigh of relief. This was the 16th floor. Even if there was an air mattress underneath, it would probably be quite painful if they fell. The human body has to withstand the reaction force of the air mattress. Multiple fractures throughout the body are the least severe consequences.
The patient was walking back while holding on to the pillar. Maybe he had been standing for a long time or something, but his foot suddenly slipped and he fell down neatly.
"Ah!" The people below exclaimed.
Gao Feng also quickly opened his eyes, hoping that nothing would happen, he prayed.
But some things cannot be transferred by human will. He clearly saw the patient's head falling on the air mattress first, and then the whole body.
A huge reaction force hit, and the patient was bounced up again. Gao Feng saw an obvious reflection of her cervical spine.
Finished!
"The person is dead," Li Youliang said to him. "He died before he was sent to the intensive care unit. It is said that the cervical vertebra seemed to have been directly broken."
Gao Feng didn't say anything. He felt very heavy. Since the patient had been diagnosed with late-stage colon cancer, his survival time would definitely not be long. But losing his life in this way would probably make his family even more painful.
"This is fate." He sighed.
"There is nothing we can do. The incidence rate of tumors is too high now." Li Youliang said, "Many people cannot accept it."
When misfortune happens to others, you may just feel surprised, but when it happens to yourself, you can experience the despair and confusion.
After all, there are very few people who can face life and death with a smile, and the vast majority of patients are ordinary people.
This incident made Gao Feng feel very bad and he couldn't fall asleep at noon.
"Doctor, I'm dizzy." A patient wearing glasses walked in.
"Tell me the specific situation." Gao Feng took a deep breath.
"I suddenly felt dizzy, dizzy, nauseous, and vomiting when I was giving a massage today." The patient's face was still a little pale at the moment.
It turned out that the patient was a blind masseur. He massaged the customer's neck as usual today. After about 10 minutes of massage, he felt something was wrong.
He felt dizzy and felt top-heavy. As soon as he squatted down, he felt dizzy and he vomited all over the floor on the spot.
"Were there any other symptoms at that time?" Gao Feng asked.
"I can't seem to hear in my right ear," the patient said.
There were other colleagues in the room at the time. Seeing him like this, they all ran over and quickly helped him to the sofa.
"The tinnitus is severe, but I usually have tinnitus, but it was not serious before."
"Have you fainted before?"
"It seems to have happened once." The patient thought about it carefully, "But it was not serious that time. I recovered after taking a rest."
At this time, the patient's cell phone rang, and he gave an apologetic look.
"It's okay, just take it." Gao Feng signaled.
"Thank you." The patient said a few words and then quickly hung up the phone.
"Hey, aren't you a blind masseur?" Li Youliang asked curiously, "I can see things when I look at you."
"That's because I wear myopia glasses." The patient said, "I am more than 600 degrees short-sighted. I wear sunglasses when I go to work, just like a blind person."
What he said is actually good. If you have a myopia of more than 600 degrees without wearing myopia glasses, you will be blind.
Gao Feng asked the patient to undergo electrocardiogram, cardiac color ultrasound, and head CT, but no obvious abnormalities were found.
"I think you have Meniere's disease. You can take some medicine and observe it first."
"It's a bit late today. Come early tomorrow and go to the otolaryngology department to check the acoustic impedance and electrical audiometry."
The patient agreed.
As soon as the patient left, the phone in the consulting room rang.
"Hey?"
"Is this Professor Gao? I'm from the Imaging Department." Someone said on the phone.
Li Youliang quickly pressed the speakerphone button.
"You ordered a cranial MRI on a patient. Just after the MRI, I saw that he had a right subdural hematoma, and the compressed midline had shifted!"
"What? Which patient?" Gao Feng was surprised.
"The patient's name is Wang Tiangang." The imaging doctor said, "I just called him and asked him to go to the clinic to find you."
"Ok!"
Wang Tiangang was the patient who made the OK gesture when he went out. Gao Feng and Li Youliang thought he was not a big problem at the time.
"Have you had dizziness and headache for half a month, concentrated in the right temporal area?"
"Yes." Wang Tiangang confirmed, "Doctor, is there any problem? Someone just called me and asked me to come over quickly."
Of course there are problems, and they are quite big.
"You have a subdural hematoma on the right side!" Gao Feng said to him, "The hematoma is quite small."
"What kind of hematoma?" Wang Tiangang asked. He was a little nervous. No matter what it was, it was not a good thing to have something in his head!
Subdural hematoma is caused by blood collecting in the subdural space due to intracranial hemorrhage.It is the most common type of intracranial hemorrhage, mostly secondary to craniocerebral trauma, cerebral aneurysm, etc.
"Ah?" Wang Tiangang was very shocked, "Is there a mistake?"
"How could it be that what we saw under magnetic resonance imaging was wrong?" Li Youliang motioned for him to sit down. "You haven't suffered any trauma recently, have you?"
"Did you hit your head or something?"
"No." Wang Tiangang thought for a moment and replied.
"Think again." Gao Feng prompted, "Were there any special circumstances in the past few days before the dizziness occurred?"
Wang Tiangang thought about it carefully and his expression began to change.
"Damn it, I remember, two days before I got dizzy, I had a fight with my wife!"
The cause of the matter is simple, he made the mistake that all men make.
"I met a female anchor online." Wang Tiangang said, "It's not easy for a young girl to leave her hometown and come to Z state."
"I am more concerned about the growth of these young people, and I will occasionally reward them casually."
As time went by, the little girl (female anchor) was very grateful to the big brother and took the initiative to add him on WeChat.
"Occasionally, I send some small sentimental pictures." Wang Tiangang said, "Actually, it's nothing. We just look at them out of appreciation."
But maybe I was so busy that day that I forgot about it. My wife’s phone happened to be out of battery and she was using his phone to make calls. As soon as she unlocked the phone, she saw these sensual little pictures.
Then I looked at the chat history again, and my emotions exploded.
"Totally unreasonable!"
"Am I afraid of her?!" "I slapped her in the face and hit her head on the rolling pin in her hand!"
"The blood was flowing out, and I was so frightened that I couldn't even speak!"
"Stop talking." Li Youliang couldn't listen anymore, "I feel that your behavior is not worthy of the name Wang Tiangang."
"It's too miserable for you, but you deserve it." Gao Feng said.
"Is there any mistake? Are you two men?" Wang Tiangang was very dissatisfied, "Shouldn't you understand me?"
Gao Feng called a director of neurosurgery to come over for consultation. The other person stared at the computer for a long time.
"He has been here for too long and has a chronic subdural hematoma. His current condition is actually not bad and he can be observed at home."
Acute subdural hematoma (within 3 days after injury); subacute subdural hematoma (occurs within 3 days to 3 weeks after injury); chronic subdural hematoma (more than 3 weeks after injury).
For acute subdural hematoma, hospitalization is definitely required and bed rest is required to prevent the condition from worsening and leading to serious consequences.
However, for this kind of chronic subdural hematoma, because the time is too long, the condition will generally not suddenly worsen, and it can be observed and reviewed regularly at home.
"Why don't you ask the little girl to send some sexy pictures to show your concern." Li Youliang said with a smile, "We want to see it too."
"How can I be in the mood now?" Wang Tiangang felt a little depressed. Unexpectedly, he was suddenly diagnosed with cerebral hemorrhage.
I've been beaten with a rolling pin before, and it was fine at that time.
Am I getting old?
-
After a hard day's work, Yue Penghui was about to take a rest, when Wang Liang suddenly walked in.
"Go away, I'm going to sleep."
"Jianghu is in an emergency, I'll sleep with you all night." Wang Liang took off his shoes and got into bed.
"What's your situation?" Yue Penghui was a little unhappy, "This bed is so small, wouldn't it be suitable for two grown men to lie on it?"
"Besides, if you have something to do, please tell me in advance. I can just go to my wife's place."
Yue Penghui rented a house outside. During this period, if he got off work early, he would go back to accompany Ni Shuang, who was pregnant.
"My bed collapsed." Wang Liang explained.
Today, his girlfriend Liu Fang came to see him. The two of them couldn't hold back their passion for a while. They may have used too much force when they were tossing, and one of the bed legs was broken.
After sending his girlfriend away, he took a book to cushion him. As soon as he lay down on it, the bed collapsed.
"It's too late at this time, and it's too troublesome for me to go out and live." Wang Liang said, "Let's squeeze in."
"Okay then." Yue Penghui couldn't help it.
Wang Liang quickly fell asleep, but Yue Penghui beside him couldn't fall asleep. He had never had the habit of sleeping naked before, but he accidentally tried it a month ago and couldn't help himself. He would sleep naked.
It was almost midnight, and he really couldn't sleep with his underpants on. After thinking for a while, he sat up quietly. Just as he folded his underpants and put them on the bedside, Wang Liang's trembling voice came from behind:
"What are you doing?!"
"No, Wang Liang, please listen to my explanation." Yue Penghui grabbed him.
Wang Liang turned pale and wanted to run away after putting on his clothes, but Yue Penghui refused to let go.
"Give me 1 minute to explain!"
1 minutes later
"I believe you." Wang Liang said, "I knew you were not such a person."
"Then let's continue sleeping."
"No, I suddenly have a wonderful idea, and I can't wait to go to the laboratory to verify it." Wang Liang quickly opened the door, "Time is not waiting for me!"
In fact, Wang Liang believed Yue Penghui's explanation, but he really couldn't accept sleeping in the same bed with a naked man.
Besides, what if.
It's scary to think about!
It was a bit cold outside at this time, and his nose was so cold that Wang Liang couldn't help but speed up his pace.
When he reached a corner, he suddenly heard a low cry.
Crooked day!
Wang Liang was a little scared and ran away.
Then he slammed into a white shadow.
"Ah ah ah ah ah ah ah!"
Both men screamed at the same time.
"What are you doing!" Wang Liang was furious. He was crying here so late. Did he consider the feelings of passers-by?
"I didn't know there would be anyone here at this point." The other person turned out to be a girl.
"Have you met a scumbag?" Wang Liang asked.
"No."
"What happened to the family?"
"No." The girl replied.
"Then you cry all night long?" Wang Liang was very puzzled. He didn't look like a fool.
"It wasn't a physical test during the day. After I ran the 800 meters, the physical education teacher said that the results were not recorded and insisted on making me run again." The girl's voice was filled with tears. "Then I failed the second time."
Wang Liang.
"That's it?"
Turns out he is really a fool, Wang Liang thought to himself.
"Physical education is a compulsory course this year. If I fail, I won't be able to apply for a scholarship." The girl said the reason.
"That's it." Wang Liang suddenly realized.
"You argued with him back then!"
"I don't dare. The physical education teacher said that rules are strict and it won't work unless the results are recorded on the device." The girl was indignant.
"You tell him that rules are dead, and so can people!" Wang Liang quickly became emotional.
"I don't dare, this PE teacher is very fierce." The girl cried.
"Is your family in difficulty? Do you really need this scholarship?"
"That's not true. Last year, four people in my dormitory were evaluated, but I was not." The girl said the reason. "So I worked very hard this semester, and my grades in all subjects were among the best in the class. I didn't expect that I would be disqualified from the selection because of the physical education class."
So I couldn't figure it out, so I came out and hid in a corner in the middle of the night and howled.
"You should call your counselor about this matter." Wang Liang suggested, "He takes care of this."
"Then what should I say?" the girl asked.
"Just tell him the whole story."
The girl took the advice and took out her cell phone to call the counselor.
Tian Shaoyang, counselor of Z University, was sleeping beautifully when he was suddenly woken up by a phone call.
Let me see who is so annoying!
"Hey?"
"Hello, Teacher Tian, I am"
That's it?Tian Shaoyang was very dissatisfied. Are all college students today so fragile?
Besides, how much is the scholarship?As for that?
"I know about your matter, but I can't get involved in the physical education class. You can't wait until next year." Tian Shaoyang said impatiently, "Is there anything else?"
(End of this chapter)
"Shufang, what are you doing!" Her husband staggered onto the platform, "Get down quickly!"
"I don't want to live anymore!" the patient cried loudly. "It's already in the advanced stage, and it can't be cured anyway."
"You can't be like this even if it can't be cured." The husband also started crying, "The children haven't come yet, how can you be so upset?"
When he said this, the patient hesitated. When she heard the news that she had terminal cancer, she felt like a thunderbolt hit her, and her mind went blank.
Shock and depression filled her soul. Out of fear of malignant tumors, she thought of death.
The mention of children by her husband finally brought back her desire for survival.
The two firefighters breathed a sigh of relief. This was the 16th floor. Even if there was an air mattress underneath, it would probably be quite painful if they fell. The human body has to withstand the reaction force of the air mattress. Multiple fractures throughout the body are the least severe consequences.
The patient was walking back while holding on to the pillar. Maybe he had been standing for a long time or something, but his foot suddenly slipped and he fell down neatly.
"Ah!" The people below exclaimed.
Gao Feng also quickly opened his eyes, hoping that nothing would happen, he prayed.
But some things cannot be transferred by human will. He clearly saw the patient's head falling on the air mattress first, and then the whole body.
A huge reaction force hit, and the patient was bounced up again. Gao Feng saw an obvious reflection of her cervical spine.
Finished!
"The person is dead," Li Youliang said to him. "He died before he was sent to the intensive care unit. It is said that the cervical vertebra seemed to have been directly broken."
Gao Feng didn't say anything. He felt very heavy. Since the patient had been diagnosed with late-stage colon cancer, his survival time would definitely not be long. But losing his life in this way would probably make his family even more painful.
"This is fate." He sighed.
"There is nothing we can do. The incidence rate of tumors is too high now." Li Youliang said, "Many people cannot accept it."
When misfortune happens to others, you may just feel surprised, but when it happens to yourself, you can experience the despair and confusion.
After all, there are very few people who can face life and death with a smile, and the vast majority of patients are ordinary people.
This incident made Gao Feng feel very bad and he couldn't fall asleep at noon.
"Doctor, I'm dizzy." A patient wearing glasses walked in.
"Tell me the specific situation." Gao Feng took a deep breath.
"I suddenly felt dizzy, dizzy, nauseous, and vomiting when I was giving a massage today." The patient's face was still a little pale at the moment.
It turned out that the patient was a blind masseur. He massaged the customer's neck as usual today. After about 10 minutes of massage, he felt something was wrong.
He felt dizzy and felt top-heavy. As soon as he squatted down, he felt dizzy and he vomited all over the floor on the spot.
"Were there any other symptoms at that time?" Gao Feng asked.
"I can't seem to hear in my right ear," the patient said.
There were other colleagues in the room at the time. Seeing him like this, they all ran over and quickly helped him to the sofa.
"The tinnitus is severe, but I usually have tinnitus, but it was not serious before."
"Have you fainted before?"
"It seems to have happened once." The patient thought about it carefully, "But it was not serious that time. I recovered after taking a rest."
At this time, the patient's cell phone rang, and he gave an apologetic look.
"It's okay, just take it." Gao Feng signaled.
"Thank you." The patient said a few words and then quickly hung up the phone.
"Hey, aren't you a blind masseur?" Li Youliang asked curiously, "I can see things when I look at you."
"That's because I wear myopia glasses." The patient said, "I am more than 600 degrees short-sighted. I wear sunglasses when I go to work, just like a blind person."
What he said is actually good. If you have a myopia of more than 600 degrees without wearing myopia glasses, you will be blind.
Gao Feng asked the patient to undergo electrocardiogram, cardiac color ultrasound, and head CT, but no obvious abnormalities were found.
"I think you have Meniere's disease. You can take some medicine and observe it first."
"It's a bit late today. Come early tomorrow and go to the otolaryngology department to check the acoustic impedance and electrical audiometry."
The patient agreed.
As soon as the patient left, the phone in the consulting room rang.
"Hey?"
"Is this Professor Gao? I'm from the Imaging Department." Someone said on the phone.
Li Youliang quickly pressed the speakerphone button.
"You ordered a cranial MRI on a patient. Just after the MRI, I saw that he had a right subdural hematoma, and the compressed midline had shifted!"
"What? Which patient?" Gao Feng was surprised.
"The patient's name is Wang Tiangang." The imaging doctor said, "I just called him and asked him to go to the clinic to find you."
"Ok!"
Wang Tiangang was the patient who made the OK gesture when he went out. Gao Feng and Li Youliang thought he was not a big problem at the time.
"Have you had dizziness and headache for half a month, concentrated in the right temporal area?"
"Yes." Wang Tiangang confirmed, "Doctor, is there any problem? Someone just called me and asked me to come over quickly."
Of course there are problems, and they are quite big.
"You have a subdural hematoma on the right side!" Gao Feng said to him, "The hematoma is quite small."
"What kind of hematoma?" Wang Tiangang asked. He was a little nervous. No matter what it was, it was not a good thing to have something in his head!
Subdural hematoma is caused by blood collecting in the subdural space due to intracranial hemorrhage.It is the most common type of intracranial hemorrhage, mostly secondary to craniocerebral trauma, cerebral aneurysm, etc.
"Ah?" Wang Tiangang was very shocked, "Is there a mistake?"
"How could it be that what we saw under magnetic resonance imaging was wrong?" Li Youliang motioned for him to sit down. "You haven't suffered any trauma recently, have you?"
"Did you hit your head or something?"
"No." Wang Tiangang thought for a moment and replied.
"Think again." Gao Feng prompted, "Were there any special circumstances in the past few days before the dizziness occurred?"
Wang Tiangang thought about it carefully and his expression began to change.
"Damn it, I remember, two days before I got dizzy, I had a fight with my wife!"
The cause of the matter is simple, he made the mistake that all men make.
"I met a female anchor online." Wang Tiangang said, "It's not easy for a young girl to leave her hometown and come to Z state."
"I am more concerned about the growth of these young people, and I will occasionally reward them casually."
As time went by, the little girl (female anchor) was very grateful to the big brother and took the initiative to add him on WeChat.
"Occasionally, I send some small sentimental pictures." Wang Tiangang said, "Actually, it's nothing. We just look at them out of appreciation."
But maybe I was so busy that day that I forgot about it. My wife’s phone happened to be out of battery and she was using his phone to make calls. As soon as she unlocked the phone, she saw these sensual little pictures.
Then I looked at the chat history again, and my emotions exploded.
"Totally unreasonable!"
"Am I afraid of her?!" "I slapped her in the face and hit her head on the rolling pin in her hand!"
"The blood was flowing out, and I was so frightened that I couldn't even speak!"
"Stop talking." Li Youliang couldn't listen anymore, "I feel that your behavior is not worthy of the name Wang Tiangang."
"It's too miserable for you, but you deserve it." Gao Feng said.
"Is there any mistake? Are you two men?" Wang Tiangang was very dissatisfied, "Shouldn't you understand me?"
Gao Feng called a director of neurosurgery to come over for consultation. The other person stared at the computer for a long time.
"He has been here for too long and has a chronic subdural hematoma. His current condition is actually not bad and he can be observed at home."
Acute subdural hematoma (within 3 days after injury); subacute subdural hematoma (occurs within 3 days to 3 weeks after injury); chronic subdural hematoma (more than 3 weeks after injury).
For acute subdural hematoma, hospitalization is definitely required and bed rest is required to prevent the condition from worsening and leading to serious consequences.
However, for this kind of chronic subdural hematoma, because the time is too long, the condition will generally not suddenly worsen, and it can be observed and reviewed regularly at home.
"Why don't you ask the little girl to send some sexy pictures to show your concern." Li Youliang said with a smile, "We want to see it too."
"How can I be in the mood now?" Wang Tiangang felt a little depressed. Unexpectedly, he was suddenly diagnosed with cerebral hemorrhage.
I've been beaten with a rolling pin before, and it was fine at that time.
Am I getting old?
-
After a hard day's work, Yue Penghui was about to take a rest, when Wang Liang suddenly walked in.
"Go away, I'm going to sleep."
"Jianghu is in an emergency, I'll sleep with you all night." Wang Liang took off his shoes and got into bed.
"What's your situation?" Yue Penghui was a little unhappy, "This bed is so small, wouldn't it be suitable for two grown men to lie on it?"
"Besides, if you have something to do, please tell me in advance. I can just go to my wife's place."
Yue Penghui rented a house outside. During this period, if he got off work early, he would go back to accompany Ni Shuang, who was pregnant.
"My bed collapsed." Wang Liang explained.
Today, his girlfriend Liu Fang came to see him. The two of them couldn't hold back their passion for a while. They may have used too much force when they were tossing, and one of the bed legs was broken.
After sending his girlfriend away, he took a book to cushion him. As soon as he lay down on it, the bed collapsed.
"It's too late at this time, and it's too troublesome for me to go out and live." Wang Liang said, "Let's squeeze in."
"Okay then." Yue Penghui couldn't help it.
Wang Liang quickly fell asleep, but Yue Penghui beside him couldn't fall asleep. He had never had the habit of sleeping naked before, but he accidentally tried it a month ago and couldn't help himself. He would sleep naked.
It was almost midnight, and he really couldn't sleep with his underpants on. After thinking for a while, he sat up quietly. Just as he folded his underpants and put them on the bedside, Wang Liang's trembling voice came from behind:
"What are you doing?!"
"No, Wang Liang, please listen to my explanation." Yue Penghui grabbed him.
Wang Liang turned pale and wanted to run away after putting on his clothes, but Yue Penghui refused to let go.
"Give me 1 minute to explain!"
1 minutes later
"I believe you." Wang Liang said, "I knew you were not such a person."
"Then let's continue sleeping."
"No, I suddenly have a wonderful idea, and I can't wait to go to the laboratory to verify it." Wang Liang quickly opened the door, "Time is not waiting for me!"
In fact, Wang Liang believed Yue Penghui's explanation, but he really couldn't accept sleeping in the same bed with a naked man.
Besides, what if.
It's scary to think about!
It was a bit cold outside at this time, and his nose was so cold that Wang Liang couldn't help but speed up his pace.
When he reached a corner, he suddenly heard a low cry.
Crooked day!
Wang Liang was a little scared and ran away.
Then he slammed into a white shadow.
"Ah ah ah ah ah ah ah!"
Both men screamed at the same time.
"What are you doing!" Wang Liang was furious. He was crying here so late. Did he consider the feelings of passers-by?
"I didn't know there would be anyone here at this point." The other person turned out to be a girl.
"Have you met a scumbag?" Wang Liang asked.
"No."
"What happened to the family?"
"No." The girl replied.
"Then you cry all night long?" Wang Liang was very puzzled. He didn't look like a fool.
"It wasn't a physical test during the day. After I ran the 800 meters, the physical education teacher said that the results were not recorded and insisted on making me run again." The girl's voice was filled with tears. "Then I failed the second time."
Wang Liang.
"That's it?"
Turns out he is really a fool, Wang Liang thought to himself.
"Physical education is a compulsory course this year. If I fail, I won't be able to apply for a scholarship." The girl said the reason.
"That's it." Wang Liang suddenly realized.
"You argued with him back then!"
"I don't dare. The physical education teacher said that rules are strict and it won't work unless the results are recorded on the device." The girl was indignant.
"You tell him that rules are dead, and so can people!" Wang Liang quickly became emotional.
"I don't dare, this PE teacher is very fierce." The girl cried.
"Is your family in difficulty? Do you really need this scholarship?"
"That's not true. Last year, four people in my dormitory were evaluated, but I was not." The girl said the reason. "So I worked very hard this semester, and my grades in all subjects were among the best in the class. I didn't expect that I would be disqualified from the selection because of the physical education class."
So I couldn't figure it out, so I came out and hid in a corner in the middle of the night and howled.
"You should call your counselor about this matter." Wang Liang suggested, "He takes care of this."
"Then what should I say?" the girl asked.
"Just tell him the whole story."
The girl took the advice and took out her cell phone to call the counselor.
Tian Shaoyang, counselor of Z University, was sleeping beautifully when he was suddenly woken up by a phone call.
Let me see who is so annoying!
"Hey?"
"Hello, Teacher Tian, I am"
That's it?Tian Shaoyang was very dissatisfied. Are all college students today so fragile?
Besides, how much is the scholarship?As for that?
"I know about your matter, but I can't get involved in the physical education class. You can't wait until next year." Tian Shaoyang said impatiently, "Is there anything else?"
(End of this chapter)
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