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下面附上一則新聞讓大家了解時事
一名空姐日前因聲音沙啞就醫，發現左側聲帶不明原因麻痺，經安排詳細檢查意外發現她右側有甲狀腺腫瘤，且細胞活性極強，疑為惡性腫瘤（見下圖），決定開刀割除，光田綜合醫院耳鼻喉科醫師劉耿僚以改良簡化甲狀腺微創手術，安全割除腫瘤，術後隔日就能出院，讓空姊不受癌症及失聲威脅。
甲狀腺腫瘤男女罹病比例1:7，患者以20至45歲青壯年女性居多，名列台灣女性癌症第5名，多數罹病原因不明。劉耿僚說，甲狀腺腫瘤初期沒有明顯症狀，患者通常是在脖子腫大、聲音沙啞或吞嚥、呼吸困難等併發症出現時才就醫，如果病患在15歲前就發病，腫瘤高達9成為惡性，但只要積極治療，年輕患者可存活40年以上無慮。
醫師劉耿僚說明，每個人都有2條返喉神經支配左右聲帶，傷及單側會造成聲音沙啞、吃東西易嗆到，如果左右兩側聲帶都麻痺時，可能發生窒息危及生命。這名空姊因病毒感染，左側聲帶已麻痺，右側甲狀腺則發現2.5公分腫瘤，檢查數據癌症可能性相當高，必須手術割除，但如果手術中再傷及右側返喉神經，導致右聲帶也麻痺，空姊不僅沒辦法正常說話，還可能面臨無法自然呼吸必須氣切，否則就可能窒息、危及生命。
劉耿僚表示，甲狀腺腫瘤要手術割除時，由於返喉神經緊貼甲狀腺，如果醫師在手術時沒有將返喉神經分離再割除腫瘤的話，很可能傷及返喉神經而產生「聲帶麻痺」併發症。他以組織凝集刀搭配LED頭燈和放大鏡進行甲狀腺微創手術，同時在手術中以聲帶神經探測電腦系統定位，辨識返喉神經。這項手術不需全身麻醉，手術也不需綁線，一個小時就可以完成，隔天就可出院，傷口只有3公分，這名空姐術後3個月已經痊癒，而且傷口已經看不見。
劉耿僚醫師表示，聲音沙啞確認是聲帶麻痺後要特別注意，因為很可能是腦中風、頸部腫瘤或肺癌造成。根據統計，成人聲帶麻痹最常見的原因就是甲狀腺手術，病患接受甲狀腺手術後有5%的機率可能發生聲帶暫時性麻痹，小於1%經半年追蹤未恢復為永久性麻痺，病患將一輩子聲音沙啞。
道奇隊在國家聯盟冠軍賽第6戰祭出了王牌Clayton Kershaw（克蕭），但Kershaw這一次也救不了道奇，他先發5局失5分、4分責失，終場道奇0比5輸給了小熊，二勝四敗遭淘汰，無緣進軍世界大賽。
Kershaw在今年季後賽為道奇隊屢建奇功，對國民隊的首輪季後賽，在第一戰及第四戰都先發出賽，這兩場比賽雖然他分別失了3分及5分，但道奇隊都贏得比賽，決勝的第五戰，Kershaw雖然只休一天，但他依舊在9局下登板，守住了重要的一勝，救援成功，讓道奇隊晉級國聯冠軍賽。
國聯冠軍賽第二戰Kershaw先發上場，完全壓制了小熊隊的攻勢，先發7局只被打出2支安打沒失分，終場道奇1比0贏球，Kershaw漂亮地拿下勝投。
今天賽前，道奇二勝三敗，已無路可退，Kershaw頂住壓力，在小熊主場4萬多名球迷面前投球，但這一次，很明顯地，Kershaw的球路威力已不如前一戰犀利，他投5局被擊出7支安打，包括Anthony Rizzo、Willson Contreras各一轟，失5分、4分責失。Kershaw已盡力，但他還是救不了道奇。
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If you don't like baseball, watch baseball, or know what baseball is, know this — the 2016 World Series is different.?
When the Cleveland Indians host the Chicago Cubs in a best-of-seven series
．．． 較多If you don't like baseball, watch baseball, or know what baseball is, know this — the 2016 World Series is different.?
When the Cleveland Indians host the Chicago Cubs in a best-of-seven series beginning Tuesday night, we won't just witness another run-of-the-mill Fall Classic. This year's matchup is steeped in history, characterized by decades of suffering, and features two teams who know a whole lot about losing.?
By the end of this World Series, one city will hoist the championship trophy for the first time in a very, very, long time.?
SEE ALSO: The dark side of a feel-good World Series
The Cubs haven't won a World Series since 1908, the longest championship drought in North American professional sports. They haven't even been to a World Series since 1945.?
Chicago's franchise is supposedly cursed, and the years of bad luck and losing seasons prove it.?
But a revamped front office and minor-league farm system have turned the Cubs from lovable losers to a national powerhouse. They showed up at Spring Training with the best odds of winning the World Series and led baseball with 103 wins during the regular season. ?
It's easy to root for this year's Cubs, until you remember who's in the other corner.
Image: Jamie Squire/Getty Images
The Indians haven't won a World Series since 1948, the second longest championship drought in baseball. Cleveland stumbled through the 1970s and '80s, failing to make the postseason every season in a 24-year span. Its last World Series appearances — both losses, of course — came in 1995 and 1997.?
The history of this World Series is huge, and each team's drought will be hyped constantly. But there's more to this matchup.
So, if you're just tuning in, here are our five biggest storylines to watch during the 112th World Series.?
1. Battle of the bullpens
The Cubs and Indians have one very specific thing in common —?in July, they both picked up two of the best relief pitchers in baseball, courtesy of the New York Yankees. The Indians, who traded for Andrew Miller, and the Cubs, who traded for Aroldis Chapman, understood the value of a shut-down bullpen in the postseason, and made sure to stock up on elite relievers.?
Andrew Miller has been unbeatable.
Image: Elsa/Getty Images
The results have been undeniable.?
Miller struck out 21 batters in 11.2 scoreless postseason innings for the Indians, earning MVP honors in the American League Championship Series. He's at the helm of a monster bullpen with a 1.67 ERA in the playoffs.?
Cleveland's strategy this postseas戰利品on is simple —?get an early lead and let the bullpen save it.?
Though the Cubs' bullpen might not have the flashiest postseason numbers this year — a 3.53 ERA and a couple blown saves — it still features Chapman, who fires 100-mph fastballs right by hitters on a regular basis.?
Image: mlb
Keep an eye on the bullpen. This series could hinge on the guys emerging from it.?
2. The fountain of youth
You can bet Fox announcers will constantly tout the young talent of both World Series teams, particularly Chicago.?
The average age of the Cubs infield — featuring All-Star Addison Russell, NLCS co-MVP Javier Baez, 2015 Rookie of the Year Kris Bryant and MVP candidate Anthony Rizzo — is 24 years old.?
Russell and Baez are only 22 and 23, respectively. They epitomize the Cubs' philosophy of developing young superstars and complimenting them with big-budget free agent signings.?
Clearly, that model has worked.?
Javier Baez was the Cubs' co-MVP of the NLCS.
Image: mlb
The Indians have shallower pockets, and couldn't afford to take the powerhouse approach. Instead, Cleveland relies on contributions from more frugal pick-ups like Rajai Davis and Mike Napoli.?
They still boast a solid young core that features All-Star shortstop Francisco Lindor (22), José Ramirez (24) and rookie Tyler Naquin (25). Rookie starting pitcher Ryan Merritt (24) made only one major league start before helping the Indians clinch a World Series berth last week.?
For a World Series soaked in historical context, this Fall Classic belongs to the kids.?
3. It starts with starting pitching
With all eyes on the bullpen, starting pitching could be the Cubs' not-so -secret weapon.?
Chicago boasts a deep starting rotation that led the majors with a 2.96 ERA during the regular season. Between Jon Lester — who's posted a 0.86 ERA in three postseason games — Jake Arrieta and Kyle Hendricks, the Cubs are set.?
The Indians had a brilliant starting rotation of their own at one point this season, but lost two of their talented arms to injury. There are murmurs of one of them returning, but more on that later.
Aside from Game 1 starter and former Cy Young Award winner Corey Kluber, the Indians have relied on good — but not elite — starting pitchers who turn in gutsy performances.?
Corey Kluber won 18 games in 2016.
Image: Maddie Meyer/Getty Images
Josh Tomlin is largely untested. Trevor Bauer bled himself off the mound last week. Ryan Merritt has two major league starts to his name.
Still, the Indians starting rotation has an impressive 1.86 ERA this postseason.
But don't let the numbers fool you. Chicago has an edge here.?
4. Comeback kids
This World Series will feature elite relief pitching, the best of the best. Games will surely come down to the late innings.
But here's something to chew on.?
This postseason, the Cubs have scored 17 runs in the seventh inning or later, the best of any team. They've thrived on comeback wins, and never seem to go down quietly.
Image: Jamie Squire/Getty Images
How many have the Indians scored in the seventh or later?
Zero.?
Cleveland appears incapable of putting runs on the board with their backs against the wall. Their game plan, as mentioned, is to get an early lead and turn things over to the bullpen.
That might not work against a team like the Cubs.?
Chicago's bullpen is beatable, but it's still formidable in the late innings, a time when the Indians' bats seem to be incredibly weak.?
5. Reviving the dead
Chicago won more than 100 games without Kyle Schwarber, one of the Cub's elite young superstars. Schwarber hit five postseason home runs last year, but tore his ACL just two games into this season.?
Now, there's talk he might be back.?
Since coming off the disabled list on Saturday, Schwarber has been getting back into playing shape in the Arizona Fall League (AFL). Depending on his performance in an AFL game Monday night, the Cubs could activate him for a designated hitter role in the World Series on Tuesday.?
There's sure to be rust, but if Schwarber performs anything like the player he was in 2015, he could be a difference-maker.?
For Cleveland, it's looking like starting pitcher Danny Salazar will return as well.
The All-Star right-hander, who struck out more than 10 batters per nine innings during the regular season, has been sidelined with a forearm strain since Sept. 9. It's unclear whether or not Salazar will start, considering the long layover, but he would bring stability to a starting rotation that desperately needs it.?
Both teams aren't taking any chances. They want their best lineups on the field.
Image: Maddie Meyer/Getty Images
This World Series figures to be epic, not only because of the historical context, but because of how each team's strengths counter the other's. Chicago's bats are scary, but Cleveland's pitching is hot. The Indians' bullpen is ferocious, but the Cubs know how to score late.?
Regardless, one of these long-suffering franchises will see relief soon. A historic championship drought will be quenched with a champagne shower.?
The loser? Well, they're already used to losing, and can wait just a little longer.?
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Mashable
2016年10月25日週二 台北標準時間上午6時37分
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