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專科診症室
ᚥ͗؇৫ɻܸ̈dषઋჀe௦೨
ගქ೯ЪeೌЄൂʿ༶ਗღᖟe
षί
3
ࡈ
˜lzᏐආБ
ڭ
ς
ط
ᐕdආБ
ٲ
ЄЂٙᒦdν͂
ϻˣଢeͰͱଢeɪ
ٮ
ഃi
B
ૄၪ͛९ʿආБੰూ
ط
ᐕf
षઋࠠëତЄൂeᅂᚤ˓̌
ঐd
ڭ
ς
ط
ᐕ
3
ࡈ
˜ೌࣖ٫Ꮠ
Ͻᅇ˓ஔ
ط
ᐕdܼ̍ʲৰ৶ʿ
ழଡ଼ᔌ॰੭d̀
ࠅ
̙ࣛЪ̌ঐࠠ
ܔ
ஔf
୕
ࠇ
༟ࣘᜑͪd࿊̈ɹၝΥस
ٙ˓ஔᎴԄଟ
މߒ
70%~80%
d
ᒱ್ഒɽεᅰઃ٫ஔ
ܝ
ϞʔΝ
ܓ
ٙसًҷഛdШ
ߒ
40%
ٙઃ٫
ஔ
ܝ
ᒔც
ࠅ
ʔΝ
ܓ
ήਂɓԬႾ
п
ط
ᐕdνଣᐕe҅܆ௐഃf
ஔ
ܝ
˷ӊ
ࡈ
ઃ٫ேͭуชՑઃ
ٮ
ჀᕦബቇdЄɢᄣɽdชᙂᜳઽdШ
3~4
˂
ܝ
सً
ɦࠠอ̈ତd
ޟ
Ї༰ஔ
މۃ
ࠠdϾ
3~4
մ
ܝ
सًɦ
နऊ̰f˓ஔࣛዚᏐ፯ίઃ٫सً௰
މ
ᘌࠠe௰
ᗭ˸ҜաٙࣛಂdϤࣛ˓ஔࣖ
௰؈
λf
自我保健預防發病
ཫԣ࿊̈ɹၝΥसdІҢ
ڭ
݊༰
މ
Ϟࣖٙ˙
ج
f̻ࣛᏐቮϓԄλٙѬැdʔሞʈЪ
;א
ࢹdே
Ꮠ༈
ء
จ˓ձ˓ഡٙ۶ැd
ࠅ
းඎ
ڭ
ܵ˓ഡФٜd
The Killer of Computer Users: Thoracic Outlet Syndrome
Thoracic outlet syndrome is common among frequent computer users. As the thoracic outlet has the collarbone above and the
first rib below, when the nerves and vessels go out towards the upper limb, compression may occur here. As female subjects
may lack shoulder muscle exercises, the upper limb may droop down, causing the collarbone linked to the upper limb to
come closer to the first rib which does not droop together with the upper limb: the gap now narrows: compression occurs.
When the median nerve is compressed, the first 3 fingers are numb; when the ulnar nerve is compressed, the last 2 fingers are
numb; when all fingers are numb, both nerves are compressed. For mild cases, conservative means, e.g., physical exercises,
badminton, ping pong, etc., suffice. For those not improving after conservative treatment for 3 months, operation may be
considered. Ensure correct postures; avoid twisting of the wrist; adjust table & chair heights appropriately; sit upright; stand up
every 0.5-1 hour to exercise. Above all, have regular shoulder exercises, e.g., play badminton or ping pong for half an hour a
day!
ʔ
ࠅ
ᛃϜdШɰʔ
ࠅ
ཀ
ܓ
Ф࢝f
ʔԄ۶ැٙҷഛ̙ԴЃᕁගქᓒ
ɽʿᑑᓉग़ᕦύf
ᔖุɛ໊Ꮠးඎਗ਼ʈЪᐑྤพ
ബቇԬdԴɪ
ٮ
ᗫືʔ
ࠅ
ཀʱ͜
ɢiͿࣩʈЪɛࡰᏐҪಉɿሜ
Ց௰ബቇٙ৷
ܓ
dѬɨࣛᕐ໔͍
λঐ̻׳ίήࠦf
ᚥ͗؇৫ɻ፴Ⴍd௰ᗫᒟٙ݊
ͣჯɾᏐ
ڭ
ܵ
ٲ
ᗫືٙ
ݺ
ਗ
ඎdӊ˂͂̒ʃࣛٙϻˣଢ
א
Ͱ
ͱଢഃ݊௰λٙཫԣણ݄fӊ˂
ɽʱࣛග˸ཥ໘
މ
Мٙᔖุɛ
໊dɓ֛
ࠅ
છՓӊ˂Դཽ͜ᅺٙ
ࣛගd
ء
จһ౬ʔΝٙ˓۶dᏐ
ᜫፃ࿇ஈൖᇞ˥̻
א
Эd˖
Ꮠ׳ί˖Ѱɪd̀
ࠅ
̙ࣛ͜
˓ഡϖ
ݖ
f᎘ʔ
ۃࠅ
හdɪԒٜ࣎dʔ
ࠅ
Э᎘f
ӊཞ
0.5~1
ʃࣛdᏐ༈१ৎԸ;ࢹɓɨd͝͝˓eܲ
ᅙձФ˓ܸdਂɓਂࣃձ׳ᕦਗЪdԴ˓ٙ
ᗫືேঐՑ׳ᕦf
ɓ͇̈ତə˓௦e˓೨ഃ࿊̈ɹၝΥसٙϞᗫस
ًdɓ֛
ࠅ
Ҭ˓̮߅ਖ਼߅ᔼ͛ൢ
ط
d˸еႬष
ઋdிϓᘌࠠ
؈ܝ
f