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Palestinian death toll in West Bank surges as Israel pursues militants following Hamas rampage_我的网站

一 |     JERUSALEM -- Deadly violence has been surging in the West Bank as the Israeli military pursues Palestinian militants in the aftermath of the Hamas attack from Gaza, with at least 90 Palestinians killed in the Israeli-occupied territory in the past two weeks, mainly in clashes with Israeli troops.The violence threatens to open another front in the 2-week-old war, and puts pressure on the internationally recognized Palestinian Authority, which administers parts of the West Bank and is deeply unpopular among Palestinians, in large part because it cooperates with Israel on security matters. The tally includes five Palestinians killed in separate incidents on Sunday, including two who died in an airstrike on a mosque in the volatile Jenin refugee camp that Israel said was being used by militants. Israel carried out an airstrike during a battle in another West Bank refugee camp last week, in which 13 Palestinians, including five minors, and a member of Israel's paramilitary Border Police were killed. Israel rarely uses air power in the occupied West Bank, even as it has bombarded Hamas-ruled Gaza since the militant group stormed across the border on Oct. 7. More than 1,400 people have been killed in Israel since the war began, mostly civilians killed in the initial Hamas assault. The Hamas-run Health Ministry in Gaza says over 4,300 Palestinians have been killed. The Palestinian Health Ministry in the West Bank says 90 Palestinians have been killed there since Oct. 7, a dramatic jump from 197, according to an Associated Press count, from the start of the year until the Hamas attack. In addition to the raids, Palestinians have been killed in violent anti-Israel protests and in some instances in attacks by Jewish settlers.Israel clamped down on the territory immediately after the Hamas assault, closing crossings and checkpoints between Palestinian towns. Israel says its forces have detained over 700 suspects in the West Bank, including 480 members of Hamas, since the start of hostilities.Israel’s resumption of aerial attacks — which in a July operation in Jenin reached a level of intensity not seen since the Palestinian uprising against Israel two decades ago — suggests a shift in military tactics.The military described the Al-Ansar Mosque in Jenin as a militant compound belonging to Hamas and Islamic Jihad, a smaller and more radical Palestinian militant group. It said the militants had carried out several attacks in recent months and were planning another imminent assault.The intensified violence follows more than a year of escalating raids and arrests in the West Bank and deadly Palestinian attacks on Israelis.Israel captured the West Bank, along with Gaza and east Jerusalem, in the 1967 war. The Palestinians want all three territories for a future state. Over 500,000 Israelis live in settlements across the West Bank that most of the international community considers illegal, while the territory's more than 2.5 million Palestinians live under Israeli military rule.The Palestinians view the settlements as the greatest obstacle to resolving the conflict with Israel. The last serious and substantive peace talks broke down over a decade ago. Settler violence against Palestinians has also intensified since the Hamas attack. At least five Palestinians have been killed by settlers, according to Palestinian authorities, and rights groups say settlers have torched cars and attacked several small Bedouin communities, forcing them to evacuate to other areas.The West Bank Protection Consortium, a coalition of non-governmental organizations and donor countries, including the European Union, says at least 470 Palestinians have been forcibly displaced in the West Bank due to settler violence since Oct. 7. That's in addition to over 1,100 displaced since 2022. ___Associated Press writer Joseph Krauss contributed to this report.。

二 |           　　一位来自四川凉山的彝族农妇，颈部埋着一颗16.5公分的“定时炸弹”;一位74岁的古稀老专家，在手术台上站立数小时，手稳如磐石。当两者相遇，一场关于生命重量的较量就此展开。     　　对于陈建超教授而言，无影灯下的手术台是他坚守了半个世纪的阵地。近日，四川省头颈肿瘤外科创始人之一、原四川省肿瘤医院头颈外科主任陈建超教授，成功为凉山患者肖红(化名)切除直径达16.5公分的巨大甲状腺结节。患者喉返神经及甲状旁腺功能完好保留，气管、食道、血管无损伤。     　　从凉山到手术台：一位农妇的“颈上重负”      　　肖红(化名)，49岁，彝族，来自凉山州。2018年她偶然发现颈部包块，因不痛不痒且地处偏远，未予重视。此后几年包块悄然生长，家人误以为“上火”，直到一个月前，她出现呼吸不畅、吞咽异物感，甚至睡觉翻身都觉颈部沉重。家人辗转多家医院，均因瘤体巨大、紧贴喉返神经和颈动脉，瘤体坠入胸腔内，手术风险过高而被婉拒。一次次碰壁后，李小红几乎绝望。后来从抖音得知成都有家甲状腺专科医院，有全国知名头颈外科专家坐阵，专收疑难病例，便抱着一线希望前往。

三 |      　　(就诊时，李小红颈部巨型结节外观)      　　入院检查结果令人震惊：甲状腺结节最大直径16.5cm——正常甲状腺仅4-5公分，这个结节相当于新生婴儿头部大小。更严峻的是，影像学显示肿瘤已侵入胸腔纵隔，与心脏发出的最大血管——主动脉弓关系紧密;纵隔段气管膜部被肿瘤压迫凹陷，导致气管明显狭窄，严重危及呼吸。

四 | 巨大的瘤体还将颈部大血管推挤移位。医生告知家属：“再拖下去，随时可能因气管塌陷窒息，危及生命。”      　　面对这一少见病例，医院迅速组建以陈建超教授领衔的多学科团队。讨论焦点是：      　　一、瘤体巨大，与喉返神经、甲状旁腺、颈动脉及关系密切，气管、食道、血管明显被挤压变形，是否需要开胸手术，术中稍有不慎可致大出血、永久性声音嘶哑或低钙抽搐、或气管食道受损;      　　二是主刀医生已74岁。陈教授——这位1976年毕业于华西医科大学的资深专家，从事头颈肿瘤外科50余年，具有丰富的甲状腺诊治经验，曾参与制定2010年和2012年中国甲状腺结节和甲状腺癌诊治指南，并获得2014年获中国抗癌协会“中国甲状腺肿瘤事业突出贡献奖”。由这样一个资深的专家牵头团队，最终根据各项检查指标和情况，为其制定了个体化精准切除方案。

五 |      　　(陈建超教授在向病人及病人家属讲解治疗方案)      　　术前谈话：一场托付生命的对话      　　病房里，肖红(化名)半靠在床头，脖子上隆起的包块把衣领撑得变形。陈教授拿着超声报告，语气平缓：“你看，这个大包块，气管已被挤压到，只剩一条缝，下坠到胸部纵膈。气管食道严重挤压变形，再继续下去就会出现无法呼吸的情况，危及生命。”沉默片刻，肖红(化名)声音发颤：“陈医生，我不怕刀口长，我怕上了手术台醒不过来——家里地没人种，老人没人管，五个儿子都未成家。我更怕割了以后说话变‘哑巴’，那我活着还有什么用?”陈教授直视着她，一字一句：“你放心，我们一定会认真负责地对待，我做过很多比这还大、还复杂的甲状腺肿瘤，这个瘤子大概率良性，切除肿瘤解除压迫是要点，我们会在术中做冰冻实验，术中若是确认为良性，会保留正常的甲状腺组织;如果是恶性，就会采取根治性治疗方案。”李小红沉默良久，松开攥紧的被角，握住他的手：“陈医生，我信你。这条命，交给你了。

六 | ”      　　无影灯下3小时：74岁老人的“教科书级”操作      　　手术当天，陈教授提前半小时进手术室，戴上放大镜，反复活动手指热身——这是他从医半个世纪的习惯。     　　病灶部位切开后，所有人倒吸凉气：瘤体占据整个甲状腺区域，与周围组织严重粘连，周围毛细血管明显扩张，气管被压弯变形，解剖层次几乎消失。尤为棘手的是，肿瘤深入纵隔，紧贴主动脉弓，纵隔段气管膜部已被压迫凹陷，气管管腔显著狭窄，分离稍有不慎即可导致大出血或气管破裂。

七 | 但陈教授从容不迫，分离、结扎、止血，每一步精准到位。

八 |      　　陈教授凭借五十多年经验，用手指一丝一毫地搓动剥离，最终在保护周围组织的前提下成功完整分离肿瘤。74岁的陈教授在手术台上的状态比许多年轻医生还好，眼不花，手不抖，手术操作无比精准轻柔——年轻医生惊叹为“教科书级别操作”。     　　经过约3个小时精细操作顺利完成手术，16.5公分结节完整切除，气管、食道完好无损，双侧喉返神经功能完好，甲状旁腺得以保留，重要神经、血管无损伤，部分正常甲状腺组织得以保留。      　　(陈建超教授查房时，肖红(化名)双手合十表达谢意)      　　术后恢复：一声彝语“瓦吉瓦”      　　术后第二天，肖红(化名)正常进食，声音无嘶哑，呼吸困难完全消失。查房时，陈教授轻触伤口检查恢复情况，李小红双手合十，用彝语说“瓦吉瓦”(好得很)。家人红着眼眶：“没想到这么大年纪的医生，亲手救了我家人的命。

九 | ”      　　对话陈建超教授：专科优势与高龄担当      　　陈教授谈及受聘的专科医院：“这里专病专治，就诊方便，甲状腺疾病问题都可以在这里得到完美解决，就诊时间充裕，患者能与医生充分咨询、深入沟通;医院虽规模不大，但汇集全国甲状腺专家资源，能迅速召集多学科讨论，挑战高难度病例。

十 | ”对于74岁高龄仍亲自主刀，他平淡回应：“年龄只是数字，手术靠的是优秀的专科技术经验，和高度的责任心，能为他们服务，解决他们的病患疾苦，是我非常乐于做的事”      　　医院相关负责人表示，高龄专家的临床经验在复杂甲状腺手术中不可替代，陈教授的职业精神诠释了中国老一辈外科医生的担当。      　　(做手术的陈建超教授)      　　警钟长鸣：甲状腺结节不可“小病拖”      　　此病例敲响警钟。甲状腺结节虽常见，但长至16.5公分并侵入纵隔压迫主动脉弓及气管者罕见。     　　专家提醒，直径超过5公分的结节微创手术难以处理，通常需开放手术;像肖红(化名)这样巨大且位置凶险的结节，更考验医院综合实力和主刀技术。     　　“发现颈部包块，哪怕无症状，也应及时就医检查，”陈教授叮嘱，“小病拖成大病，吃苦的是自己，为难的是家人。”      　　从大凉山到成都手术室，从2018年的忽视到2026年的生死一线，肖红(化名)是幸运的。这份幸运背后，是一位74岁老专家用半个世纪的积淀，在无影灯下为她托起的一束光。刀锋不老，仁心更坚!【广告】免责声明：本内容为广告，相关素材由广告主提供，本文仅代表作者个人观点，与本网无关。本网发布目的在于传递更多信息，并不代表本网赞同其观点和对其真实性负责，广告内容仅供读者参考，请自行核实相关内容。

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