各位网络上的朋友们：
ACTOYS荣誉嘉宾、国内著名的变形金刚专题网站TFCLUB（Actoys长期合作网站）站长星星叫（冯明）幼年即身患肾病。自1995年以来一直依靠透析来维持身体机能正常运转。自1995年以来，他以顽强的毅力与病魔抗争。但是由于长期通过血管进行透析治疗，星星叫于数日前出现了严重并发症，且可以进行透析的血管均出现堵塞等问题无法继续透析，生命危在旦夕！！据治疗专家称，需要做导管植入方可继续治疗。但星星叫需要植入的长度超出常规（超过６０ｃｍ），国内外都史无前例，专家们始终没能找到突破性的资料。ACTOYS于日前发出公告，在网络上寻求帮助（详见http://www.actoys.net/bbs/read.php?tid=153293）－－通过大家的共同努力，目前导管已经找到，正在运送途中（虽然此方案是否最终采用仍需要视病情发展而定，但这无疑是一个好消息！）
但与此同时，昂贵的手术费又成为横在星星叫面前的一道严重障碍！在过去的11年里，星星叫一直在依靠自己的能力顽强拼搏，努力工作，用自己的双手来赚取必须的医疗费用。但是如今，他已经久卧在床无法工作，他的母亲因心脏病卧床多日，他的父亲也年过七十，且健康状况不佳，这个三口之家甚至在广州当地举目无亲！ 在这样的情况下，他们已经没有足够的经济能力面对新的手术考验。
做为一名变形金刚的爱好者，星星叫以惊人的毅力，自1999年起投入到复兴变形金刚文化的梦想中，并且为之奋斗了整整7年之久。没有他的努力，也许就不会有现在的TFCLUB(www.tfclub.com)，不会有今天网络上蓬勃发展的变形金刚文化，我们钦佩他的精神，敬重他的为人。我们随时关注着他的病情，希望他能够快乐地继续与我们一起前进。
以往，星星叫不愿意接受朋友们的资助，他始终顽强地依靠自己的力量来支撑着。但是这次，他个人的力量在病魔面前已经显得力不从心！！
时间紧迫！让我们大家伸出援手，来帮助我们的朋友吧！在此，我们——ACTOYS全体管理人员——发出募捐倡议：让我们伸出的援助之手，帮助我们的嘉宾和友站站长星星叫度过难关！！
滴水汇成江河，我们相信，大家的帮助将会成为支持星星叫战胜病魔的有力武器！！
经与星星叫及其家人协商，由星星叫的女友开设一个专门的账户，愿意参与捐款的朋友，可以直接将款汇至此账户，我们每天与其联系，在网上公布收到的汇款数额，并每周公布银行明细一次。
大家的爱心，我们没有更好的办法来报答，我们只能代替冯明以这样的方式来向你们致以最衷心的感谢～！
－－我们设立此捐款专区，定期通报捐款进展情况，同时设立专贴永久留存每位捐款人的信息
此致
互联网全体网友
----------------
捐款具体办法：
请大家汇款至此账号－－ 9558 8036 0210 6717184 傅晓梅 广州市工商银行东华东支行
（希望每位参与捐款的朋友都能留下你们的名字，也希望大家在捐款的时候留个零头，如：100.01元、200.11元等，汇款后请在我们设立的捐款核对专贴中回帖说明汇款数额及汇款时间，以便我们查询核对后记录在册）
ACTOYS全体管理人员
www.actoys.net
2006年12月29日
附：
冯明相关情况
冯明 男 1978年6月16日出生 汉族 广州人
Feng, Ming
Gender: Male
D.O.B: June 16th 1978
Nationality: China
People: Han
Residency: Guangzhou
主要病史
Main case history:
7个月左右 被发现患有 双肾母细胞瘤 作手术切除全部右肾及2/3左肾 手术成功 肾功能残余1/6 左1/3肾代偿良好
About 7 months old:
Wilm’s tumor (nephroblastoma) detected in both kidneys; the whole right kidney and two thirds of left kidney operated with nephrectomy. After this operation, only one sixth of the kidney function left; one third of the left kidney worked well.
童年 先后做过两次引睾手术
Childhood:
“Undescended testis”, operated twice;
1995年10月 开始出现浮肿 肾性高血压 慢性肾炎等症状入院保守治疗
October 1995:
Some symptoms occurred, including dropsy, kidney hypertension; chronic nephritic syndrome etc; treated in hospital.
1995年11月 急性阑尾手术切除 手术成功 但肾脏进一步损坏 需要进行透析治疗 于右锁骨下静脉插管进行透析 同时在左手肱动脉造瘘以长期透析 手术成功 瘘使用后插管拔除 但穿刺一直比较困难 需要专人定点穿刺
November 1995:
Acute appendicitis, operated successfully; but the kidney was further damaged; must be treated with hemodialysis: a catheter was plugged into the vein below the right clavicle for hemodialysis; meanwhile, a native av fistula was developed in the humerus artery of the left hand for long-term dialysis; the operation was successful; after the catheter was unplugged, the fistula worked well, but the piercing was always pretty tough, which needed assistance from specialists.
1998年8月 左手形成假性动脉瘤 手术切除成功 活检发现瘤为钙化纤维物质 瘘仍然能使用但左手开始逐渐浮肿不消
August 1998:
A pseudo-aneurysm found in left hand, which was operated successfully; the tumor was identified as calcified fibers; the fistula still worked but the renal edema on the left hand became worse
2004年8月 左手肿胀严重无法穿刺透析 于右颈内静脉插管进行透析 同时手术结扎左手的瘘 在右手肱动脉造瘘 手术后右手持续不消肿 后经造影检查发现右边锁骨下静脉狭窄导致回流障碍 于左颈内静脉插管进行透析
August 2004:
The renal edema on the left hand made the piercing-dialysis undoable; a catheter was plugged into the vein in the right neck for dialysis; the fistula in the left hand was ligated; another fistula was developed in the humerus artery in right hand; after the operation, the right hand swelled all the time; inspection figured that the narrowness of the vein below the right clavicle prevented the refluence of blood; a catheter was plugged into the vein in the left neck for dialysis
2005年11月 左颈静脉插管堵塞 于右颈静脉插管透析 同时在左大腿大隐静脉接股动脉造瘘 手术成功 结扎右手瘘 手术不成功 右手情况恶化
November 2005:
The catheter in the vein in the left neck got congested; the catheter was moved to right neck for dialysis; a traumatic arteriovenous fistula was developed at the intersection of the left thigh vein and left thigh artery; the operation was a success; however, the fistula in right hand was ligated unsuccessfully; right hand got even worse;
2006年3月 右手再次结扎手术 手术成功 尝试插管但不成功大腿瘘开始穿刺使用 疼痛异常 穿刺难度也很大
March 2006:
The fistula in right hand was ligated again; the operation was a success; a catheter was tried but not successful; the fistula on the left thigh was used for piercing-dialysis; the piercing was pretty touch and very painful;
2006年12月 左大腿形成假性动脉瘤并引发大出血 手术止血 手术成功但瘘被结扎 目前休养中 目前依靠右手动脉直接穿刺来透析 无法保证每次穿刺成功 一旦不成功将无法透析
December 2006:
Another pseudo-aneurysm found in left thigh, which resulted in massive haemorrhage; the haemorrhage was stopped but the fistula was ligated;
At present, the dialysis is conducted through direct piercing of the artery in right hand; the success of piercing cannot be guaranteed; once fails, the dialysis will be undoale.
主要问题
1）无法再造瘘 双手及左腿都已做过 右腿再做风险太大
2）插管困难 颈内静脉由于插过多次已产生疤痕狭窄 尝试过再插不成功 右边锁骨下静脉已知狭窄不行 左边锁骨下静脉离心脏太近 左股静脉已伤 右股静脉只可插临时管道 长期置管则无法达到足够长度且容易堵塞及感染 影响行动
Main issues:
1) Unable to develop native fistula: fistulae made on both arms and left leg but all failed; too risky to take the right leg;
2) Difficult to plug in the catheter: the vein inside the neck has been plugged so many times that it is too narrow to use, the vein below the right clavicle is also too narrow, the one under the left clavicle is too close to the heart. The vein in the left thigh is damaged; the one in the right thigh can only allow temporary catheter. Long-term catheter is not long enough and gets congested and infected easily, which will constraint the motion of the body.
主要求助
1）长期置管的手术技术及术后日常护理经验
2）长期置管的器材选择
Assistance needed in the following:
1) Operation techniques of long-term catheter implanting; experience of post-operation nursing;
2) Selection of long-term catheter types
说明：
1）本人腹部手术多 无完整腹膜 不能进行腹膜透析
2）群体抗体过高（PRA）无法进行肾移植配型
3）丙肝病毒携带者（HCV+）
4）一些数据；血色素长期为8-9克 现在手术后仅为7克左右；血压偏高 平均200-220/100-120（下肢） 药物控制效果不强 低于150/80就会晕厥；先锋4 先锋6过敏；酒精过敏；虾蟹过敏；（输液管过敏：此点最重要每次输液必须把管道内空气完全排空并用生理盐水清洗）
Notes:
1) The patient’s abdomen has been operated many times; the peritoneum is incomplete, therefore peritoneal dialysis cannot be conducted;
2) High PRA, matched kidney transplant operation is not suitable
3) HCV+ carrier
4) Some useful data: Long term heme protein is 8-9 grams; after operations, it falls to 7 grams approximately; blood pressure is high, on average 200-220/100-120 (lower limbs); medicine control doesn’t work well; if the blood pressure falls lower than 150/80, the patient will faint; allergic to Cefalexin and Cefradine; allergic to alcohol, shrimps and crabs; allergic to transfusion tube, which means before each transfusion, the air in the tube must be exhausted and the tube itself must be cleaned with physiologic brine;
acute appendicitis急性阑尾炎
chronic慢性
hemodialysis血透
aneurysm动脉瘤
（partial）nephrectomy （部分）肾切除术
nephroblastoma（Wilms’s tumor）肾母细胞瘤
renal edema 肾性水肿
traumatic arteriovenous损伤性动-静脉造瘘
冯明的博客 http://starscream.poco.cn/v2/
