BMJ Case Reports最新文献

筛选
英文 中文
Limb salvage in polytrauma-pushing the boundaries. 多伤肢体抢救——突破界限。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-25 DOI: 10.1136/bcr-2025-267339
Gabriel Nierenberg, Alexander Lerner, Alexander Chelnokov, Eran Keltz
{"title":"Limb salvage in polytrauma-pushing the boundaries.","authors":"Gabriel Nierenberg, Alexander Lerner, Alexander Chelnokov, Eran Keltz","doi":"10.1136/bcr-2025-267339","DOIUrl":"https://doi.org/10.1136/bcr-2025-267339","url":null,"abstract":"<p><p>This report presents a polytrauma patient with a pelvic ring injury, multiple lower extremity fractures and a mangled left lower leg. After initial vascular repair and a temporising external fixation, the patient's injuries were sequentially addressed. The left tibia was stabilised with an Ilizarov apparatus. Extensive bone and soft tissue damage necessitated the excision of a non-viable tibial shaft segment, enabling the creation of an artificial deformity for extensive temporary soft tissue coverage. Nursing and soft tissue management involved negative pressure wound therapy, copper-ion dressings, quilting metal sutures and wide skin grafts to build a soft tissue infrastructure to return to normal lower-leg length and alignment. The critical bone loss was managed by 'tibialising' the fractured fibula, conversion of the Ilizarov apparatus to an antibiotic-impregnated intramedullary nail and a custom-made brace. Rehabilitation resulted in an infection-free and pain-free limb with a near-normal gait.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Right lung isolation in the prone position using an EZ-Blocker through an armoured endotracheal tube for combined spine and video-assisted thoracoscopic surgery. 在脊柱和电视胸腔镜联合手术中,采用ez -阻断剂通过装甲气管内管进行俯卧位右肺隔离。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-25 DOI: 10.1136/bcr-2025-266841
Joanne Karol Cruz Alonzo, Carlo De Perio Monteblanco, Vidal A Esguerra
{"title":"Right lung isolation in the prone position using an EZ-Blocker through an armoured endotracheal tube for combined spine and video-assisted thoracoscopic surgery.","authors":"Joanne Karol Cruz Alonzo, Carlo De Perio Monteblanco, Vidal A Esguerra","doi":"10.1136/bcr-2025-266841","DOIUrl":"https://doi.org/10.1136/bcr-2025-266841","url":null,"abstract":"<p><p>Surgical correction is the definitive treatment for adolescent idiopathic scoliosis (AIS), but 25% of cases may experience screw migration, risking injury to thoracic structures. Video assisted thoracoscopic surgery (VATS) can visualise malpositioned screws and resolve injury. This report presents a case of an AIS patient who underwent prone VATS for simultaneous screw correction after posterior spinal fusion. While traditional VATS uses a double lumen tube (DLT) in the lateral decubitus position, DLTs are less ideal for prone surgery. Bronchial blockers (BB), like the EZ-Blocker (Teleflex, Wayne, Pennsylvania), can be used with a more stable armoured single lumen tube (SLT). The EZ-Blocker, a Y-shaped BB, offers stability and sequential lung isolation. Studies show EZ-Blocker performance is comparable to DLTs in lung isolation quality and surgeon satisfaction, though it requires longer placement time and offers limited suctioning. This case demonstrates that an EZ-Blocker with an armoured SLT is a safe, effective airway option for prone VATS.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiating thigh pain from a torsed pedunculated round ligament fibroid. 放射状大腿疼痛,起因于带蒂圆形韧带肌瘤扭曲。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-25 DOI: 10.1136/bcr-2025-267932
Shivangi Tiwari, Vidyashree G Poojari, Anjali Mundkur, Prashanth Adiga
{"title":"Radiating thigh pain from a torsed pedunculated round ligament fibroid.","authors":"Shivangi Tiwari, Vidyashree G Poojari, Anjali Mundkur, Prashanth Adiga","doi":"10.1136/bcr-2025-267932","DOIUrl":"https://doi.org/10.1136/bcr-2025-267932","url":null,"abstract":"<p><p>Round ligament fibroids are rare, benign tumours that can arise from any part of the round ligament, either extra-abdominal or intra-abdominal, and may present as vulvar, inguinal or adnexal masses. Most often found in premenopausal women, these lesions are generally without symptoms and are discovered by chance. However, they can lead to pelvic pain, particularly if they undergo torsion or increase in size. While imaging techniques such as ultrasonography, CT and MRI are valuable for initial assessment, laparoscopy remains the definitive method for both diagnosing and managing round ligament fibroids. Laparoscopy offers multiple benefits, such as enabling tissue biopsies, shortening hospital stays and promoting quicker recovery. However, owing to their stalk-like structure, pedunculated round ligament fibroids are frequently mistaken for ovarian cysts or inguinal hernias. We present the case of a middle-aged woman who successfully underwent laparoscopic surgery for a torsed right round ligament fibroid.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the usual suspects: neonatal presentation of Prader-Willi syndrome. 除了通常的怀疑之外:新生儿出现了普瑞德-威利综合征。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-25 DOI: 10.1136/bcr-2025-267940
Abhishek Suresh Gowdar, Phalguni Padhi, Gujarathi Akhila
{"title":"Beyond the usual suspects: neonatal presentation of Prader-Willi syndrome.","authors":"Abhishek Suresh Gowdar, Phalguni Padhi, Gujarathi Akhila","doi":"10.1136/bcr-2025-267940","DOIUrl":"https://doi.org/10.1136/bcr-2025-267940","url":null,"abstract":"<p><p>Prader-Willi syndrome (PWS) is a rare genetic disorder characterised by neonatal hypotonia, feeding difficulties and hypogonadism. Early diagnosis is crucial but often delayed, as initial features may mimic birth asphyxia or sepsis, especially in resource-limited settings. We report a term male infant, small for gestational age, who presented with respiratory distress, stupor and hypotonia. Birth asphyxia and sepsis were excluded based on normal cord gases, a negative sepsis screen and the clinical course. Thyroid function and cranial ultrasound were normal. Antenatal polyhydramnios and growth restriction, along with persistent hypotonia, poor suck and bilateral cryptorchidism, raised early suspicion of PWS. On day 5, worsening respiratory effort prompted a meningitis workup, which was negative. Methylation-specific multiplex ligation-dependent probe amplification (MLPA) confirmed a fully methylated MAGEL2/SNRPN region without 15q11.2-q13 deletion or duplication. In neonates with persistent hypotonia and hypogonadism, early genetic testing should be considered. MLPA enables definitive diagnosis of PWS in the neonatal period and guides early intervention.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autoimmune hepatitis or drug-induced autoimmune-like hepatitis: how can we tell? 自身免疫性肝炎或药物性自身免疫样肝炎:如何区分?
IF 0.6
BMJ Case Reports Pub Date : 2025-09-25 DOI: 10.1136/bcr-2025-265498
Susana Viana, Isabel Monteiro, Mariana Lobo, Sara Camoes
{"title":"Autoimmune hepatitis or drug-induced autoimmune-like hepatitis: how can we tell?","authors":"Susana Viana, Isabel Monteiro, Mariana Lobo, Sara Camoes","doi":"10.1136/bcr-2025-265498","DOIUrl":"https://doi.org/10.1136/bcr-2025-265498","url":null,"abstract":"<p><p>Autoimmune hepatitis (AIH) presents unique diagnostic challenges due to its heterogeneous presentation and lack of specific features. Drug-induced autoimmune-like hepatitis (DI-ALH) is a condition in which liver injury induced by drugs manifests with laboratory and histological characteristics indistinguishable from AIH. Even after extensive investigation, distinguishing between these conditions can be difficult. We present the case of a patient with AIH who developed severe acute liver injury after 2 years of nitrofurantoin use. The hepatocellular pattern of liver injury, elevated IgG, erythrocyte sedimentation rate and decreased complement levels suggested an autoimmune aetiology. Treatment with prednisolone was initiated promptly, leading to progressive resolution of liver failure. Positive autoantibodies and liver histology confirmed the diagnosis. However, it remains unclear whether the acute liver injury with autoimmune features was due to the unmasking of subclinical AIH by the medication or represents a true DI-ALH. Nitrofurantoin is a well-known drug capable of inducing DI-ALH.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pleural effusion as a rare manifestation of Sjögren's disease. 胸腔积液是Sjögren病的罕见表现。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-25 DOI: 10.1136/bcr-2025-265673
Melis Mutlu, Fatih Albayrak, Zeynel Abidin Sayiner, Bunyamin Kisacik
{"title":"Pleural effusion as a rare manifestation of Sjögren's disease.","authors":"Melis Mutlu, Fatih Albayrak, Zeynel Abidin Sayiner, Bunyamin Kisacik","doi":"10.1136/bcr-2025-265673","DOIUrl":"https://doi.org/10.1136/bcr-2025-265673","url":null,"abstract":"<p><p>Sjögren's disease (SD) is a systemic autoimmune disease characterised by lymphocytic infiltration of exocrine glands, leading to xerophthalmia and xerostomia, but it may also cause extraglandular involvement, including musculoskeletal, neurological, renal and pulmonary manifestations. Although interstitial lung disease and small airway obstruction are well-documented pulmonary manifestations, pleural effusion is rare. In this report, we present a male patient in his 40s who presented with left-sided pleuritic chest pain and pleural effusion with no previous history of systemic disease, infection or malignancy. Initial laboratory and imaging findings suggested exudative pleural effusion, but further investigations excluded infectious causes, tuberculosis and malignancy. Following a detailed history and physical examination, autoimmune tests (ANA, ENA) were requested based on clinical suspicion. Anti-SSA (Ro) was positive, and the Schirmer test was positive, leading to a diagnosis of pSS. While pulmonary involvement is common in primary SD, pleural effusion is a rare manifestation.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
GLP-1 agonists-induced autoimmune pancreatitis. GLP-1激动剂诱导自身免疫性胰腺炎。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-23 DOI: 10.1136/bcr-2025-267811
Jasmin Mahajne, Ernestina Angarola, Emanuel Della Torre, Marco Lanzillotta
{"title":"GLP-1 agonists-induced autoimmune pancreatitis.","authors":"Jasmin Mahajne, Ernestina Angarola, Emanuel Della Torre, Marco Lanzillotta","doi":"10.1136/bcr-2025-267811","DOIUrl":"https://doi.org/10.1136/bcr-2025-267811","url":null,"abstract":"<p><p>Two main types of autoimmune pancreatitis (AIP) have been described: type 1, linked to IgG4-related disease, and type 2, associated with inflammatory bowel diseases. Recently, a third type has been associated with immune checkpoint inhibitors. In our series, we report three cases of type 1 AIP following glucagon-like peptide (GLP)-1 agonist treatment for type 2 diabetes mellitus (DM). GLP-1 agonists may be implicated in pancreatitis development mainly due to their effect on biliary motility and pancreatic cell proliferation. While causation remains unproven, it could be possible that GLP-1 induced pancreatic hypertrophy might influence cell metabolism and antigen presentation in predisposed individuals, altering the immunological milieu and eventually leading to type 1 AIP. Similarly, we hypothesise that GLP-1 agonists use in type 1 AIP patients may lead to pancreatitis recurrence. Accordingly, insulin-based therapeutic regimens may be preferred in type 2 DM patients also affected by type 1 AIP.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paroxysmal tilt illusion after blinking-an unusual form of stroke manifesting with parietal vertigo. 眨眼后阵发性倾斜错觉-一种不寻常的中风形式,表现为顶叶眩晕。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-23 DOI: 10.1136/bcr-2025-267857
Cecilia Ronnevi, Tiago Moreira
{"title":"Paroxysmal tilt illusion after blinking-an unusual form of stroke manifesting with parietal vertigo.","authors":"Cecilia Ronnevi, Tiago Moreira","doi":"10.1136/bcr-2025-267857","DOIUrl":"10.1136/bcr-2025-267857","url":null,"abstract":"<p><p>A man in his 70s had an episode of vertical visual tilt after blinking, as if the room tilted to the right, and of deviation of the body to the right when he walked, together with slight vertigo and nausea. He was initially suspected to have a transient ischaemic attack and was investigated with neuroradiology, telemetry and echocardiography.Neurological examination showed horizontal saccadic eye movements and deviation to the right with the Unterberger's test. Brain MRI revealed a minor stroke in the right parieto-occipital junction and an older, smaller infarction in the right cerebellum. There was only slight intimal atherosclerosis, and no cardiac abnormality was found. The stroke was classified as an embolic stroke of undetermined source.Distinguishing central from peripheral lesions when symptoms are transient and discrete is challenging. Emergent brain MRI in patients with subtle subjective visual vertical tilt and vertigo can identify acute parieto-insular ischaemia.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Orbital myositis: an uncommon ophthalmic presentation in scleroderma-polymyositis overlap syndrome. 眼眶肌炎:硬皮病-多发性肌炎重叠综合征中一种少见的眼部表现。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-23 DOI: 10.1136/bcr-2025-267421
Shan Kai Ing, Guo Ruey Ling, Yih Hoong Lee, Antony K Kuruvilla
{"title":"Orbital myositis: an uncommon ophthalmic presentation in scleroderma-polymyositis overlap syndrome.","authors":"Shan Kai Ing, Guo Ruey Ling, Yih Hoong Lee, Antony K Kuruvilla","doi":"10.1136/bcr-2025-267421","DOIUrl":"https://doi.org/10.1136/bcr-2025-267421","url":null,"abstract":"<p><p>Scleroderma-polymyositis overlap syndrome (SSc-PM) is an uncommon autoimmune condition characterised by clinical and serological features of both systemic sclerosis and inflammatory myopathy. Ocular manifestations of this syndrome are rare and insufficiently described in the literature. We report a case of SSc-PM presenting with orbital myositis as the primary manifestation, accompanied by proximal myopathy. A middle-aged woman presented with a 3-month history of progressive finger skin tightening, painless diplopia and restricted eye movements. Ophthalmological evaluation and imaging confirmed bilateral lateral rectus myositis. Laboratory investigations revealed elevated creatine kinase, positive antinuclear antibodies and anti-Ku antibody positivity. Following the rheumatology consultation, she was treated with intravenous methylprednisolone, transitioned to tapering oral prednisolone and initiated on mycophenolate mofetil. Her diplopia resolved completely and muscle enzyme levels normalised. Over 6 months of follow-up, there was no progression of cutaneous or pulmonary disease. This case highlights orbital myositis as a rare but treatable manifestation of SSc-PM, underscoring the importance of early recognition and prompt immunosuppression in overlap syndromes.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Juvenile systemic sclerosis with rapid progression and multisystem involvement in an adolescent. 青少年系统性硬化症的快速进展和多系统累及。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-264899
Swati Khapekar/Majarikar, Revat Meshram, Dinesh Hinge, Amar Taksande, Mangesh Deshmukh, Abhijit Kumar Agrawal
{"title":"Juvenile systemic sclerosis with rapid progression and multisystem involvement in an adolescent.","authors":"Swati Khapekar/Majarikar, Revat Meshram, Dinesh Hinge, Amar Taksande, Mangesh Deshmukh, Abhijit Kumar Agrawal","doi":"10.1136/bcr-2025-264899","DOIUrl":"https://doi.org/10.1136/bcr-2025-264899","url":null,"abstract":"<p><p>Juvenile systemic sclerosis (JSSc) is a rare, progressive autoimmune disorder that can affect the skin, musculoskeletal system, gastrointestinal tract, lungs, heart, kidney and endocrine glands. Clinical presentation varies depending on organs involved and may include oesophageal dysmotility, interstitial lung disease, pulmonary hypertension, constrictive pericarditis, patchy myocardial fibrosis and glomerulonephritis with considerable morbidity and mortality.We are reporting a rare case of JSSc with multisystem involvement in an adolescent male. He presented with a 5-month history of polyarticular arthritis, skin thickening and hypopigmented skin lesions. After 2 months of treatment with methotrexate, he reported minimal improvement in joint pain, swelling and skin thickening, followed by worsening after self-cessation of treatment due to varicella zoster infection. His condition progressed with worsening skin thickening, polyarticular arthritis, joint contractures, restricted mobility, interstitial lung disease and dysphagia.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信