每日一练 | BBC实况听力Human Face Transplants

小白老师2016/04/21

面部移植是一种前沿的重建外科手术,旨在通过移植他人捐赠的面部组织,帮助因癌症、创伤或烧伤而严重毁容的患者恢复外观与功能。该技术依赖于免疫抑制疗法以防止排斥反应,并已在肢体移植中得到应用。尽管技术上日趋可行,但其伦理、心理及社会接受度仍存在广泛讨论。

关键要点

  • 面部移植主要面向因癌症、事故或烧伤导致严重面部缺损的患者,旨在恢复其外观与基本功能。
  • 免疫抑制技术已在肢体移植中成功应用,为面部移植提供了医学基础。
  • 外科医生认为全脸移植(而非部分移植)是未来方向,且技术实现可能在短期内达成。
  • 患者虽可能接受身份改变的风险,但公众对面部移植的心理与伦理接受度仍存疑虑。
  • 现有重建手术虽能改善状况,但无法完全恢复‘常态’,促使医学界探索更彻底的解决方案。

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Background

Modern medicine has made huge progress in recent years in the field of transplants. Further advances in this area may enable specialists to transplant whole faces very soon.

请点击下方条形框播放音频

Listen and choose the best answer.

1. Why does Christine Piff have a problem with her face?

A. She has burns from a fire.

B. She was in an accident.

C. She has cancer.

2. What type of transplant could help Christine Piff?

A. A hair transplant.

B. A face transplant.

C. A nose transplant.

3. The surgeon thinks the answer is ______.

A. half face transplants

B. partial face transplants

C. whole face transplants

4. The surgeon believes the new face transplants could happen in ______.

A. the near future

B. Twenty years’ time

C. The next century

5. Immuno-suppression is already being used in _________.

A. heart surgery

B. cosmetic surgery

C. limb transplants

6. surgeons are already working on the ______.

A. social aspects of face transplants

B. technical part of face transplants

C. theory of face transplants

Key:1. C 2. B 3. C 4. A 5.C 6.B

小白老师说:

在新闻报道中记者经常自问自答,抛出问题,稍候作答。这样可以使报道结构完整,思路清晰。比如:

  1. So what can be done now? At this specialist center in Surrey, surgeons take skin, muscle and bone from the patients’ own body …
  2. And what would it mean to wake up in the morning to a face that’s not your own? It could mean you’d lose your identity …

Key Words

reconstructive surgery 重建手术

normality n. 常态

distress n. 苦恼,贫困

self-esteem n. 自尊,自尊心

self-worth n. 自尊,自大,自负

jigsaw puzzle 七巧板,智力拼图玩具

Transcripts 原文

Gill Higgins: It’s because of cancer that Christine Piff lost her eyes and her left cheek. She’s had 25 years of reconstructive surgery. She says she would go through with a face transplant, because it’s so hard now she’s lost her look of normality.

Christine Piff: The pain and distress is, is really awful, and the suffering. Our self-esteem our self-worth goes down the drain, and it’s that awful question: I am not good enough.

Gill Higgins: So what can be done now? At this specialist center in Surrey, surgeons take skin, muscle and bone from the patient’s own body to rebuild their face. It can help people with burns and those who’ve had cancer or accidents.

Surgeon 1: It, it becomes a little bit like a jigsaw puzzle, fitting, er, what you’ve got available into what is missing, and of course, the, the final result is, is, is a great improvement but, but never, er, equates with, with normality.

Gill Higgins: This surgeon believes whole face transplants are the answer, and he believes they could be a reality very soon.

Surgeon 2: With immuno-suppression it is already possible, because it’s being done in limb transplantation. The technical part or the surgical approaches to face transplantation are presently being worked out, and that is gong to be possible within the next year.

Gill Higgins: But are people ready to accept the idea? A small study suggests many find it difficult.

Woman 1: They’re reflecting on their relatives quite commonly, and I mean, people say things like, “But supposing my child was walking down the street and met somebody else.”

Gill Higgins: And what would it mean to wake up in the morning to a face that’s not your own? It could mean you’d lose your identity, the sense of who you are, causing emotional confusion. It’s a risk some patients may accept, but the public’s response remains a matter for debate. Gill Higgins, BBC News.

Gill Higgins, 27 November 2002.

常见问题

为什么Christine Piff需要面部移植?

因为她因癌症失去了眼睛和左脸颊,经历了25年重建手术后仍无法恢复面部常态,自尊和自我价值感受到严重影响。

面部移植目前面临的主要挑战是什么?

除了技术层面的手术复杂性,还包括免疫排斥的控制、患者身份认同的心理冲击,以及公众对接受他人面孔的伦理顾虑。

全脸移植是否已经实现?

截至2002年报道时,全脸移植尚未实施,但外科医生认为技术路径正在完善,有望在短期内成为现实。

免疫抑制在面部移植中的作用是什么?

免疫抑制用于防止受体身体排斥捐赠的面部组织,该技术已在肢体移植中成功应用,为面部移植提供支持。

参考资料

BBC News: Human Face Transplants (2002)

原始听力材料来源,由BBC记者Gill Higgins于2002年11月27日报道。

面部移植的医学进展与伦理考量

基于文中提及的重建手术、免疫抑制及社会接受度等信息综合整理,未引用具体外部文献。