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Txhim kho lub neej, kho lub siab, saib xyuas ib txwm

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Huo Tingyu

Case Stusies

Huo Tingyu

Tub los ntxhais: Txiv neej

Hnub nyoog: 12 xyoo

Kev nkag mus kawm:

Tus me nyuam tau kuaj pom tias "kev loj hlob qeeb" thaum muaj hnub nyoog 7 hli vim muaj kev tswj xyuas lub taub hau tsis zoo ntawm Zibo Third Hospital. Nyob ib ncig ntawm lub hnub nyoog 4 xyoos, tus menyuam tau txais kev kho mob ntawm Zhoucun District Hospital hauv Zibo thiab tau txais kev kho mob txij thaum ntawd los. Tam sim no, tus me nyuam tsis muaj peev xwm hais tau raws li "poj niam" lossis "poj koob," hais lus tsis meej, tsis muaj kev hais lus, tsis muaj peev xwm nkag siab thiab nkag siab, kev kawm tsis zoo, kev ua siab loj, tsis muaj zog, tsis muaj zog, tswj kev xav, thiab tsis muaj kev ua phem rau tus kheej. Tus me nyuam lub qhov muag yog inclined inwardly, nrog rau sab laug qhov muag hnyav dua, tsis yooj yim ntawm kev txawj tsav tsheb zoo, taug kev nrog cov ntiv taw sab hauv thiab sab xis hnyav dua, lub cev tsis sib haum xeeb, thiab tsis ruaj khov. Tus me nyuam nqhis dej, muaj teeb meem nqos thiab zom tau yooj yim tab sis tuaj yeem tswj hwm kev saib xyuas tus kheej yooj yim. Tam sim no kawm nyob rau qib plaub ntawm peb lub tsev kawm ntawv tshwj xeeb. Tus menyuam tau txais kev kho mob ntawm Zibo Central Tsev Kho Mob thiab Qingdao Children's Rehabilitation Hospital nrog kev txhim kho tsawg, yog li xa mus rau peb lub tsev kho mob kom kho ntxiv. Tus me nyuam tseem nco qab thiab nco ntsoov txij thaum pib ntawm tus mob, nrog kev noj zaub mov zoo thiab qhov hnyav.

Kev kuaj mob nkag: Cerebral kev loj hlob qeeb

Kev kho mob

Tom qab nkag mus, cov kev ntsuam xyuas tseem ceeb tau ua, suav nrog kev kuaj niaj hnub, plab hnyuv thiab lub plawv ultrasound, electrocardiogram, electroencephalogram (EEG), thiab lwm yam, qhia tias tsis muaj kev phais, yog li pom tau tias haum rau kev phais. Thaum lub Tsib Hlis 22, 2023, thaum 13:00, nyob rau hauv cov tshuaj loog, tus me nyuam tau txais kev phais neeg hlau uas tsis muaj lub hlwb tsis muaj zog. Kev phais pib nrog kev siv Marker cov ntsiab lus ntawm lub taub hau, ua raws li lub taub hau CT scan, cov ntaub ntawv hloov mus rau Remebot neeg hlau, xaiv sab laug sab hauv capsule raws li lub hom phiaj, nkag mus rau sab laug sab pem hauv ntej, thiab teeb tsa txoj kev phais. Tus me nyuam tau muab tso rau hauv lub supine txoj hauj lwm, lub taub hau yog tsau, thiab cov txheej txheem tshuaj tua kab mob thiab draping tau ua tiav. Cov tawv taub hau yog incised hauv zos, ib tug pob txha qhov drilled, lub dura mater punctured nrog ib rab koob, lub hlwb cov ntaub so ntswg tiv thaiv probed nrog ib tug electrode koob, thiab ces neural modulation nrog me me hluav taws xob stimulation siv ib tug radiofrequency koob tau ua nyob rau hauv lub hom phiaj taw tes, ua tiav qhov kev phais. ntawm sab laug. Tib txoj kev tau ua raws li txoj cai frontal lobe. Kev phais tau ua tiav nrog kwv yees li 3ml ntawm cov ntshav, tom qab ntawd los ntawm kev tshem tawm rab koob, tawv nqaij suturing, thiab hnav khaub ncaws siab. Postoperative lub taub hau CT tsis pom muaj qhov txawv txav tseem ceeb, lees paub qhov tseeb lub hom phiaj. Tus me nyuam muaj lub siab ntshiab, muaj lub siab zoo, nrog lub teeb pom kev zoo ntawm cov menyuam yaus thiab tsis muaj kev txav mus los. Qhov chaw phais tau huv si, tsis muaj cov kav dej. Tom qab phais tas, tus menyuam tau txais IV cov kua dej niaj hnub, kho cov pa oxygen, thiab saib xyuas lub plawv, nrog rau kev saib xyuas cov cim tseem ceeb.

48 muaj

Discharge Summary:

Hnub thib ob tom qab kev phais, tus me nyuam tus mob tseem nyob ruaj khov, nrog txo qis, tsis mob taub hau, xeev siab, lossis ntuav, thiab noj tau. Lub qhov txhab phais tau pom tias tsis muaj los ntshav, o, plab hnyuv thiab zais zis ua haujlwm, thiab noj qab nyob zoo thiab pw tsaug zog. Cov kev kuaj xyuas lub cev tau pom zoo nrog cov xwm txheej ua ntej. Thaum lub sij hawm sib tw, mus koom tus kws kho mob Zhao Xiangyong tau sau tseg tias tsis muaj qhov tshwm sim tsis zoo tom qab phais, thiab tom qab 2 hnub ntawm kev tiv thaiv kab mob, nws tau txiav txim siab txiav cov tshuaj cuam tshuam rau hnub no. Kev soj ntsuam txuas ntxiv ntawm qhov chaw phais mob raug qhia, tswj kom qhuav, hloov khaub ncaws raws sij hawm, thiab tshuaj tua kab mob, thaum tseem tiv thaiv kev ntog, ntuav thaum noj mov, thiab lwm yam kev pheej hmoo. Kev soj ntsuam ntxiv ntawm tus menyuam tus mob tau raug pom zoo, thiab yog tias tsis muaj qhov txawv txav tshwm sim, kev tso tawm yuav raug txiav txim siab tom qab kev ntsuam xyuas tag kis.


Cov lus qhia tawm:

1, Khaws lub qhov txhab kom qhuav tom qab tso tawm thiab tshem tawm stitches tom qab 5 hnub.
2 、 So kom zoo, tsis txhob muaj zog lub taub hau txav, thiab ntxiv dag zog rau kev tiv thaiv.
3 、 Ua raws li kev cob qhia kev kho mob raws li tus menyuam tus mob tom qab tso tawm.
4, Nrhiav kev kho mob sai yog tias muaj kev tsis xis nyob.