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

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Liu Hao

Case Stusies

Liu Hao

Poj niam txiv neej: Txiv neej

Hnub nyoog: 8 xyoo thiab 10 lub hlis

Admission Summary:

Tus me nyuam tau ntsib hypoxia thiab ischemia thaum yug los. Thaum muaj hnub nyoog 1 xyoos, nws tau pom tias tus menyuam tsis tuaj yeem zaum lossis taug kev ntawm nws tus kheej. Tom qab nrhiav kev kho mob, qhov kev kuaj mob yog cerebral palsy, thiab tsis muaj kev kho mob tshwj xeeb. Tus menyuam tau txais kev kho tus kheej txij li thaum nws rov qab los tsev. Tam sim no, tus me nyuam muaj peev xwm txo qis me ntsis, hais lus tsis meej nrog 5-6 lub suab, thiab nce cov leeg nqaij hauv tag nrho cov ceg, tshwj xeeb tshaj yog nyob rau sab laug sab sauv thiab sab xis sab xis. Thaum nqa, sab xis taw qhia sab hauv tig. Txhawm rau kuaj xyuas thiab kho tus mob ntxiv, tus menyuam tau mus rau hauv peb lub tsev kho mob. Txij li thaum pib ntawm tus mob, tus me nyuam tau tswj xyuas kom meej meej, lub siab lub ntsws zoo, noj zaub mov zoo thiab pw tsaug zog, thiab kev ua haujlwm ntawm lub plab thiab zais zis. Tsis muaj kev hloov loj hauv qhov hnyav. Tus me nyuam tsis tuaj yeem taug kev ntawm nws tus kheej thiab tsis pom qhov tshwm sim ntawm ceg o.

Admission Diagnosis: Cerebral Palsy.

Kev Kho Mob:

Tom qab nkag mus, ib qho kev ntsuam xyuas dav tau ua, txiav tawm txhua qhov kev phais mob. Vim muaj cov tsos mob ntawm cerebral palsy, tus neeg mob tau txais kev phais neeg hlau-pab stereotactic hlwb thaum lub Kaum Ob Hlis 23, 2021, nyob rau hauv ua ke inhalation tshuaj loog. Cov txheej txheem phais tau mus zoo, nrog kwv yees li 3 milliliters ntshav poob thaum lub sijhawm ua haujlwm. Postoperatively, qhov chaw phais yog nyob rau hauv lub zos sutured thiab raug rau siab hnav khaub ncaws. Kev soj ntsuam tom qab lub taub hau CT scan qhia tias tsis muaj qhov tshwm sim los ntshav, lees paub qhov tseeb lub hom phiaj ntawm qhov chaw phais. Tus neeg mob tau rov qab mus rau pawg ntseeg zoo tom qab kev phais thiab tau txais cov kua dej hauv cov hlab ntsha niaj hnub, ntxiv oxygen, thiab saib xyuas lub plawv. Tsis muaj qhov tshwm sim tsis zoo lossis muaj teeb meem tshwm sim rau hnub no.

Liu Hao 1-1r
Liu Hao 2 qqe

Discharge Summary:

Kev kuaj lub cev tam sim no ntawm tus neeg mob qhia pom cov suab nrov ua pa hauv ob lub ntsws, tsis muaj suab nrov, hawb pob, lossis lub suab sib txhuam pleural. Lub plawv dhia yog qhov qub, nrog lub suab tsis tu ncua, thiab tsis muaj kev yws yws nyob rau hauv ib qho ntawm qhov chaw auscultation valve. Tus neeg mob tau ceeb toom thiab taw qhia, nrog rau cov leeg nqaij ib txwm muaj zog ntawm tag nrho plaub ceg ceg, thiab tsis muaj qhov o pom nyob rau hauv qis qis.


Cov lus qhia tawm:

1. So yog qhov tseem ceeb, ntxiv dag zog rau kev tiv thaiv, tsis txhob muaj lub taub hau txav.

2. Ua kom sov, tiv thaiv kev kis kab mob, txuas ntxiv kev cob qhia kev kho mob, thiab zam lub taub hau vibration, acupuncture, lossis electrotherapy thaum kho rov kho dua rau ib hlis.

3. Nrhiav kev kho mob sai yog tias muaj kev tsis xis nyob.