Nkhani za Case
Huo Tingyu
Jenda: Mwamuna
Zaka: zaka 12
Mkhalidwe wololedwa:
Mwanayo adapezeka kuti ali ndi "developmental delay" ali ndi miyezi 7 chifukwa cha kusawongolera mutu pachipatala cha Zibo Third. Ali ndi zaka 4, mwanayo adalandira chithandizo pachipatala cha Zhoucun District ku Zibo ndipo wakhala akulandira chithandizo kuyambira nthawi imeneyo. Pakali pano, mwanayo amasonyeza luso lochepa loti "agogo" kapena "agogo," kulankhula momveka bwino, kusowa mawu, luso lochepa la kuzindikira ndi kumvetsetsa, kusaphunzira bwino ndi kupha, kuchita zinthu mopitirira muyeso, kusakhazikika, kuvutika kulamulira maganizo, ndi palibe makhalidwe odzivulaza. Maso a mwanayo ali mkati, ndi diso lakumanzere lolemera, kuvutika kwa luso labwino la galimoto, kuyenda ndi zala zala mkati ndi kumanja zolemera kwambiri, mawonekedwe osagwirizana, ndi kuyenda kosakhazikika. Mwanayo amadontha, amavutika kumeza ndi kutafuna koma amatha kuchita zinthu zofunika kuzisamalira. Panopa analembetsa giredi 4 pa sukulu yathu ya maphunziro apadera. Mwanayo adalandira chithandizo ku chipatala cha Zibo Central ndi Qingdao Children's Rehabilitation Hospital , choncho adatumizidwa kuchipatala chathu kuti akalandire chithandizo china. Mwanayo wakhalabe wozindikira komanso watcheru m'maganizo kuyambira chiyambi cha matendawa, ali ndi zakudya zabwino komanso kulemera kokhazikika.
Kuzindikira Kuvomerezeka: Kuchedwa kwakukula kwaubongo
Chithandizo Njira
Pambuyo povomerezedwa, mayeso oyenerera adachitidwa, kuphatikizapo mayeso achizolowezi, ultrasound ya m'mimba ndi mtima, electrocardiogram, electroencephalogram (EEG), ndi zina zotero, osawulula zotsutsana ndi opaleshoni, motero amaonedwa kuti ndi oyenera opaleshoni. Pa Meyi 22, 2023, nthawi ya 13:00, mwanayu anachitidwa opaleshoni yaubongo mothandizidwa ndi loboti. Opaleshoniyo inayamba ndi kugwiritsa ntchito mfundo za Marker pamutu, kutsatiridwa ndi mutu wa CT scan, kutumiza deta ku robot ya Remebot, kusankha kapsule yamkati ya kumanzere monga malo omwe mukufuna, kulowa kumanzere kumanzere, ndikuyika njira yopangira opaleshoni. Mwanayo anaikidwa pa mpando wa nsonga, mutu anakhazikika, ndipo muyezo wa mankhwala ophera tizilombo toyambitsa matenda ndi draping anachitidwa. Pamutu pamakhala bowo lobowoleza, fupa lobowoleza lobowoleredwa ndi singano, kukana kwa minofu yaubongo kufufuzidwa ndi singano ya electrode, kenako neural modulation ndi kukondoweza pang'ono kwamagetsi pogwiritsa ntchito singano ya radiofrequency kunachitika pamalo omwe mukufuna, kumaliza opaleshoniyo. kumanzere. Mchitidwe womwewo unatsatiridwa pa lobe yakutsogolo yakumanja. Opaleshoniyo inayenda bwino ndi pafupifupi 3ml ya magazi, kutsatiridwa ndi kuchotsa singano, kupukuta khungu, ndi kuvala kupanikizika. Mutu wa postoperative CT sanawonetse zolakwika zazikulu, kutsimikizira kulunjika kolondola. Mwanayo anali woganiza bwino, wa mzimu wabwino, wokhala ndi pupillary light reflex yabwino komanso wosayenda modzidzimutsa. Malo opangira opaleshoni anali oyera, opanda machubu otayira. Pambuyo pa opaleshoni, mwanayo adalandira madzi amtundu wa IV, chithandizo cha okosijeni, ndi kuyang'anitsitsa mtima, ndikuyang'anitsitsa zizindikiro zofunika.
Chidule Chachidule:
Patsiku lachiwiri pambuyo pa opaleshoni, mkhalidwe wa mwanayo unakhalabe wokhazikika, ndi kuchepa kwa madzi, osapweteka mutu, nseru, kapena kusanza, ndipo amatha kudya. Chilonda cha opaleshonicho sichinasonyeze magazi, kutupa, matumbo abwino ndi chikhodzodzo, komanso chilakolako chabwino ndi kugona. Zofufuza zakuthupi zinali zogwirizana ndi preoperative preoperative. Pamaulendo, dokotala Zhao Xiangyong sanazindikire zovuta zomwe zimachitika pambuyo pa opaleshoni, ndipo patatha masiku awiri akulandira chithandizo choletsa matenda, adaganiza zosiya kumwa mankhwala okhudzana ndi matendawa lero. Kupitiriza kuyang'anitsitsa bala la opaleshoniyo kunalangizidwa, kusunga kuuma, kusintha mavalidwe panthawi yake, ndi kupha tizilombo toyambitsa matenda, komanso kupewa kugwa mwangozi, kutsamwitsidwa panthawi ya chakudya, ndi zoopsa zina zomwe zingatheke. Kuyang'anitsitsa momwe mwanayo alili analimbikitsidwa, ndipo ngati palibe zolakwika zomwe zimachitika, kutulutsidwa kungaganizidwe pambuyo poyesa mawa.
Malangizo Ochotsa: