Nyaya dzenyaya
Gong Junyao
Gender: Mukadzi
Zera: 3 makore nemwedzi 7
Mamiriro ekubvumirwa:
Murwere akagamuchirwa makore maviri apfuura pazera re 1 nehafu yemakore apo vabereki vakaona kushayikwa kwemutauro. Akagamuchira kuongororwa uye kurapwa kwekugadzirisa pachipatara chemunharaunda ye autism uye kunonoka kukura. Parizvino, murwere achiri kushaya mutauro, ane zvipingamupinyi zvekukurukurirana, uye anoratidza mhinduro shoma kune kunze kwekukurudzira. Pamusoro pezvo, kugona kwake kwekuziva nekunzwisisa kwakashata, zvichiita kuti zviome kupedzisa zviito zvekuraira. Murwere anoratidza kusagadzikana, kutadza kudzora manzwiro, uye anoda kushevedzera zvine ruzha asi haaratidze hukasha kana kuzvikuvadza. Kurara kwakashata uye kunetseka kurara. Murwere anogona kuzvidyisa asi asingazivi zvaanoda muchimbuzi. Mafambiro emakumbo akajairika. Kuti uenderere mberi nekuongorora nekurapa mamiriro ake, zvakarongwa kuendesa murwere kuchipatara chedu kuti anovhiyiwa. Kubva pakatanga chirwere, murwere akaramba akangwarira, ane pfungwa dzakajeka, chido chemazuva ose uye maitiro emarara, uye uremu hwakagadzikana pasina kuchinja kukuru.
Kubvuma Kuongororwa: Cerebral dysplasia, autism, pfari
Kurapa Maitiro
Murwere Gong Junyao, mukadzi, ane makore 3 nemwedzi minomwe, akavhiyiwa robhoti-akabatsirwa stereotactic uropi musi wa15 Ndira, 2023, na14:30 nekuda kwecerebral dysplasia, autism, uye hurema hwepfungwa. Kuvhiyiwa kwacho kwakaitwa pasi peanesthesia yepasi uye kwakaenderera mberi zvakanaka. Mushure mekubudirira kweanesthesia, musoro wakaiswa chiratidzo, uchiteverwa nemusoro CT scan uye kupinza data muRemebot robot. Kuruboshwe kwechinguva chidiki kwakasarudzwa senzvimbo yakanangwa, uye nzira yekuvhiya yakaiswa kuburikidza nekuruboshwe pamberi penzvimbo. Murwere akaiswa panzvimbo yakasimudzwa musoro wakagadzikwa, uye ganda remusoro remumusoro rakagadzirwa kuti riboora gomba remugotsi uye kupinda mudura remumusoro. Mushure meizvozvo, kucherechedzwa kwetsono ye electrode uye kuiswa kwehuropi hwekutarisisa ma electrode akaitwa. Mushure mekuziva chirwere chepfari, radiofrequency ablation yakaitwa, ichiteverwa nekuiswazve kwema electrode ekutarisisa kuratidza kunyangarika kweronda.
Pakupedzisira, kurudziro yemagetsi yakapfava yakashandiswa pakurapa neuroregulation panzvimbo yakatarwa kuruboshwe. Kuvhiyiwa kwekuruboshwe kwechinangwa kwakapedzwa zvakabudirira nehuwandu hwekubuda ropa hwe3ml. Mushure mekuvhiyiwa, ganda rakaiswa sutured uye rakamanikidzwa, uye murwere akadzoserwa muwadhi zvakachengeteka. Nguva dzose intravenous fluid, oxygen inhalation, uye kutarisa kwemwoyo zvakapiwa, nekunyatsocherechedza zviratidzo zvinokosha uye kurapwa nokukurumidza kwekunetseka kupi zvako. Mashoko okuvhiya akanyatsotsanangurwa kumhuri yemurwere.
Discharge Summary:
Mamiriro emurwere pari zvino akadzikama asina musoro, kusvotwa, kana kurutsa. Havi yake yekudya yakanaka, uye hapana zviratidzo zvekubuda ropa kana kuzvimba panzvimbo yekuvhiyiwa. Ura nedundira zvakajairika, uye ari kudya nekurara zvakanaka. Kuongororwa kwemuviri kunoratidza zviratidzo zvakakosha zvakagadzikana, kuziva kwakajeka, uye chimiro chepfungwa chakanaka. Murwere haana chikanganiso mumutauro, njere, kana maonerwo. Vana vakaenzana muhukuru uye denderedzwa, ingangoita 3mm mudhayamita, ine intact light reflexes uye zvakajairika maziso kufamba. Kunzwa kwakajairika, uye huro reflexes iripo. Iko hakuna zviratidzo zverurimi tsandanyama atrophy kana kudedera, uye zviso zvechiso zvine symmetrical. Mitezo yemurwere ine simba rakakwana retsandanyama (giredhi V), toni yetsandanyama yakajairwa, uye maitiro akajairika etendon reflexes. Iko hakuna kufamba kusingaite, uye haadyidzane nemunwe-mhino bvunzo, chitsitsinho-ibvi-shin bvunzo, kana chiratidzo cheRomberg. Bilateral Babinski sign haina kunaka, uye zviratidzo zvekushatirwa kwemeningeal sechiratidzo chaKernig hazvipo. Hapana edema inoonekwa mumakumbo ezasi, uye kufamba kwakajairika.
Discharge Mirayiridzo: