Nyaya dzenyaya
Huo Tingyu
Gender: Murume
Zera: 12 makore
Mamiriro ekubvumirwa:
Mwana uyu akaonekwa aine "developmental delay" aine mwedzi inosvika 7 nekuda kwekusadzora musoro zvakanaka paZibo Third Hospital. Ane makore mana okuberekwa, mwana uyu akanorapwa kuZhoucun District Hospital kuZibo uye ari kurapwa kubva ipapo. Parizvino, mwana anoratidza kugona kushoma kutaura se "mbuya" kana "sekuru," kutaura kusinganzwisisike, kushaikwa kwekutaura kwekutaura, kushomeka kwekuziva nekunzwisisa kugona, kusadzidza uye hunyanzvi hwekuita, kushaya simba, kushaya kuisa pfungwa, kuomerwa mukudzora manzwiro, uye hapana maitiro ekuzvikuvadza. Meso emwana anorerekera mukati, neziso rekuruboshwe rinorema, kuomerwa neunyanzvi hwakanaka hwemotokari, kufamba nezvigunwe mukati nerutivi rworudyi zvinorema, chimiro chisina kurongeka, uye kufamba kusina kugadzikana. Mwana anomedzerera mate, anonetseka kumedza uye kutsenga asi anokwanisa kuita mabasa ekuzvitarisira. Parizvino ndakanyoresa mugiredhi rechina pachikoro chedu chedzidzo yakakosha. Mwana uyu akanorapwa kuZibo Central Hospital neQingdao Children’s Rehabilitation Hospital pasina kana kuvandudzwa, nokudaro akaendeswa kuchipatara chedu kuti anorapwazve. Mwana akaramba achiziva uye akasvinura mupfungwa kubva pakatanga mamiriro acho, nekudya kwakajairika uye uremu hwakagadzikana.
Kubvuma Kuongororwa: Cerebral kukura kunonoka
Kurapa Maitiro
Mushure mekubvumidzwa, bvunzo dzakakodzera dzakaitwa, kusanganisira bvunzo dzenguva dzose, abdominal uye cardiac ultrasound, electrocardiogram, electroencephalogram (EEG), zvichingodaro, ichiratidza hapana kuvhiyiwa kunopesana, nekudaro kunoonekwa kwakakodzera kuvhiyiwa. Musi waChivabvu 22, 2023, na13:00, pasi peanesthesia yenguva dzose, mwana akavhiyiwa robhoti-akabatsirwa frameless stereotactic brain surgery. Kuvhiyiwa kwakatanga nekushandisa Marker points pamusoro, kuteverwa nemusoro CT scan, data transfer to the Remebot robot, kusarudza kuruboshwe rwomukati capsule sechinangwa chechinangwa, kupinda nechokuruboshwe nechemberi nzvimbo, uye kuisa nzira yekuvhiya. Mwana wacho akaiswa panzvimbo ye supine, musoro wakagadziriswa, uye muitiro wekuuraya utachiona uye draping wakaitwa. Musoro wemusoro wakachekwa munharaunda, gomba rebhonzo rakaboorwa, iyo dura mater yakabaiwa netsono, uropi hwetishu yekuramba yakaongororwa netsono ye electrode, uyezve neural modulation nekunyorovesa kwemagetsi uchishandisa radiofrequency tsono yakaitwa panzvimbo yaivavarirwa, kupedza kuvhiya. kuruboshwe. Nzira imwe cheteyo yakatevedzwa yekurudyi rwemberi. Kuvhiya kwacho kwakabudirira neinenge 3ml yekubuda ropa, ichiteverwa nekubviswa tsono, ganda suturing, uye kumanikidza kupfeka. Musoro wePostoperative CT wakaratidza kusakosha kwakakosha, zvichisimbisa kunanga chaiko. Mwana wacho aiva nepfungwa dzakajeka, aine mweya wakanaka, aine pupillary light reflex yakajairwa uye asina kufamba asingadi. Nzvimbo yekuvhiyiwa yakanga yakachena, isina machubhu anofambisa mvura. Mushure mekuvhiyiwa, mwana akagamuchira zvinwiwa zve IV, kurapwa kweokisijeni, uye kutarisa kwemoyo, nekunyatsotarisisa kwezviratidzo zvakakosha.
Discharge Summary:
Pazuva rechipiri mushure mekuvhiyiwa, mamiriro emwana akaramba akadzikama, nekudonha kuderera, pasina musoro, kusvotwa, kana kurutsa, uye kukwanisa kudya. Ronda rekuvhiyiwa rakaratidza kusabuda ropa, kuzvimba, kushanda zvakanaka kweura uye dundira, uye kuda kudya uye kurara zvakanaka. Zvakawanikwa zvekuongorora zvepanyama zvaienderana nechimiro chepreoperative. Munguva yekutenderera, chiremba aienda Zhao Xiangyong haana kuona kushata kwaakaita mushure mekuvhiyiwa, uye mushure memazuva maviri ekurapa-anti-utachiona, zvakasarudzwa kuti zviregedze kushandiswa kwemishonga nhasi. Kuenderera mberi nekutarisisa ronda rekuvhiyiwa kwakarairwa, kuchengetedza kuoma, kuchinja mapfekero nenguva, uye kuuraya utachiona, ukuwo kudzivirira kudonha netsaona, kudzipwa panguva yekudya, uye dzimwe njodzi dzinogona kuitika. Kuwedzera kutariswa kwemamiriro emwana kwakakurudzirwa, uye kana pasina kukanganisa kunomuka, kubuda kunogona kutariswa mushure mekuongororwa mangwana.
Discharge Mirayiridzo: