Iingxelo zeCase
Huo Tingyu
Isini: Indoda
Ubudala: iminyaka eyi-12
Imeko yokwamkelwa:
Umntwana wafunyaniswa "ukulibaziseka kophuhliso" malunga neenyanga ezi-7 ubudala ngenxa yokulawulwa kakubi kwentloko kwisibhedlele seZibo Third. Phantse kwiminyaka emi-4 ubudala, umntwana uye wafumana unyango kwisibhedlele saseZhoucun eZibo kwaye sele efumana unyango ukususela ngoko. Okwangoku, umntwana ubonisa amandla alinganiselweyo okujongana "njengomkhulu" okanye "umkhulu," intetho engacacanga, ukungabikho kwentetho, ingqiqo ephantsi kunye nezakhono zokuqonda, ukufunda okungahambi kakuhle kunye nezakhono zokwenza, ukuxhatshazwa, ukungabikho kokugxila, ubunzima ekulawuleni iimvakalelo, akukho ndlela yokuzenzakalisa. Amehlo omntwana athambekele ngaphakathi, kunye neso lasekhohlo linzima, ubunzima kwizakhono ezifanelekileyo zemoto, ukuhamba ngeenzwane ngaphakathi kunye necala lasekunene linzima, i-posture engalungelelanisiweyo, kunye nokuhamba okungazinzanga. Umntwana uyavuthuza, kunzima ukuginya nokuhlafuna kodwa uyakwazi ukulawula izinto ezisisiseko zokuzinyamekela. Ngoku ubhalise kwibanga lesine kwisikolo sethu semfundo eneemfuno ezizodwa. Umntwana uye wafumana unyango kwiSibhedlele esiPhakathi saseZibo nakwisibhedlele iQingdao Children's Rehabilitation Hospital kodwa akaphucukanga, kungoko wathunyelwa kwisibhedlele sethu ukuze afumane unyango olongezelelweyo. Umntwana uye wahlala eqaphela kwaye ephapheme ngengqondo ukususela ekuqaleni kwesimo, ngokutya okuqhelekileyo kunye nobunzima obuzinzile.
Ukuxilongwa kokwamkelwa: ukulibaziseka kophuhliso lweCerebral
Inkqubo yoNyango
Emva kokwamkelwa, iimviwo ezifanelekileyo zenziwa, kubandakanywa iimvavanyo zesiqhelo, i-ultrasound yesisu kunye nenhliziyo, i-electrocardiogram, i-electroencephalogram (EEG), njl. Ngomhla wama-22 kuMeyi, 2023, ngo-13:00, phantsi kwe-anesthesia jikelele, umntwana wenziwa utyando lobuchopho oluncediswa yirobhothi. Utyando lwaqala ngokufaka amanqaku eMarker entloko, ilandelwa yi-CT scan yentloko, ukudluliselwa kwedatha kwi-robot ye-Remebot, ukukhetha i-capsule yangaphakathi ekhohlo njengendawo ekujoliswe kuyo, ukungena kwindawo yangaphambili yekhohlo, kunye nokubeka indlela yokuhlinzwa. Umntwana wabekwa kwindawo yokulala, intloko yalungiswa, kwaye i-disinfection eqhelekileyo kunye ne-draping yenziwa. I-scalp yahlanjululwa kwindawo, umngxuma wethambo wemba, i-dura mater yahlatywa ngenaliti, ukuxhathisa kwezicubu zobuchopho kuphandwa ngenaliti ye-electrode, kwaye emva koko ukumodareyitha kwe-neural kunye nokuvuselela umbane kancinci kusetyenziswa inaliti ye-radiofrequency yenziwa kwindawo ekujoliswe kuyo, ukugqiba utyando. kwicala lasekhohlo. Kwalandelwa inkqubo efanayo kwilobe yangaphambili yasekunene. Utyando lwaba yimpumelelo malunga ne-3ml yokopha, kulandelwa kukususwa kwenaliti, ukuthungwa kwesikhumba, kunye nokunxitywa koxinzelelo. Intloko ye-postoperative ye-CT ayizange ibonise ukungaqhelekanga okubalulekileyo, iqinisekisa ukujoliswa okuchanekileyo. Umntwana wayenengqondo ecacileyo, enomoya omhle, ene-pupillary light reflex eqhelekileyo kwaye akukho ntshukumo yokuzikhethela. Indawo yotyando yayicocekile, ingenazo iityhubhu zokukhupha amanzi. Emva kokuhlinzwa, umntwana wafumana ulwelo lwe-IV oluqhelekileyo, unyango lwe-oxygen, kunye nokubeka iliso kwintliziyo, ngokubeka iliso olusondeleyo lweempawu ezibalulekileyo.
Isishwankathelo sokukhupha:
Ngosuku lwesibini emva kotyando, imeko yomntwana yahlala izinzile, kunye nokunciphisa i-drooling, akukho ntloko, isicaphucaphu, okanye ukuhlanza, kwaye ikwazi ukutya. Inxeba lotyando alibonisi ukopha, ukudumba, ukusebenza kwamathumbu okuqhelekileyo kunye nesinyi, kunye nokuthanda ukutya nokulala. Iziphumo zovavanyo lomzimba bezingqinelana nemo yangaphambi kotyando. Ngexesha lemijikelo, ugqirha ohambayo uZhao Xiangyong akaqaphelanga ziziphumo ezibi emva kokuhlinzwa, kwaye emva kweentsuku ezi-2 zonyango oluchasene nosulelo, kwagqitywa ekubeni kuyekwe amayeza anxulumeneyo namhlanje. Kuye kwacetyiswa ukuba kuqhutyekwe nokuqwalaselwa kwenxeba lotyando, kugcinwe ukoma, ukutshintshwa kwendlela yokunxiba kwangexesha, kunye nokubulawa kweentsholongwane, ngelixa kuthintelwa ukuwa ngengozi, ukuminxa ngexesha lokutya, kunye nezinye iingozi ezinokubakho. Kwacetyiswa ukuba kujongwe ngakumbi imeko yomntwana, kwaye ukuba akukho ziphoso zivelayo, ukukhutshwa kungaqwalaselwa emva kovavanyo ngomso.
Imiyalelo yokukhupha: