Iingxelo zeCase

Wang Zhiqiang

Isini: Indoda

Ubudala: iminyaka eyi-10 kunye neenyanga ezi-4

Imeko yokwamkelwa:

Isigulane safunyanwa ukuba asinxibelelani noontanga kwiminyaka eyi-3. Emva koko wafunyaniswa ukuba une-autism kwisibhedlele saseJining People's Hospital kodwa akazange afumane unyango olukhethekileyo. Uye wafumana unyango lokubuyisela kwisimo sangaphambili kwiziko lokubuyisela kwisimo sangaphambili ukususela ngoko. Okwangoku, isigulana sibonisa ukuphazamiseka kwengqondo, intetho engacacanga kunye nesigama samagama angama-5-6, kunye nokuphazamiseka okubonakalayo kunye nokucaphuka. Ngamanye amaxesha, uzenzakalise okanye acele ukunqunyulwa intloko. Umguli uyakonwabela ukudlala ngezihlangu kunye nezinto zokudlala ezinwebekayo. Ukuqhubeka nokuxilonga nokunyanga imeko yakhe, isigulane sathunyelwa esibhedlele sethu. Ukususela ekuqaleni kwesi sifo, isigulane siye sahlala silumkile, sinesimo sengqondo esicacileyo, ukutya okuqhelekileyo kunye neendlela zokulala, kunye nemikhwa eqhelekileyo yamathumbu kunye nesinye. Akuzange kubekho utshintsho oluphawulekayo kubunzima.

Ukuxilongwa kwe-Admission: Uphuhliso lweCerebral, i-Autism

Inkqubo yoNyango

Isigulana u-Wang Zhiqiang, oyindoda, ngoku oneminyaka eli-10 kunye neenyanga ezi-4 ubudala, wenziwa utyando lwe-stereotactic oluncediswa yirobhothi kuphuhliso lobuchopho kunye ne-autism phantsi kwe-anesthesia jikelele ngo-Epreli 10, 2023, ngo-3: 00 PM. Utyando lwaqala ngokubeka amanqaku okumakisha entloko kunye nokwenza i-CT scan. Idatha yokuskena yathunyelwa kwirobhothi yeRemebot. I-basal ganglia yasekhohlo yakhethwa njengenjongo yotyando, kwaye indlela yotyando yasekwa kummandla ongaphambili osekhohlo. Isigulana sibekwe kwindawo ye-supine kunye nomqamelo obunjiweyo wokulungiswa kwentloko. Emva kokubulawa kweentsholongwane okuqhelekileyo, kwasilwa intlonti yendawo ukugrumba umngxuma omnye wokakayi. I-electrode yenaliti yayisetyenziselwa ukulinganisa ukuxhathisa kwezicubu zobuchopho, kulandelwa unyango oluthambileyo lokuvuselela umbane kusetyenziswa inaliti ye-radiofrequency kwindawo ekujoliswe kuyo yokuguqulwa kwemithambo-luvo. Utyando kwindawo ekujoliswe kuyo ekhohlo lugqitywe ngempumelelo. Inkqubo efanayo emva koko yenziwa kwilobe yangaphambili yasekunene njengendawo ekujoliswe kuyo. Utyando lwaqhuba kakuhle malunga ne-3 ml yokulahleka kwegazi. Emva kokuhlinzwa, inaliti yasuswa, kwaye ulusu lwaluxutywe kwaye lunxibe ngokucinezela. I-CT scan ye-postoperative intloko ayizange ibonise ukopha okukhulu, iqinisekisa ukujoliswa ngokuchanekileyo kweendawo ezifunwayo. Isigulana sadluliselwa ngokukhuselekileyo kwiwadi kwaye safumana i-intravenous fluids yesiqhelo, unyango lwe-oxygen, kunye nokubeka iliso kwintliziyo. Iimpawu ezibalulekileyo zazibekwe esweni ngolawulo olukhawulezileyo kuyo nayiphi na imiba evelayo. Inkqubo yotyando kunye neziphumo ziye zachazwa kwintsapho yesigulana.

Isishwankathelo sokukhupha:

Imeko yokukhutshwa kwesigulane ilungile: imeko izinzile ngaphandle kokuphazamiseka okuthile, kwaye imeko jikelele ilungile. Ukulala nokutya kuqhelekile, kwaye izibilini nesinyi ziqhelekile kwaye akukho ziphazamiso. Uvavanyo lomzimba lubonisa iimpawu ezibalulekileyo ezizinzileyo, isimo sengqondo esicacileyo, kunye nesimo esihle sengqondo. Abafundi bayalingana, bangqukuva, kwaye bayasabela ekukhanyeni. I-Lung auscultation iveza ukuba akukho zandi zingaqhelekanga, kwaye isingqi sentliziyo sihlala sithe rhoqo ngaphandle kokumbombozela. Uphawu lwe-Babinski lubi. Uqhaqho lotyando alunasulelo kwaye luphilisa kakuhle, ngoko ke ukukhutshwa kuyacetyiswa.

Imiyalelo yokukhupha:

1, Gcina inxeba lomile emva kokuphuma kwaye ususe imithungo emva kweentsuku ezi-5.

2, Phumla kakuhle, kunqande ukushukuma kwentloko ngamandla, kwaye womeleze amanyathelo okukhusela.

3, Landela uqeqesho lokubuyisela kwisimo sangaphambili ngokusekelwe kwimeko yomntwana emva kokuphuma.

4,Fumana unyango ngokukhawuleza ukuba kukho nakuphi na ukungaphatheki kakuhle.