Nyaya dzenyaya
Dong Run
Gender: Murume
Zera: 7 makore 4 mwedzi
Mamiriro ekubvumirwa:
Murwere wechirume ane nhoroondo yechirwere chejaundice achiri mudiki.Akangoerekana abatwa nemusoro aine makore mana, akabatwa nepfari kuLinyi Maternal and Child Health Hospital. Yakamborapwa nesodium valproate, chaiyo dosage isingazivikanwe, uye yanga isingabatike kwegore 1 mushure mekuregedzwa. Vhidhiyo electroencephalogram (EEG) muna 2022 yakaratidza multifocal spike mafungu, masaisai anopinza, uye mafungu anononoka akagoverwa kumberi kwekurudyi, bilateral frontocentral, parietal, midline, uye temporal regions. Mwana pari zvino ari kumedzerera mate, akawedzera muchando, haakwanisi kungwara, kutaura mutauro kushoma, kusanyanya kuita zvinhu, uye kunakidzwa nezvikamu zvekutamba kana achinakidzwa.
Kubvuma Kuongororwa: Pfari, cerebral kukura kunonoka
Kurapa Kurapa Maitiro
Patient Dong Run, murume, 7 makore nemwedzi 4, akavhiyiwa robhoti-akabatsirwa stereotactic uropi pasi peanesthesia yaJanuary 9, 2023, na17:40 nekuda kwepfari uye kunonoka kukura kwecerebral. Kuvhiya kwacho kwaiva sezvizvi: pakutanga, musoro wakaratidzwa, uye ipapo musoro CT scan wakaitwa usati wapinza data muRemebot robot. Iyo chaiyo temporal lobe yakasarudzwa senzvimbo inotarirwa, inowanikwa kuburikidza nenharaunda yepamberi yekurudyi, uye nzira yekuvhiya yakaiswa. Murwere akaiswa panzvimbo yakasimudzwa nemusoro wakagadziriswa, akawana disinfection yenguva dzose uye mabhedha, achiteverwa nekuchekwa kweganda remusoro uye kuboora gomba redehenya. Electrode yetsono yakashandiswa kuona kuramba kweuropi mushure mekubaya dura mater, uye ipapo maelectrode ekuongorora huropi akaiswa. Pakuona kutariswa kwepfari, radiofrequency ablation therapy yakaitwa, ichiteverwa nekuisirwazve maelectrodes ekutarisisa kuratidza kutsakatika kweiyo pfari.
Pakupedzisira, kunyorovesa kwemagetsi kwakashandiswa kune neuroregulation therapy panzvimbo yakatarwa. Kuvhiyiwa kwacho kwakatsetseka nekurasikirwa neropa kwe3ml. Mushure mekuvhiyiwa, tsono yakabviswa, uye ganda rakaiswa sutured uye rakasungwa. Musoro weCT scan wakaratidza kusabuda ropa kwakanyanya nekunangwa chaiko. Murwere akadzokera muwadhi zvakanaka uye akagashira zvinwiwa zvemutsinga, kurapwa kweokisijeni, uye kutariswa kwemoyo. Zviratidzo zvinokosha zvakanyatsoongororwa, uye kurapwa kwechiratidzo kwakapiwa sezvinodiwa. Mhuri yakaudzwa nezvenyaya yekuvhiya.
Discharge Summary:
Mamiriro emurwere pari zvino akagadzikana, asina kunyanya kunetseka. Mamiriro ese akanaka, kurara kwakaringana, kudya, uye kushanda kwemuviri. Kuongorora kwomuviri kwakaratidza zviratidzo zvinokosha zvakatsiga, kuziva kwakajeka, uye chimiro chendangariro chakanaka. Mazamanishoni ese aive mukati memazuva ese. Iyo yekuvhiya incision yapora zvakanaka, uye murwere anogona kuburitswa zvakachengeteka.
Discharge Mirayiridzo: