Nyaya dzenyaya

Iye Zhining

Gender: Murume

Zera: makore matatu nemwedzi mitanhatu

Mamiriro ekubvumirwa:

Murwere, pazera remakore anopfuura 1, akawanikwa asingakwanisi kugara akazvimiririra. Zvakadaro, vakaendeswa kuchipatara cheHeze Maternal and Child Health Hospital kuti vaongororwe pamwe nekurapwa, uko vakaonekwa vaine cerebral palsy. Murwere akamborapwa nembeva nerve yekukura zvinhu, asi chirongwa chekurapa chaicho hachizivikanwe. Parizvino, murwere anoratidza hungwaru hushoma, ane hushoma hwemutauro we7-8 syllables chete, uye haakwanisi kumira kana kufamba akazvimirira. Vane mhasuru yakakwira mumakumbo ese epamusoro, ine kurerekera kudivi rekurudyi uye kushandisa ruoko rweruboshwe. Musoro wavo haudzoreki zvakanaka, simba rezasi remusana harina kukwana, simba retsandanyama yezasi rakaderera, uye tsoka dzadzo dzinowanzomonerera dzichipinda mukati kana dzasimudzwa. Ura uye dundira zvakajairika. Kuti awedzere kuongorora uye kurapa mamiriro acho, murwere akaendeswa kuchipatara chedu. Kubva pakatanga mamiriro acho ezvinhu, murwere akachengetedza pfungwa dzakajeka, chimiro chepfungwa chakanaka, kudya kwemazuva ose uye kurara, nguva dzose ura uye dundira, uye uremu hwakagadzikana pasina kuchinja kukuru.

Kubvuma Kuongororwa: Cerebral Palsy

Kurapa Maitiro

Murwere, anonzi He Zhining, murume, ane makore 3 nemwedzi mitanhatu, akavhiyiwa robhoti-akabatsirwa stereotactic brain for cerebral palsy pasi pemutsinga wakasanganiswa anesthesia musi wa20 Kukadzi 2023, na16:00. Kuvhiyiwa kwacho kwaisanganisira kuisa mapoinzi mumusoro kutanga kuCT scan, kuchiteverwa nekupinza data re scan murobhoti reRemebot. Kuvhiyiwa kwacho kwakananga kuruboshwe basal ganglia, kupinda nekuruboshwe kumberi nenzvimbo yakafanotemerwa yekuvhiya. Murwere akaiswa panzvimbo yemusana, uye musoro wavo wakanga usingafambi nemutsago wakagadzirirwa. Mushure mekuuraya utachiona uye kudonhedza, kucheka kwenzvimbo kwaiitwa pamusoro pemusoro, kuchiteverwa nekuboora buri uye kuboora dura mater netsono yakapinza. Mushure mezvo, tsono dzemagetsi dzakashandiswa pakuona kwemagetsi impedance yehuropi tishu, ichiteverwa nekunyorovesa magetsi ekusimudzira kurapa uchishandisa radiofrequency tsono panzvimbo yainotarirwa yetsinga modulation. Kuvhiya panzvimbo yekuruboshwe kwakanangidzirwa kwakapedzwa zvakabudirira neinenge 3ml yekurasikirwa neropa. Tsono yacho yakabviswa mushure mekuvhiyiwa, uye nzvimbo yekuchekwa yakavharwa nekuvharwa kweganda renzvimbo uye kupfekedzwa kwekumanikidza. A post-operative head CT scan yakaratidza kusabuda ropa kwakakosha, zvichiratidza kunanga chaiko. Murwere akadzoserwa muwadhi zvakachengeteka uye akagamuchira yakajairwa intravenous fluid, oxygen therapy, uye kutariswa kwemoyo. Zviratidzo zvavo zvinokosha zvakanyatsoongororwa, uye matanho akakodzera akatorwa nokukurumidza. Mhuri yakaudzwa nezvemugumisiro wekuvhiya.

Discharge Summary:

Chimiro chendangariro chomurwere chakanga chakanaka pakubuda ropa, nokurara kwenguva dzose, kudya, uye kushanda kwoura uye dundira, pamwe chete nezviratidzo zvinokosha zvakatsiga. Kuongororwa kwemuviri kwakaratidza kunzwika kwekufema kwakajeka mumapapu ese pasina kuputika kana kukweshana. Yakajairika kurova kwemoyo uye rhythm zvakacherechedzwa, pasina kugunun'una kwakanzwika pane chero nzvimbo dzevharuvhu. Murwere aive neruzivo rwakajeka, vadzidzi vakaenzana uye vakatenderedza vane dhayamita yeanenge 3mm, vanogadzirisa kuchiedza, kufamba kwemaziso kwakajairika, kunzwa kwakasimba, kuripo gag reflex, kusavapo kwerurimi atrophy kana kudengenyeka, symmetrical nasolabial folds, midline rurimi protrusion, mutsipa wakajairika, uye kusimba kwetsandanyama kwakajairika munhengo ina dzose pagiredhi V. Babinski reflex yakanga isina kunaka mairi. Murwere akakwanisa kusimudza makumbo ose ari maviri alternately kubva pamubhedha pasina edema mumakumbo ezasi. Kuvhiya kwacho kwakaoma pasina erythema, kubuda, kana kuzvimba. Kubva pane zvakawanikwa izvi, zvakasarudzwa kuti murwere asunungurwe nhasi.

Discharge Mirayiridzo:

1, Chengetedza ronda rakaoma mushure mokubuda uye bvisa matinji mushure memazuva mashanu.

2, Zorora zvakanaka, dzivirira kufamba kwemusoro kwakasimba, uye simbisa matanho ekudzivirira.

3, Tevedzera kudzidziswa kwekudzoreredza zvinoenderana nemamiriro emwana mushure mekubuda.

4、Tsvaka rubatsiro rwekuchipatara nekukasika kana paine kusanzwanana.