Nyaya dzenyaya

Liu Caijun

Gender: Murume

Zera: 6 makore uye 2 mwedzi

Mamiriro ekubvumirwa:

Mwana akaonekwa kuti ane autism kwemakore anopfuura matatu. Panenge pamakore matatu, nekuda kwekushaikwa kwehunyanzvi hwekutaurirana, akarapwa paJinan Vana Hospital, Jinan Qilu Hospital, uye Peking University Sixth People's Hospital, uko autism yakasimbiswa. Mushure mezvo, mwana uyu akagamuchira ringangove gore rimwe rekurapa kwekudzoreredzwa pane imwe nzvimbo yekuvandudza hunhu muDezhou uye parizvino ari kuenda kune chimwe chikoro chedzidzo.

Zviratidzo zviripo zvinosanganisira kunyanyisa, kutadza kugara wakanyarara, kuda kumhanya uye kusvetuka, kusanyatsoisa pfungwa dzako panjodzi, kushaya kuziva nezvekuchengeteka, hunhu husina kumira mushe, kudzoreka kwemutauro, kusataura mutauro unongoerekana wavapo asi kungofona kwakadai sekuti "amai" uye "baba." Mwana ane nzwisiso shoma yekuziva, anogona kuita zviito zvakapfava zvakarairwa, asi ane kutadza kudzora manzwiro, maitiro ekuzvikuvadza, kumedzerera apo neapo, kutsenga nekumedza kunetsa, urombo husina kunaka hwemotokari, kunyange zvazvo hunyanzvi hwemotokari hwakakura hwakajairika. Mwana anoziva kushanda kwedundira uye ura asi anonetseka kubatwa nehope.

Kuongorora kwepanyama kunoratidza kuziva kwakajeka, asi kune kudzoreredzwa kwemutauro, uye njere dzakadzikira kana zvichienzaniswa nevezera. Vose vadzidzi vakaenzana uye vakatenderera, vanoita kune chiedza, kufamba kwemaziso kwakajairika, kunzwa kwakajairika, kuvapo kwegag reflex, mutsipa wakapfava, kusimba kwemhasuru mumakumbo ese, zvakajairika tendon reflexes. Iko hakuna kufamba kusingaite kwakacherechedzwa, uye mwana haana kubatirana zvizere nemamwe maitiro ekuongorora. Hapana zviri pachena zvetsinga kana mota abnormalities zvakawanikwa. Normal gait, hapana edema mumakumbo ezasi.

Pakazara, mwana anoda kudzoreredzwa kwakakwana uye dzidzo yakakosha kusimudzira kukura kwemutauro, kugadzirisa maitiro, uye kusimudzira hunyanzvi hwemagariro. Kurapa kunofanirwa kunangana nekutarisira manzwiro, kugona kuzvitarisira, nyaya dzekurara, uye nguva dzose yekutevera ongororo yekutarisa mafambiro.

Kubvuma Kuongororwa: Cerebral kukura kunonoka, autism

Kurapa Maitiro

Musi waChikunguru 25, 2023, na10:30, murwere akavhiyiwa nerobhoti-yakabatsirwa frameless stereotactic pasi pemutsinga wakasanganiswa anesthesia. Pamberi peanesthesia, zviratidzo zvakaiswa kumusoro kwekufamba, zvichiteverwa nemusoro CT scan. Iyo data yakabva yaunzwa muRemebot system yekuvhiya. Kuvhiya kwakatanga nekutarisa kuruboshwe mukati capsule, kupinda nekuruboshwe kumberi nzvimbo, uye kumisikidza nzira yekuvhiya. Murwere akaiswa panzvimbo yepamusoro nekugadzirisa musoro, kushandiswa kwehutachiona, uye kudonhedza kwakaitwa. Musoro wemusoro wakachekwa munharaunda, buri rebhonzo rakaboorwa, dura mater rakabaiwa netsono yakapinza, uyezve brain tissue resistance yakaongororwa netsono ye electrode. Radiofrequency tsono yakashandiswa mukunyorovesa magetsi painongedzerwa neural modulation therapy, kupedzisa kuvhiya kuruboshwe. Nzira imwechete yakadzokororwa kune yakarurama basal ganglia region. Kuvhiyiwa kwacho kwakafamba zvakanaka nekurasikirwa kweropa rinenge 3ml. Mushure mekushanda, tsono yakabviswa, nzvimbo yekuvhiya yakashongedzwa uye yakapfekedzwa, uye musoro CT scan wakaratidza kusabuda ropa kwakakosha nekunangwa kwakarurama. Murwere akanga akamuka, akangwarira, ane vadzidzi vakaenzana uye vakatenderera, chiedza chemazuva ose, uye pasina mafambiro asingadiwi. Kufamba-famba kwemaoko kwainge kwakajairika pasina kuzvitanga. Kuchengetwa kwepashure kwaisanganisira nguva dzose IV mvura, kusveta, uye kutarisa kwemwoyo, pamwe chete nekucherechedza zvakanyanya zviratidzo zvinokosha uye kutarisira panguva yezviratidzo. Murwere akadzoserwa muwadhi zvakachengeteka.

Discharge Summary:

Pazuva rechipiri mushure mekuvhiyiwa, chirwere chemurwere chakaramba chakagadzikana pasina zviratidzo zvakadai semusoro, kusvotwa, kana kurutsa. Havi yekudya yakanga iri yenguva dzose, kubuda ura kwakanga kuri kwenguva dzose, uye kurara nezvokudya zvakanga zvakanaka. Ronda rekuvhiya harina kuratidza kubuda ropa kana kuzvimba, uye zvakawanikwa pakuongorora muviri zvaienderana nezvakapfuura.

Munguva yekutenderera, chiremba aiuya akacherechedza kuti murwere haana kuratidza chero chakaipa chakashata mushure mekuita. Mushure memazuva maviri ekurapa hutachiona, mishonga inogona kuregedzwa nhasi. Zvakakosha kuramba uchicherechedza ronda rekuvhiyiwa, kurichengeta rakaoma, kuchinja mapfekero nenguva, uye kudzivirira njodzi dzakadai sekudonha kana kudzipwa. Kunyatsotarisisa mamiriro emurwere kunofanirwa, uye kana pasina kukanganisa kunoonekwa mushure mekuongororwa mangwana, kubuda kunogona kutariswa.

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.