Nyaya dzenyaya

Liu Hengchen

Gender: Mukadzi

Zera: 16 makore

Mamiriro ekubvumirwa:

Murwere akatanga kuona zviratidzo zvepfari panguva yemabasa emasikati munaNovember 2017 (pamakore gumi), pasina chikonzero chiri pachena. Aive nechimwe chiitiko muna Ndira 2018, chinoratidzwa nekutsauka kweziso rekuruboshwe, kuruboshwe musoro uye mutsipa wakarereka, zvichiteverwa nekudonha, kugwinha kwemakumbo, mazino akatsemuka, miromo yecyanotic, uye kushanduka kwekuziva. Zvadaro, zviratidzo izvi zvakadzokororwa mwedzi 2-3 yega yega. Mumatsutso a2018, akatsvaga kurapwa kuFifth People's Hospital yeZibo City, uko kwakaitwa EEG yemaawa makumi maviri nemana, ichisimbisa kuongororwa kwepfari. Munguva yekuongorora nguva, pane zuva rine maitiro akawanda anowanzoitika. Mugore rapfuura, kuwanda kwepfari kwakadzikira zvishoma, kunoitika kamwe pakati paKurume naChikumi. Kubatwa kwese kunoitika mukati mezuva. Murwere parizvino anoratidza kusanzwisisa kwekuziva, kunonoka kuita, kutaura kusina kujeka, kushatirwa, uye kutenderera kwekunze kwetsoka pakufamba, asi kazhinji anokwanisa kuita mabasa ezuva nezuva akazvimiririra.

Admission Diagnosis: Pfari, hurema hwepfungwa

Kurapa Maitiro

Murwere Liu Hengchen, mukadzi, ane makore gumi nematanhatu, akavhiyiwa robhoti-akabatsirwa stereotactic uropi pasi peanesthesia yaNovember 6, 2023, na17:00. Kuongororwa kukuru kwaiva pfari, kunonoka kukura, uye kuremara kwenjere. Kuvhiya kwacho kwaisanganisira kuisa mamakisi mumusoro kuti CT scanning, iyo yakabva yapinzwa murobhoti reRemebot. Iyo yekuruboshwe yenguva yenguva yakasarudzwa seyainotarirwa nzvimbo, uye nzira yekuvhiya yakagadzwa kuburikidza nekuruboshwe kumberi nharaunda. Murwere akaiswa supine, uye musoro waive usingafambi uye wakaiswa disinfected. Local scalp incision, kuboora maburi edehenya, kubaya dura mater netsono ye electrode yehuropi tissue impedance test, uye kuiswa kweEEG monitoring electrodes zvakaitwa. Pakuonekwa kwechirwere chepfari, radiofrequency ablation yakaitwa pachishandiswa tsono yeradiofrequency, ichiteverwa nekudzoreredzwa kwemaelectrodes ekutarisa kuti ronda ripere. Mushure meizvozvo, kunyorovesa kwemagetsi kwakashandiswa kune nerve modulation therapy panzvimbo yakatarwa, kupedzisa kuvhiyiwa kuruboshwe kwechinangwa. Iyo yekurudyi yemukati capsule anterior limb yakabva yasarudzwa seyaivavarirwa, uye maitiro akafanana akaitwa kuburikidza nenharaunda yepamberi yekurudyi kuti apedze kuvhiyiwa panzvimbo yakakodzera. Kuvhiyiwa kwacho kwakafamba zvakanaka nekurasikirwa kweropa rinenge 3ml. Mushure mekushanda, tsono yakabviswa, uye kuvhara kweganda remunharaunda uye kupfekedzwa kwekugadzirisa zvakashandiswa vasati vaendesa murwere kudzokera kuwadhi kuti aonekwe.

Discharge Summary:

Mamiriro emurwere iye zvino akagadzikana, ane simba rekuita mukukurukurirana nyore uye mabasa. Hapana kubuda ropa kana kuzvimba panzvimbo yekuvhiyiwa, uye hapana musoro, kusvotwa, kana kurutsa. Murwere anogona kushivirira kudya kwenguva dzose pasina kukosora panguva yekudya, ane weti yakajairika, pfungwa dzakajeka, uye chimiro chepfungwa chakanaka, nekuongororwa kwemuviri kusingashanduke kubva kare. Vashandi vezvehutano vanofanirwa kunyatso tarisisa kuvhiya kuvhiyiwa, kuichengeta yakaoma, kushandura mapfekero, uye kuisa hutachiona panguva. Kuchenjerera kunofanirawo kutorwa kudzivirira kudonha uye kudzipwa panguva yekudya. Kuenderera mberi nekutarisisa mamiriro emurwere kunodiwa, uye kana pasina kukanganisa kunocherechedzwa panguva yekuongororwa mangwana, kuburitswa 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.