Nyaya dzenyaya

Zhai Zihan

Gender: Mukadzi

Zera: makore mashanu nemwedzi mishanu

Mamiriro ekubvumirwa:

Murwere akapinzwa muchipatara cheLinyi District People's Hospital aine gore nemwedzi gumi neimwe nekuda kwekusakwanisa kutaura mutauro, kutadza kuonana nemeso, uye kusadavirira kune zvinokonzeresa zvekunze, nekuongororwa kwekutanga kwe "suspected autism." Mushure mezvo, pazera remakore maviri nemwedzi gumi, nekuda kwekusava nekuvandudzwa kwezviratidzo, akazoonekwa kuti ane "autism" paLinyi District Central Hospital uye kubva ipapo akawana kurapwa kwekudzorerwa. Parizvino, murwere anoratidza kusagadzikana, anonetseka kugara akanyarara kwenguva yakareba, anowanzoita maitiro asina kujeka akadai sekubvarura bepa, ane hutera hwemutauro, anongoburitsa 2-3 syllables pazvinenge zvichidikanwa, nekutaura kusina kujeka uye kusiri kutevedzera. Ane kumwe kuchinjika kwekuziva asi kusanzwisisa kwakashata, anokwanisa chete kuzadzisa zviito zvekuraira zviri nyore. Murwere anosangana nekushanduka-shanduka, anoshevedzera zvikuru kana achifara, uye anoratidza maitiro ekuzvikuvadza akadai sekupinira. Panyaya yehunyanzvi hwemotokari, murwere anoshanda, asi kurongeka kwakashata, haakwanise kumira netsoka imwe, uye anoshaya hunyanzvi hwemotokari mumaoko ese. Zvokudya zvake, ura, uye kufamba kwedundira zvakajairika, pasina shanduko yakakosha munguva pfupi yapfuura. Nekuda kwekuwedzera kuongororwa uye kurapwa, murwere akachinjirwa kuchipatara chedu kuti aenderere mberi netarisiro. Kubva pakatanga mamiriro acho ezvinhu, murwere anga akangwarira uye akagadzikana mupfungwa.

Kubvuma Kuongororwa: Cerebral kukura kunonoka, autism spectrum disorder

Kurapa Maitiro

Murwere Zhai Zihan, mukadzi ane makore mashanu nemwedzi mishanu, akavhiyiwa robhoti achibatsirwa stereotactic uropi pasi peanesthesia yakajairika musi waGumiguru 17, 2023, na08:00.

Kuvhiya kwacho kwaiva seizvi: Pakutanga, musoro wakaratidzwa, uchiteverwa nemusoro CT scan. Iyo data yakabva yaunzwa muRemebot robhoti, ichisarudza nzvimbo yakanangwa kuruboshwe yemukati capsule anterior limb, ichipinda nekuruboshwe kumberi nharaunda, uye kugadzirisa nzira yekuvhiya. Murwere akaiswa panzvimbo yepamusoro nemusoro wakagadziriswa uye akaitwa muitiro we disinfection uye draping. Musoro wemusoro waive wakachekwa, pakaboorwa bhonzo rimwe chete, dura rakabayiwa netsono, hurwere hwehuropi hwakapimwa netsono yeelectrode, uye mutsara wakapfava wemagetsi wekusimudzira wakaiswa panzvimbo yaivavarirwa kugadzirisa tsinga. Kuvhiya kwekona yekuruboshwe kwakapedzwa zvinobudirira. Iyo nzira imwechete yakashandiswa kusarudza iyo chaiyo basal ganglia nzvimbo seyainotarirwa. Kuvhiyiwa kwacho kwakafamba zvakanaka pamwe neanenge 3 ml yekubuda ropa kwemukati.

Mushure mekuvhiyiwa, tsono yaibviswa, uye ganda rakaiswa sutured uye rakasungwa. Musoro wePostoperative CT wakaratidza kusabuda ropa kwakanyanya, paine chinangwa chaicho chenzvimbo, uye murwere akadzokera muwadhi zvakachengeteka. Murwere akaramba akasvinura, akagadzikana mupfungwa, aine vadzidzi vakaenzana uye vanoshingaira, kufamba-famba kwemakumbo, uye pasina kufamba kusingadi. Kupfeka ronda rekuvhiyiwa kwaive kwakachena uye kwakatsvinda. Mushure mokuvhiyiwa, murwere akagamuchira routine fluid therapy, oxygen therapy, kutarisa kwemwoyo, uye kunyatsocherechedza zviratidzo zvinokosha zvekupindira panguva. Ruzivo rwakadzama pamusoro pekuvhiyiwa rwakapihwa kumhuri yemurwere.

Discharge Summary:

Mamiriro emurwere pari zvino akadzikama, nekufamba kwakavandudzwa mugumbo rezasi rekuruboshwe (hakusisiri kukweva) uye kuchengetedzwa kwepamusoro nhengo yemota. Pakave nekunatsiridza kukuru kwemafungiro kana kuenzaniswa neasati avhiyiwa, nekugara kwenguva refu uye kuderedzwa kwekunakidzwa. Kuongororwa kwepanyama kunoratidza zviratidzo zvakakosha zvakagadzikana, ruzivo rwakajeka, chimiro chepfungwa chakanaka, vadzidzi vakaenzana uye vanoshingaira, uye chiedza chemazuva ose. Hapana ruzha rwekufema rwusina kujairika rwakanzwika mumapapu, kurova kwemwoyo kwaive kurova kwe86 paminiti, kune mutinhimira wenguva dzose uye pasina kugunun'una kwakanzwika. Musoro wePostoperative CT wakaratidza kuderera kwekuzvimba uye kutora, zvichienzaniswa naOctober 19, 2023. Dr. Tian Zengmin, chiremba aipinda, akaongorora mamiriro ekupedzisira edema uye akakurudzira kubudiswa nekutevera kushanyira.

Discharge Mirayiridzo:

1, Zorora zvakanaka, simbisa dziviriro, uye dzivirira kufamba kwakasimba kwemusoro.

2, Pinda mukudzidziswa kwekuvandudza kunoenderana nemutauro wemwana uye mamiriro ekudzoreredza mota mushure mekubuda.

3, Ndokumbira uronge kushanya kwekutevera kudhipatimendi revarwere vekunze pamberi paApril 24, 2024.

4, Chengetedza kushanya kwekutevera mushure mekubuda.