Zhang Yifan

Zita: Zhang Yifan

Gender: Mukadzi

Zera: makore 7 nemwedzi mishanu

Ruzivo rwekugamuchira:

Murwere akaonekwa kuti ane cerebral kukura kunonoka kwemakore anopfuura 5. Anenge makore mashanu apfuura, vabereki vakaona kunonoka kuvharwa kwefontanelle, kunonoka kukura mumutauro uye njere, uye vakatsvaga kurapwa kuchipatara cheko uko kwakaonekwa kuti "cerebral developmental delay" yakaitwa. Parizvino, murwere ari mugiredhi rekutanga, anokwanisa kutaura kwenguva pfupi, asi aine zvishoma zvishoma kugona kwekuziva, kunzwisisa kushoma, uye kumwe kuoma mukufunga kune musoro. Murwere ane amblyopia mumaziso ose, neziso rekurudyi richiratidza exotropia. Pane kusaenzana kudiki mukufamba kwemakumbo. Murwere anokwanisa kuzvitarisira maererano nekudya uye kufamba kwemukati.

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Admission Diagnosis:

Cerebral kukura kunonoka

Kurapa Maitiro:

Murwere Zhang Yifan, munhukadzi, ane makore manomwe nemwedzi mishanu ekuberekwa, akavhiyiwa robhoti-akabatsirwa frameless stereotactic kunonoka kukura kwecerebral under anesthesia pana Kubvumbi 10, 2023, na12:40 PM. Kuvhiya kwacho kwaiva seizvi: Mushure mekubudirira kweanesthesia, mapeji emakaki akaiswa pamusoro, achiteverwa nemusoro CT scan uye kupinza kwedheta muRemebot robot. Ruboshwe rworuboshwe rworuboshwe rwakasarudzwa sechinangwa, rinopinda kuburikidza nenharaunda yekuruboshwe yakatarisana kuti igadzire nzira yekuvhiya. Murwere wacho aiiswa panzvimbo yepamusana, aine piro yakaumbwa yaichengetedza musoro, uye aiwanzoitwa disinfection. Pakachekwa ganda remumusoro, pakaboorwa buri rebhonzo, tsono yakapinza ikabaya dura mater. Pakutanga, tsono ye electrode yakashandiswa kuona kusagadzikana kwetishu yehuropi, ichiteverwa nekushandisa tsono yeRF yekunyorovesa magetsi ekusimudzira kurapwa panzvimbo yainotarirwa kuruboshwe. Kuvhiyiwa kwekuruboshwe kwechinangwa kwakapedzwa. Zvadaro, iyo basal ganglia yekurudyi yakasarudzwa senzvimbo inotarirwa, nenzira imwechete yekuvhiya. Kuvhiyiwa kwacho kwakafamba zvakanaka, pamwe neanenge 3 ml yekubuda ropa mushure mekuvhiyiwa. Tsono yacho yakabviswa, uye ganda racho rakaiswa sutu munzvimbo iyoyo nebhandiji repressure. Musoro wePostoperative CT wakaratidza kusabuda ropa kuri pachena, uye nzvimbo yaitarisirwa yaive yakanyatsowanikwa. Murwere akadzokera muwadhi zvisina njodzi, achiwana zvinwiwa zvemutsinga, kurapwa kweokisijeni, uye kutariswa kwemoyo. Vashandi vezvokurapa vakanyatsoongorora zviratidzo zvinokosha zvemurwere uye vakapa mishonga yezviratidzo panguva yaidiwa. Mhuri yakaudzwa nezvekuvhiyiwa kwacho.

Discharge Summary:

Mamiriro emurwere pari zvino akadzikama uye haana kunyanya kunetseka, hapana musoro, kusvotwa, kana kurutsa. Murwere ane chido chakanaka. Hapana kubuda ropa kana kuzvimba paronda rekuvhiyiwa, kufamba ura kwakajairika, uye tsika dzakanaka dzekudya nekurara.

Kuongororwa kwepanyama kwakaratidza zviratidzo zvakakosha zvakagadzikana, kuziva kwakajeka, uye chimiro chepfungwa chakanaka. Murwere anogona kuita kurukurirano pfupi, kunyangwe paine zvisizvo muhungwaru uye maitiro. Vana vakaenzana uye vanogadzirisa kuchiedza, kufamba kwemaziso kunowanzoitika, kunzwa kwakajairika, pharyngeal reflex iripo, hapana atrophy kana kudedera mumitsipa yerurimi, nasal-labial folds symmetric, rurimi rwakaputika pakati, mutsipa wakapfava, kusimba kwemhasuru. mumakumbo mana ese (giredhi V), yakajairika tsandanyama toni, yakajairika tendon reflexes, hapana kungoita mafambisirwo, bvunzo isina kunaka yemunwe-mhino. Negative Brudzinski chiratidzo uye Kernig chiratidzo chinoratidza kuti hapana meningeal irritation. Hapana edema yegumbo rezasi, uye yakajairika kufamba.

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.