Zhang Yifan

Igama: Zhang Yifan

Isini: Ibhinqa

Ubudala: iminyaka eyi-7 kunye neenyanga ezi-5

Ulwazi Lokungeniswa:

Isigulana safunyaniswa ukuba sinokulibaziseka kophuhliso lwe-cerebral iminyaka engaphezu kwe-5. Malunga neminyaka emi-5 eyadlulayo, abazali baqaphela ukulibaziseka kokuvalwa kwe-fontanelle, ukuphuhliswa kancinci kolwimi kunye nobukrelekrele, kwaye bafuna unyango kwisibhedlele sendawo apho ukuxilongwa "kokulibaziseka kophuhliso lwecerebral" kwenziwa. Okwangoku, isigulana sikwibanga lokuqala, siyakwazi ukunxibelelana ngokufutshane, kodwa sinokuncipha kancinane isakhono sokuqonda, ukuqonda okulinganiselweyo, kunye nobunzima bokucinga okunengqiqo. Isigulana sine-amblyopia kumehlo omabini, iliso lasekunene libonisa i-exotropia. Kukho ukungalingani okuncinci kwintshukumo yelungu. Isigulana siyakwazi ukuzinyamekela ngokwendlela yokutya kunye nokuhamba kwamathumbu.

Uxilongo lokungeniswa:

Ukulibaziseka kophuhliso lweCerebral

Inkqubo yoNyango:

Isigulana u-Zhang Yifan, obhinqileyo, iminyaka eyi-7 kunye neenyanga ezi-5 ubudala, wenziwa utyando lwe-stereotactic oluncediswa yirobhothi ukulibaziseka kophuhliso lobuchopho phantsi kwe-anesthesia jikelele ngo-Epreli 10, 2023, ngo-12:40 PM. Inkqubo yokuhlinzwa yayilolu hlobo lulandelayo: Emva kwe-anesthesia eyimpumelelo, amanqaku okumakisha abekwe entloko, alandelwa yi-CT scan kunye nokungenisa idatha kwi-robot ye-Remebot. Umda wangaphambili wasekhohlo wakhethwa njengento ekujoliswe kuyo, efikelelwa kwindawo engaphambili yasekhohlo ukuseka indlela yotyando. Isigulana sasibekwe kwindawo esezantsi, kunye nomqamelo obunjiweyo okhusela intloko, kunye ne-disinfection yesiqhelo. Kwenziwa isikroba sasekuhlaleni, kwagqojozwa umngxuma wethambo, yaza inaliti ebukhali yahlaba idura mater. Ekuqaleni, inaliti ye-electrode yayisetyenziselwa ukukhangela ukungasebenzi kakuhle kwezicubu zobuchopho, kulandelwa kusetyenziswa inaliti yeRF kunyango oluthambileyo lokuvuselela umbane kwindawo ekujoliswe kuyo kwicala lasekhohlo. Utyando kwindawo ekujoliswe kuyo ekhohlo lwagqitywa. Emva koko, i-basal ganglia efanelekileyo yakhethwa njengendawo ekujoliswe kuyo, kunye nendlela efanayo yotyando. Utyando lwaqhuba kakuhle, malunga ne-3 ml yokopha emva kotyando. Inaliti yakhutshwa, yaye ulusu lwatyatywa kwindawo leyo ngokubotshwa ngoxinzelelo. Intloko ye-postoperative ye-CT ayizange ibonise ukuphuma kwegazi, kwaye indawo ekujoliswe kuyo yayifumaneka ngokuchanekileyo. Isigulana sabuyela ewadini ngokukhuselekileyo, sifumana ulwelo lwesiqhelo lwe-intravenous, unyango lwe-oxygen, kunye nokujongwa kwentliziyo. Abasebenzi bezonyango bazibeke esweni iimpawu ezibalulekileyo zesigulana baza banikela ngonyango lweempawu kwangexesha njengoko lufuneka. Intsapho yaxelelwa ngenkqubo yotyando.

Isishwankathelo sokukhupha:

Imeko yesigulana okwangoku izinzile kwaye akukho ntlungu ethile, akukho ntloko, isicaphucaphu, okanye ukugabha. Isigulana sinomdla wokutya. Akukho ukopha okanye ukudumba kwinxeba lotyando, ukuhamba kwamathumbu okuqhelekileyo, kunye nemikhwa elungileyo yokutya kunye nokulala.

Iziphumo zovavanyo lomzimba zibonise iimpawu ezibalulekileyo ezizinzileyo, ukuqonda okucacileyo, kunye nesimo esihle sengqondo. Isigulana sinokubandakanyeka kunxibelelwano olufutshane, nangona kukho ukungaqhelekanga kubukrelekrele kunye nokuqhelaniswa. Abafundi bayalingana kwaye basebenza ekukhanyeni, ukunyakaza kwamehlo kuqhelekile, ukuva kuqhelekile, i-pharyngeal reflex ikhona, akukho atrophy okanye ukungcangcazela kwimisipha yolwimi, ukugoba kwe-nasal-labial ku-symmetric, ukuphuma kolwimi kuphakathi, intamo ithambile, amandla aqhelekileyo omzimba. kuzo zonke izitho ezine (ibakala V), ithoni ye-muscle eqhelekileyo, i-tendon reflexes eqhelekileyo, akukho ntshukumo yokuzikhethela, uvavanyo olubi lwempumlo yomnwe. Uphawu lwe-Brudzinski olubi kunye nophawu lwe-Kernig olubonisa ukuba akukho kucaphuka kwe-meningeal. Akukho i-edema yelungu elisezantsi, kunye nokuhamba okuqhelekileyo.

Imiyalelo yokukhupha:

1, Gcina inxeba lomile emva kokuphuma kwaye ususe imithungo emva kweentsuku ezi-5.

2, Phumla kakuhle, kunqande ukushukuma kwentloko ngamandla, kwaye womeleze amanyathelo okukhusela.

3, Landela uqeqesho lokubuyisela kwisimo sangaphambili ngokusekelwe kwimeko yomntwana emva kokuphuma.

4,Fumana unyango ngokukhawuleza ukuba kukho nakuphi na ukungaphatheki kakuhle.