“魔术手”时粗时细 “冰山脸”从不出汗 “Magic hand”When when coarse fine “Iceberg face”Never sweating

　　

6岁女孩左侧胸腔长满肿瘤，把左肺压得像树叶一样薄，气管压成一根细条 6 years old girl with the left chest tumor，The left lung pressure like leaf thin，Tracheal pressure into a root slim

　　

医生切断5根肋骨取出4枚肿瘤，最大的3斤重女孩今天就能出院 The doctor cut off five ribs removed four other tumors，The biggest 3 pounds girl today can discharge

　　她有一只“魔术手”：左手时粗时细；她有半张“冰山脸”：左脸从来不出汗；她的左肺被胸腔里的肿瘤挤压成一团，大约只有她自己的拳头大小，和树叶一样薄；她的气管上部已被挤扁，歪在左侧锁骨处。她叫怡怡，今年6岁，家住金阳。

She has a“Magic hand”：When the left hand coarse fine；She has half a“Iceberg face”：Left face never sweating；She left the lungs in the chest tumor squeeze into a ball，Only about her own fist size，And as thin leaves；Her tracheal upper has been squish，Wide on the left side clavicle place。Her name is yi yi，6 years old this year，JinYang in。

　　从怡怡1岁起，她的父母便发觉了女儿的不对劲，漫漫5年求医路，一直没能找到怡怡的病根。直到不久前，贵医附院白云分院的小儿外科专家通过一张CT片找到了怡怡怪病的根源。

From the age of 1 a，Her parents will find her daughter's wrong，5 years long healed road，Had not been able to find the cause of disease of yi。Until recently，Your medical establishing affiliated hospital of baiyun branch of pediatric surgery experts through a CT slice found yi yi the root of strange disease。

　　

1.女孩求医5年 照CT终于找到病因 1. The girl doctor away five years according to CT finally found the cause

　　据贵医附院白云分院副院长石家齐教授介绍，怡怡自生下来有知觉后，左上肢就时而变粗时而变细，且左颜面部从不出汗。“她爸妈都是医生，觉得女儿的情况很奇怪，这些年来辗转带着她到各地的大医院求诊，可是一直没有明确的诊断结果。”

According to your medical baiyun branch of establishing affiliated hospital, vice President of the stone house introduced professor qi，Yi yi since birth after a perception，Left upper limb is sometimes coarsening and slim，And left facial never sweating。“Her parents are both doctors，Feel that her daughter's condition is very strange，Over the years, toss with her to the local big hospital initially，But there has been no definite diagnosis。”

　　石家齐说，很多医生都被女孩脖子上长的两个小包块影响判断，认为女孩的病是这两个包块在作祟，可是对包块进行了穿刺后，却查不出病因。

Stone house neat said，Many doctors are girl neck long two small piece of affecting judgment，That girl's disease is the two masses in haunt，But for the puncture bag piece after，But did not find the cause。

　　今年7月中旬，怡怡的父母带着她到贵医附院白云分院求诊。该院的小儿外科副主任医师陈刚是个全方位的专家，他利用多年经验判断后认为，假如不是脖子上出了问题，就应该是胸腔里长了肿瘤，并建议做胸腔CT进一步检查，但是此决定让女孩的父母很不理解。

In the middle of July，Yi yi parents took her to your medical baiyun branch of establishing affiliated hospital initially。The hospital pediatric surgery of doctor of vice director of Chen gang is a full range of experts，He used many years experience after the judgment that，If not be neck out of the question，Should be the chest for the tumor，And Suggestions do chest CT further examination，But this decided to let the girl's parents did not understand。

　　“我们能够理解他们作为家长的心情，这么多家大医院都没有查出原因，现在做胸腔CT，他们觉得是多此一举。”石教授说，经过耐心劝说，对方答应了让孩子做CT。

“We can understand them as parents mood，So many big hospitals are not find out reason，Now do chest CT，They think it is like carrying coals to Newcastle。”Stone professor says，After patient persuasion，The other party agreed let children do CT。

　　然而，检查结果却把医生和女孩的父母都吓了一跳。“患儿的左胸部已经被肿瘤挤满了。”陈刚说，患儿颈部出现的包块也是其胸部的肿瘤向上发展而形成的。

however，Inspection result but doctors and the girl's parents were shocked。“The patient's left chest has been filled with tumor。”Chen gang said，The children appeared bag piece is also its chest tumor upward development and formation。

　　

2.肿瘤长期挤压 气管变成细条 2. Long-term extrusion trachea tumor becomes slim

　　“既然确定了病因，就可以对症下药了。”陈刚指着怡怡的CT片告诉记者，经过6年的生长，这个位于颈根部和上胸腔连接位置的肿瘤，已经将怡怡的气管压成一根扁平的细条，还将气管挤歪在左侧锁骨位置。

“Now that determine the cause，Can suit the remedy to the case the。”Chen gang pointed to yi yi CT slice told reporters，After six years of growth，This is located in the root of neck and chest connection location of tumors，Have a happy of airway pressure into a single flat slim，Will also tracheal crowded wide on the left side clavicle position。

　　肿瘤只有通过手术才能取出。陈医生说，一般手术麻醉是采取病人平躺插管的方式，但是麻醉后病人身体肌肉会松弛，气管给氧不够，就会造成呼吸循环不畅。在怡怡气管被挤压的情况下，再进行插管的话，就会进一步压迫气管，无疑是堵住了唯一的出气通道。

Only through surgery to remove the tumor。Doctor chan said，General anesthesia surgery is to take the patient lie low intubation way，But anesthesia in patients after the body muscle will relaxation，Tracheal to oxygen is not enough，Can cause respiratory circulation。In the yi yi airway is under the condition of extrusion，Further intubation words，Will further oppression trachea，Undoubtedly is blocked the only out of the channel。

　　“这是我们面临的第一道坎。”陈医生告诉记者，以前外省就有过类似的病例，可是最终就因麻醉关过不了而放弃手术。为此，麻醉科、ICU、神经外科、耳鼻喉科等科室进行会诊，最终决定采取侧卧的方式对患儿进行麻醉。

“This is the first hurdles we face。”Doctor chan told reporters，Provincial before it had the similar cases，But end up in jail for anesthesia has to give up surgery。therefore，Anesthesiology department、ICU、neurosurgery、Otolaryngology department held a consultation, etc，Finally decided to take the way children upon to anesthesia。

　　

3.切断5根肋骨揭开左胸 医生掏出4枚肿瘤 3. Cut off five ribs uncover left chest the doctor took out 4 pieces of tumor

　　解决了麻醉问题后，采用何种方式开胸，成了手术遇到的第二道难题。

To solve the problems of anesthesia，By what way open chest，Become the operation meet the second problem。

　　常见的开胸方式是沿着肋骨缝隙间的肌肉进行，但是怡怡的肿瘤太大，生长位置又连着颈部、胸部、头部等人体血管最为集中的地方。

Common open chest way is along the frame gap between the muscles，But yi yi tumor is too big，Growth position and attached to the neck、chest、The head of human body blood vessels such as the most centralized place。

　　在8月1日的手术中，陈刚顺着孩子的左边肋骨开刀，沿着左胸下方的肋骨一直切到左边锁骨处。手术期间，为了创造更清晰的手术眼，陈刚沿着曲线位置切断了怡怡的五根肋骨和锁骨，完成了一个弧形的创口。“相当于在孩子的胸上开了一扇门，打开门后，就能清晰地看到肿瘤。”

On August 1 surgery，Chen gang down the children left frame operation，Along the left chest below frame has been cut to the left at clavicle。During surgery，In order to create more clear eye surgery，Chen gang along the curve position cut off yi yi five ribs and clavicle，Completed a arc of the wound。“Equivalent to in the child's chest opened a door，Opened the door，Can clearly see the tumor。”

　　肿瘤非常大，完全占据了怡怡的左边胸腔。陈刚发现，怡怡的胸腔和颈部共有4枚肿瘤，最大的一枚直径有15厘米。怡怡的左肺已经被肿瘤挤压得只有她自己的拳头大小，和叶子一样薄，完全丧失肺功能。此外，肿瘤附近的头、颈、胸部的大血管全部挤成一团。

Tumor is very large，Had taken complete possession of yi yi left chest。Chen gang found，Yi yi's chest and neck there are four pieces of tumor，One of the biggest pieces has a diameter of 15 centimeters。Yi yi left lung tumor extrusion has been only her own fist size，And as thin leaves，Complete loss of lung function。In addition，The head of the near tumor、neck、Chest big vascular all huddled。

　　这些大血管都是人体血流的主要交通要道，陈刚在下刀时格外小心，他不知呈现在眼前的每根血管和神经是不是都和肿瘤有关，只能屏气凝神，拿着手术刀游移在肿瘤与神经血管之间，看到两者完全没有关系才敢下刀。

These large vessels is human body blood flow of the main traffic arteries，Chen gang sword next when extra care，He doesn't know present in front of each root vascular and nerve is all about and tumor，Breathless attentively only，Moving with a scalpel in tumor and nerve vascular between，See both no relation to the knife。

　　经过三个多小时的奋战，这台肺颈联合肿瘤术总算完结。手术共切下来4枚肿瘤，最大的一枚有3斤重，直径15厘米，约有成年男子的两个拳头大小。

After more than three hours of fighting，This machine lung neck joint tumor surgery is finally。Surgery were cut off 4 pieces of tumor，One of the biggest pieces have three pounds，Diameter 15 cm，About adult man's two fist size。

　　

4.女孩今天出院回家 4. The girl go home today

　　昨天，在贵医附院白云分院病房里，记者见到了病床上的怡怡。小女孩很漂亮，正躺在床上看动漫书。

yesterday，In your medical baiyun branch of establishing affiliated hospital ward，Reporters saw the bed of yi yi。The little girl is very beautiful，Lying on the bed to watch cartoon books。

　　看着女儿开心快乐的模样，怡怡的母亲哽咽着说，从孩子1岁的时候，就发觉她的体表温度不一样。“不管多热，她的左脸就是不会出汗，冰冰的。左手一会粗一会细，而且颜色比右手的深。”

Looking at her happy happy appearance，Yi yi mother said with a SOB，From the child at the age of 1，He found that her body temperature is not the same。“No matter how hot，She left face is not sweating，The ice ice。The left hand for a while coarse a fine，And the deep color than the right hand。”

　　“现在我真的很感谢，很高兴。”心里的大石卸下，感到轻松的怡怡母亲突然倒在床上号啕大哭。

“Now I really appreciate，Nice to。”Heart stone off，Feel relaxed happy happy mother suddenly fell on the bed, weeping。

　　据陈刚介绍，怡怡的“魔术手”和“冰山脸”都是因为肿瘤压迫神经所致，如果病根发现得再晚一点，气管完全被压扁，那孩子可就危险了。

According to Chen gang were introduced，Yi yi of“Magic hand”and“Iceberg face”Because of tumor caused by oppressive nerve，If know the disease found that a little later again，Tracheal was completely squashed，The child can be dangerous。

　　手术结束后，因为怡怡的左肺长期被压迫，突然有了空间，一时还不适应，出现了肺水肿，经过治疗后已经恢复了。

After surgery，Because yi yi left lung long-term the oppressed，Suddenly had a space，At that time also does not adapt，Appeared pulmonary edema，After treatment has been restored。

　　陈刚说，怡怡的左肺叶功能可以恢复正常，而且她今天就能出院了。(贵州商报 记者 刘丹)

Chen gang said，Yi yi left lobe function can return to normal，And today she can was released from the hospital。(Guizhou business newspaper reporter separately)