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“双头”女婴头部包块中抽出800多毫升脑积水(图)--亲稳网络舆情监测室
2012-11-09
“双头”娃娃终于能平躺着睡觉了 "double"Doll finally can lie low the bed
(贵州)印江自治县的涂女士于9月份产下一名女婴后,发现女婴后脑有一个鹅蛋大的包块。随着孩子一天天长大,包块也跟着疯长,50天不到,包块体积就和女婴的头一样大了。昨日,省医神经外科专家连续奋战6个半小时,从包块中抽出800多毫升脑积水,成功切除了包块,女婴终于能平躺着睡觉了。
(guizhou)YinJiang autonomous county of ms coating in September after gave birth to a baby girl,Find baby girl afterbrain have a goose egg big bag piece.As children grow up day by day,Bag piece also follow overgrowth,Less than 50 days,Bag piece volume and the head of the baby as big.yesterday,Provincial medical neurosurgery experts around the clock for six and a half hours,From the bag piece out more than 800 ml of hydrocephalus,Successful bag piece removed,Baby girl finally can lie low the bed.
1.包块不是肿瘤,而是一包“水” 1. Bag piece not tumor,But a pack of"water"
据省医神经科副主任医师高方友介绍,女婴小艳患上的是一种常见的先天性脑膜脑膨出疾病。这种疾病发展到后期难以治愈,而且会导致死亡。院方决定马上为女婴实施脑积水分流、膨出脑膜切除手术。
According to the provincial medical department of neurology of doctor of vice director of high FangYou is introduced,Baby girl small colourful has is a common congenital meningeal encephalocele disease.The disease development later is difficult to heal,And can lead to death.The decision for baby girls immediately implement hydrocephalus shunt/Bulging meningeal resection.
“通过检查,孩子后脑的包块不是肿瘤,确切地说应该是一包‘水’,一包由病变的脑组织、脑膜和脑积液积聚形成的‘水’。”高方友表示,这包“水”形成的主要原因,是女婴先天性后脑骨头缺损,也就是说,她的后脑有一个洞。在孩子生长的过程中,她的部分小脑和脑膜及脑积液通过小洞汇集到包块里,形成现在的样子。
"Through the inspection,The child afterbrain bag piece not tumor,Exactly said that should be a pack of‘water’,A pack of the diseased tissue/Meningeal and brain effusion accumulation formation‘water’."High FangYou said,This packet"water"The main cause of formation,Is the baby girl congenital afterbrain bone defect,That is,The back of her head there was a hole.In the process of growth in children,Her part of the cerebellum and meningeal and brain effusion through a small hole in the bag piece together to,Form the way they are now.
高方友介绍,包块现在的直径就有12厘米,而且会随着女婴发育而不断变大,同时,孩子的情绪变化也会导致她脑部压力增大,从而把脑液积压到包块中。
High FangYou introduced,The diameter of the bag piece now has 12 cm,But also with the baby girl development and kept getting bigger,At the same time,The child's emotional change can also lead to her brain pressure increases,Thus the brain fluid backlog to the bag piece.
值得注意的是,包块的变大可能会引起更多病变,严重时会导致死亡。
It is important to note that,Bag piece bigger may cause more lesions,When serious cause of death.
2.女婴年纪小,手术面临多重困难 2. The young girl,Surgery faced multiple difficulties
高方友告诉记者,以往有类似患者求诊,通常都是通过手术,先抽出患者包块里的积水,然后切除膨出脑膜,再进行修补手术。
High FangYou told reporters,Before attending the similar patients,Is usually through the surgery,First take patients in the bag piece of water,Then resection bulging meninges,Further repair surgery.
这个过程听上去复杂又困难。实际上,这种脑积水分流、膨出脑膜切除手术本身不是很难,这次手术的棘手之处在于孩子年纪太小。
This process sounds complex and difficult.In fact,This kind of hydrocephalus shunt/Bulging meningeal resection itself is not very hard,The surgery difficult in very young children.
“这个手术,我们面临三个困难:第一,患者年纪小,手术输液时难以找到血管;第二,患者气管只有成人小拇指粗细,麻醉后插管困难;第三,手术中出血量大,患者体内血液少,可能引起失血过多造成死亡。”
"The operation,We are faced with three difficulties:The first,Young patients,Surgery infusion of difficulty in finding the blood vessels;The second,Only adult patients with trachea pinky weight,After anesthesia difficult intubation;The third,Large amount of bleeding in the operation,In patients with less blood,May cause excessive blood loss to cause death."
高方友说,正因为这台手术风险性高,他将麻醉等多科室的骨干召集到一起,共同实施手术。
High FangYou said,Because of this machine operation high risk,He will be more than the backbone of the department of anesthesia and called together,Common surgery.
3.手术很成功 但宝宝还没度过危险期 3. The operation was successful but the baby haven't through the crisis
昨日上午10点,小艳被推进手术室,她的父母亲友在手术室外面焦急地等待着。
Yesterday morning 10 o 'clock,Small colourful were pushed into the operating room,Her parents relatives and friends outside in the operating room anxiously waiting for.
术中,医生先是用针管从女婴后脑上的包块里抽出了800多毫升的脑积液,分量相当于一瓶半的普通矿泉水。没有了“水”的支撑,包块就像一只瘪皮球。包块缩小后,医生立即实施了切除术。
intraoperative,First the doctor with needle tube from baby girl on afterbrain bag piece drew more than 800 ml of brain effusion,Component is equivalent to a bottle of half of ordinary mineral water.no"water"support,Bag piece like a dented the ball.Bag piece reduced,The doctor immediately implement the resection.
之后,医生们巧妙地将后脑上的洞补上,整个切口约有8厘米。
after,The doctors ably holes in afterbrain patch,The whole notch about 8 cm.
虽说手术难度大,但小艳也很“给力”,生命力很顽强,下午4点半,手术成功结束。
Although surgery is difficult,But little brilliant is also very"awesome",Very tenacious vitality,At half past four in the afternoon,End of successful operation.
当涂女士夫妇见到女儿被平安从手术室推出,忍不住喜极而泣:“宝宝不再是双头了,她多余的那个头没有了。”
DangTu lady couples meet daughter was peace from the operating room out,Can't help but tears of joy:"The baby is no longer double the,She redundant the head no."
据专家介绍,虽然女婴成功实施手术,但她并没有度过危险期。因为患儿体质弱,现在还需继续观察,谨防出现伤口感染。同时,还要观察患儿在发育过程中后脑是否继续“漏水”。
According to expert introduction,Although girls to succeed the implementation of the operation,But she didn't spend the crisis.Because children weak constitution,Now, still need to continue to watch,Beware of appear wound infection.At the same time,Children will observe during development afterbrain whether to continue"leaking".
另外,由于女婴属于先天畸形,如果脑部机能运行不当,可能还会导致脑积液无法平衡等诸多问题。“如果遇到这些情况,就需要再次手术。”高方友说。
In addition,Due to the baby girl belong to congenital malformation,If the brain function improper operation,May also lead to brain effusion cannot balance, and many other problems."If meet these conditions,It required reoperation."High FangYou said.
4.后续治疗费难倒一家人 4. Subsequent treatment floor family
“女儿能治好,我们作为父母的,心情高兴得没办法形容。”小艳的父亲代先生高兴之余,声音又略显沉重。他对记者说,女儿小艳诞生,本来是一件很幸福的事情,没想到她患有疾病。“当地医生说是畸形,治疗费用需要很大一笔,就算做了手术,也有可能会复发。”代先生一家在印江务农为生,日子本来就过得困难,因此很多相熟的人都劝他“放弃算了”。
"Daughter can cure,We as parents,The mood happy can't describe."Small colourful father generation sir happy remaining,Voice and slightly heavy.He told reporters,Small colourful daughter was born,It is a very happy thing,Didn't expect she was suffering from disease."The local doctors say deformity,Treatment costs need a large sum,Even if to do the surgery,There may be recurrence."Mr. A generation in YinJiang farming,Day could have a hard time,So many familiar people are advised him"To give up on him".
“她是我们的亲骨肉,怎么能不尽力救她呢。”代先生和妻子带着凑来的2万8千元,踏上了求医之路。“去了很多家医院,都因为手术难度高,无法完成而没有接收娃娃,上星期六来到省医,医生才把她收下。”
"She is our own flesh and blood,How can you not try to save her."Generation and Mr. His wife with a pool of 28000 dollars,On the road to seek medical advice."Go to a lot of hospitals,Because of high operation difficulty,Can not complete without receiving doll,Last Saturday to province medical,The doctor to take her."
在求诊的日子里,代先生和妻子因为担忧小艳,常常茶饭不思。手术成功后,代先生和妻子刚刚松了一口气,马上又开始忧心费用问题:“带来的钱只剩下几千块了,医生说,孩子还有后续治疗及复发的可能性,搞不好要动二次手术。几千块无疑是杯水车薪。”
In attending the day,Generation and Mr Wife because worry about small colourful,Often the tea rice don't think.Surgery after the success,Generation and Mr Wife just breathed a sigh of relief,Immediately began to worry about the question of costs:"Bring money only several thousand dollars,The doctor said,Children and subsequent treatment and recrudescent possibility,Maybe to dynamic secondary surgery.Thousands of block is undoubtedly in the ocean."
代先生表示,哪怕砸锅卖铁他都不会放弃治疗孩子。希望有好心人能够伸手帮他们一把,帮帮小艳。(贵州商报 记者 刘丹)
Says Mr Generation,Even if surrender one's last resource he won't give up treatment of children.Hope to have good intention could reach out and help them,Help small colourful.(Guizhou business newspaper reporter separately)
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