Recently, the neurosurgery team of Gansu Provincial Central Hospital (Gansu Provincial Maternal and Child Health Hospital) used a surgical "robot" to successfully perform surgery on a patient with hypertensive cerebral hemorrhage.
Not long ago, 72-year-old Mr. Zhu suddenly felt unwell and felt a strong sense of dizziness. The left limb lost touch and was unconscious. The situation was very critical. The family quickly sent the old man to Gansu Provincial Central Hospital.
After being admitted to the hospital, he was diagnosed with hypertension and cerebral hemorrhage after brain CT examination. The team of Li Zhiyun, director of neurosurgery, decided to use "robots" to assist the surgery. With the help of the "intelligent assistant", the operation process went very smoothly, most of the postoperative hematoma was triggered, the patient recovered well, and has been discharged from the hospital smoothly.
How to accurately and invasively diagnose and treat patients with cerebral hemorrhage is a major problem facing clinical neurosurgeons. Sun Jianjun, deputy chief physician of the hospital's neurosurgery, said that traditional craniotomy will definitely sacrifice normal brain tissue on the surgical path and even damage important neurological functions. The operational "robot" is put into use, which can help doctors solve many limitations faced by surgical treatment and help patients obtain better diagnosis and treatment services.
Further reading:
Statistics show that there are currently more than 300 million hypertensive patients in my country, and an average of one in every 4 adults has a hypertensive patient. Hypertension has become the primary cause of cerebral hemorrhage, and more than 80% of cerebral hemorrhage are related to hypertension. The biggest harm of hypertension is to damage blood vessels. Long-term high blood pressure will cause blood vessels to age, sclerosis, or form micro-arseizures. Just as the water pipes will become brittle after aging, the elasticity of blood vessels will also decrease after atherosclerosis of the blood vessels. At this time, various factors that cause sudden and violent increase in blood pressure, such as missed taking antihypertensive drugs, fatigue (such as working hours or lack of sleep), emotional excitement (such as quarrel with others, excessive excitement after drinking), sudden force (strength in stool, coughing hard), etc., can all lead to rupture and bleeding of the lesions of the cerebral blood vessels and induce cerebral hemorrhage. Especially when autumn and winter alternate, the weather turns cooler, the temperature will easily change suddenly, and the weather will become drier. These factors often lead to increased blood viscosity, vasospasm, and obvious blood pressure fluctuations, resulting in cerebral hemorrhage caused by high blood pressure.
The onset of cerebral hemorrhage is very rapid and may occur at any time and anywhere. If the following 4 abnormalities occur, be sure to be alert to the possibility of cerebral hemorrhage.
Severe headache: After cerebral hemorrhage, due to damage to brain tissue and the pressure in the brain increases, the patient will experience severe headaches, often accompanied by severe vomiting.
Unclear speech: If cerebral hemorrhage damages the brain's language center, the patient will show that he is speech vaguely.
Limb numbness and fatigue: If cerebral hemorrhage damages the brain's movement center, the patient will show numbness and fatigue on one side of his hands and feet.
Neck stiffness: If cerebral hemorrhage stimulates the meninges on the surface of the brain, meninges will cause meninges irritation, and the patient will show stiffness in the neck.
Once a cerebral hemorrhage occurs, the patient will face life danger. The family must remain calm and gain more opportunities for the patient.
The following four first aid steps must be kept in mind:
1. Family members must call the 120 emergency number as soon as possible, and strive to send the patient to the hospital for rescue in the shortest time. If one more minute is delayed, the patient will have to bear the risk of one more minute.
2. If the patient falls in a small place such as a toilet or a bathtub, transfer to a spacious place as soon as possible. The specific method is adapted to local conditions. As long as you don’t shake the head and keep the head horizontally moving, so as not to block the respiratory tract and cause suffocation.
3. Help the patient to position himself, let the patient rest quietly on the bed, call the ambulance, keep the patient lying on his side and not lying on his back, avoiding the airway blocking after the tongue or inhaling vomit, and minimizing movement.
4. Clean foreign objects in the patient's mouth in time, such as vomit, active dentures , etc. If the clothes are tight, you also need to untie the patient's collar to ensure the patient's respiratory tract is unblocked.
After completing the above 4 steps, the family members should calm the patient's emotions while waiting for the arrival of rescuers.
text丨Benliu News reporter Ouyang Haijie
picture丨Gansu Maternal and Child Health Hospital provides
