17-year-old Changzhou girl Xiaoying (pseudonym) can't dream. From the day she was born, a "landmine" that caused paralysis was planted in her body. A few days before the arrival of the Lunar New Year, she suddenly felt "floating" under her feet and numbness in her lower limbs. After examination by the local hospital, he was transferred to the Department of Neurosurgery of Span1span Nanjing University School of Medicine Drum Tower Hospital (Nanjing Drum Tower Hospital). On the third day of the New Year of the Ox, the medical team of Gulou Hospital performed an emergency operation for her for up to 11 hours, and this "landmine" was safely removed.
The image shows that Xiaoying’s malformed blood vessels were numb before the operation
"Look at this video, the blood vessels near the spinal cord before the operation became numb. This child has a congenital spinal cord. Severe vascular malformations." Hang Chunhua, director of neurosurgery at the Drum Tower Hospital of Nanjing University School of Medicine ( Nanjing Drum Tower Hospital), and his team encounter more than 20 strange vascular malformations every year, some of which are in the patient’s skull, some are close to the spinal cord. The consequences of not dealing with it in time are very serious.
Xiaoying was transferred to Gulou Hospital on February 7. After a detailed examination, the doctor found that the spinal blood vessels, which should have been thin, long and thick, but not a single wire, were numb in the small Ying. This group of blood vessels compresses the spinal nerves. If it is not treated in time, Xiaoying is likely to be paralyzed. "We once saw a patient, and it took less than 24 hours from onset of symptoms to paralysis. The more acute the onset, the more difficult it is to recover later." Director Hang Chunhua knew that the faster Xiaoying's operation, the better. Xiaoying's operation sounds easy, and the doctor removed the malformed blood vessel in her body as soon as possible. In fact, the risks are huge. As a result, the position of this group of blood vessels is "precise", and a slight carelessness will injure the delicate spinal cord. In addition, the entire deformed blood vessel is about 10 cm long, and there are 4 blood vessels with a diameter of 3 or 4 mm. One of them is improperly handled and the result is "surge like injection." "Many years ago, we encountered such cases and were often at a loss. Now we have a compound operating room that enables doctors to solve these types of complicated operations."
At 8 o'clock in the morning on the third day of the new year, Director Hang Chunhua led a medical team with 10 members. Enter the operating room. The team is divided into two groups, intervention and surgery, and the two groups of members cooperate to "fight",Bow left and right. Medical staff of the interventional group first appeared. After minimally invasive surgery, the doctor injected special glue into the deformed blood vessel to tie off the thickest blood vessels and block the bleeding.
The thicker blood vessels were plugged by glue
Then, the neurologist came on the scene and carefully removed the malformed blood vessels along the spinal cord. Eleven hours later, after an MRI examination in the hybrid operating room, the abnormal blood vessels were successfully completed. The bleeding volume of the entire operation was less than 1000 ml. Xiaoying is currently recovering well and has begun to receive rehabilitation training.
Director Hang Chunhua introduced that the "landmine" was safely removed, and Xiaoying could return to normal after a period of rehabilitation training.
On the seventh day of the new year, Xiaoying recovered well. Director Hang Chunhua checked her
The reporter learned that spinal vascular malformation is a rare disease, mainly related to congenital development, and the disability rate is high. And its family and society have caused great harm. If early diagnosis, surgery, and comprehensive treatment can be obtained, many patients can get better results.
Experts reminded that if a child has suspected symptoms such as uncoordinated walking, low back tingling, limb weakness, numbness, difficulty in urinating and defecating, he should go to the hospital as soon as possible to get rid of it through a magnetic resonance examination.
link:
Busy white angels during the Spring Festival
During the family reunion of the Spring Festival, the medical team of Gulou Hospital stood by their posts and worked hard to diagnose and treat patients.
Department of Cardiovascular Medicine of Gulou Hospital completed 14 surgeries, 6 elective surgeries and 8 emergency surgeries during the Spring Festival. On New Year’s Eve, a 50-year-old male patient with inferior myocardial infarction was admitted to the emergency department of Gulou Hospital. During the emergency operation, he suffered a cardiac and respiratory arrest. Director Xu Biao immediately led Kang Lina and Wei Xuan to the catheterization room. I rushed to the hospital at home to participate in the rescue. Cardiothoracic surgery also helped the placement of ECMO.
The Department of Cardiothoracic Surgery admitted 19 patients with acute aortic dissection from the 30th to the sixth day of the year and 10 patients with emergency surgery. An average of 25 medical staff are on duty in the department every day. At the same time, the department has an emergency surgery class consisting of 10 people every day to prepare for emergency surgery at all times.
Vascular Surgery completed 11 emergency operations during the Spring Festival, mainly focusing on aortic aneurysm , aortic dissection, deep vein thrombosis of the lower extremities, arterial embolism of the lower extremities, superior mesenteric artery embolism and other diseases.
Department of Neurology nearly 200 medical staff were on duty during the Spring Festival, 15 emergency greenway activations, 5 thrombolysis, and emergency interventional thrombus removal for patients with cerebral infarction for two consecutive days in the 29th and 30th year.
Correspondent Wang Juan
Yangtze Evening News/Ziniu News reporter Cai Yunqi
proofreading Faye Wang
Source: Ziniu News
.
