A 5-year-old girl who suffered a brain hemorrhage after a surgical intervention successfully defused a bomb

2022-06-03 0 By

(Reporter Xu Ruijie, correspondent Liu Shanshan) 5 years old is a naive, laughing and playing age originally, but however because of sudden cerebral hemorrhage lies in the hospital bed, examination discovers the culprit is cerebrovascular malformation unexpectedly.Recently, wuhan central Hospital neurosurgery experts for its implementation of cerebrovascular malformation interventional surgery, successful removal of intracranial “bomb”.”I send my favorite stardew to my sister, the nurse.”Before leaving the hospital, Ran ran painted the cartoon character Daru and gave it to the nurse who took care of her. Thanks to her sister, the nurse, she no longer felt afraid through hand-drawn cartoons.5 years old girl sudden headache pull out cerebrovascular malformation who lives in Ezhou Ran Ran (pseudonym) 5 years old this year, kindergarten class.More than a week ago, Ran ran covered his head and complained of a headache. At first, his parents did not pay much attention to it. Later, the child showed symptoms of vomiting.In order to seek further treatment, her parents finally took her to the Neurosurgery department of Wuhan Central Hospital.According to the patient’s medical history and imaging data, Chen Wen, deputy chief physician of the neurosurgery department, diagnosed cerebral hemorrhage caused by cerebrovascular malformation.”Due to the young age of the child, it is difficult to bear the trauma and bleeding caused by craniotomy, so the operation is difficult and risky.But without surgery, there is a high risk of continued bleeding or repeated bleeding, and if it happens again, there is a high rate of disability, and in severe cases, life can be at any time.”Chen Wen.However, the parents could not believe that misfortune actually came on the young daughter.Back to the ward, see lying in bed clever sensible daughter, however, his mother tried to hold back tears did not dare to cry.After multidisciplinary consultation and discussion, Chen Wen, deputy chief physician, proposed a minimally invasive treatment plan to perform interventional embolization for the child.”Our children are our lives. If there is a chance, we will try.”However, the parents decided to let the child receive interventional surgery.Doctors overcome multiple risks and quickly remove the root cause of the disease. Because the child is young, there are multiple risks in the operation. After entering the operating room, the child is easy to cry, which brings great challenges to the operation and anesthesia.Neurosurgery, anesthesiology, radiology interventional center and other departments after detailed discussion, developed a thorough surgical plan.First of all, the children’s blood vessels are very thin, it is difficult to successfully puncture, doctors strive to hit the nail on the head, and prepare for ultrasound-guided puncture;The safe dose of anesthesia can be accurately calculated according to the weight of the child.The amount of contrast agent should be strictly controlled, the important organs should be protected during the irradiation process, and the operation should be completed as quickly as possible to reduce the irradiation time.Last week, Dr. Chen Wenwei, deputy chief neurosurgeon, performed transcatheter arteriovenous malformation embolization and angiography.Of course, after leaving their parents and entering a strange operating room, they were very nervous and uneasy, trembling all over.In order to pacify Ran ran, Chen Wen, deputy chief physician, kept chatting with the child to ease her tension.”No, we’ll fight monsters together.”Anesthesia nurse Xiao Xiao gently said: “the baby is not afraid ah, aunt accompany you to watch cartoons.”She held up her phone and played her favorite Disney cartoon “Frozen.”At this time, however, the mood gradually smooth, anesthesiology doctor Fu Quanyuan act on the opportunity, for its implementation of the laryngeal mask under general anesthesia.With rich experience and superb skills, Chen Wen, deputy chief physician, succeeded in one-time puncture with bare hands.Intraoperative cerebral angiography revealed arteriovenous malformation in the trigone of left temporo-occipital ventricle, with a size of about 2cm. Subsequently, the vascular malformation was quickly embolized.During the whole operation, anesthesiologists closely monitored the vital signs of the children and accurately regulated the dosage of anesthetics and infusion volume.After surgery, the child woke up smoothly without crying.In order to prevent bleeding and hematoma and reduce children’s difficulty in long-term braking, the medical staff bent down to press the puncture site after removing the arterial sheath tube and pressed the puncture site with their bare hands for nearly an hour.When the nurse released her hand, it was numb.