88-year-old woman brain hemorrhage Minimally invasive surgery saves livesPublisher: bgslr Date: 2012-05-04 Neurosurgery Department of District Hospital of Traditional Chinese Medicine uses minimally invasive surgery to save the lives of dozens of elderly patients with brain hemorrhage in 2 yearsReporter Zhan Haiyan Correspondent Cui Weifeng Guangzhou Panyu District Hospital of Traditional Chinese Medicine Surgery Peng Zhiqiang Sudden
A sudden brain hemorrhage (also known as “stroke”) almost caused 88-year-old Mrs. Wei to say goodbye to her loved ones. After a few changes, Director Peng Zhiqiang of the Department of Neurosurgery of the District Hospital saved her life. The family, who had been prepared for the separation, was happy to welcome Wei.
The family was prepared for the separation, but they were happy to welcome the “rebirth” of Mrs. Wei. Because of the minimally invasive surgery, Mrs. Wei recovered quickly and the cost of the surgery was not high, which made her family grateful to Dr. Peng and his team. In fact, Mrs. Wei is not the only patient with hypertensive cerebral hemorrhage who has been successfully treated by minimally invasive surgery in the district hospital. According to statistics, from March 2010 to March 2012, a total of 42 patients aged between 60 and 88 with hypertensive cerebral hemorrhage were successfully saved by minimally invasive surgery. Mrs. Wei was the oldest of them. The condition developed rapidly and was critical because
Because of a sudden headache and chest tightness, Mrs. Wei was taken to the nearest hospital in her street for medical treatment. At that time, doctors diagnosed hypertension and gave conventional treatment such as antihypertensive and brain nerve nutrition. After that, Mrs. Wei’s headache did not ease, and even
She was referred to the Panyu District Hospital of Traditional Chinese Medicine, where a cranial CT showed a large brain hemorrhage in the right parieto-occipital lobe and basal ganglia and a small amount of subarachnoid hemorrhage into the brain ventricle. The situation was not happy.
He was admitted to the neurosurgery department with cerebral hemorrhage. Based on Mrs. Wei’s symptoms and previous examination results, the district Chinese medicine hospital diagnosed her separately from the Chinese and Western medicine perspectives. The TCM diagnosis of the disease was stroke – in the meridian, and the symptom was blood stasis blocking the meridian. And the western medicine diagnosis was cerebral hemorrhage in the right parieto-occipital lobe and basal ganglia area with breakthrough into the ventricle; and there were also multiple disease complications such as subarachnoid hemorrhage, hypertensive disease and hypertensive heart disease. After
After examination and evaluation, Mrs. Wei’s brain hemorrhage had reached about 100 ml, which could not be cured by medication. If the craniotomy was performed as usual, the doctor would have to give her general anesthesia, which was a life-and-death test for her frail and sickly body.
But she was facing a life and death test. Director Peng Zhiqiang said, according to the Wei old lady’s physique, do open-heart surgery simply can not afford, probably on the operating table will not come down. And if not, the situation is also very dangerous, and further delay, she
It is likely that she will become a vegetable or even pass away. This makes minimally invasive surgery the best choice. Minimally invasive surgery is less invasive and has fewer complications.
According to Director Peng, they usually consider surgery only if the brain hemorrhage is above 30 ml. Patients who are expected to have difficulty passing without surgery are advocated for ultra-early surgery. Patients who have already experienced cerebellar curtain herniation are immediately operated
Surgery. If the pupils are already dilated bilaterally and the patient is in deep coma for more than 1 hour, surgery is not considered in principle. Compared with open surgery, minimally invasive surgery is relatively less risky and easier to perform, usually requiring only local anesthesia or intravenous anesthesia.
The operation is completed in more than 10 minutes. Because of less invasive surgery, postoperative complications are also less and the cost is relatively low, so it is more popular among patients. While
Mrs. Wei’s bleeding amounted to about 100 ml, and it was already very dangerous not to perform the surgery. Conventional craniotomy may be difficult for the patient to bear; and if minimally invasive surgery is performed, the result may not be ideal because the hematoma is too large. In order to
In order to achieve the best possible result, Director Peng developed a detailed treatment plan, firstly, through preoperative CT localization to determine the puncture site, and added extra-ventricular drainage in addition to intraoperative extraction of the accumulated blood in the brain.
In addition to intraoperative extraction of blood in the brain, extra-ventricular drainage was added. The procedure was carried out step by step, and finally Mrs. Wei was able to pass the difficult time safely. Interview
At the time of the interview, Mrs. Wei was sitting in a chair looking out the window accompanied by her family. The family said that she is not very different from before the onset of the disease, but only moves a little slower. Director Peng Zhiqiang said, after the operation, Mrs. Wei’s
Everything was good, and the headache and other symptoms had disappeared. The cranial CT review showed that the hematoma in the brain had basically disappeared. The only slight shortcoming was that the strength of Mrs. Wei’s limbs was slightly poor (grade IV). In the past 2 years, the recovery of elderly patients who underwent minimally invasive treatment for cerebral hemorrhage in the district hospital was good. 42 patients had 8 cases of ADL rating of grade I, 16 cases of grade II, 9 cases of grade III, 3 cases of grade IV, and 2 cases of grade V after surgery. In addition, 4 cases were automatically discharged from the hospital and abandoned treatment.