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男子脑部手术过程中写下“真棒”
2017-08-22 06:47:37 中国青年网
本报讯(记者王恺凝 通讯员田娟)开颅手术过程中患者还能与医生聊天?同济医院中法新城院区神经外科日前创下了这样的奇迹。
前些时,同济医院中法新城院区神经外科在一个颅内肿瘤切除术中,医生为病人完成颅内肿瘤精准定位后,一个OK手式,麻醉科万里教授轻轻唤醒病人,聊起天来。“能不能写几个字?”病人得到指令后写下“真棒”。4小时后,手术成功,肿瘤完全切除。昨天,病人到医院复查,不仅身体状况良好,而且能清楚地回忆手术过程,甚至还记得细节。
这位病人姓王,28岁,广水男子,4年来癫痫反复发作,思考再三,王先生决定手术治疗。“王先生癫痫反复发作与肿瘤有关。”同济医院中法新城院区神经外科副主任医师陈旭介绍,肿瘤位于右侧顶叶功能区附近,如果是传统手术的话,存在功能区损伤风险,可能会导致一侧肢体部分区域运动或感觉异常,甚至出现语言功能障碍。
陈旭与麻醉科教授万里会诊后,决定为王先生采用目前最先进的手术唤醒方式:即手术切除病变前将患者从麻醉状态唤醒,利用电生理技术精确定位脑重要功能区并确定病变与功能区关系,以利于术中最大限度切除肿瘤并保留病变周围正常脑组织功能区。
7月26日早上9点,王先生被推进了手术室,整个手术,只有开、关颅过程,王先生处于全麻状态;在关键的肿瘤切除过程,王先生意识清醒,经过4小时手术,肿瘤完全切除。
“手术中医生和病人就像双簧表演一样。”据麻醉科主任医师万里介绍,术中唤醒病人对麻醉医生提出了更高的要求。既不能让病人因为疼痛刺激导致躁动,又需要病人能够配合麻醉医生的指令做出相应动作。
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