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开颅手术中,患者被叫醒做了道数学题!这波操作背后的医生太牛了...

发布日期:2018-11-12 作者: 点击:

正被开颅手术呢,被叫醒做了道数学题,还得认生字,啥情况?原来这是“术中唤醒”,也是哈医大一院首次通过“唤醒麻醉”让患者在术中清醒片刻,配合医生精准切除脑瘤,以免碰到功能区,影响语言和行动能力。


脑膜瘤压在功能区影响语言功能和行动


JUBAODAO,59SUIDEWUNVSHILAIDAOHAYIDAYIYUANQUNLIYUANQUJIUZHENSHI,SHUOHUABULISUO,BANCESHENTIBUNENGDONG,YINWEITANAOZHONGYOUYIGENAOMOLIUZHENGHAOYAZAILEGONGNENGQU,YINGXIANGLEYUYANGONGNENGHEXINGDONG。JIANCHAFAXIAN,YOUYUWUNVSHICIQIANFANGLIAODAOZHIZHONGLIUHENAOZUZHIGUANGFANZHANLIAN,XIANGJINGZHUNQIEDIAOZHONGLIUBUPENGGONGNENGQUFEICHANGKUNNAN。


JINGGUOZIXIYANJIUTAOLUNHOU,SHENJINGWAIKEZHURENYANGKONGBINJUEDING“SHUZHONGHUANXING”HUANZHE,RANGHUANZHELAIPEIHETABIANBIEGONGNENGQUWEIZHI,QIECHUZHONGLIUDETONGSHIJINKENENGBAOHUZHENGCHANGNAOGONGNENGQU。


患者手术中被唤醒做题、认字、做动作


456棋牌WEIBIMIANHUANZHEZAISHUZHONGBEIHUANXINGSHICHANSHENGKONGJUXINLI,SHUQIAN,YANGZHURENHEMAZUIKEDEWANGHUAMINFUZHUREN,DUOCILAIDAOBINGFANGHEWUNVSHI“CAIPAI”。

456棋牌JINGGUOCHONGFENDESHUQIANZHUNBEI,SHOUSHUZHENGSHIKAISHI。WUNVSHIZAIQUANMAHOUKAISHI“CHENSHUI”,YANGZHURENTONGGUOTOUBUYIGE5LIMIDEXIAOQIEKOU,GENJUSHUQIANDINGWEIQUEDINGLEZHONGLIUDEWEIZHI。


456棋牌SHOUSHUJINXINGDAOGUANJIANDESHIHOU,WANGHUAMINFUZHURENMASHANGBAXIANGGUANDEMAZUIYAOTINGDIAO。JINYONGLEWUFENZHONGDESHIJIAN,WUNVSHIJIUHUANHUANZHENGKAIYANJING。

“这个图片是什么?这个字怎么念?”


医生连忙拿出准备好的几张图画卡片,问吴女士,“苹果”、“梨”、“5+3=8”,清醒后的吴女士全部对答如流。


“动动你的手指”,“再动动你的脚趾”,接到王华民的一系列指令后,吴女士多次配合医生完成了动作。

就在与患者聊天的过程中,杨主任和其他两位医生争分夺秒,在显微镜下,仅用时十多分钟就精准切除了肿瘤。


手术顺利完成患者:唤醒后,没有疼痛感


SHUHOU,YANGZHURENGAOSUJIZHE,“HUANZHEXINGLAIHOU,WOMENCIJIHUANZHEZHONGLIUFUJINDEGONGNENGQU。RUGUOYOUFANYING,JIUSHUOMINGZHEIKUAISHIYOUYONGDE,YAOBAOLIU。RUGUOMEIYOUFANYING,JIUKEYIQIECHU,ZHEIYANGZHONGLIUWANZHENGQINGCHU,ZUIDAXIANDUBAOLIULEHUANZHEDEGONGNENGQU。”


456棋牌ZHONGLIUQIECHUWANCHENGHOU,WUNVSHIZAICIBEIMAZUI,ZHONGXINJINRULESHUSHUIZHUANGTAI,ZHENGGESHOUSHULISHI1XIAOSHI40FENZHONGSHUNLIJIESHU。WUNVSHIGAOSUJIZHE,SHUZHONGBEIYISHENGHUANXINGHOU,TAMEIYOUGANDAOHAIPA,ERQIEYEMEIYOUTENGTONGGAN。MUQIANWUNVSHIHUIFULIANGHAO,BURIJIJIANGCHUYUAN。


YANGKONGBINZHURENJIESHAO,SHUZHONGHUANXINGDUIMAZUISHIYAOQIUTEBIEGAO。RANGHUANZHEZAICHENSHUIHEQINGXINGZHONGLAIHUIQIEHUAN,BINGQIEZAIXINGLAIDESHIHOUGANJUEBUDAOTENGTONG,XUYAOMAZUISHIDUIZHENJING、ZHENDINGYAOWUJINGZHUNDIKONGZHI。WEILAI,ZHEIZHONGHUANXINGFANGSHIKEYIBEIGUANGFANYINGYONGYUSHENJINGWAIKEHEJISUIWAIKESHOUSHU。

还有患者在手术中

唱张韶涵的《遗失的美好》

据媒体报道,浙江省人民医院神经外科主任医师楼林团队实施了一例术中唤醒手术,术中患者应“邀”醒来唱歌朗诵诗使手术顺利进行,不仅完整切除了颅内的肿瘤,且很好保护了其语言功能。


HUANZHEXIAOLUJINNIAN25SUI,CONGSHIZHESHEJISHIDEGONGZUO,PINGSHIHENSHIXIHUANLANGSONGYIJICHANGGEDENGYUYANYISHU。YUANLAIZAIXIAOLUDANAODE“YUYANZHONGSHU”DEWEIZHIZHANGLEGEJIN3GONGFENDEZHONGLIU。JIANYUXIAOLUXIANGYAOBAOLIUGECHANGYIJILANGSONGSHIGEDETESHU“YAOQIU”,ZHUANJIAYUXIAOLUXIANGYUE:KAILUHOU,LAIYICITESHUDE“SHIGEBIAOYAN”。


456棋牌ZAIWANSHANSHUQIANBIYAODEJIANCHAPINGGUHOU,10DUOTIANQIAN,SHOUSHUANJIHUAJINXING。LOULINTUANDUIDAKAIXIAOLULUNAO2GEDUOXIAOSHI,BAOLUZHONGLIUHOU,TONGGUOJIANGDIMAZUIJIANGXIAOLUMANMANHUANXING,SHENQIDEYIMUCHUXIANLE:


医生:已在手术中,感觉还好吗?


小陆:好的。


医生:现在听我的口令做,可以吗?


小陆:可以。


医生:现在可以歌唱了。


小陆唱:海的思念绵延不绝,终于和天在地平线交会……


SHOUSHUZHONGCHANGGEDEXIAOLU

楼林说:“当时我们根据小陆的反应,快速判断出切除的部位是否影响到功能区。患者歌唱时突然出现卡顿等变化,就说明这个点是功能区,需要避开,就这样,患者一边唱歌,我们抓紧做手术。在保持他意识完全清醒的状态下,把紧贴功能区的肿瘤精准完整地切除。”


456棋牌“YIKAISHIMAZUI,MEIYOURENHEGANJUE,BEIHUANXINGZHIHOUKEYITINGDAOYISHENGMENZAISHUOHUA,ZHIDAOSHOUSHUZAIJINXINGZHONG,DANMEIYOUTAIDUOGANJUE。”XIAOLUHUIYISHUO。

麻醉师缺口大!

术中唤醒对其要求特别高

HUANZHEXINGZHEZUOSHOUSHU,NANDAOBUJUEDETONGMA?


456棋牌“ZHEIYISHOUSHU,BUJINDUISHOUSHUYISHENGYAOQIUHENGAO,MAZUISHITONGYANGRUCI,DUIMAZUIYAOLIANG、NONGDUJISHIJIANZHANGWODEQIADAOHAOCHU。”


LOULINJIESHI,MAZUIYAOSHIGEDADEGAINIAN,LIMIANBAOKUOZHENJINGYAO、ZHENTONGYAO,HAIYOUDEYAOWUJIANYOUZHENJING、ZHENTONGGONGXIAO。ZAIHUANZHEXINGZHEDESHIHOU,ZHISHISHAOYONGLEZHENJINGYAO,ERZHENTONGYAOYIRANCHIXUZAIJI,SUOYIHUANZHESHIGANJUEBUDAOTONGDE,NENGGOUANZHAOSHIQIANJIHUAYUYISHENGJINXINGJIAOLIU。


456棋牌JUBAODAO,MIANDUIFENMIANHUOJIBINGSHI,JIKUARENDEWANGWANGBUSHIJIBINGBENSHEN,ERSHILINGRENJUEWANGDETENGTONG。MAZUIDEYIYI,JIUSHIJIANQINGRENMENDETONGKU。


456棋牌ZHEJIANGSHENGYIXUEHUIMAZUIXUEFENHUIFUZHURENWEIYUAN、ZHEYIERYUANMAZUISHOUSHUBUZHURENYANMINJIAOSHOUJIESHAOSHUO,MUQIANWUTONGZHENLIAOJISHUYIJINGSHENTOUDAOLINCHUANGZHENLIAODEGEGEJIAOLUO。


456棋牌SUIZHEWUTONGJISHUDETUIGUANG、SHOUSHULIANGDEZENGJIAYIJIHUANZHEDUITENGTONGGUANLIYAOQIUDETIGAO,DUIMAZUIKEYISHIDESHULIANGHEZHILIANGYETICHULEGENGGAOYAOQIU。


麻醉师缺口大培养周期长


456棋牌“WOMENZHISHAOHAIQUEYIBANYISHANG,ZAIKAIZHANWUTONGZHENLIAODESHOUSHUSHIDEHUA,ZHEIGEQUEKOUHAIYAODA。”YANMINSHUO。


WOGUOMAZUIYISHISUIRANZONGSHUJUSHIJIEDIYIWEI,DANYOUYURENKOUJISHUDA,MEIWANRENKOUMAZUIYISHISHULIANGBUGAO,YILIAOFUWUXUQIUDEZENGZHANGBIANHUADUIMAZUIYILIAOFUWUDAILAIXINDEYAOQIUHETIAOZHAN。


JULEJIE,PEIYANGYIGESHULIANMAZUISHIYAO13NIANZUOYOU。


“白+黑”、“5+2”工作压力大强度高


JUMEITIBAODAO,ZAIQUANGUOFANWEIKAN,MAZUIYISHENGGUOLAODOUSHIPUBIANXIANXIANG。


456棋牌QINGDAOSHIFUERYIYUANMAZUIKEFUZHURENYISHIRENYUEYIQINGCHUJIDE,QUNIAN4YUEFENQIANHOU,CHULEMEITIANLIANGSANTAIXIAOERXINZANGLEISHOUSHUWAI,TAHAIYAOBANGZHUERBIHOUKEZUOYIWUQUCHUSHU。


DANGSHIZHENGZHIERTONGYIWUXIRUDEGAOFAQI,YIGEYUEDESHIJIANLITACANYULE60DUOTAIXINZANGSHOUSHUHESHANGBAITAIERBIHOUYIWUQUCHUSHOUSHU。YOUSHIHOUWANSHANGLINGCHENXIABAN,DIERTIANYIZAO7DIANHAIYAOZHUNSHIDAODAYIYUAN,ZHANGSHIJIANPILAOHEJINZHANG,RANGNIANFULIQIANGDETAXINZANGCHUXIANLEXINJI、XINHUANGDENGFANYING。“YIKEWEITING,DIYITAIHAOBURONGYISONGCHUQU,MASHANGDIERTAIJIESHANG,XIANZAILIANGEFANDOUCHIBUSHANG,YIGERENGANXIAOERXIANXINXINWAIMAZUI,GUJIQUANGUODUYIFEN。”RENYUEYIZAIWEIBOBOWENZHONGJILU。


456棋牌CHULEJUDADEGONGZUOLIANG,BIQIQITAKESHIYISHENGKEYIZAIBUTONGHUANJINGZHONGZHUANHUAN,DEDAOJINGSHENSHANGDUANZANDEFANGSONGWAI,MAZUIYISHENGGONGZUODEHUANJINGSHI“MENGUANZI”SHIDESHOUSHUSHI,ERQIEYIDAIJIUSHIYIZHENGTIAN,HUANJINGFENGBIJIASHANGSHOUSHUQUANCHENGJINGSHENGAODUJINZHANG,XIXINCAOZUO,MAZUIYISHENGZAIJINGSHENSHANGCHENGSHOUZHEJUDADEYALI。


目前,全国共有麻醉医师7.6万人


JINNIAN,GUOJIAWEISHENGJIANKANGWEIYUANHUIFABU《GUANYUYINFAJIAQIANGHEWANSHANMAZUIYILIAOFUWUYIJIANDETONGZHI》ZHICHU,JIEZHI2016NIANDI,QUANGUOYOU55SUOGAOXIAOZHAOSHOUMAZUIXUEZHUANYEBENKEYIXUESHENG。

MUQIAN,QUANGUOGONGYOUMAZUIYISHI7.6WANREN,JIN5NIANZENGZHANG20%,35SUIYIXIAQINGNIANYISHIYUEZHANMAZUIYISHIDEYIBAN。


力争到2020年,麻醉医师数量增加到9万


《YIJIAN》ZHICHU,WEILAIJIANGJIANCHIYIWENTIHEXUQIUWEIDAOXIANG,JIAQIANGMAZUIYISHIPEIYANGHEDUIWUJIANSHE,YOUHUAMAZUIZHUANYEJISHURENYUANJIEGOU,KUODAMAZUIYILIAOFUWULINGYU,WANSHANMAZUIYILIAOFUWUXIANGGUANZHENGCE,DIAODONGYIWURENYUANJIJIXING,QUEBAOMAZUIYILIAOFUWUZHILIANGHEANQUAN。


LIZHENGDAO2020NIAN,MAZUIYISHISHULIANGZENGJIADAO9WAN,MEIWANRENKOUMAZUIYISHISHUTIGAODAO0.65REN;DAO2030NIAN,MAZUIYISHISHULIANGZENGJIADAO14WAN,MEIWANRENKOUMAZUIYISHISHUJIEJIN1REN;DAO2035NIAN,MAZUIYISHISHULIANGZENGJIADAO16WAN,MEIWANRENKOUMAZUIYISHISHUDADAO1RENYISHANGBINGBAOCHIWENDING。


MAZUIYISHIYUSHOUSHUKESHIYISHIPEIBIGENGJIAHELI,GANGWEIZHIZEGENGJIAMINGQUE,MAZUIYUZHENTONGFUWULINGYUBUDUANTUOZHAN,RANGRENMINQUNZHONGXIANGYOUGENGGAOZHILIANG、GENGJIASHUSHIDEYILIAOFUWU。


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