Ms. Wang, a maternal mother of 33 weeks of pregnancy (32 weeks of pregnancy), had headaches, vomiting, fever, and blindness a month ago. The examination found that it was a huge brain tumor and accompanied by bleeding, and the nerve cross was severely compressed.The multidisciplinary cooperation of Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine successfully completed the cesarean section surgery and endoscopic nasal invasive surgery.At present, patients are recovered well and they are discharged today.
On November 25th, Ms. Wang, who was 33 weeks of pregnancy from Zhejiang, a 34 -year -old vision, was seriously defected by her headache, vomiting, and heating, and she was blurred.Local hospitals have discovered a serious place in the brain after CT examination. They believe that the condition is complicated and it is recommended that the higher hospital for treatment.
Ms. Wang came to Renji Hospital with a trace of hopes. The obstetrics were transferred to the obstetrics of the obstetrics for the first time. After the pituitary enhancement magnetic resonance examination, she found that her brain had a huge tumor of 3.2 cm and accompanied the bleeding of strokes.Seriously compress the intersection of the nerve.I learned that the patient’s condition was critical, and Lin Jianhua and Zhang Yu, the chief physicians of the Obstetrics Center, attached great importance to reporting the obstetric safety office.The most important problem in the plan is to be in front of it -to terminate pregnancy first, or do neurosurgery first?
The huge compression of the tumor in the brain needs to be removed as soon as possible to alleviate the visual impairment; however, the two sides of the tumor are next to the most important arteries and venous structures of the brain such as the neck arterial sponge sinus.Habits are extremely risks, and if you are afraid of fetal injuries, too conservative rules must not completely remove tumors.
Multi -disciplinary experts have repeatedly weighing, and the final unified plan: Obstetrics to promote the lungs of the lungs and give birth to baby to give birth to babies, and make preparations for premature infants.After stabilization, neurosurgery is re -tumor resection.Experts agree that this is the safest solution for patients and babies.
On November 29, Ms. Wang was escorted by the anesthesiology department and intensive medical department. After a general anesthesia, a cesarean section was undergoing a cesarean section and a 1950 grams of male babies were successfully produced.Ms. Wang turned to the surgical guardian.
In the monitoring room, Ms. Wang has been huge due to small urination, causing hydrolated electrolyte disorders and unstable circulation in the body. At noon on December 6, her condition reached the most critical moment.Director of the Severe Medical Division, Wu Yuan led his team to keep the medication by the patient’s bed according to the condition, and paid close attention to the subtle changes of all indicators.After the close monitoring of the Yiyuan team, in the early morning, the patient’s condition began to improve, and the relevant indicators gradually recovered. After careful care by the medical team of the foreign supervision, Ms. Wang was transferred from the surgical monitoring room to the obstetric room.
The neurosurgeologists who pay close attention to the patient’s situation have been discussed again. Zhang Xiaohua, director of neurosurgery, decisively decided to remove the tumor immediately and relieve neuropic compression as soon as possible.On December 13, the surgery was the main sword of Wang Yu, deputy chief physician of neurosurgery, and Chen Jie, chief physician of the Department of Anesthesiology, served as anesthesia monitoring during the operation.Tumor, under the observation of high -definition endoscopy, Wang Yu carefully cuts the surface of the surface and the pituitary and is separated from the tumor. According to the experience, this is the lower skull pharynx tumor of the saddle.It is difficult to completely eradicate, so it is easy to recur.Wang Yu used endoscopic micro -operation technology to be separated along the tumor’s surroundings, and gradually peeled carefully from the normal pituitary body from normal pituitary at the origin point, and finally cut off at the origin of the origin.Essence
The operation lasted 5 hours. The situation of Ms. Wang continued to be stable during the operation. She returned to the ward after surgery. The normal diet was restored the next day, and her vision was basically returned to normal. Through a week of endocrine hormone adjustment, she was successfully discharged on December 22 on December 22.Essence
Ms. Wang’s husband sighed from the heart, "I am very grateful to the best treatment of experts with superb medical skills at Shanghai Renji Hospital. Your warmth and high focus on patients have always been full of confidence and trust!"
Editor -in -chief: Gu Yong
Source: Author: Yangzi
