Ms. Wang (pseudonym) who was pregnant at 33 weeks of pregnancy suffered a headache, vomiting, fever, and near -blindness. The examination found that it was a huge brain tumor and accompanied by bleeding, which seriously compressed the nerve cross.The multidisciplinary cooperation of Renji Hospital of Shanghai Jiaotong University School of Medicine successfully completed a minimally invasive surgery of cesarean section and endoscopy.The patient recovered well and was discharged today.
On November 25, Ms. Wang, who was 33 weeks ago, from the 33 -year -old Ms. Wang of the Obstetrics Center of the Obstetrics of Renji Hospital. Ms. Wang, 34 a day ago, suddenly had serious headaches, vomiting, fever with a serious visual defect of the eyes. The vision was blurred.Local hospitals have found a serious place in the brain after CT examination. They believe that the condition is dangerous and it is recommended that higher -level hospitals are recommended.
Ms. Wang came to Renji Hospital with a trace of hopes. The obstetrics transferred her to the obstetrician monitoring room for the first time. After the pituitary gland enhanced magnetic resonance examination, she found that there was a huge tumor of 3.2 cm in the brain, and she was accompanied by bleeding.Cross -optic nerve cross.It is learned that the patient’s condition is critical, and the obstetrics centers and other disciplines will be discussed and formulated. The most important problem is to terminate pregnancy first or do neurosurgery surgery first?The huge compression of the tumor in the brain needs to be removed as soon as possible to alleviate the visual impairment, but 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. Such a huge tumor resection will cause great harassment to the fetus to cause great harassmentThe risk is extremely high, and if the fetal injury is too conservative, the tumor must not be completely removed.
Multi -disciplinary experts have repeatedly weighing the final unified plan: obstetrics to promote the lungs of the lungs, and then give birth to baby to give birth to a cesarean section.Later, neurosurgery re -tumor resection surgery.Experts agree that this is the safest solution for patients and babies.
After the surgical plan was determined, on November 29, Ms. Wang was escorted by the anesthesiology department and the severe medical department.The child center further observed that Ms. Wang was transferred to the surgical monitoring room. Ms. King Ms. Wang Wang had a huge urnal volume, which caused hydrolysis disorders and unstable body circulation. At noon on December 6th, the condition was in the most critical moment.Yuan led his team to stay by the patient’s bed according to the disease and used the medicine according to the condition, and stared at the subtle changes of all indicators. After the close control of the Yiyuan team, the patient’s condition began to improve in the early morning, and the relevant indicators gradually recovered.After careful care, Ms. Wang turned from the surgical guardian to the obstetric monitor.
The neurosurgeologists who pay close attention to the patient’s situation have been discussed again. Zhang Xiaohua, director of neurosurgery, decisively decided to immediately perform surgical resection of the tumor 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, cuts the surface of the surface and pituitary in detail layer by layer and is separated from the tumor.
It is judged by experience. This is a lower skull pharynx tumor in the saddle. Although it is a benign tumor, it is easy to recur because it is difficult to completely eradicate. Wang Yu is separated along the tumor’s surrounding tumor by using endoscopic microscopic operation technology.The huge tumor of the centimeter was carefully peeled from the normal pituitary body, and finally cut off at the origin point. The endoscopy was nearly observed to ensure that there was no residual.
The operation lasted 5 hours. Ms. Wang’s condition continued to be stable during the operation. She returned to her ward after surgery. She returned to a normal diet one day after the operation. The vision was basically returned to normal.Essence
Ms. Wang’s husband’s emotions from the heart: "I am very grateful to the best treatment of experts with superb medical skills at Shanghai Renji Hospital, and your warmth and high concentration of the patient’s condition have always been full of confidence and confidence andtrust!"
