Treatment of giant neurofibroma scalpels to create a path

The scalpel has a way out

One day in late August, at the Peking University International Hospital, the day was still not bright, and Zhang Jie’s family was sitting around the window by the window, eating nothing and not talking.

A stainless steel surgical flat car drove away Zhang Jie, a 14-year-old daughter of Zhang Jie. Zhang Jie chased the car tightly until the white door in the operating area slowly closed. She did not dare to say goodbye to her daughter.

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Since birth, Zhu Ziqi has been unable to get rid of the giant neurofibroma. At first, it was just a small piece of erythema on the skin of the clavicle. Later, it gradually expanded and bulged. At the age of 10, the doctor removed the tumor from the left chest for her. In less than a year, on her original slender neck, another tumor came out again, and the situation was even more ferocious. It swells like a balloon and quickly compresses nerves, vocal cords, and even trachea.

The voice of the little girl became hoarse, and the snoring sounded in her throat when she spoke, like trying to pump water from a dry well. Her breathing is also getting harder and harder, often coughing all night. It is foreseeable that if you do not have surgery, this 14-year-old life has entered a tense countdown.

But the risk of surgery has discouraged many hospitals. The neck is one of the most vulnerable parts of the human body. The blood vessels and nerves are very rich, and this tumor about 10 cm in diameter tightly wraps the internal carotid artery and vein of Zhu Ziqi, and they directly participate in the blood supply to the brain. Death, hemiplegia or becoming a vegetative person are all likely outcomes.

Zhang Jie family wants to gamble. They took their daughters around to seek medical treatment, went to the provincial capital from their hometown in Henan, and then rushed to Beijing. One hospital barely cut the tumor and saw the true meaning of the monster. Then they sewed the wound.

Peking University International Hospital is Zhang Jie’s last hope. This three-level general hospital, which has been in operation for less than three years, is located in the Changping area and is known for its multidisciplinary collaboration in dealing with complex cases. After careful examination, consultation and debate, the hospital's maxillofacial surgery and interventional vascular surgery finally decided to jointly perform surgery for Zhu Ziqi.

At 9:00 am on August 21, after being approved by the hospital and approved by the family, the China Youth Daily and Zhongqing Online reporter were allowed to enter the operating room to witness the extremely high-risk operation.

Inject the embolic agent into the tumor blood vessels and block its blood flow

According to the doctor's instructions, the China Youth Daily and Zhongqing Online reporters put on pale green surgical gowns and slippers, and put on disposable surgical caps and masks. There are many taboos in the locker room. For example, the changed clothes can't touch the ground. "In case, the soles of the shoes are stained with blood!"

The entire operating area is quiet and quiet, like the mysterious laboratory in science fiction films. Pass through a long corridor and the operating room is in the F2 area.

The sound of "drops...drops...drops..." echoed in the operating room, which was the rhythm of Zhu Ziqi's heartbeat. The number on the blood pressure monitor fluctuates between 70 and 100.

The anesthesia has been completed. Zhu Ziqi, who shaved some of her hair, was lying on the operating table made of metal frame. A catheter is inserted into her mouth and connected to the ventilator. Only the numbers on the instrument show that the girl is still alive.

She on the operating table was judged two days ago. At that time, she was sitting in the ward, wearing ripped jeans, ponytails, and chatting with her classmates from time to time. In this fight against the disease, she showed indifference that was not consistent with her age. She knows the scientific name of the tumor, can accurately describe her medical history, and often searches for information online. In front of outsiders, she does not easily reveal her emotions, and even blames her mother for "knowing to cry."

She is not afraid of this operation. The only thing she worried about was the missed days of junior high school. The operation was originally scheduled for the previous Monday, but was forced to push back for a week due to blood shortage.

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