Reprint from: People's Daily
Introduction
"5+3=8 " , in operation opening skull, the patient is waked up to become a problem, is this what operation?
In operation opening skull, the patient is waked up to become a problem
Be being opened skull operation, was waked up to do path maths to inscribe, still get word of be shy with strangers, what circumstance?
So this is " wake up in art " , also be haing cure big one courtyard is passed first " wake up anaesthesia " make a patient sober in art a short while, cooperate doctor essence to excise brain tumor definitely, lest come up against functional area, affect language and action ability.
Meningeal tumour is pressed in functional area, affect language function and operation
According to report of new evening paper, ms. Wu of 59 years old will breath out cure big one courtyard group when force courtyard area sees a doctor, conversation is not agile, half sideways put oneself in another's position is not active, because there is as it happens of a meningeal tumour to be pressed in functional area in her head, affected language function and operation. Check discovery, because Ms. Wu puts cure to bring about tumor and head to organize extensive adhesion before this, it is very difficult to think essence of life allows cut away tumour not to touch functional area.
After discussing through careful research, neurosurgery director Yang Kongbin decides " wake up in art " patient, let a patient cooperate him to discern functional area position, excision tumour while protect area of normal brain function as far as possible.
Be waked up to make problem, know how to read in patient operation, make a motion
Scared psychology arises when be waked up in art to avoid a patient, before art, the vice director of king Hua Min of Director Yang and anaesthetic division, come to ward and Wu Nv for many times person " rehearsal " .
Through the preparation before sufficient art, the operation begins formally. Ms. Wu begins after complete hemp " sleep deeply " , director Yang carries the head a 5 centimeters small cut, determined the position of tumor according to the fixed position before art.
When the operation has a key, vice director of Wang Hua civilian stops relevant narcotic immediately. Used time of 5 minutes only, ms. Wu slowly open an eye.
"What is this picture? How does this word read aloud? " the doctor takes out card of ready a few pieces of drawing at once, ask Ms. Wu, "Apple " , " pear " , " 5+3=8 " , ms. Wu after regaining consciousness is all if answer flows. "Move the finger that moves you " , "Move the toe that moves you again " , after a series of instructions that receive Wang Hua civilian, ms. Wu cooperated a doctor to complete an action for many times.In the process that chatting with the patient, director Yang and other two doctors against time, below microscope, when be being used only more than 10 minutes excised tumor definitely with respect to essence of life.
The operation is finished smoothly, patient: After waking up, not was fond of keenly feel
After art, director Yang tells a reporter, "After the patient awakes, we provoke the functional division near patient tumour. If respond, explain this is useful, want to withhold. If do not have reaction, can excise, such tumour are complete and cleared, utmost preserved functional area of the patient. Utmost preserved functional area of the patient..
After tumor excision is finished, ms. Wu again by anaesthesia, entered afresh sleep soundly condition, whole operation last a period of time ends smoothly 40 minutes 1 hour. Ms. Wu tells a reporter, after be being waked up by the doctor in art, she did not feel fear, and also not was fond of keenly feel. At present Ms. Wu restores good, om a few days is about to leave hospital.
Director Yang Kongbin introduces, pair of anesthetist are waked up in art the demand is particularly high. Let a patient be mixed in sleep deeply switch makes a round trip in regaining consciousness, and feel when awake be less than ache, need anesthetist allows ground control to essence of composed, calm medicaments. Future, this kind wakes up means to be able to be applied extensively at neurosurgery and operation of spinal cord surgery.
Still the patient sings Zhang Shaohan in the operation " lost happiness "
According to report of city wall bulletin, lou Lin group carried out doctor of chairman of neurosurgery of hospital of Zhejiang province people the operation is waked up in an art, the patient in art answers " invite " awake sing reading poem makes the operation goes on wheels, not only complete excised the tumour inside skull, and very good protected its language function.
Patient small Liu Jin is 25 year years old, pursueing the job of stylist, it is to like very at ordinary times reading and sing wait for language art. Be in so of small land cerebra " speech center " the tumour that the position grew a nearly 3 centimeter. Want reservation to sing in view of Xiaoliu and those who recite poetry is special " requirement " , expert and Xiaoliu make an appointment: After opening skull, come special " poetry is performed " .
After necessary before perfect art examination is evaluated, many days 10 ago, the operation undertakes by the plan. Building forest group opens head of small land skull 2 many hours, after revealing tumor, wake up slowly through reducing anaesthesia general Xiaoliu, magical one act appeared:
Graceful of video king constant
Doctor: Already was in the operation, is the feeling not bad? Xiaoliu: Good. Doctor: The countersign that listens to me now is done, OK? Xiaoliu: Can. Doctor: Can sing now. Xiaoliu sings: The longing of the sea is continuous incessant, hand in in horizon with the day eventually meeting...The Xiaoliu that sings in the operation
Lou Lin says: "Our ground is little at that time the reaction of land, whether does the place that judges an excision quickly affect functional area. Card appears to wait for change suddenly suddenly when the patient is vocal, with respect to the specification this is nodded is functional area, need keeps away from, such, the patient sings at the same time, we clutch become an operation. In maintain the condition with his wide-awake consciousness to fall, permit the tumor choice of clingy function area to be excised thoroughly. Permit the tumor choice of clingy function area to be excised thoroughly..
"Anaesthetic at the beginning, without any feelings, doctors can be heard after be being waked up talking, know operation afoot, but without too much feeling. " small land memory says.
Anesthetist gap is big! Wake up in art particularly tall to its requirement
The patient is awake become an operation, do not feel painful?
"This skill art, ask to operation doctor not only very tall, anesthetist is likewise such, seasonable to anaesthetic dosage, chroma master properly. Seasonable to anaesthetic dosage, chroma master properly..
Lou Lin explains, narcotic is an old idea, the face includes composed medicine, demulcent drug in, return some medicaments to hold composed, demulcent effect concurrently. When the patient is awake, just used composed drug less, and demulcent medicine still is in continuously, so the patient does not feel painful, can undertake communicating according to beforehand plan and doctor.
According to new blue network - client of Chinese blue news carries a story, when facing childbirth or disease, attack break down of the person often not be disease itself, what make a person acedia however is aching. Anaesthetic meaning, reduce the anguish of people namely.
Yan Min of head of department of operation of 2 courtyards anaesthesia teachs medical science of committee member of vice director of chapter of anesthesiology of society of Zhejiang province cure, short for Zhejiang Province say,
Add those who try to reach a patient to run a requirement to ache to rise as what measure without the promotion of painful technology, operation, also raised taller requirement to the amount of anaesthetic family doctor and quality.
Anesthetist breach fosters cycle to grow greatly
"We still are short of half above at least, reopen unfurls the word of the surgery that does not have painful diagnosis and treatment, this gap is even big. " Yan Min says.
Our country anaesthetic doctor although gross resides the world the first, but because population cardinal number is large, amount of doctor of anaesthesia of every 10 thousand population is not high, the growth of demand of medical treatment service changes to bring new requirement and challenge to service of anaesthetic medical treatment.
As we have learned, foster a skilled anesthetist to want the left and right sides 13 years.
"White + black " , " 5+2 " actuating pressure great strength is high
According to report of peninsula Metropolis Daily, look in countrywide limits, anaesthetic doctor overfatigue is common phenomenon.
Qingdao city Fu doctor of vice director of hospital anaesthesia division holds the post of Yue Yiqing Hunan to remember, last year April around, besides everyday heart of 3 two children kind outside the operation, he helps otolaryngology do an eyewinker to take out skill even.
Be worth the tall hair with children inspiratory eyewinker at that time period, he participated in surgery of many 60 heart and eyewinker of about a hundred ear-nose-throat to take skill skill in the time of a month. Occasionally before dawn comes off work in the evening, the following day early in the morning is even punctual at 7 o'clock reach a hospital, long exhaustion and insecurity, his what let in the prime of one's life heart appeared the reaction such as palpitation, palpitate. "Did not stop momently, the first good send out not easily, the 2nd is received on, connect a meal now be unable to get something to eat, a person does this children first the anaesthesia outside heart heart, estimate the whole nation alone. " Ren Yue justice is recorded in small Bobowen.
Besides tremendous workload, can change in different environment compared with doctor of other administrative or technical offices, outside getting the brief relaxation on spirit, the environment that anaesthetic doctor works is " frowsty jar " the surgery of type, and be being waited for is daylong, the environment closes add spirit of begin art whole journey high-strung, attentive operation, anaesthetic doctor is bearing on spirit enormous pressure.
Current, 76 thousand person of countrywide mutual and anaesthetic doctor
According to healthy times report, this year, healthy committee releases national sanitation " the announcement that be strengthened about print and distribute and perfects anaesthetic medical treatment to serve an opinion " point out, up to by 2016, the whole nation has 55 colleges to recruit medic of anesthesiology major undergraduate course.
Current, 76 thousand person of countrywide mutual and anaesthetic doctor, grow 20% nearly 5 years, doctor of 35 years old of the following youths takes the in part of anaesthetic doctor about.
Strive 2020, anaesthetic doctor amount increases to 90 thousand
" opinion " point out, future will insist be with problem and demand oriented, strengthen anaesthetic doctor education and team construction, optimize structure of personnel of anaesthetic and professional technology, enlarge anaesthetic medical treatment to serve a field, perfect and anaesthetic medical treatment serves relevant policy, arouse medical personnel enthusiasm, ensure anaesthetic medical treatment serves quality and safety.
Strive 2020, anaesthetic doctor amount increases to 90 thousand, number of doctor of anaesthesia of every 10 thousand population rises 0.65 people; to arrive 2030, anaesthetic doctor amount increases to 140 thousand, number of doctor of anaesthesia of every 10 thousand population is close to 1 person; to arrive 2035, anaesthetic doctor amount increases to 160 thousand, number of doctor of anaesthesia of every 10 thousand population achieves 1 person above and keep stable.
Anaesthetic doctor and doctor of operation section office deserve to compare more reasonable, post responsibility is more clear, anaesthesia and demulcent service territory are extended ceaselessly, let people enjoy more more high quality, comfortable medical treatment serves.
