Luzhou No. 1 People's Hospital completed the city's first morphine pump brain implantation surgery
Author:Hunan Medical Chat Time:2022.07.20
Grandma Chen, 75, has a history of systemic lupus erythematosus and nasopharyngeal carcinoma for more than 10 years. In April this year, she was hospitalized due to herpes herpes herpes herpes herpes.
Grandma Chen has lived a painful life in the past six months. The oral and maxillofacial area has continued to acupuncture and cut -like pain. During this period, Grandma Chen took various painkillers. Even if the dose was increased, the analgesic effect was still poor.
Even if you take a large amount of morphine 300mg, the pain cannot be controlled. The pain is as high as 8-10 points when the VAS score is severe, and various side effects that are difficult to withstand, and the quality of life is severely reduced.
Recently, the pain department of the First People's Hospital of Luzhou City was frequently visited due to the outbreak of pain.
Considering the special circumstances of Grandma Chen's face pain, Xiao Hongzhi, director of the Department of Pain Department, and Deputy Chief Physician Liu Baijing, a series of rigorous preoperative assessment and surgical solution design, decided to perform the macular pumping of the morphine pump brain induction surgery to relieve her pain Essence
Because the tip of the catheter needs to reach near the bridge, it may cause brain stem hemorrhage and life, and the risk is high. Therefore, Professor Wang Yaping of Xiangya Affiliated Hospital was invited to guide the whole process.
Different from the previously administered in the sheath, it is to put the catheter puncture into the front bridge pool to act on the center pain sensor.
After 1 hour, the operation was successfully completed.
Because the drug directly acts on the cranial nerve (trigeminal nerve, ligue and pharyngeal nerves, facial nerves, etc.) from the brain stem, it can fully cover Grandma Chen's face, including the pain area including the head.
[Maline pump successfully put into the brain chamber]
After surgery, the morphine pump was turned on, and the doctor gave the morphine 0.06mg/day, which was one thousandth of the oral dose. Grandma Chen's face pain disappeared, and VAS scored 1 point.
This surgery brought a good analgesic effect to Grandma Chen, had a good sleep, and could eat normally.
At the same time, the amount of analgesic agent of extremely small amounts avoids the addiction and other side effects brought by large doses.
The successful development of this operation marked a new level in the field of the first people's hospital in Luzhou City in the treatment of advanced tumor patients, realizing the whole body coverage of pain in the treatment of pain, and filling the gap of this technology in the southern Hunan region.
(Edit Rainbow.)
Hunan Medical Chat Special Author: Liu Baijing Wang Hui, First People's Hospital of Luzhou City
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