"Remove" 20 pounds of heavy fibroma and quasi -college students embarked on the way to learn easily

Cover news reporter Qiu Tian

In the early morning of August 10, Xiaojiang (pseudonym), who was about to go to college this year, returned to the Department of Plastic Surgery of Huaxi Tianfu Hospital of Sichuan University with the company's company.

Two weeks ago, Professor Li Zhengyong's team joined the hospital's general surgery, anesthesia surgery center, blood transfusion department, radiology department, etc., and successfully removed the cure nerve fibroma with a diameter of over 40 cm and weighing about 20 pounds. At present, Xiaojiang's physical condition is recovered well.

Incidence 1/2500

The guy suffers from huge nerve fibroma

According to family members, a large spots appeared in the waist about one month after Xiajiang were born. At that time, Xiaojiang's nurse aunt told Xiajiang's mother to pay special attention to this big spot. At the age of five, the position of the small spots in the small river began to rise. At that time, the diagnosis of going to the hospital was hemangioma, but because the child was too small, it was recommended to observe first. Increasing and diagnosed with neurofibroma.

Neurological fibroma disease is a set of ingredients of genetic hereditary tumor inhibitory syndrome, which has the possibility of cancer, including type I neurofibroma (NF1), II neurofibroma (NF2), and multiple neurobetoma. It occurs in any part of the human body and has the characteristics of aggressive growth. Excessive growth of soft tissue may seriously affect the quality of life of patients. The obvious manifestation is that the patient will have huge mass on the body and follow the coffee spots. Xiaojiang suffers from the most common type of type I neuroma. The incidence is 1/2500 at birth, and the prevalence is 1/4000 ~ 1/2000.

Professor Li Zhengyong said that neurofibroma, as a type of body tumor, has two special characteristics: first, it is congenital, and the patient is born, and the longer the age of the tumor will grow older; Second, there are many blood vessels in the tumor, often with large blood vessels supply tumors, and because blood supply is very rich, many places often misdiagnose hemangioma.

Lotten 4 hours

Multi -disciplinary joint association successfully "disassemble"

On the morning of July 26, under the cooperation of the operating room, anesthesiology, and blood transfusion department, Professor Li Zhengyong had undergone tumor resection for Xiajiang.

At 8:21 in the morning, Xiaojiang entered the operating room; at 8:48, a static suction composite anesthesia was implemented; the major channels were established before surgery, the push -up position, disinfection preparation, etc. Director Wang Xiao and anesthesiologist Liu Xuewei at the Center of Anesthesia Surgical Monitoring at all times to monitor patients with blood pressure and oxygen saturation, and supplement effective circulating blood capacity in a timely manner according to the bleeding situation.

Because neurofibroma is deeply penetrated into the spine, and the muscle infiltration and growth can not distinguish the clear level, and a little carelessness will cause severe bleeding. The main knife doctor Chen Zhixing is very careful when each separation is implemented. Each blood vessels stop bleeding by ligating, fully block the blood supply, and then remove the tumor body upside down, while retaining some relatively healthy tumor skin to cover the creation area.

Due to the abundant blood supply to the tumor, the total blood volume of the small river during the technique still reached 3500 ml. In order to cope with bleeding during the operation, the anesthesia surgery center uses autologous blood recycling devices. This device can recycle the hemorrhage during the operation, and then the autologous blood transfusion that is rich in red blood cells after filtration can not only reduce the blood transfusion costs, but also reduce the possibility of immune response and infectious disease transmission caused by the possibility of infusion of the vitamin blood. At the end of the surgery, it only entered 400 ml of fresh frozen plasma for Xiajiang, which greatly saved blood.

In addition, the anesthesia surgery center also enables the liquid heating device. The device can heat the original cold liquid in the small river to normal body temperature to prevent patients from falling in low body temperature during surgery and decreased coagulation function caused by low body temperature.

It took 4 hours and 6 minutes, and the surgery was successfully completed. The neurofibrum tumor with a net weight of about 20 pounds behind Xiaojiang was successfully removed.

Put on the dream jacket

Go to embrace brand new college life

During the illness, because the huge tumor will shake on the back, Xiaojiang never wear tight clothes after puberty, and clothes such as jackets never dare to touch. "He looked like a normal person before, but there was a big pimple in the back. He also had a heavy burden in his heart. Many times his classmates always refused to ask him to play with him." Xiajiang's mother said.

On August 9th, the day before the line disassembling, Xiaojiang's uncle took Xiajiang to buy a few more personal new clothes, and Xiaojiang chose a slim jacket for himself. Xiaojiang's mother told reporters that Xiajiang will go to Xi'an to go to university. She can wear her favorite clothes to embrace the life of a new university, and will also face the future more actively and optimistic.

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