Four -year -old daughter is facing paraplegia, and the post -90s mother "take bones and save women"

"From the discovery of my daughter's spine tuberculosis, after surgery, I have been with her in the hospital. Sometimes I hear bad news. I really collapsed as a mother, but the child is stronger than me. Said, mother, you must be happy, we will all get better! "The post -90s mother Xiaoyu (pseudonym), who has been with her daughter, recalled the experience of seeking medical treatment, and couldn't help tears. The four -year -old Fifi (pseudonym) recovered well after surgery, and was discharged smoothly a few days ago.

It is reported that in July last year, Feifei unfortunately had spine tuberculosis, and the tuberculosis lesions had spread from the lungs to the thoracic spine. It was dangerous for high paraplegia. It was necessary to remove the lesion and then rescue the spinal cord. And this requires taking a fresh bone from the parents and implanted the child's damaged vertebral body in order to ensure the success of the operation. Fortunately, after the timely treatment of Zhang Qiang, chief physician of the Department of Three Department of the Department of Studio of the Guangzhou Chest Hospital, it successfully avoided the girl's paraplegia.

Experts said that, relative to adults, although the incidence of children's spine tuberculosis is not high, vertebral abscess, collapse, malformations, diffusion, and compression of spinal cord after infection will increase sexual aggressiveness. Early treatment, finding the right hospital and specialty team is the key.

Currently, Fifi has recovered and discharged from hospital

Diagnosis: 4 -year -old girl's feet diagnosed as thoracic spine tuberculosis

Xiaoyu and her lover worked in Guangzhou, because no one was taking care of Feifei, so she had to send her back to her hometown to take care of her grandma. In July 2021, Xiaoyu found that the child "had one foot while walking." I went to the local hospital for examination and found that the child's back vertebrae body was slightly protruding. The doctor thought that it might be caused by calcium deficiency. It is recommended to add calcium tablets to the child, expose the sun, and exercise in moderation.

However, more than two months later, Feifei was more and more serious. Sensitive parents took their children to the hospital for a full -body examination. MR prompted vertebral abscess. Considering the possibility of spine tuberculosis, it is recommended to take children to Guangzhou Cheung Hospital. Department (orthopedic) further diagnosis and treatment.

"Through our further examination, it is found that the child's tuberculosis lesions have spread from the lungs to the thoracic spine, causing the vertebral structure to be destroyed, causing the vertebral body to collapse, rear abnormality of the thoracic vertebrae, and the spinal cord compression. Rescue the spinal cord, otherwise the child will have the danger of high paraplegia, and the operation is urgent. "Director Zhang Qiang told Xiaoyu in detail the surgical risk and treatment plan, and made suggestions to do such bone implant surgery for children. In order to be implanted with damaged vertebral bodies in order to ensure the success of the surgery.

Treatment: Mom donated 4 cm of iliac bone to save her daughter

"Director Zhang told me that after the bone planting surgery plan, I was very scared and anxious at the time, and I was particularly bottomless. The child's thoracic tuberculosis abscess continued to expand and it was about to break into the lungs." At the time, Director Zhang Qiang's team successfully performed spine tuberculosis surgery for another four -year -old child Tong Tong (pseudonym), and the postoperative recovery was good.

"It is so coincidentally. I saw this successful surgical case. Before the operation, I saw that the child was paralyzed and couldn't go. It could be taken out of bed 2 weeks after the operation. And the child's condition was similar to my daughter The thoracic vertebra that was destroyed by lesions was large and small age. It was used by his father to implant the child into the child's damaged thoracic spine. It is said that the success rate of this operation is high and it can save a lot of costs. As a mother, I am willing to donate. The bones on the background to save the child. "Xiaoyu said.

On the day of the operation, the director of the Director Zhang Qiang took out a piece of iliac bone about 4 cm in size from the right side of the small feathers to repair it according to the size and form of the child's vertebral defect. Plant into the child's vertebral body. In order to ensure that the bone implantation does not shift, it is fixed internally to create a stable healing environment for it. After more than three hours of the medical staff for more than 3 hours, the operation was successfully completed.

Director Zhang Qiang said that the lesion was cleared through the front of the thoracic thoracic spine, the degradation of the spinal cord by the lesion tissue, and the bone planting reconstruction of damaged thoracic spine and internal fixation. This is the core technology of the thoracic spine tuberculosis surgery. The advantages of the Department of Hospital have always maintained a leading position in Guangdong and even South China.

Rehabilitation: Careful care, the child was discharged smoothly in two weeks

It is said that "three -point treatment, seven -point care", for patients with spine tuberculosis, early recovery and functional exercise after surgery are particularly important. Orthopedic nurses professional exercise for children and children daily.

"The medical care here takes care of the children. The long -term care of the house will tell us how to take care of the baby after surgery. The nurses and sisters are also very intimate. Children do leg exercise. "Xiaoyu said.

Every day, the nurse will guide the children and their families to conduct postoperative rehabilitation training, including axis turning, straight legs raising exercise, ankle pump exercise, and preventing complications. Wear brackets correctly for children.

After careful treatment and care from the medical staff, Feifei's wound healed well, and the lower limb function gradually recovered. He could soon get out of bed. He walked slowly with the bed column and was discharged from the hospital in less than half a month.

"During the whole treatment, I have been with her, and my child's optimism and strength are infected with me!" The whole family was very satisfied with the recovery effect after surgery. It is reported that Fipi needs to continue to treat anti -tuberculosis after surgery. Director Zhang Qiang said that after a certain period of consolidation treatment, as the child's condition continues to improve and stabilizes, anti -tuberculosis drugs can be gradually discontinued. Related links: How to find spine tuberculosis early?

The spine tuberculosis is a secondary disease. The primary disease is tuberculosis, gastrointestinal tuberculosis or lymphatic tuberculosis, etc., and bone and joint tuberculosis are caused by blood circulation pathway.

The disease is slow, with symptoms such as low fever, fatigue, weight loss, night sweats, appetite, anemia, and pain. Children often have symptoms such as night crying, dullness, or irritability.

Pain is often the first symptom. Usually mild pain, the symptoms are reduced after rest, and they worsen after they are tired.

Director Zhang Qiang said that according to the medical history, clinical manifestations, signs, X -ray, CT, MRI and laboratory examination, the clinical diagnosis of spine tuberculosis is not difficult. The key is early discovery. If parents find that their children are inexplicably called neck, chest, low back pain, or rear bumps of the spine, there are symptoms such as low fever, fatigue, weight loss, night sweats, appetite, and anemia.

Wen, Tu/Guangzhou Daily · Xinhuacheng Reporter: Zhang Qingmei Correspondent: Jingshilai Guangzhou Daily · Xinhuacheng Editor: Ma Junxian

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