Signing in at the hospital, the first operation shocked the whole country!

Zhang Qingquan looked extraordinarily well-behaved tonight, even Qin Feng felt a little surprised.

When did this guy become so obedient?

It even made him feel a little familiar, like...

Zhao Yitian!

......

conference room,

Qin Feng, Zhu Yijun from the Department of Pediatrics, He Yue from the Department of Endocrinology, plus Zhang Qingquan, four doctors, faced the little girl's parents at the same time.

At this time, it is necessary to explain the condition and analysis in detail, and at the same time give a basic treatment plan.

"Director Qin, the three doctors, we have done a lot of examinations. It's already dawn. Can you tell us what's wrong with Chenchen? What's wrong with us?"

The child's father's complexion was very bad, his eyes were red, and he looked haggard.

"Director, you just said that our daughter is a precocious puberty, what causes it!"

The woman was also very anxious and kept asking.

"Okay, we are just telling you the specific situation of your child now, so don't get excited."

Qin Feng raised his hand to signal, and then opened the slideshow,

"It's like this. After our detailed inspection, it is now completely certain that your daughter has experienced precocious puberty, and the bleeding you found is the manifestation of secondary sexual characteristics, menstruation."

"Precocious puberty is not good for children. Premature development will cause children to end their development prematurely, which will seriously affect not only the body, but also the mind and brain."

"And we have also found out the cause of the disease, you see."

Speaking of this, Qin Feng turned on the three-dimensional effect,

"This is the cause of your daughter's precocious puberty. This is our hypothalamus, which is also the highest center of human endocrine, and this shadow is the cause.

Hypothalamic hamartoma. "

"tumor?"

Hearing this, the faces of the husband and wife changed drastically, especially the woman, who lost all color in an instant and almost fainted.

You know, in the life of normal people, the two scariest words to hear are tumor and cancer!

In most cases, it is not a good outcome to have a tumor.

What's more, this time their daughter still has a tumor in her brain.

"Doctor, Yan... serious?"

The child's father adjusted his glasses, swallowed hard, and stammered.

"Well, don't be too nervous, this tumor is different from what you think."

Seeing this, Qin Feng quickly explained,

"Hypothalamic hamartoma, also known as gray tuber hamartoma, is a relatively rare clinical lesion caused by abnormal development of brain tissue, and it does not appear in the day after tomorrow.

Because it occurs in the hypothalamus, the most important part of the human body, a mass is formed in this place, so it is called a hamartoma.

Some hamartomas will stop growing to a certain extent and will not affect the growth.

But this of your daughter obviously affects the growth, so it needs to be treated. "

......

After some explanations, the couple finally calmed down a little.

But his face was also full of tension and sorrow. Although it was not a tumor in the sense, it seemed that the situation was not very good.

Hypothalamic hamartomas usually cause several conditions.

One is the most common form of gimmick epilepsy, characterized by episodic smirking that lasts for a few seconds or tens of seconds and then stops suddenly.

There is no loss of mind during the attack, which may occur several to dozens of times a day.

However, this situation occurs relatively early, and it is the highest when it is about 1-2 years old.

The other is precocious puberty, just like the little girl is now.

At the same time, some will have behavioral abnormalities and cognitive dysfunction, which will affect intellectual development.

"As far as the current situation is concerned, the hamartoma of your daughter's hypothalamus has reached a size of 2x2.5cm, and it is accompanied by growth. If it continues, it may cause other problems.

Our advice is, surgery! "

After speaking, Qin Feng looked at the couple in front of him.

When the two heard this, they immediately seemed to be flustered.

surgery?

This result was completely beyond their expectations. They thought their daughter had been hurt, but unexpectedly fell ill.

"Director Qin, can this disease be cured?"

father asked proactively.

"We need to make further judgments on this, and at the same time discuss the surgical plan with the pediatric department.

So far, the success rate of the operation is still very high. "

Qin Feng nodded and explained.

"Then...we agree to the operation."

The couple looked at each other, then nodded.

After all, this is Xiehe Hospital, one of the top tertiary hospitals in the country.

"Okay, that's it, you go through hospitalization first, and we will confirm the surgical treatment plan tomorrow."

"Okay, we'll do it right away."

Chapter 345 Surgical treatment, Qin Feng is the chief surgeon again

The next day,

Just finished the handover early in the morning, Qin Feng didn't go home.

The little girl was hospitalized yesterday and is now in the emergency department.

Today's job is to complete the discussion of the operation plan, and at the same time, the parents of the child will decide.

"Director Qin, I received your call early in the morning."

Qin Feng was sorting out the medical records in the conference room, when a smiling voice pushed open the door and entered his ears.

"Director Sun, I'm sorry to disturb you so early."

He quickly got up and took the initiative to meet him.

The person who came was Sun Wenhong, the deputy director of the Department of Pediatrics. She was in her 50s and was amiable.

"It's okay, I heard from Dr. Zhu that it's a little girl with a hypothalamic hamartoma."

"Yes, otherwise I wouldn't trouble you to come over."

Qin Feng nodded.

"Well, this case is indeed very valuable. Although we are well-known in Xiehe, pediatrics is indeed not strong in the whole country.

The best place for hypothalamic hamartoma is Xiangya Hospital. Even in this capital city, it is not as good as the army general and friendship with them.

But you still kept the patient, it seems that you have a well-thought-out plan, hehehe~"

Sun Wenhong nodded kindly and smiled.

"Director Sun, you have a high opinion. Although this is a neurosurgery operation, the patient is still in the category of pediatrics.

Even in Xiangya, the department of pediatrics is in charge of it, and the surgeon is the master. "

Qin Feng immediately changed the subject when he heard the words, and pushed all these to Sun Wenhong.

"Director Qin has a bright future, hahaha~"

Sun Wenhong smiled even more when she heard this.

Qin Feng does have selfish intentions!

But not for myself and the emergency department, such a case is indeed a rare opportunity for pediatrics.

Including him is also the first time to meet, although there are countless memories in my mind, but it is always different to do it yourself.

"Two directors, what are you talking about so happily?"

At this moment, Director Pan from Shenwai also arrived.

"Old Pan, you came quite early."

When Sun Wenhong saw him, she also took the initiative to say hello.

"Old sister, you are here, why don't I hurry up?"

Pan Hai smiled and said politely, then looked at Qin Feng who was beside him,

"Director Qin, I heard that this time is a hypothalamic hamartoma? This is a rare opportunity.

Since you became the deputy director of the emergency department, the emergency department of our surgery has become much easier. Last time, I said that when the directors are free, please gather together. Thank you very much, hahaha! "

"Director Pan is polite, it should be."

Qin Feng nodded and smiled, then greeted the two of them,

"Let's sit down and study this surgical plan first. I want to hear your suggestions."

"it is good."

"sit down."

The three sat down and began to check all the examination results and related cases of the little girl.

The surgical plan is a big issue related to the safety of the ultimate patient, so every step must be advanced in depth and with confidence.

Moreover, bovine brain hamartoma surgery is a relatively difficult surgical operation, mainly because of the special location of the tumor and the relatively high risk during the operation.

The abnormal development of hesitant neuron cells, coupled with the surrounding connected brain tissue and blurred boundaries, the situation will become very complicated during the operation.

Often prone to tumor resection is not clean.

If the operation is inaccurate and more resections are performed, it will cause damage to other brain tissues and leave serious sequelae to the patient.

Therefore, for hypothalamic hamartoma surgery, there are currently three methods commonly used around the world.

Traditional treatment methods include direct craniotomy, pterional approach, subtemporal approach, or tumor resection through the interfornical approach of the corpus callosum.

There are also endoscopic resection of tumors by the third ventricle, these two types.

However, surgical resection has certain limitations.

From an electrophysiological point of view, hamartoma is a common epileptogenic focus. Generally, children will appear gleeful, and severe cases may be accompanied by generalized tonic-clonic seizures.

Especially the epileptogenicity of the edge of the tumor is very strong. If the surgical removal is not clean and there are residuals, the problem of precocious puberty will continue to occur, and even associated epilepsy symptoms may occur.

"Director Qin, I think that although the tumor is relatively large, I still recommend trying SRT."

Pan Hai, the director of neurosurgery, studied it for a while and said,

"Director Sun, what do you think?"

"I also looked at the patient's condition in detail. Director Pan's SRT is indeed a solution, but I have a question."

Director Sun Wenhong pondered for a few seconds, frowning slightly,

"However, at present, SRT is targeting such a large tumor, and I am afraid that it cannot be eliminated once. If it is performed twice, will the risk be greater?"

Hearing this, Qin Feng also nodded.

SRT is a radiotherapy method, and it is also a common surgical method for hypothalamic hamartoma.

It is a treatment method mainly through non-coplanar multi-field unit cluster irradiation and multiple fractionation therapy, so that the target area can get a higher dose and reduce the dose received by surrounding normal tissues and organs.

It is mainly used for the treatment of brain malignant tumors and relatively large tumors, as well as various malignant tumors of the body, and belongs to the biological treatment method.

It has very obvious advantages.