The broken knife was taken out by surgery.
Length of broken knife 10 cm.
This 10cm broken knife was inserted from his right mandible, passed through his tongue root, nasopharynx and muscle in turn, and finally the tip of the knife was inserted into his brain.
What does it feel like to put a knife with a length of 10 cm in your head? Li Fu (a pseudonym), a 37-year-old man from Yuanjiang, Yunnan, may have a deeper understanding than anyone else. This Hani man, who is often troubled by bad breath, headache and other problems, was horrified to find a knife inserted in his head during an examination in June+10 this year!
Not only Li Fu, but also the doctors in Yuxi People's Hospital of Yunnan Province were shocked when they saw him. "It is a miracle that a knife has existed in a brain with dense nerve and blood vessels for more than four years." Luo Zhiwei, director of neurosurgery, also expressed his feelings to reporters.
At 8: 30 am on February 12, the doctor successfully took out a broken knife with a length of 10cm, a width of 1.8cm and a thickness of 0.24cm, which was stuck in Li Fu's head in the operating room of Yuxi People's Hospital. It is understood that this 10cm long broken knife was inserted from his right jaw, passed through his tongue base, nasopharynx and muscle in turn, and finally the tip of the knife was inserted into his brain.
The reporter saw that Laguna Beach Jeans sale, the two ends of the broken knife taken from Li Fu's head were still intact, and the middle part had been corroded. Dr. Luo said that the corroded part is located in the pharyngeal cavity, and the secretion of oral mucosa is acidic, which will corrode the knife body. When the doctor cleans the broken knife, he can smell a strong smell even far away.
At about 10 in the early morning of June 3rd, 65438, the reporter saw Li Fu lying in a neurosurgical bed. At this time, his condition stabilized.
The broken knife remained undetected in the head for 4 years.
According to the patient's younger brother, in 2006, Li Fu made a living by driving a motorcycle to solicit customers. On the afternoon of September 2 1 Sunday 10, Li Fu, at the request of a guest, pulled him from Yuanjiang County to Ganzhuang and arrived around Ganzhuang. The guest in the back seat suddenly took out a knife and snatched Li Fu. In the process of resistance, Li Fu was stabbed in the right mandible with a knife. After being stabbed, Li Fu didn't fight again. The suspect took his belongings and motorcycle, and Li Fu then called the police. The injured Li Fu was taken to the local hospital in Yuanjiang County. Due to the limitation of local medical technology and equipment, there was no broken blade left in his skull. After debridement and suture, the doctor gave the wound an anti-inflammatory needle. After dressing, Li Fu's wound slowly recovered, and there were no other symptoms, so he was not hospitalized at that time and did not undergo further examination. I didn't expect him to have a knife in his head. Later, the police caught the criminal who stabbed Li Fu and told his family that he had found the handle of the knife used by the suspect when committing the crime, but he had never found the blade that should be connected with the handle.
Li Fu's injury gradually improved, but since then, Li Fu's mouth has often been inflamed. If you have symptoms such as bad breath, pressing your temples with your hands will cause pain in your ears and head. Li Fu's wife said that after the injury, her husband's mouth has been inflamed and she often has to pull out the inflamed needle. Besides, he can't cure them and he can't work. He stayed at home for a year and a half, and then set up a stall in the county farmer's market to sell miscellaneous sugar. After the injury, her husband's voice became hoarse than before. He can drink, smoke, and even suck a water pipe when his condition improves, but his mouth is often inflamed. For more than four years, he has been suffering from intermittent headache, oral bleeding and "anti-inflammatory" treatment. When he is inflamed, he won't eat anything, even porridge and soup.
Treating oral diseases only to find a broken knife in the skull.
Oral inflammation has troubled me for a long time. 65438+ On June 24th this year, when Li Fu was doing X-ray examination in Yuanjiang County Hospital, he was told that there was a 10 cm metal object on his head, a cheap hair straightener. At that time, Li Fook wo's family wondered if the doctor had made a mistake, so they chose to go to Yuxi Hospital for diagnosis.
Xu Wen, deputy chief physician of the Department of Stomatology of Yuxi People's Hospital, said that he received Li Fu, a patient brought by a doctor from Yuanjiang County Hospital. At that time, from the X-ray taken by Yuanjiang County Hospital, he could see a very clear metal object in the patient's skull, but he didn't know what it was at that time. Later, the patient was reexamined by more correct ct and angiography, and it was confirmed that the skull of the patient was a broken knife with a length of 10cm. With such a long foreign body in the skull, the patient can smoke and even suck a water pipe. Dr. Xu expressed surprise.
Why can the broken knife stay in the patient's skull for more than 4 years without severe pain and sadness, or even threatening his life? According to Dr. Xu's analysis, the broken knife passes through the throat, mouth and other passages, and foreign bodies caused by inflammation can be excluded from these parts. It must have avoided the deterioration of the disease horizontally, so it is a miracle to persist for so long. After examination, Li Fu's reaction is normal, his expression is related, his left temporal muscle atrophy, his voice is a little hoarse, his pharyngeal reflex is over-sensitive, his right tonsil and pharyngeal soft tissue swell and shift to the midline, and no abnormality is found in other nervous systems. Diagnosed as skull base, throat and neck side knife injury and metal foreign body retention; Chronic inflammation of the right submandibular gland and neck.
Wang Heping, the attending neurosurgeon, said that when the knife entered the patient's head, it avoided the important blood vessels and nerves in the face. However, when the patient chews and swallows, the residual knife will shift, and if it cuts other nerves or blood vessels, it will also endanger the patient's life. Fortunately, in the process of displacement, the knife moved slowly in parallel along the direction of the facial artery, so the artery was not cut. If the knife moves vertically with the facial artery, it will cause serious consequences of massive bleeding due to arterial amputation.
According to Dr. Luo Zhiwei, a neurosurgeon, it is understandable that people can still survive when needles or nails are inserted into their brains. It is a great miracle that such a long broken knife enters the patient's skull and the patient can survive for more than 4 years. This broken knife is inserted from the base of the tongue, inclining upward, passing through the nose, pharynx and muscles, and reaching the left brain. There are many nerves in the human face. When the knife enters the head, it avoids the cerebral artery and part of the main facial nerve, and will not cause serious consequences such as facial paralysis or massive bleeding. Dr. Luo Zhiwei said that this is something he has never seen in the past 30 years. The difference of a few millimeters makes the patient lucky enough to save his life, which is also the great fortune of the patient.
difficult
A dangerous operation
The metal foreign body is located in front of the cervical great vessels, about 3.5mm away from the cerebral artery. The tip penetrated into the bottom of the brain tissue in the left temporal lobe of the brain about 1.3cm, and there was slight edema and inflammatory transformation around it. The foreign body in the skull base, that is, the knife tip, is located between the foramen ovale and near the trigeminal nerve, maxillary artery and facial artery, and the operation is very difficult. Yuxi People's Hospital has never encountered such a special situation before. The broken knife has been in the patient's skull for more than 4 years, and the patient can live and work normally, and the foundation is not affected, even if drinking and smoking. However, this operation has great risks. Once there is an accident in the operation, the effect is unimaginable. However, after learning that there is a metal foreign body in the skull, Li Fu has shown anxiety and anger, and his willingness to operate is strong.
Before the operation, the whole hospital organized a large consultation and considered many surgical schemes, which were taken out from under the jaw and behind the jaw; If the corroded blade breaks, take it out by craniotomy; Or take it out of the nose. After consulting the patients and their families, the hospital decided to have an operation.
This operation is a cooperation between stomatology and neurosurgery, because the knife is located close to blood vessels and nerves, and it is very deep. Once the cerebral artery is cut off during the operation, it will lead to massive bleeding and shock death. With the help of microscope and neuroendoscope, stomatologist Xu Wen cut the patient's right mandible, passed through the inflammatory site and found the tail of the broken knife from the film. It took only one hour from the beginning of the operation to the exposure of the broken knife. After the broken knife was exposed, it was considered that the blade was very thin, only 0.24cm, and the blade passing through the pharyngeal cavity had been seriously corrupted. Once the removal process is broken, it will make the tail end of the blade deeper and more difficult to remove, endangering the life of the patient. Dr. Luo Zhiwei, a neurosurgeon, really broke the connective tissue around the knife. After confirming that there was no nerve, he successfully pulled out Li Fu's intracranial broken knife.
remind
At 9: 00 am on February 13, the reporter came to the neurosurgery office of Yuxi People's Hospital the day after the operation stopped. Luo Zhiwei, director of neurosurgery, showed the reporter the film taken at that time and the broken knife taken out of Li Fu's skull on the computer. The two ends of this broken knife are still intact and the middle part has been corroded. Director Luo said that even if the broken knife was cleaned up at a distance of nearly half a meter, a strong smell could be smelled.
Dr. Wang Heping, a neurosurgeon, said that after the operation, the patient was cleaned and cut, and a drainage tube was placed to eliminate blood. At present, the patient's condition is stable, he is out of danger, he can speak and think clearly, and it will take more than half a month to recover after the operation.
Dr. Wang Heping said that when people suffer personal injuries and other accidents, they may not realize that there are foreign bodies in their bodies because of the chaotic surrounding conditions, so it is best to go to a prestigious local hospital for examination to ensure that there are no foreign bodies left in their bodies.
According to the Spring City Evening News
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