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案例分析：癫痫患者可在清醒状态下接受脑部手术Caseanalysis:epilepticpatientscanbeinaconsciousstateunderwentbrainoperation彬彬躺在手术台上一边接受癫痫病灶切除术，一边辨认医生手里的图案是苹果还是熊猫，并反馈术中的感受。最近，彬彬在清醒的状态下进行了脑部癫痫病灶切除术。Binbinlyingontheoperationtabletoonesideforreceivingtheepilepticfociresection,whileidentifyingphysicianspatternisanappleorapanda,andfeedbackoffeel.Recently,inBeijingSanboNeurologistHospital,ProfessorLuanGuominginhissoberhadabrainseizurefociresection.患有难治性癫痫5年的彬彬，两周前入住三博，医生经长程视频脑电监测后，捕捉到彬彬的癫痫病灶已侵袭到了他的大脑功能区。Sufferingfromrefractoryepilepsy5yearsBinbin,twoweeksagoinMihiro,ProfessorLuanGuomingJingChangchengvideoEEGmonitoring,tocapturehisepilepticfocihaveinvadedintohisbrainfunctionarea.医生介绍，切除病灶的过程中如影响到大脑的功能，可能会造成手术后患儿瘫痪、失语等严重并发症，给病人带来灾难性的后果。“手术中，通过术中唤醒全麻后的彬彬，让清醒的彬彬活动肢体或感觉有无变化，非常精确地切除了病灶。”医生满意地表示，术后彬彬的大脑功能丝毫未受影响。AccordingtoProfessorLuanGuoming,resectionofthelesionintheprocesssuchasinfluencebrainfunction,maycauseparalysis,aphasiaafteroperationinchildrenwithseverecomplicationssuchasapatient,todisastrousconsequences.Operation,byintraoperativewake-upaftergeneralanesthesiaBinbin,makeclearhisphysicalactivityorfeelinghavenochange,veryaccurateresectionofalesion.ProfessorLuanGuomingexpressedsatisfaction,postoperativeBinbinbrainfunctionunaffected.术中唤醒，是指在手术过程中唤醒患者，患者按要求回答文字语言或肢体语言、辨认图画等，通过导航和神经诱发电位对脑功能区组织定标，以界定肿瘤的切除范围，在尽可能保护脑功能的同时最大限度地切除病灶，减少致残率，提高患者生活质量。文章来源：“常规的癫痫病灶切除术是在全身麻醉状态下进行。”医生解释说，最大的弊端是医生无法实时监测患者大脑功能，只能凭经验来确定手术切除范围，因而极易造成不良后果。而通过术中唤醒全麻后的患者，使他能在清醒状态下配合完成感觉、运动及神经认知的测试，术中实时监测可能发生的脑功能区损伤，能最大限度地保护患者的大脑功能区不被误切，为手术成功提供了可靠保障。Theconventionalepilepticfociresectionisinthegeneralanesthesiaunderthestate.ProfessorLuanGuomingexplained,thebiggestdrawbackisthedoctorcannotreal-timemonitoringinpatientswithbrainfunction,canrelyontheexperiencetodeterminetheextentofresectionoperation,andeasycauseadverseconsequences.Byintraoperativewake-upaftergeneralanesthesiapatients,whichenableshimtoawakewiththecompletionofsensation,movementandneurocognitivetest,intraoperativemonitoringpossiblefunctionalareaofbraininjury,tomaximizetheprotectionofpatientswithbrainfunctionareabeingmistakencuttingoperation,toprovideareliableguaranteeforsuccess.