Pay close attention to intellectual disturbance, begin from become pregnant
Expert's profile: Head of the department of surgery nerve of first affiliated hospital of Li AnMin PLA general hospital. Graduated from the third army medical university in 1979, from 1983 to 1986, the fourth army medical university majored in the master's degree of department of neurosurgery, the teacher was promoted to the professor, chief physician in 1998 from the famous expert, apt sound of Professor Yu of department of neurosurgery of our country. Successively received a training in Germany, Argentina and four universities of U.S.A.. He has original achievements at brain colloid tumour some treatment new technical field, epilepsy surgery and psychosurgery. Take on the intersection of China and medical project, learn nerve and spiritual the intersection of disease and target to treat committee's General Board a few days ago, China cures positions such as the physiological Vice Chairman of Committee of Experts of nerve electricity of SCTE,etc.. Bear and finish 10 research of countries, military scientific research tasks at provincial and ministerial levels. Obtain second prize of National Prize for Progress in Science and Technology, scientific and technological second prize and one respectively of second prize of military progress prize in science and technology of Chinese medical science; Honors such as 1 first prize of the medical prize of achievements of the army,etc.. Staff reporter Wang LuZhang thought Wei " if the crime of child of the intersection of we and house, is sentenced to 10 years' imprisonment, even in 20 years, we had a good prospects at least, got this disease, there is not a good prospects at all. " This is that one suffers from spiritual development sluggishly (are commonly called as intellectual disturbance, English is abbreviated as MR) Children's parents are to Li AnMin's words said during visit. "Sentence this burn I, let me think in the front have very long way take, go ' irritate '. " Li AnMin says. Li AnMin is head of the department of surgery nerve of first affiliated hospital of PLA general hospital now. Taking up a job as a doctor on the way of decades, let him think further the responsibility on one's body is heavier and heavier, "every patient that come to here to go to a doctor, the family behind him is history of a tragic experience. " The reporter's interview time is arranged on weekend, he says, only he could come down idly this time. And when the reporter get to the hospital, he is exchanging the condition with patient relative in the ward, it is learnt that a reporter has already made dash for, Li AnMin had not finished talking at once, " it needs more patience to treat this kind of patient. " He explains to reporter. "Having got this kind of disease, the whole world cannot cure, but we can let the condition be relieved through corresponding treating. " Li AnMin comes to the office, turn on PPT in the computer subsequently. He thinks he can let the reporter experience the danger of this kind of disease more ocularly through the vivid picture in PPT. Disasters pile up on one another " this disease, the child only has just bad intelligence, if still with behavioral obstacle and epilepsy, the family suffers disaster. " He points to the computer screen to introduce to the reporter, this patient is the intellectual disturbance patient of first who their department received, Beijingers, 18 years old, but the IQ is only equivalent to the children 2 years old, only sleep for one or two hours every day, the time left is noisy and hitting the person. Parents have already been hit all over by him wounded, have to fasten him with the iron chain. This is a typical sluggish case of spiritual development. Li pacifies the people and explains the stage that it refers to developing before 18 years old that the so-called spiritual development is sluggish because of the inherent cause, it is caused that mother's names such as the unfavourable factor or social psychological factor,etc. in pregnancy period plant the reason, clinical manifestation is a group of obstacle diseases of development of the main characteristic with the obviously low and social adaptive capacity defect of intelligence. Though with the improvement of medical technical development and people's health accomplishment, the child with intellectual disabilities appears and leaves the low trend, but Li AnMin reminds, can't despise the study on intellectual disturbance patient's pathogenesis and therapeutic method absolutely. The statistics show, MR total morbidity in American-European countries is 3 . In our country, the relevant department had surveyed provinces and cities children 0~14 years old of the whole country eight from 1985 to 1990, the result reveals, the ill rate of the city is 0.47% ~0.82% , The total ill rate is 0.7%; The rural ill rate is 1.20% to 1.73%, the total ill rate is 1.41%. "Even if the child with a intellectual disturbance of a family is unfortunate, it is that unfortunately most of these families are all single-parent family even more. " AnMin Li find, bring child, see the doctor, mother of child often in whom ward accompany and attend to through make a diagnosis and give treatment. At present, the medical circle though there is more study on this disease, the causes of disease of 1/3 of the infants are difficult to fix. Li AnMin has recommended 4 kinds of factors may be the inducement of this disease: First, antenatal factor. Not only include the inherent cause but also include the parent is influenced by adverse factor in gestational period; Second, the factor while producing. Suffocate, early newborn baby, extremely low birth weight, produce wounded, neonatal intracranial hemorrhage,etc., can influence foetus and neonatal central nervous system when being poverty-stricken borning under palace, cause intelligence to be low. Third, the factor postpartum. In individual growth, such as appear central nervous system infect and serious the intersection of cranium and the intersection of brain and traumatism, various the intersection of brain and oxygen deficiency,etc. that reason cause can cause the damage of the central nervous system. Fourth, social psychological factor. Because poverty, ignoring, maltreating and causing children to isolate with the society seriously in early years, it can cause intelligence to be low with culture and education chance,etc. to lack the benign environment and stimulate. "Because the antenatal unfavourable factor causes foetus' intellectual disturbance to cause our attention most. " Li AnMin thinks, it is that the parents have not fully finished pregnant preparation to nowadays cause a factor not ignored of children's intellectual disturbance, " muddleheaded and pregnant " . " we attempt to be breaking through " At present, need to meet three conditions to the diagnostic standard that spiritual development is sluggish: Have illness coming on before the 18 year old, IQ lower than 70, it has at various degrees social adjustment to be difficult. Medical science, usually divide MR into slightly, intermediate, severe. Slight MR means the IQ is among 70~50, intermediate MR, means the IQ is among 50~30, and severe MR, mean the IQ is in under 30. And the patient of present most medical organizations who treat the spiritual existing problem adopt more sedative treatments, and this kind of treatment will produce further damage to the cranial nerve. "This can't say it is a kind of mistaken idea, can only say it is a kind of helpless act. " Li AnMin says. The therapeutic method which the group that Li AnMin has introduced him to the reporter in detail explores: The healing solution to that spiritual development is sluggish, adopt and transplant from the single nuclear cell brain of bone marrow of peripheral blood of body; As to the sluggish healing solution with the behavioral obstacle of spiritual development, adopt the some radio frequency of many targets alternatives treatment in the stereoscopic directional brain; As to the sluggish healing solution with the epilepsy of spiritual development, adopting the side corpus callosums and focus side almonds of stereoscopic orientation dual to be nuclear, sea horse's radio frequency treatment; It is sluggish with behavioral obstacle and healing solution of the epilepsy as to spiritual development, adopt alternative many target clicking, dual side corpus callosums and treatments of sea horse's radio frequency of focus side in the stereoscopic directional brain. "In fact, say popularly we are mainly to damage partly the brain edge system through the operation, in the hope of reaching and solving cerebral cortex, white matter and systematic function of edge Out-of-balance purpose. " Li AnMin says. "You see this patient after our treatment, when leaving hospital, can already salute to us. " Whenever see the patient after surgery treatment the condition is improved, Li AnMin feels very gratified. He says, can not guarantee each patient can obtain prominent curative effect through the operation, this is exactly what his diligent space is all about too. Note brain stereoscopic directional skill whether a high-tech high-accuracy department of neurosurgery create the intersection of operation and way a little in stereoscopic directional skill in brain. In 1947, two doctors Spiegel and Wycis in U.S.A. applied the stereoscopic directional skill to for the first time clinically and making satisfactory curative effect, our country launched research and clinic of the difficult curing psychonosema of stereoscopic directional surgery treatment successively since 1985. The basic principle that should perform the operation is to utilize 3D coordinate system, combine magnetic resonance or CT scanning, digitize any some in the brain, thus achieve the goal that oriented to the structure in the brain. Then play, perform a surgical operation by a aperture at the head in patient, the precision can reach 0.1mm. In functional disease treatment also can pay cell make a reservation with microelectrode, also called " The cell knife " ,Have, orient accuracy, the intersection of technology and expect much, the intersection of operation and the intersection of wound and little, the intersection of side effect and little, the intersection of curative effect and characteristic such as being precise. Stereoscopic directional technology of the brain applies to the disease diagnosis of many kinds of departments of neurosurgery and creates the surgery treatment a little at present. Suitable for the intersection of brain and dark department take the intersection of location and diagnosis, of pathological change, live, examine especially, hematoma hole guide, Parkinson disease, the intersection of skin and the intersection of tension and obstacle, the intersection of medicine and difficult obsession of curing etc., twitch dirty the intersection of language and the intersection of syndrome,etc. and surgical treatment of functional disease in the brain.
Pay close attention to intellectual disturbance, begin from becoming pregnant
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