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周琳手术的进展

(2006-06-28 19:38:52)
美国的中文报纸《世界日报》关于周琳的报道。
 
周琳昨天(6月27日)满14岁了,她经历了一次大手术,双脚被切除。这是Brecken的记录。
 
Zhou Lin had her foot amputation surgery for about 5-6 hours this morning, and her recovery so far today is turning out to be more difficult than the doctors expected.  Apparently the quality of Zhou Lin's foot and ankle bones is pretty bad (one of the surgeons told me that her bones "could be cut with a butter knife" because of the poor post-burn treatment and three years of non-use), so they had to do a fair amount of scraping and chiseling away at the bones to get a sufficient place to suture the stump tissue.  I never knew that tissue could be sutured to bones, but apparently so, and it's especially important in this case to get her stumps as strong and resilient as humanly possible.
 
Zhou Lin is in a great deal of pain -- "about the worst join pain possible," one doctor commented -- so the decision was made to put her on a lower-body epidural for 24 hours (the same kind a woman in labor would get), complemented by stiff doses of morphine every two hours.  She has been vomiting and unable to keep down any fluids, and her fever has been over 101 degrees throughout the afternoon, so she is very uncomfortable whenever she wakes from the sedation.  Because the nurses will need to communicate with Zhou Lin on and off throughout the night to check her pain level and make sure the epidural is okay, they've asked me to stay with Zhou Lin and her mom overnight.  I'm grateful that Xu Lan is here also, so that she can take over for us tomorrow morning.
 
Tomorrow is expected to be the worst of Zhou Lin's recovery, because the epidural will be removed, and then she'll just have to tough out the foot pain (which is expected to be severe) between doses of morphine.  The intensive care wing of the hospital, where we are now, is full of recently burned kids who cry out frequently in pain, so it's a bit of an intense atmosphere that makes it tough to rest.  If Zhou Lin can make it through tomorrow without the epidural, she can hopefully be released on Thursday to the recovery wing of the hospital and settle down into a routine. 

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