"Free" reading "light books" exam can’t be much worse.

Wen Rumin

  The summer vacation is over half, and reading is still on the way. Both students and parents will have more or less doubts and even anxiety about reading. Recently, the Commercial Press published Wen Rumin, a professor of Chinese Department in Peking University and editor-in-chief of Chinese textbooks for primary and secondary schools, which systematically expounded his views on reading and Chinese learning. Recently, Wen Rumin accepted an exclusive interview with Yangcheng Evening News.

  Examinations and reading

  "Never read" the materials of the college entrance examination questions does not mean "never studied"

  Yangcheng Evening News: The "Ministry Edition" Chinese textbooks have improved the requirements for reading depth, breadth and speed. Correspondingly, what will happen to the senior high school entrance examination and college entrance examination?

  Wen Rumin: Some media reported that the "part-edited" Chinese textbooks are "specialized" and do not read, which means that this set of textbooks has returned to "reading-oriented", paying attention to expanding reading areas and learning different types of reading methods. However, in any case, the capacity of textbooks is limited, and there are not many reading articles collected. It is important to draw inferences from others, so that students can expand from textbooks and classroom teaching, and expand their reading surface and reading volume. This is also the requirement of college entrance examination and senior high school entrance examination. I don’t take part in the proposition, but I am concerned about this aspect.

  Judging from the reading questions of Chinese in recent years, many propositional materials are not from textbooks, covering a wide range, and even selected from some papers with strong professionalism, including politics, economy, science and technology, history, philosophy, etc., giving people the impression that — — What I have learned has not been tested, and what I have tested has not been studied. In fact, "never read" does not mean "never learned", but the test is the transfer of reading ability and the application of methods. The emphasis is on ability, thinking, comprehensive analysis, retrieval and aesthetics, and so on.

  Candidates who usually read a wide range of books and are active in thinking are like a duck to water in the face of this exam change, and it is easy to get good grades; However, candidates who have a narrow reading range, read only textbooks and only pay attention to "brushing questions" may not adapt and it is difficult to achieve good results. Even if the latter go to college, their weakness of "reading less" will appear, which will restrict their academic development.

  The college entrance examination proposition began to explore how to test "whole book reading"

  Yangcheng Evening News: Why should we encourage "reading the whole book" in the "part-edited version" of Chinese textbooks? Some people complain that if the language requires more reading, especially the whole book, it will increase the academic burden. What do you think?

  Wen Rumin: The "part-edited version" language pays special attention to reading and the original works. In primary schools, there is a "happy reading bar" to guide students to read whole books such as fairy tales, stories and novels. Junior high school has set up a "guide to famous books", which requires reading 12 famous books in three years, and also provides a bibliography of 24 famous books that you choose to read independently. Chinese in senior high school is coming soon. Some students have extended reading after class, or they are required to find books to read by themselves under the driving of study tasks. There is also a special unit of "reading the whole book".

  Why do you attach so much importance to "reading the whole book"? First, let students contact some original classics relatively completely, so as to "lay the foundation" for the development of life; Second, aiming at the tendency of "fragmented" reading and "shallow reading" brought by online reading, students can return to complete and sound reading and cultivate good reading habits; The third is to "study and nourish the nature", and to "sharpen the temper" by "reading the whole book", cultivate perseverance, cultivate the mind and get rid of impetuousness.

  The addition of "reading the whole book" has somewhat changed the traditional situation that Chinese textbooks only pay attention to single teaching, which will inevitably have an impact on future teaching and examinations.

  In recent years, the paper propositions of Chinese college entrance examination and senior high school entrance examination began to explore how to test the situation of "reading the whole book" For example, there are some key details in the exam of A Dream of Red Mansions. If you haven’t read the novel completely and only watched TV, it will be difficult to answer. I think this improvement is conducive to promoting the "reading-based" Chinese teaching and returning to the "essence" of Chinese learning.

  Some students and parents complain that the increase in reading new textbooks will increase the academic burden. In fact, the amount of reading required by the textbook has been measured. If students have the desire and interest to read, the amount of reading arranged now does not constitute any burden at all. If you don’t want to study, even if the reading volume is as low as the previous textbooks, you can’t finish it. A lot of time is spent repeatedly "doing problems", and the burden is heavy and the effect is not good.

  Yangcheng Evening News: From the perspective of teaching and examination, are there any quantitative standards or regulations for the reading level of primary schools, junior high schools and senior high schools?

  Wen Rumin: Chinese is a comprehensive subject, and it is difficult to quantify the teaching effect. However, the basic requirements or minimum standards should still exist, and the Chinese curriculum standards have corresponding provisions. For example, the first and second grades of primary school require reciting 50 excellent poems (paragraphs), and the total amount of extracurricular reading is not less than 50,000 words. Form the habit of reading books and newspapers in the third and fourth grades, and the total amount of extracurricular reading is not less than 400 thousand words. The fifth and sixth grades should be able to browse and read silently at a certain speed. The general reading materials should be no less than 300 words per minute, and the total amount of extracurricular reading should be no less than 1 million words.

  Junior high school students learn to read poems, narrative and explanatory articles, read simple discontinuous texts, and can skillfully use skimming and browsing methods to expand the reading range. Get into the habit of reading silently, and read general modern texts with no less than 500 words per minute. Recite 80 ancient poems (paragraphs), and the total amount of extracurricular reading is not less than 2.6 million words.

  The new Chinese curriculum standard for senior high school requires reading speculative, practical, literary and other texts, reading more than five literary classics and other reading materials by yourself after class, with a total amount of not less than 1.5 million words. In addition, it is suggested to recite 72 ancient poems (including compulsory and optional compulsory). The high school Chinese curriculum standard also divides the academic quality level into five grades, and describes the performance of learning results at different grades, which can be used for reference.

  Promoting quality education under the background of "exam-oriented education has existed for a long time"

  Yangcheng Evening News: You advocate that teachers and students should take the boat of exam-oriented education and do something about quality education. How to do less exercises and read more books? How to balance examination and quality education?

  Wen Rumin: We must vigorously promote quality education. This is the direction, no doubt. However, the pressure of exam-oriented education is huge, which can not be eliminated in a short period of time, and it is also a grim reality. As long as the social competition is fierce, as long as there are selective examinations, exam-oriented education will exist.

  We are discussing how to promote quality education under the background of "exam-oriented education has existed for a long time", which is a very difficult undertaking and requires preparation for long-term struggle.

  For many teachers, students and parents, the senior high school entrance examination and college entrance examination are very realistic. They don’t deny the importance of quality education, but they will still put the exam first. This is human nature and understandable. To promote quality education, we should not be divorced from this reality, and we should not completely oppose quality education and exam-oriented education. They are opposed, but they are not either one or the other. Exam-taking ability is also a kind of ability, not all of which can be cultivated by "brushing questions". What we oppose is only those rigid negative educational models that stifle individuality and inhibit creative thinking. It is better to admit that exam-oriented education is "reasonable" at present, and then try to reduce the negative impact of exam-oriented education and gradually expand the space for quality education, which can be changed a little.

  The so-called "boarding the boat of exam-oriented education and doing something about quality education" means trying to strike a balance between the two. For example, improving the examination, paying more attention to the examination ability, comprehensive quality and creative thinking may "incite" the reform of curriculum and teaching and reduce the negative impact of examination-oriented education. I have said many times that qualified teachers can make students do well in exams without killing their brains and interests, and they will try their best to strike a balance between exam-taking and quality education.

  "Part-edited" Chinese textbooks are trying to change the practice of simply instilling classroom knowledge and repeatedly "brushing questions", advocating Chinese teaching to give full play to students’ subjectivity in learning, doing less questions and reading more books, hoping to promote the reform of college entrance examination and senior high school entrance examination, make students do well in the exam, and focus on students’ long-term development. This is a balance.

  Yangcheng Evening News: Some children’s reading has their own preferences and personalized characteristics, and they don’t necessarily like the bibliographies specified and recommended in Chinese books. Should such children respect their preferences and be able to cope with the college entrance examination?

  Wen Rumin: A key word of Chinese curriculum reform is "giving full play to the subjectivity of students’ learning", and the "part-edited" Chinese textbooks also try to strengthen the subjectivity of students’ learning. Therefore, students’ personal preferences and personalized characteristics of reading should be fully respected.

  For example, since the senior grade of primary school, students don’t like the list of books opened by teachers very much, and they prefer to choose their own books to read. This is normal. The textbook specifies a small number of required books, and most other bibliographies are optional and not mandatory. Sometimes we don’t have to specify the "required reading" list, but suggest reading a certain range of books, so that students can choose from them, which may be better. There should not be too many "prescribed actions" in the reading process, and it is not appropriate to assign a lot of homework. Don’t always ask for "writing", such as writing the feelings after reading. These tasks are too many and tiring to read, which is not conducive to encouraging more reading. If a student has more free reading, his Chinese literacy will also be improved, and the exam will not be much worse.

  Yangcheng Evening News: Parents or teachers who let their children read freely are taking risks under exam-oriented education — — Children are also very uneasy about reducing the time for doing problems and other homework to read books. How to grasp this free space and how to balance it with exams?

  Wen Rumin: There is a question of how to balance current interests and long-term considerations. Give students a certain degree of reading freedom, and students will read more extracurricular books, which will somewhat squeeze the time for "doing problems". The question is, is it the "right way" to learn by repeatedly "doing problems"? According to the analysis of the candidates who have achieved excellent results in Chinese in the college entrance examination in recent years, it is found that they can get good results without "brushing the questions", and most of the students who get high marks have a wide reading range and active thinking. You will soon see that in order to reduce "brushing questions", the new senior high school Chinese no longer sets up after-school exercises, but replaces them with "reading tips" and "unit learning tasks". Therefore, extracurricular reading and free reading will not "hinder" the college entrance examination and the senior high school entrance examination, but may help the examination.

  I advocate that students should read "casual books". The so-called "idle books" are those books that children choose by themselves and are not necessarily tied to the test objectives. Only when you are allowed to read "casual books" and have the "freedom" of reading can you have interest in reading. College entrance examination and senior high school entrance examination are both important events for students, and it is also appropriate to "study for the exam", but keeping a little space for free reading properly can make your hobbies and potential develop better.

  Chinese teaching materials and reading

  Children don’t study, which may be due to the lack of reading atmosphere in the family.

  Yangcheng Evening News: What worries many parents is how to cultivate their children’s interest in reading.

  Wen Rumin: There may be many reasons why children don’t have the habit and hobby of reading. The most important reason is that the family lacks the atmosphere of reading. Unless children have a special gift and can eliminate interference, it is difficult for most children to develop the interest and habit of reading in an environment of "no reading". Parents don’t read books themselves, but watch WeChat, play cards and play games all day. How can they make their children fall in love with reading? Parents of primary school students and junior high school students, in particular, must set an example and study with their children as much as possible, at least not to affect their study. Elementary school and junior high school are the best time to develop interest in reading, which is very crucial. If you don’t develop the habit and interest in reading at this stage, it will be very difficult to "catch up" later.

  Not all books are worth intensive reading. Learn to read and browse quickly.

  Yangcheng Evening News: You said that primary and secondary school students should learn to read "rolling and crawling" and master reading methods such as intensive reading, browsing, guessing reading, skipping reading and group reading. However, Chinese classes emphasize texts and seldom teach reading methods. How can children learn these reading methods?

  Wen Rumin: It is true that the situation of "emphasizing texts and seldom teaching reading methods" is widespread in Chinese class. However, the current curriculum reform focuses on students’ dominant position, protects students’ curiosity, imagination and thirst for knowledge, stimulates their interest in learning, and carries out various forms of reading activities to improve teaching effect.

  The newly promulgated Chinese curriculum standard for senior high schools makes it clear that Chinese teaching should solve "Chinese core literacy". Recently, the Central Committee and the State Council issued a document on deepening education and teaching reform and improving the quality of compulsory education in an all-round way. It also includes stimulating students’ interest in reading, learning to read, and taking reading as a habit and lifestyle. I think those who only pay attention to the text and seldom teach reading methods will be improved. Parents should also learn to follow up and create a good environment for their children to study.

  I advocate that students should study "continuously", which means that they can learn to read quickly and browse, and they can read without understanding, and their interest is cultivated, and their reading volume is increased, so that their Chinese literacy can be improved. Not all books are worth intensive reading.

  Network Reading: Learning the Ability of Media Selection and Filtering

  Yangcheng Evening News: How do you view the influence of online reading and fragmented reading on teenagers? What measures does Chinese education have to deal with this?

  Wen Rumin: This is indeed a problem. The appearance of the Internet has brought a lot of convenience and promoted the prosperity of society, but it has also caused some troubles. It seems that it is too late for human beings to deal with it in changing their thinking habits and social behavior.

  The fragmentation, entertainment and superficiality of reading have obvious negative effects on the mental growth of teenagers. There are many students who can’t live without their mobile phones for a moment, and they lack concentration more and more. I’m afraid it’s hard to keep their attention for more than ten minutes. Their thinking is jumping and collage, and their writing articles or language expressions lack coherence and logic. They are either one or the other, black or white, and they often argue fiercely, but they can’t "focus" … … These manifestations are all related to the fragmentation of online reading.

  As for entertainment, superficiality, blasphemy against classics, contempt for authority, indulging in jokes and jokes, it makes the mind flat and vulgar. This situation has aroused the concern of some people in the education field. Some elite schools have begun to try to restrict students’ use of mobile phones and their exposure to vulgar and popular programs, which is also a last resort.

  "Cultural fast food" can be contacted, but don’t let "reading taste" be damaged.

  Yangcheng Evening News: There is a gap between teenagers and classic books. What should I do if I don’t like them?

  Wen Rumin: It’s not surprising that students don’t like reading classics. It’s a common and natural phenomenon. Because they have a historical distance from the classics, language and form may be separated, and of course there are age factors. Life experience and understanding limit the understanding of the classics. In addition, young people are curious and rebellious. The more schools and teachers ask them to "share" the classics they want to read, the less they may like them, and instead favor those "spoof" and "nonsense" works.

  How to close the distance between students and classics, so that they can approach classics in a more vivid and friendly way (including the Internet, film and television, etc.) is a topic that educators, including responsible media and cultural businesses, should consider. It is very necessary to explain and spread the classic works in simple terms, but this should not be at the expense of distorting or ridiculing and disassembling the classics.

  The habit of reading needs to be cultivated, and reading classics needs to be calm and tempered. It is a long process of self-cultivation. Classics are difficult for young people to read because of the isolation of the times. To constantly overcome some reading obstacles, their rich connotations need to be carefully and repeatedly explored, which will not be as enjoyable as reading popular novels. We must first be mentally prepared to "eat books" and overcome that kind of superficial trouble before we can really enter a good reading state. This is also a kind of study habit and perseverance.

  When selecting all kinds of texts, "Bu Bian Ben" Chinese not only touches the classics, but also fully considers the cultivation of students’ reading habits and the mastery of methods. For different types of books or classics, there are also hints on how to read and what to focus on. Teachers and parents also have the responsibility to make students understand that it is understandable to read some fun and relaxing things online, but we should pay attention to the fact that a lot of information published from the media is mixed with a lot of "cultural garbage". If you come into contact with these "rubbish" frequently, you will be easily influenced by value digestion, relativism and even dance academy’s thoughts, and your reading taste will be ruined, which is really in danger of "lifelong damage".

  All kinds of popular and best-selling "cultural fast food" can be contacted, but it can’t replace the reading of the original book. If you want to know the taste of pears, you must taste them yourself and read the classics. What you need is the process of understanding, thinking and self-cultivation, which is the "cultivation", that is, the necessary way of spiritual growth.

  (Text/Yangcheng Evening News reporter Jiang Wei)

Year of the loong said that there are many stories in Jiulong Village.

Talking about the past in Jiulong Village

"Dragon" is the totem of the Chinese nation, which plays an important role in Chinese culture and has many stories and legends. Recently, the reporter walked into Jiulong Village, Datang Town, Xincheng County, Laibin City, Guangxi, and listened to the local people telling the story of Jiulong Village.

Aerial photography of Jiulong village.

Along the rolling mountain road, the reporter came to Jiulong Village in the southeast of Datang Town. There are six natural villages under the jurisdiction of Jiulong Village, including Jialong Village, Jiuwai Village, Banjia Village, Badu Village, Badu Village and Shiti Village. With Jialong Village and Jiuwai Village as the main bodies, they are named after two natural villages, so they are called "Jiulong". In addition, the local people often compare the mountain to a dragon. Because the terrain of Jialongtun is long and narrow, it is like a long dragon entrenched at the foot of the mountain, so it is called "Jialong".

There are 676 households with 2412 people in Jiulong Village, which is connected to Zhaidong Village in Datang Town and Xinqiao Village in Andong Township in the east, Andong Village in Andong Township in the south, Zhainan Village in Datang Town in the west and Zhaibei Village in Tangtang Town of Beijing Jiaotong University. Here is beautiful scenery, known as the "land of fish and rice".

"To understand Jiulong Village, we must first understand Lalongtun, which is now Jialongtun." Mai Xiaohui, former secretary of the Party General Branch of Jiulong Village and director of the village committee, told the reporter that according to the tombstone unearthed in the village, Lalongtun was founded in the Kangxi period of the Qing Dynasty, when the ancestor Mai Laobai moved here with his family from Nandan County, Hechi, to breed offspring. Therefore, the surname of Mai is the main name in Jiulong Village. Because there are two big banyan trees at the entrance of the village, the village is named "Lalong", which means "under the banyan tree" according to the local Zhuang pronunciation. Later, a "Dragon Fair" was set up in the southwest of the village as a trading market. It can be seen that Jialongtun was once prosperous.

Two banyan trees in Jiulong village.

According to reports, the Lugouqiao Incident broke out in 1937, and the villagers in Jiulong Village advanced wave after wave and fought bravely against Japan. Villager Mai Shufang, as a machine gunner, used only two machine gun bullets to defeat more than 100 enemies. Later, some villagers joined the Chinese Expeditionary Force and went to Burma to fight against Japan. After War of Resistance against Japanese Aggression’s victory, Mai Shufang returned to Lalong and often recalled the eventful years of the battlefield with the young people in the village.

In front of the battlefield, the hot-blooded men in Kowloon fought bloody battles for their country, and the people in the rear were not soft in the face of the enemy attack. In June 1945, the desperate Japanese army retreated to Liujiang after being defeated from Yishan and Qianjiang, and a large number of troops fled from Baizi ‘ao to Liuzhou along the main road (now the second road of Liuyong), and some fled to villages such as Zhaidong, Jiulong and Zhainan in Datang Town. After the Japanese army fled to Datang, they were eager to collect grain and found Mai Yunji, a bandit in Jiuwaitun. Although Mai Yunji was a bandit, he was in a national disaster and knew the national justice. After collecting the food, he moved to the village and tricked the Japanese army into sending troops to attack Mai Yunji in a hurry. Mai Yunji also counterattacked the Japanese army.

The "Zhaimen" in Jialongtun, Jiulong Village has still been preserved.

Because Jiulong Village is only two or three kilometers away from Baiziao, Ligao Town, Liujiang District, Liuzhou City, in order to drive the Japanese army to Baiziao in one fell swoop, the China army joined forces with the local armed forces, while the masses cooperated in the rear. "There was a villager who didn’t have time to escape, and he met the Japanese army. The two men wrestled together, but they ran away. Fortunately, no one was killed or injured." Mai Zenglu, deputy director of Jiulong Village Committee, said that under the pressure of our army and the assistance of local people, a large number of Japanese troops were almost wiped out in Baiziao. Therefore, Baiziao is also called "Devil’s Depression".

"Castle Peak is fortunate enough to bury loyal bones, so why they died with their boots on?" During the Anti-Japanese War, Kowloon people fought bravely and paid the price of blood. After the founding of New China, under the leadership of the Party, the people in Jiulong Village lived better and better, successfully got rid of the "poverty hat" and lived a happy life.

"Now, when the villagers are free, they will sing and dance under the banyan tree, and the cultural and sports activities will become more and more lively." Mai Xinju, secretary of the General Party Branch of Jiulong Village and director of the village committee, said that in the future, under the leadership of the party committee and government, Jiulong Village will vigorously develop characteristic industries, strive to break through the 500,000-yuan mark in the collective economic income of the village, and strive to build a beautiful Kowloon with civilized village style, simple folk customs and harmonious family style.

Source: Laibin Rong Media Center

Reporter: Mo Yuwen/map

Editor | Ou Chengxin

Review | Fu Dan

Edited by Xie Xueyi

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"number theory is micro"

Number of fans changed last month: +3091

Accumulated 100,000+articles: 26 articles

We are 730,000+short of becoming a million-size queen.

It is 91 years before it becomes a century-old number.

Original title: "year of the loong said Dragon ① | There are many stories in Jiulong Village"

Read the original text

Air Force General Hospital: An Operation Story in "Off-year"

[Introduction to medical experts] Gu Jianwen, a famous neurosurgeon, is a high-level scientific and technological leader, doctoral tutor and brain surgeon in the whole army; Vice President of Air Force General Hospital; Director of the Chinese Medical Association, vice chairman of the PLA Neurosurgery Committee; Specializes in minimally invasive surgery for brain tumors. Treatment of cerebrovascular diseases, epilepsy, Parkinson’s disease and spinal diseases. Won the first prize of scientific and technological progress of the whole army in 2008 and many provincial and ministerial awards. More than 6,000 operations were completed.

[Author Brief Introduction] zhouyan, deputy chief physician of neurosurgery in Air Force General Hospital, is a doctor of medicine, and is good at treating spinal cord tumor, spinal diseases, meningioma, area spasm, trigeminal neuralgia and craniocervical junction malformation. The basic research of meningioma and microsurgical treatment of meningioma in the central area of skull base won the second prize of medical achievements of the whole army in 2007.

February 11, 2015 is a small year in the north. For Pony, a girl from Changchun, there is no joy today, only fear and anxiety. Her operation is scheduled for today. ……

25 years of "sensory separation"

From birth, she gave her parents the impression that she was particularly good. She didn’t cry when she was given an injection, and she didn’t make trouble when she bumped and wrestled. Although she was a girl, she always gave people the heroic spirit of a boy. I didn’t feel anything wrong myself. Until the 24-year-old that serious trauma, knee cruciate ligament rupture.

During the routine preoperative examination in the hospital, the doctor found that she was particularly insensitive to pain, but her sense of touch was normal. A serious problem was found in the next MRI. The pony has severe hydrops in the cervical spinal cord, which is what we call syringomyelia. And that’s not all. The cerebellar tonsil leaves its normal position and enters the cervical spinal canal, which further compresses the nerve tissue at the top of the cervical spinal canal. This is what we call "cerebellar tonsil hernia malformation", also known as Chiari malformation. To put it simply, this phenomenon of pony’s insensitivity to pain and normal touch is called "sensory separation", which is a typical symptom of syringomyelia.

For ponies that have grown for 25 years, this phenomenon does not affect their work and life. Should it be cured? My parents and newly married husband traveled to many big hospitals in Changchun and Beijing, and consulted many famous experts in detail. They learned that if they are not treated, they may continue to develop their illness, which may eventually lead to muscle atrophy and difficulty in walking, making it difficult to take care of themselves, let alone work.

Gu Jianwen, an expert in neurosurgery and vice president of the Air Force General Hospital, said: This is a congenital disease, which is caused by the abnormal development of the brain structure in the midline of the posterior cranial fossa during the embryonic period, the cerebellar tonsil extending downward, or protruding into the cervical spinal canal with the lower part of the medulla oblongata or even the IV ventricle through the foramen magnum. Syringomyelia is a chronic and progressive lesion of the spinal cord. The etiology is not very clear, and its pathological features are the formation of tubular cavities in the spinal cord (mainly gray matter) and the proliferation of glia (non-nerve cells). It often occurs in the cervical spinal cord. Obviously, it needs treatment, but,

Who will treat pony’s illness?

Who will treat the patient? For a family with an only daughter, the choice is difficult, and there is no choice to regret. Repeated comparisons, recommended by relatives and friends, after a year, I finally came to the Air Force General Hospital and found Professor Gu Jianwen, a neurosurgeon.

No matter how big the experts are, they have grown up through hardships. Faced with this case, Professor Gu Jianwen believes that the treatment is very difficult. Firstly, the stability of atlantoaxial joint needs to be evaluated in detail; Secondly, whether there is causal relationship between cerebellar tonsillar hernia and syringomyelia; Finally, how can we solve all the problems at once, so that patients can benefit greatly and suffer less. In fact, until now, these problems are still international problems. Professor Gu Jianwen decided that no matter how big the risk is, as long as there is a glimmer of hope, he will never give up. The operation must be done.

As the treating doctor of Pony, I made detailed preparations for the operation she will undergo. Arrange for her to take X-ray examination of cervical hyperextension and hyperflexion to understand the stability of atlantoaxial joint; Three-dimensional CT reconstruction of craniocervical junction was carried out to further understand the stability and observe whether there are other developmental malformations. Dr. Yu Panfeng from the Orthopedic Spinal Group was also invited to evaluate. Through evaluation, it is considered that the operation does not affect the stability of cervical spine.

Professor Gu Jianwen led us to determine the surgical plan: posterior cranial fossa enlargement+reconstruction of occipital cistern+partial cerebellar tonsillectomy+syringomyelia shunt. Four types of operations are completed at the same time, and the difficulty can be imagined.

go deep into the mountains, knowing well that there are tigers there—go on undeterred by the dangers ahead

On the day of the northern off-year, the operation began at 9: 30 am.

1. Release physical space

The first operation: the narrow posterior cranial fossa and vertebral bone were opened with rongeur, which opened the confined physical space.

2. Remove the "appendix" in the brain

The second operation: after opening the dura mater, we can see that the cerebellar tonsil herniates into the lower edge of the foramen magnum, tightly squeezing the very, very important nerve tissue. And this part of the tissue has become the "appendix" of the brain, completely useless tissue. The operation successfully removed some useless cerebellar tonsil tissue and retracted it to the normal position (foramen magnum). This is only the first step. Next, we should explore the outlet of the fourth ventricle and the opening of the central spinal canal, because this may also be the cause of syringomyelia. Exploration found that, as expected … These two openings were tightly locked by the thickened arachnoid membrane. The next step is to carefully separate and open up water channels.

3. Break through the stagnant spinal cord "dammed lake"

The third operation: exploration found that the most bulging position of the spinal cord started from the third cervical plane. The surface of the spinal cord, which used to have beautiful wrinkles, has been swollen and smooth by stagnant water. Sometimes, smoothness is not necessarily a good thing. Just as a dammed lake is a lake formed by blocking a valley or river bed and storing water by landslides caused by earthquake activities. There are four processes in the formation of the dammed lake: one is the original water system; Second, the original water system was blocked by plugs. Third, after the river valley and river bed are blocked, the flowing water gathers and overflows around. Fourth, the dammed lake will be formed when the water is stored to a certain extent. Once the dammed lake breaks, it will form a flood peak downstream, and improper disposal will lead to major disasters. Similarly, after the spinal cord is filled with water, the function of the spinal cord is gradually lost. The operation is to get through the "barrier lake" of this spinal cord.

Cutting the back of the spinal cord and placing the shunt tube is an extremely delicate and gentle job, because this position is too important, and the result of any slight difference may be disastrous. The length of the incision is only 2-3mm, and the shunt tube is as soft as hair. Moreover, there is a heavy procedure. Because this patient’s syringomyelia is not a whole, but divided into several compartments, this important operation is to use a shunt as thin as a hair to get through the compartments. This is more and more like the plot of a martial arts novel, but it is actually the case.

4. Put a big bed on the spinal cord.

The fourth operation: reconstruction of cisterna magna. The artificial dura mater is used to enlarge the cisterna magna to further reduce the pressure and provide a safer and more effective buffer zone. Let the spinal cord no longer sleep in a small bed. Instead, the external cavity of the spinal cord is enlarged, and a "Simmons" big bed is rebuilt, so that the spinal cord can sleep in the big bed this life.

The operation lasted 2 hours. After the pony recovered from anesthesia, she felt more sensitive pain in her hands. I believe that with the extension of time, the surgical effect will get better and better.

According to the custom, on the day of off-year, the Kitchen God will tell the Jade Emperor about a family’s good and evil, and return on New Year’s Eve with orders to reward the good and punish the evil, or to bless or reduce the disaster. In reality, I have never seen the characters in these customs, but as a doctor, at this moment, I suddenly feel that the wish for the well-being of patients is to repay the blessings. I sincerely hope Pony can recover smoothly and go home for the New Year.

—————————————————

[Related knowledge link]

The malformation of cerebellar tonsil hernia, also known as Chiari malformation, is a congenital developmental abnormality that the cerebellar tonsil extends downward or protrudes into the cervical spinal canal with the inferior medulla oblongata or even the IV ventricle through the foramen magnum due to the abnormal development of the brain structure at the midline of the posterior cranial fossa during the embryonic period.

1, the medulla oblongata and upper compression can appear hemiparalysis or quadriplegia, tendon hyperreflexia and other pyramidal signs, sensory disorders, urinary and defecation disorders and dyspnea; Cerebral nerve involvement can include facial numbness, diplopia, tinnitus, hearing impairment, dysarthria and dysphagia, cervical nerve root symptoms such as pain in the lower occipital region, cerebellar symptoms such as nystagmus and gait irregularity;

2. There may be symptoms of increased intracranial pressure such as headache and papilla edema;

3. The brain stem and upper cervical segment are compressed and flattened, and the surrounding arachnoid adhesion and thickening can form cysts; The medulla oblongata and cervical spinal cord can be affected by compression ischemia and cerebrospinal fluid pressure, resulting in secondary syringomyelia and corresponding symptoms.