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Chapter 3439: ?3439?Surgical Conception
Chapter 3439: ?3439?Surgical Conception
?? Chapter 3439 [3439] Surgical Conception
?? Without further ado, the ambulance loaded the patient and set off quickly.
?? Sitting in the car, Xie Wanying turned her head, and could see a dark crowd watching her and the patient.
??Senior Brother Cao, who stood in the crowd, was silent, his dark eyes were especially deep. When he received her gaze, he nodded to her, and the slight smile on the corner of his mouth was undoubtedly telling her that he wanted her to be at ease.
??Senior Brother Cao was very worried about his classmates. Xie Wanying could feel it.
??The ambulance drove onto the main road.
??The ECG monitor beeped. Huang Zhilei, who was sitting beside the patient, immediately had his hair stand up and looked nervous.
?? "Brother Huang, don't be afraid." Xie Wanying said, looking at the fluctuation of the patient's life value curve on the monitor, it was actually acceptable.
??After a while, the monitor alarm stopped.
?? "Should we do something?" Huang Zhilei asked the younger sister's opinion.
??Is it okay to do nothing on the road?
??Xie Wanying explained to Senior Brother Huang: "He can hear us consciously. I personally think that this piece of glass is not deeply pierced, but it is temporarily clamped by the human body inside, and it will not be life-threatening for the time being."
?? After she woke up, it turned out to be the case. No wonder Senior Brother Cao was relatively relieved to let them send the wounded back. Huang Zhilei thought.
?? After Zhou Shuren was found injured, he did not completely lose consciousness, but his eyes were seriously injured and could not open his eyes, and his body was weak and it was difficult to open his mouth.
??Because the patient can vaguely hear some words, the doctor should be very careful about the content of the dialogue.
?? The two doctors lowered their voices and discussed. On the way, you can seize the time to predict the patient's injury in advance and make an operation plan, so as not to wait too long in the hospital.
?? Neurosurgery is different from other departments. After talking about so many cases, we can clearly realize that accurate preoperative planning is too important, which is almost related to the success or failure of the operation.
?? "Where do you think this piece of glass will be located, and where is the best place to move the knife?" Huang Zhilei asked the younger sister for her opinion.
?? Seeing that Senior Brother Huang was able to calm down, Xie Wanying began to tell Senior Brother Huang about her surgical concept: "It's a piece of glass whose length can reach the base of the skull and close to the brain stem. It was supposed to go through—"
?? "You must brush the internal carotid artery." Huang Zhilei said.
?? It means that Brother Huang is not confused at all, but he is too nervous, and the neurosurgeon's eyes are bright. As seen above, the area of ??the internal carotid artery close to the ear must be close to the orbit. Therefore, the glass pieces that enter from the eyes and the ears are very likely to be adjacent to a large artery such as the internal carotid artery.
?? In surgery, refer to the cases of other surgical departments, what should I do in this situation? Simple and rude methods, such as Mr. Tan taking them for general surgery, predicting in advance which large blood vessel may bleed a lot when the operation is performed, and simply cut off the blood flow of this large blood vessel first.
?? Neurosurgery can also do the same. For fear of massive bleeding, the internal carotid artery can be blocked first.
The surgical approach adopted by ?? does not need to wait for the craniotomy to be stopped. If you do this, the glass fragments will move after the craniotomy, and there are too many variables, and the doctor will be afraid that it will be too late to stop.
?? Advanced interventional surgery methods can be used. Before the craniotomy, such as Dr. Hu's surgery, something is inserted into the aorta of the injured person's brain. Dr. Hu is an embolic hemangioma.
?? (end of this chapter)