Start as an Emergency Physician

Zhou Yuan's face was grim, and he didn't explain too much, and quickly said: "Immediately inject saline coolant to replace the blood!"

Although Lu Chenxi and the others were puzzled, the anesthesiologist and instrument nurse had followed Zhou Yuan for many operations, so there was no suspicion, and the nurse immediately injected the patient with saline coolant.

"Cryogenic containment technology. The main thing is to lower the patient's body temperature and slow down the blood flow, which can reduce the amount of bleeding. "

Zhou Yuan said.

After the saline coolant injection was completed, Zhou Yuancai said: "Suspend the heart function, maintain it first, and transfuse a small amount of blood!"

Today's testing methods do not ensure that the blood in the blood bank is free of any virus, and in the current situation, less blood transfusion is less transfusion.

Lu Chenxi and another director of thoracic surgery immediately took action.

Zhou Yuan continued to dissect the brain.

Although the brains of conjoined children do not grow together, the surrounding blood vessels intersect, which requires careful separation.

Moreover, because it was a blood vessel in the brain, Zhou Yuan did not dare to rashly block the blood flow.

Once brain cells die due to ischemia and lack of oxygen, they cannot regenerate, which will cause permanent side effects to both children.

"Director Xiao, separate the blood vessels. Zhou Yuan said.

Xiao Xuebo nodded and walked up.

After more than an hour, the right cerebral hemisphere was successfully separated.

Seeing that the brains that were originally glued together were half separated, everyone in the operating room was in a much better mood.

"And half. "

Zhou Yuan said, and began to carefully oppress and isolate again.

Not only the blood vessels, but also the cranial nerves need to be paid special attention to.

Because the patient's brain is nearby, many blood vessels and nerves are crumpled together, and Zhou Yuan and Xiao Xuebo need to judge the owner of the blood vessels and nerves.

Therefore, the source can only be found in the direction of the blood vessels.

"It's so hard... It was the first time I had a skull separation surgery for such a young child. Xiao Xuebo said.

Zhou Yuan carefully searched for the source of the blood vessels, and said, "Have you done it before?"

"Well, I did, but died. "

Zhou Yuan: ...

"This was not an accident, it was a conjoined baby in the abdomen, the livers of both children were fused together, and there were six large blood vessels crossed together for a blood transfusion, and the situation was not as complicated as this. At that time, my team completed the separation, but the two children also had heart problems and died a few months after the separation. "

Zhou Yuan nodded silently.

"The day the two children died of illness happened to be in the rescue, one night, to the family members thirteen times in a row to the critical illness notice, not to mention the family, I was scared to death, but unfortunately in the end I was not saved. Xiao Xuebo shook his head and sighed.

"Rest assured, although this operation is difficult, the patient is in good physical condition, as long as the operation is completed and attention is paid to post-operative care, there is basically no major problem. Zhou Yuan seemed to be comforting.

The operating room fell silent again.

Zhou Yuan's speed was very fast, and after completing the blood points on his side, he began to help Xiao Xuebo again.

Lu Chenxi and another thoracic surgeon have restored the patient's heartbeat. Excessive blood loss was also effectively relieved.

This made several people present a little incredible.

This method is not unseen, cardiac surgery is often available, but... This is the first time it has been used in a skull separation surgery!

Three hours later, the other half of the brain was finally separated.

Zhou Yuan did not relax, and said, "Start the separation of the superior sagittal sinus." "

This is also the most worrying place.

Once there is an uneven distribution, the infant who is assigned less superior sagittal sinus will be assigned more skull defects, and the situation of encephalomalacia will be more severe, and at the same time, the neurological development and brain development will be incomplete.

Babies who are assigned more superior sagittal sinuses will not have a higher IQ, but their development will be slower than that of normal children, but they can still reach the level of normal people in the end.

So, the best case scenario is that both people are just right, so that it is beneficial to everyone.

"The shared superior sagittal sinus plane is large and separation can be attempted. Zhou Yuan glanced at it and said.

"Use a head frame to immobilize the patient's head. "

At the time of separation, the relative movement of the brain to the skull and superior sagittal sinus may cause severe damage to the cranial nerves that cross the base of the skull.

In addition, the cortical meridians that flow back into the dural sinuses may also be damaged by brain displacement, resulting in subdural and subarachnoid hemorrhage.

"Wait, the intracranial arteries don't need protection. Zhou Yuan stopped Xiao Xuebo.

"Why?"

"The surgery does not touch the intracranial arteries. In addition, the walls of the intracranial arteries are relatively tough and rarely damaged, and if you block the intracranial arteries, you will damage the patient's brain. "

Although the damage is small, it is still there after all, and it can be avoided if it can be avoided.

"Understood. Xiao Xuebo was stunned for a moment and nodded.

"Vascular clamps. Zhou Yuan said again.

Then, Zhou Yuan blocked the catheter vein with a vascular clamp.

This is a vein that allows blood flow to the superior sagittal sinus, and once blood flows into the superior sagittal sinus during the procedure, there is a risk of infection of the blood, which can cause thrombosis in the venous sinus.

After Zhou Yuan blocked, he quickly began to cut.

Soon, the patient's superior sagittal sinus was completely separated. Zhou Yuan quickly restored the patient's blood flow to prevent it from affecting brain function.

"Completely separated. "

Zhou Yuan said, and Xiao Xuebo slowly separated the two patients.

Soon after, both patients were successfully separated, but part of their skull was missing.

"Repair of the superior sagittal sinus. Zhou Yuandao.

This step was handed over to Xiao Xuebo and another director of brain surgery.

Zhou Yuan carefully examined the patient's brain.

After confirming that none of the blood vessels and nerves were misassigned, Zhou Yuan began to suture the cranial nerves.

The others were now idle, staring carefully at the busy trio.

He Jing and Wei Lili were already stunned by Zhou Yuan's smooth movements at the moment.

"It's really... Look at it once, marvel at it once!" Wei Lili said.

"Yes, so handsome..." He Jing's eyes were a little dull, staring at Zhou Yuan motionlessly.

Wei Lili: ...

"It feels like the two of us are here to observe the surgery. But it's okay, the two of us are on it, which means that the patient has a problem, and now nothing has happened, which is a blessing. Wei Lili said.

He Jing smiled and nodded, "It's because Dr. Zhou's skills are better!"

Wei Lili nodded, and then asked, "He Jing, do you want to go to the emergency department?"

He Jing was stunned: "Director, why do you say that?"

"I see that you are inseparable from Zhou Yuan, and your mind is not in the obstetrics and gynecology department. Wei Lili joked.

He Jing suddenly blushed: "No, it's because Dr. Zhou's skills are really good! If it weren't for good skills, maybe something would have happened!"

Hearing this, Zhou Yuan's face darkened: "Don't crow mouth..."

Feilu reminds you: there are three things to read - collection, recommendation, and points