Start as an Emergency Physician

He Jian nodded: "Yes, these are indeed symptoms of cerebral infarction." "

"What about the results of a brain CT?"

The little nurse immediately fetched it.

"There are large areas of low density, and there are also irregular patchy areas of high density!".

Zhou Yuan: "Hemorrhagic cerebral infarction!".

Cerebral infarction refers to the avascular necrosis or softening of localized brain tissue caused by blood supply disorder and lack of blood and oxygen to the brain.

As a sudden brain disease, the degree of necrosis varies according to the location and size of the thrombus, the onset is acute, there are often no prodromal symptoms, and focal neurological signs peak within minutes to hours.

If the internal carotid artery or the main trunk of the middle cerebral artery leads to a large cerebral infarction, severe cerebral edema, increased intracranial pressure, and even cerebral herniation and coma, and seizures may also occur.

As for hemorrhagic cerebral infarction, the situation is more critical when secondary hemorrhage occurs in the infarct area due to the re-restoration of blood flow perfusion to the blood vessels in the ischemic area during cerebral infarction.

"It is important to have a craniotomy as soon as possible. He Jianyi said.

In fact, whether a cerebral infarction requires surgical treatment is generally judged according to the situation, and in many cases, some relatively small cerebral infarctions do not require surgical treatment.

However, if the cerebral infarction is caused by vascular factors, such as arterial stenosis or even occlusion, it is necessary to perform stent implantation surgery or vascular anastomosis surgery, so as to reduce the recurrence of cerebral infarction and the further aggravation of the later condition as much as possible.

Obviously, at this time, it is no longer possible to determine the causative factor of cerebral infarction, and the bleeding problem can only be solved by craniotomy, and then the next treatment can be carried out according to the cause of cerebral infarction.

"Contact the directors of the Department of Neurology and Brain Surgery as soon as possible, and let them come for a consultation!" He Jianyi immediately ordered.

"Are the patient's families coming?"

Zhang Ling hurriedly walked in and said, "No! The old man came alone, I asked around the emergency department hall, and there was no family member!"

"How can you sign without a family member?

He Jianyi's concern was not this, he quickly dialed the number of the neurology department and the brain surgery department, and a few minutes later, the directors of the neurology department and the brain surgery department arrived.

"Look at this patient!" He Jianyi urged.

The two directors immediately walked up and examined, but their faces became more and more ugly.

"The site of the patient's cerebral infarction is very bad, it is a place that can be fatal, and the scope of cerebral infarction is very wide!".

"The patient has a prolonged ischemic attack, and I have just examined her neck, and found that the carotid artery stenosis is greater than 50%, the nature of the plate in the brain is not optimistic, extremely unstable, it is metastasizing at any time, and the blood supply to the cerebral blood vessels is also compressed!".

Zhou Yuan and He Jianyi were a little impatient, and Zhou Yuan asked directly: "You can tell us directly, can you do this operation?"

"No, you can't. "

Zhou Yuan's face changed and he looked at his system space.

Two beginner chests, two intermediate chests.

Now, I can only pray that three surgeries of the same level will be prescribed!

"Open the primary treasure chest and obtain!Master Benign Tumor Resection on the Body Surface!" A simple first-level operation that ordinary doctors can control.

"Open the primary treasure chest and obtain!Master purse sewing method!" A small suture skill, suitable for the drainage and fixation of the intestinal lumen and bladder, belongs to a small category of varus suture.

"Open the Intermediate Treasure Chest and Obtain a Master-Class Vascular Grafting!" "Level 3 surgery, an operation that can only be performed by senior attending physicians and deputy directors and above.

"Open the Intermediate Chest and obtain !Vitality Elixir*1!".

The corners of Zhou Yuan's mouth twitched.

The intermediate treasure chest has opened a vitality potion? Are you kidding me!

But Zhou Yuan can't manage so much, as long as there are three, it's enough.

He immediately dragged the three master-level techniques together, and suddenly, countless surgeries appeared in front of him, from the most basic appendicitis removal to the advanced venous sinus injury repair.

Zhou Yuan's own theoretical knowledge is solid enough, and he naturally knows what kind of surgery the old man needs to undergo for hemorrhagic infarction at this time.

"Redeem carotid endarterectomy!".

A brief flash of light flickered, and the three techniques fused together, and in the attribute bar, while purse suture, vascular grafting, and body surface benign tumor resection disappeared, carotid endarterectomy quietly lit up.

"Get! Master carotid endarterectomy!".

Countless knowledge quickly poured into Zhou Yuan's mind, and the details about carotid endarterectomy flashed in Zhou Yuan's mind one by one.

The director of the Department of Neurology and the Department of Brain Surgery looked frustrated at this time: "We really can't do this operation! The patient is over 70 years old, and the position of the cerebral infarction is tricky, and the situation is really too critical!"

"I'll do it!".

At this time, Zhou Yuan suddenly inserted into the conversation between the two and spoke in an unquestionable tone.

"I'll do this surgery!"

——

The update is delivered, brothers ask for monthly ticket support, I want to last time on the monthly pass list, and now there are still 200 tickets away from the third place, please you!