Start as an Emergency Physician

"I heard that the patients came from other places, and the hospitals in the imperial capital and the magic capital said that they could not be treated, and I heard that the director of our hospital was a national expert, so I came here. Lu Chenxi said.

Zhou Yuan was even more puzzled.

At this time, Dean Fang, who was sitting in the obstetrics conference room, looked dazed.

He wondered if he was an expert in hand surgery, so why did babies with their heads attached to him come to him for help?

Soon, there was a knock on the door, and when he saw Zhou Yuan outside the door, Dean Fang looked a little excited with an expression that the rescue had arrived.

"Sit down. Dean Fang patted the seat next to him.

Seeing Zhou Yuan's arrival, Wei Lili, the deputy director of the first obstetrics department, lit up her eyes and began to introduce the patient's situation.

This is a conjoined baby with a connected skull.

Conjoined babies occur on the basis of identical twins, which are caused by incomplete division of the fertilized egg in the early stage, which usually occurs in the first two weeks of pregnancy and can be detected at the time of the prenatal examination.

"Their parents couldn't bear it, so they had a caesarean section and gave birth. "

"We began to think that the two babies were only occipitally connected, sharing brains, sagittal sinuses, etc., which was a relatively common situation, but after examination, we found that the two children each had separate brains and had the possibility of separation surgery, but..."

"But what?" Zhou Yuan couldn't help but ask.

"But... The baby is too young and has only been born for a short time, and there is a high risk of death due to excessive blood loss during the operation!"

Zhou Yuan frowned.

Excessive blood loss is an important reason for the low success rate of skull separation surgery, there is not much blood in the head of adults, and even less blood in the skull of babies, once the bleeding is slightly more, both children cannot be saved.

No wonder other hospitals don't dare to do it.

The director of the Department of Brain Surgery said: "The chance of excessive blood loss is too great, and it is almost impossible for this operation to succeed!"

"This is not a problem that can be solved by fine operations..."Speaking of this, Wei Lili subconsciously glanced at Zhou Yuan.

Now, good technique is actually of little significance, bleeding is inevitable in skull separation surgery, and this head conjoined baby is the most afraid of blood loss!

"Do you have any good ideas?" asked Dean Fang.

"I don't think it's going to be a success! My advice is to leave it out for now. A thoracic surgeon said.

The director of brain surgery said: "If they don't undergo surgery, they will face life-threatening when they grow to about two years old, and it will be basically impossible for these two people to survive at that time..."

Dean Fang fell silent.

"I looked at some cases of head separation, there were 21 cases in total, and almost every one of them had heavy bleeding, but because the patients were older, they had to lean on. Dean Fang looked at the information in his hand.

Head separation surgery requires delicate brain dissociation, skull repair, etc., and the operation is excusable for heavy bleeding.

"I really can't do it, keep one!" the director of brain surgery spoke.

Everyone present was stunned.

"Since there is no way to guarantee that both of them will survive, then, give all the blood flow and so on to one of them, so that he can be guaranteed to survive!"

Wei Lili smiled helplessly: "You haven't had a child yet, so you don't know, this plan will definitely not work." "

"I'm going to talk to them! Either they're together, and both of them are in danger of their lives around two years old, or let one of them live!"

With that, the director of brain surgery prepared to leave the conference room.

Within minutes, the head of the brain surgery sneaked back, and the parents of the conjoined babies also entered the conference room crying.

"Doctor, I beg you, don't ask which one we have!" the mother cried.

The baby's father had red circles in his eyes, bowed to everyone in the hospital as if apologetically, and said in a deep voice: "Please don't ask us which child we choose to keep! We are their parents, and we can't wait to give them our lives, how can we take them again..."

Everyone present was a little overwhelmed and had the idea of retreating, but seeing the pair of earnest and painful parents looking at them with expectant eyes, no one could bear to refuse.

"We'll talk about how to save your children, so you can wait outside. Dean Fang said.

The baby's parents thanked each other repeatedly, and then reluctantly withdrew.

Looking at the couple who helped each other to leave, everyone present sympathized.

"But... Head separation surgery is the most difficult part of separating conjoined babies, and it is still a newborn baby. This is a delicate and complex operation in itself, and it is necessary to overcome the excessive bleeding that almost inevitably occurs..."The director of the Department of Brain Surgery was a little difficult.

"I've never seen a successful surgery like this... There is no better way. Keep one, or forgo surgery. Someone said.

At this time, Zhou Yuan, who had been silent, suddenly lit up his eyes.

"I have an idea. "

Everyone's eyes immediately turned to Zhou Yuan.

Hope reignited in Dean Fang's eyes: "You say!"

"Blood flows out of the heart continuously, since intraoperative bleeding will occur, can't you just turn off the heart?" Zhou Yuan stood up and said slowly.

The conference room was silent.

Possibilities are quickly simulated in everyone's mind.

Temporary suspension of the heart's blood pumping has been used in cardiac surgery for many years, but it has never been used in a complex operation as cranial separation.

It can be said that ... This is the first time!

Therefore, no one present dared to be sure that this plan was correct.

However, no one dares to say that it is not feasible!

"It stands to reason that your approach works... In which literature did you see it?" Dean Fang asked.

When he heard Zhou Yuan's surgical method, he had a feeling of refreshment, which was a technique that had never been used in head separation surgery.

"I just thought of it. Zhou Yuan said silently.

"What just came up with that?!"

Several directors glanced at each other, and all of them showed shocked expressions.

"Even if the plan you said is feasible, the difficulty of head separation surgery is very large, and it is not something that ordinary people can control, and I really can't do it alone!"

Head conjoined infant separation is a truly oversized operation that often requires the close cooperation of a dozen, or even dozens, of medical staff.

A typical operation requires six people, four doctors, an anesthesiologist, and a nurse, but a baby with a conjoined head may require more than twice as many people.

The number of people alone is enough to see the complexity of this operation. _

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