Start with an emergency physician
Chapter 97
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"I heard that the patient came from another place. Hospitals in the capital and the Magic City said that they couldn't treat the patient. He heard that Director Fang of our hospital was a national expert, so he came here."Lu Chenxi said.
Zhou Yuan was even more confused.
At this time, Director Fang, who was sitting in the obstetrics meeting room, looked confused.
He thought that he was an expert in hand surgery, so why did he need help with a baby whose head was connected?
Soon, there was a knock on the door. Seeing Zhou Yuan outside the door, Director Fang looked a little excited, as if he had arrived to help.
"Sit down quickly." Dean Fang patted the seat next to him.
"Is such that……"Seeing Zhou Yuan coming, Wei Lili, deputy director of the first obstetrics department, brightened her eyes and began to introduce the patient's condition.
This is a conjoined twin with a skull connected.
Conjoined twins occur on the basis of identical twins. They are caused by incomplete early division of the fertilized egg. This situation usually occurs in the first two weeks of pregnancy. In theory, it can be discovered during prenatal examinations.
"Their parents couldn't bear it, so they gave birth to the baby by caesarean section."
"We initially thought that the two babies were only connected at the occipital bone and shared a brain, sagittal sinus, etc. This is a common situation. However, after examination, we found that the two children each had an independent brain and it was possible to perform separation surgery, but……"At this point, Wei Lili fell silent.
"But what?" Zhou Yuan couldn't help asking
"But... the babies are too small and were born not long ago. They may die from 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 brain of an adult, and even less blood in the skull of a baby. Once the bleeding is a little more, both children will die.
No wonder other hospitals dare not do it.
The director of neurosurgery said:"The chance of excessive blood loss is too high. This operation is almost impossible to succeed!"
"This is not a problem that can be solved by fine manipulation.……"At this point, Wei Lili glanced at Zhou Yuan subconsciously.
Now, good skills are actually meaningless. Bleeding is inevitable during the skull separation operation, and this conjoined baby is most afraid of losing blood!
"What good ideas do you have?" Dean Fang asked
"I think this operation is almost impossible to succeed! My suggestion is not to perform the operation for the time being." said a thoracic surgery director. The neurosurgery director said:"If the operation is not performed, they will be in danger of death when they are about two years old. At that time, given the condition of these two people, it is basically impossible for them to survive.……"
Dean Fang fell silent
"I looked through some cases of head separation, a total of 21 cases, and almost every case had severe bleeding, but because the patients were relatively old, they just managed to get through it."Director Fang flipped through the materials at hand.
Head separation surgery requires delicate brain separation, skull repair, etc., and severe bleeding during the operation is understandable.
"If it doesn't work, save one!" The head of neurosurgery said.
Everyone present was stunned.
"Since there is no way to guarantee that both of them will survive, then all the blood flow and so on will be given to one of them, so that he can be guaranteed to survive!"
Wei Lili smiled helplessly:"You haven't given birth to a child yet, so you don't know, this plan will definitely not work"
"I'll go talk to them! Either they are conjoined together, and both of them are in danger of death around the age of two, or one of them survives!"
The director of neurosurgery was about to leave the meeting room.
Within a few minutes, the director of neurosurgery sneaked back, and the parents of the conjoined babies also came into the meeting room crying.
"Doctor! I beg you, don’t ask us which one to keep!" The baby’s mother started crying.
The baby’s father’s eyes turned red, he bowed to everyone in the hospital as if to apologize, and said in a deep voice:"Please don’t ask us which child we choose to keep! We are their parents, we want to give them our lives, how can we take it away again?……"
The people present were a little overwhelmed and wanted to back out, but when they saw the earnest and painful parents looking at them with expectant eyes, no one had the heart to refuse.
"We will discuss how to save your child. Please wait outside first."Director Fang said.
The baby's parents thanked him repeatedly and then reluctantly left.
Looking at the couple who left with each other, everyone present felt sympathy.
"But…head separation surgery is the most difficult part of separating conjoined twins, especially when they are newborns. This is a delicate and complicated surgery, and we also need to overcome the almost inevitable excessive bleeding.……"The head of neurosurgery was in a dilemma.
"I have never seen such a successful operation... There is no better way at present. Save one, or give up the operation." Someone said.
At this time, Zhou Yuan, who had been silent all the time, suddenly brightened up.
"I have an idea."
Everyone's eyes immediately turned to Zhou Yuan.
Dean Fang's eyes were filled with hope again:"You tell me!"
"Blood is constantly flowing out of the heart. Since intraoperative bleeding will occur, then, can't we just shut down the heart?" Zhou Yuan stood up and said slowly.
The conference room was silent.
Everyone quickly simulated the possibility in their minds.
Temporarily stopping the heart's blood pumping function, this surgical method has been used in cardiac surgery for many years, but it has never been used in such a complex operation as skull separation.
It can be said... This is the first time!
Therefore, no one present dared to be sure that this plan was correct.
However, no one dared to say it was not feasible!
"Logically speaking, your method is feasible... Where did you read it in a document?" Dean Fang asked.
After hearing Zhou Yuan's surgical method, he felt refreshed. This was a technique that had never been used in head separation surgery.
"I just thought of it."Zhou Yuan said silently
"Just thought of it?!"
Several directors looked at each other with shocked expressions.
"Even if the plan you mentioned is feasible, the difficulty of head separation surgery is very great. It is not something that ordinary people can handle. I really can't do it alone!"The director of neurosurgery shook his head.
Separating conjoined twins is a truly major operation, which often requires the close cooperation of more than a dozen or even dozens of medical staff. A general operation may require six people, four doctors, an anesthesiologist, and a nurse, but conjoined twins may require more than twice the number of people to assist.
The number of people alone is enough to show the complexity of this operation._Feilu reminds you: Three things to do when reading - collection, recommendation, and sharing
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