Start with the emergency physician

Zhou Yuan’s face was grim, and without much explanation, he quickly said: “Immediately inject saline coolant to replace blood!” ”

Although Lu Chenxi and others were puzzled, the anesthesiologists, instrument nurses, etc. 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 was injected, Zhou Yuancai said: “Suspend heart function, maintain it first, and transfuse a small amount of blood!” ”

Today’s testing methods cannot ensure that the blood in the blood bank is free of any virus, and in the current situation, less blood transfusions are reduced.

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

Zhou Yuan continued to separate the brain.

Although the brains of the ensembles do not grow together, the surrounding blood vessels are crossed, 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 lack of blood and oxygen, they cannot regenerate, which will cause permanent side effects to the two 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 successfully separated.

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

“Half more.”

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

Not only blood vessels, but also cranial nerves also need special attention.

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

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

“It’s so hard… It was the first time I had performed skull separation surgery on such a young child. Xiao Xuebo said.

Zhou Yuan carefully searched for the source of the blood vessels, while saying, “Have you done it before?” ”

“Well, it was done, but it died.”

Zhou Yuan: …

“This was not an accident of surgery, it was a baby with a conjoined abdomen, the livers of both children were fused together, and six large blood vessels were crossed together for a common blood transfusion, and the situation was not as complicated as this. At that time, my team completed the separation, but the two children were accompanied by cardiac hypoplasia and died a few months after the separation. ”

Zhou Yuan nodded silently.

“The day the two children died happened to be my rescue, and in one evening, I gave thirteen consecutive critical illness notices to the families, not to mention the families, I was scared to death, but unfortunately I was not rescued in the end.” 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 postoperative care is paid attention to, there is basically no big 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 score on his side, he began to help Xiao Xuebo again.

Lu Chenxi and another thoracic surgeon have recovered the beating of the patient’s heart. Excessive blood loss has also been effectively alleviated.

This made several people present a little incredulous.

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

Three hours later, the other half of the brain 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 with fewer superior sagittal sinuses will have more skull defects, more encephalomalacia, and incomplete neurological development and brain development.

Babies with more 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 when both people are just right, which is beneficial to everyone.

“The shared superior sagittal sinus surface is large and separation can be attempted.” Zhou Yuan glanced at it and said.

“Use a headframe to secure the patient’s head.”

During separation, once the relative movement of the brain to the skull and superior sagittal sinus occurs, it may seriously damage the cranial nerves that pass through the base of the skull.

Also, cortical meridians flowing back into the dural sinuses may be impaired 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 artery. Moreover, the intracranial artery wall is relatively tough and rarely damaged, and if you block the intracranial artery, it will damage the patient’s brain. ”

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

“Understood.” Xiao Xuebo was stunned and nodded.

“Vascular forceps.” Zhou Yuan said again.

Next, Zhou Yuan blocked the catheter vein with vascular forceps.

This is a vein that allows blood to flow into the superior sagittal sinus, and once blood flows into the superior sagittal sinus during the procedure, it may cause infection of the blood, causing thrombosis of the venous sinus.

After Zhou Yuan blocked, he quickly began cutting.

Soon, the patient’s superior sagittal sinus is completely separated. Zhou Yuan quickly restored the patient’s blood supply and prevented it from affecting brain function.

“Complete separation.”

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

Soon, both patients were successfully separated, but both of the skulls were missing parts.

“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 all the blood vessels and nerves were not misallocated, Zhou Yuan began to suture the cranial nerves.

The others were idle at the moment, staring carefully at the busy three.

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

“It’s really … See it once and marvel once! Wei Lili said.

“Yes, so handsome…” He Jing’s eyes were a little dull, staring at Zhou Yuan motionless.

Wei Lili: …

“It feels like the two of us are here to observe the operation. But fortunately, the two of us are on, which means that there is a problem with the patient, and now nothing has happened, which is also lucky. Wei Lili said.

He Jing nodded with a smile and said, “It’s because Dr. Zhou’s technique is better!” ”

Wei Lili nodded and asked again, “He Jing, do you want to go to the emergency department?” ”

He Jing was stunned: “Director, why did you say that?” ”

“I see that you are not far from Zhou Yuan’s three sentences, and your mind is not in the obstetrics and gynecology department.” Wei Lili joked.

He Jing’s face suddenly blushed: “No, it’s because Dr. Zhou’s technique is really good!” If it weren’t for the good technology, something might have happened! ”

Hearing this, Zhou Yuan’s face darkened: “Don’t crow mouth…”

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