Start with the emergency physician

“What’s the situation?”

Zhou Yuan asked while quickly rushing to the obstetrics and gynecology department with Lu Chenxi.

Lu Chenxi’s face was very ugly, and said: “The two patients have been under guardianship, and there is no problem, just now, the big one began to have a fever and his whole body convulsed!” ”

Outside the rescue room, the patient’s parents were already crying.

Little did they know that a child who had completed skull separation surgery would be pushed into the operating room again.

Zhou Yuan quickly changed his clothes, finished his preoperative preparations, and entered the operating room.

“Zhou Yuan!” When Wei Lili saw Zhou Yuan, she didn’t know why her mood suddenly relaxed a little.

“The patient’s physical condition.” Zhou Yuan stepped forward and asked.

Wei Lili said: “Preliminary judgment, pediatric epilepsy!” ”

Zhou Yuan’s brows furrowed.

Pediatric epilepsy is a common neurological syndrome with complex etiology and repeated seizures in children, and the clinical manifestations include recurrent muscle twitches.

“High fever and convulsions all over the body, we judge that it is caused by pediatric epilepsy!” He Jing probed the patient’s body temperature, and his face changed slightly, “It’s already 39.5 degrees Celsius!” ”

The baby lying on the operating table convulsed and his lips were bruised.

This is a symptom of pediatric epilepsy.

But…… I am not good at pediatric epilepsy, I am definitely not as good as Wei Lili in this aspect, and I can’t even compare to He Jing, who came to study, why find myself?

Wei Lili seemed to see what Zhou Yuan was thinking, and said, “We have done routine tests of blood, urine and stool before, and the blood biochemistry shows that the patient’s sugar, calcium, phosphorus and electrolytes are within the normal range. There are no abnormalities in liver and kidney function, and the chromosomes are normal…”

“Moreover, the patient’s parents were also asked, and there was no family genetic history, so primary epilepsy was basically rejected!”

The so-called primary epilepsy, that is, no cause has been found, most of which are related to heredity. This part of epilepsy patients accounts for about 20% of the total number of epilepsy patients, also known as cryptogenic epilepsy or hereditary epilepsy.

The opposite is called secondary epilepsy, also known as symptomatic epilepsy, which has a specific cause.

Zhou Yuan glanced at Wei Lili and said, “You mean that the patient’s pediatric epilepsy is related to the brain?” ”

I have just completed skull separation surgery, and I think I know that it is most likely a brain problem, which is likely to cause postoperative complications.

Wei Lili nodded solemnly and said, “We suspect that it is pediatric epilepsy induced by cerebrovascular disease!” ”

Zhou Yuan frowned: the most worried postoperative complications still appeared.

This is not something that can be avoided by technology.

Sure enough, the skull separation surgery of the conjoined child is not so simple, and even if the operation is completed, it only represents a dangerous period passed.

“EEG!” Zhou Yuandao.

Skull separation surgery brought Zhou Yuan mastery of brain structure.

He now wants to confirm the cause of pediatric epilepsy, and if it is a tumor, he can only immediately ask people from the brain surgery and neurology department to come to consult and remove the tumor.

Wei Lili nodded: “It’s been ready for a long time, He. Go get the list, it should come out. ”

He Jing quickly ran out and came back again.

“It’s epilepsy…” Zhou Yuan looked at the electroencephalogram and determined the type of disease.

“Now for single-optical emission fault and positron emission tomography!” Zhou Yuandao.

These two auxiliary methods are used in skull separation surgery to detect cerebral blood flow and brain metabolic function, respectively, and now it is just right to understand changes in brain function and help with epilepsy localization.

“And… Perform cerebral angiography! ”

Zhou Yuan said quickly.

Soon, the results came down.

“Pediatric epilepsy caused by subarachnoid hemorrhage!” Zhou Yuandao.

Subarachnoid hemorrhage is a collective term for sudden rupture of cerebral blood vessels caused by various causes and blood flow to the subarachnoid space. In skull separation surgery, because the original symbiotic brain operates independently, a series of complications will occur, which is one of the most serious ones.

“Issue a critical illness notice immediately!”

“Inject nimodipine!”

“Give 6-aminocaproic acid!”

Zhou Yuan composed his face and gave a series of orders.

Nimodipine is a drug to prevent and relieve cerebral vasospasm, as long as it is to control the disease, while 6-aminocaproic acid is a hemostatic drug.

Zhou Yuan said and quickly walked out of the operating room, “You guys control blood pressure and intracranial hypertension as soon as possible!” Contact neurologists and brain doctors and ask them to come and see as soon as possible! ”

Now he must immediately get the hemogram results to confirm the cause of the subarachnoid hemorrhage, and once it is really a tumor and other induced cerebral blood vessel rupture, he must ask the neurologist to resect it.

“Doctor, how is my child!”

Seeing Zhou Yuan hurriedly walking out, the patient’s parents ran up anxiously.

Zhou Yuan’s face was a little ugly, and he said, “I need you to sign the critical illness notice!” ”

The patient’s mother sat on the ground with a slumped leg and became sluggish.

“Why… Why! Isn’t it already rescued? Why…”

The nurse quickly delivered the critical illness notice, and the patient’s father picked up the pen, his hands shaking so that he could not read what was written.

Zhou Yuan quickly took the hemogram results.

“It’s okay… Not aneurysms and rupture of blood vessels at the base of the brain. ”

If the aneurysm ruptures, the situation can become dangerous, life-threatening, and if it can be saved, it can become a vegetative person.

Fortunately, it is only a superficial blood vessel rupture in the brain.

When Zhou Yuan rushed back to the operating room, Xiao Xuebo had already arrived.

“The blood pressure rose back, and the intracranial hypertension was also controlled.” He Jingdao.

Zhou Yuan explained the cause again, and everyone breathed a sigh of relief.

Although everyone breathed a sigh of relief, it by no means meant that it was not dangerous.

Complications near the brain are fatal to any one, but compared to others, this is relatively good.

“Director Xiao, you come to open the craniotomy, I will stitch it.”

Xiao Xuebo nodded.

The nurse then sends the family an informed consent form for surgery and a critical illness notice.

A second craniotomy of a baby who has just had a skull separation surgery is dangerous, but it can only be done in the face of this postoperative complication that cannot be avoided with technology.

“Scalpel.” Xiao Xuebo cut the artificial skin along the incision line drawn by Zhou Yuan.

Because Zhou Yuan left the operating room, he ran again to carry out preoperative disinfection and so on.

“Almost done.” Xiao Xuebo saw Zhou Yuan walk in with his hand raised and said.

Zhou Yuan: “Not bad. ”

Hearing Zhou Yuan’s praise, Xiao Xuebo was overjoyed, like a praised elementary school student, and said with a smile: “That’s!” I’m also the director of brain surgery! ”

After saying this, Xiao Xuebo’s expression suddenly froze.

Specially…

Lao Tzu is the director of brain surgery and was praised by an intern, I am happy to fart !!

Suddenly, Xiao Xuebo’s whole person was not good. _

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