Start with the emergency physician

Really…… There is a problem with the arterial sharing network between Xiaoyu and Xiaowen, and the blood enters each other’s vascular channels.

Now, Zhou Yuan is in a dilemma, and rashly cutting off these connections may lead to a lack of nutrients in the brains of both parties, lack of oxygen, etc., resulting in a stroke.

And the stroke at this time will almost bring lifelong trauma to the two children!

Zhou Yuan thought for half a second, and immediately said, “The operation begins!” ”

The atmosphere in the operating room was even more tense, and everyone’s faces were extremely solemn!

“Director Xiao and Lu Chenxi separated the twins’ arteries sharing the network! The orthopedic surgeon immediately measures the twin skulls and reconstructs the skulls to ensure that both girls have complete skulls after surgery! ”

Zhou Yuan’s face became grim.

According to current medical statistics, the probability of the emergence of a conjoined head conjoined child is one in every 2.5 million newborns, and most of the conjoined conjoined conjoined babies cannot live longer than 24 hours.

A small number of children who can live longer than 24 hours will have a mortality rate of more than 80% at about the age of two.

It’s rare for a combination like this to live up to 19 months.

Moreover, since the first pair of head-connected twins isolated in 1952, there have been only 60 recorded similar operations in the world, in other words, each couple’s separation surgery is unique, and each operation is a battle against death.

This shows how risky it is to separate the joint child with the head connected, and if there is a mistake, both children may die during the operation.

Zhou Yuan took a deep breath, cleared the distractions in his head, and then manipulated the microscopic microscope to look at the two patients.

Microscopic microscopy can almost be called the most advantageous weapon for skull separation surgery in conjugated children, which can observe the microscopic structures such as blood vessels and nerves of twins and provide a good separation field.

“Vascular forceps.”

Zhou Yuan’s eyes looked at the blood vessels within the microscopic microscope and stretched out a hand.

The instrument nurse immediately handed over the vascular forceps.

Zhou Yuan carefully clamped Xiao Yu’s cerebral artery, temporarily blocking the transportation of blood flow.

Now, there are many shared arteries and veins in the parts connected by Xiaoyu and Xiaowen’s brains, and if you want to separate, the only way is to block blood flow, cut off these connected arteries and veins, and then artificially distribute anastomosis.

In short, cut off the wrong blood vessels, put them back on the correct owner, and restore the blood supply.

Zhou Yuan carefully manipulated the scalpel, separating the blood vessels that had been blocked. Every time the connection is severed, it comes with the risk of brain damage and stroke.

So much so that every time Zhou Yuan completed the cut, he would breathe a sigh of relief, and then hang his guts to cut another place.

“Physical condition.” Zhou Yuan cut off a shared artery again, let the nurse wipe the sweat, and asked.

The anesthesiologist looked solemn and said, “One patient has high blood pressure, and the other patient has low blood pressure!” ”

Zhou Yuan nodded.

From the moment hemoperfusion occurred, Zhou Yuan guessed that such a situation would occur.

There is another one in the skull separation surgery of the combined child, which is for anesthesiologists.

Because the union is two people, and… The blood vessels of the two are the same, and they are treated separately.

Therefore, the anesthesiologist must control the drug level and find a point that is suitable for both patients.

Fortunately, the head of the anesthesiology department of the team’s anesthesia Kyo International Hospital is very experienced in anesthesia.

After a few hours, all the shared arteries were severed.

The arterial connection between the twins is also completely broken.

At the same time, plastic surgeons are preparing to rebuild a new skull according to the proportions of the twins’ heads, etc., for the two separated couples.

This is also a huge challenge for plastic surgeons, because the twins are only nineteen months old and in a period of vigorous growth, so it is necessary to ensure that the newly built head is large enough and has some toughness to resist the pressure of the growth activity of the two.

This is also the reason why Zhou Yuan did not use the chief physician of the magic capital.

This operation requires not only individual skills, but also teamwork!

Every member, from the main knife to the first assistant, the second assistant, to the anesthesiologist and the instrument nurse, everyone is clasped by one ring!

Once a person makes a mistake, the operation has the potential to fail!

Zhou Yuan chose to trust his team. Since he was able to complete the first time, then this time the skull was separated, and Zhou Yuan’s team was also able to complete it brilliantly and finish perfectly!

“Start with shared vein fractionation.” Zhou Yuan’s voice sounded again after a brief silence.

This step is equally dangerous.

Because it is a cerebral blood vessel, as with the separation of arteries, each severance carries the risk of brain damage.

Zhou Yuan slowly cut a meridian that had been clamped, and then, the scalpel floated above, waiting quietly.

Five minutes later, Xiao Yu and Xiaowen’s vital signs still did not change drastically, and Zhou Yuan slowly breathed a sigh of relief: “It didn’t cause a stroke.” ”

The danger passed again, and Zhou Yuan clamped another vein and began to make another cut.

Time in the operating room passed quickly, and in the constant cutting, waiting, and shared vein segmentation surgery was carried out.

However, this time it did not go well.

Zhou Yuan found that Xiao Yu’s brain blood flow supply was getting less and less, while in contrast, Xiaowen’s brain blood vessels were filled with blood and swelled again.

The blood mixing phenomenon that was temporarily suppressed before has happened again! Xiao Yu’s blood once again penetrated into Xiao Wen’s head.

“What’s going on!” Zhou Yuan immediately stopped his movements and began to check.

The hearts of Xiao Xuebo and the others suddenly hung up.

The anesthesiologist began to call the police: “There is another blood pressure imbalance!” Two patients, one blood pressure began to rise, the other twin blood pressure continued to decrease! ”

The instrument nurse also panicked, and hurriedly said: “The heart rate of the patient on the left has dropped sharply!” ”

On the left is a small text.

At this time, Xiaowen received too much blood in his body, and his heart was already a little unable to hold on.

On the other hand, Xiao Yu on the other side began to have a series of changes caused by blood loss!

“Xiaoyu began to have hemorrhagic shock! Whether to have a blood transfusion! Lu Chenxi said with a pale face.

Zhou Yuan’s face turned heavy.

“No blood transfusion!”

Once the blood is transfused, it may temporarily relieve Xiaoyu’s symptoms, but what about Xiaowen on the other side?

His body is receiving Xiao Yu’s blood, and once another blood transfusion is performed, a large amount of blood will directly make Xiao Wen die on the operating table!

But without blood transfusion, Xiaoyu will die on the operating table again!

In an instant, everyone realized the seriousness of the problem.

The operating room suddenly fell silent, and all eyes were glued to the screen of the instrument, staring at vital signs such as pulmonary artery pressure, systemic pressure, blood pressure, and so on.

Beep beep beep.

The sound of the heart monitor kept ringing, which was the only sound in the operating room.

“Zhou Yuan, what should I do…”

Everyone’s eyes stayed on the main knife Zhou Yuan. _

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