Start with the emergency physician

He Jian nodded: “Yes, these are indeed symptoms of cerebral infarction.” ”

“What about brain CT results?”

The little nurse immediately took it.

“There are large low-density areas, and there are also irregular patchy high-density areas!”

Zhou Yuan: “Hemorrhagic cerebral infarction!” ”

Cerebral infarction refers to the ischemic necrosis or softening of localized brain tissue caused by impaired blood supply to the brain, ischemia, and hypoxia.

As a sudden brain disease, the degree of necrosis varies according to the location and size of the thrombus, the onset is more acute, there are no prodromal symptoms, and focal neurological signs peak in minutes to hours.

Cerebral infarction symptoms are often manifested as complete stroke, clear consciousness or mild impaired consciousness, if the internal carotid artery or middle cerebral artery main trunk embolism leads to large-scale cerebral infarction, severe cerebral edema, increased intracranial pressure, and even herniation and coma, there are also epileptic seizures.

As for hemorrhagic cerebral infarction, that is, during cerebral infarction, secondary bleeding occurs in the infarct area due to the resumption of blood flow perfusion of blood vessels in the ischemic area, which is more critical.

“The craniotomy must be performed as soon as possible.” He Jianyi said.

In fact, whether cerebral infarction requires surgical treatment is generally judged according to the situation, and in many cases, some relatively small cerebral infarction does not require surgical treatment.

However, if the cerebral infarction is caused by vascular factors, such as narrowing of arteries or even changes in occlusion, stent implantation surgery or vascular anastomosis surgery must be carried out at this time, so as to minimize the further recurrence of cerebral infarction and further aggravation in the later stage.

Obviously, at this time, it is no longer possible to determine the causative factors of cerebral infarction, and only the craniotomy can be opened to solve the bleeding problem, and then the next step of treatment is carried out according to the cause of cerebral infarction.

“Contact the director of neurology and brain surgery as soon as possible and ask them to come and consult!” He Jianyi immediately gave the order.

“Are the patient’s families here?”

Zhang Ling hurriedly walked in and said, “No! The old man came alone, I asked around the emergency department hall, there were no family members! ”

“How can I sign without a family member? Can’t do surgery! ”

He Jianyi was not concerned about this in the first place, he quickly dialed the neurology department and brain surgery, and a few minutes later, the directors of the neurology department and brain surgery arrived.

“Take a look at this patient!” He Jianyi urged.

The two directors immediately walked up and checked it, but their faces became more and more ugly.

“The site of the patient’s cerebral infarction is very bad, it is enough to be fatal, and the range of cerebral infarction is very wide!”

“The patient had a long-term ischemic attack, and I just checked her neck and found that the carotid artery stenosis was greater than 50%, the nature of the brain plate is not optimistic, extremely unstable, metastasis at any time, and the cerebrovascular blood supply is also compressed!”

Zhou Yuan and He Jianyi were a little impatient, and Zhou Yuan asked directly: “You can tell us directly, can you do this operation?” ”

“Can’t.”

Zhou Yuan’s face changed, and he looked at his system space.

Two beginner chests, two intermediate chests.

Now, I can only pray for three surgeries of the same level!

“Open the Junior Chest and get! Master surface benign tumor resection! “Simple first-level surgery can be handled by ordinary doctors.

“Open the Junior Chest and get! Master Purse Sewing Legal! “A small suture technique, suitable for drainage fixation of the intestinal lumen and bladder, belongs to a small category in the large category of varus sutures.

“Open the Intermediate Chest and get! Master Vascular Grafting! “Tertiary surgery is an operation that can only be performed by senior attending physicians and deputy directors and above.

“Open the Intermediate Chest and get! Vitality Elixir *1! ”

The corner of Zhou Yuan’s mouth twitched.

Intermediate chest prescribes a vitality potion? Are you teasing me!

However, Zhou Yuan can’t manage so much, as long as there are three, it is enough.

He immediately dragged the three master-level techniques together, and all of a sudden, countless surgeries appeared in front of him, from the most basic appendicitis removal to the advanced repair of venous sinus damage.

Zhou Yuan’s own theoretical knowledge is solid enough, and he naturally knows what kind of surgery is required for the old man’s hemorrhagic infarction at this time.

“Redeem carotid endarterectomy!”

A brief flash of light flashed, the three technologies fused together, and in the attribute column, while purse suture, vascular grafting, and benign tumor resection on the body surface disappeared, carotid endarterectomy quietly lit up.

“Get! Master carotid endarterectomy! ”

Countless knowledge quickly flooded into Zhou Yuan’s mind, and the details of carotid endarterectomy flashed in Zhou Yuan’s mind one by one.

The director of the neurology department and brain surgery looked frustrated at this time: “We really can’t do this operation!” The patient is over seventy years old, and the position of cerebral infarction is tricky, and the situation is too critical! ”

“I’ll do it!”

At this time, Zhou Yuan suddenly inserted into the conversation between the two and spoke out in an undoubted tone.

“I’ll do this operation!”

——

The update is delivered, brothers ask for monthly ticket support, I want the last monthly ticket list, now there are still two hundred pieces short of the third place, please!