Start with the emergency physician

“I heard that the patients came from other places, and the hospitals in the imperial capital and the magic capital said that they could not be treated, and I heard that the director of our hospital is a national expert, so I came here.” Lu Chenxi said.

Zhou Yuan was even more puzzled.

At this time, Dean Fang, who was sitting in the maternity conference room, looked dazed.

He wondered if he was an expert in hand surgery, so why should babies with heads together come to him for help?

Soon, there was a knock on the door, and seeing Zhou Yuan outside the door, Dean Fang looked a little excited with an expression that help had arrived.

“Sit down.” Dean Fang patted the seat next to him.

“It’s like this…” Seeing Zhou Yuan’s arrival, Wei Lili, the deputy director of the First Obstetrics Department, lit up her eyes and began to introduce the patient’s situation.

This is a conjoined baby with a skull attached.

Conjoined babies occur on an identical twin basis and are caused by incomplete early division of the fertilized egg, which generally occurs in the first two weeks of pregnancy, and is supposed to be detected during the prenatal examination.

“Their parents couldn’t bear it, so they had a caesarean section and gave birth.”

“We initially thought that the two babies were just occipital bones connected and shared brains, sagittal sinuses, etc., which was a relatively common situation, but after examination, we found that the two children each had independent brains and the possibility of separation surgery, but…” Speaking of this, Wei Lili fell silent.

“But what?” Zhou Yuan couldn’t help but ask.

“But… The baby is too young to be born shortly after birth, and there is a high risk of excessive blood loss and death 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 adult head, and there is less blood in the baby’s skull, once the bleeding is slightly more, both children can not be saved.

No wonder other hospitals are afraid to do it.

The director of the brain surgery department said: “The chance of excessive blood loss is too great, and this operation is almost impossible to succeed!” ”

“This is not a problem that can be solved by fine operation…” Speaking of this, Wei Lili subconsciously glanced at Zhou Yuan.

Now, good technology actually means little, bleeding is inevitable in skull separation surgery, and this head conjoined baby is most afraid of blood loss!

“What can you do?” Dean Fang asked.

“I think this operation is almost impossible to succeed! My advice is to not have surgery for now. A thoracic surgeon chief said.

The director of brain surgery said: “If they do not undergo surgery, they will face life danger when they grow to about two years old, and at that time, with the condition of these two people, it is basically impossible to survive…”

Dean Fang fell silent.

“I looked at some cases of head separation, there were 21 cases in total, and almost every one of them had heavy bleeding, but because the patients were older, they had to lean on the past.” Dean Fang looked at the information at hand.

Head separation surgery requires fine brain dissection, skull repair, etc., and surgical hemorrhage is excusable.

“It’s really not okay, keep one!” The director of brain surgery spoke.

Everyone present was stunned.

“Since there is no way to guarantee that both people will survive, then give all the blood flow and so on to one of them, so as to ensure that he survives!”

Wei Lili smiled helplessly: “You haven’t had a child yet, so you don’t know, this plan will definitely not work.” ”

“I’ll go talk to them! Either join together and both are in danger of their lives around the age of two, or let one of them survive! ”

With that, the director of brain surgery prepared to leave the conference room.

Within minutes, the director of brain surgery sneaked back, and the parents of the conjoined baby also cried into the conference room.

“Doctor! I beg you, don’t ask us which one to keep! The baby’s mother cried.

The baby’s father had red eyes, bowed to everyone in the hospital as if apologizing, and said in a deep voice: “Please don’t ask us which child we choose to keep!” We are their parents, we can’t wait to give them our lives, how can we take it away again…”

Everyone present was originally a little overwhelmed and retreated, but seeing the earnest and painful parents looking at them with expectant eyes, no one could bear to refuse.

“We’ll discuss how to save your child, so wait outside.” Dean Fang said.

The baby’s parents thanked each other and reluctantly withdrew.

Looking at the couple who helped each other away, everyone present sympathized.

“But… Head separation surgery is originally the most difficult part of conjoined baby separation, and it is still a newborn baby. This is a complex operation in itself, and it is almost inevitable to overcome excessive bleeding…” The director of brain surgery was a little embarrassed.

“I have never seen such an operation succeed… There is currently no better way. Save one, or give up the surgery. Someone said.

At this time, Zhou Yuan, who had been silent, suddenly lit up his eyes.

“I have an idea.”

Everyone’s eyes immediately turned to Zhou Yuan.

Dean Fang’s eyes rekindled hope: “You said! ”

“Blood flows continuously from the heart, since intraoperative bleeding occurs, isn’t it okay to close the heart?” Zhou Yuan stood up and said slowly.

The conference room was silent.

Possibilities are quickly simulated in everyone’s mind.

Temporarily stopping the heart’s blood pumping function has been used in cardiac surgery for many years, but never in a complex operation such as skull separation.

It can be said that… This is the first time!

Therefore, no one present dared to be sure that this plan was correct.

However, no one dares to say that it is not feasible!

“Logically, your method works… On which literature did you see it? Dean Fang asked.

After hearing Zhou Yuan’s surgical method, he had a new feeling, which 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 and all showed shocked expressions.

“Even if the scheme you said is feasible, the difficulty of head separation surgery is very large, it is not something that ordinary people can control, I really can’t do it alone!” The head of brain surgery shook his head.

Separation of conjoined babies in the head is a truly oversized operation, often requiring the close cooperation of a dozen or even dozens of medical staff.

A typical operation requires six people, four doctors, an anesthesiologist and a nurse, but a conjoined head baby may require more than twice as many staff.

The number of people alone is enough to see the complexity of this operation. _

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