Chapter 1305 【1305】The Strategy Is Surprising
"Preparing the skin, disinfecting it, and now determining the puncture point." Xie Wanying reported to her brother.
"Where do you want to enter the puncture point?" Huang Zhilei asked.
"There are generally two approaches for lateral ventricle drainage. One is frontal, 1 cm in front of the coronal suture, and 2 to 2.5 cm lateral to the midline. The direction of the puncture needle is parallel to the sagittal plane, and is aligned with the line connecting the two external auditory canals. The puncture point is 6 to 7 cm above the outer occipital tuberosity, 3 cm away from the midline, and the direction of the puncture needle is also parallel to the sagittal plane, aiming at the brow ridge. The depth of both is about 5 cm."
"Yeah." Huang Zhilei nodded, the junior sister's foundation is very good, and the answer is like a textbook. According to the knowledge guide in the book, what will be the decision of the little junior sister. If both approaches are possible, how should the doctor choose.
"My personal opinion is that since the injured have had CT scans, they can choose the third method and use CT as a guide."
"Have you seen CT?"
"The CT film has not yet come out, but we followed the preliminary images in the CT room when the patient was undergoing CT. Basically, we can judge that there is a hematoma in the lateral ventricle. Therefore, we can take a more accurate puncture and directly aim at the hematoma. Position the puncture method for CT." Xie Wanying said word by word.
She didn't speak loudly, but the decision she made undoubtedly shocked everyone present.
CT positioning puncture method? What can an intern do? This is far more difficult than the conventional approach just mentioned. The conventional approach only needs to follow the scriptures, draw the skull line, measure the centimeter distance and drill in. For CT positioning, it depends on the CT film to judge the skull structure of the injured, and decide where to start the measurement and opening. How can an intern without any surgical experience know how to measure the puncture point based on CT?
To make matters worse, Xiao Yang, who accompanied them to escort the patient to the CT room for a CT scan, knew very well that the CT images viewed together in the CT room were preliminary images that had not been manually adjusted and synthesized by the CT doctor. When multiple images are not synthesized, it is a layered film, which is very messy. If it is vaguely judged, it may be possible to say that there is a hematoma. Even the doctors in the CT room were not 100% sure that they could clearly see where the hematoma was located. They had to wait for the CT scans to come out before making a final judgment. She even said that she herself could judge the location of the hematoma and prepare for CT positioning and puncture.
Xiao Yang quickly wondered if she had hallucinations, thinking that after reading what the textbook said, she would be successful if she tried it herself?
Reckless, super reckless, just as he thought, she was the female version of Lu Zhishen, the reckless Lu Zhishen. Achievement is achieved, what if it is not achieved? That was the life of their own National Association. Why doesn't her mind think about this serious consequence.
In his Xiao Yang's eyes, the success rate is too low. I'm afraid only the top specialists in the industry have the possibility of this operation. It is absolutely impossible for her as an intern to do it. Maybe he could admit that she showed some strength in the operation at the exchange meeting, but she couldn't do the job of a neurosurgery boss.
Even if the people on the side of the National Association know Xie Wanying's strength, they are still a little worried. Li Chengyuan couldn't figure out to what extent she could do it, whether she could really hit the nail on the head as she said. Neurology is different from other departments. Other departments may be able to allow a little difference in size, but not neurology.
Huang Zhilei raised his eyebrows, he didn't have any other people's worries, and he praised in his heart: As expected of my junior sister, she only uses the common law, and she will use the special law at once. He believes that because he studies the human brain, he believes that the brain of the junior junior sister has this special ability.