Chapter 3439 【3439】Surgical Conception
Without further ado, the ambulance set off after picking up the patient.
Sitting in the car, Xie Wanying turned her head and could see a dark group of people watching her and the patient off.
Standing in the crowd, Senior Brother Cao remained silent, his dark eyes were especially deep. When he received her gaze, he nodded to her, and the slight smile on the corner of his mouth was undoubtedly telling her to rest assured.
Brother Cao was very worried about his classmates. Xie Wanying could feel it.
The ambulance drove onto the main road.
The heart rate monitor beeped. Huang Zhilei, who was sitting next to the patient, immediately bristled and looked nervous.
"Senior Brother Huang, I'm not afraid." Xie Wanying said, looking at the fluctuation of the patient's life value curve on the monitor, it is actually okay.
After a while, the alarm on the monitor stopped.
"Should we do something?" Huang Zhilei asked the junior sister for her opinion.
Is it okay to do nothing on the road?
Xie Wanying explained to Senior Brother Huang: "He can hear us consciously. I personally think that this piece of glass is pierced deeply, but it is temporarily held firmly by the human body inside, so it will not be life-threatening for the time being."
After she woke up from this point, it turned out to be the case, no wonder Brother Cao was relatively relieved to let them send the wounded back. Huang Zhilei thought.
Zhou Shuren hadn't completely lost consciousness since he was discovered after being injured, but his eyes were seriously injured and he couldn't open them, and his body was too weak to open his mouth.
Physicians need to be very careful about the content of their conversations, since the patient can hear some words indistinctly.
The two doctors discussed in a low voice, they could seize the time on the way to predict the patient's injury in advance and conceive a good operation plan, so as not to spend too much time waiting for the hospital.
Neurosurgery is different from other departments. After talking about so many cases, we can clearly realize that accurate preoperative planning is too important, which is almost related to the success or failure of the operation.
"Where do you think this piece of glass will be roughly located, and where is the best place to move the knife?" Huang Zhilei asked the younger sister's opinion again.
Seeing that Senior Brother Huang calmed down, Xie Wanying began to tell Senior Brother Huang about her operation plan: "It is a piece of glass, the length of which can go to the base of the skull and close to the brainstem. It was supposed to go through—"
"It must have brushed the internal carotid artery." Huang Zhilei said.
It shows that Senior Brother Huang is not confused at all, but he is too nervous, and the eyes of the neurosurgeon are bright. As seen above, the area of the internal carotid artery near the ear must be the area near the eye socket. Therefore, the glass blocks that enter from the eyes and ears are very likely to be adjacent to large arteries such as the internal carotid artery.
In surgery, refer to the cases of other surgical departments, what should we do in this situation? Simple and crude methods, such as Teacher Tan taking them for general surgery, predicting in advance which large blood vessel may bleed heavily, and simply cut off the blood flow of this large blood vessel first.
The same can be done in neurosurgery. If you are afraid of bleeding, you can cut off the internal carotid artery first.
The surgical approach adopted does not need to wait for the craniotomy to stop. If this is done, the shards of glass will move after the craniotomy begins, and there are too many variables, and the doctor will be afraid that it will be too late to stop it.
Advanced interventional surgery methods can be used. Before the craniotomy, such as Dr. Hu's surgery, things can be inserted into the large intracranial artery of the injured person. Dr. Hu is an embolic hemangioma.