I can see the status bar

Chapter 815 Special Case (Blood Donation Plus Series 039)

This chapter is added to thank the book friend "Memories Embedded in the Crescent Moon" for donating 2019 blood components from 2020 to 12.

Sun Lien feels that his current state is very good.He contributed to his own company, and at the same time, he found a way to supply medicines at a low price to the patients served by Zhongfu Hospital—who said that capital is only doing bad things?

The communication with Wang Tianqi took less time than Sun Lien expected.Judging by the time now, the hospital should not have been handed over yet.Sun Li'en thought about it, and decided to go back and check the situation - anyway, he happened to pass by the hospital on the way back, so he should go to see the examination report of kid Qian Ziwen, and he should be able to find out what he was infected with.

Sun Li'en himself is quite confident in his judgment - his family lives by the creek, and there is only grandma at home to take care of the children. It would be a strange thing if they didn't play in the water.

But a diagnosis is not like a reasoning—if the reasoning is wrong, you will be laughed at at worst.Get it wrong... and someone will pay dearly for it.Ji Xiuying is a living example.

Moreover, it was not only Qian Ziwen's paragonimiasis that attracted Sun Lien's attention.That needle in his head was the one that most needed to be addressed.

The retention of intracranial foreign bodies has obvious and significant impact on people.Especially for children, their brains are in the development stage, and the entry of metal foreign objects will affect many aspects including intellectual development.Even if there are no symptoms now, the presence of this foreign body in the brain will be like a ticking time bomb-the devil knows when it will explode.

There have been some related case reports in the past, and the patients are almost all women... The reason here can probably be guessed without explaining it.Among these patients, most of the patients who can be reported have been stored in the brain for more than ten years or even decades.It has been reported that as the foreign body continuously stimulates the surrounding brain tissue and repeatedly forms an inflammatory reaction, it finally induces epilepsy and even mental abnormalities.

After returning to the hospital, Sun Lien met the neurosurgeon who came for consultation in the small conference room.Xu Yourong is on vacation today, so he didn't come to work.But seeing that the diagnostic team didn't even plan to wait until Xu Yourong came the next day for a consultation, Sun Lien knew that the situation might not be very good.

"Judging from the depth of the foreign object's entry, the pointing of the needle tip, and the verticality of the needle itself, we believe that the foreign object should have entered the tissue before the blunt door was closed." Sun Lien just heard the coming The consulting neurosurgeons presented their views. "At present, the hole at the end of the foreign object can still be seen... the shape conforms to the characteristics of a needle."

"Do you think we should have an operation now?" Dr. Brunn and Dr. Pascal organized the consultation.Sun Li'en didn't see Yuan Ping'an at the scene, and the emergency doctor who wanted to come to become a monk probably had other plans today.He greeted his colleagues present, then found a stool to sit down, and listened carefully to the consultation.

"According to our opinion... this... this operation must be done. Although... the patient does not show any symptoms now, but the location of the foreign body is too close to the frontal and prefrontal lobes." Sun Lien, a neurosurgeon who came for consultation, said No, but it seems that he should know Sun Lien.Seeing Sun Lien walk in and sit down, his reaction was as if he had seen his superior doctor, and he immediately became a little nervous.He even stuttered when he spoke.

"What harm might there be in being close to the frontal lobe?" Of course, Dr. Bruen could also see that the doctor who came for consultation was a little nervous. He deliberately asked a question, trying to make the doctor in front of him relax a little.

"The frontal cortex mainly controls cognition, emotion, pain and behavior management. If there is an abnormality in this area, the patient's daily life will be greatly affected." The neurosurgery doctor has indeed calmed down a lot, probably because of this. The questions answered are highly overlapping with my usual work. "The needle is iron, and iron has a redox effect. This allows foreign matter to communicate in the patient's brain tissue through the Haber-Weiss reaction, generating a large number of hydroxyl radicals to attack the nerve cell membrane. This will cause the cell membrane to rupture, and at the same time cause The microenvironment changes. The consequences can be very serious."

"If surgery is required, what is the surgical plan?" Sun Lien asked in the audience, "He may have paragonimiasis. Under this condition, can he tolerate surgery? Or should we wait until the paragonimiasis is completely cured?" Surgery later?"

"Pargonimiasis?" The neurosurgeon who came to consult did not expect that there was such a condition waiting for him.After a few flustered "yes", he answered honestly, "I'm not sure about the question Dr. Sun asked. The tolerance problem during the operation may mainly depend on the opinion of the anesthesiology department."

"His oxygenation ability is pretty good now, and the symptoms of paragonimiasis are just repeated fevers without cause." Bruen answered Sun Lien's question for the doctor outside of God, and then continued to ask, "Then, the operation plan Woolen cloth?"

"This...we need to use the C-arm for intraoperative positioning, cut a small piece of skull, and then clean up part of the brain tissue that may have been organized." The doctor who came to the consultation obviously did not have similar surgical experience, but Speaking of the operation plan, he just thought about it for a while, and then came up with a plan that sounded very reliable, at least to laymen. "In order to avoid damage to other brain tissue as much as possible, we will take out the foreign body through the channel through which the foreign body enters—a magnetic stick may be used in this process."

"Can you do pediatric neurosurgery?" Sun Lien had no opinion on this plan, so he simply changed the question, "Do you need to send a neurosurgery doctor from the pediatric department?"

The doctor opened his mouth, and it took a long time before he said with difficulty, "Dr. Sun, I am a pediatrician..."

"Ah?!" Sun Li'en turned pale with shock, "Where are your dark circles?"

"Our doctors who perform neurosurgery have enough rest..." The doctor said weakly, "Not all emergency doctors have dark circles..."

"I'm sorry, I'm a little out of shape today." Sun Lien used a very insincere wording to muddle through the somewhat embarrassing scene, "If the patient's family agrees to the operation, when can you schedule him?"

"The old lady who came with her has been taken away by the police for investigation." Dr. Pascal approached Sun Lien and whispered in Sun Lien's ear, "You may need to contact the child's father."

Sun Li'en nodded, Liu Tangchun's action speed has always been very fast. "I see, I'll contact the family members later..." He was taken aback suddenly, "Then who is accompanying that child now?"

"Yuan Ping'an. He and his wife are here." Dr. Pascal whispered about the situation, and then motioned for this pediatric surgeon without dark circles to continue the conversation.

"If the schedule is scheduled... If you can get the consent today, then you can do it the day after tomorrow." The pediatric doctor thought about it and gave a definite answer, "If there is an emergency operation tomorrow, it will not be until the day after tomorrow at most." .”

(End of this chapter)