Start From Emergency Doctor

Chapter 103

Zhou Yuan’s face was stern and did not explain too much. He quickly said: “Immediately inject saline coolant to replace blood!”

Although Lu Chenxi and others were puzzled, the anesthesiologist, instrument nurse, etc. had followed Zhou Yuan for many operations, so there was no doubt that the nurse immediately injected the patient with saline coolant.

“The low temperature containment technology. The main purpose is to lower the patient’s body temperature and slow down the blood flow speed, which can reduce the amount of bleeding.”

Zhou Yuan said.

After the injection of the saline cooling fluid was completed, Zhou Yuan said: “Pause the heart function, maintain it first, and infuse a small amount of blood!”

Today’s testing methods cannot ensure that the blood in the blood bank is free of any virus.

Lu Chenxi and another director of thoracic surgery immediately started.

Zhou Yuan continued his brain separation.

Although the brains of conjoined children do not grow together, the surrounding blood vessels have crossed, which requires careful separation.

Moreover, because it is a blood vessel in the brain, Zhou Yuan did not dare to block the blood flow rashly.

Once brain cells die due to ischemia and hypoxia, they cannot regenerate, which will cause permanent side effects on the two children.

“Director Xiao, separate the blood vessels.” Zhou Yuan said.

Xiao Xuebo nodded and walked up.

After another hour, the right hemisphere was successfully separated.

Seeing the brains that were originally stuck together split in half, everyone in the operating room was in a much better mood.

“There is half.”

As Zhou Yuan said, he began to oppress and isolate carefully.

Not only blood vessels, but brain nerves also need special attention.

Because the patient’s brain is nearby, many blood vessels and nerves are pulled together. Zhou Yuan and Xiao Xuebo need to judge the owners of blood vessels and nerves.

Therefore, one can only find the source along the path of the blood vessel.

“It’s too difficult… This is the first time I have performed skull separation surgery on such a small child.” Xiao Xuebo said.

Zhou Yuan carefully searched for the source of the blood vessels, and said, “Have you done it before~ˇ?”

“Well, I did it, but it’s dead.”

Zhou Yuan:…

“This is not a surgical accident. At that time, it was a baby with a conjoined abdomen. The livers of the two children were fused together, and there were six large blood vessels that were crossed together for blood transfusion. The situation was not as complicated as this. The team I led at that time completed the separation. , But the two children were also accompanied by cardiac hypoplasia, and died a few months after separation.”

Zhou Yuan nodded silently.

“The day the two children died of illness happened to be rescued by me. One night, I gave the family members thirteen critical illness notices. Not to mention the family members, I was scared to death, but unfortunately, I was not rescued.” Xiao Xuebo shook his head and sighed .

“Relax, although this operation is difficult, the patient is in good physical condition. As long as the operation is completed and the postoperative care is taken care of, there is basically no major problem.” Zhou Yuan seemed to be comforting.(Read more @ wuxiax.com)

The operating room fell silent again.

Zhou Yuan’s speed was very fast. After completing the blood vessel separation on his side, he began to help Xiao Xuebo again.

Lu Chenxi and another director of thoracic surgery have restored the beating of the patient’s heart. Excessive blood loss has also been effectively relieved.

This made the people present feel a little weird.

This method has not been seen before. Cardiac surgery is often done, but…this is the first time it has been used in skull separation surgery!

Three hours later, the other half of the brain finally separated.

Zhou Yuan did not relax, and said, “The separation of the superior sagittal sinus begins.”

This is also the most worrying place.

In case of uneven distribution, babies with fewer superior sagittal sinuses will have more skull defects and more severe brain softening. At the same time, the development of neurological function and brain development will be less .

Babies with more superior sagittal sinuses will not have a higher IQ. On the contrary, their development will be slower than that of normal children, but they can still reach the level of normal people in the end.

Therefore, in the best case, both people are just right, which is beneficial to everyone.

“The surface of the shared superior sagittal sinus is large, so you can try to separate.” Zhou Yuan took a look and said.

“Use the headrest to fix the patient’s head.”

During separation, once the relative movement between the brain and the skull and the superior sagittal sinus occurs, it may severely damage the cranial nerves that pass through the base of the skull.

Moreover, the cortical meridians that flow back into the dural sinuses may also be damaged due to brain displacement, resulting in subdural and subarachnoid hemorrhage.

“Wait, the intracranial arteries don’t need protection.” Zhou Yuan stopped Xiao Xuebo.

“why?”

“The operation will not touch the intracranial arteries. Moreover, the walls of the intracranial arteries are tough and rarely cause damage. If you block the intracranial arteries, you will flatten the brain of the patient.”

Although the damage is small, it is still there after all. If it can be avoided, it can be avoided.

“Understand.” Xiao Xuebo was taken aback and nodded.

“Vascular clamp.” Zhou Yuan said again.

Next, Zhou Yuan blocked the guiding vein with a vascular clamp.

This is a vein that allows blood to flow into the superior sagittal sinus. Once blood flows into the superior sagittal sinus during the operation, it may cause blood infection and cause venous sinus thrombosis.

After Zhou Yuan blocked it, he quickly began to cut.

Soon, the patient’s superior sagittal sinus was completely separated. Zhou Yuan quickly restored the patient’s blood supply to prevent brain function from being affected.

“¨ˇ Complete separation.”

Zhou Yuan said, and Xiao Xuebo slowly separated the two patients.

Soon, the two patients were successfully separated, but part of the skull was missing.

“Repair the superior sagittal sinus.” Zhou Yuan said.

This step was handed over to Xiao Xuebo and another director of brain surgery.

Zhou Yuan carefully checked the patient’s brain.

After confirming that all blood vessels and nerves were not allocated incorrectly, Zhou Yuan began to suture the cranial nerves.

At this moment, the others were free, staring at the busy three people carefully.

He Jing and Wei Lili were already shocked by Zhou Yuan’s smooth movements.

“Really (money, Zhao) is… I am surprised at one time!” Wei Lili said.

“Yes, so handsome…” He Jing’s eyes were dull, staring at Zhou Yuan motionlessly.

Wei Lili:…

“It feels like the two of us are here to observe the operation. But fortunately, the two of us went, which means that the patient has a problem, and nothing has happened now, which is a blessing,” Wei Lili said.

He Jing smiled and nodded: “It’s because Doctor Zhou’s technique is better!”

Wei Lili nodded and asked, “He Jing, do you want to go to the emergency department?”

He Jing was taken aback: “Director, why do you say that?”

“I think you don’t leave Zhou Yuan in your three sentences, and you are not thinking about obstetrics and gynecology.” Wei Lili joked.

He Jing blushed immediately: “No, it’s because Dr. Zhou’s skills are really good! If it weren’t for good skills, maybe something went wrong!”

Hearing these words, Zhou Yuan’s face turned dark: “Don’t be a crow…” Phi.