Start From Emergency Doctor

Chapter 437

If the brain blood vessels are accidentally damaged, the blood in the tumor will enter the human blood circulation system along the brain blood vessels, and the consequences will be unimaginable.

“The patient’s blood pressure has risen.” The anesthesiologist’s voice suddenly rang.

Zhou Yuan frowned and said, “Using hyperventilation and intravenous drip of dehydrating agent.”

With that, Zhou Yuan picked up the drainage tube and released a little cerebrospinal fluid.

He Jianyi and the others assisted in the instillation of intravenous instillation. After almost three minutes, the value on the instrument finally stabilized.

Xiao Xuemo didn’t say a word. He was already shocked by Zhou Yuan’s operation.

After hesitating for a long time, Xiao Xuemo finally asked the question that had plagued him for a long time during the operation during these years: “Why do you have to cut off the zygomatic arch when you separate the brain tissue and go deep into the brain stem, instead of starting from the tentorium notch?”

Both channels can penetrate into the brain stem from the outside of the cranium, and Xiao Xuemo and other brain surgeons are accustomed to entering the deep brain from the tentorium notch.

Zhou Yuan said: “The tentorium cerebellar notch area is an area with dense intracranial nerves and blood vessels. Among them, the trochlear nerve travels very long in the tentorium notch area, and it is easy to damage when pulling or cutting the tentorium cerebellum.”

“But breaking the zygomatic arch is more dangerous! Compared to pulling the tentorium, breaking the skull is more risky!”

Zhou Yuan was silent for a moment.

To be honest, Xiao Xuemo made sense, but he was not wrong.

Because Zhou Yuan’s statement has a realistic basis, that is, Zhou Yuan has mastered the master-level brainstem tumor resection.

Although it is indeed more difficult to cut off the zygomatic arch, for example, you must be careful not to clip and cut off the bridging vein during the cut. It can only be done when the blood vessel is transparent, which is extremely easy to cause a lot of bleeding. However, there is a master-level technique. No problem…

On the contrary, it is the tentorium cerebellar notch. Since there are many functional areas in this area, various nerves pass through it. These important areas have their own characteristics. Even the master technique can hardly guarantee that the stretching process is not Can accidentally damage an area.

After all, a certain area of ​​the average person is a useless area, but there are always a few special cases that are skewed to distribute important functional areas.

Zhou Yuan pondered for two seconds, and then said: “You are right, there is a greater risk of breaking the skull~”.

“Then why are you…”

“Because the risk of severing the skull can be avoided by technology, but there is too much uncertainty in the tentorium notch.”

Xiao Xuemo:? ? ?

This means I can’t learn it yet!

Xiao Xuemo stopped talking at all.

Originally, he thought Zhou Yuan had some secret. He was still young, only fifty years old. Maybe he could try to learn and learn, by the way, let the brain surgery doctors have a long experience.

He did not expect that Zhou Yuan chose to cut off the zygomatic bow entirely because he was confident in his own technology…

That being said, good technology is indeed a secret, or a secret that others cannot learn.

When he thought of this, Xiao Xuemo became more autistic, thinking Zhou Yuan was too arrogant to praise him anymore.(Read more @ wuxiax.com)

Jiang Xiaoqi: “It’s amazing. The cranial nerves and blood vessels were completely covered by the tumor. The tumor was cut directly along the traces of the blood vessels, and the blood vessels were perfectly preserved!”

Xiao Xuemo: “Fuck, awesome!”

This is really awesome…

The most troublesome part of brain tumor surgery is the removal of the tumor. If you start it lightly, you are afraid of the tumor remaining, and if you start it hard, you are afraid of the patient’s lingering residue.

One of the conditions that caused the doctor to collapse was that the cranial nerves and blood vessels entered the tumor.

The tumor needs to be cut, but there are blood vessels and cranial nerves inside the tumor. Can’t you cut it?

There is no bright spot in the general treatment method, that is, according to the nature of the tumor, whether it can be completely cut, and the possible consequences of cranial nerve or blood vessel injury, it is determined whether to sacrifice the cranial nerve or blood vessel to cut the tumor completely, or to leave a little tumor. To protect blood vessels and nerves.

And Zhou Yuan is very good, the tumor is also cut, the blood vessels are also preserved…

The four words “I want it all” were thoroughly implemented by Zhou Yuan.

Xiao Xuemo swallowed, and said in shock: “How did you do it?”

In the department of extra-brain oncology, or in the entire department of oncology, the last thing doctors want to see is actually a small tumor.

The resection of large tumors has a higher fault tolerance rate, and the resection process is relatively simple, but small tumors, doctors are daunted…

Xiao Xuemo glanced at Zhou Yuan, whose eyes were full of excitement.

This is so daunting, eyes shining!

Xiao Xuemo has never seen such a person. This is because the tumor has no eyes. It is estimated that if the tumor survives, Zhou Yuan will definitely be intimidated…

This is like a terrorist taking a hostage, and the gun reaches the temple of the hostage, thinking about using the hostage to protect themselves.

The other policemen were all trembling, discussing how to compromise with the gangster and they were almost half of the discussion. Zhou Yuan was born, killed the gangster and kept the hostages, and then chicly said, “I want it all”…

It’s so visual…

Xiao Xuemo spent the next twenty minutes in this mood.

In the third hour of the operation, Zhou Yuan’s movements finally picked up.

Soon, a tumor measuring about two centimeters was cut off by Zhou Yuan and placed in the tray handed by the instrument nurse.

Everyone was in agitated mood.

Such a difficult brainstem tumor resection can be completed so easily? !

It seems that I haven’t done anything yet, right?

It feels very simple!

Xiao Xuemo’s psychological struggle was particularly intense at this time.

Mind: “So simple, so simple, I will!”

hand:? ? ?

“What the hell are you talking about, kind of say it again?!”

Brain: “I said I will.”

Hand: “Grass, I quit!”

Mind: “You don’t do it? I don’t (you can) do it, believe it or not?”

Hand: “Don’t don’t don’t!”

Feet: “Don’t don’t don’t!”

Internal organs: “Don’t don’t don’t, don’t kill each other if you are all brothers!”

In the end, Xiao Xuemo finally admitted to the reality that he could not learn.

Some things seem simple, don’t you just cut a tumor, avoid functional areas, cranial nerves and blood vessels, but you really have to pick up a knife, cut off the brain stem, and then scrape off the cerebral cortex. It’s a little bit, so when the tumor is not allowed to be removed, half of the brain will be cut off with a single knife.

One minute on stage, ten years off stage……

Xiao Xuemo comforted himself with these words.

But when he raised his head to look at Zhou Yuan’s young face, he began to doubt life again.

This is so unbelievable that people believe that the audience has worked for ten years!

Zhou Yuan’s age is just two off-stage time, and the stage has been very special for dozens of hours…….