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Chapter 281 Reflection (supplement on January 7

Sun Lien once thought about how to deal with various accidents in less than a week in his mind. But he never expected that the treatment process would be so... smooth.

The treatment has been conducted for more than three hours, and the low signal area in Tang Min's skull has been significantly reduced. Although it is not possible to completely reverse the situation and completely reduce the low signal area. However, according to Luo Ge's comparison estimate, the low signal area has been reduced by at least more than 40% compared with before treatment.

At this point in the treatment, it can be said that the treatment plan proposed by Sun Lien and others not only did not encounter any problems, but also achieved great success. The expected increase in intracranial pressure and adverse reactions did not appear, but the treatment effect was far more gratifying than the best they expected. According to Sun Lien and others' estimates, the most optimistic result was that the low signal area was reduced by 20% after treatment.

It’s not that Sun Lien and others estimate it too conservatively. In fact, this number should be relatively safe - the edema in the low-signal area is not too deep, but it is too large after all. Shrinking too much in one breath may lead to some unexpected negative effects.

The symptoms of low intracranial pressure and high intracranial pressure are at least almost completely consistent. Especially for weak pulse, low blood pressure, dehydration and electrolyte disorders, etc., which may pose a huge threat to Tang Min during treatment.

However, when Sun Lien and others estimated, they only calculated the effect of hypertonic glucose on Tang Min, but ignored the anti-diuretic properties of vasopressin. As a result, when the low signal area was reduced to 38%, the status bar and other vital sign monitoring systems still did not give any warnings.

Of course, if it weren't for the status bar that kept supporting Sun Lien, he wouldn't dare to push the treatment progress to 40%.

"Okay, let's get to this place." Seeing that the treatment effect is so significant, Sun Lien finally spoke and stopped the treatment process. "Enter the withdrawal process." After giving the order, Sun Lien smiled and said, "This time the effect is quite good... Next, it depends on how much the treatment effect can restore her nervous function and how long it can last."

This complete set of experimental treatments is essentially a solution to the symptoms but not the root cause. Doctors still have no solution to genetic problems. But... if the treatment can last for more than half a year to a year, Tang Min's future life will be very different.

At least, compared to before, she already has the "later". Although the process may be more troublesome and complicated, she has to come to the hospital for general anesthesia every once in a while... but at least she can feel troubles during puberty without being put into a small box after a few months.

Troubles...for many people, they are a luxury that is unattainable.

Yuan Ping'an began to feed the tube, while Professor Zhang Zhifu began to adjust the maintenance dose of anesthetic drugs. The next work was very simple - to continue to maintain a relatively high blood sugar level, but to stop using arginine vasopressin. Until the last critical step of the entire treatment, trifluoroperamine took effect and inhibited the effect of AQP4.

"It seems that she is very lucky." The atmosphere in the operating room eased a lot. Xu Yourong smiled at Sun Lien, "I really didn't expect that the treatment effect would be so good."

"This child is lucky." Sun Lien nodded, his frowning brows just relaxed a little, and then he frowned again.

This time, it was not because there was something that needed attention on the status bar, but because I just stared at it for too long, so I had a headache.

"The feeding tube is ready, and now the medication is given." Yuan Ping'an's operation does not require waiting for Sun Lien to give an order. According to the scheduled plan, as long as the feeding tube is given to the duodenum, the medication needs to be given immediately.

Although arginine vasopressin is a hormone with antidiuretic properties, it also has the effect of "pressurization" as its name. Under the action of arginine vasopressin, Tang Min's blood pressure reached a level of 110/150mmHg. Although this pressure is a bit high for children, it is still at an "acceptable" level.

Fortunately, arginine vasopressin itself is a relatively fast metabolic rate. The semi-clearance rate is about 3 hours. According to calculations, Tang Min should be able to be sent to the ward at a "slightly higher" blood pressure level after the treatment is over.

After trifluoraprine was given, Yuan Ping'an quickly withdrew from the feeding tube. The imaging Korogo and Sun Lien performed three MRI examinations on Tang Min. The time points of the three examinations were 30 minutes, 60 minutes and 120 minutes after the dosage. At the 120th minute, the MRI examination showed that Tang Min had a slight rebound in the intracranial hypostatus area, but the degree of rebound was completely acceptable - they were about 1% larger than before using trifluoraprine.

After 150 minutes, the edema rebound in the low signal area basically stopped. Compared with the results before treatment, the low signal area in Tang Min's skull shrank by more than 38%.

"If there is no further change, it's over." On the operating table, Tang Min was able to move a little. Sun Lien walked to Tang Min and was about to observe whether there were any changes in Tang Min's status bar. But before the status bar was exhaled, he saw Tang Min's eyes first.

The eyelids were slightly opened, but Tang Min's eyes could sway slightly from left to right. What was even more gratifying was that Sun Lien saw at a glance that Tang Min's pupils were much smaller than before.

He gently spread Tang Min's eyelids with his hands, and shook them with his hands. When they were blocked by his hands, Tang Min's pupils would slightly expand, and after removing her palms, her pupils would shrink quickly.

"Did her pupils have reflexes?" Sun Lien's actions attracted the collective attention of the doctors around him. Everyone was very excited.

Tang Min was blind when she was admitted to the hospital, and the pupils on both sides did not reflect light. For such patients, it is very difficult for both eyes to restore light and requires luck. Therefore, Xu Yourong and Rachel proposed the suggestion of "biopsy on the optic nerve."

Although it was not certain whether Tang Min had recovered her vision before she woke up completely, at least the reflection of light meant that she had the possibility of restoring light. This progress was enough to make everyone excited.

"Now we can at least be more relaxed after seeing her parents." Yuan Ping'an sat on the ground next to him and said, "I don't want to say 'I'm sorry, we've tried our best' to her... This feeling is really uncomfortable to think about."
Chapter completed!
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