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Chapter 285 Brain herniation oppressing the brainstem, life hangs by a thread, who can save it?!(1/2)

Induce coma again.

Lower body temperature.

Then, it is sent for preoperative preparation.

I did it before routine examinations, and there were reports on cerebrospinal fluid and biochemical, and only one nuclear magnetic field is needed.

After the emergency nuclear magnetic field came out, the urgency of the operation was increased again!

Xu Qiu's expression turned solemn when he saw the fruit.

MRI imaging of the head showed that part of Luo Di's cerebellum has been squeezed into the occipital magnum, which may compress the life center of the brain stem at any time, leading to death!

This also means that the patient's life is already on the verge of being on the verge of the line.

"Give broad-spectrum antibiotics right away."

"On the stage in an hour!"

Xu Qiu immediately made adjustments and advanced the operation three hours later.

...

Under the bright shadowless light, doctors wearing dark green surgical gowns entered one after another and stood in their respective positions.

"Director Lin!"

"Director Jin!"

Wang Fan, Yunmei and others, who were observing the operation, greeted the two directors of the brain surgery department.

Unexpectedly, even Director Lin and Deputy Director Jin Yucheng came.

"Have you given intravenous antibiotics half an hour before the operation?" Director Lin asked.

"Doctor Xu specifically instructed that the dosage has been added." The anesthesiologist replied.

"That's good……"

Director Lin and Jin Yucheng looked at each other, both of them were extremely solemn.

Intraventricular diversion is actually not very difficult.

Since Xu Qiu opened up the training base for craniocerebral separation surgery in the brain surgery department, the comprehensive level of brain surgeons in the hospital has improved significantly.

Jin Yucheng is young and smart, has a very fast learning speed, and is also quite talented in high-end and sophisticated brain surgery technology.

He was far ahead and became the doctor who was most qualified to challenge the real craniocerebral separation surgery under Xu Qiu.

Nowadays, if you catch a doctor from the brain surgery department, you will probably be able to easily get the ventricular shunt.

But at present, no one dares to do this Luo Di except Jin Yucheng and Director Lin.

Because brain hernia has entered the foramen magnum of the occipital bone!

At this time, let alone craniotomy, even if it is a change in position and the use of anesthetic drugs, it may become the last straw that crushes Luo Di.

"Here you come!"

At this moment, everyone looked at the door of the operating room at the same time.

laugh--

As he was left behind closed doors and was stepped on, Xu Qiu walked in, and the nurse on the circuit immediately helped put on the surgical gown.

When Xu Qiu stood in the main sword position and the shadowless lamp was fired, everyone suddenly felt a sense of peace in their hearts.

Director Lin, Director Jin and others all found it very incredible.

The danger of this surgery is self-evident.

It can be said that no one can guarantee that Luo Di can step down safely.

Even who dares to say that there is a 30% chance is enough to go sideways in the field of brain surgery.

However, when Xu Qiu stood in front of the stage, they suddenly breathed a sigh of relief...

It turned out that before they knew it, they had already regarded Xu Qiu as the last guarantee of the entire brain surgery department from the bottom of their hearts.

...

"The operation begins."

Xu Qiu's calm voice resounded throughout the operating room.

The whole room moved in an instant.

Endtracheal intubation.

General anesthesia.

There are also various rescue drugs, preparations for intraoperative infusion of drugs...

After the anesthesia was completed, Xu Qiu also picked up the scalpel at the same time.

Ventricular shunt surgery is not difficult.

First puncture, then drill holes in the skull, then insert a tube in the puncture pathway and ventricular ventricular, and finally do a subcutaneous tunnel to extract excess cerebrospinal fluid and water accumulation, and then complete it.

The difficulty is the fineness of the hand.

If you move a little more, squeeze your brain into the occipital magnum hole, and Luo Di will finish playing.

"Are you sure you want to penetrate the occipital magnular hole?" Director Lin was frightened.

There are many options for puncture.

For example, next to the midline of the temporal area, it goes from the center of the pupil.

Or the triangle area at the back top is about 2.5 to 3cm above the auricle.

No matter which one it is, in terms of risk, it is definitely lower than the pillow.

That place is close to the occipital magnum, and it is also the most likely place to get unexpected.

But if it can be successful, it can immediately alleviate the crisis of brain hernia, so that the next surgery will not be worried.

"Just the occipital bone magnum." Xu Qiu did not hesitate at all.

Other approaches are too slow.

Wait for puncture and drilling, and finally drilling the subcutaneous tunnel to drain cerebrospinal fluid... Luo Di couldn't last for so long!

What he has to do now is to take risks and use his personal abilities to give Luo Di a chance to take surgery.

As long as Xu Qiu did not make mistakes and controlled the entire puncture and drilling process, the operation would be basically half successful.

Didi--

In the operating room, the prompt sounds of various monitoring instruments are eternal background sounds.

"Let's get started."

After making the decision, Xu Qiu no longer hesitated and made a small horseshoe-shaped incision at the 6 cm high outside the pillow.

Next, cut the dura mater.

In the bright field of surgery, everyone can clearly see that there are many blood clots around the incision of the patient's cerebral cortex under the dura.

Clear the blood clot and continue down.

Groove-

Dark gray, slightly viscous liquid sprays out from the cortical opening.

This is the intraluminal effusion left by the infection foci.

After absorbing the liquid, this part of the brain tissue collapsed.

Director Lin and others felt a slump.

No one knows whether this brain area has functional activity.

Will its collapse cause Luo Di to lose any function or simply not wake up?

However, Xu Qiu just glanced at him and continued the operation.

"Metal Core." He said without raising his head.

Director Lin immediately handed over the instrument that had been confirmed before the operation.

“Supervise vital signs at any time.”

Xu Qiu reminded the anesthesiologist, and then pierced the needle from the center of the forehead and between the eyebrows.

At this moment, everyone's hearts were in their throats.

I was afraid that the patient's respiratory and cardiac arrest will stop next moment!

But this scene didn't happen.

Under the shadowless lamp, Xu Qiu's hands were very stable and he could not see any tremor.

After he slowly pierced the brain needle with the guide core into five centimeters, he suddenly felt that the pushing feeling on his hands had changed a little.
To be continued...
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