Without further ado, the ambulance loaded up the patient and set off quickly.
Sitting in the car, Xie Wanying turned her head and could see a dark group of people watching her and the patient off.
Senior Brother Cao stood in the crowd, his face was silent, and his two dark eyes were particularly deep. When he received her gaze, he nodded to her, and the slight smile that appeared on the corner of his mouth was undoubtedly
Telling her to rest assured.
Senior Brother Cao is very worried about his classmates. Xie Wanying can feel it.
The ambulance drove onto the road.
The ECG monitor beeped. Huang Zhilei, who was sitting next to the patient, immediately stood on end and looked nervous.
"Senior Brother Huang, don't be afraid." Xie Wanying said, looking at the fluctuation of the patient's life value curve on the monitor, it was actually not bad.
After a while, the monitor alarm stopped.
"Should we do something?" Huang Zhilei asked the junior sister for her opinion.
Is it okay to do nothing on the road?
Xie Wanying explained to Senior Brother Huang: "He can hear us consciously. I personally think that although this piece of glass is penetrated deeply, it is temporarily clamped by the human body inside, so there is no danger to his life for the time being."
After she woke up at this point, it turned out that it was like this. No wonder Senior Brother Cao was relatively confident in letting them send the wounded back. Huang Zhilei thought.
After Zhou Shuren was injured, he did not lose consciousness completely, but his eyes were seriously injured and he could not open them, and he was too weak to speak.
Because the patient can vaguely hear some words, the doctor must be very careful about the content of the conversation.
The two doctors lowered their voices and discussed that they could seize the time on the way to predict the patient's injury in advance and formulate a surgical plan, so as not to waste too much time waiting at the hospital.
Neurosurgery is different from other departments. After talking about so many cases, we can clearly realize that accurate preoperative planning is very important and is almost related to the success or failure of the operation.
"Where do you think this piece of glass will be roughly located, and where is the best place to operate the knife?" Huang Zhilei asked the junior sister for her opinion.
Seeing that Senior Brother Huang could calm down, Xie Wanying began to tell Senior Brother Huang about her surgical plan: "It is a piece of glass with a length that can reach the base of the skull and close to the brainstem. It was originally going to go through——"
"It must pass through the internal carotid artery." Huang Zhilei said.
It shows that Senior Brother Huang is not confused at all, but he is too nervous. The neurosurgeon’s eyes are bright. As seen above, the area where the internal carotid artery is close to the ear must be close to the orbit. So from the eyes
The glass block inserted into the ear is very likely to be adjacent to a large artery such as the internal carotid artery.
During surgical operations, refer to cases from other surgical departments. What should you do if you encounter this situation? A simple and crude approach, such as Teacher Tan taking them to do general surgery, predict in advance which large blood vessels may cause severe bleeding once the operation is performed, and simply cut them off first.
The blood flow of this large blood vessel.
The same can be done for neurosurgery. To avoid severe bleeding, the internal carotid artery can be cut off first.
The surgical approach adopted does not require waiting for the craniotomy to be stopped. If this is done, the glass fragments will move after the craniotomy is started, and there are too many variables, and the doctor will be afraid that it will be too late to stop the surgery.
Advanced interventional surgery methods can be used. Before the craniotomy, such as Dr. Hu’s surgery, something is inserted into the intracranial aorta of the injured person. Dr. Hu embolized the hemangioma.
