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 silent and his two dark eyes 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 reassure her.
Senior Brother Cao was very worried about his classmates. Xie Wanying can feel it.
The ambulance drove onto the road.
The heart rate monitor beeped. Huang Zhilei, who was sitting next to the patient, immediately felt his hair stand 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, which 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 deeply penetrated, it is temporarily clamped by the human body inside, and there is no danger to his life for the time being."
After she woke up at this point, it turned out that this was the case. No wonder Senior Brother Cao was relatively able to let them send the wounded back with confidence. 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 and formulate a surgical plan in advance, 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 that can reach the base of the skull and close to the brainstem. It was originally going to go through -"
"The internal carotid artery must be brushed." Huang Zhilei said.
It showed that Senior Brother Huang was not confused at all, but was too nervous. The neurosurgeon's eyes were bright. As we have seen above, the area where the internal carotid artery is close to the ear must be close to the orbit. Therefore, glass blocks that enter through the eyes or ears are very likely to be close to large arteries 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? Simple and crude methods, such as Teacher Tan taking them for general surgery, predict in advance which large blood vessel may cause severe bleeding when the operation is performed, and simply cut off the blood flow of this large blood vessel first.
The same can be done with neurosurgery. If you are afraid of massive bleeding, you can cut off the internal carotid artery first.
The surgical approach adopted eliminates the need to wait for the craniotomy to be performed. If you do this, the glass fragments will move after the craniotomy begins, and there will be too many variables, and the doctor will be afraid that it will be too late to stop it.
Advanced interventional surgery can be used. Before the craniotomy, such as Dr. Hu's surgery, something can be inserted into the cranial artery of the injured person. Dr. Hu had an embolized hemangioma.
(End of chapter)
