Medical road ahead

"The main purpose of this operation is to improve the blood supply symptoms of Li Leyue's ischemic brain tissue, and at the same time alleviate her neurological deficit."

After evaluating Li Leyue's consciousness, pupils, vital signs, physical activity, and other accompanying diseases before the operation, Yang Yang, the surgeon, performed the superficial temporal artery-middle cerebral artery bypass surgery on her, and informed Huang Yiming about the operation in advance .

"Li Leyue is a typical ischemic moyamoya disease, so we will use direct vascular reconstruction, which can immediately improve the local cerebral blood perfusion, making it have an excellent effect on ischemic moyamoya disease, and can directly improve intracranial Blood supply, reducing smoky blood vessels, and preventing bleeding, but this kind of operation is more difficult to operate, and there are certain risks.”

"Well, any operation has risks. Even a biopsy to check for thyroid cancer may lead to death."

Huang Yiming nodded understandingly, and then bowed to Yang Yang and the others, "Please try your best to cure Yueyue's illness."

Yang Yang nodded back, and then led Zhou Xiaolan, and several other doctors and nurses into the operating room.

During the preoperative evaluation, Yang Yang found that Li Leyue's bilateral ischemia was similar based on the angiographic results of Li Leyue's bilateral internal carotid arteries, external carotid arteries, and vertebral arteries, combined with clinical symptoms and DSA imaging results. dominant hemisphere.

A scalp incision was made in the frontotemporal region along the anterior and posterior branches of the superficial temporal artery (STA), the two vessels were separated, and the craniotomy was performed with a free bone flap. The anterior and posterior branches of the STA and the middle cerebral artery (MCA) M The two branches of segment 3 were anastomosed end-to-side, the bone flap was reset, the cranium was closed, and the operation was over.

The operation took about five hours to complete, and the process went smoothly without any emergencies. However, in order to prevent further intracranial bleeding, Li Leyue needs to be closely observed within the next 24 hours, and continuous ECG monitoring is required.

"During this period, once she is found to have agitation, excitement, drowsiness, drowsiness, nausea, vomiting, severe headache, increased blood pressure, slow pulse, slow breathing, confusion, dilated pupils, light reflex If there is any phenomenon such as dullness or disappearance, treat the symptoms immediately and notify me or Dr. Zhou."

After sending Li Leyue back to the ward, Yang Yang explained to the two nurses who took care of her, and hurried to another operating room with Zhou Xiaolan.

"Doctor Yang!"

Halfway through, Yang Yang was stopped by Huang Yiming, "Excuse me, what should I do next?"

Yang Yang said: "Stay with her well, and when she wakes up, pay attention to her emotions, try to let her relax, and don't think about it, because mood swings may affect the local cerebral blood flow, causing cerebral vasoconstriction and cerebral blood flow reduction. If you find that she has negative emotions such as pessimism, disappointment, listlessness, anxiety, agitation and irritability, you must give her timely care and comfort.

Be patient with her, I'm sure you can do it. "

After finishing speaking, Yang Yang gave him a trusting smile, finally reassuring him.

"Thank you, Dr. Yang, and Dr. Zhou." He immediately thanked you.

"Meng Hui's operation lasted ten hours. I'm afraid you won't be able to do it. Are you able to survive?"

Walking outside the door of another operating room, Yang Yang suddenly stopped and looked at Zhou Xiaolan, who was a little haggard.

"You can stand it, but I can't stand it?" Zhou Xiaolan said with a smile.

Yang Yang patted her on the shoulder, "I'll give you a day off tomorrow, sleep well at home."

"What about you? Teacher."

Zhou Xiaolan looked at her with a frown, "You've been in a row for two days."

"I've been here, not to mention two days in a row, three or four days. Okay, let's go in quickly, colleagues from other departments are already waiting inside."

After finishing speaking, Yang Yang opened the door of the operating room first, and led Zhou Xiaolan to carry out this more difficult comprehensive operation.

"Removing the tumor on Meng Hui's back and restoring the function of his spinal cord is the main purpose of our operation, but because the tumor has grown to the chest cavity, in order to prevent sudden symptoms such as massive bleeding and cardiac arrest during the operation, we still need to pay attention to it." I hope everyone will observe closely from the sidelines, remind you in due course, and give suggestions.”

Before preparing for the operation, Yang Yang did not forget to give careful instructions to several colleagues from other departments who came to assist in the operation.

Doctor Ma from the Department of Cardiology nodded and said, "Old Yang, you can rest assured that the surgery will be performed, and we will handle the rest."

The rest of the doctors also nodded in response.

To put it simply, this operation is to dig out the tumor and then fill the hole, but the operation is very complicated and the risk is very high. If there is a little carelessness, Meng Hui may die suddenly on the operating table.

Therefore, it took a full 12 hours from day to night, and the operation was finally over.

"Huihui, are you awake?"

At night, Meng's father came to the hospital, and Meng Hui gradually woke up, blinking his eyes in a daze, looking at the familiar face in front of him.

"dad?"

"it's me!"

Father Meng held his little hand excitedly, "How do you feel? Are you uncomfortable?"

"It seems. It seems to be gone. The bag on my back is gone." Meng Hui said hoarsely.

"That's right! Doctors and nurses cured your hunchback for you."

Father Meng smiled and nodded, his eyes filled with tears.

"Haha."

Seeing this scene, Zhou Xiaolan, who was leaning on Yang Yang's shoulder, should have been moved, but couldn't stand the repeated attacks of sleepy bugs, and closed her eyes with a yawn.

"Hey! Come on, a hunk, and carry Xiaolan to the duty room."

Supporting Zhou Xiaolan's heavy body, Yang Yang turned his head and whispered to the corridor.

"Hugger? Aunt Yang, do you think I look like me?"

Wang Xiaobo who passed by here stopped, pointed at himself and looked at her with a smile.

"Haha! Yes, yes."

Yang Yang smiled and waved to him, and together with him, sent Zhou Xiaolan to the duty room to rest.

"Aunt Yang, I heard that you performed two major surgeries in a row today in the neurosurgery department. You and Dr. Zhou are performing the operations. I think you should take a rest in the duty room. I will call Sister Tu later. , let her pick you up later."

After settling the sleepy Zhou Xiaolan, Wang Xiaobo suggested to Yang Yang who was pounding his back.

"Alright."

Yang Yang thought for a while, then found the bed next to him and lay down slowly.

"Aunt Yang, are you hungry? Do you want me to buy you some supper?" Wang Xiaobo asked again.

Yang Yang waved his hand, "I'm too hungry, I can't eat."

"Then I'll bring you a few boxes of milk and some snacks. If Dr. Zhou wakes up, I can give her some too." Wang Xiaobo suggested.

"Okay, I'll trouble you then, Xiao Bo."

Yang Yang nodded his head in thanks, then half leaned on the bed, closed his eyes and dozed off.

After Wang Xiaobo came back with big bags and small bags, Yang Yang drank a couple of sips with the carton of milk, then sat down with Wang Xiaobo, and asked him about the development of Hutu and Chen Qing's relationship.

"Do you think they can get married this year?"

"I can't say that well." Wang Xiaobo looked puzzled.

Yang Yang asked again: "Then do they get along well?"

"it is good!"

Wang Xiaobo nodded immediately, and comforted him: "Aunt Yang, don't worry about Sister Tu. Although she is called a fool, she has a clear heart, and Brother Chen is also a person with a clear heart. Since they have chosen to be together, they must be together." It will happen naturally. As for when to get married, it depends on their plans. You know, they both have a career they like, especially Sister Tu. She really loves her job and can't let go of it. Go busy with the marriage, so there is no rush to get married, you can only let nature take its course, maybe one day, they want to get married, even if you don't urge them, they will keep arguing and arranging the banquet."

"Well, you're right. Some things really can't be rushed."

Yang Yang nodded, and couldn't help but think of Li Leyue who hated marrying.

"Marriage is not the most important thing in life."

Then, she muttered to herself and suddenly realized.