Doctor: I picked up attributes in the hospital

Chapter 130 Middle Cerebral Aneurysm - Time Bomb!

Soon, Liu Ziang took two residents and started the operation.

After the operation started, Zhao Heng stared closely at the life monitor, especially the patient's blood pressure.

On Liu Ziang's side, the skull drilling has already begun to prepare for the bone flap removal.

In layman's terms, it is ready to open the patient's skull.

Just as Liu Ziang held the bone drill and drilled the bone seam little by little to open the skull, Zhao Heng discovered that the patient's blood pressure had dropped significantly.

95/50 88/45 70/38 55/32。。。

Seeing that the patient's blood pressure had dropped so sharply that it had reached the level of shock, Zhao Heng immediately said to the patrol nurse Sun Meng, "Quickly push 30 micrograms of epinephrine!"

Sun Meng immediately picked up the syringe, pumped 30 micrograms of epinephrine, and pushed it directly through the infusion tube.

With such a large dose of adrenaline pushed in, the blood pressure has risen somewhat, but it is still at a very low level.

"Norepinephrine, epinephrine pump injection, maintenance dose 1 microgram."

Zhao Heng said to Sun Meng again.

Sun Meng acted immediately and connected the infusion pump filled with norepinephrine and epinephrine to the patient's vein.

Taking this measure, Zhao Heng saw that the patient's blood pressure was finally maintained at around 70/38. Although it was still very low, it was basically stable.

After Zhao Heng completed the series of operations to raise the patient's blood pressure, Liu Ziang had already completely removed the skull, and it was obvious that there was a shocking dent on the skull. It is conceivable that this patient was involved in a car accident. He must have been hit hard on the head.

"How about it?"

Liu Zi'ang put the skull he took out on the workbench, and turned to ask Zhao Heng.

He naturally knew about the sudden drop in blood pressure of the patient just now, but he couldn't stop his operation.

In cranial brain surgery, one must be careful and cautious. Almost all important structures in the cranial brain can affect the whole body.

"The maintenance of blood pressure is not very good, and it must be resolved quickly."

Zhao Heng shook his head slightly and said.

If the patient's blood pressure drops again, Zhao Heng doesn't know if it can rise again.

Because just now, in order to raise the patient's blood pressure, Zhao Heng had already used norepinephrine and epinephrine. These two drugs are usually used when the patient suffers from cardiac arrest or severe hemorrhagic shock.

"Well, it's over to you."

Liu Ziang said solemnly.

This feeling is like a comrade-in-arms on the battlefield.

In fact, they are also comrades-in-arms. The operating room is not just a battlefield of life and death.

Liu Ziang's side was not easy. The patient's skull was hit hard, causing a large area of ​​intracranial hemorrhage. It was necessary to clean up the congestion and find the damaged blood vessels to complete the blood vessel repair work.

Since the operation is performed on the brain, every step must be fully concentrated, and there must be no mistakes.

Next, Liu Ziang continued the operation.

"Start autologous blood transfusion."

Zhao Heng said to Sun Meng again.

The autologous blood reinfusion here is a means prepared by Zhao Heng before the operation, in order to prevent the sudden drop in blood pressure due to a large amount of blood loss shock and insufficient blood volume just now.

"Ok."

After receiving Zhao Heng's order, Sun Meng nodded and started to operate immediately.

After this series of operations, Zhao Heng was relieved to see that the patient's blood pressure had stabilized.

Who said that anesthesiologists simply sit in the operating room, play with their mobile phones, and wait for the surgeon to finish the operation?
It can be said that in many cases, the life and death of patients are in the hands of anesthesiologists.

The patient's blood pressure stabilized, and Zhao Heng breathed a sigh of relief, and had time to watch Liu Ziang perform the operation carefully.

This Liu Ziang is a master of brain surgery in China, so the surgery he performed is naturally worth watching.

No, after just watching for a while, Zhao Heng saw a white light ball that Zhao Heng was very familiar with falling from Liu Ziang's body.

Familiar with the road, Zhao Heng thought, and the white light group turned into a stream of light, which entered Zhao Heng's mind.

【Ding!Picked up cerebrovascular emergency repair (perfect)]

Hey!
It turned out to be a perfect skill.

Liu Ziang is indeed a well-known master of brain surgery in China.

Zhao Heng couldn't help sighing in his heart after absorbing this skill light cluster.

You must know that there are very few doctors who can drop perfect level skills.

Soon, incorporating the perfect-level cerebrovascular emergency repair surgery that fell from Liu Ziang, Zhao Heng was already very proficient in the routing and repair of cerebral blood vessels, as well as how to avoid damage to the brain tissue during the operation to the greatest extent. .

After all, it is a skill dropped from the great god Liu Ziang, so it is naturally extraordinary.

Just as Zhao Heng was sorting out the skills and experience integrated in his mind, Liu Zi'ang's movements suddenly stopped.

Because he encountered a very sticky situation.

"what happened?"

Seeing that Liu Ziang's movements stopped, Zhao Heng stood up and asked with some doubts.

"You come and see."

Liu Ziang said briefly.

Hearing this, Zhao Heng walked over and stood by the operating table. Following the direction of Liu Ziang's finger, Zhao Heng saw a lump the size of a broad bean on a cerebral artery. This lump was still beating with the pulse of the artery. vibration.

"Is this a middle cerebral aneurysm?!"

Zhao Heng was instantly shocked.

Originally, the patient had an acute craniocerebral injury, which was already critical enough, but now why was an aneurysm found on the patient's cerebral artery?
This is simply worse.

Middle cerebral aneurysm, this is the "time bomb" that all brain surgeons talk about!
Once the aneurysm on the cerebral artery ruptures, the whole body will be paralyzed in mild cases, and died on the spot in severe cases.

The best result is to become a vegetable.

But now, the patient's blood pressure was already unstable enough, Liu Ziang had to end the operation quickly, and there was also a ticking time bomb like a middle cerebral aneurysm.

How is this good?

It should be known that if the aneurysm is not removed, once the aneurysm ruptures after surgery, the patient may not necessarily be able to wait for the operating table in this patient's condition.

Moreover, in brain surgery, even simple brain aneurysm surgery is an extremely high-risk and difficult operation, not to mention, it has to be done under emergency conditions.

The most difficult point is that the patient's blood pressure is not well controlled, and the blood may drop suddenly at any time, and the operation must be completed quickly.

It's arguably the trickiest of all cases, rolled together.

"Yes."

Liu Ziang nodded solemnly.

Whether it is repairing traumatic brain vessels or aneurysm surgery, Liu Ziang has the confidence to complete it.

But when the two are combined, the operation time is still limited, and he can't cut it in half by himself, so there is simply not enough time to complete it.

Thinking of this, even Liu Ziang, the great god outside his head, felt like his scalp was exploding!
(End of this chapter)