Big Doctor Live Room

Chapter 907 Heart Stops for 1 Minute
Chapter 9 Heart Stops for 1 Minute
Chen Qun didn't want to hear these unnutritious words at all, so he stretched out his finger and drew on the photo.

"Now the residual tumor is close to the left side of the hypothalamus, which should be the culprit of cerebral edema, which led to the patient's retrograde amnesia. If it continues, the whole person will completely lose neurological function and even cause brain death. Therefore, Academician Jiang wants to Should this part be removed?"

Jiang Ming wiped his clean-shaven chin with the palm of his hand twice, and asked Chen Qun hesitantly.

"Just now I have been thinking about the ultrasonic resection you used a few days ago, or using a similar type of cyberknife treatment, so that you don't need to perform a second craniotomy, which is better for the patient. But when Lao Pang performed the operation last time, he A massive venous hemorrhage occurred. Therefore, I think that as long as any kind of operation is performed, it will cause massive bleeding at the sinus fistula site. Is there any way to solve the problem of venous bleeding."

Hearing what Jiang Ming said, Chen Qun looked carefully at the previous photos, and a three-dimensional structure diagram of the sick part of the patient could not help appearing in his mind. Although it was not as clear as the system picture, it was still enough for him to see. Be aware of the situation.I don't know why, but in the venocavernous sinus fistula part of the brain, the blood vessel wall is very thin. As long as there is any obstruction, the blood vessel will burst due to blockage, which is out of control.

For the cavernous blood vessels of the brain, Chen Qun has performed several similar surgeries. One of his most successful cases, Feng Qiuyun's cerebral vascular malformation, was done with minimally invasive surgery.However, Feng Qiuyun's example is different from this example, Feng Qiuyun's is a thinner capillary network.

In this patient, a large network of veins swelled, causing the walls of the blood vessels to be unable to withstand too much pressure.He also couldn't use optical tweezers to complete the resection because the surgical part was "too large".

In other words, that part of the vein cannot be touched at all, just like a land mine, it will explode when touched, causing massive bleeding.

When Chen Quncai thought of the words "hemorrhage", a flash of inspiration flashed in his mind, and he realized that it's not like they haven't dealt with similar situations before, so now they only need to adopt the same method to solve this problem.

"Academician Jiang, the key point of this surgery is that no matter what kind of invasive surgery, it will cause excessive pressure on the blood vessel wall, which will rupture and lead to massive bleeding. We can't solve the problem of the blood vessel wall, but we can control the massive bleeding from the source. As long as the heart does not beat, there will naturally be no blood pressure, and there will be no hemorrhage!"

Jiang Ming turned around and looked at Chen Qun.

"You want to stop the patient's heart? Haven't you thought that the risk is higher, or even directly kill the patient. Don't forget, the patient is over 60 years old."

Chen Qun stared at Academician Jiang without giving in, and expressed his point of view.

"Yes, I have considered the age of the patient and his physiological condition, so I limited the time for the heart to stop beating to within one minute, or even 45 seconds. I removed all the tumor within this time and completed hemostasis. That reduces the risk a lot. We don't need chest surgery to stop the heartbeat, we just need to inject drugs to do it."

Jiang Ming hesitated for a second, then asked.

"Are you going to inject adenosine to control the heartbeat?"

"Yes, this is the best choice. Otherwise, even if the treatment is completed with an ultrasonic knife, it will lead to incomplete resection of the vascular tumor and recurrence."

"1 minute?... This is not difficult for you. I have two complete printed models of brains in the training room, and I used my privilege to ask for them from your girlfriend. Now we will go there, See if you can complete the excision and stop the bleeding in 1 minute. If there is no problem, we will prepare the operation immediately."

I don't know if there is no tube head or the girlfriend is not around. After testing it with the model, Chen Qun and Jiang Ming moved as soon as they said it, and set the operation in the afternoon without hesitation.Of course, this is not the impulsiveness of the two old men, but the various physiological data of the patient's deteriorating condition, telling the two big doctors that the sooner the rescue, the better.

On the operating table, Jiang Ming directly served as Chen Qun's assistant without any embarrassment. Even the doctors in the brain department didn't think anything was wrong, as if they thought it was a matter of course.

"Xiao Chen, the adenosine injection has been completed..."

Before Jiang Ming finished speaking, all the readings on the heart monitor disappeared, and the instrument gave a long beep, which turned into a warning buzzer in an instant.

"I've started the timer, you only have 45 seconds!"

Jiang Ming held the stopwatch hanging around his neck in his hand and pressed the timer switch.

"Serrated scissors, prepare the opening curette!"

Chen Qun immediately reminded the brain equipment nurses around him that it would be better for a professional brain nurse to perform such a surgery where every second counts.After all, Zhao Xue is a typical surgical nurse, not a brain nurse with a more specialized division of labor.As for the girlfriend who is busy with her own affairs, don't bother her.

Jiang Ming, who had known Chen Qun's habits earlier, used two equipment nurses to ensure the success of the operation, and placed two sets of equipment next to him.At this time, he reminded another nurse to prepare the tools for Chen Qun.

"Tumor forceps and hemostatic forceps are ready!"

After finishing speaking, Chen Qun put the serrated scissors in the palm of a nurse, quickly took away the tumor tweezers, bent his palm slightly, and wrapped all the tumor on the venocavernous sinus fistula in the middle, Then pick up the serrated scissors again, brush twice, and cut off both ends of the tumor together.

"45 seconds left!"

"Down the opening curette!... Straight curette! OK! The tumor has been completely removed, give me bipolar coagulation forceps, and hemostatic gauze!"

"30 seconds!"

"Soluble hemostatic glue A! All the blood is stopped, the vision is clear, and the resuscitation guide is performed."

As soon as Chen Qun finished speaking, the electrocardiogram suddenly beeped, and the heartbeat curve that had disappeared for 37 seconds suddenly reappeared.

"Pulse 36, blood pressure 53/34. Heartbeat resumed!"

Following the little nurse's report, Jiang Ming stood on tiptoe, leaned his head next to the microscope, and glanced at the open brain. As the blood pressure rose, a red blood vessel was opening near Xiao Chen's surgical forceps. Slightly bulging, it was very distinct on the off-white brain.

"The blood flow is normal. Next, repair the dura mater. Give me 4-0 nylon thread. I will try to complete the operation within 15 minutes!"

When Jiang Ming heard Chen Qun's declaration, he couldn't help but look up at the timer on his head, only eleven minutes and 23 seconds had passed.Probably the whole of China, no, probably the whole world, only this kid has the ability to resect a grade [-] brain tumor that is very difficult, just like appendix surgery, and complete it methodically and with ease in more than ten minutes.

Completed a brain tumor resection and hemostasis in 37 seconds!Jiang Ming knows that it is impossible for him to do it in this life and in the next life. 90.00% of all the doctors in the world can't do it at [-]%.

It will be impossible within a hundred years to do what Chen Qun does like an appendectomy. Only with the advancement of robotic arm technology in the future will the robotic arm be able to do it.

(End of this chapter)