It’s just that the prescription method may not be consistent with the current one. You need to shave your head in advance and then position it.

Now that we can't think of any better solution in a short period of time, we can only bite the bullet and treat a dead horse as a living horse.

Fang Jingsheng felt like he had been violated again!

Zhou Cheng's previous suggestion of embolizing the limbs also sent away the orthopedic surgeon Fu Youhan who was invited to evaluate whether to perform amputation.

Without a field of vision, Zhou Chengcheng roughly felt the position of the blood vessel lumen, then frantically tested it, and finally!

Zhou Cheng’s kid?

Do you know that this patient can be delayed to death by you?

When Professor Ni heard Zhou Cheng's words, he looked at Neurosurgery Professor Du Li.

Deembolize bleeding from the brachial artery from the femoral artery.

He knew that Zhou Cheng must have said such a basic explanation in order to avoid a quarrel.

Are you still playing?

It seems like this is a basic operation that everyone knows!

Basic operations 6,6 must be banned!

In fact, Zhou Cheng really spoke calmly, mainly to avoid quarrels, and to avoid confrontations and explanations with others.

Because of intracranial hemorrhage, it is generally not possible for patients to die due to insufficient blood flow!

But although these words are not very harmful, they are extremely insulting!

After spleen rupture and bleeding, the bleeding can be stopped by embolizing the splenic artery.

It means opening a window for drainage or even a craniotomy to stop the bleeding. To stop the bleeding and clean the hematoma, it can be done directly by running the water.

Du Li can't do it himself. If you push me to this point and don't do it yourself, and then ask me to try, then you will really get beaten. Young man, I have to tell you in advance.

clear.

But if he wasn't allowed to monitor his blood pressure, he would have wanted to run away on the spot. Damn it, I'm going to give you anesthesia, and if you don't let me monitor your blood pressure, how can I play with you?

"If the splenic artery is embolized in advance, the amount of bleeding can be reduced and we will buy a lot of time for rescue." At this time, Zhou Cheng thought Fang Jingsheng didn't understand, so he explained it this way to avoid too many disputes.

In the art of war, there are green mountains left, so you don't have to worry about having no firewood.

Fang Jingsheng had just finished the operation on his side, and Zhou Cheng had completed a relatively large project on his side.

Zhou Cheng didn't want to waste any more time, he just wanted to perform the operation well.

Zhou Chengcheng stepped forward and asked: "Teacher, can I also come on stage to help?"

When playing chess, there are ways to lose the rook to save the commander, or abandon the son in thirteen moves.

When Professor Chu from the Anesthesiology Department heard this, what else could he say?

At most, the bifurcation at the celiac trunk is smaller.

In terms of time spent, this surgery is the fastest and optimal solution!

Okay. Not satisfied yet, Zhou Cheng finally took action on neurosurgery again.

It proves that this young man really has something!

"Ah?" Fang Jingsheng was on the other side!

After hearing Zhou Cheng's words, he was so frightened that he shivered.

You have embolized the splenic artery. If I open the abdomen now, can I still call for emergency laparotomy to save the patient's life?

Originally, a ruptured spleen was fatal, but now that you have done this, Professor Ni will just become a part-time worker!

It seems that whether he performs laparotomy faster or slower, it is always just an operation and has nothing to do with the patient's life or death!

What Fang Jingsheng is thinking is, can you stop asking me questions all the time that even exceed my current understanding of the upper limit of treatment?

Zhou Cheng immediately ran out of the operating room, washed his hands, put on a surgical gown and went on stage.

He thought there was something wrong with his ears, but Gang Zhoucheng seemed to say that he was going to have a splenic artery embolism.

"No? Professor Fang, I didn't mean to cause trouble or interrupt? It's just that you blocked the arteries of all four limbs clinically? How can I monitor my blood pressure?"

How fragile is the brain?

Zhou Cheng said: "There are MRA and conventional MRI here. We can actually try a minimally invasive method to release a few hematomas inside."

Finally, after a certain moment.

Zhou Cheng felt that the distal end of the catheter had reached a certain direction after reaching the celiac trunk. But he had to control the catheter to reach the celiac trunk, pass through the first left gastric artery and the second common hepatic artery, and reach the location of the splenic artery!

The origin of this project is similar to an operation Zhou Cheng had undergone before when he was in Changshi.

It's equivalent to saying.

Fang Jingsheng looked up at Professor Ni from the Department of General Surgery, and then asked Zhou Cheng: "Is the splenic artery embolization done?"

This operation is similar to Zhou Cheng's operation of tying up the splenic artery to stop bleeding.

How does this blind exercise feel?

Zhou Cheng couldn't care less about how to explain the operation after the operation, and looked for traces of various branches as if cheating.

His movements were already very deft, but he couldn't bear the fact that Zhou Cheng was not a human being. He had already performed the most fatal movements before he even entered. Because the first thing he had to do was cut off his spleen.

The only thing is to tie up the splenic artery.

and!

After Zhou Cheng had done this, he was not greedy for credit. Instead, he continued to read the current diagnosis of Lu Qianzhou and then suggested: "Teacher Fang Jingsheng, and Teacher Du? Do you think we can now treat ruptured cerebral aneurysms?" How to deal with the hematoma in the brain?"

First of all, although the limbs may not be saved.

This is an emergency surgery. Three minutes can be enough to kill someone. It can be the difference between life and death.

It's not too obscure, but it's not as smooth as other surgeries, and it's always a bit awkward.

The operating room has indications.

In fact, in the past, this kind of arterial embolization hemostasis was mostly used for internal iliac artery embolization of postpartum hemorrhage, and it was used to prevent bleeding!

He has never used this method of directly embolizing the femoral artery to stop bleeding. This is a life-saving method of amputation.

In the operating room, the surgeon only treats the patient. It is the anesthesiologist who really cares about the patient's life. Do you really think highly of me?

"Professor Chu, we monitor CVP directly! I'll give it to you!" Fang Jingsheng said.

Then, the operation started step by step.

Do I not understand basic anatomy and anatomy knowledge?

After all, a laparotomy is an operation, not a stabbing. You just take the knife and pull it directly into the stomach.

According to his understanding, if this time was not so urgent and the patient was not ordered to die by the hospital, he would not dare to let Zhou Cheng do this.

He reacted for a while before he figured out the direction of the blood vessel.

Sometimes, it doesn’t mean that the more minimally invasive and the faster the surgery, the better!

Rather, it depends on the situation that can be handled and the recovery after surgery.

Originally, Du Li also had to perform a craniotomy to remove the hematoma and a craniotomy to stop the bleeding, which was also very urgent.

When Du Li heard this, he suddenly felt like a good guy.

Zhou Cheng's speech was unbelievably calm!

…

Even the branch arteries from the splenic artery to the splenic hilum.

Can you perform interventional surgery without interventional monitoring????

"Okay!" Since Fang Jingsheng knew Zhou Cheng, he also recognized Zhou Cheng! In addition, the people in the orthopedics department also had a certain understanding of him.

The tip of the guidewire was sent to the splenic artery!

Is this believable? Can this be believed?

But in a situation like this, what can you do if you don’t believe it?

Is the distance from the femoral artery to the dorsalis pedis artery as far as the distance from the femoral artery to the splenic artery?

The arterial bifurcations you encounter in the middle are all relatively large!

"Cranial endoscopy is actually not suitable for this kind of disease." Du Li felt that he still had to talk about the pros and cons of the matter first.

About ten minutes later.

So those in the general surgery department have plenty of time to prepare for spleen removal or suturing.

This is the unchanging truth!

In the actual medical process, unless there is a special problem with the brain, you will usually think about tying all the major arteries of a person's limbs. The first reaction is whether the patient can survive and whether the bleeding can be stopped. Can amputation save life?

"Wait a minute, what did you just say?"
To be continued...