"Prepare the skin, disinfect, and now determine the puncture point." Xie Wanying reported to her senior brother.
"Where do you want to enter the puncture point?" Huang Zhilei asked.
"There are generally two approaches for lateral ventricular drainage. One is the frontal approach, which starts 1 cm in front of the coronal suture and 2 to 2.5 cm away from the midline. The direction of the puncture needle is parallel to the sagittal plane and aimed at the line connecting the two external auditory canals. The other is the occipital approach, with the puncture point 6 to 7 cm above the external occipital protuberance and 3 cm away from the midline. The direction of the puncture needle is also parallel to the sagittal plane and aimed at the brow ridge. The depth of both is about 5 cm."
"Yeah." Huang Zhilei nodded. The junior sister's basics were very good, and her answer was like a textbook. According to the knowledge in the book, what would the junior sister decide? If both approaches were possible, how would the doctor choose?
"My personal opinion is that since the injured person has had a CT scan, we can choose the third method and use the CT scan as a guide."
"Have you seen the CT scan?"
"The CT film has not come out yet, but when the patient was doing the CT, we watched the preliminary images in the CT room and we can basically determine where the hematoma has formed in the lateral ventricle. Therefore, we can take a more accurate puncture and puncture directly at the hematoma, which is the CT positioning puncture method." Xie Wanying said word by word.
Her voice was not loud, but the decision she made undoubtedly shocked everyone present.
CT-guided puncture? Can an intern do it? This is much more difficult than the conventional approach just mentioned. The conventional approach only requires reading from the book, drawing the skull line, and measuring the distance in centimeters to drill in. CT-guided puncture requires looking at the CT film to determine the structure of the victim's skull, and deciding where to start measuring and opening the hole. How can an intern with no surgical experience know how to measure the puncture point based on CT?
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What's worse is that Xiao Yang, who accompanied them to the CT room to take a CT scan, knew very well that the CT images seen in the CT room were preliminary images and had not been manually adjusted and synthesized by the CT doctor. When multiple images are not synthesized, they are layered and very messy. If you can only make a vague judgment, you may say that there is a hematoma. Even the CT room doctor dare not be 100% sure that he can see the specific location of the hematoma, and he has to wait for the CT film to come out completely before making a final judgment. She actually said that she could judge the location of the hematoma and prepare for CT positioning puncture.
Xiao Yang almost suspected that she was suffering from delusions, thinking that she could succeed if she tried what the textbook said herself?
Reckless, super reckless, just like what he thought, a female version of Lu Zhishen, a Lu Zhishen who doesn't care about the consequences. If it succeeds, it will succeed, but what if it doesn't? That's the life of their own country. Why doesn't she think about this serious consequence?
In Xiao Yang's eyes, the success rate was too low. Perhaps only the top experts in the industry could do this. It was impossible for her, an intern, to do it. Perhaps he could admit that she had shown some ability in the operation at the exchange meeting, but how could she do the work of a neurosurgeon?
Even though the people from the National Association knew Xie Wanying's strength, they were still a little worried. Li Chengyuan was unsure of how far she could go, and whether she could really hit the target with one shot as she said. Neurosurgery was different from other departments. Other departments might be able to allow for a little error, but not neurosurgery.
Huang Zhilei raised his eyebrows, without the worries of others, and praised in his heart: She is worthy of being a junior sister. Others only use ordinary law, but she suddenly needs to use special law. He believes it, because he studies the human brain, and believes that the junior sister's brain has this special ability.
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