Without further ado, the ambulance took the patient and set off quickly.
Sitting in the car, Xie Wanying turned her head and saw a crowd of people watching her and the patient.
Senior Brother Cao stood in the crowd, his face silent, his two dark eyes particularly deep. When he received her gaze, he nodded at her, with a slight smile on his lips, undoubtedly telling her to rest assured.
Senior Brother Cao was very worried about his classmates. Xie Wanying could sense it.
The ambulance drove onto the main road.
The ECG monitor beeped. Huang Zhilei, who was sitting next to the patient, immediately felt his hair stand on end and his expression tense.
"Brother Huang, don't be afraid." Xie Wanying said, looking at the patient's vital value curve on the monitor, which was actually fluctuating normally.
After a while, the monitor alarm stopped.
"Should we do something?" Huang Zhilei asked his junior sister for her opinion.
...
...
Is it really okay to do nothing on the road?
Xie Wanying explained to Senior Brother Huang: "He can hear us talking in his consciousness. I personally think that even though the piece of glass is deeply embedded, it is temporarily secured by the human body, so his life is not in danger for the time being."
After she reminded him of this, it was no wonder that Senior Brother Cao was relatively relieved to let them send the wounded back, Huang Zhilei thought.
Zhou Shuren was not completely unconscious when he was found injured, but his eyes were severely injured and he could not open them, and his body was weak and he had difficulty speaking.
Since the patient can vaguely hear some words, the doctor must be very careful about the content of the conversation.
The two doctors lowered their voices and discussed that they could use the time on the way to predict the patient's condition and come up with a good surgical plan so as not to waste too much time waiting in the hospital.
Neurosurgery is different from other departments. After talking about so many cases, I can clearly realize that accurate preoperative planning is very important and it almost determines the success or failure of the operation.
"Where do you think the piece of glass will be located? Where is the best place to cut?" Huang Zhilei asked the junior sister for her opinion.
Seeing that Senior Brother Huang had calmed down, Xie Wanying began to tell him about her surgical plan: "This piece of glass fragment is long enough to reach the base of the skull near the brain stem. It was originally supposed to pass through--"
"It will definitely touch the internal carotid artery," said Huang Zhilei.
This means that Senior Brother Huang was not confused at all, but was just too nervous. The neurosurgeon's eyes were bright. As we have seen above, the area where the internal carotid artery is close to the ear must be close to the eye socket area. Therefore, the glass that enters the eye or ear is very likely to be close to a large artery like the internal carotid artery.
In surgical operations, referring to cases from other surgical departments, what should we do when encountering such a situation? A simple and crude approach, such as when Teacher Tan led them to perform general surgery, he predicted in advance which large blood vessel might cause heavy bleeding after the operation, and simply cut off the blood flow of this large blood vessel first.
The same can be done in neurosurgery. If you are afraid of heavy bleeding, you can cut off the internal carotid artery first.
The surgical approach taken does not need to wait until the craniotomy to stop the operation. If this is done, the glass fragments will move after the craniotomy begins, and there are too many variables, and the doctor will be afraid that he will not be able to stop it in time.
Advanced interventional surgery can be used to insert something into the victim's intracranial artery before craniotomy, such as the one Dr. Hu performed. Dr. Hu embolized the hemangioma.
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