Chapter 907

Chapter 907 cardiac arrest for one minute

Chen Qun didn't want to hear these words without nutrition at all. He stretched out his finger and drew on the picture.

"Now the residual tumor is close to the left side of the hypothalamus, which should be the culprit of brain edema, which leads to retrograde amnesia. If it continues, the whole person will completely lose neurological function, and even cause brain death. So academician Jiang wants to remove this part? "

Jiang Ming wiped the clean chin of his hand and asked Chen Qun hesitantly.

"Just now, I have been thinking about the ultrasonic resection you used a few days ago, or the treatment with a similar type of CyberKnife, so that there is no need to perform craniotomy again, which is better for patients. But the last time Lao Pang had an operation, there was a massive venous hemorrhage. Therefore, I think as long as any form of surgery, will lead to sinus fistula site bleeding, at that time can not rescue, so suspended the above two plans, to discuss with you. You have a good head. Let's see what else can solve the problem of massive venous hemorrhage. "

When Chen Qun heard Jiang Ming's statement and carefully examined the photos in front of him, he could not help but come up with a three-dimensional structure picture of the patient's disease. Although it was not as clear as the system picture, it was enough for him to see the situation clearly. I don't know why, in the venous cavernous sinus fistula part of the brain, the vascular wall is very thin, as long as any barrier, the vascular will burst because of the blockage, which is out of control.

Chen Qun has performed several similar operations on the cavernous blood vessels of the brain. One of his most successful cases, Feng Qiuyun's cerebral vascular malformation, was completed by minimally invasive surgery. However, Feng Qiuyun's example is different from this one. He has a finer capillary network.

In this case, a large mass of venous network was enlarged, which made the vascular wall unable to bear too much pressure. He was also unable to complete the resection with optical tweezers because the surgical part was "too large".

In other words, that part of the vein can't be touched at all, just like a mine, which explodes when touched, causing massive bleeding.

As soon as Chen Qun Cai thought of the words "massive hemorrhage", he had a flash of inspiration in his mind. It was not that they had not dealt with similar situations. Now they just need to adopt the same method to solve this problem.

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

Jiang Ming turns around and looks at Chen Qun.

"You want the patient's heart to stop? Don't you think that the risk is higher, or even directly kill the patient. Don't forget, the patient is in his sixties. "

Chen Qun stares at academician Jiang and expresses his views.

"Yes, I've considered the patient's age and his physical condition, so I limit the time for the heart to stop beating to one minute, even 45 seconds. I removed all the tumors within this time to stop the bleeding. Then the risk is greatly reduced. We don't need chest surgery to stop the heartbeat, we just need to inject drugs

Jiang Ming hesitated for a second and asked.

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

"Yes, it's the best choice. Otherwise, even with the ultrasonic knife to complete the treatment, will lead to vascular tumor resection is not clean, relapse again

"A minute?" This is not difficult for you. There are two complete printed models of brain in my training room. I asked for them from your girlfriend with my privilege. Now let's go over and see if you can complete the resection and stop the bleeding in one minute. If there is no problem, we will prepare for the operation immediately. "

Chen Qun and Jiang Ming did not know whether there was no tube head or their girlfriend was not around. After testing with the model, they said to move and did not hesitate to give the operation in the afternoon. Of course, this is not the impulse of the two men, but the physiological data of the patients in each day. Tell the two doctors that the earlier the rescue, the better.

On the operating table, Jiang Ming directly worked as an assistant for Chen Qun, without any embarrassment. Even several doctors in the brain department didn't feel anything inappropriate, as if they thought it was a matter of course.

"Xiao Chen, adenosine has been injected..."

Before Jiang Ming finished, all the readings on the heart monitor disappeared, and the instrument gave out a beep, which turned into a warning sound of the buzzer.

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

Jiang Ming holds the stopwatch hanging around his neck and presses the time switch."Sawtooth scissors, prepare the upper opening curette!"

Chen Qun immediately reminded the brain equipment nurses around him that with such a fast operation, the professional brain nurses would be better. After all, Zhao Xue is a typical surgical nurse rather than a brain nurse with stronger professional division of labor. As for the girl friend in busy with their own things, do not disturb her.

Jiang Ming, who had known Chen Qun's habits for a long time, used two equipment nurses to place two sets of equipment beside him in order to ensure the success of the operation. At this time, Chen Qun reminded another nurse to prepare the tools.

"Preparation of tumor forceps and hemostatic forceps!"

After that, Chen Qun put the sawtooth scissors in the palm of a nurse and took away the tumor forceps neatly. With a slight bend of his palm, he wrapped all the tumor parts on the venous cavernous fistula in the middle. Then he picked up the sawtooth scissors again, brushed twice, and cut both ends of the tumor together.

"Forty five seconds to go!"

"Lower opening curette!..." Straight curette! OK！ The tumor has been completely removed. Give me bipolar coagulation forceps and hemostatic gauze! "

"Thirty seconds!"

"Soluble hemostatic gel a! All blood stopped, vision clear, resuscitation guidance

As soon as Chen Qun's voice fell, the ECG suddenly beeped, and the 37 second heartbeat curve reappeared.

"Pulse 36, blood pressure 53 / 34. My heart is beating again

With the little nurse's counting, Jiang Ming stood on tiptoe, put his head close to the microscope, and looked at the open brain. He saw that with the rise of blood pressure, a red blood vessel near Xiao Chen's forceps was bulging slightly, which was very clear on the off white brain.

"The blood flow is normal, then repair the dura mater, give me 4-0 nylon thread, strive for the operation to be completed in 15 minutes!"

When Jiang Ming heard Chen Qun's declaration, he couldn't help looking up at the timer on his head. It was only 11 minutes and 23 seconds in total. Maybe in China, no, maybe in the world, only this boy has the ability to remove a very difficult grade 4 brain tumor, just like appendectomy, in more than ten minutes.

37 seconds to complete a brain tumor resection and hemostasis! Jiang Ming knows that he can't do it in his life and in his next life, and 99.99% of all doctors in the world can't do it. What he can do occasionally is just a flash in the pan.

It is impossible for Chen Qun to be like an appendectomy in a hundred years. Only in the future can the robotic arm be able to make progress in technology.