907: C907 One Minute of Cardiac Arrest

C907 One Minute of Cardiac Arrest

One minute of cardiac arrest

Chen Qun didn't want to hear those useless words at all, so he drew on the photo with his finger.

"Right now, the remnant tumor is close to the left side of the hypothalamus, it should be the culprit behind the brain edema, which results in the patient's retrograde amnesia. "So Fellow Jiang wants to cut off this part, right?"

Jiang Ming wiped his clean-shaven chin and asked Chen Qun hesitantly.

"I've been thinking about the ultrasound you used a few days ago, or the kind of knife you use to treat it, so you don't have to do the craniotomy again. It's better for the patient. However, the last time Old Pang had an operation, he suffered from massive venous bleeding. Therefore, I believe that any kind of operation would cause massive bleeding at the site of the sinus fistula, and there would be no rescue, so I stopped the above two plans to discuss it with you. You have a flexible brain and you want to see what else you can do to solve the problem of massive venous bleeding. "

After Chen Qun heard Jiang Ming's explanation, he looked at the many photos in front of him and a three-dimensional blueprint of the sick part of his brain appeared involuntarily. Although it was not as clear as the System's image, it was still enough for him to clearly see the situation. For some reason, in the part of the brain where the cerebral cavernous fistula is located, the Vascular Wall is very thin. As long as there is any obstruction, the blood vessels will burst due to blockage.

Chen Qun had performed several similar operations on the cavernous cerebral vessels. One of his most successful cases — Fong Qiuyun's cerebral vascular malformation — was accomplished through minimally invasive surgery. But Fong Qiuyun's example is different from this one. Fong Qiuyun's is a finer capillary net.

This patient, on the other hand, had a large mass of enlarged venous networks, causing Vascular Wall to not be able to withstand too much pressure. He was also affected by the operation

"Too big", it was impossible to use Optical Forceps s to complete the removal.

In other words, that portion of the vein could not be touched at all. It was like a landmine, exploding upon contact and causing massive bleeding.

Chen Qun had just thought of bleeding a lot of blood, and an idea suddenly flashed through his mind. He immediately remembered that they had not dealt with similar situations before, so all he needed to do now was to use the same method and he would be able to solve this problem.

"Fellow Jiang, the most important part of this operation is that no matter which type of invasive surgery it is, the pressure on the Vascular Wall will be too great and it will rupture, causing massive bleeding. We can't solve the Vascular Wall, but we can control the bleeding from the source. As long as the heart does not beat, there will be no blood pressure, and no major bleeding! "

Jiang Ming turned around and looked at Chen Qun.

"You want the patient's heart to stop beating? Didn't you ever think that such a risk would be higher, even to the point of directly killing the patient? Don't forget, the patient is over sixty years old. "

Chen Qun stared at Fellow Jiang without any hesitation and expressed his opinion.

"Yes, I have considered the patient's age and his physical condition, so I limit the time my heart stops to one minute, even to forty-five seconds. In this time, I removed all the tumors and stopped the bleeding. The risk was greatly reduced. We don't need a thoracic operation to stop the heartbeat. We just need to inject the drug. "

Jiang Ming hesitated for a second and asked.

"Are you preparing to inject adenosine to complete control of your heartbeat?"

"Yes, this is the best choice. Otherwise, even if you use an ultrasound knife to complete the treatment, it will result in the removal of the tumor and it will not be clean and will recur again. "

"A minute? This will not be difficult for you at all. My training room has two complete printouts of the brain, and I even used the privilege to get them from your girlfriend. Let's go over now and see if you can finish the excision and the hemostasis in a minute. If there is no problem, we will immediately prepare for the operation. "

It was unknown whether it was because they had no supervisor or because their girlfriend was not around, Chen Qun and Jiang Ming tested it with their model and then moved on, unhesitatingly giving the surgery schedule for the afternoon. Of course, this was not because the two men were impulsive, but rather, it was because the patient's daily physiological data told the two doctors that the earlier they rescued him, the better.

On the operating table, Jiang Ming directly became Chen Qun's assistant. There was nothing to be embarrassed about, even the doctors from Brain Department did not feel that anything was amiss, as if it was a matter of course.

"Chen, the adenosine injection is complete..."

Before Jiang Ming could finish his sentence, the readings on the heart monitor disappeared and the monitor issued a long beep. In the blink of an eye, it became a beeper's warning sound.

"I've already started counting down. You only have 45 seconds!"

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

"Sawtooth shears, prepare to open a curette!"

Chen Qun immediately reminded the Brain Department Equipment Nurse beside him. With this kind of operation that required every second and every second, it would be better to let the professional Brain Department Nurse do it. After all, Zhao Xue was a typical surgical nurse, not a Brain Department nurse who specialized in division of labor. As for his girlfriend being busy with her own matters, he didn't want to disturb her.

Jiang Ming, who knew Chen Qun's habit, even used two device nurses to place two sets of equipment beside him in order to ensure the success of the operation. At this time, he even reminded the other nurse to prepare the tools.

"Tumor forceps and hemostatic forceps, ready!"

As soon as he finished speaking, Chen Qun put the sawtooth scissors into a nurse's palm, and swiftly took away the tumor forceps. Chen Qun put the sawtooth scissors into a nurse's hand, and quickly took away the tumor forceps.2

"Forty-five seconds left!"

"Scratch the next key!" Straight curet! OK! The tumor has been completely removed, give me the bipolar coagulation forceps, and a hemostatic gauze! "

"Thirty seconds!"

"Soluble Hemostatic Glue A!" The blood has completely stopped, my vision is clear, and I am conducting the recovery process. "

Just as Chen Qun finished his sentence, the electrocardiogram suddenly beeped and the heartbeat curve that disappeared for 37 seconds reappeared.

"Thirty-six pulses, blood pressure 53/34. My heartbeat has recovered! "

As the nurse reported the number, Jiang Ming stood up on his tiptoes and moved his head closer to the microscope. He looked at the Cranium Cerebri, and saw that as his blood pressure rose, a red vein was bulging near Chen's Operating Forceps, forming a clear line on the beige white brain.

"The blood flow is normal. Next, repair the dura, and give me 4-0 nylon threads. I will strive to finish the operation within 15 minutes!"

When Jiang Ming heard Chen Qun's declaration, he couldn't help but look up at the timer above his head. In total, 11 minutes and 23 seconds had passed. Probably all of China, no, most of the world, only this guy had the ability to remove a very difficult level 4 brain tumor. It was like an appendectomy, in about 10 minutes' time, it was done methodically and with ease.

37 seconds to complete a brain tumor removal and hemostasis! Jiang Ming knew he wouldn't be able to do it in this life or the next. Of all the doctors in the world, 99.99% wouldn't be able to do it.

Doing this like how Chen Qun did for an appendectomy was impossible within a hundred years. Only the Robotic Arm's skills would improve in the future.

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