Chapter 40: Anatomy
Before dawn the next day, Hao Zhe was dragged out of the warm quilt by Yi Sheng, staring at the cold wind, and the two trotted all the way to the anatomy classroom.
Last night, the two of them watched Li Shangai's surgical treatment plan until two o'clock in the morning while checking books, and they still couldn't stay up and rolled into bed first, and they didn't even go to chat with Zhou Gong for five minutes, Hao Zhe, who had two dark circles under his eyes, looked at Yi Sheng, who was busy and energetic, with cold bread in his mouth, and there was not even a bag under his eyes on his face.
Dragging the operating microscope, Yi Sheng put on an isolation gown, put on latex gloves and a mask and said, "What are you doing in a daze?
Hao Zhe reluctantly put on his gloves and said, "Can we change the name of that little dog leg, such as the leg pendant?"
"Whatever you want," Yi Sheng took out the cranial dissection instrument from the drawer of the lectern and poured it into the instrument tray, then handed Hao Zhe a leather preparation device and said, "Hurry up and prepare the skin, maybe we can catch dinner." ”
"I'm in a hurry!" Hao Zhe pulled the zipper of his schoolbag, revealing the bread and ham intestines stuffed inside: "I'm going to spend the winter here, after we finish dissecting the skull, don't leave other positions left, just dissect it all and pull it down." ”
"I think so!"
It's a bastard to have a cheap advantage, and ordinary people can't get such a good opportunity.
Hao Zhe was in charge of preparing the skin, and Yi Sheng watched Li Shangai's surgical plan process again, and a vigorous dissection drama kicked off.
After having an elite-level epidural hematoma removal, Yi Sheng was able to open the craniotomy with ease, and he opened the craniotomy from the inferior temporal according to the surgical path in Li Shangai's surgical plan, exposing the dura mater.
Next, it was beyond the scope of Yi Sheng's knowledge, but fortunately, Yi Sheng followed Meng Xianyang to complete an operation for a subdural hematoma, otherwise there was really no way to start.
"There's a draining vein here," Yi Sheng pointed to a thick vein adherent on the dura: "You record it and prepare for microseparation." ”
This vein is prostrate at the temporal floor, close to the medial aspect of the dura. Due to the specificity of the human body, Yi Sheng did not dare to guarantee whether he would encounter this vein during Liang Susu's surgery in the future, and in the case of high tension, if this vein could not be seen with the naked eye, Yi Sheng was likely to cut the dura mater directly, resulting in venous bleeding.
Moving the operating microscope to his eyes, Yi Sheng carefully picked up the mosquito vascular clamp to isolate a part of the connective tissue around the periphery of the draining vein, and then picked up the glass minute needle to slowly separate the part in the surgical area.
In normal surgery, the isolated blood vessels and nerves need to be threaded under the blood vessels or nerves with cotton threads soaked in saline to be lifted and ligated during stimulation, and then covered with a piece of medicated gauze to prevent the tissue from drying out.
However, in dissection, there is not so much attention.
And the anatomical "gross teacher" does not need to release cerebrospinal fluid. After all, cerebrospinal fluid is no longer produced after death, and the original cerebrospinal fluid has long been decomposed.
At half past seven in the morning, the sophomore students who rushed to the anatomy class rushed to the anatomy classroom with bread in their mouths, dissection is a delicate job, the dissection in the same position is divided into more than a dozen class hours, each class hour has a task, if it can't be completed, you have to work overtime, no one wants to stay in the anatomy building at night.
The students, who had never seen a cranial dissection before, had never seen the posture in front of them, and they gathered around, and some even took out their mobile phones to take pictures.
In order to avoid unnecessary panic caused by some photos flowing into society, the school explicitly prohibits taking pictures of "gross teachers" and musculoskeletal specimens, but there are always some people who like to challenge the rules.
The flash shook so that Yi Sheng couldn't go on at all, so Yi Sheng had to straighten up and look at the group of students who were taking pictures in front of him and said, "Didn't your teacher tell you that you are not allowed to take pictures in the anatomy classroom?"
I don't know if these students took Yi Sheng as a teacher or because of Yi Sheng's stern tone, these students quickly took back their mobile phones and returned to their seats, then turned off the flash and secretly took pictures.
As long as it doesn't interfere with his own anatomy, Yi Sheng will turn a blind eye, after all, he has taken a lot of photos at the beginning.
As soon as Yi Sheng was about to continue the dissection, Hao Zhe stretched out his hand and shook it under Yi Sheng's microscope, and whispered, "Wang Dongmei is here." ”
"King what?"
was interrupted twice in a row, and Yi Sheng's tone was not good.
"Wang Dongmei!"
"Wang Dongmei?"
Yi Sheng was stunned for a moment, and then felt a pair of hands reach over and grabbed Yi Sheng's neck, and before Yi Sheng could turn around, he heard Wang Dongmei's yin and yang strange voice behind him: "These people are just thin love! I haven't seen anyone since the end of class, do you think this kind of person should be damned?"
"Spare my life, teacher, I was wrong teacher!" Seeing that the brain tissue of the "general teacher" in himself was getting closer and closer, Yi Sheng hurriedly begged for mercy.
Wang Dongmei, Yi Sheng's bureau teacher back then, and also the leader of the local anatomy teaching and research group, is a very capable woman.
The Department of Local Anatomy is the same as the Department of Surgery, which is a typical "Yang Flourishing and Yin Decline".
"You stinky boy, why didn't you talk to me when you came to the dissection room?" Wang Dongmei let go of her hand and asked.
"Isn't it bad to trouble you, teacher!" Yi Sheng took off his mask and said with a smile.
Yi Sheng's mask is dying, these sophomores have basically seen Yi Sheng's amazing singing voice at the orientation party, coupled with this breathtaking face, the classroom suddenly resounded with a long-lasting and sharp exclamation.
"Don't bother me?" Wang Dongmei raised her eyebrows and said disdainfully: "Do you think that with the face of Wang Hai'an's old thing, you can drag out such a "general teacher" who has just been in the storage room for less than three months?
"Teacher, pay attention to your image as a teacher. Yi Sheng sneered.
Wang Dongmei raised her head and squinted slightly, and glanced around, showing her queen's demeanor. The students who were originally going to watch the excitement immediately turned their heads and opened the game book, pretending to preview today's lesson, Wang Dongmei nodded with satisfaction, looked at Yi Sheng and said, "You wait for me to finish the class and then come to clean you up." ”
After speaking, Wang Dongmei walked to the podium to start today's lecture, while Yi Sheng continued his dissection with a bitter face.
Where have you just gotten there?
Separate blood vessels?
Yes, separate the blood vessels.
Although Yi Sheng obtained the microscope vascular nerve separation technology, there was no repetitive task about the microscope vascular nerve separation technology in his task, which made Yi Sheng feel a little regretful.
After the separation of the blood vessels, the temporal lobe can be lifted to see the cerebellar tentorium, which is the path of the surgical treatment plan designed by Li Shangai.
After Yi Sheng used a glass minute needle to probe the surrounding blood vessels and nerves, he gently cut open the tentum of the cerebellum and saw the middle part of the thumb-sized brainstem, the pons.
Although it has been determined that Liang Susu's tumor compressed the vestibulocochlear nerve bundle and the somatic motor fibers of the vagus nerve, it is still unclear that the tumor compressed those blood vessels, so Yi Sheng thought about simply exposing the brainstem completely, and then slowly cleaning the nerves and blood vessels above.
In line with the principle of nerves before blood vessels, thin first and then coarse, Yi Sheng started from the optic nerve at the top of the brainstem and went to the anterior root of the first cervical nerve at the bottom, cleaning it up little by little.
After the anterior root of the first cervical nerve was completely peeled out, the sky was dark, and only a group of juniors and sisters who had not completed the task in the classroom were still struggling to separate the tendons of the "general teacher".
Sure enough, it is often said that when you do something that interests you, time runs fast like a white horse.
Such a long time of concentration made Yi Sheng's eyes sour and astringent, Yi Sheng took off his gloves and rubbed his eyes closed for a long time before he was relieved.
And Hao Zhe beside him didn't know when he had fallen asleep on the table.
"The dissection was completed so quickly?" Wang Dongmei's voice came from behind her, "Yi Sheng, you go to the side, I'll take a look." ”
Yi Sheng stepped aside in response, and the moment he stood up, a feeling of dizziness came, Yi Sheng's footsteps were light and almost fell, Wang Dongmei hurriedly helped him, took care of the students who had not yet left, and put Yi Sheng on the dissection table with the lid closed.
"It's okay," Yi Sheng waved his hand and said, "It's just a little hypoglycemic, just eat something." ”
Anyone who is engrossed in more than ten hours without eating or drinking can't stand it, Yi Sheng didn't faint, and his willpower is strong enough.
"It's still the same virtue as before!" Although Wang Dongmei blamed her mouth, there was some undisguised relief in her eyes, when Yi Sheng first learned anatomy, he was the most diligent in the entire department, although the results of other subjects were decent, but it did not affect Wang Dongmei's good impression of him at all.
asked someone to go to her office for Yi Sheng to get a bottle of water, and after watching him eat a few pieces of chocolate, Wang Dongmei calmed down to examine Yi Sheng's results.
Through the microscope, these nerves isolated by Yi Sheng are even more delicate, there is almost no trace of connective tissue on them, and there is no damage to the nerves themselves.
Wang Dongmei raised her head and said angrily: "Why didn't you participate in a local anatomy contest back then? Such a good work will definitely win a first prize." ”
Yi Shengxin said that he didn't get the Little Medical Immortal System at that time, but looking at Wang Dongmei's appearance, his autopsy results were still relatively perfect.
Now Yi Sheng is more confident in Liang Susu's surgery.
Taking a few photos of his stripped nerves, Yi Sheng picked up his mobile phone and dialed a person.
The dissection is not a vivion operation, and in order to ensure the success of Liang Susu's surgery, Yi Sheng also needs a guarantee, that is, Tao Qian.
With Tao Qian, the anesthesiologist at the Mayo headquarters, by his side, in case of an accident during the operation, Liang Susu can also be rescued in time.
"Don't go! resolutely don't go!" Tao Qian decisively refused after learning of Yi Sheng's idea.
"I'll invite you to dinner, the pig's trotters are enough!" Yi Sheng killed the sugar-coated cannonball.
"Three meals!"
"One meal!"
"That's not going!"
......
In the end, after bargaining with Tao Qian, Yi Sheng asked Tao Qian to agree to Yi Sheng's request at the price of two Tang Haijia barbecues.
Looking at the mobile phone screen that had been hung up, Yi Sheng nodded thoughtfully, there is really nothing in this world that can't be solved by one barbecue, if there is, then two!