Chapter 362: There is a thrilling operation
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"The patient, male, is 52 years old. Temporal bone fracture with external temporal fossa epicarpatoma, temporal lobe cerebral contusion. After observing the hematoma of more than 20 ml, after observation for many days, the patient continued to be in a hazy state, and after dehydration treatment, he was still drowsy and irritable, memory, logic, speech accuracy, calculation power, spatial sensation, all of which were damaged in different ways. In order to improve the above problems, after general discussion, it was decided to perform craniotomy for the patient, remove the deep temporal fossa hematoma, local decompression, alleviate the brain damage caused by cerebral edema, and maximize the recovery of brain function. This part of the skull belongs to the base of the skull fossa, which is not only deep, but also has important blood vessels and nerves passing through it. There can be some danger in the procedure, but Dr. Livingston has taken on many such surgeries, and all of them have been able to cure the patient well. There will be no problem this time. However, the most worrying problem now is that the patient's age is 52 years old, his blood pressure is high, his blood lipids and blood sugar are higher than the normal range, and the blood vessels in the brain have become atherological. During surgery, due to the dense distribution of blood vessels in the brain, it is easy to cause blood vessel rupture, which leads to blood loss in the patient's brain. Brooke gave Watson a basic overview of the patient.
"Well, that's good. I think Dr. Livingston will be able to do the surgery well. Watson said.
"Hua, if the patient's cerebral blood vessels rupture, causing blood loss, do you have a solution? The patient's hematoma is caused by the rupture of a large blood vessel at the base of the skull, if there is intraoperative hemorrhage during surgery. The patient's life can be at risk. I hope to be able to complete this surgery more safely. Livingston said.
"There will be no problem. I can use acupuncture to control the bleeding in the patient's skull. Watson said.
"Xiaosheng, this matter is very important, you have to think about it carefully." Zheng Jingying is still a little worried.
"Don't worry, I'm sure. Otherwise, I wouldn't be talking nonsense. Watson said.
"But you've never been involved in such an operation. In the event of a massive intracranial hemorrhage during the operation, it is dangerous. Zheng Jingying said.
"Don't worry. Silly girl, it's messy if you really care. I'm not sure I'll dare to talk nonsense? The head of the human body is the most densely populated area of blood vessels and nervous system, and there are many acupuncture points here. These acupuncture points can completely control the patient's blood system and can also affect the patient's nervous system. So. There will certainly be no problem. Count it as a problem. It won't be in my part. Watson said.
"That's good. We're ready to start the surgery. Livingston said.
Livingston seemed to be at ease with Watson, and as soon as Watson agreed, Livingston did not hesitate to prepare to begin the operation.
Watson is also welcome, after dressing. He followed Livingston into the operating room. Entered this operating room for the second time. For the layout of the operating room. Watson was already familiar with it.
Craniotomy is more difficult than other parts of the body, and the head has a skull intact to protect the human brain, and it is necessary to perform intracranial surgery. The skull must be cut open. However, in the face of modern medical equipment, the hard skull has become less indestructible.
Livingston made an incision in the right temple of his head, sawed open the skull, and opened it to a plate. An intracranial hole with a diameter of five centimeters was formed, which entered the cavity of the skull, and the location of the patient's hematoma was quickly located.
"Sss
The blood mass is relatively large, and it has pressed the patient's brain tissue significantly away from its original position, so it is no wonder that the patient has various symptoms.
"I'm ready for the blood lump now, but based on the rapid condition of the hematoma, it could cause a lot of blood loss. Hua, if the blood line does not stop bleeding, you need your help. Livingston said.
"Okay." Watson said.
A silver needle was already clasped in his hand, ready to strike at any moment.
Livingston carefully cleared the hematoma, but about five centimeters deep into the base of the skull, a large blood vessel suddenly spurted blood, which turned out to be the culprit of the hematoma's formation. This blood vessel is the largest branch from the external carotid artery. It is the intracranial starting position of the middle dural artery. Bright red blood stains the white brain tissue inside the skull red. If there is too much blood loss in the skull, it means that the surgery will fail.
Before Livingston could speak, Watson had already moved, a silver needle pierced the patient's temple, Watson's hand had been placed on the silver needle without moving, and if he looked closely at Watson's hand, he could see that his fingers were vibrating the silver needle with its faint amplitude.
The effect was very obvious, and the moment Watson pierced the silver needle into the patient's temple, the blood in the blood vessels in the patient's skull had stopped spurting.
Livingston didn't speak, speeding up the clean-up and dealing with the ruptured vessel. His technique is so skillful that his movements are a little dazzling, and it is a textbook surgical demonstration.
Watson's hand never left the silver needle, but he remained calm throughout. This qiē seemed to be nothing at all in his eyes.
Livingston was almost done with the surgery, and even the operation turned out to be more perfect than planned. The surgery proceeded extremely quickly.
"Wipe your sweat." Livingston's operation, though a tiny lancet, was as heavy as holding a thousand-pound knife, and in such a short period of time, his forehead was covered with beads of sweat.
Jennifer took a towel and quickly wiped the sweat off Livingston's forehead. Looking back at Watson, Watson was still in his previous state.
"No problem. Chinese. Livingston said.
"Wait. There seems to be some blood clots in the patient's brain, which is also one of the reasons for the formation of the lump this time. I'm now trying to remove the blood clot from his veins as much as possible, hoping to alleviate his condition. Watson said.
Everyone felt that Watson's treatment was effective.
"But you can't see what's going on in his veins, so how do you know he's got a blood clot in his veins?" ”
"You should have examined this patient, and you should be clear about what I said. As for whether my treatment is effective, you can ask the patients to re-examine it. Watson had taken out the silver needle.
"Hua, I'm not suspicious of you. I'm just a little hard at home with the situation. Brooke said.
"Even if you doubt it, it's okay. Different people have different views on Chinese medicine, and what kind of views they hold is their own private matter. Naturally, I wouldn't ask. Watson said.
Watson said as he walked out. The surgery has been completed and Livingston is also undergoing final treatments. Jennifer and the others saw the development of a somewhat difficult operation on this day, and the harvest was naturally not small, but Watson's method of stopping bleeding was incomprehensible to them.
Livingston had the most surgical treatment and chased him out.
"Hua, don't mind, these boys are not very polite to me." Livingston said.
"Nope. They can't understand Chinese medicine, it's not an attack on me personally. Watson laughed.
He was really not angry, but he was not obligated to explain anything to these people. So, naturally, I don't mind what these people say.
Zheng Jingying didn't speak, followed Watson out of the hospital, and after getting into the car, Zheng Jingying said, "I'm sorry for making you wronged." ”
"I really didn't feel wronged. These are all false names. I don't care, and I'm not going to stay in the U.S. as a doctor anyway. When the honeymoon is over, we will be in the East China Sea. Watson said.
After a few hours, the patient's anesthesia completely dissipated and the patient woke up from a coma. There was no expected impairment of brain function. It's a little more flexible than before.
"I replied!" The patient was surprised.
The patient's family almost didn't jump. One by one scrambling to find a way to find a way at this time. But it was completely solved by the patient with his wit.
"It seems that it is really completely recovered, and the results of this surgery can be called classic." Livingston said.
"Thanks to Dr. Livingston's superb surgery." Jennifer said.
In fact, this qiē should be attributed to Hua. He played no less role in the operation than I did. Without his involvement, the patient might have died on the operating table. This time the surgery was really thrilling. Livingston said.
When Livingston and the others went to find Watson and Zheng Jingying, they found that the avatar and Zheng Jingying had already left to start their second stop in the United States. Zheng Jingying has already satisfied her thoughts about her alma mater. Now it's time for your honeymoon.
"The best thing to see in the United States is Yellowstone, which is the first national park in the world and the largest forest park. There's a lot to do in Yellowstone. Zheng Jingying and Watson were already on the plane.
Watson doesn't care much about such scenery, if you want to talk about the scenery, the space in his jade pendant, that is the real scenery. However, Watson does not plan to share his jade pendant space with the people around him for the time being. He was a little worried about their safety. It's not a good thing to let them share the pressure of secrecy with you. Once it became known that Watson had a magical cave, Watson knew very well what the results would be.
"Why can't you see your excitement at all?" Zheng Jingying said.
"Because I've never seen Yellowstone. So, you couldn't be better. I just thought it wasn't much better than Komsomolsk Park. Watson laughed.
"Hmph. Too lazy to pay attention to you. Zheng Jingying glanced at Watson. (To be continued......)