Chapter 339: Polyetheretherketone in the Skull [Asking for a Monthly Pass]
The Multinational Joint Force reappeared on the island of Zaragomez on September 18, 2021 local time.
At 18:12 that evening, the rescue team began to give Gu Jun EO in the operating room; At 18:37, he regained a weak heart beat, and the EF reflecting the contraction and pumping function of the ventricles was only 10, compared with the normal value of 50-70; Because of the massive hemorrhage in his right frontal lobe, the neurosurgery team of Si Kouxian began a frontal lobe craniotomy at 18:42.
Incision is made, skin flap is opened, skull is drilled, bone flap is opened, bone flap is removed, dura mater is cut, hematoma is removed, sutures, drainage.
Because of his condition, if the bone flap is preserved, there is a greater risk of complications such as high intracranial pressure and postoperative cerebral edema, which will require a second operation, which may crush his life, so the team chose to remove the bone flap. Part of his skull on the right side of his forehead was gone, and under his scalp was the dura mater, and he watched as the small half of his forehead collapsed softly. If he can make it, he will have a skull repair later.
Since he had no other brain contusions, the craniotomy took just over 4 hours to complete, and the operation ended at 22:56 on that day.
Immediately afterwards, the orthopedic team led by orthopedic expert Wang Huikang took over the main position of the operating table of the neurosurgery department.
They performed a number of soft tissue debridement and sutures for Gu Jun, open reduction and internal fixation of fractures in multiple locations such as the palm, phalanges, radius, ulna, and tibial plateau of the left lower limb, as well as open reduction of shoulder dislocation. Flash Dance
The doctors could judge from his injuries that Gu Jun fell from a high altitude at that time because he first supported himself with both hands, then knocked on his right forehead and supported his left foot, so the upper limb was seriously injured and the lower limb was lightly injured. It is precisely because there is no fracture of the right lower limb that EO is given an ideal V-A diversion and intubation position.
These surgeries were performed one after another, and it took 22 hours to do them, and by the time the orthopedic team stopped, it was already 21:25 on the evening of September 19.
During this period, the EO team led by Liu Mingfeng has been observing and adjusting the equipment parameters. These surgeries have brought more problems to the stable operation of EO, but fortunately, the team has rich experience and has maintained good cardiopulmonary support, limb blood supply and return to Gu Jun.
Experts such as Li Cheng and Zhang Zeli in the Department of Cardiology and Cardiac Surgery did not dare to relax for a minute.
Although Gu Jun has regained his spontaneous heartbeat, the peripheral circulation and pulsation are extremely poor, and the hemodynamic fluctuations are large, such a young man's heart is only 22 years old, and the results of the last physical examination show that his heart can almost jump to 120 years old, but now it is like a myocardial infarction and heart failure at any time.
However, with the team's best efforts, he did not have a second cardiac arrest during the operation, his hemodynamics stabilized, the EF value of the heart rose to 20, and he also regained weak spontaneous breathing. Flash Dance
At this time, the rescue team can finally say that they have won the first battle to win the battle from the dark abyss.
Everyone in the operating room, the command center, and the corridor breathed a sigh of relief, but what happened later proved that the operation was a long test.
On the morning of September 20, Gu Jun's EF value dropped to ≈ap again; lt; 10. Chest X-ray showed that he had a large amount of fluid in both chest cavities, inflammation and infection in both lungs, and electrolyte imbalances...... The rescue team went to the operating table again to deal with these complications, and it took more than 30 hours to fight.
The 21st was the Mid-Autumn Festival of this year, and they spent it in the operating room, and Wu Shiyu, Uncle Dan and others also spent it on the destroyer.
Gu Jun's craniotomy was completed with high quality and no postoperative complications, which may be the only good thing.
Another good thing was that there was no bleeding from his EO catheterization and no swelling in his right lower extremity.
After surviving the first few days, Gu Jun's condition went in a better direction, and the team continued to care. On the 25th day of the week after surgery, the EF value rose to 30, and the detachment was severely reduced. On October 2, two weeks after surgery, the EF value rose to 40, which was mildly reduced, and the heart was out of danger.
His other physical indicators were stable, so after 14 days of EO, the team removed the cardiopulmonary bypass and transferred him to Ward U.
At this time, Gu Jun and the others were also transported back to the headquarters of the Tianji Bureau in Dahua City for follow-up treatment.
Deng Ximei woke up on September 23, although she had some headaches, she was sane and not life-threatening, but she was silent.
Due to her performance in this operation, she officially became a member of the Spell Department of the Heavenly Machine Bureau. Tongye and the others all have high hopes for her, hoping that she can give full play to her potential and make up for the vacancy when Gu Jun is away. But for the time being, she still needs a lot of recovery treatment.
Deng Ximei's awakening made everyone very happy, but on October 6, everyone's mood fell to the bottom again.
This is the 18th day after Xue Ba did EO, there was a blood infection, complicated by liver, kidney and other organ failure, the medical team has tried all the means and efforts, but it still ended in failure, at 23:36 that night, the team announced Xue Ba's death.
This news is very heavy for everyone in the Tianji Bureau.
Xue Ba, the captain of the Demon Hunter Squad in Dongzhou City, has long grown into an important talent of the Spell Department-Tianji Bureau-GOA, and died at the age of 39.
The situation on Gu Jun's side is not optimistic, his heartbeat and breathing have recovered, the anesthetic has long been sprinkled, but his consciousness has not been awakened, and there is no sign in the electroencephalogram, everything is pointing to the possibility of brain death: his body is still alive, but he will never wake up again.
This kind of cranial nerve problem, experts also say that it is not good, it may never wake up, it may not wake up tomorrow, or a year later, ten years later......
Time passed day by day. On October 18, the 30th day of his coma, he still did not wake up.
On this day, the Tianji Bureau held a funeral for Xue Ba and buried him in the Tianji Martyrs Cemetery. Everyone attended, but Gu Jun was absent.
On his 60th day in a coma, X-rays showed that his fracture had recovered well, and the medical team removed his cast one after another.
Even though Gu Jun may already be in a vegetative state, the rehabilitation staff in the team did not relax, turning him over regularly, massaging, etc., every day, trying to maintain his function. Therefore, although he has lost a lot of weight, he does not have the extent of muscle atrophy in his whole body.
On December 18, the 90th day of his coma, three months after the frontal lobotomy, the team performed a skull repair surgery on him, using polyetheretherketone (PEEK), the best skull repair material at present, which is seamlessly connected with human bone, and has good thermal insulation and hardness properties.
The operation went smoothly, and since then, Gu Jun has an extra piece of polyetheretherketone in his skull, but it is covered by a scalp, and the appearance is not visible, it is still like that.
The time is December 31, the last day of the year, the 103rd day of Gu Jun's coma, 2022 is coming, and he still hasn't woken up.