"I see!" A young doctor listened and understood what was going on.

It's really not easy to deal with, and I really have a headache when I encounter a surgical patient who can't be anesthetized.

It was originally just a small problem, but it was complicated.

You can't just use the anesthetic and go under the knife to the patient, so that you don't get killed by the stones, but die of pain.

It is no wonder that Director Xue Yihua of the Department of Urology is at a loss, and the problem is really difficult to solve.

Moyamoya itself is not much, and there are no similar cases in Bishui City, so everyone's clinical experience is also small.

However, according to relevant data, ischemic symptoms are the main symptoms in children, including transient ischemic attack, reversible neurological dysfunction and cerebral infarction.

Ischemic symptoms in adults are similar to those in children, but bleeding is often predominant.

One is ischemia and the other is bleeding, but one thing is the same, that is, anesthesia in general conditions cannot be done.

"That's a nuisance." Lin Xiao thought for a while and said to Xue Yihua, "Although there is no way in our hospital, it doesn't mean that other hospitals can't do this kind of surgery, it is better to suggest that patients transfer to the capital, and the Military General Hospital will definitely be able to do this kind of anesthesia." ”

"There must be a way in the capital, but the operation is not easy to arrange...... Xue Yihua replied with some embarrassment, "and the situation of those who suffer from = one = book = read = novel xstxt must also be arranged as soon as possible, we are considering how to deal with this problem, it is not impossible to use anesthesia, after all, there is a great risk." ”

"Surgeries are all risky, what about patients and families?" Lin Xiao asked.

"They are all from the countryside and trust our hospital, but it is precisely in this way that we have to be more responsible for their lives." Xue Yihua replied.

"If it really doesn't work, how about a local anesthetic?" Lin Xiao thought about it and said.

"We've also considered this, but it's more difficult to get a plan." Xue Yihua replied, "If the local anesthesia fails in the middle of the operation, the situation will be even more complicated, and the patient can't be killed alive on the operating table, right?" ”

Hearing him say this, Lin Xiao was also a little hesitant.

Generally speaking, although the effect of general anesthesia is reliable and reliable, sometimes complications of the respiratory, circulatory system and central nervous system may occur, such as asphyxia, respiratory obstruction, pneumonia and atelectasis, hypotension and so on.

In addition, during general anesthesia, the patient loses consciousness, and it is difficult for the patient to cooperate with the doctor, and when the operation touches the nerve roots and other parts of the spinal canal, the patient cannot respond immediately, so there is a possibility of damage to the nerves and spinal cord.

During local anesthesia, the patient can remain awake, such as when the nerve or spinal cord is palpated during the operation, the patient can respond immediately and maintain close cooperation with the doctor to avoid nerve damage during the operation.

Local anesthesia has a slight interference with the function of vital organs of the whole body, few complications, simple and easy, and low cost, but it also has disadvantages, that is, the pain relief is not perfect enough, and the effect is not satisfactory.

At present, this patient has reached the point where he must have surgery as soon as possible, so Xue Yihua is also very hesitant in his heart, if he does not do surgery, the patient's life will be in danger immediately, but under the current conditions, this anesthesia is very problematic, one is not good, and it is also a life and death.

When a patient puts his life in the hands of a doctor, in fact, the psychological pressure on a conscientious doctor is also very great.

"By the way, Director Lin, can you perform hypnosis anesthesia?" Suddenly, a urology doctor had an idea and asked Lin Xiao for advice, "I have heard about the phantom limb pain case of Mr. Tang of your senior cadre department, and it is said that it is a model of your use of hypnotherapy, Director Lin. Since hypnosis can solve the problem of phantom limb pain, is it equally effective when used for surgical anesthesia? ”

"Oh?" Lin Xiao glanced at him, and said in his heart that this doctor's mind is relatively active, and he can even think of this.

In fact, Lin Xiao still has reservations about hypnosis.

After all, his application of spiritual power is only in a preliminary stage, and some problems are still not clear to him, plus this kind of thing is the practice of killing a thousand enemies and losing eight hundred, so he is not willing to try it.

Xue Yihua, director of the Department of Urology, listened to his subordinates' proposal, and was immediately very interested, and couldn't help but ask Lin Xiao for advice, "Director Lin, since you just happened to meet today, can you open our eyes?" If the patient can be anesthetized by hypnosis, the effect of anesthetic can be eliminated, and the patient will be able to operate smoothly. ”

In their opinion, Lin Xiao's hypnotism should be omnipotent, and it will not cause any damage to the patient's body, which is really the best choice.

"It's definitely not as simple as you think." Lin Xiao couldn't help but smile bitterly, "If it was just simple hypnosis, then I would have promoted it to the entire hospital a long time ago, and it would be impossible to hide it." ”

"Isn't it just a matter of hypnosis?" Xue Yihua asked in surprise.

"All I can say is that hypnosis is not a panacea." Lin Xiao explained, "Although Mr. Tang's phantom limb pain is rare and cannot be solved by drugs, it is because the root cause of phantom limb pain is psychological, so hypnosis will be effective, but at present, this patient is different, and his problem cannot be generalized in physiology." ”

"So that's ......" Xue Yihua and the others are all experienced doctors, and after listening to Lin Xiao's explanation, of course they can understand what he means, and they can't help but be a little disappointed.

"Still, I can help you if you need it." Lin Xiao then added, "For example, acupuncture anesthesia." ”

"Acupuncture anesthesia?" Xue Yihua couldn't help but be taken aback when he heard this, "I didn't expect that Director Lin still has this unique skill!" ”

"What needle anesthesia?" Someone asked, puzzled.

"Golden needles pierce the hole." Someone replied disapprovingly.

In fact, older doctors, especially surgeons, are more familiar with this acupuncture anesthesia.

The so-called acupuncture anesthesia is an anesthesia method that performs acupuncture according to the surgical site and surgical disease, in accordance with the principles of meridian acupoint extraction, syndrome differentiation and local acupoint extraction, and after obtaining the effect of anesthesia, the patient is awake and performs surgical surgery.

Simply put, silver needles are inserted into different acupuncture points on the human body, and these needles are connected to electrical circuits, using the tremor effect of the electric current to distract the patient, and at the same time perform surgery on the patient.

It is said that Zheng Dawang, a writer who wrote fairy tales, had experienced acupuncture anesthesia as a person who had experienced it, but in his words, the feeling was simply "pig slaughter".

Obviously, this is not a positive positive.

Xue Yihua remembers very well that he was still young and strong back then, when he was an intern doctor in Bishui First Hospital.

At that time, acupuncture anesthesia was called a mountain and was listed as a routine anesthesia method, so that as long as there was surgery, acupuncture anesthesia must be considered first, and as long as there was a little feasibility, it would be used.

The surgeon complained about this, with a lot of opinions, such as a bulging stomach, a bowel coming out, a bad analgesia, and so on.

The patient was also frightened, and his eyes were round when he saw the anesthesiologist enter the ward for a preoperative examination.

However, there was no way, and the newspaper headline said that the task above was assigned to "the revolution of the great leader." Life Route", "Text. The Great Revolution. life great achievement", who dares to play with children's play?

At that time, the hospital had a hard target, saying that 30 percent of routine surgeries should be anesthetized with acupuncture, which was said to be a provincial requirement and a political task that had to be completed.

Xue Yihua remembered that there was an old man in the hospital at that time, who worked in the political department and played with a pen.

At that time, this kind of person can be said to be like a fish in water, living a very moist life, he didn't know where to get the materials, and ran to Xue Yihua with them and said that acupuncture anesthesia stimulation can be done with model plays, which can enhance the anesthetic effect.

Xue Yihua listened, and he didn't know what to say.

As a serious doctor who graduated from medical university, he felt that this was simply a fantasy.

However, this old man lobbied everywhere and said that if this is done in Bishui First Courtyard, he can summarize the materials and report it, ah...... That one...... That one...... In short, there are many benefits!

There are still people who believe it and agree to give it a try.

So, the hospital sent people on a business trip to buy equipment.

The device is connected to a radio and converts the audio signal into electromagnetic waves.

The model opera sings with a straight and round tone, the timbre is full, Diao Deyi is scheming, the old treacherous and cunning of Hatoyama, the mountain carving is stupid, the tone is high and low, and it is converted into electromagnetic waves, which is very rich.

However, at that time, the conditions in the hospital were not as good as they are now, and there was no tape recorder to use, so the operation had to be performed, and the model play could not be started until there was a model play on the radio.

Fortunately, at that time, model dramas were flying all over the sky, and it was not difficult to find them on the radio.

That old man also insisted on using "Red Lantern Notes" as an experiment, the reason was that Li Yuhe was tortured by Japanese devils, but he was still red and strong, and with this singing segment, the acupuncture effect must be good, and the writing materials are also easy to be taken seriously.

As a result, it is conceivable that there is no effect, the patient squeaks and screams, and the surgeon can only increase the amount of local anesthetic to complete the operation.

A few days after the incident, the old man said to Xue Yihua, "Xiao Xue, do you know why that anesthesia was not successful? ”

Xue Yihua said angrily, "What, did you find the reason?" ”

The old man said mysteriously, "I checked, the patient is from a rich peasant, black five categories!" It seems that the ideological problem is a serious problem. ”

People now listen to it and think it might be a joke.

However, at that time, most people did not dare to neglect this matter, and even if they were opposed, they could only mutter a few words in their hearts.

Now, Lin Xiao, the young and vigorous director of the senior cadre department, actually said that he wanted to engage in acupuncture anesthesia, which could not help but make Xue Yihua a little worried.

Even if Lin Xiao's medical skills are exquisite, this acupuncture anesthesia is indeed a bit unreliable!