Chapter 144: Cardiovascular and Cerebrovascular Repair...

Lin Xiao thought about it for a while and decided to live in Lu Ping's security company first.

It has already opened over there, and the place is large enough for him to live temporarily, as for finding a house, he can't rush for the time being, after all, it is not so easy to find a house that suits his heart.

So Lin Xiao first took the amnesiac girl back to the hospital, planning to give her a more comprehensive examination, and then let the department give an evaluation, and then try to help her treat.

After all, it is not a good thing to leave an underage girl at home, Lin Xiao still thinks it is better to let her recover her memory as soon as possible, and then send her away.

"Director Lin."

"Hello Director Lin."

"Director Lin is back?" When the head nurse saw Lin Xiao, she said to him, "Today is the day to operate on that young man from Qingzhu Mountain, I thought Director Lin wouldn't be able to come back." ”

"Oh, I really forgot if you don't say so." Lin Xiao patted his head and said apologetically, "There have been too many things recently, and I'm so busy that I can't even use my eight hands, well, this little girl, you can arrange it first, do a comprehensive examination, and I'll go see the situation in the operating room." ”

"The little girl looks good." The head nurse glanced at the amnesiac girl, "Is it a comprehensive examination?" ”

"A comprehensive check-up, with a focus on the brain." Lin Xiao nodded and repeated, "She has amnesia, and I plan to find out the specific reason for reading {1} and saying 3w.ybdu to see if I can make her recover as soon as possible." ”

"Amnesia? This is a bit of a hassle. When the head nurse heard this, she couldn't help but look at the girl again, and said with some regret.

As a senior nurse in Bishui First Hospital, the head nurse naturally knows more about amnesia.

In fact, a moderate degree of concussion is basically accompanied by a certain degree of amnesia, which is the selective forgetting of many things in a short period of time.

These things may be remembered after a while, or they may not be remembered for the rest of their lives.

But amnesia like a little girl is relatively rare, her amnesia is not only the loss of memory for a period of time, but she can't even remember who she is, this situation is indeed more complicated.

Judging from the nurse's many years of medical experience, this disease is really difficult to treat.

"It's more troublesome." Lin Xiao nodded and admitted, "So, let's go for a comprehensive examination first, if you can find the cause of the disease, or there is a solution." ”

In fact, Lin Xiao believes that as long as it is a disease, there must be a root, as long as the root cause is found, there is a possibility of a complete solution, although amnesia is relatively special, but it is also in line with this law, but now most doctors have not found the right solution.

"Okay, I'll leave it to me." The head nurse felt that the little girl was quite smart and beautiful, and she liked her a little when she saw it, so she led her away.

Lin Xiao went to his office to clean up, and then went to the operating room.

He checked in, then went in and changed his clothes, washed his hands, put on gloves, washed again, and then went into the operating room.

In fact, Lin Xiao is very annoyed by this cumbersome procedure, for Chinese medicine, because it is almost impossible to do this, so he has not developed such a habit.

But for the sake of the patient's safety, sterile surgical facilities are the basic goal that must be achieved, so even if he doesn't like it, he has to do it, which is responsible for the patient's life safety.

When I entered, I saw that the doctors and nurses were already in place.

"Director Lin."

Everyone said hello and then began to prepare for the operation.

It turned out that they had prepared an anesthesiologist, but since Lin Xiao came, the anesthesiologist was idle, so he sat aside and watched how Lin Xiao administered acupuncture anesthesia.

In fact, although acupuncture anesthesia is a publicity gimmick of Bishui First Hospital, only Lin Xiao can really do this, and the promotion work has not been done for the time being.

There is also a relatively safe arrangement in the hospital, that is, a group of young doctors who are suitable for learning acupuncture anesthesia and are more interested in traditional Chinese medicine are selected first, so that they can learn more systematic acupuncture techniques first, and then follow Lin Xiao to learn acupuncture anesthesia after they have a certain foundation.

Lin Xiao is naturally quite satisfied with this arrangement, in fact, he has no interest in cultivating new people, but if they are all skilled workers, at most they can be qualified for the implementation of acupuncture anesthesia by pointing out skills and techniques.

Because Lin Xiao had pointed out in advance that the patient belonged to the problem of dual cardiovascular and cerebrovascular malformations, we had fully studied this case, prepared several sets of surgical plans, and finally selected a more stable plan.

"Cardiac or brain surgery alone cannot successfully solve the impact of vascular malformation, and the risk is relatively high, so we decided to go hand in hand and combine the two surgeries into one." The chief surgeon reported to Lin Xiao, "But in this way, theoretically speaking, the safety is improved, but after all, the two most important parts of the human body are operated on at the same time, so what will happen after the operation, we don't know what will happen in our hearts now." ”

When this matter was mentioned, the surgeon was still a little worried.

After all, this case is a special case, not only young, but also a patient with a family disease, and it is also a typical case in which the hospital exempted him from medical expenses.

The risk of surgery is very high, so I also signed a waiver agreement with the family in advance, but signing a waiver agreement does not mean that the doctor can casually treat a life as a test object.

As very dedicated doctors, they know how meaningful this operation is, and once it is successful, the reputation of Bishui First Hospital will become even louder, which is a double harvest of technology and medical ethics.

Of course, the risks are also significant.

"I'll take care of this for you." At this time, Lin Xiao showed his momentum as a leader, he waved his hand and said, "Individually, either of these two surgeries is not too risky, so I only ask you to do your own surgeries well, do it to the extreme, and make a sample example!" As for the rest, I'll take care of it for you! ”

Lin Xiao's decisive decision still added a lot of confidence to everyone.

At a critical time, leaders can stand up and take their responsibilities, which is a shot in the arm for subordinates.

"Come on!"

Everyone high-fived each other in the operating room, encouraged each other, and then began the operation.

Lin Xiao's role is to minimize the patient's vital signs, and through acupuncture anesthesia, let him enter a state similar to hibernation.

In other words, it's not bad to call this state "suspended animation."

After the patient enters this state, except that it does not become a real death, it is no different from death in other aspects, and any vital signs disappear, and people are free to fiddle with without any reaction.

The only difference between the state of suspended animation and real death is that the process is reversible.

As long as Lin Xiao uses his rejuvenation skill, he can wake up the patient from this dead silence and let him return to the world.

Lin Xiao began to administer acupuncture anesthesia to the patient, and soon, the patient entered a state of suspended animation.

"Let's get started." Lin Xiao finished his work and nodded to everyone.

So the doctors and nurses began to divide the work and became two teams to perform heart and brain surgery on the patient and correct his cardiovascular and cerebrovascular malformations at the same time.

The so-called cardiovascular and cerebrovascular malformation correction is also divided into many types.

For example, cerebrovascular malformations are actually congenital angiodysplasia in the early embryonic stage, which can be divided into arteriovenous malformations, venous hemangiomas, varicose veins, telangiectasias and cavernous hemangiomas according to their different morphologies.

Arteriovenous malformations are the most common in cerebrovascular malformations, sometimes called cerebral hemangiomas and cerebral arteriovenous malformations, but they are not true tumors.

Because there is a high risk of such surgery, whole cerebral angiography or bilateral carotid angiography should be done before surgery, or vertebral arteriography should be added according to the location of the malformed blood vessels.

The doctors treated this operation very comprehensively, and the surgeon explained to the intern doctor next to him while operating, "A typical cerebral arteriovenous malformation includes three parts: the supplying artery, the malformation and the draining vein. Through imaging, the source of the supply artery and the direction of the draining vein, the location and extent of the malformation, whether there are comorbidities such as hematoma, and whether the patient has other deformities should be clarified, so as to formulate a perfect surgical plan and the key to the success of the operation. ”

Then he added, "For complex arteriovenous malformations, in order to deal with intraoperative hemorrhage, blood preparation should be sufficient, and for larger cerebral arteriovenous malformations, blood should be prepared about 1500~2000ml, and the equipment and drugs for hemostasis should also be complete, and two sets of suction devices can be prepared." Before the operation, two intravenous infusions should be done, and the arterial blood transfusion equipment should be prepared, and the drug should be administered before general anesthesia. ”

However, after glancing at Lin Xiao, he said with a smile, "Of course, if Director Lin is here, this set of procedures can be saved, and the amount of blood preparation can also be reduced as appropriate." ”

"Director Lin's acupuncture anesthesia is of course amazing, but why can the amount of blood reserve be reduced? Even if the patient is anesthetized by acupuncture, he will still bleed. "The intern doctor is new to the hospital, and after listening to the chief surgeon's words, naturally I don't understand it a little.

No matter how anesthetized a patient is, when you cut him with a knife, he will bleed, and this has nothing to do with the anesthesia.

"Hehe, you'll find out later." The chief surgeon laughed, "Director Lin's acupuncture anesthesia, from the perspective of mechanism, is completely different from drug anesthesia, so the situation shown by the patient will be different. ”

"Really?" When the intern heard this, he was a little surprised.

He glanced at Lin Xiao and said in his heart, could it be that Lin Xiao's acupuncture anesthesia technique is really so magical?