Timid female doctors or little doctors can't stand this bloody skinning behavior at this time, and they are all terrified to the extreme.

It's really that the amount of bleeding in this operation is very large from the beginning, Baotu Spring.

The surgeon was mentally prepared, but the audience was not.

The older experts held their glasses one by one, their eyes widened, trying to see clearly what was the protruding bone under the skin?

There is a consensus that this is an abnormal bone hyperplasia, but no one knows why it occurs.

Others don't know, but Professor Chen Qi and Professor Ge Minghua know that they have already done a "biopsy." ”

So in the live broadcast of the operation, Professor Ge's voice came again:

"Ladies and gentlemen, do you think that what you are seeing is a typical thickening of the skull, and then the outer plate of the skull and the parietal bone are unilaterally vacuolated, and the inner plate of the bone is bulging into the plate barrier and the cranial cavity.

On CT scans, the thickened skull shows a combination of localized and diffuse radio-transparent and dense areas, which look very similar to the presentation of Paget's deformable osteitis.

So it appears to be a skull and has enlargement and hardening, which can expand from the frontal bone to the occipital bone, resulting in facial involvement, narrowing of the orbits and nasal cavities, and loss of the sinus cavity. ”

There was a lot of discussion in the multimedia classroom, and the doctors from the orthopedics and otolaryngology departments were a little scoffing, thinking that Professor Ge was too shallow, and everyone was not blind, so they had already seen it.

Meng Yushu was still chatting with a few old friends next to him, suggesting that Ge Minghua also wanted to run for the school committee at this level?

But then a picture of a pathological section appeared in front of the camera, and Professor Ge's voice came again.

"Colleagues, this is the "biopsy" report I did on the patient's bone overnight last night, you can take a closer look, this bulge is not normal bone tissue. ”

Many people frown, thinking that this is not bone tissue, what is it?

Professor Meng Yushu, Professor Fang Bing and Professor Cao Lichun, these three competitors are even more eager to put their faces on the TV screen.

"Yes, this is not normal bone tissue, but the fibrous tissue of homogeneous spindle cells and the trabecular bone of the poorly developed reticular bone after the bone tissue is resorbent, and I suspect that it may be due to the stagnation of bone maturation during the immature stage of the reticular bone or the poor interstitial differentiation of the constituent bone."

As soon as this conclusion comes out, the diagnosis of "osteofibroma" that was originally supported by most people will be overturned.

Meng Yushu was obviously not convinced: "If it's not a fibroid, then what is it?" What other diagnosis in the book is more in line with the current state of the disease than fibroids? ”

An expert next to him reminded: "Maybe this is a new, unrecognized disease?" ”

"Ha, can Ge Minghua still discover a new disease? Are you kidding? ”

Professor Fang Bing was obviously not convinced.

A professor from Peking University next to him said angrily:

"Lao Ge even took out the pathological section, this is the evidence, you know so well, you must be sure that it is a bone fibroma? Everyone has memorized it, look at the clear diagnosis given by these two. ”

Another professor from Peking University Hospital also sarcastically said:

"Lao Meng, Lao Fang, you two are bullish, people have biopsies, auxiliary examinations, and on-site operations, do you still know about the doctors in the outer hospital? Tell me what is your diagnostic basis and differential diagnosis? ”

This is the home of Peking University Hospital, and the experts and professors from Peking University Hospital come the most, and of course their own people are helping their own people.

Maybe it's jealousy that makes people unrecognizable, but now Professor Fang Bing is unconvinced, and his mouth is not convinced:

"Okay, let's see how Lao Ge operates, whether it's bone or not, this is a piece of stuff in front of him, how can he cut it? If this part of the deformed protruding bone is cut out, and there is no bone, who will protect the intracranial tissue? ”

"Yes, yes, the old man has a point."

"If the bone is removed, the operation cannot be carried out, and if the bone is removed, the brain stem will not be protected, and a slight bump in the future may cause the patient's brain stem to be damaged and die."

To put it this way, the skull is the hardest of all bones.

Many corpses have been decomposing for many years, or during archaeology, and the bones of the tomb owner have long since decayed, but often the skull or part of the long bones are left.

It is because the skull is the strongest and cannot be destroyed easily, not that there is an old saying called "head iron" to describe a strong seed.

Nature creates everything for a reason, and the reason why the skull is made so strong has four functions.

The first and most important role is to protect brain tissue.

The human brain tissue is soft and tender, and it is easy to be damaged by external impact, while the skull is a hard protective shell, which can avoid external force damage to the intracranial brain tissue.

The second role is to maintain intracranial pressure.

After the skull is formed, the internal space is relatively closed and fixed, which can ensure that the internal pressure is relatively stable and will not change due to changes in atmospheric pressure.

For example, when taking elevators, airplanes, climbing, and diving, if there is no stable intracranial pressure, the scalp will be affected by atmospheric pressure, and the shape of the skull will change.

If your head is round for a while, long for a while, and flat for a while, it's not a question of whether it's good or not, it's a question of whether it's going to be good or not, it's a question of dying.

The third function is that there are many orifices at the base of the skull, and each orifice has nerves and blood vessels passing through to communicate with the intracranial and extracranial structures.

The fourth function is better understood, the shape of the skull is also part of the appearance, which is the basis for maintaining a good face, if the skull is more rounded, the head shape is more beautiful.

Like Da Mi Mi, the chin is so wide before plastic surgery, and it is ugly, but after bone shaving surgery, the chin becomes much sharper and more beautiful, which is the importance of bones.

The brain is the command of the human body, and the skull is the garrison that protects the headquarters.

So you can imagine what will happen if the garrison of the protection headquarters is gone, and the city gates are open, waiting for the headquarters? The enemy will definitely smash the Yellow Dragon.

Replace it with a patient, and that's one word: die!

This is one of the reasons why people are not optimistic about this operation.

Now the "bones" in front of the chief surgeon are like an upside-down bowl,

Obviously, Chen Qi is not an ordinary doctor, and the operation he has to do now is to remove this upside-down bowl.

Last night, Chen Qi had done a comprehensive scan and 3D structural reconstruction with the most advanced Siemens Force CT in later generations, and he had a clear picture of the situation under the bones.

So Chen Qi decisively picked up the "craniotomy chainsaw" for brain surgery and began to cut bones.

"Squeak~~~Cak~~~~"

The sound of a chainsaw cutting through bones rang out from the operating room.

The people in the multimedia classroom couldn't understand it, and they were all covering their mouths and discussing:

"This old Ge is really crazy, he really cut out the skull?"

"Didn't Lao Ge say it, this is not a real skull, but a kind of bone-like."

"It doesn't matter what bone it is, if this bone is gone, what will happen to the brain tissue of the little patient?"

Meng Yushu was overjoyed in his heart, and deeply agreed with Ge Minghua's "risky" behavior, so he watched how he overturned.

Even some professors from Peking University are privately discussing: "Cutting the bone is only the beginning of the operation, and I don't know what it looks like inside, it's too easy to have accidents." ”

In the operating room, Professor Ge was so anxious that the corners of his mouth were foaming.

I shouted in my heart: What kind of trouble is this, God, this is going to die.

He really wanted to ask Chen Qi, how did you really cut off the bones? The bones that have been cut off at that time can't be replaced, so can you use sticky water? If there are no bones, isn't the city gate open?

Professor Ge didn't dare to ask in front of the live camera, so he could only keep signaling Chen Qi with his eyes, wanting to get a hint.

But his eyes were red, and Chen Qiniao didn't bird him, concentrating on the operation.

About half an hour later, as the chainsaw head missed, the circumcision was completed, and the protruding anomalous "bone" was finally cut off.

The next step is when the lid is opened.

This brings us to the most tense part of the secret reveal, what is in this?

Everyone in the operating room, along with the anesthesiologists and nurses, all stretched their heads out.

Chen Qi himself was also very curious, so he held the bone that had been cut with his left hand, and then slowly opened it like an upside-down bowl.

Then everyone screamed~~~~

Chen Qi and Professor Ge glanced at each other, anyway, Chen Qi was fine, Professor Ge's eyes were full of despair.

At this time, everyone in the multimedia classroom also sighed with "ah~~~" after seeing it.

There are several brain surgeons who are already popularizing science:

"This looks like an intracranial hemangioblastoma, so Professor Ge is going to be unlucky......"

"Intracranial hemangioblastoma can't even be done by our brain surgeons, and Ge Minghua, a plastic surgeon, can't take it down at all......"

"This operation is going to overturn, and the iron can't be done, but the bones have been removed, but it's a pity that it's a pity ......"

There are a lot of experts from other disciplines next to me:

"Tell me, what is intracranial hemangioblastoma? Why do you all look like you're all sighing? ”

At this time, Professor He from the Department of Brain Surgery of the First Hospital of Peking University stood up and gave everyone a popular science:

"Cerebral hemangioblastoma, also known as vascular reticulocytoma, is generally benign, vascular non-capsulated tumor, mainly young adults, and is still relatively rare in clinical practice.

And the tumor you see is the most complex brainstem hemangioblastoma.

As we all know, the brainstem itself has a special function, and the operation is extremely risky, and there is a high risk of important complications such as hemiplegia and coma after surgery.

In addition, there are many important neurovascular around the brainstem, including the trigeminal nerve, facial nerve, posterior cranial nerve, etc., and a slight mistake in surgery can cause neurological dysfunction.

Young patients already have insomnia, loss of smell, hearing loss and other neurological impairments, if not operated in time, it is likely to cause further damage to neurological function, until life-threatening.

What's even more dangerous is that the brainstem tumor of the young patient is also complicated with the brainstem vascular malformation, which is too difficult to operate. ”

(End of chapter)