The couple left to go for a check-up, and a young mother and daughter came in the consultation room.

The mother looks very young, twenty-six or seven, and the daughter is almost 5 years old, and she looks like a doll, which is very cute.

Li Xiyang smiled and said, "Little friend, what's uncomfortable?" ”

The girl glanced at Li Xiyang timidly, and then quickly hid behind her mother.

The young mother smiled and touched the child's little head, "Rong Rong, don't be afraid, the doctor's brother is a good person and is here to treat us." ”

After reassuring her, the young mother talked to Li Xiyang about the specific situation.

It turned out that the little girl fell while roller skating at school yesterday, and at that time she had a little skin on her palm, and she didn't take it seriously.

But this morning, I found that the child's hands were shaking when he was eating and holding a spoon.

This frightened my mother, and I thought it could be a fracture.

So I hurriedly brought the child to the hospital.

No, when she was waiting for the queue to be numbered just now, she was still crying out in pain.

Li Xiyang roughly understood the situation, nodded and said, "Okay, I'll check it first." ”

"Rong Rong, can you let my brother see your hands?"

The little girl hid in her mother's arms, and her mother's sleeves were clawed by both fleshy hands.

"Rong Rong, don't be afraid, you see that this doctor brother is so good-looking, and his medical skills must be very powerful, show him your hand and it won't hurt!"

was praised by his family in front of him for his good looks, or told it to a child, Li Xiyang couldn't cry or laugh.

But it seems to be useful, I saw the little girl blink her big eyes, stared at Li Xiyang for a while, and then really stretched out a fleshy hand in front of Li Xiyang, "That... Well, I'll just watch it for a while! ”

The little guy has a milky voice and is extremely cute.

Li Xiyang smiled and nodded, "Okay, just for a while." ”

Carefully take the little girl's palm and put it in your palm, and then touch the little girl's palm and wrist little by little with your thumb.

Normally, when a person falls with an unbalanced center of gravity, out of instinct, the palm of the hand hits the ground first, so the most likely part of the little girl to be injured is the carpal bone, followed by the anterior part connecting the pubic bone and radius.

Li Xiyang slowly circled the base of the girl's palm, and then gradually exerted force, looking like she was massaging.

"Does it hurt?" Li Xiyang asked softly.

The little girl thought for a moment, "It hurts a little, but it doesn't hurt very much." ”

"Then the doctor's brother will give you a little more press, okay?" Li Xiyang asked tentatively.

The little girl glanced at Li Xiyang, then at her mother, and nodded a little embarrassedly.

The small appearance made several people in the consultation room laugh.

The young mother tapped her finger on the little girl's cheek and teased, "What, shy?" ”

The little girl immediately buried her head in her mother's arms.

After that, Li Xiyang palpated for a while, and probably had eyebrows in his heart.

The little girl's wrist bone was not fractured or dislocated, and it should have been a simple tendon and soft tissue contusion.

"Don't worry, there are no broken bones."

Hearing Li Xiyang say this, the young mother breathed a sigh of relief.

"I'll prescribe you some Yunnan Baiyao, go back and wipe the child, and it will be fine in a few days."

"Okay, thank you, doctor."

Before leaving, the little girl seemed to let down her guard against Li Xiyang, but waved her hand at Li Xiyang shyly, "Goodbye, brother doctor!" ”

Li Xiyang looked at the back of the little girl leaving with her mother, shook her head and smiled, "It's really cute." ”

Later, another patient with acute enteritis was treated.

Just after seeing off the patient, the previous couple returned.

As soon as he came in, the man admired, "Doctor, you are really amazing, my uric acid is really high." ”

Li Xiyang was not surprised, and reached out to take the test sheet in the other party's hand.

The blood uric acid level is indeed a little higher than normal, but it is okay.

"Doctor, is my husband's illness serious?" The family members remain worried.

Li Xiyang comforted, "Don't worry, uric acid is indeed a little high, but you can take medicine to control it." ”

"That's good, that's good!"

There was no need for surgery, and both husband and wife were relieved.

The man scratched his head and complained, "When I was examined just now, the doctor's hands were really heavy, and my feet are still hot." ”

Li Xiyang squatted down and took a look.

waved his hand and said, "It's okay, the characteristic of gout is that the swollen part is red and hot, it doesn't matter, you are only in the early stage, you don't have tophi, and your kidney function is not abnormal, you can control it with medicine,

But remember, you can't drink anymore in the future. ”

"Huh?"

"Ah what, you still want to die, I didn't listen to what the doctor said before, no matter how much you drink, you will have kidney problems."

The woman just took this opportunity to get her husband to quit drinking, and she felt that this trip was really not in vain.

The man cried and mourned, but he could only nod his head in agreement, "Okay, I won't drink it in the future." ”

After thanking her several times, the woman pushed her husband and left.

was about to call the next number, when Jiang Lan suddenly pushed the door and came in.

"Doctor Li, Director Xu of the Department of Obstetrics and Gynecology asked you to come over."

"What's the matter?"

"It was said that it was an emergency meeting, and I went to the joint clinic outside the brain."

Extra-brain?

Li Xiyang realized that this matter was not simple.

But he's still sitting in the clinic, and there's still a queue outside.

"Doctor Li, hurry up, I'll help you with the consultation!" Qian Min suddenly spoke.

Li Xiyang glanced at her, "It's okay!" ”

The other party followed him for a short time, and Li Xiyang still knew the latter's ability.

"Then you come to the clinic, if you have any questions, call me."

"Good!"

Out of the consultation room, Li Xiyang went straight to the obstetrics and gynecology building.

When they arrived at the conference room, Director Xu Menghua and Dong Lin were there, and there were a few unfamiliar faces.

When Director Xu saw Li Xiyang coming, he also smiled and said, "Xiao Li, sit down, I'll be waiting for you!" ”

Several other people also set their eyes on Li Xiyang, and everyone was also curious about this emergency doctor who was in the limelight.

"Alright, now that everyone is here, let's get started, this time the patient is a conjoined baby with a connected skull."

Siamese babies?

Li Xiyang was shocked.

He guessed what kind of tricky patient it would be, but the conjoined baby didn't.

Conjoined babies are caused by incomplete early division of the zygote on the basis of identical twins.

Identical twin refers to the fact that the fertilized egg is divided into two due to some random factors in itself or the outside world at the time of cleavage, so as to form two identical embryos and can develop independently.

Conjoined babies, also known as conjoined twins, are a rare congenital malformation that refers to the fact that two babies are born at the same time in a single birth, but the two babies are not completely independent of each other.

According to statistics, there will be one case in 50,000~100,000 pregnancies, but most conjoined twins die in the embryonic stage, and there will be about one case of about 200,000 births that can be delivered alive.

Therefore, the average probability of having a conjoined baby is about 1 in 200,000.

However, this usually happens in the first two weeks of pregnancy, and it stands to reason that it can be detected during the pregnancy test.

There is only one possibility, that is, parents still choose to give birth even though they know that their children are at risk of being conjoined.

Xu Menghua continued, "At first, we thought that the two babies were only connected to the occipital bone and shared a brain, after all, this is a relatively common situation, but after examination, we found that these two children each have independent brains, which means that there is a possibility of separation surgery, but..."

Just what?

Li Xiyang asked subconsciously.

At this time, a man with glasses sitting opposite Li Xiyang said, "It's just that the baby is too young and has only been born recently, and it is likely that there will be excessive blood loss and death during the operation." ”

Dong Lin next to him whispered, "He is the chief of brain surgery, Sun Hua." ”

Li Xiyang nodded.

Dr. Sun is right, excessive blood loss has always been an important reason for the low success rate of skull separation surgery.

Another middle-aged doctor on the other side said, "The chance of excessive blood loss is too great, and this operation cannot be successful." ”

Dong Lin whispered to Li Xiyang again, "That's Huang Cheng from the cardiac surgery." ”

In Huang Cheng's view, this operation is not a problem that can be solved by delicate operation at all.

Xu Menghua nodded and said, "Bleeding will inevitably occur in skull separation surgery, so please come over, let's discuss together, is there any good way?" ”

Huang Cheng frowned, "I don't think this operation can be successful, my suggestion is to not perform the operation for the time being." ”

Dong Lin said, "Dr. Huang, if the operation is not performed, the two children will also face life-threatening danger when they grow up to about two years old, and it will be basically impossible for them to survive by then." ”

Huang Cheng snorted coldly, "This kind of child shouldn't have been born in the first place, selfish parents." ”

The others looked at each other, but didn't speak.

Because that's what they think too.

Pregnancy tests exist to prevent the existence of such phenomena.

But there are always parents who are self-righteous and think that they can take care of them, but they have not thought about how their children will live when they grow up in the future.

Another general surgeon flipped through the information in his hand and said, "I checked, in the past ten years, there have been a total of 13 cases of skull separation surgery in China, and there is no accident, each case has intraoperative hemorrhage, and only 3 cases have been saved." ”

Dong Lin was overjoyed, "That means there is still a possibility of success, isn't it?" ”

The man shook his head, "You are too optimistic, the three patients who survived were all over 20 years old, and they survived by blood transfusions." ”

Adults don't have much blood in the brain, let alone babies.

In addition, skull separation surgery involves extremely delicate brain dissociation, vascular repair, skull repair, etc., which is a super-large surgery.

Who dares to say that there is absolute certainty of this kind of surgery?

At this time, Sun Hua spoke, "It's really not good, then keep one!" ”

As soon as these words came out, everyone present was stunned.

Sun Hua continued, "Since there is no way to guarantee that both of them will survive, then give all the blood to one of them, so that he can be guaranteed to survive." ”

Xu Menghua smiled helplessly, "Doctor Sun shouldn't have any children yet, right?" ”

Sun Hua was stunned, "Director Xu, does my lack of children have anything to do with this operation?" ”

Xu Menghua shrugged his shoulders, "Naturally, it doesn't matter, but what I want to say is that you probably don't understand the mood of being a parent." ”

Sun Hua's face sank, "If it's okay, the family has the final say, you don't ask, I'll ask." ”

Sun Hua got up and left the conference room.

Xu Menghua shook his head helplessly.

However, it didn't take long for Sun Hua to come back in disgrace.

And behind him, a couple walked in.

The woman's eyes were swollen from crying, and she knelt down in front of Director Xu with a plop, and begged, "Director Xu, you must save my child, I don't want to give up any of them, I have to live well." ”

The man's face was also full of tears, "Don't ask which one we want to protect, it's all our children, and we all have to save it." ”

Sun Hua looked ashamed, he didn't expect his words to cause such a big reaction from the other party.

Li Xiyang was also moved by the behavior of the husband and wife.

Letting parents choose among their children is undoubtedly the cruelest thing in the world.

Facing the pleading of the husband and wife, Xu Menghua also sighed.

"Don't worry, we will definitely find a way to save your children, we are still discussing, you can wait outside first."

"Okay, then please Director Xu!"

The husband took his wife by his arms and left.

Looking at the lonely and desolate backs of the two, everyone was moved.

It's just that there really is no other better way to do this surgery.

Dr. General Surgeon insisted, "I still don't recommend surgery. ”

Sun Hua also said, "Either keep one, or I have no choice." ”

Xu Menghua shook his head, these two plans are obviously not good.

At this time, Li Xiyang, who had been silent, spoke, "What, in fact, I have a way." ”

Xu Menghua's eyes lit up, and others also set their eyes on Li Xiyang.

It's more of a skepticism, though.

Xu Menghua was very looking forward to it, "Xiao Li, what is the solution, let's talk about it." ”

Li Xiyang nodded and said, "Blood flows out of the heart continuously, since the separation of the skull will cause the problem of intraoperative hemorrhage, can't the heart be closed?" ”

After Li Xiyang finished speaking, the entire conference room was suddenly silent.

Some eyes flickered, others frowned.

All of them quickly simulate the possibilities of this solution in their minds.

Temporarily stop the function of the heart's blood pump...

Huang Cheng, who was outside his chest, groaned, "This surgical method has been used in cardiac surgery for many years, but I don't seem to have heard of it used in such a complex operation as skull separation, right?" ”

While speaking, Huang Cheng also looked at Sun Hua.

Sun Hua nodded, "Yes, I haven't heard of this kind of operation in the extracerebral field!" ”

Xu Menghua thought for a while and asked, "Xiao Li, in which literature have you seen this surgical plan?" ”

Through the previous contacts, Xu Menghua is very optimistic about Li Xiyang, and does not think that he will talk nonsense.

Li Xiyang scratched his head, "It's not in the literature, it's really what I just thought about myself." ”

Dong Lin glared, "So this means that this is a plan that no one has ever verified?" ”

Li Xiyang nodded.

Seeing this, Huang Cheng and Sun Hua rolled their eyes in unison.

Young people, it's just not reliable.

Can this surgery be child's play?

Think of a play is a play!

But the general surgeon on the side pondered for a moment and exclaimed, "Wonderful! ”