"The patient has hypertension for many years, which is already a third-level extremely high-risk, and there is a third-level heart failure, and with the patient's physical condition, trigeminal nerve microvascular decompression cannot be done."

Liu Haipeng shook his head slightly and said with some solemnity.

This microvascular decompression surgery refers to the microscope to push the blood vessels that cause compression of the trigeminal nerve away, and relieve the compression of the blood vessels on the trigeminal nerve, so that the patient's clinical symptoms can be relieved.

The trigeminal nerve is the fifth pair of cranial nerves, so this trigeminal nerve is in the brain.

In other words, in order to decompress the microvascular, a craniotomy is necessary.

This patient has both high blood pressure and heart failure, and will definitely not be able to have a craniotomy.

"Then the only way to do a nerve puncture block is to do it."

Zhao Heng nodded and said slowly.

This nerve puncture block is to use absolute ethanol and glycerol to seal the trigeminal ganglion through puncture, destroy sensory nerve cells, and achieve the effect of pain relief.

"No, either."

Liu Haipeng still shook his head.

"Huh? Can't even do a nerve puncture block? ”

When Liu Haipeng said this, Zhao Heng was a little puzzled.

"Doctor Zhao, look."

Liu Haipeng took out his mobile phone, opened a picture in the album, and handed the mobile phone to Zhao Heng.

Zhao Heng was a little puzzled, but he still took the phone.

Ooh!

At this look, Zhao Heng was taken aback.

What appeared on the phone was a photo of an elderly man with half of his face disfigured.

And this scar. The way of disfigurement, Zhao Heng saw it, and knew that it was eroded by strong acid.

"Is this being poured with strong acid?"

Zhao Heng said with some stagnation.

"No, the patient is a chemistry teacher, and this is the patient who can't stand the pain and recurs, so he injects himself."

Liu Haipeng said with some regret.

For patients with trigeminal neuralgia, there are often self-harm, some will cut their faces with knives, and some will be stabbed with cones, but this is the first time he has seen such an extreme one.

"So extreme.

Zhao Heng was also shocked.

"The patient was a chemistry teacher, and he taught himself a little bit of medicine, and he thought that he could inject strong acid into the trigeminal nerve, destroy the nerve, and then relieve the pain."

Liu Haipeng said again.

"The principle is correct, but you can't use strong acid."

Zhao Heng said with a sigh.

"Who's to say it isn't.

The patient's face has been severely damaged by strong acid, so a nerve block cannot be done. ”

Liu Haipeng also sighed and said.

He is a doctor in the pain department, and he has seen many patients who suffer from pain because of various neurological diseases.

But it was the first time he had seen the pain by injecting strong acid to destroy the nerves.

This is not enough to describe killing 1,000 enemies and 3,000 self-losses, this should be 1,000 kills and 30,000 self-losses.

"In this case, there is only one last option, transcranial ganglion radiofrequency electrocoagulation."

Zhao Heng thought about it and said with some solemnity.

Transcranial ganglion radiofrequency electrocoagulation, in layman's terms, is to drill a hole in the skull, and then directly penetrate the radiofrequency needle into the intracranial trigeminal ganglion to selectively destroy the nerve that conducts pain and temperature.

Although it can be said that the efficacy can reach almost 100% in this way, the risk and difficulty involved in this method are too high.

This radiofrequency electrocoagulation is the thermal effect and thermoelectrocoagulation produced by radiofrequency through the body, so as to destroy nerve cells.

For the face, this is fine.

However, when used in the skull, if you are not careful, the position and strength are not well chosen, and the brain tissue will be roasted.

This is pretty much the last treatment for trigeminal neuralgia, but to date, no doctor has done this surgery a few times.

Of course, there is also a treatment method that irradiates the trigeminal nerve with a gama knife.

But if it can only be used on the face, if it is used in the skull, then it is not saving people, it is killing people.

"If this is done, the patient's trigeminal ganglion will be completely destroyed and sensation in the facial area of the trigeminal nerve will be completely lost."

After a pause, Zhao Heng said very solemnly.

He felt that it was a bit too much to pay such a big price for pain relief.

Clinically, the treatment is also cost-effective, to put it bluntly, the benefits are greater than the pay.

Sometimes, even if normal tissue is damaged by surgery, it is worth it if the life-threatening situation can be resolved.

"The patient is very determined to have surgery, Dr. Zhao, I think, in the East Hospital, you are the only one who can do this transcranial ganglion radiofrequency coagulation."

Liu Haipeng said to Zhao Heng very solemnly.

Zhao Heng's previous several ultra-difficult operations have spread throughout the East Hospital, and now everyone has no doubts about his ultra-high surgical level, especially the operation level of puncture.

"Let's go meet the patient."

Zhao Heng thought for a while and said.

Challenging and difficult, this has become his norm.

However, after this surgery, there will be a permanent loss of part of the face, which must be agreed by the patient.

"Hmm."

Liu Haipeng nodded and breathed a sigh of relief.

If Zhao Heng said no, then in the entire East Hospital, he would no longer be able to find a doctor who could do this operation.

It's not that other doctors can't do it at all, but this success rate will be discounted.

And Zhao Heng is now famous in Dongfang Hospital for perfectly completing ultra-difficult surgeries.

After a while, Liu Haipeng took Zhao Heng to a ward.

As soon as he entered the ward, Zhao Heng saw that on the hospital bed, there was an elderly man with half of his face disfigured, and only half of his face was normal and his hair was gray.

Seeing Zhao Heng and Liu Haipeng coming in, the patient immediately became excited.

"Doctor Liu, have you found a doctor who can perform the operation?"

The old man asked excitedly.

"It's this doctor, doctor, you must operate on me, I have been tortured for half my life, no matter what the cost, I will have surgery!"

The old man looked at Zhao Heng again and said very firmly and resolutely.

"The surgery is very risky, and after the surgery, there is a permanent loss of part of the sensation in the face."

Zhao Heng sighed and said.

"Doctor, I have to have surgery. Ever since I got this disease, I haven't lived a normal life. It's nothing to feel like my face is gone, even if you cut off all of my face. ”

The old man was a little weak, but he still looked at Zhao Heng and said very firmly.

Before he got trigeminal neuralgia, he never thought that his life would be tormented like this by this disease.

This disease, for him, is like a demon that is always entangled around him.

There wasn't a moment when he didn't want to get rid of this demon!

"yes, I see."

Zhao Heng nodded.

There is no need to ask anything, the patient's attitude is very resolute, and Zhao Heng's willingness to do surgery is also unprecedentedly strong.

Coming out of the ward, Zhao Heng said to Liu Haipeng: "Doctor Liu, let's make preoperative preparations for the patient first, and all kinds of preoperative examinations must be perfected." ”

"Well, Dr. Zhao, don't worry."

Liu Haipeng nodded.

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