Chapter 137: Post-orthopedic plagiophaly
In addition to his outpatient work, Zhong Yu also had an operation to do in the afternoon.
She was busy with the outpatient service, and took the time to call Song Congchun at noon.
Without Zhou Qin chattering by his side, Zhong Yu was too busy to take care of him, Song Congchun lived a free and casual life, and when the phone called, he had just gotten up.
Zhong Yu listened to his voice that had just woken up and preached:
"Can't you have a regular schedule? The sun is all on your butt, and you don't eat a single meal, so you'll get stomach problems. β
Song Congchun yawned and said indifferently:
"Sister~ I can sleep like this on vacation, and when school starts, I have to get up early and touch late, so you should have pity on me."
Zhong Yu didn't bother to talk to him, and said bluntly:
"I met Song Meiting today and told her that you are here with me, and she said that I will invite you to dinner at a restaurant near the hospital in the evening, and you will come over when I get off work."
Song Congchun was silent for a while, and said in a faint voice:
"Since we met, let's have a meal together, her injuries are okay, right?"
Song Congchun didn't say anything, but he was still worried in his heart, Zhong Yu said gently:
"The wound on her face is no longer visible, and the facial nerve injury has also been healed through surgery, and the results of today's re-examination are very good."
Song Congchun said calmly: "It's good to recover, if there's nothing to do, I'll go find food, I'm hungry and almost low blood sugar."
Zhong Yu rolled his eyes, "Don't eat too hard, be careful of accumulating food." β
Song Congchun perfunctorily agreed, Zhong Yu hung up the phone, and when he looked up, he saw Zheng Jun standing at the door of the office waiting, he was still holding something in his hand, and when he saw her coming over, he quickly explained:
"Director Zhong, this is the examination report of the patient who is going to be operated on today, I will send it to you first."
Zhong Yu nodded, took the examination report and read it carefully, she had already seen the little patient before, and this time it was just a routine preoperative examination.
"The child's body met the surgical standards, and the operation could be performed as originally planned in the afternoon, and his skull was posterior plagiocephaly, with a patent fontanelle, and hemilateral herringbone suture ossified into a crest; The posterior cranial cavity is deviated, the unaffected side is compensatedly enlarged, the affected side is retracted, the parietal bone of the skull is long and the affected side is short, the half of the posterior occipital bone is abnormally protruding, the three-dimensional CT of the head shows the closure of the hemi-herringbone suture, the posterior oblique cephaly is deformed, the preoperative blood preparation is 200ml, the child is impatient and easy to cry, and the family members are instructed to try to calm their emotions. β
Zheng Jun nodded and said, "Then I'll go to the ward now to get acquainted with the patient, and I'll take him to the operating room later."
Zhong Yu is quite satisfied with his performance, Zheng Jun and Zhou Ze are both down-to-earth and hard-working, they do not have the impetuousness of young people, and Zhong Yu is also willing to teach more.
Compared with Zhou Ze, Zheng Jun is more affinity, and by the time of the operation, he had already won the trust of the patient, and he did not need to be accompanied by the patient's family, so he hugged him alone.
Chu Jianwen teased while preparing the anesthetic:
"Our Doctor Zheng is really a good family man, even if he is not young, why don't you find a partner?"
Zhou Ze is older than them and already has a fiancΓ©e, and he laughed:
"Aren't you single too, why don't you two try it together?"
Chu Jianwen didn't take it too seriously when he heard it, Zheng Jun made a big red face, and he said for a long time:
"Don't be kidding, how can I be worthy of Jianwen."
Chu Jianwen found out that he was quite interesting, and said with a smile:
"Don't be modest, I know that you have a good family, although you are a year younger than me, but I don't mind falling in love with my brother, you know that your character and ability are good, why didn't I think about it, is this considered a dark light?"
Zheng Jun was so amused by her that he was at a loss when he held the child, and Zhou Ze laughed.
"Jianwen's meaning is so obvious, Zheng Jun, you have to take action."
Zhong Yu saw that Zheng Jun was embarrassed and was about to drill into the cracks, and said:
"Don't make a fuss, come over and work."
Play and play, once they enter the working state, they are still very serious, Chu Jianwen put away his mind and immediately anesthetized the patient.
The operation was performed under general anesthesia, using endotracheal intubation and intravenous general anesthesia, and Chu Jianwen was very handy.
After the anesthetic has taken effect, the child loses consciousness, and is asked to lie on his back with his head bent forward and upward, and Zhong Yu makes a large crown incision from the top of the skull behind the tragus.
The flap is then lifted posteriorly, reaching the frontal bone anteriorly and bilateral frontal herringbone sutures, and posteriorly reaching the base of the occipital bone.
The occipital parietal flaps on both sides are removed by double sawing and wire sawing, leaving only a bone in the center of the occipital bone at the top of the skull, extending from the top of the skull to both sides to the base of the posterior cranial fovea.
The base of the posterior occipital part is cut into a palisade and folded back into a green branch, and the bone strip left in the center of the parietal occipital bone is severed from the parieto-occipital junction.
She rotated the parieto-occipital flaps on both sides 180Β° and fixed them with the mastoid process and the anterior top of both sides, placed rubber tubes to drain under the scalp, and finally reset the scalp flaps and sutured them.
The child suffered about 150ml of bleeding during the operation, and let him lie on his back after surgery, Zhong Yu fixed the whole head with a helmet made of low-temperature thermoplastic material but the fulcrum was in the neck pillow, Zhong Yu used to thicken the inner surface of the neck pillow of the helmet to 5cm, so that the top of the pillow was higher than the back of the neck when he was lying on his back, so that the head was suspended in the helmet to prevent the floating bone flap from displacement.
The operation was very successful, and after they sent the child to the ward, Zheng Jun and Zhou Ze came to Zhong Yu to discuss the points that were not very clear in the operation.
Zheng Jun said with a serious face:
"I can see that Director Zhong has made significant improvements to the surgical method, which not only leaves the top skull bridge, does not separate the sinus confluence, but also avoids the risk of massive bleeding, and at the same time makes the appearance of the skull deformity well corrected, can you tell us more about this method?"
Zhong Yu drank a saliva to moisten his throat, and said:
The characteristic of this method is that the parieto-occipital flaps on both sides are rotated 180Β° and then reversed, the affected side is placed on the unaffected side, and the unaffected side is moved to the affected side, so that the asymmetry of the occipital part on both sides is corrected, and the cranial cavity of the affected side is expanded, which is conducive to the rapid development of the brain, especially the occipital lobe and cerebellum, and improves the craniofacial deformity.
The posterior occipital part is cut into a palisade to increase the space of the posterior fossa. The strip cranial parietal occipital bone is amputated and a small bone fragment is added to correct the metamorphosis of the posterior cranial deformity and make the occipital appear in a perfect arc.
However, in our case, only the skull bridge was amputated, which had already played a role in allowing the brain tissue on the affected side to migrate to the healthy side, so I did not proceed with the original procedure.
The two large occipital parietal bone flaps are floating bone flaps, which are conducive to the continued development of the cranium.
In addition, another key technique of posterior plagiocephaly correction is postoperative fixation, we do shaping at the end of the operation to support the unoperated head, and the back occipital part is suspended in the helmet, so that the floating bone flap we do is not easy to displace, which ensures the success of the operation. β
Zheng Jun's eyes lit up when he heard this, so did Zhou Ze, Zhong Yu smiled:
"No matter how much you listen to it, it is also theoretical knowledge, and it is still useful to combine it with clinical practice, and when you encounter the same case next time, you will be in charge."
The two naturally had no opinion, and after chatting about business, Zheng Jun said again:
"Director Zhong, we are in love within our department, you don't have an opinion, right?"
Zhong Yu was stunned when he said this, and Zhou Ze quickly reacted and pushed him.
"Good boy, are you really interested in Jianwen? It's quite deep! β
Zhong Yu wanted to hear what he had to say, Zheng Jun scratched his head embarrassedly, and he said honestly:
"I've been thinking about Jianwen for a long time, but he doesn't seem to have any feelings for me, and she didn't reject Zhou Ze like this joke today, so I wanted to try."
Zhou Ze shook his head and smiled, and said to Zhong Yu:
"This is also crooked, I have become a matchmaker for the two of them, and you two will remember to invite me to dinner."
Zheng Jun agreed without hesitation, he looked at Zhong Yu and waited for her to give an answer.
To be honest, although Zheng Jun is not as amazing and talented as Ji Xueli, he is also very outstanding in the pile of ordinary people, he has never made a mistake for so long, his character is down-to-earth and reliable, and although he is one year younger than Jianwen, he is more mature and stable than Jianwen ideologically, and the two are really compatible together.
She has no objection to this, but she still has to say it when she should be reminded.
"You two can talk to each other, you can't bring your emotions to work, don't make a little awkward and don't cooperate, entering the operating room is a matter of human life, and I can't stand your blind toss."
Zheng Jun is very measured, and he promised: "You can rest assured, we will not affect our work."
Zhong Yu nodded and said one more word.
"Jianwen has a jumpy temperament, you may not be able to win her if you pursue it step by step, hunters often appear in the form of prey, maybe the effect is better."
Zheng Jun is a smart person, and his eyes are bright.
"Thank you, Director Zhong, for the mention!"
Zhong Yu picked up the teacup and didn't admit it, "I didn't remind you of anything, you realized it yourself, and when you do, you will invite all of us to dinner." β
Zhou Ze hurriedly echoed, although the three of them have a superior-subordinate relationship, they get along very harmoniously in private, which is also where Zhong Yu's personal charm lies.
Before he got off work, Song Congchun came to the hospital first because he was bored at home, he didn't go to Zhong Yu, he went straight to Ji Xueli's office, and after the kidnapping incident, he treated Ji Xueli as a brother-in-law, and even changed his name.
Through the doors and windows, he saw what Ji Xueli was writing at the desk, and he didn't worry about disturbing him, so he knocked on the door directly.
Ji Xueli smiled when he heard the movement, looked up and saw him, stood up and opened the door, and said warmly:
"Is your sister busy over there?"
Song Congchun sat in his place without seeing out, and said with a smile:
"I haven't gone to my sister's yet, brother-in-law, are you busy?"
Ji Xueli sorted out the documents on the desk and said softly:
"I'm not in a hurry, I'm still working on it tomorrow, and it's time to get off work, let's pick up your sister together."
Song Congchun followed him and chatted while walking, when they passed, Zhong Yu had just changed into a white coat, and saw that Song Congchun Zhong Yu was a little funny:
"You're close to him, why don't you just come and live at his house?"
Song Congchun didn't have any opinions, but asked with great interest:
"Is my brother-in-law's house big? Did I go and have a room for me to stay? β
Zhong Yu glanced at him, and said angrily:
"His house is a single-family villa, and the room is enough, you can change rooms to live in."
Song Congchun looked excited, and said unceremoniously: "Then let's stay with my brother-in-law tonight?"
Ji Xueli couldn't ask for it, he smiled and said: "Then let's go back after dinner, you can go to recognize the door, and you can go by yourself when you have time in the future."
As soon as they walked out of the hospital gate, they saw Song Meiting standing at the door and saw them smiling to greet them.
"I'm still thinking about going in to pick you up, why has Congchun grown taller again, and he's almost a young man."
Song Congchun was not used to being pulled by her, and subconsciously dodged.
"It's strange if I don't grow taller, what about your husband who has no conscience?"
Song Meiting was used to his mouth, so she didn't care much:
"Shijie is waiting for us at the restaurant to order food, if you have anything you want to eat, I'll give you something."
Song Congchun was not used to her hospitality, and waved his hand impatiently.
"Okay, okay, I'm not a picky eater, what do you eat, don't be verbose."
Song Meiting was not angry, she still smiled and said to him, Song Botao is a useless person, the two have little affection because of the fight for inheritance, and they have to count on Congchun if they really have something to do in the future.
Even if the two were not born to the same mother, they are also her real half-brothers.
When they stepped into the box, Tan Shijie immediately stood up and greeted:
"You're here, please take a seat, the menu I ordered is here, you can see if there is anything that needs to be added."
Ji Xueli knew Zhong Yu's taste, picked up the menu and looked at it, and added more soup.
Song Congchun looked at Tan Shijie with a very dissatisfied look, and he asked seriously:
"What's going on in your family, bullying my sister like that, is it because my dad is dead and no one is there to support her?"
Tan Shijie said with some embarrassment: "It's not like this, it's all a misunderstanding, they are caused by some family trivial conflicts and accidentally missed, and my mother also knows that it is wrong, and now she doesn't live with us anymore."
Although Song Congchun is young, his brain is sober, he doesn't buy Tan Shijie's account at all, and said in a blunt tone:
"I don't listen to your explanation, this is the first time this has happened, and I hope it will be the last time, although my father is gone, our Song family is not something you can bully."
He said solemnly, even if he was young, but it was very deterrent, if Song Meiting had already protected her husband and acted against Song Congchun, but now she didn't seem to hear it, and only beckoned Zhong Yu and Ji Xueli to eat fruit.
Tan Shijie said with some embarrassment: "It won't be like this next time, don't worry."
Song Congchun sneered: "What do I have to worry about, it's also her own stupidity, she can obviously find a man who has never been married to live, and she is in a hurry to be a stepmother."
Song Meiting didn't blow up at one point like before, she took a piece of watermelon and stuffed it directly into Congchun's mouth.
"Okay, okay, you're here for dinner, don't patronize the number of people, I haven't asked you how the final exam is?"
Song Congchun took a bite of the watermelon and said proudly: "My final grades are in the top five in the school, so I don't need you to worry about it."
Song Meiting's grades were not satisfactory when she was studying, she was able to maintain such a high ranking in the sixth middle school since the spring, and she will definitely be able to study in a prestigious school in the future, her smile is even more eager.
"You and Ah Yu are both reading materials, do you want to be a doctor in the future?"
Song Congchun shook his head, "It's enough to have my sister and brother-in-law at home, and I plan to take the military academy." β
Song Meiting was stunned for a moment, and asked a little unclearly: "Will you come out to work in the army after the military academy examination?"
Ji Xueli explained: "After graduating from a military academy and entering the army, you are an officer, and it is extremely difficult to get into a military academy, and you have a bright future if you are admitted to the military academy."
Song Meiting has been stationed for so long, and she has also figured out the difference between officers and non-commissioned officers, no matter how hard Tan Shijie struggles, he is just a non-commissioned officer, if Song Congchun studied at the military academy, he would be higher than Tan Shijie when he arrived in the army, which is really amazing.
She said happily: "This is also a good choice, and now the army also needs highly educated talents."
Tan Shijie nodded in agreement, Zhong Yu was not surprised by his choice and did not ask more, but asked Song Meiting instead,
"Have you recently found a job?"