Acute radiation injury will definitely appear in Yang Jianqiang. However, the status bar does not state whether the cost of this acute injury is manifested as cerebral edema.

You can't rely entirely on the status bar, which is the view that Sun Lien has always adhered to in his heart. After all, this thing is related to the life and health of the patient, and if something goes wrong, the price to be paid is likely to be the life of an innocent patient. But what he has been wary of is that the status bar itself is "obviously wrong", such as suggesting a non-existent symptom of a disease, or getting it completely misdirectioned.

And not the current situation - it was clearly hinted at, but it was the same as not being said.

"Cerebral edema caused by acute radiation injury?" Zhou Jun frowned, turned around and asked, "Dean Liu, you are more familiar with the cranial nerves than me. Is this possible?"

"I haven't had a radiation brain injury either. Most of the craniocerebral injuries he usually does belong to the surgical removal of brain contusions and brain tumors, and he also often does cerebral hemorrhage and cerebral contusion, as well as brain herniation of various reasons. However, these are not the same as radiation brain injuries, after all, there is no visible form of damage to the brain tissue that has been damaged by radiation, and there is no unique symptom indication. "Let's do another CT scan, it's faster anyway. ”

This is the benefit of putting Yang Jianqiang in the compound operating room. In addition to CT at any time in the hybrid operating room, patients can even be transferred to the side MRI examination room in a stable state through an electric track, and intraoperative MRI examinations can be performed on patients. It has much more equipment than a normal operating room, and it is also able to transport patients in a very safe environment. These two points alone are enough for high-level hospitals to drool over the hybrid operating room. Especially for departments such as neurosurgery and spine surgery, which require detailed imaging results to support treatment, it is a dream of department directors to have a fully equipped hybrid operating room.

The compound operating room of the Fourth Central Hospital has been in operation for less than three weeks, and strictly speaking, this operating room cannot even be called "officially in use". After all, the first patient treated in the operating room was Zheng Guoyou, the director of the Department of Orthopedics, and the second patient was Yang Jianqiang. As for the ribbon-cutting that was officially put into use, it was supposed to take place next week.

The suggestion to give Mr. Yang a CT scan of his brain raised some concerns. Doctors in the imaging department are a little concerned about this, and although CT scans are quick and convenient, they are still essentially a radiological diagnostic technique. And Yang Jianqiang's brain has been hit eight times by a large dose of gamma knife, and on this basis, if you do a radiological examination, who knows if it will lead to any serious consequences. As for whether there is any other outcome plan - anyway, the doctors in the auxiliary department just need to ask the questions they can find. It's a bit too much to get them to worry about the overall treatment plan.

However, Dr. Liu Pingchuan's judgment was very fast, and in the current situation, CT scan is the only feasible means of examination. After all, in order to detect changes in Yang Jianqiang's intracranial pressure level in real time, neurosurgeons used abrasives to make a hole in Yang Jianqiang's forehead under Liu Pingchuan's arrangement. A fiber-optic intracranial pressure monitor was placed in the cave. The monitor uses epidural manometry, which is slightly less accurate than intraventricular catheter testing, but on the one hand it is sufficient and reduces the risk of infection.

But the monitor also announced that Yang Jianqiang could not do MRI examinations again. The reason is simple - there is magnetic metal in the monitor. As soon as the MRI is turned on, I am afraid that this monitor will be directly ripped off Yang Jianqiang's brain by the huge magnetic force, and when the time comes, everyone will not think about curing the disease, just collect Yang Jianqiang's body directly.

CT is the only option right now, and it's the best option. In fact, Liu Pingchuan had long had the idea of doing further examinations to determine the source of edema, but on the one hand, he really didn't think about acute radiation injury, and on the other hand, Liu Pingchuan felt that although Yang Jianqiang had signs of cerebral edema development, after all, the increase in intracranial pressure was not particularly large. And there was room for adjustment to the diuretics he was given, so there was no need to rush - maybe within an hour, his intracranial pressure would stabilize?

The CT machine was pulled by a guide rail suspended from the ceiling. All the irrelevant personnel present were cleared, and the radiologists, anesthesiologists, and Dean Liu who had to stay at the scene wore heavy lead suits. Sun Lien, Hu Jia and Xu Yourong walked out of the operating room together and waited for the examination to end in the corridor outside the operating room.

"So you're here?" Hu Jia's eyes narrowed into a beautiful crescent moon, and she didn't know why she suddenly laughed. "Mainly because you're worried about the patient's surgery?"

"The main reason is that you are afraid that you will stand in the operating room for too long and feel too tired. Sun Lien blessed his soul, and coaxed the little nurse to open his mouth, "How is it, after standing for several hours, are you tired?" As he spoke, he patted his shoulder, "Look at me, I specially came up to borrow a shoulder for you to lean on." ”

"Emergency mouth, deceitful ghost. Hu Jia pretended to be angry, gently kicked Sun Lien's calf with his foot, and then took the opportunity to lean over. "But it's a little tired. "As long as it's a person, standing in the operating room for five hours straight can be tiring. What's more, they didn't do anything in the operating room, they just waited for the situation to change. This kind of nervous and idle-looking waiting is actually more physically demanding than a stressful and protracted surgery.

Xu Yourong stood on the side, walked around a few times, and asked after resting his feet, "Rachel went back?"

Sun Lien shook his head, "She's in good spirits, she said she was going to wait for you to go out for supper......" He suddenly realized something, and said with some regret, "I should bring the pigeon to eat." ”

"Forget it, where are the three pigeons that you can get in. Hu Jia vetoed Sun Lien's proposal, "Everyone is very tired, just a few of us have something to eat, which is not suitable." ”

Sun Lien pondered for a while and then suddenly smiled, "I remember...... Director Liu has a cabinet in the operating room, right?"

Liu Tangchun is an emergency doctor and a soldier. The personality of prevention is much more important than that of other doctors, and the working environment that requires him to come to the operating room from time to time to monitor the situation has made it a luxury for him to want to eat a meal safely. Therefore, Liu Tangchun has developed a "good habit" that as long as there is his personal storage space, he will definitely stuff a whole box of chocolates in it.

This habit is well known among the doctors in the emergency room, so much so that after occasionally sending some patients with hypoglycemia who are not too serious, the first reaction of the doctors is not to hang a bag of ten sugars, but to go to Director Liu first to ask for a piece of chocolate. It's a pity that chocolate can't go through medical insurance, and it can't be included in the hospital's charging system. Forget one or two, there are too many patients, and Liu Tangchun, the director, can't stand the income. As a result, Comrade Liu gritted his teeth and stomped his feet, narrowing the scope of chocolate supply to "only the staff of this hospital".

Of course, everyone will not rub Director Liu's chocolate to eat when they are idle, but after this habit was extended, Sun Lien suddenly discovered an uncultivated "bonanza". Everyone is hungry, can't you take a few chocolates from Director Liu's storage box and eat too much, right?

Although he was sure that Liu Tangchun had fallen asleep, Sun Lien still sent a text message to Lao Liu in line with the principle of "taking it without telling is a thief". and then took everyone to fight a wave of local tyrants.

Chocolate is indeed a good thing to replenish your physical strength!