"Prepare the skin, disinfect it, and now determine the puncture point." Xie Wanying reported to her senior brother.
"Where do you want to enter the puncture point?" Huang Zhilei asked.
"There are generally two entrances for lateral ventricular drainage. One is the frontal entrance, starting 1 cm in front of the coronal suture and 2 to 2.5 cm lateral to the midline. The direction of the puncture needle is parallel to the sagittal plane and aligned with the line connecting the two external auditory canals. The other is the occipital entrance.
The puncture point is 6 to 7 cm above the external occipital tuberosity and 3 cm lateral to the midline. The direction of the puncture needle is also parallel to the sagittal plane and aims at the eyebrow ridge. The depth of both is about 5 cm."
"Yeah." Huang Zhilei nodded. The junior sister's foundation is very good, and the answer is the same as the textbook. According to the knowledge guidance in the book, what will the junior sister's decision be? Both approaches are possible.
Under the circumstances, the doctor should make a choice.
"My personal opinion is that since the injured person has a CT scan, you can choose the third method and let the CT scan be used as a guide."
"Have you seen the CT scan?"
"The CT film has not yet come out, but when the patient underwent CT, we watched the preliminary images in the CT room, and we can basically determine where the hematoma is forming in the lateral ventricle. Therefore, we can use more accurate punctures to directly target the hematoma.
Positioning puncture method for CT." Xie Wanying said word by word.
Her voice was not loud, but the decision she made undoubtedly shocked everyone present.
CT positioning and puncture method? Can an intern do it? This is much more difficult than the conventional approach just mentioned. For the conventional approach, you only need to follow the instructions, draw the skull line, measure the centimeter distance and drill in. CT positioning depends on the CT
You can use the X-ray to determine the skull structure of the injured person and decide where to start measuring and opening holes. How can an intern with no surgical experience know how to measure the puncture point based on CT scan?
What's worse is that Xiao Yang, who accompanied them to escort the patient to the CT room for the CT scan, knew very well that the CT images viewed together in the CT room were preliminary images and had not been manually adjusted and synthesized by the CT doctor. When multiple images were not synthesized,
It's a layered film and it's very messy. If you just make a vague judgment, it might be possible to say that there is a hematoma. Even the doctors in the CT room are not 100% sure that they can clearly see where the hematoma is. They have to wait for the CT film.
Make a final judgment after it is completely out. She actually said that she could judge the location of the hematoma by herself and prepare for a CT puncture to locate it.
Xiao Yang almost suspected that she was suffering from hallucinations. She thought she could succeed by trying what she read in the textbook.
Reckless, super reckless, just like what he thought, she was the female version of Lu Zhishen, the reckless Lu Zhishen. The achievement was successful, but what if it wasn't? That was the life of their own National Association. Why didn't her mind think about this serious consequence.
In his eyes, Xiao Yang, this success rate is too low. I am afraid that only top experts in the industry have the possibility of this operation. It is absolutely impossible for her as an intern to do it. Maybe he can admit that she had the surgery at that exchange meeting
She showed some strength in the film, but how could she do the job of a neurosurgery boss.
Even if the people on the National Association side know Xie Wanying's strength, they are still a little worried. Li Chengyuan is not sure to what extent she can achieve it, and whether she can really hit the target with one shot as she said. Neurology and other
Department operations are different. Other departments may be able to allow a slight difference in size, but this is not allowed in neurosurgery.
Huang Zhilei raised his eyebrows, without the worries of others, and praised in his heart: She is indeed my junior sister. She only uses the ordinary method, but she will use the special method all of a sudden. He believes in it, because he studies the human brain, and he believes in the junior sister's.
