Acute radiation injury will definitely appear on Yang Jianqiang. However, the status column does not indicate whether the cost of this acute injury is cerebral edema.
You cannot rely entirely on the status bar. This is a view that Sun Lien has always held deep in his heart. After all, this thing is related to the life and health of the patient. If something goes wrong, the price to pay is likely to be the life of an innocent patient. But he
What I have been wary of is that the status bar itself has "obvious errors", such as prompting symptoms of a disease that does not exist at all, or completely going in the wrong direction.
Instead of the current situation where it was clearly mentioned, it is the same as if it was not mentioned.
"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 I am. Is this possible?"
"I've never had radiation brain injuries." I didn't expect that Liu Pingchuan would also be in trouble. Most of the craniocerebral injuries he usually performs are brain contusions and brain tumor surgeries. He also often performs operations on cerebral hemorrhage and brain tumors.
Extensive brain contusion and brain herniation for various reasons. But these are not the same as radiation-induced brain injuries. After all, the brain tissue damaged by radiation has no visible damage form to the naked eye, and there is also a lack of unique symptom prompts. "
Let’s do another CT scan to see if it can be done quickly.”
This is the advantage of putting Yang Jianqiang in the hybrid operating room. Not only can CT be performed at any time in the hybrid operating room, the patient can even be transferred to the MRI examination room aside in a stable state through an electric track, and intraoperative MRI can be performed on the patient.
Resonance examination. It has much more sophisticated equipment than ordinary operating rooms, and can also transport patients in a very safe manner. These two points alone are enough for high-level hospitals to drool over hybrid operating rooms. Especially for neurological
For departments such as surgery and spinal surgery that require precise imaging results to support treatment methods, having a fully equipped hybrid operating room is simply the dream of department directors.
The hybrid operating room of the Fourth Central Hospital has been put into use for less than three weeks. Strictly speaking, this operating room cannot even be called "officially put into use." After all, the first patient treated in the operating room was the director of the orthopedics department of the hospital.
Zheng Guoyou, and the second patient is Yang Jianqiang. As for the ribbon-cutting that was agreed to be officially put into use, it was supposed to be held next week.
The suggestion to perform a brain CT scan on Yang Jianqiang has caused some concern. Mainly because doctors in the imaging department are a little worried about this. Although CT scans are fast and convenient, they are still essentially a radioactive diagnostic method. And Yang Jianqiang’s brain has been damaged.
After eight times of high-dose Gamma Knife shock, and then doing radiological examination on this basis, who knows whether it will lead to any serious consequences. As for whether there are other outcome plans, the doctors in the auxiliary department only need to put forward the problems they can find.
That's fine. It's a bit much to ask them to worry about the overall treatment plan.
Director Liu Pingchuan made his judgment very quickly. Under the current circumstances, CT scan is the only feasible examination method. After all, in order to detect changes in Yang Jianqiang’s intracranial pressure level in real time, the neurosurgery doctors, under the arrangement of Liu Pingchuan,
A hole was made in Yang Jianqiang's forehead with a grinding tool. A fiber-optic intracranial pressure monitor was installed in the hole. The monitor used the epidural pressure measurement method, although the relative accuracy is worse than the intraventricular catheter detection method.
A little, but on the one hand it is enough and it can also reduce the risk of infection.
But this monitor also announced that it was impossible for Yang Jianqiang to undergo another MRI examination. The reason was very simple. There was magnetic metal in the monitor. As soon as the MRI was turned on, the monitor would be directly removed from Yang Jianqiang's brain by the huge magnetic force.
Pull it up, and when the time comes, don't think about treating the disease, just collect the body of Yang Jianqiang.
CT is the only choice now, and it is also the best choice. In fact, Liu Pingchuan has long had the idea of doing further examination to clarify the source of edema, but on the one hand, he did not think about acute radiation injury, and on the other hand, Liu Pingchuan felt that
Although Yang Jianqiang showed signs of developing cerebral edema, the increase in intracranial pressure was not particularly large after all. Moreover, there was still room for adjustment in the diuretic infused into him. There was no need to be so anxious. Maybe within the next hour, his intracranial pressure would
Has the pressure stabilized?
The CT machine was pulled over by the guide rails hanging from the ceiling. All irrelevant personnel present were cleared, while the radiologists, anesthesiologists, and Dean Liu who had to stay at the scene put on heavy lead clothing. Sun Lien and
Hu Jia and Xu Yourong walked out of the operating room together and waited in the corridor outside the operating room for the examination to end.
"So you came here?" Hu Jia's eyes narrowed into beautiful crescents, and she didn't know why she suddenly smiled. "Mainly because you were worried about the patient's surgical condition?"
"The main reason is that I'm afraid that you will feel too tired after standing in the operating room for too long." Sun Lien was so blessed that he started to coax the little nurse, "How are you? Are you tired after standing for several hours?" As he spoke, he
While patting his shoulder, he said, "Look at me, I came here to lend you a shoulder to lean on."
"Emergency mouth, you are a liar." Hu Jia pretended to be angry, lightly kicked Sun Lien's calf with his foot, and then took the opportunity to lean over. "But I am really a little tired." As long as you are alone, in the operating room.
Standing for five consecutive hours will feel tired. What's more, they didn't do anything in the operating room, they were just waiting for the situation to change. This kind of nervousness, but actually waiting for nothing, actually consumes more energy than a tense and long-lasting operation.
.
Xu Yourong stood aside, walked around a little, rested his feet and asked, "Rachel is back?"
Sun Lien shook his head, "She is in good spirits. She said she wanted to wait for you to go out for supper together..." He suddenly realized something and regretted, "I should have brought the pigeons up to eat."
"Forget it, you can't get enough points with the three pigeons you brought up." Hu Jia rejected Sun Lien's suggestion, "Everyone is very tired, and it's not suitable for just the few of us to have something to eat."
Sun Lien thought about it for a while and then suddenly smiled and said, "I remember... Director Liu has a cabinet in the operating room, right?"
Liu Tangchun is an emergency doctor and a soldier. His character is much more focused on taking precautions than other doctors, and the working environment where he needs to come to the operating room from time to time to monitor the situation makes it a luxury for him to have a stable meal.
Therefore, Liu Tangchun has developed a "good habit". 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 doctors in the emergency room, so much so that after occasionally sending some patients with hypoglycemia who are not in serious condition, the first reaction of the doctors is not to buy a bag of sugar, but to go to the hospital first.
Director Liu wanted to bring a bar of chocolate. Unfortunately, the chocolate could not be covered by medical insurance, and it could not be included in the hospital's charging system. One or two would be fine. There were more patients, and Director Liu Tangchun's income was somewhat unbearable. So,
Comrade Liu gritted his teeth and stamped his feet, narrowing the scope of chocolate supply to "only employees of this hospital."
Normally, everyone wouldn’t eat Director Liu’s chocolate when they had nothing to do, but after this habit extended, Sun Lien suddenly discovered an unexplored “rich mine”. Everyone was hungry. From Director Liu’s
A few pieces of chocolate from the storage box are too much to eat, right?
Although Liu Tangchun was definitely asleep, Sun Lien still followed the principle of "taking something without complaining is a thief" and sent a text message to Lao Liu. Then he led everyone to fight against the local tyrants.
Chocolate is indeed a good thing to replenish your physical strength!