Chapter 339 Polyetheretherketone in the head [seek a monthly ticket]
The multinational joint force reappeared on Zaragomez Island on September 18, 2021, local time.
At 18:12 that evening, the rescue team started ECMO on Gu Jun in the operating room; he recovered a weak heart beat at 18:37, and the EF value reflecting the contraction and pumping function of the ventricle was only 10%, while the normal value was
50%-70%; because of the large-scale bleeding in his right frontal lobe, the neurosurgery team led by Sikoxian performed a frontal lobe craniotomy on him at 18:42.
Make incisions, open skin flaps, drill holes in the skull, open bone flaps, remove bone flaps, cut the dura mater, remove hematomas, suture, and drain.
Considering his condition, if the bone flap is retained, the risk of complications such as high intracranial pressure and postoperative cerebral edema will be greater, which will require a second surgery, which may crush his life, so the team chose to remove it.
Bone flap. Part of his skull on the right side of his forehead is gone, and the dura mater is under his scalp. It looks like the smaller half of his forehead has collapsed softly. If he can survive it, he will undergo skull repair surgery in the future.
Since he had no other brain contusions, the craniotomy took just over 4 hours to complete, and the operation ended at 22:56 that day.
Immediately afterwards, the orthopedic team led by orthopedic expert Wang Huikang took over the main position of the neurosurgery operating table.
They performed debridement and suturing of multiple soft tissues on Gu Jun, open reduction and internal fixation of fractures in multiple locations such as the palms of both upper limbs, phalanges, radius, ulna, and tibial plateau of the left lower limb, as well as open reduction of shoulder joint dislocation.
technique.
The doctors could tell from his injuries that when Gu Jun fell from a high altitude, he first touched the ground with his hands to support himself, then knocked his right forehead and then supported himself with his left foot. Therefore, the injuries to his upper limbs were serious and the injuries to his lower limbs were minor. This is precisely because
There was no fracture in the right lower limb, which gave ECMO an ideal position for VA diversion intubation.
These surgeries were performed one after another for 22 hours. By the time the orthopedic team stopped, it was already 21:25 on the evening of September 19.
During this period, the ecmo team led by Liu Mingfeng has been observing and adjusting the equipment parameters. These surgeries have brought more problems to the stable operation of ecmo. Fortunately, the team has rich experience and can provide Gu Jun with cardiopulmonary support.
, the blood supply and return of the limbs are maintained well.
Li Cheng, Zhang Zeli and other experts from the Department of Cardiology and Cardiac Surgery did not dare to relax for even a second.
Although Gu Jun recovered his spontaneous heartbeat, his peripheral circulation and pulsation were extremely poor, and his hemodynamics fluctuated greatly. The heart of such a 22-year-old young man, and the last physical examination showed that his heart could beat a 120-year-old, but now it is
Like myocardial infarction and heart failure at any time.
However, due to the team's hard work, he did not suffer a second cardiac arrest during the operation, his hemodynamics became stable, his heart's EF value increased to 20%, and he also resumed weak spontaneous breathing.
At this time, the rescue team could finally say that they had won the first battle to snatch Xijun back from the dark abyss.
Everyone in the operating room, the command center, and the corridor breathed a sigh of relief, but what happened later proved that the operation was a long test.
On the morning of September 20, Gu Jun's EF value dropped to 10% again. A chest X-ray showed that he had a large amount of effusion on both sides of the chest, inflammation and infection in both lungs, as well as electrolyte disorders and other symptoms... The rescue team arrived again
Dealing with these complications on the operating table took another 30 hours of hard work.
The 21st was the Mid-Autumn Festival this year, and they spent it in the operating room. Wu Shiyu, Uncle Dan and others also spent it on the destroyer.
Gu Jun's craniotomy was performed with high quality and there were no postoperative complications, which may be the only good thing.
Another good thing is that there was no blood oozing from his ECMO catheter insertion site and no swelling of his right lower limb.
After surviving the first few days, Gu Jun's condition improved, and the team continued to care. On the 25th, one week after the operation, the EF value rose to 30%, and the degree of separation was reduced;
Two weeks later, on October 2, the EF value rose to 40%, which was slightly reduced, and the heart was out of danger.
His other physical indicators were also stable, so after fourteen days of ECMO, the team removed him from the extracorporeal circulation and transferred him to the ICU ward.
At this time, Gu Jun and the others were also transported back to the Tianji Bureau headquarters in Dahua City for follow-up treatment.
Deng Ximei woke up on September 23. Although she had some headache symptoms, her consciousness was fine and her life was not in danger, but she was very silent.
In view of her performance in this operation, she officially became a member of the Spells Department of the Tianji Bureau. Tong Ye and others have high hopes for her, hoping that she can give full play to her potential and make up for the vacancy in Gu Jun's absence.
.But for the time being she still needs a lot of recovery treatment.
Deng Ximei's recovery made everyone very happy. However, on October 6, everyone's mood hit rock bottom again.
This was the 18th day after Xue Ba was put on ecmo. He developed a blood infection and was complicated by multiple organ failure such as liver and kidney. The medical team had tried all means and efforts, but it still ended in failure. On the 23rd of this night
:36 minutes, the team announced Xue Ba’s death.
This news is very heavy for everyone in the Tianji Bureau.
Xue Ba, who was the captain of the Demon Hunter Team in Dongzhou City, had already grown into an important talent of the Magic Department-Tianji Bureau-goa. He passed away at the age of 39.
The situation on Gu Jun's side is not optimistic either. His heartbeat and breathing have recovered. The anesthetic has been administered long ago, but his consciousness has not awakened. There are no signs on the electroencephalogram. Everything points to the possibility of brain death: his body is still alive.
, but he will never wake up again.
Experts can't say for sure about this kind of cranial nerve problem. It may never wake up, or it may wake up tomorrow, or a year later, ten years later...
Time passed day by day. On October 18, the 30th day of his coma, he still did not wake up.
On this day, the Tianji Bureau held a funeral for Xue Ba and he was buried in the Tianji Martyrs Cemetery. Everyone attended, but Gu Jun was absent.
On the 60th day of his coma, the X-ray results showed that his fractures were recovering well, and the medical team gradually removed his plaster.
Even though Gu Jun may have been in a vegetative state, the rehabilitation department staff in the team did not relax. They turned him over regularly every day, massaged him, etc., and tried their best to maintain his functions. Therefore, although he lost a lot of weight, he did not have any muscles all over his body.
degree of shrinkage.
On December 18, the 90th day of his coma, three months after the frontal lobe craniotomy, the team performed skull repair surgery on him, using the best skull repair material currently available, polyetheretherketone (Peek).
It is seamlessly connected to human bones, and its thermal insulation, hardness and other properties are good enough.
The operation went smoothly. From then on, Gu Jun had a piece of polyetheretherketone in his head. However, it was covered by the scalp and could not be seen from the outside. It still looked the same.
The time has come to December 31, the last day of this year, the 103rd day of Gu Jun's coma, 2022 is coming, and he still has not woken up.