Start From Emergency Doctor

Chapter 39

He Jian nodded: “Yes, these are indeed symptoms of cerebral infarction.”

“What about the brain CT results?”

The little nurse took it immediately.

“There are large areas of low density, and there are also irregular patches of high density!”

Zhou Yuan: “Hemorrhagic cerebral infarction!”

Cerebral infarction refers to the blood supply disorder of the brain, ischemia, hypoxia and ischemic necrosis or softening of the local brain tissue.

As a sudden brain disease, the degree of necrosis varies with the location and size of the thrombus. The onset is more rapid, and most of them have no prodromal symptoms. The focal neurological signs reach a peak in a few minutes to a few hours.

The symptoms of cerebral infarction are mostly complete stroke, clear consciousness or mild disturbance of consciousness. If the embolism of the internal carotid artery or the middle cerebral artery leads to large-scale cerebral infarction, severe cerebral edema, increased intracranial pressure, and even cerebral hernia and coma can occur. There are also seizures.

As for hemorrhagic cerebral infarction, that is, during cerebral infarction, the blood vessels in the ischemic area resume blood perfusion, resulting in secondary hemorrhage in the infarcted area, which is even more critical.

“The craniotomy must be performed as soon as possible,” He Jianyi said.

In fact, whether a cerebral infarction requires surgical treatment is generally judged according to the situation. In many cases, some relatively small cerebral infarctions do not require surgical treatment.

However, if the cerebral infarction is caused by vascular factors, such as arterial stenosis or even occlusion, stent implantation surgery or vascular anastomosis surgery must be performed at this time, so as to minimize further recurrence of cerebral infarction And the situation further aggravated in the later period.

Obviously, at this time, the causative factors of cerebral infarction cannot be determined. The only way is to open the craniotomy to solve the bleeding problem, and then proceed with the next treatment based on the cause of cerebral infarction.

“Contact the director of neurology and neurosurgery as soon as possible and ask them to come for consultation!” He Jianyi immediately ordered.

“Has the patient’s family come?”

Zhang Ling hurriedly walked in and said, “No! The old man came here alone. I asked around in the lobby of the emergency department. There are no family members!”

“How to sign without family members? Surgery can’t be done!”

He Jianyi was not concerned about this first. He quickly dialed the number of neurology and neurosurgery. A few minutes later, the directors of neurology and neurosurgery arrived.(Read more @ wuxiax.com)

“Look at this patient!” He Jianyi urged.

The two directors immediately walked up and checked them, but their faces became increasingly ugly.

“The part of the patient’s cerebral infarction is very bad, it is fatal, and the scope of cerebral infarction is very wide!”

“The patient has had a prolonged ischemic attack, and I just checked her neck and found that the carotid artery stenosis is greater than 50%, the nature of the brain plate is not optimistic, extremely unstable, it is metastasizing at any time, and the blood supply of the cerebrovascular is also affected. oppression!”

Zhou Yuan and He Jianyi were a little impatient. Zhou Yuan asked directly: “Can you tell us directly, can you do this operation?”

“No.”

Zhou Yuan’s face changed, and he looked at his system space.

Two junior treasure chests and two intermediate treasure chests.

Now, I can only pray for three operations of the same level!

“Open the primary treasure chest and get it! Master-level benign tumor resection!” A simple first-level operation can be managed by ordinary doctors.

“Open the primary treasure chest and get it! Master purse-string suture method!” A small suture skill, suitable for the drainage and fixation of the intestinal cavity and bladder. It belongs to a small category in the broad category of inversion suture.

“Open the intermediate treasure chest and get it! Master-level vascular transplantation!” The third-level surgery is an operation that can only be performed by senior attending physicians and deputy directors and above.

“Open the intermediate treasure chest and get it! Vitality potion*1!”

Zhou Yuan’s mouth twitched.

A vitality potion out of the intermediate treasure chest? Are you kidding me!

But Zhou Yuan can’t manage that much, as long as three are enough.

He immediately dragged the three master techniques together, and immediately, countless operations appeared in front of him, from the most basic appendicitis resection to the advanced sinus injury repair surgery.

Zhou Yuan’s own theoretical knowledge is solid enough, and he naturally knows what kind of surgery the old man needs for hemorrhagic infarction at this time.

“Exchange for carotid endarterectomy!”

A brief light flashed, and the three technologies merged together. In the attribute column, purse-string suture, vascular transplantation, and resection of benign body surface tumors disappeared, while carotid endarterectomy quietly lit up.

“Obtained! Master carotid endarterectomy!”

Countless knowledge quickly flooded into Zhou Yuan’s mind, and the details of carotid endarterectomy also flashed through Zhou Yuan’s mind in fragments one by one.

The director of the Department of Neurology and Neurosurgery looked frustrated at this time: “We really can’t do this operation! The patient is over 70 years old, and the location of the cerebral infarction is tricky. The situation is really critical!”

“I’ll do it!”

At this time, Zhou Yuan suddenly intervened in the conversation between the two of them and spoke out in an unquestionable tone.

“I’ll do this operation!”

——

Updates are sent, brothers ask for monthly ticket support, I think the monthly ticket list last time, now I am still two hundred short of the third place, please! .