Dr. Chung’s 90s

Chapter 137 Plagiocephaly after correction

In addition to outpatient work, Zhong Yu also has an operation to perform in the afternoon.

She was busy with outpatient matters and took time out to call Song Congchun at noon.

Without Zhou Qin talking about him, Zhong Yu was too busy to take care of him, and Song Congchun lived a free and undisciplined life. When the call came, he had just gotten up.

Zhong Yu listened to his voice that just woke up and preached:

"Can't you have a regular schedule? The sun is shining on your butt, and you haven't even eaten a single meal. You'll get stomach problems if you do this."

Song Congchun yawned and said indifferently:

"Sister~ I can only sleep like this during the holidays. When school starts again, I have to stay up early and stay up late, so just take pity on me."

Zhong Yu was too lazy to talk to him and said directly:

"I met Song Meiting today and told her that you were here. She said that she would treat you to dinner at a restaurant near the hospital in the evening. Please come over when I get off work."

Song Congchun was silent for a while and said in a faint voice:

"Since we met, let's have a meal together. Is her injury okay?"

Song Congchun didn't say anything, but he was still thinking about it in his heart. Zhong Yu said gently:

"There are no traces of the injuries on her face, and the facial nerve damage has been cured through surgery. The results of today's review are very good."

Song Congchun said calmly: "Just recover. If nothing happens, I'll go find food. I'm so hungry that I'm going to have hypoglycemia."

Zhong Yu rolled his eyes, "Don't eat too hard, be careful to accumulate food."

Song Congchun agreed perfunctorily. Zhong Yu hung up the phone and looked up to see Zheng Jun waiting at the door of the office. He was still holding something in his hand. Seeing her looking over, he quickly explained:

"Director Zhong, this is the examination report of the patient who is undergoing surgery today. I will send it to you first."

Zhong Yu nodded, took the examination report and read it carefully. She had already interviewed the young patient before, and this time it was just a routine preoperative examination.

"The child's body meets the surgical standards, and the operation can be performed as planned in the afternoon. The appearance of his skull is posterior plagiocephaly, the anterior fontanelle is patent, half of the lambdoid suture has ossified into a ridge; the posterior cranial cavity is deflected, and the healthy side has compensatory enlargement. Large, the affected side is retracted, the parietal bone appears longer on the healthy side and shorter on the affected side, and one half of the occipital bone is abnormally protruding. Three-dimensional CT of the head shows that half of the lambdoid suture is closed and posterior plagiocephaly. 200 ml of blood was prepared before surgery. The child is impatient. He cries easily, so I asked his family members to try to calm him down."

Zheng Jun nodded and said: "Then I will go to the ward to get familiar with the child now, and I will take him to the operating room later."

Zhong Yu is quite satisfied with his performance. Zheng Jun and Zhou Ze are both down-to-earth and hard-working. They don't have the impetuousness of young people, and Zhong Yu is willing to teach more.

Compared with Zhou Ze, Zheng Jun was more approachable. By the time of the operation, he had already gained the child's trust. He did not need to be accompanied by the child's family members, and he was carried in alone.

Chu Jianwen joked while preparing the anesthetic:

"Our Dr. Zheng is really a good family man. Even though he is still young, why haven't you found a partner yet?"

Zhou Ze was older than them and already had a fiancée. He said with a smile:

"Aren't you single too? Why don't you two try it together?"

Chu Jianwen didn't take it seriously after hearing this. Zheng Jun blushed and said in silence for a long time:

"Don't be ridiculous, how can I be worthy of Jianwen?"

Only then did Chu Jianwen realize that he was quite interesting, and said with a smile:

"Don't be modest. I know that your family is well off. Although you are one year younger than me, I don't mind falling in love with my brother. You know your character and ability. Why didn't I think of it? Is this considered a joke? black?"

Zheng Jun was so amused by her that she became helpless holding the child, and Zhou Ze burst out laughing.

"Jianwen's intention is so obvious, Zheng Jun, you have to take action."

Zhong Yu saw that Zheng Jun was so embarrassed that he was almost crawling into the ground, so he came to the rescue and said:

"Stop making trouble and come over and get to work."

After having fun, they were still very serious once they got into work. Chu Jianwen put his thoughts aside and immediately administered anesthesia to the patient.

General anesthesia was chosen for the surgery, using endotracheal intubation and intravenous general anesthesia, and Chu Jianwen performed it with ease.

After the anesthesia took effect and the child lost consciousness, he was asked to lie on his back with his head bent forward and upward. Zhong Yu made a large coronal incision on the top of the skull behind the tragus.

Then the skin flap is opened backward, reaching the frontal bone and bilateral frontal lambdoid sutures anteriorly, and reaching the bottom of the occipital bone posteriorly.

Use a reciprocal saw and a wire saw to remove the occipital-parietal bone flaps on both sides, leaving only a strip of bone in the center of the occipital bone, starting from the top of the skull and extending to both sides to the bottom of the posterior cranial fossa.

The bottom of the occipital part was cut into a fence shape and folded backward into a green branch fracture. The bone strip left in the center of the cranial parietal and occipital bone was cut off from the joint of the parieto-occipital bone.

She rotated the parietal and occipital bone flaps on both sides 180° and fixed them to the mastoid and front roof of both sides, placed a rubber tube for drainage under the scalp, and finally reset and sutured the scalp flap.

The child's bleeding during the operation was about 150ml. After the operation, he was asked to lie on his back. Zhong Yu used a helmet made of low-temperature thermoplastic material to fix the entire head, but the fulcrum was at the neck and pillow. Zhong Yu used a helmet with a thickened inner surface of the neck and pillow to 5cm. When he is lying on his back, the top of the pillow should be higher than the back of his neck so that his head is suspended in the helmet to prevent the floating bone flap from shifting.

The operation was very successful. After they sent the child to the ward, Zheng Jun and Zhou Ze came to Zhong Yu to discuss the unclear points of the operation.

Zheng Jun said seriously:

"I can see that Director Zhong has made major improvements in the surgical method. It not only leaves the top skull bridge without separation at the sinus junction, but also avoids the risk of major bleeding. At the same time, the appearance deformity of the skull is well corrected. You can Can you tell me specifically about this method?”

Zhong Yu drank some water to moisten his throat and said seriously:

“The characteristic of this method is to rotate the parieto-occipital bone flaps on both sides 180° and then swap them. The affected side is placed on the healthy side, and the healthy side is moved to the affected side. This corrects the asymmetry of the occiput on both sides and expands the cranial cavity on the affected side. , which is beneficial to the rapid development of the brain, especially the occipital lobe and cerebellum, and improves craniofacial deformities.

The occiput is cut into a fence shape to increase the space in the posterior fossa. The purpose of cutting off the strip-shaped occipital bone and adding a small piece of bone is to correct the deformation of the posterior skull and make the occiput appear a perfect arc.

However, in our case, only the skull bridge was cut off, which had already played a role in moving the brain tissue from the affected side to the healthy side, so I did not perform the original surgery.

The two large occipito-parietal bone flaps are floating bone flaps, which are beneficial to the continued development of the brain.

In addition, another key technique for posterior plagiocephaly correction is postoperative fixation. At the end of the operation, we perform shaping to allow the unoperated head to support the head. The occiput is suspended in the helmet, allowing us to The floating bone flap is not easily displaced, which ensures the success of the operation. "

Zheng Jun's eyes lit up when he heard this, and so did Zhou Ze. Zhong Yu smiled and said:

"No matter how much you listen to, it is just theoretical knowledge, and it still needs to be combined with clinical practice to be useful. When we encounter the same case next time, you will be the one to do the surgery."

Naturally, the two of them had no objections. After chatting about business, Zheng Jun said again:

"Director Zhong, you don't have any objection to the romance within our department, do you?"

Zhong Yu was stunned when he said this, and Zhou Ze quickly reacted and pushed him.

"Good boy, are you really interested in Jianwen? You hide it quite deeply!"

Zhong Yu wanted to hear what he had to say. Zheng Jun scratched his head in embarrassment and said truthfully:

"I've been interested in Jianwen for a long time, but he doesn't seem to have any feelings for me. Zhou Ze made a joke today, and she didn't reject it, so I wanted to give it a try."

Zhou Ze shook his head and laughed, and said to Zhong Yu:

"This can be considered a mistake. I have become the matchmaker between them. You two remember to treat me to dinner."

Zheng Jun agreed without hesitation. He looked at Zhong Yu, waiting for her to give an answer.

To be honest, although Zheng Jun is not as talented as Ji Xueli, he is still very outstanding among ordinary people. He has never made any mistakes after having led him for so long. His character is considered to be practical and reliable. And although he is one year younger than Jianwen, mentally But he is more mature and steady than Jianwen, and the two of them really match well together.

She has no objection to this matter, but she still needs to be reminded.

"You two can have a date, but don't bring your emotions to work. Don't stop cooperating if you have a small disagreement. Entering the operating room is a matter of life and death. I can't stand your messing around." Zheng Jun works. Very measured, he promised: "Don't worry, we will not affect our work."

Zhong Yu nodded and said something more.

"Jianwen has an unconventional temperament. If you pursue her step by step, you may not be able to win her. Hunters often appear in the form of prey, so the effect may be better."

Zheng Jun is a smart man, and his eyes light up.

"Thank you, Director Zhong, for the tip!"

Zhong Yu picked up the teacup and refused to admit it, "I didn't remind you anything. You have realized this on your own. If you do, then treat everyone in our department to dinner."

Zhou Ze quickly followed suit. Although the three of them were superiors and subordinates, they got along very harmoniously in private. This was also part of Zhong Yu's personal charm.

Before it was time to get off work, Song Congchun came to the hospital first because he was bored at home. He didn't go to Zhong Yu and went straight to Ji Xueli's office. After the kidnapping incident, he treated Ji Xueli as his brother-in-law and even changed his title. .

Through the door and window, he saw Ji Xueli writing something at his desk. He didn't worry about disturbing him and just knocked on the door.

Ji Xueli looked up when he heard the movement and smiled when he saw him. He stood up, opened the door and said warmly:

"Is your sister busy over there?"

Song Congchun sat in his seat without anyone else, and said with a smile:

"I haven't gone to my sister's place yet. Brother-in-law, are you busy?"

Ji Xueli organized the documents on his desk and said warmly:

"I'm not in a hurry. I can still work on it tomorrow. It's time to get off work. Let's go pick up your sister together."

Song Congchun followed him while walking and chatting. When they passed by, Zhong Yu had just changed out of his white coat. When he saw Song Congchun, Zhong Yu said a little funny:

"You are really close to him. Why don't you just stay at his house?"

Song Congchun had no objection, but asked with great interest:

"Is my brother-in-law's house big? Is there a room for me to stay in if I go there?"

Zhong Yu rolled his eyes at him and said angrily:

"His house is a single-family villa with enough rooms. You can change rooms."

Song Congchun looked excited and said unceremoniously: "Then let's stay at my brother-in-law's place tonight?"

Ji Xueli got what he asked for, so he smiled and said: "We will go back after dinner. You can go and identify the door. You can go there on your own when you have time."

As soon as the three of them walked out of the hospital gate, they saw Song Meiting standing at the door and greeted them with a smile.

"I was just thinking about going in to pick you up. Why has Congchun grown taller again? He's almost a big boy."

Song Congchun was not used to being pulled by her, so he subconsciously dodged.

"It would be weird if I didn't grow taller, okay? Where is your heartless husband?"

Song Meiting was used to his speaking, so she didn't care much and said:

"Shijie is waiting for us at the restaurant to order food. I'll order whatever you want to eat."

Song Congchun was not used to her attentiveness and waved his hand impatiently.

"Okay, okay, I'm not picky about food. I'll eat whatever I have. Stop being so nagging."

Song Meiting wasn't angry either, she still smiled and told him that Song Botao was a good-for-nothing. The two of them were fighting over the inheritance and had no relationship at all. If anything happened in the future, they would have to rely on Congchun.

Even if they are not born from the same mother, they are still her real brothers.

When they stepped into the box, Tan Shijie immediately stood up and greeted:

"Here you are, please take a seat. Here is the menu I ordered. See if there is anything you need to add."

Ji Xueli knew Zhong Yu's taste, so he picked up the menu, looked at it, and added more soup.

Song Congchun looked at Tan Shijie with very dissatisfied eyes, and he asked seriously:

"What's going on in your family? You bullied my sister like that because you didn't have anyone to support her after my father died, right?"

Tan Shijie said with some embarrassment: "That's not the case. It's all a misunderstanding. They had conflicts over some trivial family matters and accidentally made a mistake. My mother also knows that she was wrong and she no longer lives with us."

Although Song Congchun was young, his mind was clear. He didn't buy Tan Shijie's fault at all, and said in a stiff tone:

"I don't want to listen to your explanation. This is the first time this has happened, and I hope it will be the last time. Even though my father is gone, our Song family is not someone you can bully."

He said it solemnly, even though he was young, but it was extremely intimidating. In the past, Song Meiting would have been eager to protect her husband and go against Song Congchun, but now she seemed not to hear, and only asked Zhong Yu and Ji Xueli to eat fruit.

Tan Shijie said awkwardly: "It won't be like this next time, don't worry."

Song Congchun sneered: "What worries me? It's because she is stupid. She can find an unmarried man to live her life, but she rushes to become a stepmother."

Song Meiting didn't explode as soon as before. She took a piece of watermelon and stuffed it directly into Cong Chun's mouth.

"Okay, okay, you're here to eat, don't go around scolding people, I haven't asked you how your final exam was?"

Song Congchun took a bite of the watermelon and said proudly: "My final score is among the top five in the school, so you don't need to worry."

Song Meiting's grades were not ideal when she was in school. If she can maintain such a high ranking in the Sixth Middle School in the spring, she will definitely be able to attend a prestigious school in the future. She smiles even more eagerly.

"You and A'yu are both good at studying. Do you also want to be a doctor in the future?"

Song Congchun shook his head, "It's enough to have two doctors at home, my sister and my brother-in-law. I plan to enter the military academy."

Song Meiting was stunned and asked somewhat unclearly: "Will you go out to work in the army after passing the military academy?"

Ji Xueli explained: "You will be an officer after you graduate from the military academy and join the army. Military academies are extremely difficult to pass. If you pass, you will have a bright future."

Song Meiting had been stationed at the station for so long, and she also understood the difference between an officer and a non-commissioned officer. No matter how hard Tan Shijie worked, he was just a non-commissioned officer. If Song Congchun had gone to the military academy, he would have been taller than Tan Shijie as soon as he arrived in the army, which was really amazing.

She said happily: "This is also a good choice. Now the army also needs highly educated talents."

Tan Shijie nodded in agreement. Zhong Yu was not surprised by his choice and did not ask any more questions. Instead, he asked Song Meiting,

"Have you found a job recently?"


Tap the screen to use advanced tools Tip: You can use left and right keyboard keys to browse between chapters.

You'll Also Like