Start From Emergency Doctor

Chapter 131

Sure enough… The arterial sharing network between Xiaoyu and Xiaowen went wrong, and blood entered each other’s blood vessel channels.

Now, Zhou Yuan is in a dilemma, and severing these connections rashly may cause the brains of both parties to lack nutrition, hypoxia, etc., leading to stroke.

And a stroke at this time will almost bring lifelong trauma to the two children!

Zhou Yuan thought for half a second, and immediately said, “The operation begins!”

The atmosphere in the operating room is even more tense, and everyone’s complexion is extremely solemn!

“Director Xiao and Lu Chenxi shared the network with the arteries that separated the twins! The plastic surgeon immediately measured the skulls of the twins and reconstructed the skulls to ensure that both girls have complete skulls after the operation!”

Zhou Yuan’s face became severe.

According to current medical statistics, the probability of a conjoined head conjoined is one in every 2.5 million newborns, and most conjoined head conjoined children cannot live for more than 24 hours.

A small number of conjoined children who can live for more than 24 hours will have a mortality rate of more than 80% around the age of two.

Conjoined children like this that can live to 19 months are rare.

Moreover, since the first pair of head-connected twin separation operations appeared in the medical field in 1952, there have been only 60 similar operations recorded in the world so far. In other words, each pair of conjoined children’s separation operations is unique, and every operation, They are all fighting with death.

This shows how huge the risk of separating the conjoined children from the head is. Once a mistake occurs, both children may die during the operation.

Zhou Yuan took a deep breath, cleared the distracting thoughts in his head, and then controlled the microscopic microscope to look at the two patients.

The microscopic microscope can almost be regarded as the most advantageous weapon for conjoined skull separation surgery. It can observe the microscopic structures of the twins’ blood vessels and nerves and provide a good separation field.

“Vascular clamp.”

Zhou Yuan looked at the blood vessels in the microscopic microscope and stretched out a hand.

The instrument nurse immediately passed the vascular clamp over.

Zhou Yuan carefully clamped Xiaoyu’s cerebral artery, temporarily blocking the blood flow.

Now, there are many shared arteries and veins where Xiaoyu and Xiaowen’s brain are connected. If you want to separate, the only way is to block the blood flow, cut off these connected arteries and veins, and then perform artificial distribution and anastomosis.

In short, cut off the wrong blood vessel, put it back on the correct owner, and restore the blood supply.

Zhou Yuan carefully manipulated the scalpel to separate the blocked blood vessel. Every time the connection is cut, there is a risk of brain damage and stroke.

So that Zhou Yuan would breathe a sigh of relief every time he completed a cut, and then went to cut another place with his courage.

“Physical condition.” Zhou Yuan cut a shared artery again and asked the nurse to wipe his sweat.

The anesthesiologist looked solemn and said: “One patient has high blood pressure, and the other has low blood pressure!”

Zhou Yuan nodded.

From the beginning of hemoperfusion, Zhou Yuan guessed that such a situation would happen.(Read more @ wuxiax.com)

There is another difficulty in the skull separation operation of conjoined children, which is aimed at the anesthesiologist.

Because conjoined children are two people, and… the blood vessels of the two are the same, it is impossible to take medicine separately.

Therefore, the anaesthetist must control the balance of medication and find a suitable point for both patients.

Fortunately, the team’s anesthesiologist is the director of the Anesthesiology Department of Yanjing International Hospital, who is very experienced in anesthesia.

After a few hours, all common arteries were severed.

The arterial connection between the twins is also completely disconnected.

At the same time, plastic surgeons are also preparing to rebuild a new skull based on the proportions of the twins’ skulls, etc., for use by the two separated.

This is also a huge challenge for plastic surgeons, because the twins are only 19 months old and are in a period of vigorous growth. Therefore, it is necessary to ensure that the newly built head is large enough and has a certain degree of resilience to resist the growth zone of the two. Coming pressure.

This is also the reason why Zhou Yuan doesn’t need the chief physician from the magic capital.

This operation requires not only personal skills, but also teamwork!

Every member, from the chief surgeon to the first assistant and the second assistant, to the anesthesiologist and the instrument nurse, everyone is linked together!

Once a person makes a mistake, the operation may fail!

Zhou Yuan chose to believe in his team. Now that it can complete the first time, then this time the skull separation, Zhou Yuan’s team can also complete it brilliantly, finishing it perfectly!

“Start sharing vein segmentation.” Zhou Yuan’s voice sounded again after a brief silence.

This step is equally dangerous.

Because it is a cerebrovascular vessel, just like separating an artery, every cut of the connection is accompanied by the risk of brain damage.. ……

Zhou Yuan slowly incised a meridian that had been clamped, and then the scalpel floated above and waited quietly.

Five minutes later, Xiaoyu and Xiaowen’s vital signs still hadn’t changed drastically, and Zhou Yuan slowly breathed a sigh of relief: “It didn’t cause a stroke.”

The danger passed again, Zhou Yuan clamped another vein and started another cut.

The time in the operating room flies quickly. In the constant cutting and waiting, the common vein division operation is being carried out.

However, this time the progress was not smooth.

Zhou Yuan found that Xiaoyu’s brain blood supply was getting less and less, while Xiaowen’s brain blood vessels were filled with blood and swelled again.

The mixed flow of blood that was temporarily suppressed occurs again! Xiaoyu’s blood penetrated Xiaowen’s head again.

“What’s going on!” Zhou Yuan stopped immediately and began to check.

The hearts of Xiao Xuebo and others hanged up suddenly.

The anaesthetist started to call the police: “Blood pressure imbalance has appeared again! Two patients, one of the blood pressure began to rise, and the other twins’ blood pressure continued to drop!”

The equipment nurse also panicked and hurriedly said: “The heart rate of the patient on the left has dropped sharply!”

On the left is Xiaowen.

At this time, Xiaowen received too much blood in his body, and his heart could no longer hold on.

On the other hand, Xiaoyu on the other side began to experience a series of changes caused by blood loss!

“Xiaoyu is beginning to experience hemorrhagic shock! Do you want a blood transfusion?” Lu Chenxi said palely.

Zhou Yuan’s face became heavy.

“No blood transfusion!”

Once a blood transfusion, Xiaoyu’s symptoms may be temporarily relieved, but what about Xiaowen on the other side?

His body is receiving Xiaoyu’s blood. Once a blood transfusion is performed, a large amount of blood will directly cause Xiaowen to die on the operating table!

But without a blood transfusion, Xiaoyu will die on the operating table again!

In an instant, everyone realized the seriousness of the problem.

The operating room fell silent all of a sudden, all eyes were fixed on the screen of the instrument, staring at vital signs such as pulmonary artery pressure, systemic circulation pressure, blood pressure and so on.

Beep beep beep.

The sound of the heart monitor kept ringing, it was the only sound in the operating room.

“Zhou Yuan, what to do…”

Everyone’s eyes stayed on the chief sword Zhou Yuan. .