I can see the status bar

Chapter 761 Hybrid Operating Room

Outside the comprehensive operating room, Tang Min's parents were anxiously waiting for the news that the treatment was over.

On the sixth day after Tang Min's uncle arrived at the hospital, they finally received the long-awaited good news—the relevant procedures were all completed, and Tang Min's legal problems with accepting the experimental treatment plan had all been resolved.

The doctors of the Comprehensive Diagnostic Center also acted quickly according to the news.Two hours after obtaining relevant permission, they sent Tang Min to the hybrid operating room.

The whole process of treatment needs to be videotaped as data for future research.In addition to the anesthesiologists of the Fourth Hospital, Professor Zhang Zhifu, who has held a deputy senior title in the anesthesia post, will also participate in the anesthesia.

In terms of image inspection, Sun Lien chose the image of Ke Luoge, who has cooperated with him the most times.Professor Wu Youqian, on the other hand, carries a notebook and is on standby in the surgical visit area at any time—the operation port of the old thing is installed in the computer. If necessary, the old thing can analyze the results of the imaging examination together.

The rest of the staffing is about the same as it was initially assigned.However, out of an abundance of caution, all doctors have their own backups.Sun Lien's own backup is Qian Hongjun, director of pediatrics.

Finding Qian Hongjun as a backup is actually a helpless choice.The treatment process this time will not only involve neurology, endocrinology, imaging and other departments.And it has to be done on the basis of pediatrics.Therefore, Qian Hongjun, as the backup of Sun Lien, the commander of the whole treatment process, became the only choice.

It's not impossible for other pediatricians to do this, but to take a pediatrician off duty and spend seven or eight hours in a hybrid operating room... other pediatricians will be exhausted.Although Qian Hongjun's resignation from his post was a bit irritating, at least it was not as scary as other pediatricians' resignation.

Xu Yourong's backup is Dean Liu Pingchuan.The divine surgeon is the last line of protection to ensure Tang Min's life during this treatment.Arginine vasopressin is essentially an antidiuretic hormone.Its mechanism of action tends to retain as much water as possible inside the body, rather than expel them.Although in terms of the mechanism of action, there is no problem with the application of arginine vasopressin on Tang Min.But it is hard to say whether it will cause any adverse reactions during actual use.In the worst case... the use of arginine vasopressin may make Tang Min's hydrocephalus more serious, even beyond the range that the lateral ventricle drainage tube can handle, and cause more serious intracranial pressure elevation and brain herniation .

The supernatural doctors are here to deal with the most terrible consequences.They will be on standby during the whole treatment process and shave off all Tang Min's hair in advance.If there is a dangerous increase in intracranial pressure, then Shenwai will open the cranium as soon as possible, and remove the bone flap to release intracranial pressure.

At 27:[-] in the afternoon, the treatment officially started.

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At the same time as the hypertonic glucose injection was completed, arginine vasopressin was also injected into Tang Min's body.At the same time, Dr. Ma Yongfang stepped aside smoothly and smoothly, leaving Yuan Pingan with the operating space near Tang Min's right arm.

It took Dr. Ma Yongfang two full days to calm himself down during the operation.The method used was the "Collapse Therapy" provided by Chen Tianyang.

Chen Tianyang found a karting training center in Ningyuan.The entire karting training center was paid for at a great price.Dr. Ma Yongfang, who was fully armed, was the only one on the entire racing track—and she had to finish the car within the standard time, and at the same time, she had to answer Chen Tianyang's questions one after another through the walkie-talkie.

In fact, whether it is driving or participating in surgery, Dr. Ma Yongfang is competent.What prevented her from completing the work was only her own psychological pressure and the fixed concept that "women are not good at mechanical operations".

To break through the psychological pressure, she must first really feel the psychological pressure and not be able to escape.Karting training is such an environment - 125cc two-stroke high-speed karts whizzing and galloping on a track that is not spacious.The five-point seat belt used for safety, together with the racing car, has become a sharp weapon to force Dr. Ma Yongfang to face his fear.The most exaggerated thing was that Chen Tianyang drove closely behind Dr. Ma Yongfang.As long as she couldn't answer the question, or decided to slow down and stop, Lao Chen would step on the accelerator and hit her.

"I am a doctor, not to drive during work hours!" After being hit many times in a row, Dr. Ma Yongfang almost collapsed.She screamed over the intercom, "Don't hit me again!"

"What is the definition of primary aldosterone? Quickly answer!" However, Chen Tianyang is not the kind of person who will give up because of screaming and opposition.He continued to kick the accelerator and bumped into the back of Ma Yongfang's kart-in fact, the speed was not too fast, about 15 kilometers per hour.But Ma Yongfang, who was tied to the car by the five-point seat belt, couldn't look back to see Chen Tianyang and his car, and this tense feeling was multiplied.

"Do you think I'm driving into you now just for fun?" After waiting for a while without waiting for an answer, Chen Tianyang stepped on the accelerator again and started to hit. "Of course you don't become a doctor to drive a car. Why do you become a doctor? Answer me!"

A scene like a hot-blooded cartoon was staged in the karting track, and no one except the person involved knew what Dr. Ma Yongfang answered on the karting track gilded by the sun.

However, Dr. Ma Yongfang really changed when he came back from the racing track.Although it is still difficult to complete detailed operations under high pressure, she can at least do it at a slightly slower speed than ordinary people.

After three days of training, Dr. Ma Yongfang has passed the approval of Xu Yourong and Wang Guonan. Both of them think that Dr. Ma Yongfang is completely competent for the treatment.

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During the treatment, Dr. Ma Yongfang performed very well.This further confirmed the views of Xu Yourong and Wang Guonan.Sun Lien, who had been staring at the side, was a little relieved - the condition of Dr. Ma Yongfang was the link he was most worried about.Fortunately, there were no major problems.

Half of the treatment has been carried out. Next, Yuan Ping'an will inject Tang Min with arginine vasopressin several times.The injection dose is 0.3 micrograms per kilogram of body weight.And Sun Lien will work with Imaging Cologne to decide when to suspend the injection, and then slide the hospital bed into the MRI machine.

The hybrid operating room has preset slides embedded in the floor on both the ceiling and the floor.Slides on the ceiling are used to transfer the CT scanner, while slides on the floor move the operating table.

The MRI machine is too big and heavy, and needs to be recalibrated after being moved, so the only way to complete the inspection is to move the entire operating table.

"The peripheral blood sugar concentration is 14mmol/L, which is within the safe range." Dr. Ma Yongfang took a little blood from Tang Min's fingertips and performed a quick blood sugar test.This "safe range" refers to changes in osmotic pressure in her brain, and also refers to the blood sugar level itself.

Due to the need to maintain a high blood sugar state as much as possible, the 50% glucose injection used for Tang Min this time did not incorporate enough insulin according to the standard procedure.Her insulin dose was only one-third of normal.

This means that doctors not only need to pay attention to the maintenance time of blood sugar, but also need to monitor the extent of her blood sugar rise-if the blood sugar rises too much, the body will start to produce ketone bodies, which is obviously also a disadvantage.

(End of this chapter)