medical road high rise

Chapter 165 Postoperative Complications ([-])
Chapter 165 Postoperative Complications ([-])
"Skull separation." The pediatrician spit out four words.

Qin Feng gasped for the first time, this is conjoined twins!It is still the kind of conjoined twins whose skulls are connected, which is more difficult and more difficult than torso conjoined twins.

The more difficult the operation, the greater the postoperative complications.

"Let's go see the patient first."

Qin Feng went to the operating room first, followed by the pediatrician and Zhao Qi.

Entering the operating room, Qin Feng watched the baby lying on the operating bed twitching and having cyanotic lips.

Qin Feng reached out and touched the baby's forehead, which made Qin Feng frown.

It is obvious that the high fever caused by epilepsy in children is just that Qin Feng is not good at epilepsy in children, and the system has not taught him this aspect, so he is not as good as the pediatrician beside him.

Perhaps sensing Qin Feng's strangeness, the pediatrician said, "Doctor Qin, I asked them to come here for you."

"Pediatric epilepsy, I really can't help it. I have a specialization in surgery." Qin Feng was unwilling to say such a thing, but the system really didn't teach him this thing.

"I suspect that the patient may still be a child with epilepsy caused by cerebrovascular disease. I have given the patient a routine examination of hematuria and stool before. Blood biochemical tests show that the patient's sugar, calcium, phosphorus, and electrolytes are within the normal range, and there is no abnormality in liver and kidney function. Normal." The pediatrician paused, "Also, the patient's family has no family history, so I rejected the case of primary epilepsy."

The so-called primary epilepsy means that the triggering condition and the cause of the disease cannot be found. It is a genetic problem. This part of the epilepsy patients accounts for as high as 20.00% of the epilepsy patients in the country. It is also called cryptogenic epilepsy or epilepsy in medicine. hereditary epilepsy.

Rejected primary epilepsy, the patient is secondary epilepsy, that is, symptomatic epilepsy.

"Cerebral blood vessels?" Qin Feng crossed his hands and knocked on each other.

"Let's do an electroencephalogram test on the patient first." Qin Feng said.

Qin Feng should have a good understanding of the brain structure of the human body in the system training room.

He is now confirming the cause of epilepsy in children, avoiding tumors, as long as it is related to blood vessels, the examination will rule out the tumor first, and the treatment will be much easier.

"In the morning, the EEG was already done for the patient." The pediatrician asked an assistant to take out the EKG. "Xiao Yuan, go for a run and get the EKG back."

The pediatrician's assistant ran out quickly, and came back panting about 3 minutes later.

Qin Feng took the electrocardiogram, glanced at it, and said: "Arrange single light emission tomography and positron emission tomography for the patient."

These two scanning decibels are used to check cerebral blood flow and cerebral metabolic function. They can also be used to understand changes in brain function and help locate epilepsy.

"For cerebral angiography, let me do it."

Qin Feng took matters into his own hands and asked the operating room to prepare surgical equipment, and Qin Feng injected the contrast agent into the patient's blood vessels.

Since it is a child, Qin Feng also controls the dose of the child, as little as possible.

Children's brains are still in the developing stage, but they cannot withstand Qin Feng's toss.

Ten minutes later, Qin Feng breathed a sigh of relief when he saw the results of the angiography. Fortunately, the puncture was successful.

While venipuncture was being performed on the child's blood vessels, Qin Feng was trembling a little, mainly because the child was too young. Fortunately, everything was developing in a good direction.

"What result?" The children's doctor asked quickly when he saw Qin Feng coming back.

"Subarachnoid hemorrhage." Qin Feng said.

The children's doctor frowned. Subarachnoid hemorrhage is a collective term for the sudden rupture of cerebral blood vessels caused by various reasons, and the blood flows to the subarachnoid space.

In cranial surgery, because the original symbiotic brain operates independently, a series of complications will appear, among which subarachnoid hemorrhage is an extremely serious one.

"Let's go straight to critical illness." The children's doctor suggested decisively.

"Yeah." Qin Feng nodded, and then left to direct the nurse to start injecting medicine.

"Ready to inject nimodipine."

"6-Aminocaproic acid ready? Shot."

These two drugs, especially the drugs to prevent cerebral vasospasm and stop bleeding in patients, are widely used in brain surgery, and the price is also expensive.

After Qin Feng watched the two drugs being injected, he began to urge Zhao Qi to contact his family members. The patient's condition required immediate surgery.

The pediatrician took Qin Feng out of the operating room and explained to the patient's family before the operation.

In terms of brain surgery, Qin Feng is obviously better than the pediatrician.

"Doctor, how is my son?"

Seeing Qin Feng and the pediatrician come out, the patient's parents hurried over.

Qin Feng quickly described the patient's situation, ignoring the paleness of the patient's family members, and placed a notice in front of the two of them.

"You need to sign this critical illness notice before we can proceed with further treatment."

The patient's mother took two steps back and was supported by the patient's father in time to avoid falling.

"Why is this, why..."

The mental state of the patient's mother had obviously collapsed, so Qin Feng could only hand the notice to the patient's father. The patient's father took the pen handed over by the pediatrician and wrote his name on the signature column with trembling hands.

After finishing the work here, Qin Feng quickly returned to the operating room.

"Brother Qin, should we contact the neurosurgery department?" Lin Xueyao said.

During this period of time, although Lin Xue was older than Qin Feng, she was gradually convinced by Qin Feng, so she called Brother Qin along with the others.

"No, I'll do it alone."

The patient's current condition is a ruptured blood vessel. Although it is not the case of an aneurysm or a ruptured blood vessel at the base of the brain, it is also critical.

At this time, calling the neurosurgeon to come over for expert consultation will undoubtedly extend the patient's treatment time indefinitely.

"Oh!"

Although Qin Feng refused, Lin Xue just nodded. Zhao Qi, who was on the side, saw Lin Xue's mood changed, and said quickly: "Did you forget that Brother Qin was born in the Department of Vascular Surgery? Neurosurgery can perform operations, he can do it too."

Lin Xue's eyes widened. She really didn't know this. After all, she didn't have the habit of investigating a person, and Qin Feng was not her type.

"Zhao Qi, stop chatting, I'll open the skull, and you will stitch it up." Qin Feng said.

Zhao Qi nodded, and the nurse went to send the informed consent form for the operation and the critical illness notification form to the family members.

After all, the patient is a baby who underwent skull separation surgery a month ago. It would be very dangerous for an adult to undergo a second craniotomy within two months, let alone a baby.

Therefore, for the sake of insurance, the risk can only be borne by the family members.

If you sign, the surgery will be done. If you don't sign, the surgery will not be done.

Just at the moment when the nurse went out, Qin Feng had already started the operation.

(End of this chapter)