medical road high rise

Chapter 370 A Desperate Situation

Chapter 372 A Desperate Situation

Qin Feng uncovered the gauze covering the skulls of the two patients, took another look at the instrument, and was about to proceed to the next step.

The doctor from the International Hospital suddenly exclaimed: "No, the blood from my sister's brain is being diverted to my sister."

When Qin Feng heard it, he turned his head and looked over in astonishment.

This is a very serious situation. Once the younger sister's blood enters the older sister's body, it means the lack of blood in the younger sister's body. At the same time, because the older sister is young, a large amount of blood is poured in, which will also put the elder sister's heart under great pressure and thus life-threatening.

Qin Feng asked doctors from the International Hospital to check the artery sharing network between patients and found that there was a problem with the sharing network.

But now, it is also a dilemma for Qin Feng.

If these connections are cut off hastily, it may cause the brains of both parties to lack nutrition, hypoxia, etc., leading to unpredictable things.

These unforeseen events will surely bring lifelong trauma to the two children.

"What should we do next?" Li Xuewen also turned his attention to Qin Feng.

At this time, Qin Feng's adaptability is even more tested.

The atmosphere in the operating room also became more tense, and everyone's faces were extremely solemn.

"Dr. Li and I separated the arterial sharing networks of the two patients. The brain doctor measured the skulls of the two patients and reconstructed the skulls to ensure that both patients had complete skulls after the operation." Qin Feng arranged.

Conjoined twins, especially those whose heads are linked, rarely survive 24 hours.

Conjoined babies like this one who have lived for 70 months are particularly rare. So far, there have only been more than [-] successful cases of separation surgery for twins connected at the head in the world.

This shows how risky it is to separate conjoined twins whose heads are connected, because if a mistake is made, two lives may be lost.

"Operation begins."

Qin Feng manipulated the microscopic microscope and looked at the two patients. Generally, in this kind of skull separation surgery, the microscopic microscope is more useful than any medical equipment. It can observe the microscopic structure of the patient's blood vessels, nerves, etc., and provide a good separation operation. wild.

"Vascular clamp."

Qin Feng looked at the blood vessels under the microscope and reached out for equipment.

As the equipment nurse patted the equipment on Qin Feng's hand, Qin Feng carefully clamped his sister's cerebral artery, temporarily blocking the blood flow.

The current situation of the two patients is that there are many overlapping and shared arteries and veins in the brain. If you want to successfully separate them, the best way is to block the blood flow, cut off these connected arteries and veins, and then perform artificial distribution and anastomosis.

Qin Feng carefully manipulated the scalpel to cut open the blocked blood vessel, block it again, and cut it off again.

As a result, every time Qin Feng completes a cut, he will breathe a sigh of relief. This is undoubtedly dancing on the tip of the knife.

On the fifth stroke, Qin Feng asked the equipment nurse to wipe his sweat.

"How is the patient's physical condition now?" Qin Feng asked.

"My sister's blood pressure is high, and my sister's blood pressure is low," said the anesthesiologist.

Qin Feng didn't feel this result in his heart. After all, Qin Feng had guessed that such a situation would happen since the blood perfusion occurred.

There is another difficulty in the skull separation operation of conjoined twins, which is for anesthetists.

Because conjoined babies are two people, but the blood vessels of the two people are the same, it is impossible to take medicine separately.

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

Fortunately, the anesthesiologists in Ruijin Hospital are very professional and awesome.

It can be said that there are no weak people in national hospitals.

Basically, every one of them is a doctor who can serve as a director-level doctor in other hospitals.

Five hours later, Qin Feng cut off the last common artery, and everyone breathed a sigh of relief.

This means that the arterial connection between the twins has been completely disconnected.

At the same time, the two brain doctors are also preparing to rebuild a new skull according to the proportion of the twins' heads, which will be used by the two people after separation.

This is also a huge challenge for brain doctors.

Because the two babies are too young, only eighteen months old, the new skull must be large enough and have a certain degree of toughness, so as to be able to withstand the brain pressure brought by the growth of the two babies in the future, and at the same time have enough space for the brain. development.

It is impossible to grow to a certain stage and just come and replace the skull. That would be unrealistic.

Therefore, this surgery has very strict requirements for everyone and is essential.

The brain doctor of Ruijin Hospital and the brain doctor of International Hospital began to communicate.

"Prepare for vein cutting." Qin Feng said.

Like arteries, veins are also cerebral blood vessels, so every time they are cut off, there is also the risk of brain damage.

Qin Feng slowly cut open a vein that had been clamped, then the scalpel fell quickly, and then waited for 5 minutes to see that the vital signs of the two patients did not change drastically, Qin Feng was relieved.

Basically every vein, after Qin Feng cuts it off, it will stop for about 5 minutes.

Ensure that both patients can survive the dangerous period and avoid cross-risk situations.

Time flies by too quickly for those undergoing surgery.

When cutting the fifth vein, Qin Feng found that the blood supply to his sister's brain was getting less and less. On the contrary, the blood vessels in his sister's brain were filled with blood and expanded.

The mixed flow of blood that was temporarily suppressed before happened again, and the younger sister's blood poured into the older sister's brain again.

"What's the situation?" Qin Feng asked loudly.

Li Xuewen and others' hearts suddenly jumped up. The anesthesiologist began to report: "There is a blood pressure imbalance, and the heart rate of the patient on the left side is dropping rapidly."

On the left is my sister. Because of too much blood pressure, my heart can no longer hold on.

At the same time, the younger sister has also lost blood, and there have been some changes.

"My sister is in hemorrhagic shock. Do you want a blood transfusion?" Li Xuewen asked in a deep voice.

Qin Feng's face suddenly darkened, "No blood transfusion."

At this time, a blood transfusion may relieve my sister's condition, but my sister's cerebral blood vessels will definitely not be able to bear it, and may even die directly on the operating table.

The operating room suddenly became quiet. Everyone looked at the screen of the instrument, staring at vital signs such as pulmonary artery pressure and systemic circulation pressure. Qin Feng did not dare to act rashly.

The beeping sound of the instrument kept ringing, and everyone looked at Qin Feng. At this time, Qin Feng was the backbone of everyone.

Qin Feng is also constantly thinking about the opposite side in his mind. As a surgeon, he not only needs to hold a scalpel and have superb skills, but also has precise judgment and decision-making.

(End of this chapter)