Chapter 1349 Feeling of Disappointment! (Add 34/57 for Ah Fat)

Chapter 1349 Feeling of disappointment! (Add 3457 for Ah Fat)

Zhang Zhipeng's heart was thumping and thumping wildly!

It's more exciting than the feeling of first love!

He felt that his inner capacity should be okay, or else he wouldn't be acting like a god.

but……

He found that he thought he was in a good mood because he didn't meet Professor Chen!

This guy is simply not in a good mood.

This is mind blowing!

Without using a stereotaxic device to punch holes directly, Professor Chen is really a hero!

Thinking of Chen Cang, it seems that the diagnosis of brain herniation does not require filming, and suddenly Zhang Zhipeng is relieved.

Is it...

Isn't Professor Chen studying the same neurosurgery as himself?

Probably!

Professor Chen's body was full of a reckless aura.

Zhang Zhipeng, who is a professional, can only be amazed!

Looking at the two holes made by Chen Cang, Zhang Zhipeng had already given up his redemption.

That's it, that's it!

No matter where the hole is opened, it can be considered to be able to decompress.

The anesthesiologist also glanced at Zhang Zhipeng blankly, and looked at Chen Cang worriedly: "Professor Chen, shall we begin?"

Chen Cang nodded: "It's hard work!"

The anesthesiologist still has a good understanding of the little red man in the operating room, Chen Cang.

But it was the first time dealing with it.

as predicted!

He was taken aback by the first shot.

Sure enough.

This is an unusual posture, this surgical gown is definitely sponsored by Metersbonwe.

The four-dimensional model map in Chen Cang's eyes constantly matched the patient himself.

Combined with the films on CT, Chen Cang's brain is like a supercomputer.

Constantly calculate the size, depth, extent of the hematoma...and more!

Then!

Chen Cang also determined the location of the craniotomy.

Disinfection of the scalp is more troublesome.

First rub and degrease with ether, and then draw the midsagittal line and incision line with nail violet.

Finally, disinfect with iodine tincture and ethanol.

Zhang Zhipeng handled it carefully, like a serf in a landlord's house, who dared not turn over and could only work part-time.

After making the hole towel, show your head!

The excisional flap that needs to be done before the skull is opened.

Chen Cang is very professional!

When he cut the skin decisively, Zhang Zhipeng was stunned!

"Professor Chen, how... how did you do it? Why is there so little blood?"

The anesthesiologist couldn't stand it any longer. What a rare sight for this silly child's unpromising appearance?

"Didn't you see that Professor Chen added 0.5ml of 0.1% epinephrine to procaine during anesthesia?"

Zhang Zhipeng was stunned for a moment, and couldn't help but sigh: "Details!"

The anesthesiologist nodded.

Doctors rarely do this.

After all, this anesthesia is administered by the doctor himself, so adding epinephrine is really detailed.

Adrenaline constricts blood vessels, which reduces bleeding.

These are used more in emergency department, while neurosurgery is basically not used very much.

So Zhang Zhipeng was a little surprised when he saw it.

However, in the next time, when the scalp is cut, two people are required to cooperate.

Before Chen Cang could speak, Zhang Zhipeng pressed his fingers on both sides of the incision.

After the incision, Chen Cang electrocoagulated the obvious bleeding point, and then clamped the galeal aponeurosis with hemostatic forceps to complete the hemostasis!

At this time, the skull appeared.

Chen Cang's sense of space is excellent, and he started to grind bone with a high-speed drill.

This process can be said to be fast or slow, but Zhang Zhipeng, who is watching on the side, is a little nervous.

The reason even he can't tell.

However, the procedure was quick.

It didn't take long for Chen Cang to successfully reach the epidural.

Next up is the second one!

The bone flap was not big or small, and Chen Cang successfully removed it.

At this time, due to the pressure, the dura mater has been significantly raised.

Seeing this scene, Zhang Zhipeng also began to feel uneasy.

At this time, the dura cannot be incised.

Intracranial pressure must be lowered.

otherwise……

With this intracranial pressure, once you cut the dura mater, if you are unlucky, your brain may really come out!

The dura mater is relatively strong, and as a defense system, he is relatively reliable.

It's too late to use mannitol.

"Brain puncture needle!"

Chen Cang said directly.

Hearing Chen Cang's words, Zhang Zhipeng nodded and took it from the nurse.

Ventricular puncture is dangerous.

Even experienced neurosurgeons need to be cautious.

Because the brain is no better than any other organization.

When you are puncturing, you need to strictly control the direction and depth of the puncture. There is no more or less, and the tissue and large blood vessels cannot be damaged.

Although Chen Cang did not have such surgical skills.

but!

With his knowledge of the patient's intracranial environment and the stability of his hands, Chen Cang felt that he was more suitable than Zhang Zhipeng!

If Hu Chuanbang was standing aside, Chen Cang would definitely not show his power!

At this time, Chen Cang slowly penetrated directly from the epidural layer, through the cerebral cortex... bypassing the important blood vessels...

In this step, you need to be careful!

Everyone around held their breath.

For fear of disturbing Chen Cang.

At this moment, Chen Cang felt that the puncture needle had entered different places.

The sensory abilities of the fingers come into play again at this moment.

Chen Cang was instantly overjoyed.

Sure enough it can be used.

Generally speaking, no matter what wear is worn through the thoracic bone and the waist, it all pays attention to a sense of disappointment.

And the ventriculocentesis should be the same!

Although the difference in intracranial tissue density is not very large, when entering the hematoma area through the brain tissue, it will definitely bring a slight sense of disappointment due to the density change!

This is what Chen Cang is waiting for!

Even Chen Cang specially put on the perception gloves.

It seems that you guessed right!

At this time, Chen Cang said to Zhang Zhipeng: "Come on, draw slowly, if I tell you to stop, stop!"

Zhang Zhipeng nodded: "Arrived?"

Chen Cang nodded: "Yeah!"

The entire process of extracting the liquid must be uniform and not too fast.

As the blood was drawn out, Zhang Zhipeng was suddenly pleasantly surprised!

At this moment, even looking at Chen Cang's eyes was a little excited.

To be honest, he didn't expect it to be so smooth!

He'd seen too many ventriculocentesis, and basically had to try again and again.

However, the mind is not the same as anywhere else.

Even if it is a bone piercing, if you wear it out, it means a hole in the bone.

But what about the brain?

Such a puncture needle enters the mind, the accident is too unpredictable!

And Chen Cang's operation directly avoided subsequent damage.

This good start, Zhang Zhipeng naturally can not be buried.

When he was careful to pump the liquid.

Chen Cang is also sensing changes in pressure.

Less than a minute passed.

Chen Cang felt the change in the pressure in the cavity and said quickly, "Okay!"

Zhang Zhipeng nodded!

"OK!"

Although he didn't know what Chen Cang's standard was.

but……

He realized that Chen Cang was far superior to himself.

At this moment, he suddenly recalled the scene of Chen Cang's surgery on Mitty, which was wonderful!

Are you going to see it again today?