Chapter 1351 : A sense of disappointment! (For Ah Fat 34/57)(1/2)
Zhang Zhipeng was beating in a bad mood!
More heartwarming than the feeling of first love!
He felt that his inner ability should be OK, otherwise he would not have been out of the way.
but……
He found that he felt that he had a good mentality because he had not met Professor Chen!
This guy is simply not in a good state of mind.
This is a burst of mentality!
Professor Chen is really a hero if he doesn’t use a three-dimensional positioner to punch holes directly!
Recalling that Chen Cang seemed to have no need to take a video to diagnose cerebral hernia, Zhang Zhipeng suddenly felt relieved.
Could it be...
Is Professor Chen not the same neurosurgery as himself?
Very likely!
Professor Chen was filled with a rash aura.
Zhang Zhipeng, who was a professional, could only admire him!
Looking at the two Kongs that Chen Cang beat, Zhang Zhipeng had given up his redemption.
Forget it, forgot!
No matter where the hole is opened, it is OK to reduce the pressure.
The anesthesiologist also looked at Zhang Zhipeng with a blank look on his face, and looked at Chen Cang with some concern: "Professor Chen, should you start?"
Chen Cang nodded: "Thank you for your hard work!"
The anesthesiologist still knows Chen Cang, a little celebrity in the operating room.
But it was the first time to deal with it.
Sure enough!
The first move shocked him.
It's indeed extraordinary.
This is an unusual posture, and this surgical gown is definitely sponsored by Metesbonwe.
The four-dimensional model diagram in Chen Cang's eyes is constantly in line with the patient himself.
Combined with the films on CT, Chen Cang's brain is like a supercomputer.
Continuously calculate the size, depth, range of the hematoma...and so on!
Then!
Chen Cang also determined the location of the craniotomy.
Disinfection of scalp is more troublesome.
First apply ether to remove grease, then use acetyl and incision lines to draw the median sagittal line.
Finally, disinfect with iodine tincture and ethanol.
Zhang Zhipeng handled it carefully, like a serf from a landlord's family, who dared not turn over and could only work.
After making the hole scarf, reveal your head!
The flap that needs to be removed before the skull is opened.
Chen Cang is very professional!
When he decisively cut open the skin, Zhang Zhipeng was stunned!
"Professor Chen, how did you... do it? Why is there so little blood?"
The anesthesiologist can't stand it anymore. This stupid child looks like a silly child, and he doesn't care about anything he sees?
"Didn't you see Professor Chen adding 0.1% adrenaline to procaine while he was anesthesia?"
Zhang Zhipeng was stunned and couldn't help but sigh: "Details!"
The anesthesiologist nodded too.
Normal doctors rarely do this.
After all, this anesthesia was performed by the doctor himself, so it is really a detail to add adrenaline.
Adrenaline can contract blood vessels, which can reduce bleeding.
These emergency departments are used more often, but neurosurgery is basically not used very much.
So when Zhang Zhipeng saw it, he was a little fussy.
However, when the scalp is cut, two people need to cooperate.
Before Chen Cang could speak, Zhang Zhipeng pressed both sides of the incision with his fingers.
After Chen Cang incision, the electrocoagulation point was obvious, and then hemostasis was used to clamp the cap-shaped aponeurosis and flip the hemostasis method to complete the hemostasis!
At this time, the skull appears.
Chen Cang has a great sense of space, and he has a handheld high-speed grinding drill to remove bone.
This process is fast and slow, but Zhang Zhipeng on the side was a little nervous.
Even he himself can't tell the reason.
However, the surgery was very fast.
Not long after, Chen Cang successfully arrived at the epidural.
Next is the second one!
The bone flap is not big or small, and Chen Cang successfully took it down.
At this time, due to pressure, the dura mater has become more prominent.
Seeing this scene, Zhang Zhipeng also began to feel uneasy.
At this time, the dura mater cannot be cut open.
Intracranial pressure must be reduced.
otherwise……
Once you cut the dura mater through this intracranial pressure, your brain may be really out of luck!
The dura mater is relatively strong, and as a defense system, he is still relatively reliable.
It’s too late to use mannitol.
"Ventry puncture needle!"
Chen Cang said directly.
Hearing Chen Cang's words, Zhang Zhipeng nodded and took them from the nurse.
Ventricular puncture is dangerous.
Even experienced neurosurgeons need to be careful.
Because the head is no better than other organizations.
When you are piercing, you need to strictly master the direction and depth of the piercing, no more or less, and you cannot damage tissues and large blood vessels.
Although Chen Cang does not have this kind of surgical skill.
but!
With his understanding 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 off!
At this moment, Chen Cang slowly penetrated into it from the epidural uterus, passing through the cerebral cortex... bypassing important blood vessels...
This step requires enough caution!
Everyone around him held their breath.
I was afraid of disturbing Chen Cang.
At this moment, Chen Cang felt the puncture needle enter a different place.
The perception of the fingers works again at this moment.
Chen Cang was immediately delighted.
It can indeed be used like this.
Generally speaking, whether it is a chest, bone, waist, or something, it is a sense of failure.
And the same should be true for ventricular puncture!
To be continued...