Chapter three hundred and sixty second near miss surgery
"The patient, male, is 52 years old this year. He has a fracture of the temporal bone and external hematoma of the temporal fossa, and a cerebral contusion and laceration of the temporal lobe. The hematoma exceeds 20 milliliters. After observation for many days, the patient continued to be in a hazy state. After dehydration treatment, he was still drowsy and irritable. Memory, logic, speech accuracy, calculation ability, and spatial sensation were damaged to varying degrees. After observation and analysis of the patient's comprehensive situation, it is estimated that the patient's residual disability and quality of life were seriously affected after recovery. He has poor self-care ability. In order to improve the above problems, after general discussion, it was decided to perform craniotomy on the patient to clear the deep hematoma in the temporal fossa, local decompression, relieve brain damage caused by cerebral edema, and maximize brain function.
Recovery. This part of the skull belongs to the bottom of the skull fossa. It is not only deep, but also important blood vessels and nerves pass through here. The operation process will be dangerous, but Dr. Livingston has taken over many such surgery and can cure the patient well. There will definitely be no problem this time. However, the most worrying problem now is that the patient is fifty-two years old, his blood pressure is high, his blood lipids and blood sugar are higher than the normal range, and the blood vessels in the brain have become atherosclerosis. During the operation, due to the dense distribution of blood vessels in the brain, it is very easy to cause blood vessel rupture, which causes blood loss in the patient's brain." Brooke introduced the patient's basic situation to Watson.
"Well, it's great. I think Dr. Livingston will be able to complete the operation very well," Watson said.
"Hua, if the patient's brain blood vessels are severely ruptured during the operation and cause serious blood loss, do you have a solution? The patient's hematoma is caused by the rupture of the large blood vessels at the base of the skull. If there is a large bleeding during the operation, the patient's life may be in danger. I hope to complete the operation safer." Livingston said.
"There will be no problem. I can control the patient's bleeding in the skull through acupuncture." Watson said.
"Xiaosen, this matter is very important, you have to think clearly." Zheng Jingying was still a little worried.
"Don't worry, I'm sure. Otherwise I won't talk nonsense." Watson said.
"But you have never participated in such an operation. If a patient has severe intracranial bleeding during the operation, it is dangerous." Zheng Jingying said.
"Don't worry. Silly girl, if you care, you will be confused. If you are not sure, do I dare to say it randomly? The human head is a blood vessel, and the area with the most dense nervous system, and there are also many acupuncture points here. Through these acupuncture points, the patient's blood system can be completely controlled and the patient's nervous system can be affected. Therefore, there will definitely be no problems. Even if there is a problem, it will not be at my stage." Watson said.
"That's good. We can prepare to start the surgery," Livingston said.
Livingston seemed to be very relieved of Watson. As soon as Watson agreed, Livingston prepared to start the operation without hesitation.
Watson was not polite either. After dressing up, he followed Livingston into the operating room and entered the operating room for the second time. Watson was already very familiar with the layout of the operating room.
Craniotomy is more difficult than other parts. The head has a skull to protect the human brain intact. If you want to undergo intracranial surgery, you must first cut the skull. However, in front of modern medical devices, the hard skull becomes less indestructible.
Livingston cuts the scalp at the right temple on the head, saws the skull open, and then uncovers it into the plate. A skull hole with a diameter of five centimeters is formed and enters the skull cavity. He quickly finds the location of the patient's hematoma.
"hiss."
The hematoma is relatively large, and the patient's brain tissue has been pressed to a significant deviation from its original position. No wonder it causes the patient to have various symptoms.
"I am now preparing to know the hematoma, but based on the rapid hematoma, it may cause a lot of blood loss. Hua, if the bloodline bleeding continues, you need your help." Livingston said.
"Okay." Watson said.
A silver needle was already squeezing his hand and was ready to take action at any time.
Livingston carefully made the hematoma clear, but about five centimeters deep into the base of the skull, a large blood vessel suddenly ejaculated and bleeding. It turned out that this was the culprit of the formation of the hematoma. This blood vessel is the largest branch of the external carotid artery. It is the starting position of the intracranial middle artery. The bright red blood dyes the white brain tissue in the skull red. If there is too much blood loss in the skull, it means that the operation will fail.
Before Livingston could speak, Watson had already started to move. A silver needle pierced into the patient's temple. Watson's hand was placed on the silver needle and did not move it away. After careful observation of Watson's hand, you could see that his fingers were vibrating the silver needle and its faint amplitude.
The effect was very obvious. From the moment Watson stabbed the silver needle into the patient's temple, the blood in the blood vessels in the patient's skull had stopped ejecting.
Livingston didn't speak, speeded up the cleaning and processed the ruptured blood vessel. His skillful skills and his actions were a bit dazzling, and it was simply a textbook-like surgical demonstration.
Watson's hand never left the silver needle, but he remained calm from beginning to end. All this seemed to be nothing in his eyes.
Livingston completed the surgery quickly, and even the results were more perfect than planned. The surgery was performed extremely quickly.
"Wipe sweat." Although Livingston's surgery was a tiny lancet, it was as heavy as holding a big knife weighing thousands of pounds. In such a short time, his forehead was covered with sweat.
Jennifer quickly wiped the sweat off Livingston's forehead with a towel. When he looked back at Watson, Watson was still in his previous state.
"No problem. Hua." Livingston said.
"Wait. There seems to be some blood clots in the patient's brain, which is one of the reasons for the formation of the lump this time. I am now trying to remove the blood clots in his blood vessels to the greatest extent, hoping to relieve his condition." Watson said.
Everyone thinks that Watson's treatment is effective and mysterious.
Brooke said, "But you can't see what's going on in his blood vessels. How do you know there is a blood clot in his blood vessels?"
"You should have examined this patient, and you should be clearer about what I said. As for whether my treatment is effective, you can ask the patients to re-examine it." Watson had already taken out the silver needle.
"Hua, I don't doubt you. I just feel a little incredible about this situation." Brooke said.
"Even if you doubt it, there is no problem. Different people have different views on traditional Chinese medicine. What kind of views are their own private affairs. Of course, I will not ask about it." Watson said.
Watson said as he walked out. The operation had been completed and Livingston was also undergoing the final treatment. Jennifer and others saw another operation of a somewhat difficult operation this day, and the gains were naturally great, but Watson's method of stopping bleeding was that they could not understand.
Livingston completed the most surgical procedure and chased after him.
"Hua, don't mind, these guys are not very polite to me," Livingston said.
"No. They can't understand Chinese medicine, and it's not an attack on me personally." Watson smiled.
He was really not angry, but he was not obliged to explain anything to these people. So, naturally, he would not mind what these people said.
Zheng Jingying didn't say anything, followed Watson out of the hospital. After getting in the car, Zheng Jingying said, "I'm sorry, I've made you wronged."
"I really don't feel wronged. These are false reputations. I don't care. I don't plan to stay in the United States as a doctor anyway. When the honeymoon is over, we will be in the East China Sea." Watson said.
A few hours later, the patient's anesthesia completely disappeared and the patient woke up from a coma. There was no expected damage to the brain function. Instead, he became more flexible than before.
"I replied!" the patient said in surprise.
The patient's family almost jumped up. They rushed to find a solution at this time, but the patient was completely solved by his wit.
"It seems that it has been completely restored. The effect of this surgery is classic," Livingston said.
"Thanks to Dr. Livingston's superb surgery," Jennifer said.
"Actually, all this should be attributed to Hua. His role in the operation is no less than mine. Without his participation, the patient may have died on the operating table. This operation was really safe," Livingston said.
When Livingston and others went to find Watson and Zheng Jingying, they found that the incarnation and Zheng Jingying had left and began their second stop in the United States. Zheng Jingying had already satisfied her thoughts about her alma mater. Now it's time to have a good honeymoon trip.
"The most worth seeing in the United States is the Yellowstone Park we are about to go to. It is the world's first national park and the largest forest park. Yellowstone Park has a lot of fun things." Zheng Jingying and Watson were already on the plane.
Watson didn't care much about such a scenery. When it comes to scenery, the space in his jade pendant is the real scenery. However, Watson does not plan to share his jade pendant space with the people around him for the time being. He is a little worried about their safety. It is actually not a good thing to let them share the pressure of secrets with him. Once people know that Watson has a magical cave, what kind of results will be brought about, Watson is very clear.
"Why can't you see your excitement at all?" Zheng Jingying said.
"Because I have never seen Huangshi Park. So, no matter how well you said, I just thought it was not much better than Gongqing Park." Watson smiled.
Chapter completed!