Start with an emergency physician

He Jian nodded:"Yes, these are indeed the symptoms of cerebral infarction"

"What are the brain CT results?"

The nurse immediately brought it over.

"There are large areas of low-density, and there are also irregular patchy high-density areas!"

Zhou Yuan:"Hemorrhagic cerebral infarction!"

Cerebral infarction refers to ischemic necrosis or softening of localized brain tissue caused by impaired blood supply to the brain, ischemia, and hypoxia.

As a sudden brain disease, the degree of necrosis varies depending on the location and size of the thrombus. The onset is relatively rapid, and there are usually no prodromal symptoms. Focal neurological signs reach a peak in minutes to hours.

Symptoms of cerebral infarction are mostly complete stroke, clear consciousness or mild impaired consciousness. If embolism of the internal carotid artery or the middle cerebral artery trunk leads to a large area of cerebral infarction, severe cerebral edema, increased intracranial pressure, and even brain herniation and coma may occur, and epileptic seizures may also be seen.

As for hemorrhagic cerebral infarction, that is, during cerebral infarction, secondary bleeding occurs in the infarct area due to the restoration of blood perfusion in the ischemic area blood vessels, which is even more critical.

"It is necessary to open the skull and perform surgery as soon as possible."He Jianyi said.

In fact, whether cerebral infarction requires surgical treatment is generally determined according to the situation. In many cases, some relatively small cerebral infarctions do not require surgical treatment.

But if cerebral infarction is caused by vascular factors, such as arterial stenosis or even occlusion, stent implantation or vascular anastomosis surgery must be performed at this time, so as to minimize the recurrence of cerebral infarction and further aggravation of the situation in the later stage.

Obviously, the pathogenic factors of cerebral infarction cannot be determined at this time, and the only way is to open the skull to solve the bleeding problem first, and then carry out the next step of treatment according to the cause of cerebral infarction.

"Contact the directors of neurology and neurosurgery as soon as possible and ask them to come for a consultation!"He Jianyi immediately gave the order

""Have the patient's family members arrived?"

Zhang Ling hurried in and said,"No! The old man came alone. I asked around in the emergency department hall and there were no family members!"

"How can we sign without the family members? The operation cannot be performed!"

He Jianyi was not concerned about this first. He quickly dialed the number of the Department of Neurology and the Department of Neurosurgery. A few minutes later, the directors of the Department of Neurology and the Department of Neurosurgery came.

""Hurry up and take a look at this patient!" He Jianyi urged.

The two directors immediately went up to check on him, but their faces became increasingly grim.

"The location of the patient's cerebral infarction is very bad, all of which are fatal, and the area of cerebral infarction is very wide!"

"The patient has had a long-term cerebral ischemic attack, and I just checked her neck and found that the carotid artery stenosis is greater than 50%. The nature of the brain plates is not optimistic and extremely unstable. They are shifting at any time, and the blood supply to the brain is also compressed!"

Zhou Yuan and He Jianyi were a little impatient, and Zhou Yuan asked directly:"Can you tell us directly, can you do this operation?"

"No."

Zhou Yuan's face changed and he looked at his system space.

Two primary treasure chests and two intermediate treasure chests.

Now, he could only pray for three surgeries of the same level!

"Open the primary treasure box and get! Master-level benign tumor removal surgery!"Simple first-level surgery that even ordinary doctors can handle

"Open the primary treasure chest and get! Master-level purse-string suture method!"A small suture skill, suitable for drainage and fixation of the intestinal cavity and bladder, a small category of the inversion suture category

"Open the intermediate treasure chest and get! Master-level vascular transplantation!"Level 3 surgery, only senior attending physicians and deputy directors can perform this surgery

"Open the intermediate treasure chest and get! Vitality Potion*1!"

Zhou Yuan's mouth twitched.

An intermediate treasure chest opened a vitality potion? Are you kidding me!

But Zhou Yuan didn't care so much, as long as he had three, it would be enough.

He immediately dragged the three master-level techniques together, and suddenly, countless surgeries appeared in front of him, from the most basic appendectomy to the advanced venous sinus injury repair.

Zhou Yuan's theoretical knowledge was solid enough, and he naturally knew what kind of surgery the old man needed for hemorrhagic infarction.

"Exchange for Carotid Endarterectomy!"

A brief flash of light passed, and the three technologies merged together. In the attribute column, Purse String Suture, Vascular Transplantation, and Benign Tumor Resection disappeared, while Carotid Endarterectomy quietly lit up.

"Got it! Master-level carotid endarterectomy!"

A lot of knowledge quickly flooded into Zhou Yuan's mind, and the details of carotid endarterectomy also flashed through his mind one by one.

The director of the Department of Neurology and Neurosurgery looked frustrated at this time:"We really can't do this operation! The patient is over 70 years old, and the location of the cerebral infarction is tricky. The situation is really too critical!"

"I'll do it!"

At this time, Zhou Yuan suddenly interrupted the conversation between the two and said in an unquestionable tone

"I'll do this surgery!"

——

The update has been sent. Brothers, please support me with monthly tickets. I am still 200 tickets away from the third place in the last monthly ticket list. I am in trouble!