Chapter 1351: : A sense of defeat!

Zhang Zhipeng's heart-to-heart tumbling jump!
More emotional than the feeling of first love!
He felt that his inner bearing capacity should be okay, otherwise he would not be distracted.
but……
He found that he felt that his mentality was good because he did not meet Professor Chen!
This guy is not in a good state of mind.
This is a burst of mentality!
Do not punch directly with the stereo locator, Professor Chen is really a hero!
Reminiscent of Chen Cang's diagnosis of cerebral hernia does not require filming, and suddenly Zhang Zhipeng was relieved.
Is it...
Isn't Professor Chen and himself studying the same neurosurgery?
Probably!
Professor Chen was full of rashness.
Zhang Zhipeng, who was born in Koban, can only admire!
Looking at the two holes punched by Chen Cang, Zhang Zhipeng has given up his redemption.
Forget it, forget it!
No matter where the hole is made, it can be considered to be able to reduce the pressure.
The anesthesiologist also looked at Zhang Zhipeng blankly, and looked at Chen Cang with some worry: "Professor Chen, let's start?"
Chen Cang nodded: "It's hard!"
The anesthesiologist still knows Chen Cang, the little man in the operating room.
But this is the first time dealing.
as predicted!
The first shot shocked him.
Sure enough, it was extraordinary.
This is an unusual posture. This surgical gown is definitely sponsored by Metersbonwe.
The four-dimensional model picture in Chen Cang's eyes constantly matches the patient himself.
Combining the films on CT, Chen Cang's brain is like a supercomputer.
Continuously calculate the size, depth, range of hematoma...and so on!
then!
Chen Cang also determined the location of the craniotomy.
Disinfection of the scalp is troublesome.
First wipe off the fat with diethyl ether, then draw the median sagittal line and the incision line with nail purple.
Finally, disinfect with iodine tincture and ethanol.
Zhang Zhipeng handled it carefully, just like the serf of the landlord's family, he dared not turn over and could only work.
After making a hole towel, showing his head!
A flap that needs to be removed before the skull is opened.
Chen Cang is very professional!
When cutting the skin decisively, Zhang Zhipeng suddenly froze!
"Professor Chen, how do you... do you have so little blood?"
The anesthesiologist can't stand it anymore. This silly boy looks like he's not breathing. Is it rare to see anything?
"You didn't see Professor Chen added 0.1ml of epinephrine 0.5ml in procaine while anesthetized?
Zhang Zhipeng suddenly stunned, could not help but sigh with emotion: "details!"
The anesthesiologist also nodded.
Doctors rarely do this.
After all, this anesthesia is performed by the doctor himself, so adding adrenaline is really very detailed.
Epinephrine can contract blood vessels, so that bleeding can be reduced.
These emergency services are used a lot, and neurosurgery is rarely used.
So after Zhang Zhipeng saw it, there was some fuss.
But the next time, when the scalp is cut, two people need to cooperate.
Before Chen Cang spoke, Zhang Zhipeng had already pressed the sides of the incision with his fingers.
After Chen Cang's incision, hemorrhage was marked by electrocoagulation, and hemostatic forceps were used to clamp the cap aponeurosis to complete hemostasis!
At this time, the skull appeared.
Chen Cang's sense of space was excellent, and he started grinding away bone with a high-speed grinding drill.
This process is fast and fast, and slow and slow, but Zhang Zhipeng, who is looking aside, is a little nervous.
The reason is not even his own.
However, the surgical procedure was quick.
It didn't take long for Chen Cang to successfully reach the epidural.
Next is the second!
The bone flap was not big or small, and Chen Cang successfully took it off.
At this time, due to pressure, the dura mater has been significantly raised.
Seeing this scene, Zhang Zhipeng also became uneasy.
At this time, the dura mater cannot be cut.
The intracranial pressure must be reduced.
otherwise……
Once you have cut the dura mater with this intracranial pressure, your luck may come out if you are unlucky!
The dura is relatively strong, and as a defense system, he is relatively reliable.
It's too late to use mannitol.
"Neuroventricular 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 head is no better than other organizations.
When you puncture, you need to strictly grasp the direction and depth of the puncture, no more, no more, and can not damage tissues and large blood vessels.
Although Chen Cang does not possess such surgical skills.
but!
With his own 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 is standing by, Chen Cang will definitely not succeed!
At this time, Chen Cang slowly penetrated directly from the dura, through the cerebral cortex... bypassing important blood vessels...
This step requires careful attention!
Everyone around held their breath.
I was afraid to disturb Chen Cang.
At this time, Chen Cang felt that the puncture needle had entered a different place.
The sensory ability of the finger comes into play again at this moment.
Chen Cang was very happy.
Sure enough, it can be used this way.
Generally speaking, no matter what is worn through the chest, bones and waists, all pay attention to a sense of emptying.
And so should the ventricular puncture!
Although the density of intracranial tissue is not very different, when entering the hematoma area through the brain tissue, there will be a slight sense of emptying due to the density change!
This is what Chen Cang has to wait for!
Even Chen Cang deliberately put on sensing gloves.
It seems that I guessed it myself!
At this time, Chen Cang said to Zhang Zhipeng: "Come on, draw slowly, I let you stop and you stop!"
Zhang Zhipeng nodded: "Here?"
Chen Cang nodded: "Well!"
The entire liquid extraction process must be uniform and not too fast.
With the blood being drawn out, Zhang Zhipeng was suddenly surprised!
At this moment, even looking at Chen Cang's eyes was a little excited.
To be honest, he did not expect it to be so smooth!
He has seen too many ventricle punctures and basically has to try again and again.
However, the head is different from other places.
Even if it is a bone wear, if you wear it, it will damage your bones.
But what about the head?
Such a puncture needle enters my mind, and the accident is really unpredictable!
The operation of Chen Cang directly avoided the subsequent damage.
This good start~EbookFREE.me~ Zhang Zhipeng can't be buried.
When he was carefully pumping liquid.
Chen Cang is also aware of changes in pressure.
It took less than a minute.
Chen Cang felt the pressure change in the cavity and quickly said, "Okay!"
Zhang Zhipeng nodded!
"Ok!"
Although he does not know what Chen Cang's standard is.
but……
He realized that Chen Cang far exceeded his own.
At this moment, he suddenly recalled the picture of Chen Cang's operation on Midi, which was brilliant!
Will you see it again today?