Chapter 339: Polyetheretherketone in the skull

The multinational joint force reappeared on Zaragomes Island on September 18, 2021 local time.
At 18:12 that evening, the rescue team started to do ECMO for Gu Jun in the operating room; he recovered the weak heart beat at 18:37, reflecting the ef value of the systolic pump blood function of the ventricle is only 10%, while the normal value 50% -70%; because of the massive hemorrhage on the right frontal lobe, the neurosurgery team led by Si Kouxian started frontal craniotomy at 18:42.
Make incisions, open skin flaps, drill holes in the skull, open bone flaps, remove bone flaps, cut the dura mater, remove hematoma, suture, and drain.
Because of his condition, if the bone flap is retained and the risk of complications such as high intracranial pressure and postoperative cerebral edema is greater, then a second surgery is required, which may crush his life, so the team chose to remove Bone flap. A part of his right forehead skull was gone, and the dura was under his scalp. He watched the forehead collapse softly. If he can support it, he will do skull repair later.
Since he had no other brain contusion and laceration, this craniotomy was completed in just over 4 hours, and the operation ended at 22:56 on this day.
Immediately afterwards, the orthopedic team led by orthopedic expert Wang Huikang took over the main position of the neurosurgical operating table.
They performed multiple debridement and sutures of soft tissue for Gu Jun, open reduction and internal fixation of multiple fractures of the upper limb palm, phalange, radius, ulna, left lower extremity tibial plateau, etc. Surgery.
The doctors can tell from his injuries that Gu Jun fell from the sky at the time with his hands propped on the ground first, then his right forehead kicked, and his left foot propped, so the upper limb injury was serious and the lower limb injury was light. It is also because there is no fracture of the right lower limb, giving ECMO an ideal V-A bypass intubation position.
These operations were performed one after another, and it took 22 hours to complete the operation. It was 21:25 on the evening of September 19 when the orthopedic team stopped.
During this period, the ECMO team led by Liu Mingfeng has been observing and adjusting the equipment parameters. These operations have brought more difficulties to the stable operation of ECMO. Fortunately, the team has rich experience and maintains good cardiopulmonary support, limb blood supply and reflux for Gu Jun.
Experts such as Li Cheng and Zhang Zeli in the Department of Cardiology and Cardiac Surgery did not dare to relax for a minute.
Although Gu Jun resumed his autonomous heartbeat, the peripheral circulation and pulsation were extremely poor, and the hemodynamic fluctuations were large. The heart of a 22-year-old young man, and the result of the last physical examination, his heart could almost jump to 120 years old. Like myocardial infarction and heart failure at any time.
However, under the team's hard work, he did not have a second cardiac arrest during the operation, and the hemodynamics became stable. The ef value of the heart rose to 20%, and weak spontaneous breathing was restored.
At this time, the rescue team can finally say that they have won the first battle to win retrospective from the dark abyss.
Everyone in the operating room, command center, and corridors breathed a sigh of relief, but what happened later proved to be a long test after the operation.
On the morning of September 20th, Gu Jun ’s ef value fell again to <10%. Chest radiographs showed a large amount of fluid in his bilateral chest cavity, inflammation of his lungs, infection of electrolytes, and electrolyte disturbances. Rescue team Once again at the operating table to deal with these complications, it was another struggle for more than 30 hours.
The 21st is the Mid-Autumn Festival of the year. They spent in the operating room, Wu Shiyu, Uncle Egg and others also spent on the destroyer.
Gu Jun's craniotomy is of high quality and no postoperative complications, which may be the only good thing.
Another good thing is that there was no bleeding at his ECMO catheter and no swelling of his right lower limb.
After the first few days, Gu Jun's condition went in a good direction, and the team continued to care. On the 25th day of the week after the operation, the ef value rose to 30%, and the severity of detachment decreased; then on October 2nd two weeks after the operation, the ef value rose to 40%, slightly reduced, and the heart is already in danger of detachment.
Other indicators of his body have also stabilized, so after 14 days of ECMO, the team removed him from this extracorporeal circulation and transferred him to the ICU ward.
At this time, Gu Jun and they were also transported back to the headquarters of the Tianhua Bureau in Dahua City for follow-up treatment.
Deng Ximei had already awakened on September 23, although she had some headache symptoms, but she had no problem with her consciousness and no danger to her life, but she was very silent.
In view of her performance in this operation, she officially became a member of the Curse Department of the Tianji Bureau. Tong Ye and others have high hopes for her, hoping that she can fully realize her potential and make up for the vacancy when Gu Jun is away. But for the time being, she still needs a lot of recovery treatment.
Deng Ximei's awakening made everyone very happy, but on October 6, everyone's mood fell to the bottom again.
This is the 18th day after Xue Ba did ECMO. There was a blood infection and multiple liver and kidney failures. The medical team had tried all means and efforts, but it ended in failure. : 36 points, the team announced the death of Xue Ba.
This news is very heavy for everyone in the Tianji Bureau.
Xue Ba, the captain of the Demon Hunter Squad in Dongzhou ~ EbookFREE.me ~ has grown into an important talent of the curse department-Tianji Bureau-GOA, and died at the age of 39.
Gu Jun ’s situation was not optimistic either. His heartbeat and breathing were restored. The anesthetics had been dispensed for a long time, but the consciousness had not been awakened. There was no sign of the EEG. Everything was pointing to the possibility of brain death: his body was still alive , But he will never wake up again.
Experts also said that this kind of brain nerve problem is not good. It may not wake up forever, or it may wake up tomorrow, or one year, ten years later ...
Time passes day by day. On October 18th, the 30th day of his coma, he still did not wake up.
On this day, the Tianji Bureau held a funeral for Xue Ba and was buried in the Tianji Martyrs Cemetery. Everyone attended, but Gu Jun was absent.
On the 60th day of his coma, the results of the film showed that his fracture was recovering well, and the medical team successively removed him.
Even though Gu Jun may already be a vegetative, the rehabilitation team members of the team did not relax, regularly turning over, massaging, etc. for him every day to try to maintain his function. Therefore, although he has lost a large circle, he has no muscle atrophy.
On December 18th on the 90th day of his coma, three months after the frontal craniotomy, the team gave him a skull repair operation using the best skull repair material polyether ether ketone (PEEK), Seamless connection with human bones, thermal insulation, hardness and other properties are good enough.
The operation was very smooth. Since then, Gu Jun has more polyether ether ketone in his head, but the scalp is covering it, and the appearance is not visible. It is still the same.
It was December 31, the last day of the year, Gu Jun ’s coma on the 103rd day, 2022 was coming, and he still did not wake up.
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