Chapter 309(2/2)
The nurse became more and more angry as she spoke: "France's leeches are world-famous, with the best quality and quantity. But your demands are inevitably too high, and you have to starve for leeches for a week. This is not Austria, not Vienna! Yes.
Paris, France! There are only people in Paris who haven’t been bitten by a leech for a week, but there are no leeches who have been hungry for a week!”
After separating the skin and muscles, using gauze to gently stop the bleeding, Peang skillfully used a retractor to retract it, and then sutured and tied some bleeding blood vessels, Kawei officially picked up the drill bit. [4]
But what he didn't notice was that the strange sound produced by the friction of the bone-metal drill, coupled with the strange background of the head being drilled, was constantly stimulating the nerves of other people in the surgical theater.
Cediyo frowned: "There is also an epidural? But the connection between the dura mater and the skull is very tight."
The nurse looked at him with a very strange look: "Salt? Wouldn't salt kill him?"
The nurse on the other side seemed to understand what Kawei said: "Are you letting it eat or not?"
And leeches are naturally prepared for anticoagulation.
Kawei only said half of what he said, and Peang just took note of it silently, but Sediyo was able to draw inferences and grasp the key points: "With the elasticity of the arteries and the protection of the skull, it is necessary to tear open the gap between the dura mater and the skull. Is it possible?"
Caused by bone fragments puncturing arteries after a skull fracture?”
"Isn't there any smaller one?" Kawei looked at the exaggerated size of the blower and shook his head.
"Unless my diagnosis is wrong, the hematoma can only be removed by drilling open the head." After the drill slowly sank into the skull, Kawei's right hand gradually began to exert force, and the shaking speed further increased. "Besides, amputation is quite barbaric."
After repeatedly trying the pressure of the suction device with the palm of his hand, Kawei finally decided to take the next step and cut the dura mater to decompress Shebasto's brain: "Make a small incision, but it must not be too big. If the incision is
If it is too large, coupled with intracranial high pressure, it can easily cause the brain tissue to bulge outward."
At this moment, Kavi was convinced that his judgment was correct. As long as he ensured that there was indeed blood in Shebasto's brain, the "sin" of unauthorized craniotomy would be self-evident. Even if he couldn't understand the operation,
Cediyo also knew that blood accumulation could have an impact on the brain.
Although the French drill bits are different from the Austrian drill bits, the difference in feel is not big. After trying it twice, Kawei got used to it. Based on his many years of work and previous experience in ventricular puncture, he can basically be sure that his drilling will not make mistakes.
"What if the bleeding occurs on the dura mater?" Cediyo's thinking mode is different from that of Payon. He does not focus on answering and answering, but questions after thinking, "I just think that since there is subdural
If there is bleeding, then there will naturally be epidural bleeding."
"Look for it from the bakery shop at the end of the street! They are just about to close, and they have to send it back at four o'clock tomorrow morning!" After talking about the blower, she had to complain about the ceramic pot in her hand: "Oh, that's right!
And leeches! Leeches!!!”
"I see."
"So what I want is a small amount, and I only touch their mouths to induce vomiting. In the end, what's left in the bottle is simply extracted leech saliva." Seeing that Kawei had finished explaining, he picked up the tweezers and gently lifted the dura mater.
Use small scissors to cut a small opening. "Is the rubber tube connected to the suction device?"
After that, the thick blood with tiny blood clots entered the glass bottle through the rubber tube.
If I had to use a metaphor to describe it, it would be like a young man drinking bubble milk tea.
Being able to encounter hematoma at the first puncture point is not only good luck for Kawei, but also good luck for Shebasto. But just a drill can only be used for exploration, which is not enough to change anything. The scope of the hematoma needs to be
It is much larger than what is seen now, and Kawei will need to continue to drill other holes to expand the scope.
He quickly selected the second drilling location: "Next, we choose the extreme part of the temporal lobe, which is 1.5cm in front of the ear canal."
Chapter completed!