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21Novel > Doctor Started a Plug-in > Chapter 1348

Chapter 1348

    Zhang Zhipeng''s heart is beating around!


    It''s more exciting than the feeling of first love!


    He felt that his inner endurance should be OK, otherwise he wouldn''t be outside God.


    But


    He found that he felt good because he didn''t meet Professor Chen!


    This guy is not in a good mood.


    This is a burst of mentality!


    Professor Chen is a real hero without using a three-dimensional locator to punch holes directly!


    It seems that Chen Cang doesn''t need to take a film to diagnose brain hernia. Suddenly Zhang Zhipeng is relieved.


    Is it


    Isn''t Professor Chen studying the same neurosurgery as himself?


    stand a good chance!


    Professor Chen is full of recklessness.


    Zhang Zhipeng, who came from a professional background, can only sigh!


    Looking at Chen Cang''s two holes, Zhang Zhipeng has given up his redemption.


    Just, just!


    No matter where the hole is opened, it is OK to reduce 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!"


    Anesthesiologists know more about Chen Cang, the little red man in the operating room.


    But it was the first time.


    indeed!


    The first shot stunned him.


    It was extraordinary.


    This unusual posture, this surgical suit is definitely sponsored by MetS bonway.


    The four-dimensional model in Chen Cang''s eyes is constantly consistent with the patient itself.


    Combined with the films on CT, Chen Cang''s brain is like a supercomputer.


    Constantly calculate the size, depth and range of hematoma... And so on!


    then!


    Chen Cang also determined the location of craniotomy.


    The disinfection of scalp is more troublesome.


    First, wipe and degrease with ether, and then draw the median sagittal line and incision line with methyl violet.


    Finally, disinfect with iodine tincture and ethanol.


    Zhang Zhipeng handled it carefully. Like the serfs of the landlords, he dared not turn over and had to work.


    After the hole towel is arranged, show your head!


    The excised flap that needs to be done before craniotomy.


    Chen Cang, these are very professional!


    Zhang Zhipeng was stunned when he decisively cut the skin!


    "Professor Chen, how did you... Do it? Why is there so little blood?"


    The anesthesiologist can''t see it anymore. This stupid child looks hopeless. He doesn''t want anything?


    "Didn''t you see Professor Chen add 0.1% adrenaline 0.5ml to procaine during anesthesia?"


    Zhang Zhipeng was stunned and couldn''t help sighing: "details!"


    The anesthesiologist nodded.


    Ordinary doctors rarely do this.


    After all, the anesthesia is performed by the doctor himself, so adding adrenaline is really detailed.


    Adrenaline can constrict blood vessels, which can reduce bleeding.


    These are used more in emergency, but not in neurosurgery.


    So Zhang Zhipeng made a fuss when he saw it.


    But the next time, when the scalp is cut, two people need to cooperate.


    Before Chen Cang spoke, Zhang Zhipeng had pressed both sides of the incision with his fingers.


    Chen Cang electrocoagulated obvious bleeding points after incision, and then clamped the cap aponeurosis with hemostatic forceps to complete hemostasis!


    At this time, the skull appeared.


    Chen Cang had an excellent sense of space and began to grind away bone with a high-speed grinding drill.


    This process is fast and slow, but Zhang Zhipeng is a little nervous.


    Even he couldn''t tell the reason.


    However, the operation process is very fast.


    Before long, Chen Cang successfully reached the epidural.


    Next is the second!


    The bone flap was not big or small. Chen Cang successfully took it off.


    At this time, due to stress, the dura mater has obviously bulged.


    Seeing this scene, Zhang Zhipeng began to feel uneasy.


    You can''t cut the dura at this time.


    Intracranial pressure must be reduced.


    Otherwise


    This intracranial pressure, once you cut the dura, if you''re not lucky, maybe the brain will really come out!


    The dura is relatively strong. As a defense system, he is still relatively reliable.


    It''s too late to use mannitol.


    "Ventricular puncture needle!"


    Chen Cang said directly.


    Hearing Chen Cang''s words, Zhang Zhipeng nodded and took it from the nurse.


    Ventriculocentesis is dangerous.


    Even experienced neurosurgeons need to be cautious.


    Because the brain is no better than other organizations.


    When you puncture, you need to strictly grasp the direction and depth of puncture, no more or less, and you can''t damage tissues and large blood vessels.


    Although Chen Cang did not have such surgical skills.


    But!


    With his understanding of the patient''s intracranial environment and the stability of his hands, Chen Cang feels more suitable than Zhang Zhipeng!


    If Hu Chuanbang were standing aside, Chen Cang would not be able to show off!


    At this time, Chen Cang went directly out of the dura and slowly into it, through the cerebral cortex... Bypassing important blood vessels


    This step requires enough care!


    Everyone around held their breath.


    For fear of disturbing Chen Cang.


    At this time, Chen Cang felt that the puncture needle had entered different places.


    The perception of fingers plays a role again at this moment.


    Chen Cang was immediately delighted.


    Sure enough, it can be used like this.


    Generally speaking, no matter what you wear on the chest, bone and waist, you pay attention to a sense of failure.


    And ventriculocentesis should be the same!


    Although the density of intracranial tissue is not very different, when entering the hematoma area through brain tissue, it will bring a slight sense of frustration due to the change of density!


    Chen Cang has to wait for this feeling!


    Even Chen Cang deliberately changed into sensing gloves.


    It seems that I guessed right!


    At this time, Chen Cang said to Zhang Zhipeng, "come on, draw slowly. If I ask you to stop, you can stop!"


    Zhang Zhipeng nodded, "here we are?"


    Chen Cang nodded: "Hmm!"


    The whole process of extracting liquid must be at a constant speed and not too fast.


    With the blood being pumped out, Zhang Zhipeng was pleasantly surprised!


    At this moment, even looking at Chen Cang was a little excited.


    To tell you the truth, he didn''t expect it to go so well!


    He has seen too many ventriculocentesis and basically has to try again and again.


    But the brain is different from other places.


    Even if the bone is worn out, you will damage a hole in the bone.


    But what about the head?


    Such a puncture needle into the mind, the accident is too unpredictable!


    Chen Cang''s operation directly avoided subsequent damage.


    This good start, Zhang Zhipeng naturally can not be ruined.


    When he pumped the liquid carefully.


    Chen Cang is also feeling the change of pressure.


    Less than a minute passed.


    Chen Cang felt the change of pressure in the cavity and hurriedly said, "OK!"


    Zhang Zhipeng nodded!


    "OK!"


    Although he doesn''t know what Chen Cang''s standard is.


    But


    He realized that Chen Cang was far better than himself.


    At this moment, he suddenly recalled the wonderful picture of Chen Cang''s operation on mity!


    Will you see it again today?
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