bookpower Chapter 181
Chapter 181
car, galloping towards the three provincial hospitals.
"Director, this is the patient's case, transferred from the Second Hospital of Pengshi City."
A medical worker held a PAD in his hand and said to Director He Wenwu.
Today's network is extremely developed, and if there is a problem with the patient here, it is easy to find the corresponding hospital from the medical system through the ID card and retrieve the medical record.
"I'll see..."
He Wenwu took the pad.
I saw that the case clearly wrote:
Male, 49 years old
Medical record date: December 12, 2021
· CT results showed that the cerebellar vermis, the boundary is not very clear, can be manifested as no reinforcement during enhanced scanning, can see necrosis and other manifestations, there are calcifications....
Preliminary diagnosis: glioma, 1X1cm, malignant, grade: grade 1...
Wang Miaoke looked at the medical records on PAD next to him, and then only felt a chill in his back!
I really said it right to Lin Feng!
It's really not ordinary epilepsy, but glioma tumor mass compression of nerves, no... In addition to the mass, some tumors have encapsulated the nerve area.
Lin Feng's technique is too terrifying!
There is no instrument, just check the body to check the eight, nine is not far from ten?
At this time, the walking radiation machine.
What Wang Miaoke doesn't know is that Lin Feng has too much experience as the world's top doctors, and each doctor will always accumulate a lot of intuitive, private, and self-diagnostic tips in his career, which cannot form a paper on the one hand, and on the other hand, they are also to leave a hole card for themselves and will not be published.
......
Island, three provincial hospitals.
Brainology.
Director He Wenwu sent a message to the work group:
"Everyone pay attention, there will be a brain surgery later, led by Dr. Lin Feng of the First Hospital of Peng City, and all doctors who are not on duty must come to study."
One stone stirs up a thousand waves.
"What? Lin Feng in the First Courtyard of the City? "
"Is that Doctor Lin with 30 million followers? He came here? "
"The director is asking us to 'study'?"
"Does the director think that Dr. Lin's brain surgery technology is much stronger than ours? Just kidding, right? "
"Yes, Dr. Lin is full of calculations, it is only internship + regular training, two and a half years, and the brain surgery department is very difficult, can Dr. Lin do it?"
Many doctors express 'distrust' of this.
Surgery can not come in the slightest, it will kill people, you have 30 million fans, can you still give you surgical blessing experience?
Of course
The nurse girls in the brain department don't have this idea.
At this time, they were already excited!
"Wow, the male god is coming!"
"Hurry up and touch up your makeup!"
"Woo~~~ I already knew that I made a mask last night to hydrate..."
"I don't know if Dr. Lin is hungry, I haven't finished my snack here..."
One by one, the nurse girls, before Lin Feng arrived, their hearts were bumped.
Male doctor: ".............................."
Look at each other ~~~~
Feel offended!
We go to work every day, when are we treated like this? Not even for a second!
......
soon
The news spread from the brain department to other departments of the provincial three hospitals.
In particular, the chat group between female doctors and nurses is even more lively in the group.
"What? Lin Feng is coming? "
"Wow, you can see the male god!"
(Inside Linfeng Ambulance 1 Photo ·JPG, Inside Linfeng Ambulance Photo 2·JPG)"
"Wow, so handsome so handsome ~~~~"
"Next to it is Director He of the brain department, right? Sure enough, I came to our hospital! "
thereupon
Many male doctors have found that the nurse girls in their own departments suddenly like to exchange heads and ears, and also like to shout...
Male doctors: "........."
Dazed!
Confused!
And then after learning the truth!
Wow~~~ Tears couldn't help but flow.
......
Beep beep ~~~~
The ambulance came to the gate of the third provincial hospital.
The patient was pushed to the imaging department for a comprehensive examination...
The results of the examination in the medical record are only the results of previous examinations and cannot be used as the basis for surgery.
"Or not? Let me? "
Lin Feng said to his colleagues in the imaging department.
"Huh? Dr. Lin, do you also understand this operation? "
The female doctor of the CT machine looked at Lin Feng in surprise, very surprised, this is already considered interdisciplinary, Dr. Lin also understands?
Lin Feng nodded modestly: "It will be a little bit..."
Female doctor: "Okay, okay..."
The power of idols is so great, female doctors are obviously very respectful of Lin Feng, strength and appearance coexist, rare men, high-quality idols!
Lin Feng sat down.
Start the manipulator CT machine.
Inside the CT room (radiation room), the patient lies on the bed, the CT tomography scan is on his head, moving little by little, starting at the location where the tumor is encountered, and taking pictures all over the very carefully.
Looking at Lin Feng's skillful operation techniques, the female doctor looked very surprised.
Director He was equally surprised!
Lin Feng actually knows CT!
And it seems to be very powerful!
Soon after, Lin Feng finished CT for the patient...
I have a general understanding of the patient's condition.
Cerebellar vermis, glioma, 2X3cm, more than double the previous examination in 2021, and the grade has also jumped from grade 1 (tumor cells account for less than 25% of tumor tissue) to grade 2 (tumor cells account for 25%-50% of tumor tissue)...
Occupancy, compressing nerves, causing supercharging...
Finish CT.
The middle-aged male patient came out of the CT room and looked at Lin Feng with a worried expression.
"Dr. Lin, how is my illness?"
"Not good..." In the face of the patient's inquiry, Lin Feng could not hide it, and told the patient the CT results truthfully.
"Your glioma, this tumor is a malignant tumor, not a benign tumor, I evaluated, it belongs to a secondary tumor, although it is a relatively light grade in the brain tumor (a total of four grades), but the operation is more difficult, and I looked at your tumor, occupying a position that belongs to the motor center and cannot be removed clean..."
In fact
For glial tumors,
Depending on the site, there are different surgical methods:
The first type: for larger tumors located in the frontal lobe or anterior temporal lobe, lobectomy can be performed to remove the tumor together.
The second type: If the tumor involves more than two lobes of the cerebral hemisphere, and hemiplegia has been present but has not invaded the basal ganglia, thalamus and contralateral side, cerebral hemispherectomy can also be performed.
The third type: patients whose tumors are located in the motor and speech areas without obvious hemiplegia and aphasia should pay attention to maintaining nerve function and properly resecting the tumor to avoid serious sequelae.
And this middle-aged patient in front of him is the third least lucky!
Can't cut at all!
However, the patient in front of him, the tumor has reached 2X3cm, then Lin Feng naturally chose to use "tumor resection subtotal resection" as much as possible!
"Doctor Lin, I want to ask? Is it okay not to have surgery? The middle-aged patient asked.
Lin Feng: ".................."
Do you still want to drag?
"I'm afraid not, just like this time, your large tumor compresses the nerves, resulting in epilepsy, increased intracranial pressure, and if not treated in time, it may kill you at any time... In fact, when the tumor was detected last year, you should have done the operation, and the sooner this operation is done, the better..."
Lin Feng was a little puzzled.
Brain tumors will definitely grow bigger and bigger, more and more troublesome, some people just like to drag!
This patient was dragged from 1X1cm to 2X3cm!
Drag from level 1 to level 2.
Now, I still want to drag!!
The middle-aged patient explained with a wry smile: "At that time, the oncology professor in the hospital told me that my brain tumor, surgery could not preserve nerves, so it was not clean... That is to say, after surgery, even 0.1% will continue to spread... So, I didn't cut it at that time. "
"Yes, it's hard and clean, but now, the tumor is bigger, I suggest you cut it out surgically..."
The middle-aged male patient looked at Lin Feng: "Is it Dr. Lin, did you help me with the operation?" "
Lin Feng nodded: "That's right, I can take the lead and do this operation for you..."
The middle-aged male patient nodded: "Dr. Lin, I believe you, this operation, I did it, do not seek healing, only seek the prognosis as good as possible!" "
This patient, who happened to be from Peng City, obviously trusted Lin Feng very much.
Lin Feng nodded: "Since you decided to operate, I still have to tell you that the possibility of a clean resection is still unlikely, so you have to face a new tumor problem..."
The middle-aged patient nodded: "Dr. Lin, you said!" "
Lin Feng introduced: "Because the human brain has a blood-brain barrier, it is difficult for chemotherapy drugs to reach the tumor, so chemotherapy has almost no meaning for brain tumors... So only choose: radiotherapy method. "
"Radiotherapy has a significant effect on brain tumors in the near future, but the toxic side effects of radiotherapy are great, it kills cancer cells at the same time, but also kills normal tissue cells and reduces the body's immunity... A lot of TV has filmed hair loss after radiotherapy, pale face or something, you should understand... Of course, you can also continue to let the tumor grow without getting it..."
The patient nodded: "I understand..."
Lin Feng: "You can also choose follow-up Chinese medicine treatment, some specific drugs that activate blood circulation and remove stasis, which have a better therapeutic effect on brain tumors." "
Chinese medicine......
Lin Feng happens to understand a hundred million points!
"Okay, okay!"
"Then you sign..."
The patient signed the consent form for the operation without hesitation.
The patient then advanced into the operating room.
......
operating room
Preparing for surgery...
Nurses shave patients' hair, clean and disinfect...
And the anesthesiologist intubates the patient for anesthesia...
The doctors of the brain department have arrived.
The elderly doctor was not convinced in his heart, feeling that Lin Feng did not have this teaching qualification.
The young doctors, on the other hand, are excited, after all, Lin Feng can be said to be a role model in the hearts of many young doctors across the country.
soon
Surgery ready!
The operation has officially begun!
Lin Feng stood on the operating table.
The brain doctors who watched the study, especially the young doctors, were already eagerly awaiting
"It's started, it's started!"
"I don't know if Dr. Lin is really powerful!"
"It should be very powerful..."
......
Surgical plan: subtotal tumor resection!
Step 1,
Craniotomy!
Using a skin marker (a pen, gentian violet solution as ink, non-toxic and non-irritating, widely used in general surgery, plastic surgery, orthopedics, neurosurgery, cardiovascular surgery and radiation therapy and other operations in positioning marking. ）
On the left side of the brain, draw a '? 'No.
Spread the surgical section (a large hole that spreads the entire area outside the incision)...
Then continue to spread the towel (the area within the incision)...
Spread a third layer of towels (similar to the first one)...
Syringe anesthesia, along the question mark (incision), local anesthesia ...
"Scalpel!"
Lin Feng cut the skin with a scalpel, and then Fang Reni clamped, clamping along the incision (all the incisions) ...
And then wander ...
Uncover the brain, spread it with a cloth towel (the one that lifted up), and fix it with a clamp ...
"Electric drill..."
Perforate the head, drill three holes in three positions, and the three holes surround a 10X15cm bone flap...
Cut......
However, he uncovered the bone flap...
There are 4 bleeding points, Lin Fengma uses electrocoagulation forceps to stop bleeding...
Cut open the meninges, square Zhang Kai...
The surgical field of view that completely exposes the brain tissue inside the skull and forehead...
That culprit: a god-level glial tumor, suddenly appeared in front of everyone!
At this point,
Those older doctors put away their contempt, and their faces became solemn.
As soon as Lin Feng made a move, he knew if there was any.
Lin Feng's skill and speed alone are enough to surprise people!
These old doctors, at this time, looked like kindergarten and elementary school students, listening carefully to the teacher's lecture.
And the young doctor has already shouted 666~~~ at this moment
This is the fastest craniotomy speed they have ever seen, even Director He can't compare!
"Could it be that Dr. Lin's strength is stronger than Director He?"
......
Next, the focus of the operation!
How to free and remove the entire tumor while preserving important brain nerves!
In the surgical field of view,
A god-level glial tumor smaller than a ping-pong ball emerged from a small head and appeared in front of everyone...
"Microscope!"
Next, a long battle!
Surgical principle: remove the tumor as much as possible under the premise of preserving nerve function.
Give the sharp knife and leather band to the assistant to set the microscope, operate under the microscope, use a non-damaging suction head and bipolar coagulation forceps, little by little, and constantly slowly and gently push away the surrounding tissues...
Then fix it with a serpentine hook with a brain pressure plate, and pull away the brain tissue tumor separately...
Continuous use of bipolar electrocoagulation forceps and microstrips to gradually and carefully separate the tumor from normal brain tissue...
For blood vessels that need to be cut, coagulate the blood vessels with bipolar electrocoagulation forceps ...
Using scissors, cut the tumor piece by piece...
Take it out in pieces with tumor forceps and put it into a saline container...
Keep repeating the steps above...
An hour...
Two hours......
Time passes little by little,
Lin Feng showed a difficult grade 4 brain tumor operation in the Third Provincial Hospital!
The surrounding doctors were dazzled.
"Too fast!"
"Can't see it!"
"My mind can't keep up with Dr. Lin's speed!"
"That's awesome!"
One doctor after another, constantly exclaiming ~~~
。