BXBX NOVEL Chapter 1305: 【1305】The strategy is surprising
"Where do you want to enter the puncture point?" Huang Zhilei asked.
"There are generally two approaches for lateral ventricle drainage. One is forehead entry, 1 cm anterior to the coronal suture and 2 to 2.5 cm lateral to the midline. The direction of the puncture needle is parallel to the sagittal plane, aiming at the line connecting the two external auditory canals. The other is the occipital suture. The puncture point is 6 to 7 cm above the external occipital tuberosity and 3 cm from the midline. The direction of the puncture needle is also parallel to the sagittal plane, aiming at the eyebrow ridge. The depth of both is about 5 cm."
"Hmmmm." Huang Zhilei nodded, the junior sister's foundation is very good, and the answer is like a textbook. According to the knowledge guide in the book, what will be the decision of the little junior sister. When both approaches are possible, the doctor has to decide how to choose.
"My personal opinion is that since the injured person has taken a CT scan, they can choose a third method and use CT as a guide."
"Have you seen ct?"
"The CT film has not yet come out, but we followed the preliminary images in the CT room when the patient was doing CT, and basically we can determine the place where the hematoma formed in the lateral ventricle. Therefore, we can take a more accurate puncture and directly aim at the hematoma puncture, Positioning the puncture method for CT." Xie Wanying said word by word.
Her voice was not loud, but the decision she made undoubtedly shocked everyone present.
ct positioning puncture method? Can an intern do it? This is far more difficult than the conventional approach just mentioned. The conventional approach only needs to follow the script, draw the head line, measure the distance in centimeters and drill in. CT positioning depends on the CT film to determine the skull structure of the injured person, and decides where to start the measurement and opening.
To make matters worse, Xiao Yang, who accompanied them to **** the patient to the CT room for a CT photo, knew very well that the CT images viewed in the CT room were preliminary images and were not manually adjusted and synthesized by the CT doctor. When multiple images are not synthesized, it is a layered film, which is very messy. If it is a vague judgment, it may be possible to say that there is a hematoma. Even the doctors in the CT room are not 100% sure that they can see the exact location of the hematoma. She even said that she could judge the location of the hematoma by herself and prepare for ct puncture.
Xiao Yang almost wondered if she was suffering from hallucinations, thinking that after reading what the textbook said, she would be successful if she tried it herself?
Reckless, super reckless, just like what he thought, the female version of Lu Zhishen, the reckless Lu Zhishen. It is accomplished, what if it is not? It was the life of their own National Association. How could her mind not think about this serious consequence.
In Xiao Yang's eyes, this success rate is too low, I am afraid that only the top experts in the industry have the possibility of this operation. She could never do it as an intern. Maybe he can admit that she showed a certain strength in the operation of the exchange meeting, but how can she do the job of a neurosurgery boss.
Even if the people on the National Association side knew about Xie Wanying's strength, they were still a little worried. Li Chengyuan is uncertain to what extent she can achieve it, whether she can really achieve it in one shot as she said. Extra-neural operation is different from other departments. Other departments may allow a slight difference in size, but not outside the nerves.
Huang Zhilei raised his eyebrows, without other people's worries, and said in his heart: "As expected of a little junior sister, people only use ordinary methods, but she uses special methods all of a sudden. Thaksin, because he studies the human brain, the brain of the younger sister Xin has this special ability.
(end of this chapter)