【1305】The strategy is surprising
"Prepare skin and disinfect, and now we are confirming the puncture point." Xie Wanying gave a report to her senior brother.
"Where do you want to enter the puncture point?" Huang Zhilei asked.
"The lateral ventricle drainage generally has two approaches. One is the forehead, from 1 cm before the coronal slit, 2 to 2.5 cm away from the midline, the puncture needle is parallel to the sagittal plane, and is aligned with the connecting line between the two external auditory canals. The other is the puncture point, 6 to 7 cm above the sagittal trochord, and 3 cm away from the midline, the puncture needle is also parallel to the sagittal plane, and is aligned with the eyebrow ridge. Both are about 5 cm deep."
"Yeah." Huang Zhilei nodded. The junior sister's foundation is very good, with the same textbook style. According to the knowledge guide in the book, what will the junior sister's decision be? When both approaches are OK, the doctor will make a choice.
"My personal opinion is that since the injured person has taken ct, he can choose the third way to let ct be used as a guide."
"Did you read ct?"
"The CT film has not come out, but when the patient was doing CT, we followed the preliminary image in the CT chamber, and basically we can determine where the hematoma is formed in the lateral ventricle. Therefore, more accurate puncture can be adopted, and the hematoma puncture can be directly aimed at the CT puncture to locate the puncture method." Xie Wanying said word by word.
She didn't speak loudly, but the decision she made undoubtedly shocked everyone present.
CT positioning puncture method? Can an intern do it? This is much more difficult than the conventional approach mentioned just now. The conventional approach only requires reading the text, drawing a skull line, and drilling it in a centimeter distance. CT positioning requires calculating the head structure of the injured person based on the CT film, and determine where to start measuring and opening the hole. How can interns without any surgical experience know to measure this puncture point based on the CT?
What's worse is that Xiao Yang, who accompanied them to escort the patient to the CT room to take the CT room, was very clear. The CT image I saw in the CT room was a preliminary image and was not manually adjusted and synthesized by the CT doctor. If multiple images were not synthesized, it was a layered film, which was very messy. If it was vaguely judged, it might be OK to say that there was a hematoma. Even the CT room doctor did not dare to be 100% sure that he had seen clearly where the specific location of the hematoma was, and had to wait until the CT tablet was completely out before making the final judgment. She actually said that she could judge the location of the hematoma and was preparing for CT positioning puncture.
Xiao Yang was about to doubt whether she had phantoms and thought that she would succeed after reading what the textbook said.
Reckless, super reckless, just like what he thought, was the female version of Lu Zhishen, who was indecisive and reckless. The achievement was achieved, what if it didn't? It was the life of their own national association. Why didn't her mind think about this serious consequence?
In Xiao Yang's eyes, the success rate is too low. I'm afraid that only top professionals in the industry have the possibility of this operation. An intern can never do it. Perhaps he can admit that she showed certain strength in the exchange meeting operation, but how could she do the job of a neurosurgery master?
Even if the people in the National Association know Xie Wanying's strength, they are also a little worried. Li Chengyuan couldn't figure out what level she could do, and whether she could really get a shot as she said. The operation of the nerve outside is different from other departments. Other departments may be slightly different from that of the nerve outside, but the nerve outside cannot do it.
Chapter completed!