The multinational coalition force reappeared on Zaragomez Island on September 18, 2021 local time.
At 18:12 that evening, the rescue team began to perform ECMO on Gu Jun in the operating room; at 18:37 he recovered his weak heartbeat, and the ef value reflecting the systolic and pumping function of the ventricle was only 10%, while the normal value was 50%-70%; because of the massive hemorrhage in the right frontal lobe, Si Kouxian's neurosurgery team began to perform frontal lobe craniotomy on him at 18:42.
Incision made, skin flap opened, skull drilled, bone flap removed, bone flap removed, dura mater incised, hematoma removed, sutured, drained.
Because considering his condition, if the bone flap is kept, the risk of complications such as high intracranial pressure and postoperative cerebral edema is greater, and a second operation is required, which may crush his life, so the team chose to remove it. bone flap. Part of the skull on his right forehead was gone, and the dura mater was under the scalp, and the small half of his forehead collapsed softly. If he can make it through, cranioplasty at a later date.
Since he had no other brain contusions, the craniotomy was completed in just over 4 hours, and the operation ended at 22:56 of the day.
Immediately afterwards, the orthopedic team led by orthopedic expert Wang Huikang took over the main position of the neurosurgery operating table.
They performed debridement and suture of multiple soft tissues on Gu Jun, open reduction and internal fixation of multiple fractures in the upper palms, phalanges, radius, ulna, and tibial plateau of the left lower extremity, and open reduction of shoulder dislocation. surgery.
The doctors could judge from his injuries that when Gu Jun fell from a high altitude, he first touched the ground with his hands for support, then knocked his right forehead, and then supported himself with his left foot. Therefore, his upper limbs were seriously injured while his lower limbs were slightly injured. It is also because there is no fracture in the right lower limb, which gives ECMO an ideal position for va shunt intubation.
These operations were performed one after another for 22 hours. By the time the orthopedic team stopped, it was already 21:25 on the evening of September 19.
During this period, the ecmo team led by Liu Mingfeng has been observing and adjusting the equipment parameters. These operations have brought more difficulties to the stable operation of ecmo. Fortunately, the team has rich experience and maintained good cardiopulmonary support, limb blood supply and return to Gu Jun.
Experts such as Li Cheng and Zhang Zeli from the Department of Cardiology and Cardiac Surgery did not dare to relax for a second.
Although Gu Jun recovered his own heartbeat, his peripheral circulation and pulsation were extremely poor, and his hemodynamics fluctuated greatly. The heart of such a 22-year-old young man, and the last physical examination showed that his heart could beat to 120 years old. Like myocardial infarction and heart failure at any time.
However, with the hard work of the team, he did not suffer a second cardiac arrest during the operation, his hemodynamics stabilized, his heart's ef value rose to 20%, and he also recovered weak spontaneous breathing.
At this time, the rescue team can finally say that they have won the first battle to recapture Huijun from the dark abyss.
Everyone in the operating room, command center, and corridors breathed a sigh of relief, but what happened afterwards proved that the postoperative period was a long test.
On the morning of September 20th, Gu Jun's ef value dropped to <10% again. Chest X-rays showed that he had a large amount of fluid in his bilateral pleural cavity, his lungs were oozing with inflammation and infection, and he also had symptoms such as electrolyte imbalance... Rescue The team went to the operating table again to deal with these complications, another 30+ hour struggle.
The 21st is the Mid-Autumn Festival of this year. They spent it in the operating room, and Wu Shiyu, Uncle Dan and others also spent it on the destroyer.
Gu Jun's craniotomy was performed with high quality and no postoperative complications. This may be the only good thing.
Another good thing is that there is no bleeding from his ecmo catheter and no swelling in the right lower extremity.
After the first few days, Gu Jun's condition started to improve, and the team continued to take care of him. On the 25th, one week after the operation, the ef value rose to 30%, and the severity of the detachment decreased; and on October 2, two weeks after the operation, the ef value increased to 40%, with a slight decrease, and the heart was out of danger.
Other indicators of his body have also stabilized, so after ecmo for 14 days, the team removed the extracorporeal circulation for him and transferred him to the ICU ward.
At this time, Gu Jun and the others were also transported back to the Tianji Bureau headquarters in Dahua City for follow-up treatment.
Deng Ximei woke up on September 23. Although she had some headache symptoms, her sanity was fine and her life was not in danger, but she was very silent.
In view of her performance in this operation, she officially became a member of the Conjuration Department of the Tianji Bureau. Master Tong and others have high hopes for her, hoping that she can give full play to her potential and make up for the vacancy left by Gu Jun's absence. But for the time being she still needs to undergo a lot of recovery treatment.
Deng Ximei's awakening made everyone very happy, but on October 6, everyone's mood fell to the bottom again.
This is the 18th day after Xue Ba underwent ecmo. He developed a blood infection and multiple organ failures such as liver and kidney. :36 minutes, the team announced the death of Xue Ba.
This news is very heavy for everyone in the Tianji Bureau.
Xue Ba, who was born as the captain of the Dongzhou Demon Hunter Squad, had already grown into an important talent in the Magic Department-Tianji Bureau-goa, and died at the age of 39.
The situation on Gu Jun's side is not optimistic either. His heartbeat and breathing have recovered, the anesthetic has been sprinkled long ago, but his consciousness has not awakened, and there is no sign of EEG. Everything points to the possibility of brain death: his body is still alive. , but he never woke up again.
Experts can't say well about this kind of cranial nerve problem. It may never wake up, or it may wake up tomorrow, or a year later, ten years later...
Time passed day by day. On October 18, the 30th day of his coma, he still didn't wake up.
On this day, the Tianji Bureau held a funeral for Xue Ba, who was buried in the Tianji Martyrs Cemetery. Everyone was present, but Gu Jun was absent.
On the 60th day of his coma, the results of the film showed that his fracture was recovering well, and the medical team successively removed the plaster for him.
Even though Gu Jun may already be in a vegetative state, the rehabilitation team members did not slack off, turned over him regularly every day, massaged him, etc., and tried to maintain his functions as much as possible. Therefore, although he had lost a lot of weight, he didn't have the same degree of muscle atrophy all over his body.
On December 18, the 90th day in his coma, three months after the frontal lobe craniotomy, the team performed a cranial repair on him, using the best cranial repair material polyether ether ketone (peek), It is seamlessly connected with human bones, and its heat insulation and hardness are good enough.
The operation went smoothly, and since then Gu Jun has an extra piece of PEEK in his skull, but it is covered by the scalp, so it cannot be seen from the outside, it still looks the same.
The time has come to December 31, the last day of this year, the 103rd day of Gu Jun's coma, and 2022 is coming soon, but he still hasn't woken up.