"Preparing the skin, disinfecting it, and now determining the puncture point." Xie Wanying reported to her brother.
"Where do you want to enter the puncture point?" Huang Zhilei asked. "There are generally two approaches for lateral ventricle drainage. One is frontal, 1 cm in front of 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, and is aligned with the line connecting the two external auditory canals. entry, puncture point
6 to 7 cm above the outer occipital tuberosity and 3 cm lateral to the midline, the direction of the puncture needle is also parallel to the sagittal plane, aiming at the brow ridge. Both are about 5 cm deep. " "Uh-huh. "Huang Zhilei nodded. The younger junior sister's foundation is very good, and the answer is the same as the textbook. According to the knowledge guide in the book, what will the younger junior sister's decision be. If both approaches are possible,
How do doctors choose.
"My personal opinion is that since the injured have had CT scans, they can choose the third method and use CT as a guide."
"Have you seen a ct?" "The ct film has not yet come out, but we followed the preliminary images in the ct room when the patient was undergoing ct, and we can basically determine where there is a hematoma in the lateral ventricle. Therefore, more accurate measures can be taken puncture, aimed directly at the blood
Swelling puncture, puncture method for ct positioning. " Xie Wanying said word by word.
She didn't speak loudly, but the decision she made undoubtedly shocked everyone present. CT positioning puncture method? What can an intern do? This is far more difficult than the conventional approach just mentioned. The conventional approach only needs to follow the scriptures, draw the skull line, measure the centimeter distance and drill in. CT positioning depends on CT film judgment
The head structure of the injured person is determined by himself where to measure and open the hole. How does an intern without any surgical experience know how to measure the puncture point based on CT? To make matters worse, Xiao Yang, who accompanied them to escort the patient to the CT room for a CT scan, knew very well that the CT images viewed together in the CT room were preliminary images that had not been 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 vaguely judged, 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 clearly see where the hematoma is located.
Come out and make the final judgment. She even said that she herself could judge the location of the hematoma and prepare for CT positioning and puncture.
Xiao Yang quickly wondered if she had hallucinations, thinking that after reading what the textbook said, she would be successful if she tried it herself? Reckless, super reckless, just as he thought, she was the female version of Lu Zhishen, the reckless Lu Zhishen. Achievement is achieved, what if it is not achieved? That was the life of their own National Association. Why doesn't her mind think about this strict
heavy consequences. In his Xiao Yang's eyes, the success rate is too low. I'm afraid only the top specialists in the industry have the possibility of this operation. It is absolutely impossible for her as an intern to do it. Maybe he can admit that she was at the exchange
She showed a certain strength during the operation, but she couldn't do the job of a neurosurgery master. Even if the people on the side of the National Association know Xie Wanying's strength, they are still a little worried. Li Chengyuan couldn't figure out to what extent she could do it, whether she could really hit the nail on the head as she said. Neural is and its
It operates differently in the department. Other departments may be able to allow a little difference in size, but not neurology. Huang Zhilei raised his eyebrows, he didn't have any other people's worries, and he praised in his heart: As expected of my junior sister, she only uses the common law, and she will use the special law at once. He believes that because he studies the human brain, he believes that the brain of the junior junior sister has this special ability.