PD :: Volume #2

#131: Brain leaf white matter excision method


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What first is Chen Wenwei surgery, the operating room is located in the surgical ward ten neurosurgery departments a level specially pure operating room. 首先进行的是陈文伟的手术,手术室设在外科楼十层神经外科的一个级特别洁净手术室。 The level is the operating room air cleanness highest rank, the dust particle are least, the bacteria density is lowest, for skull, organ transplanting and other surgeries. 级是手术室空气洁净度最高级别,尘粒最少,细菌浓度最低,适用于颅脑、器官移植等手术。 At this time in the spacious operating room, Chen Wenwei of sickness clothing/taking has lain low with the supine decubitus on the surgery bed, because of hitting general anesthesia, but in deep sleep. Compares early morning time, the patient young face of withered thinly and pale several points, the two sides cheeks obviously are hollower. 此时宽敞的手术室内,一身病服的陈文伟已是以仰卧位平躺在手术床上,因为打好全麻而在沉睡之中。相比凌晨的时候,患者年轻的脸庞又憔悴萎缩了几分,两边脸颊更显凹陷下去。 The anesthetists and nurses are waiting, when are not many pure corridor gate was opened, the medical personnel who one crowd is dressing the aseptic clothing walked. 麻醉师和护士们在候着,不多时洁净走廊门被打开,一群穿戴着无菌衣装的医护人员走了进来。 Gu Jun walks to be one of them, looks at surrounding brightly lit, the instrument complete surgery environment, quite a little feelings, came back. 顾俊就走在其中,看着周围灯光明亮、仪器齐全的手术环境,颇有点感触,回来了。 ...... Here, although is not the crude stone-paved road, the matter that is going to execute is more barbaric. 只是……这里虽然不是简陋的石道,将要施行的事情却更加野蛮。 Patient symptom is steady.” Sits anesthetist Guo army by anesthesia machine said to them, anesthetic can suppress the central nervous system of patient.” “患者体征平稳。”坐在麻醉机旁的麻醉师郭军对他们说道,“麻药还是能抑制患者的中枢神经系统的。” Gu Jun read the electroencephalogram of anaesthesia monitoring unit screen, the signal line showed that Chen Wenwei is at the deep hypnotic state, the graph looks was not different from the ordinary people. However in the surgical process can provoke any stress reaction of body, their here no one has any experience. 顾俊看了看麻醉监护系统屏幕的脑电图,信号线条显示陈文伟正处于深度催眠状态,图形看着就跟平常人没什么两样。不过手术过程中会不会引起机体的什么应激反应,他们这里没有一个人有任何经验。 The standard surgery way of brain leaf white matter excision method stems from the condition backward age, is unable to guarantee the precision, is its by denounced reason. 脑叶白质切除术的标准手术方式源于条件落后的年代,无法保证精确度,也是其饱受诟病的原因。 But currently has some maturer way and more advanced image equipment coordination, for example with the MRI pinpointing goal, greatly improved accurate of surgery. 但现在有了一些更成熟的方式和更先进的影像设备配合,比如用MRI精确定位目标,大大提高了手术的精准度。 The excision method of this spot, will apply in the tumor pathological change of bruise and situation. 这个部位的切除术,还是会应用于挫伤、肿瘤病变等的情况。 Because the Nightmare Disease patient even condition still at the light time, the immunity and function condition has actually been not as before, the surgery must consider after the technique, restores. The plan that therefore sets unifies the old way by the new science and technology, that is can destroy the brain leaf white matter effectively . Moreover the wound is lower. 只是因为恶梦病患者即使病情尚在轻期,免疫力和机能状况却都已经大不如前,手术方案要考虑到术后恢复。因此定下的方案是以新科技结合旧方式,那是能有效破坏脑叶白质的,而且创伤更低。 However chief surgeon Sikou prominent , helping Song Yilong and the others, is ready in full battle array. 不过主刀司寇显、一助宋以龙等人,全都严阵以待。 Although this group of middle-aged men each is the Dongzhou medicine section best neurosurgery department expert, four help be no exception, making various types the skull technique was the potluck, actually lacked in this barbaric way experiences, but could also not allow to present the least bit to be wrong. 这帮中年男人虽然每一位都是东州医学部最好的神经外科专家,就连四助也不例外,做各种开颅术是家常便饭了,在这种野蛮方式方面却缺乏经验,还容不得出现半点错误。 When the ordinary surgery does.” Sikou prominent encouraged everyone one, is encouraging itself. “就当普通手术来做吧。”司寇显鼓励了大家一句,也鼓励着自己。 The people fall position toward the surgery table- neurosurgery department surgery has the different position, the chief surgeon stands above the head of patient, anesthesia machine located in the left side, power system and instrument stage located in the right side. But Gu Jun stands behind the instrument nurse is looking around. 众人往手术台边落好位置-神经外科手术有不同站位,主刀医生站在患者的头部上方,麻醉机设在左侧,动力系统和器械台设在右侧。而顾俊是站在器械护士后面一些张望着。 Meanwhile, by way of the camera of surgery table above shadowless lamp, as well as periphery many monitoring cameras, here situation in real-time broadcast on this floor the large screen of conference room, and research center of stress disorder building, that side the research institute of headquarters. 与此同时,经由手术台上方无影灯的摄像头,以及周围多个的监控摄像头,这里的情况正在实时播放在这个楼层的一间会议室的大屏幕上,以及精神心理楼的研究中心,还有总部的研究所那边。 The innumerable researchers are watching silently, Professor Qin and Tang Zhifeng they were also one of them. 无数的研究人员都在默默地观看,秦教授、唐志峰他们也是其中之一。 Quick, on each screen is the image that the surgery starts, Chen Wenwei head by three nail head fixed, and revolved 90 degrees to the operative approach opposite side, the hair had been shaved clean, the EEG monitor electrode sensing half hood avoided the technique section. 很快,各个屏幕上是手术开始的影像,陈文伟的头部被三钉头架固定,并向手术入路对侧旋转了90度,头发早已被剃光了,脑电监测电极传感半头罩避开了术部。 The blood flows rapidly, the blood was stopped, they first make the scalp margin, then makes the hypodermic dissection...... 鲜血涌流,鲜血又被止住,他们先做头皮切口,再做皮下解剖…… Gu Jun has looked near far with rapt attention, before coming, he has read some materials , before there is participated in the technique a conference, knows that this was making anything. 顾俊在远边一直凝神看着,来之前他已经看过些资料,也有参加刚才的术前会议,知道这是在做什么。 By the patient head wants various drill eyelets, each side will implement the surgery in the different three positions. 患者头部两侧都要各钻一个小孔,每侧将在不同的三个位置实施手术。 At present, Sikou Zhudao with the single-pole electricity blade incision temple fascia, the temple muscle and periosteum level, separates under the periosteum corresponding that scrap myo- skin flap again, with drawing the hook fixes, inside skull exposed. 眼下,司寇主刀用单极电刀切开颞筋膜、颞肌、骨膜层,再把相应的那一小块肌皮瓣在骨膜下分离,用拉钩固定好,里面的颅骨就暴露出来了。 Operates the skull drill.” The chief surgeon said, the instrument nurse gives. “开颅钻。”主刀医生说,器械护士就给。 Sikou received obviously MidasRex that installed the small drill bit opens the skull to drill in the hand, bends down to aim at the skull of patient technique section, is the above of meatus auditorius prepares to drill, this drill hole position has calculated precisely well. 司寇显接过一把装上了小钻头的MidasRex开颅钻在手中,俯身对准患者术部的颅骨,也就是耳道的正上方准备打孔,这个钻孔位置是已经精确计算好的了。 The electric drill sound of zi zi gets up, simultaneously broke the operating room and control center and other quietness of places, the intense undercurrent is surging. 嗞嗞的电钻声响起,同时打破了手术室、指挥中心等多个地方的沉静,紧张的暗流正在涌动。 In the operating room is accustomed to the slippery customer of skull, Gu Jun that most is not familiar with, fudges toward the head on, must always make one feel cold compared with the limbs. 手术室里都是做惯开颅的老油条,最不习惯的还是顾俊,往脑袋上动手脚,总是比肢体更要令人发冷。 He looks at the high-speed drill bit that revolutions is not seeing clearly like this, the little drill broke the patient hard skull of...... 他就这样望着那个转得看不清楚的高速钻头,一点点钻破了患者坚硬的颅骨…… Then helps Song Yilong clean up drill hole below bone scraps residual with the curette, but Sikou received obviously brain white matter cut-off key, it like a king bolt blade, the pole is linking the hand a slab sided probe head that enters the brain, the side opens the mouth, and does not have the tip. 接着一助宋以龙用刮匙清理掉钻孔下方的骨碎残渣,而司寇显接过一把“脑白质切断器”,它就像一把大螺丝刀,杆子把手连着一支伸入脑部的长细探头,侧面是开了口,并且没有尖端的。 But its nose jaw opening has a traveler, so long as draws the handle, the steel wire will spring to transfer under the role, shuts off the nerve fiber. 但它的端部开口处藏有一个钢丝圈,只要一拉手柄,钢丝就会在拉动作用下弹出转上一圈,切断神经纤维。 At this time, Sikou prominent entered the brain of patient from the drill hole the cut-off key probe head, arrived at a preinstall position, first stopped. 这时候,司寇显把切断器探头从钻孔伸入患者的脑部,到达一处预设位置,先停着手。 Song Yilong took the probe of surgical navigation system to search searching, before nearby computer screen real-time union technique , the MRI image data that gained, showed that by the 3 D image the situation of brain, letting Sikou obviously the proportional type control of cut-off key probe head accurate. 宋以龙拿着手术导航系统的探针探了探,旁边的电脑屏幕实时结合术前获取的MRI影像数据,以3D影像显示出脑部的情况,让司寇显把切断器探头的位置调整准确。 This takes the surgery that has rewarded.” “这可是拿过诺奖的手术。” Sikou prominent muttered the sentence, draws the cut-off key handle, immediately seems ka one, before the been able to see traveler springs the patient, temporal lobe stirred to destroy...... 司寇显喃喃了句,就一拉切断器手柄,顿时似有咔哒一声,看不到的钢丝圈弹出把患者前额叶的一处搅毁了…… This side completes one, two positions. 这侧完成一处,还有两个位置。 The air of operating room congealed probably, Gu Jun looks unemotionally, does like this will cause what brain injury really to have no way to forecast clearly. 手术室的空气像是凝结了,顾俊看得面无表情,这样搞会造成什么脑损伤真的没法预测清楚。 But he knows, if the treatment of Nightmare Disease has not made the progress, this can only be a beginning, many surgeries will be performed. 但他知道,如果恶梦病的治疗没有取得进展,这只会是个开端,还有很多手术会进行。 Two-sided cingulum bundle damaging technique, hemispherectomy...... 双侧扣带回毁损术,大脑半球切除术…… In brief the medicine section will cut to brain here of patient, there cuts, will have a look to have anything. 总之医学部会对患者的脑部这里切一点,那里切一点,看看都会发生些什么。 This as if violated the humanitarian, but the patient has not chosen, their doctors do not have. 这似乎违反了人道主义,但患者没有选择,他们医生也没有。 In front of not being able to find the plague of method of treatment, in a flash, they returned to that bloody ignorant old time. 在找不到治疗方法的瘟疫面前,一瞬间,他们又回到了那个血腥愚昧的旧时代。 Sikou prominent has not adjusted the cut-off key, suddenly at this time, the warning sound resounded through the operating room suddenly, they were worried the situation of having appeared. Anesthetist Guo Junji said: Patient heart rate too fast! The EEG also deviated, this......” the data on these guardianship instrument screens have messed up. 司寇显还没调整好切断器,突然这个时候,突嘀嘀的报警声响彻手术室,一个他们担心出现的情况出现了。麻醉师郭军急道:“患者心率过速!脑电也偏离了,这……”那些监护仪器屏幕上的数据都已经乱了套。 How does not need the people, hoarse strange sobs a sound to get up, from head there of patient. 不待众人怎么着,沙哑怪异的呜咽一声响起,就从患者的头部那里。 „.” The instrument nurse first called out in alarm the sound, tours nurse and the others and a doctor, in abundance drastic change complexion. “啊。”器械护士最先惊叫了声,还有巡回护士等人和一众医生,纷纷剧变了面色。 On the surgery table the head was opened a hole also to insert Chen Wenwei of cut-off key, suddenly opened the eye, and makes the sound, in the look, only then sticks ignorant/veiled muddy...... 手术台上脑袋被开了个洞还插着切断器的陈文伟,突然睁开了眼睛,并发出声音,眼神中只有糊蒙混浊…… Control center, the patient...... the patient woke.” Sikou prominent was also startled facing this first response. “指挥中心,患者……患者醒过来了。”司寇显面对这一幕第一反应也是怔了。 Although has the patient to present plan of stress reaction early- that also anaesthetizes the function change under condition. 虽然早有患者会出现应激反应的预案-那也是麻醉状态下的机能变化而已。 Since long, some patients consciousness in various surgical processes suddenly come soberly, can feel the pain, can hear the voice of medical personnel, oneself actually cannot move and speak. Because the anesthetic expires, may have the muscle loose medicinal preparation, the patient is unable to control own muscle. 长期以来,是有极少数患者会在各种手术过程中突然意识清醒过来,能感觉到痛苦,能听到医护人员的声音,自己却不能动弹和说话。因为麻药失了效,可还有肌松剂,患者无法控制自己的肌肉。 This time Chen Wenwei, can actually open eye and the voice. 此时的陈文伟,却能睁目和发声。 writing great?” The facial expression on Sikou Xianguo character face steady, immediately asked: „Can writing great, hear?” “文伟?”司寇显国字脸上的神情稳了稳,立即问道:“文伟,能听到吗?” But that side Gu Jun looks, the heart emerges the dangerous feeling that is rapidly intense...... 可那边顾俊看着,心头涌现着一股迅速强烈起来的危险感…… Ph......” Chen Wenwei body has not moved, the head has not swayed from side to side, but the complexion becomes one piece strange pale, the eyeful blood threads shapes must flow out the bloody water, that hoarse strange sound continues to say from his mouth, nglui...... nafh...... Cthulhu......” “Ph……”陈文伟的身体没动,头部也没有扭动,但面色变得一片诡异苍白,满眼的血丝像要流出血水,那沙哑怪异的声音继续从他的嘴巴说出,“nglui……nafh……Cthulhu……” Gu Jun one stares at immediately, can hear, is those words! 顾俊顿时一下瞪目,听得出来,是那句话! Ph39 ; ngluimglw39 ; nafhCthulhuR39 ; lyehwgah39 ; naglfhtagn “Ph39;ngluimglw39;nafhCthulhuR39;lyehwgah39;naglfhtagn” Almost is also simultaneously, he felt that has giant spiritual shock-wave to throw wild like the monstrous waves of tsunami, from Chen Wenwei there eruption. 几乎也是同时,他感到有一股巨大的精神冲击波如同海啸的巨浪狂暴地扑来,就从陈文伟那里爆发而出。 „!!” Nearest Sikou, Song Yilong called out pitifully to make noise obviously suddenly, both hands instinct held down to explode the pain head, was obstructed the most facial features by the mask instant became pale, the body has creakied. “啊!!”距离最近的司寇显、宋以龙都突然惨叫出声,双手本能地按住爆痛的脑袋,被口罩遮了大半的面容瞬时变得惨白,身体已是摇摇欲坠。 Two help, three help, four help, anesthetist and a nurse, in the operating room except for Gu Jun all medical personnel, was all submerged by the violent pain! 紧接着,二助、三助、四助、麻醉师和一众护士,手术室里除了顾俊的所有医护人员,全都被猛烈的痛苦淹没!
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