Chapter 865 The girl sentenced to death
"However, I am a little curious about how many seconds I can hold on. I feel that I can hold on for thirty seconds. After all, I am familiar with anesthetics." The anesthesiologist muttered to himself.
The circulating nurse on the side could not bear it anymore and said with a dark face: "You are an anesthesiologist, not an anesthesiologist... Don't have unrealistic fantasies about yourself."
Xu Qiu looked at the anesthesiologist expressionlessly.
This guy just complained that other people were ignorant of the world...
Xu Qiu looked at the screen again.
Under ultrasound, the gender of the 32-week fetus can be identified.
At this time, the fetus should normally weigh about 1,500 grams, and the testicles of the male fetus begin to descend from the abdominal cavity near the kidneys and along the groin to the scrotum.
The female clitoris also begins to protrude, but it will not be completely covered by the labia minora until a few weeks before delivery.
Most importantly, the fetus's head continues to grow, and the brain development enters a period of rapid development.
This is also the reason why Xu Qiu chose to intervene at this time.
Early surgery to correct Galenic vein malformation can minimize the impact of the disease on the development of the fetal nervous system and reduce the probability of congenital heart disease and various cardiovascular and cerebrovascular diseases.
"It's a girl."
Seeing the lack of a little Ding Ding in the ultrasound, everyone immediately determined the gender.
As for the development... you can't dig the fetus out and stretch it, you can only estimate it based on the length of the head and feet.
A 32-week-old fetus weighs about two kilograms, and the length of the head and feet is about 46cm. Roughly speaking, Fang Jiajia's child is developing normally.
Next is the fetal position.
Generally speaking, the head of the fetus will begin to descend into the pelvis at 33 weeks. If not, the doctor will manually correct it at 34 weeks to adjust it to a fetal position with the head facing down and conducive to delivery.
The fetus in Fang Jiajia's belly has also turned around.
The needle has to enter from the fundus of the uterus.
Moreover, in order to avoid the effect of gravity, Fang Jiajia was adjusted to a head-down and foot-high position, which corresponds to the head of the baby in the belly facing up.
This is also the most suitable position for the operator to operate.
What Xu Qiu is going to do is to block the arteriovenous aneurysm through the skull-sinus-confluence vein approach.
The only difference from conventional surgery is that this is an intrauterine treatment operation!
After fixing the fetal position, Xu Qiu inserted the needle tube at the selected puncture point under ultrasound guidance.
The sharp needle tip smoothly passed through the skin and entered the uterus, and soon reached the position of the fetal skull.
At this time, Xu Qiu had already felt a lot of resistance from his hand.
One of the advantages of doing skull surgery on an unborn fetus is that the fetal skull is not complete, and there are gaps between different skulls, and the gaps are covered by soft tissue.
Compared with doing skull perforation surgery on a pregnant woman, penetrating the delicate soft tissue is obviously much simpler.
This is also one of the reasons why Xu Qiu dared to do intrauterine minimally invasive intervention.
Without the backdoor provided by soft tissue, if you want to penetrate the fetal skull through the belly and uterus, you must not cause too much damage to the pregnant woman herself and the uterine body, and ensure the need to continue the pregnancy. The difficulty is really extraordinary.
Swish——
The needle tip was like a hot knife piercing butter, entering the fetal skull comfortably.
Under ultrasound, the needle finally reached the area of Galenic vein malformation.
Everyone held their breath.
They had never thought that this rare disease that was almost unsolvable could be solved in such an incredible way.
Moreover, the hope of treatment was just around the corner!
As a result, everyone's mood was also lifted, and they finally empathized with Fang Jiajia's emotions.
However, Fang Jiajia was happy that the fetus had a new life.
The doctors in the operating room were excited about the world's first minimally invasive interventional treatment of an intrauterine fetus!
…
As the needle entered the target area, Xu Qiu slowly pulled out the needle core and sent a tiny catheter into the hollow needle.
Then the metal coil was sent in.
When the metal coil also arrived at the target area, everyone's nerves were tense again.
Staring at the screen intently, paying close attention to the blood supply to the fetal brain in the abdomen.
After waiting for a while, the blood flow that was disturbed by the pain of foreign objects entering and piercing the soft tissue of the skull finally returned to normal.
Xu Qiu waited for another half a while, and only released the coil with a bang after the blood circulation was completely stable.
Gugugugu——
Although there was no sound, everyone looked at the coil that was constantly expanding on the screen and still imagined a sound like blowing a balloon.
Finally, the swollen coil completely blocked the Galenic vein malformation, and the connection point between the abnormal arteriovenous aneurysm was completely blocked!
The terrible thing about Galenic vein malformation is that it has an abnormal blood flow path, which causes blood to flow to useless areas instead of supplying brain development.
It's like a hungry person who has only a little pitiful spare money. Instead of buying food, he uses it to buy comics.
The result can only be skinny and even starving to death.
And Xu Qiu's operation is to block all the blood flow paths that shouldn't exist, so that blood can only follow the normal circulation and nourish the entire nervous system.
At this moment, the operating room is so quiet that you can hear a pin drop.
Only the sound of the equipment was dripping.
Finally, the anesthesiologist's voice broke the silence. He reported in a joyful tone: "Total cardiac output has decreased, and the decrease is about 63%!"
After a brief pause, everyone cheered.
A 63% decrease!
This means that the blocking effect is very good, the blood flow in the venous aneurysm and occipital sinus has decreased, the problem of dura mater blood supply has also been solved, and the fetus is gradually recovering normal blood circulation!
Seeing this result, Xu Qiu also quietly breathed a sigh of relief.
Finally, he did not live up to the crazy simulation training for many days...
One pierce, one release, two simple steps, he used a lot of energy to achieve this step today!
Fortunately, the result is gratifying.
Through this intrauterine minimally invasive interventional treatment, the fetus was intervened before the umbilical cord compensation and serious damage to the heart and brain occurred. The health of the fetus after birth may not be as good as that of a normal fetus, but it will not be much worse!
At least, there is no need to worry about whether it can live to the next day after birth, and there is no need to perform cardiovascular support and postpartum embolization treatment just after delivery!
"Success!"
"The first case in the world, Dr. Xu has created a miracle again!"
"Performing surgery on the baby in the belly was something that only gods could do in the past. Dr. Xu helped this child change his fate!"
In the operating room, many people burst into tears.
Having been doctors for so long, they have developed excellent insensitivity. They will not pour too much emotion into anything that happens at work, and it is even more impossible for them to be sentimental for too long for a patient's resurrection or tragic experience.
However, facing a fetus standing at the starting point of life, anyone can control the touch in their heart.
A girl sentenced to death before she was born.
A mother who was persuaded to give up by doctors all over the country!
This mother and daughter waited for Xu Qiu with perseverance, and finally won redemption for themselves!
