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第十三章 【乙酰唑胺】(2 / 2)

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虽然代谢性酸中毒能导致颅内压增高,脑血管扩张,但它还能导致脑血流量增加,这无疑又是化缺点为优点。

用PaCO2下降,颅内压增高,脑血管扩张这些缺点来换取一个可以用来保命的脑血流量,毫无疑问,这是目前让患者脑血流量恢复正常状态的最为便捷的选择。

同时乙酰唑胺还有一个名副其实的优点,那就是可以防治脑水肿。如此一来,乙酰唑胺堪称为一箭三雕,比呋塞米注射液的一举两得还要更为实用,也更不需要什么利尿剂,亚低温疗法,渗透性脱水疗法。

……

所以根据这些推断,景夜觉得乙酰唑胺才是目前最为适合患者的药剂。

但并不是说乙酰唑胺是一种神奇的药剂,只是说对症下药,才能让患者不会错过最佳治疗的时间。

护士注射乙酰唑胺的同时,景夜把ICP监测仪撤下来,避免大脑半球缺血性卒中互相冲突,又让另一名护士注射了一针达比加群酯以增强抗凝,以防止颅内血液凝固,血管性栓塞。

完成脑水肿的防治措施后,景夜让护士再检查一下白细胞增多是不是病毒性脑膜炎造成的,护士摇头说不是,景夜就再次把目光转移到下丘脑错构瘤的位置上。

这时,室外的医生又开始猜测起来。

“之前杰克瘙教授已经做过开颅手术,想必景夜不会选择第二次从颞下开刀入路吧。”

“我觉得也是这样,估计他这次就要使用翼点开刀入路了。”

“我看未必,他是不会走寻常路的。”齐修远摇了摇头,眼神里流露出了内心的喜悦,“这景夜才来我们医院没几天,却能在这场大型手术上崭露头角,设备还没有检测出来的病症,他却能一口一个准,察言观色非同一般,简直就是一个预言家啊。而且之前你们的猜测好像都错了吧,所以我看接下来的手术,他会更让我们大吃一惊。”

“院长说的对!院长说的对!”柴藤紧随其声,附和一句。

齐修远扭头望着柴藤,欲言又止,最后只能勉强笑了一下,继续回过头来望着景夜。

果不其然,景夜下一步的举动被齐修远给猜中了。

景夜并没有选择从翼点开刀入路,而是将旁边的设备伽马刀给转移到了旁边。

这是一台头部伽玛刀,在球型的头盔内安装着很多个钴源,可以形成无数的窄束离子射线,而这些射线都会聚集在脑部肿瘤的同一个点上,可旋转,可移动,根据医生的操作来进行一一消除肿瘤。

“我去,不是吧,景夜这个小子,竟然想要使用伽玛刀来切除错构瘤?他确定在医学院里好好听课了?”

“是啊,我们大家都知道,这个伽玛刀固然是切除肿瘤的利器,但伽玛刀的首选肿瘤直径应该为2.5cm,最大也不能超过3cm,可是患者的错构瘤直径已经高达3.3cm,一旦切除,谁也不敢保证没有风险啊。”

“不作死就不会死,我看景夜就是为了抢风头才这样做的,不然的话谁会愿意承担如此不确定结果的风险啊,人要是死在了我们的医院里,谁来负责?院长,我看我还是叫人把他给拉出来吧。”柴藤询问道。

可还没等院长回话,柴藤就招呼后面的人出动,让他们立即将景夜拖出来。

——

比起征服欧洲,我更想让你的票票和收藏征服我!?(????ω????)?

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