Plague Doctor

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The multinational joint force reappeared on Zaragomes Island on September 2021, 9 local time.

这天傍晚的18:12，抢救团队在手术室开始给Gu Jun 做ECMO；他在18:37恢复微弱的心脏搏动，反映心室的收缩泵血功能的ef值仅有10%，而正常值是50%-70%；因为其右侧额叶大面积出血，司寇显主刀的神经外科团队在18:42给他开始做额叶开颅术。

Make incisions, open skin flaps, drill holes in the skull, open bone flaps, remove bone flaps, cut the dura mater, remove hematoma, suture, and drain.

Because of his condition, if the bone flap is retained and the risk of complications such as high intracranial pressure and postoperative cerebral edema is greater, then 2 operations are required, which may crush his life, so the team chose to remove Bone flap. A part of his right forehead skull was gone, and the dura was under his scalp. He watched the forehead collapse softly. If he can support it, he will do skull repair later.

Since he had no other brain contusion and laceration, this craniotomy was completed in just over 4 hours, and the operation ended at 22:56 on this day.

Immediately afterwards, the orthopedic team led by orthopedic expert Wang Huikang took over the main position of the neurosurgical operating table.

They performed multiple debridement and sutures on Gu Jun for multiple soft tissues, open reduction and internal fixation of multiple fractures of the upper palm, finger bone, radius, ulna, left lower extremity tibial plateau, and shoulder dislocation. Reduction surgery.

The doctors can tell from his injuries that Gu Jun fell from the sky at the time with his hands propped on the ground first, then the right forehead knocked, and the left foot propped, so the upper limb was seriously injured and the lower limb was slightly injured. It is also because there is no fracture of the right lower limb, giving ECMO an ideal VA bypass intubation position.

These operations were performed one after another, and it took 22 hours to complete the operation. It was 9:19 on the evening of September 21 when the orthopedic team stopped.

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 maintains good cardiopulmonary support, limb blood supply and reflux for Gu Jun.

Experts such as Li Cheng and Zhang Zeli in the Department of Cardiology and Cardiac Surgery did not dare to relax for a minute.

Although Gu Jun regained his autonomous heartbeat, his peripheral circulation and pulsation were extremely poor, and hemodynamic fluctuations were large. Such a 22-year-old youngster’s heart, and the last physical examination showed that his heart could jump to 120 years old, but now it looks like Always have myocardial infarction and heart failure.

However, under the team’s hard work, he did not have 2 cardiac arrests during the operation, the hemodynamics became stable, the ef value of the heart rose to 20%, and weak spontaneous breathing was also restored.

At this time, the rescue team can finally say that they won the first battle to recapture Gu Jun from Dark Abyss.

Everyone in the operating room, command center, and corridors breathed a sigh of relief, but what happened later proved to be a long test after the operation.

On the morning of September 9th, Gu Jun ’s ef value fell again to 20%. Chest radiographs showed a large amount of fluid in his chest cavity, exudation of his lungs, inflammation, and electrolyte disturbance. The rescue team arrived again. It took more than 10 hours to deal with these complications at the operating table.

21st is the Mid-Autumn Festival of the year, they spent in the operating room, Wu Shiyu, Uncle Egg and the others also spent on the destroyer.

Gu Jun’s craniotomy is of high quality and no postoperative complications, which may be the only good thing for 2.

Another good thing is that there was no bleeding at his ECMO catheter and no swelling of his right lower limb.

After the past few days, Gu Jun’s condition moved towards a better direction, and the team continued to care. On the 25th day of the week after the operation, the ef value rose to 30%, and the severity of detachment decreased; then on October 2nd 10 weeks after the operation, the ef value rose to 2%, slightly reduced, and the heart is already in danger of detachment.

Other indicators of his body have also stabilized, so after 4 days of ECMO, the team removed him from this extracorporeal circulation and transferred him to the ICU ward.

At this time, Gu Jun they were also transported back to the headquarters of the Tianhua Bureau in Dahua City for follow-up treatment.

Deng Ximei had already awakened on September 9, although she had some headache symptoms, but she had no problem with consciousness and no mortal danger, but she was very silent.

In view of her performance in this operation, she officially became a member of the Curse Department of the Tianji Bureau. Tong Ye and the others have high hopes for her, hoping that she can fully realize her potential and make up for the vacancy when Gu Jun is away. But for the time being, she still needs a lot of recovery treatment.

Deng Ximei’s awakening made everyone very happy, but on October 10, everyone’s mood fell to the bottom again.

This is the 18th day after Xue Ba did ECMO. There was a blood infection and multiple liver and kidney failures. The medical team had tried all means and efforts, but it ended in failure. : 23 points, the team announced the death of Xue Ba.

This news is very heavy for everyone in the Tianji Bureau.

Xue Ba, born in Captain of the Fiend Squad of Dongzhou City, has grown into an important talent of the Curse Department-Tianji Bureau-GOA, and died at the age of 39.

Gu Jun ’s situation is not optimistic. Heartbeat breathing has been restored. The anesthetic has been sprinkled, but the consciousness has not been awakened. There is no sign of the EEG. Everything is pointing to the possibility of brain death: his body is still alive. , But he will never wake up again.

Experts also said that this kind of brain nerve problem is not good. It may not wake up forever, or it may wake up tomorrow, or one year, ten years later …

One day Heaven and Earth passed. On October 30th, the 10th day of his coma, he still did not wake up.

On this day, the Tianji Bureau held a funeral for Xue Ba and 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 him.

Even though Gu Jun may already be a vegetative, the rehabilitation team members of the team did not relax, turning him over regularly, massaging, etc. every day, trying to maintain his function. Therefore, although he has lost a whole circle, he has no level of muscle atrophy.

On December 90th on the 12th day of his coma, 18 months after the frontal craniotomy, the team gave him a skull repair surgery using the best skull repair material polyetheretherketone (PEEK), Seamless connection with human bones, thermal insulation, hardness and other properties are good enough.

The operation was done smoothly. Since then, Gu Jun’s head has a lot of polyetheretherketone, but it is covered by the scalp, and the appearance is not visible. It is still the same.

It was December 12, the last day of the year, Gu Jun ’s 31rd day of coma, and 103 was coming, and he was still not awake.