脑外科手术谈话技巧（Department of cerebral surgery surgery talk skills）.docVIP

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脑外科手术谈话技巧（Department of cerebral surgery surgery talk skills）.doc

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脑外科手术谈话技巧（Department of cerebral surgery surgery talk skills）

脑外科手术谈话技巧（Department of cerebral surgery surgery talk skills） Dr. Wang Zijings Department of Neurosurgery quotations: 1. Department of cerebral surgery, the surgeon is not really the main knife, but bipolar coagulation and suction, if you can handle them, you will win respect. 2. Department of cerebral surgery operation, all in order to remove (remove) lesions, stop intracranial hemorrhage, and without causing intracranial ischemia, and the details determine success or failure. 3. in order to protect the brain stem, you may need to remove more brain; in order to protect the brain, you may need to remove more of the skull. Irreversible brain stem damage has occurred, like the seeds cooked, life can not be reproduced. 4. craniotomy worth mentioning, minimally invasive or worth mentioning, are all in order to remove lesions, control intracranial pressure; minimally invasive, the first consideration is the brain minimally invasive, followed by minimally invasive skull, and finally consider the scalp minimally invasive. The brain lesions are not effectively removed. The smaller the skull and scalp, the greater the damage to the brain. 5. all the bleeding comes from the blood vessels (including the sinuses). Do not resent the presence of delayed intracranial hematoma in the surgical area, only complaining that we have not found the blood vessel that is bleeding or about to bleed, even if it is very small. 6. as far as possible in the imaging data has confirmed brain lesions bleeding / regional operation, try not to find the bleeding cannot determine the pathological changes of brain cortex / free incision and exploration, even if it may need to increase the number of operations. 7. Department of cerebral surgery surgery should be priority treatment of the main intracranial lesions (ie: first to resolve the major intracranial contradictions strategy), and then global treatment of intracranial lesions. ICH, SDH surgery, especially for traumatic brain injury, is open to all