Thenumbers added up.. Lives saved and morbidites prevented added up…. And of course nonbelievers added up too.. Some surgeons tried this out and told me it was afailure.. Then I decided to show it myslef to other people.. As a first step Iinvited another Neurosurgeon to my center and after a cup of tea and talks ,asked him whether he would want to scrub for a case of trauma with me.. He was sceptical.Understandable.. He has been practicing for 5 years and trauma was not veryinteresting for him.. However, I made him agree and showed him how I do it..Now he does it by himself..and hehas joined us.
隨著病例數(shù)量增多，挽救的生命越來越多，當(dāng)然懷疑的人也越來越多。一些醫(yī)生試了這項(xiàng)技術(shù)但告訴我失敗了。所以我決定親自給其他醫(yī)生演示。首先我邀請了另一位神外醫(yī)生到我的中心來，我問他是否想和我一起做一例開放腦池的外傷手術(shù)。他很懷疑，可以理解因?yàn)樗呀?jīng)做了5年神外醫(yī)生，已經(jīng)對外傷沒興趣了。但是我給他展示了我是如何操作后他改變了看法?，F(xiàn)在他已經(jīng)離開原來醫(yī)院加入到我的小組并且可以自己完成這項(xiàng)技術(shù)了。
Ourmortality for moderate and severe head injury was surprisingly low… and wenever had the troublesome brain swelling..and weunderstood that the phenomenon that was wrongly termed brain swelling wasactually a brain bulging..This hadseveral reasons and could be managed by opening cisterns.
我們這組病例中中重度顱腦損傷的死亡率出奇的低，我們從來沒有遇到無法處理的腦腫脹，我們理解了術(shù)中腦組織突出被錯(cuò)誤的定義為腦水腫而實(shí)際上是腦膨出，腦膨出的原因是骨瓣太小、腦池內(nèi)積血或有其他部位出血，有些因素可能能經(jīng)開放腦池來處理。
Nowwhat can this technque beused for ? Everything which you may have to open dura for…. Aneurysms, Tumours andof course…mainly trauma..
現(xiàn)在這項(xiàng)技術(shù)能用在哪些方面呢？任何需要打開硬膜來操作的手術(shù)包括動脈瘤、腫瘤，當(dāng)然最主要的還是外傷。
Whatare the facilities required.. Most of the cisterns could be opened without amicroscope….but it is difficult to open the membrane of Liiliequistwithout a microscope and microscissors anda regulated suction..
那么需要什么器械來完成這項(xiàng)技術(shù)。大多數(shù)的腦池不用顯微鏡就可以打開，但如果要開放Liliquist膜沒有顯微鏡、顯微剪刀和可調(diào)節(jié)吸力的吸引器就很困難了。
