I am studying and eating melons in Chronicle

Chapter 77 Intracranial Debridement
Qian Li lay down by the window and meditated quietly, Yun Ling ignored her and gave her plenty of time to think about it.

She began to write a thesis on the production process of artificial valves and the post-operative treatment methods.

As the saying goes, medicine does not separate families, and the improved medical devices are naturally used for medical operations, so Yunling also plans to write an analysis of the treatment effect of mitral valve replacement on rheumatic mitral valve disease, which can be done in one step.

After Qian Li was in a daze for a long time, she realized that the room was so quiet that a needle could be heard, only the friction of the pen across the paper.

"What are you writing?"

She took a closer look curiously, and found that she couldn't understand it either, and then sat back down.

Yunling replied while writing: "A treatment method for rheumatic heart disease."

"Oh."

Seeing that she was busy and bored staying here, Qian Li offered to leave first.

After the person left, Yunling didn't stop writing until before dinner.

She had seen her parents write research reports and papers before, and she didn't realize how much the author's thinking ability was tested until she wrote them herself. Even though the system will provide relevant experimental data for later generations, other than that, the discussion process is neutral, rigorous, and Innovation is indispensable.

It is conservatively estimated that the drafts of these two papers can be roughly completed before she celebrates her birthday in the next year and returns to the Northeast.

It's okay if the writing isn't perfect or detailed.

On the contrary, her rough and green writing skills are more in line with her current age and qualifications. If it is known that she can do it in one go, it will be suspected and cause a lot of unnecessary troubles.

It can be seen that hiding clumsiness reasonably is also a technical job.

For dinner, she casually stuffed two mouthfuls of leftovers from lunch, and then entered the system hospital without stopping to start today's internship.

When she arrived, Professor Huang was about to take her to a seminar.

The dean sat at the main seat and spoke: "Today, a 43-year-old male patient with gunshot head injury came to the hospital, with scalp injury, skull fracture, dura mater rupture and brain tissue injury..."

After he introduced the details of the case, the director of the emergency department added: "Endotracheal intubation has been performed before admission to the emergency department, on-site resuscitation was also carried out on admission, wound debridement, hemostasis and bandaging were performed in time, and immediate treatment was given for hemorrhagic shock. Blood and fluids."

The dean nodded and motioned for the director of neurosurgery to speak.

"The surgical principle we currently recommend is: early and complete removal of necrotic brain tissue, and after X-ray review, removal of bone fragments and residual metal foreign bodies in the blind tube injury."

"In addition, a preliminary analysis of the relationship between the Glasgow Coma Scale and the prognosis of the patient's injury showed that the patient had a swelling of the brain tissue, which required debridement surgery. However, it is not appropriate to remove too much forcefully, and the dura mater can be sutured routinely after the operation."

"In order to reduce cerebral edema and prevent intracranial infection after surgery, in addition to the routine administration of antibiotics, dehydrating agents and short-term hormones, continuous monitoring of intracranial pressure should be performed to keep the patient's airway open and maintain his cardiopulmonary function..."

Although the system says that this hospital is the same as her era, after so many days of personal experience by Yunling, and referring to the plot of the novel, the setting of the system hospital should be in the late 70s, and some imported medical equipment will appear one after another. and innovative medical theories.

Due to time constraints, it was Yunling's first close contact with pathological analysis of neurosurgery.

While recording the words of the experts, she stared intently at the partial picture of the brain on the blackboard behind the dean.

The operation time was set for the afternoon of the day after tomorrow, and Yunling calculated that the time would be the day before New Year's Eve, that is, this Sunday.

Fortunately, it's not tomorrow, otherwise she might be busy and forget about it.

Professor Huang raised his hand: "Dean, I suggest that my intern, Comrade Yunling, enter the operating room and observe from the sidelines."

Neither the dean nor the neurosurgery staff had any opinion, and it passed unanimously.

When Yunling left the conference room, she was still in shock: "System, why don't the dean and all the directors think it's strange to let me, a rotating intern, enter the neurosurgery operating room for observation?"

The system called up the panel, which clearly stated: "Only the medical personnel have the right to observe. Although the interns are not doctors in the true sense, as long as they obtain the consent of the patients and do not spread any information about the patients, it is permissible according to the law." .”

Yunling was taught, and humbly introspected: "It's my fault, I should read that management regulation again, I don't have the slightest impression of this."

The system sent her a new study and training plan: "It's not written in the management regulations. This is stated in the hospital's training plan. I didn't inform you in advance."

"Uh-huh."

Yunling breathed a sigh of relief, it turned out that she hadn't read it, not that she hadn't looked carefully.

He asked again: "Have the dean and the director consulted the patient himself?"

The system also admired her spirit of breaking the casserole and asking the end, explaining:
"The patients in the system are all generated virtually, and all their rights have been transferred to the hospital from the moment they are admitted, so you don't have to worry about this. But if it is the world where the host lives, it is a different matter."

Yunling nodded and smacked her lips: "You guys are really rigorous, you can't find any loopholes at all."

The system proudly raised its round mechanical head, "This is a public version that has been internally tested countless times, so of course it won't go wrong."

The girl was amused by its smug look.

Every time she talked to the system, it was as if she was talking to another side of her personality.

He is obviously a cold mechanical lump, but why is he a passionate and silly character?

I don't know who is so talented to set zero zero zero as this attribute.

Without thinking about it, Yunling started today's routine trivial work.

Even though they are virtual patients, when Yunling communicates with them face-to-face, she can still clearly feel the temper of the other party. Some are silent and shy, some are carefree, some respect doctors very much, and some are aggressive when they come up.

For example, the old man in front of her now.

He held Yunling's sleeve tightly, and asked tirelessly: "Doctor, is my wife pregnant with a boy or a girl?"

Yunling explained patiently: "Master, first of all, I am not a doctor in charge of obstetrics, and secondly, I don't even know who your daughter-in-law is. Finally, the hospital has a rule that it is not allowed to disclose the gender of the fetus. Do you understand?"

The uncle naturally understood, but he kept pretending to be stupid: "I don't care what you said! Our family has three generations of single-passage, and my daughter-in-law gave birth to four daughters in the first place. Last time it was the doctor in your hospital who advised her not to have any more children. , saying that rebirth damages the mother’s body, doesn’t that mean that you can’t give birth?!”

"If this baby is not a boy, our family will be cut off? This will not work, your hospital has to give me an explanation!"

Even though Yunling was dissatisfied in every way, she had to force it back by relying on her professional ethics.

　Operation content reference: Li Bing. Progress in the treatment of firearm-induced craniocerebral injury[J]. People's Military Doctor, 1995, (09): 11-13.
　　
　
(End of this chapter)