After 100 Days Of Sign-In, The First Operation Shocked The World

Chapter 86

Operating room 8.

At this time, Zhao Wangyang, director of the Department of Cardiac Surgery of the No. 1 Hospital, Qian Yuan, director of the Department of Cardiac Surgery of Dabei Hospital, Huang Li…

It can be described as a strong lineup!

Why?

That’s because the patient in front of me is seriously injured!

Compound fractures, shock, ventricular fibrillation, ruptured spleen, heart vein hemorrhage, intracranial hemorrhage…

The heartbeat stopped several times and his vital signs disappeared. In the end, with the help of two heart surgery directors from two hospitals and rich experience, he was rescued abruptly.

Now that it is not dead, it is already a miracle!

If it wasn’t for the higher-level leadership’s request, that no one can die, it is estimated that everyone has given up.

Director Huang Li is anxious: “Heart, orthopedics…we can all solve these, but we don’t have enough staff now because of intracranial pressure and massive hemorrhage…”

Director Qian Yuan said weakly: “Yes, there are 18 severely injured patients, 13 of them have cerebral hemorrhage, and the brain doctors are all incapable of doing it!”

Director Zhao Wangyang: “Yes, now I have clearly felt the patient’s respiratory failure, which should be caused by brain herniation caused by cerebral edema, oppressing the respiratory center… What should I do? Other brain doctors can’t make it… Wait!”

Sudden,

Zhao Wangyang’s inspiration flashed suddenly.

A figure flashed through his mind!

Lin Feng! !

Lin Feng until now, as long as he encounters an operation, there is nothing he can’t do!

Does that… Lin Feng can have brain surgery?

“What’s wrong? Old Zhao, who do you think can do it?” Director Qian Yuan used to be in Dabei Hospital and looked down upon Zhao Wangyang of the First Hospital of the City. ‘That rubbish’ became’Old Zhao’, which made him affectionate a lot.

Zhao Wangyang nodded: “Yes, I have a choice, he should be able to help!”

When Director Qian Yuan heard this, he was immediately overjoyed: “Then what are you waiting for? Call him now!”

Director Huang Li: “That’s right, call him here quickly, a hundred thousand in a hurry!”

Zhao Wangyang: “But, I don’t know if he will have brain surgery…”

Puff~~~~

Director Qian Yuan and Director Huang Li spewed out old blood.

“Nonsense, no brain surgery, what are you talking about?”

“Yeah, when is it now, you are still in the mood to make a joke!”

The two murmured for a while.

Director Zhao Wangyang Kuang Khan: “Forget it, I will call him first… 870… I don’t know if he is free.”

Soon, Zhao Wangyang called Dean Wang Chang, who was in charge of the transfer command, and stated his request.

“You wait a minute… (in one minute), it’s okay, Lin Feng will go to your operating room No. 8 now…”

“OK!”

Zhao Wangyang happily hung up the phone.

At this time, even Director Qian Yuan and Director Huang Li were curious.

Who is that?

Come here for 3 minutes…

A man rushed into the operating room.

Lin Feng!

Zhao Wangyang yelled: “Lin Feng, this patient has a cerebral hemorrhage, which should exceed 30ml. The intracranial pressure is pressurized and needs a craniotomy. Can you handle it? The doctors on the skull are understaffed…”

Lin Feng nodded: “No problem in general, I want to see the inspection report…”

Zhao Wangyang was overjoyed: “Okay, hurry up! Xiao Liang (touring nurse), you dress Dr. Lin, speed!!!”

Just when Zhao Wangyang and Lin Feng had a conversation…

Director Qian Yuan: “…”

Director Huang Li: “…”

Doctors at Dabei Hospital: “…”

Roar inside!It’s funny, you guys!

How old is this young man? Are you 25 years old? Will a craniotomy?

Director Qian Yuan was a little furious: “Old Zhao, don’t mess around, can he (point to Lin Feng) operate?”

Thought,

Why is the quality of this city’s first hospital so poor?

Don’t take the patient’s life?

Zhao Wangyang quickly explained: “Old money, don’t worry, his name is Lin Feng, do you remember our emergency department director Zhou Guoxiang? Didn’t the patient’s family be stabbed three times last time?”

Qian Yuan stared at Zhao Wangyang: “Remember…wait, Lin Feng…I’ll go!”

Qian Yuan seemed to think of something!

He stared at Lin Feng, who was wearing clothes, with a trembling tone:

“You mean that after the director Zhou was assassinated last time, he was rescued by an intern Lin Feng…could it be true? Could it be him (pointing to Lin Feng)?”

Unbelievable!

Director Huang Li: “Is it him?!!!”

Doctors at Dabei Hospital: “Is it him?!!!”

One by one looked at Lin Feng in shock.

Zhao Wangyang smiled and nodded: “Yes, it is him! A very powerful young man!”

Qian Yuan couldn’t believe it: “I thought it was fake, what are you talking about?”

Zhao Wangyang disdain: “Blow? Do we need to blow?”

“No!” Qian Yuan calmed down: “Even if he can have heart surgery, he can’t have craniotomy, right?”

Zhao Wangyang: “Don’t worry, Lin Feng will do what he says. This is what our city’s first hospital recognizes!”

Qian Yuan shook his head: “No! It’s too ridiculous!”

Zhao Wangyang’s eyes were firm: “I dare to let Lin Feng come to the stage because I have confidence in him. I will not make fun of the patient’s life!”

Qian Yuan said angrily: “You do it like a child’s play, I don’t agree!”

Zhao Wangyang shook his head: “It doesn’t matter whether you agree or not. Now the City First Hospital has the final say, not your Dabei Hospital. This is what your dean promised.”

Qian Yuan: “You!”

Pointing at Zhao Wangyang, trembling with anger.

The eyes of the doctors in other Dabei hospitals also became uncomfortable.

At this time, Lin Feng just put on the surgical gown and gloves and walked into the operating room.

I directly ignored the distrustful gaze of these Dabei Hospital.

Because he doesn’t care, there are only patients in his eyes.

Take a look at the patient.

It turned out to be a high school classmate-Ren Peng!

Lin Feng’s eyes were in a daze, and he quickly became firm.

“Sister Liang (touring nurse), show me the patient’s information…”

“good.”

Soon, Nurse Liang told Lin Feng one by one the information, and showed him the CT of his brain to Lin Feng.

· Blood pressure 134 (systolic blood pressure)/72 (diastolic blood pressure) mmhg (normal 120/80)

·GCS score: 8 points (severe coma). (GCS: Evaluation of Glasgow Coma Index, which includes eye-opening response, language response, and physical movement. The scores are added together, mild coma: 13 points to 14 points. Moderate coma: 9 points to 12 points. Severe coma Coma: 3 points to 8 points. Below 3 points is brain death, 14 times or more is normal)

· There is an 8cm crack in the top of the occiput, which reaches the skull and has active bleeding.

·Head examination of brain contusion and laceration, subarachnoid meninges.

Lin Feng watched it for about 10 minutes, especially the CT photos, and watched it over and over again to learn more about the bleeding.

I started to choose the surgical method in my mind.

There are several surgical methods for cerebral hemorrhage.

The first type: minimally invasive: the advantages are local anesthesia, small trauma, and easy operation; but the disadvantages are not small: incomplete removal of hematoma and insufficient decompression.

The second type: small bone window (open a small window) craniotomy removal: mostly used for putamen hemorrhage, the trauma is less than bone flap craniotomy, it can remove hematoma under direct vision, decompression, and stop bleeding; disadvantage: not suitable for brain hernia (Displacement, oppression of other tissues) patients.

The third type: bone flap (open your skull) craniotomy and hematoma removal: it has a wide range of uses, large trauma, complete removal of hematoma, complete hemostasis, and sufficient decompression.

There is also a fourth type: Stereotactic aspiration, which is more advanced and is a new technology developed in recent years. Lin Feng will also do it, but it is not suitable for brain herniation.

The situation of the old classmates in front of him obviously has a tendency to brain herniation, which is not suitable for 1, 2, or 4 methods at all.

The third method is most suitable.

And the gcs score is 8 points, which is also the scope of adaptation of “bone flap craniotomy for hematoma removal.”

Lin Feng glanced at Zhao Wangyang: “Director Zhao, give me a medical nurse, I need assistance…”

(aicc)　Zhao Wangyang pointed to the equipment nurse Chen Yu: “Xiao Chen, can you help Dr. Lin.”

“Wow~~” Nurse Chen Yu was excited and came to Lin Feng.

“Dr. Lin, I have never had a brain surgery, you have to give me some pointers later…”

Looking at Lin Feng’s handsome… Uh, mask.

As expected of Dr. Lin!

Wearing masks are so handsome!

But soon realized that this was an operating room, not a star chasing scene, so he became embarrassed again.

Lin Feng instructed: “You go and prepare the items… electric knife, bipolar electrocoagulation machine, compound sodium chloride solution…”

Said a series of items.

“Okay…”

Nurse Chen Yu quickly went to prepare.

At this time, Director Qian Yuan of Dabei Hospital looked at Lin Feng, wondering in his heart that Lin Feng looked very young, but the temperament and aura in this operating room were not trivial. There was a kind of majesty and majesty, as if it should be right. , The kind of tycoon demeanor that everyone needs to listen to.

This aura is stronger than himself.

“What the hell is this?”

Director Qian was shocked, and remembered Lin Feng’s rescue of Director Zhou. He couldn’t help but put away his contempt and waited for Lin Feng to open his skull.

The doctors at other Dabei hospitals were full of surprises, but they were all squeezed by Lin Feng’s aura and calmed down.

It took 10 minutes,

Together the items are ready.

…

Next step: preparations,

“Let’s start… I do it, you handed me something…” Lin Feng ordered.

“Hmm!” Nurse Chen Yu nodded repeatedly.

“Disinfection, 3% iodine disinfection…”

Soon, the little nurse handed Lin Feng cotton soaked with 3% iodine.

disinfect……

“Put the towel…help me raise the patient’s head…”

“Push the brain power system over…” (surgical instrument for craniotomy)

Next,

Lin Feng assembled the brain power system, chose a suitable drill bit, and connected the handle…

Connect to the host, and assemble the milling cutter head and place it on the fan-shaped table for use…

To fix the suction tube, Lin Feng chose the rough suction head (used to suck the skull)…

Place cloth towels, place suction head, electric knife head and bipolar electrocoagulation…

Turn on bipolar coagulation and adjust the size of bipolar coagulation…

everything’s ready!

…

The second step:

The craniotomy begins! !

Lin Feng picked up the No. 21 round knife.

Cut the skin, subcutaneous and aponeurosis in an arc shape, use scalp clamps, and clamp the scalp to stop bleeding…

No. 21 round knife to cut and peel the periosteum…

Hand-held brain power system skull drill skull drilling…

While the craniotomy was performed, a 50ml syringe was used to instill saline to soak the bone hole, and the bone wax was used to stop the bleeding…

at this time,

The entire operating room is very quiet.

Everyone was afraid that there would be too much movement and disturbed Lin Feng, and if something went wrong, the patient’s head was lost.

Next,

Lin Feng uses an electric milling head to saw the bone flap, and uses a 50ml syringe to instill saline while sawing…

Then use the periosteal peeler to pry open the bone flap (lift the cap bone) and wrap it with wet gauze…

Hemostasis on the re-wound surface, flushing the incision, and protecting the surgical field…

Finally, use a wet brain cotton sheet to protect the brain tissue…

At this point,

Lin Feng stopped, took off his gloves again, washed his hands, and put on gloves to prevent infection…

…

Next step,

Craniotomy, clear intracranial blood, and decompress!

Lin Feng picked up the small round needle +1 thread, threaded it to the dura mater (similar to the fascia, a thick layer to protect the brain), and then suspended the dura mater…

The first suspension…

The second suspension…

The tenth suspension…

Lin Feng’s speed is still so fast, as if he has practiced tens of thousands of times.

Next, Lin Feng used a round knife to cut the dura mater, lifted the meninge membrane with a meningeal hook, and then cut a small cut with a No. 11 blade, and enlarged it with meningeal scissors, continuously using bipolar coagulation to stop the bleeding, and constantly using meningeal forceps. Wipe the blood with a cotton pad…

At this time, the skull has been completely opened.

None of the people present have actually seen a craniotomy.

Watching this process,

I feel a cold scalp~~~

Can’t help but shudder!

When Lin Feng’s meninges were opened, hemocephalus with darker color could be seen inside, a lot, estimated to be about 30ml, and it began to flow out slowly.

The next step is to clean up the blood.

Lin Feng is proficient, using cotton pads to wipe the blood, and at the same time using gelatin sponge to stop the bleeding…

Gelatin sponge is a kind of sterile, pyrogen-free hemostatic agent that can be absorbed by human tissues, containing collagen and protein. It is suitable for various operations to stop bleeding.

Lin Feng’s entire blood sucking and hemostasis process is gentle, brisk and meticulous!

At this moment, Director Qian Yuan and Director Huang Li of Dabei Hospital who witnessed the entire craniotomy process,

You look at me, I look at you.

The shock on his face could not be concealed.

“impressive!!”

Although they don’t understand craniotomy, Lin Feng’s technique throughout the whole process is light, easy and natural. At first glance, he is a seasoned veteran!

However, this Lin Feng is obviously still an intern.

“Could it be that this world really has that incredible genius?”

“Why don’t you bring it to our Dabei Hospital?”

Both of them couldn’t help but love their talents.

The thief started the idea of ​​digging the wall.

(Dean Wang Chang: Hmph, I want to fart!!)

…

ten minutes later……

All the cerebral sera have been processed!

Moreover, the penetration of the hemostatic substance continued, and the bleeding site of the brain tissue began to slowly stop bleeding.

——————

ps: The three chapters are over, 3000+4000+4300=11300, something is going on today, it’s a bit late, sorry.

. . . .