A hundred days after signing in, the first surgery shocked the world!

Chapter 85

Operating Room 8.

At this time, Zhao Wangyang, director of the Department of Cardiac Surgery of the First Municipal Hospital, Qian Yuan, director of the Department of Cardiac Surgery of Dabei Hospital, and Huang Li, director of the Department of Orthopedics... Three department directors gathered, plus a group of deputy chief physicians...

It can be described as a strong lineup!

Why?

That's because the patient in front of him is really seriously injured!

Compound fractures, shock, ventricular fibrillation, ruptured spleen, venous heart bleeding, intracranial hemorrhage...

Several times his heart stopped, his vital signs disappeared, and finally with the help of two chief managers of cardiac surgery in two hospitals, with rich experience, he was rescued abruptly.

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

If it were not for the request of the superior leaders, a single person could not die, and it is estimated that everyone would have given up.

Director Huang Li was worried: "Heart, orthopedics... We can solve these, but intracranial pressurization, heavy bleeding, we don't have enough people now..."

Director Qian Yuan said weakly: "Yes, 18 seriously injured patients, 13 patients have cerebral hemorrhages, and the brain doctors are all incompetent!" "

Director Zhao Wangyang: "Yes, it is now obvious that the patient's respiratory failure should be caused by cerebral edema, which should be the formation of cerebral herniation and the compression of the respiratory center... What to do? Other brain doctors can't come over again... Wait a minute! "

suddenly

Zhao Wangyang suddenly flashed his light.

A figure flashed through his mind!

Lin Feng!!

Lin Feng until now, as long as he encounters surgery, there is no no!

So is that... Will Lin Feng have brain surgery?

"What's wrong? Old Zhao, do you think of anyone who can do it? "Director Qian Yuan used to be in the Great Northern Hospital, and he looked down on Zhao Wangyang in the First Hospital of the city, but after this rescue, he found that Zhao Wangyang's strength was not bad, so his attitude suddenly changed from 'that garbage' to 'Old Zhao', and he was a lot more affectionate.

Zhao Wang Yang nodded: "That's right, I have a candidate, he should be able to help!" "

When Director Qian Yuan heard this, he was overjoyed: "Then what are you waiting for?" Hurry up and call him! "

Director Huang Li: "That's right, hurry up and call him over, 100,000 fire!" "

Zhao Wangyang: "However, I don't know if he will have brain surgery..."

Burst~~~~

Director Qian Yuan and Director Huang Li spurted out a mouthful of old blood.

"Fooling around, no brain surgery, what are you shouting about?"

"Yes, what time is it, you are still in the mood to joke!"

The two complained for a while.

Director Zhao Wangyang sweated furiously: "Forget it, I'll call him here first... I don't know if he is free or not. "

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

"Wait a minute... (A minute later), okay, Lin Feng will go to your No. 8 operating room now..."

"Haha, good!"

Zhao Wang Yang happily hung up the phone.

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

Who is it?

Come over for 3 minutes...

A man rushed into the operating room.

Lin Feng!

Zhao Wangyang shouted: "Lin Feng, this patient has cerebral hemorrhage, it should be more than 30ml, intracranial superpressurization, need to open the craniotomy, can you handle it?" The doctors in the braincase are understaffed..."

Lin Feng nodded: "The general situation is fine, I want to see the inspection report..."

Zhao Wang Yang was overjoyed: "Okay, you hurry!" Xiao Liang (itinerant nurse), you dress Dr. Lin, speed!! "

Just when Zhao Wangyang and Lin Feng were talking...

Director Qian Yuan: "........."

Director Huang Li: "........."

Doctors at Great Northern Hospital: "........."

Roar inside!

Fun, you guys!

How old is this little one? Is there a 25-year-old? Will you have a craniotomy?

Director Qian Yuan was a little furious: "Old Zhao, don't mess around, can he (pointing at Lin Feng) operate?" "

Thought

Why is the quality of this city's first court so poor?

Don't take the patient's life seriously?

Zhao Wangyang quickly explained: "Old Qian, don't worry, his name is Lin Feng, do you remember our emergency director Zhou Guoxiang?" Wasn't he stabbed three times by the patient's family last time? "

Qian Yuan glared at Zhao Wangyang: "Remember... Wait, Lin Feng... I'll go! "

Qian Yuan seemed to remember something!

He looked at Lin Feng, who was getting dressed, with wide eyes, and his tone trembled:

"You mean, after Director Zhou was stabbed last time, he was rescued by an intern, Lin Feng... Wouldn't that be true? Could it be him (pointing to Lin Feng)? "

A look of disbelief!

Director Huang Li: "Is he?!!! "

Doctors at Great Northern Hospital: "Is he?!!! "

One by one, they looked at Lin Feng in shock.

Zhao Wang Yang smiled and nodded: "That's right, it's him!" Very powerful young man! "

Qian Yuan couldn't believe it: "I thought it was fake, what about you guys blowing nonsense?" "

Zhao Wangyang disdained: "Blow? Do we need to blow? "

"That's not right!" Qian Yuan calmed down for a moment: "Even if he can have heart surgery, he won't have a craniotomy, right?" "

Zhao Wangyang: "Don't worry, Lin Feng just said he could do it, this is recognized by our city's first court!" "

Qian Yuan shook his head: "No!" What a mess! "

Zhao Wangyang's gaze was firm: "I dare to let Lin Feng come to power, that is to have confidence in him, I will not joke with the patient's life!" "

Qian Yuan said angrily: "You do this, it's like a child's play, I don't agree!" "

Zhao Wangyang shook his head: "It doesn't matter if you disagree, now the First Municipal Court has the final say, not your Great Northern Hospital, this is what your president promised." "

Qian Yuan: "You! "

Pointing at Zhao Wangyang, he trembled with anger.

The eyes of the doctors of the other Great Northern Hospital also became unkind.

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

Directly ignored the distrustful gazes of these Great Northern Hospitals.

Because he doesn't care, only patients in his eyes.

One look at the patient.

Unexpectedly, a classmate at the same table in high school - Ren Peng!

Lin Feng's eyes were in a trance, and they quickly turned firm.

"Sister Liang (itinerant nurse), show me the patient's information..."

"Good."

Soon nurse Liang told Lin Feng the information one by one, and showed the brain CT to Lin Feng.

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

· GCS score: 8 (severe coma). (GCS: Assessment of the Glasgow Coma Index, which has three aspects: eye opening response, language response, and body movement.) Scores were added together, mild coma: 13 to 14 points. Moderate coma: 9 to 12 points. Severe coma: 3 to 8 points. Brain death below 3 points, more than 14 is normal)

There is an 8 cm fissure at the top of the occipital, deep into the skull, with active bleeding.

Skull examination for brain contusion, subarachnoid meninges.

Lin Feng looked at the bleeding for about 10 minutes, especially the CT photo, and looked at it over and over again to learn more about the bleeding.

The selection of surgical methods begins in the mind.

There are several surgical methods for cerebral hemorrhage.

The first type: minimally invasive: the advantages are local anesthesia, small trauma, and simple operation; But the disadvantages are not small: the hematoma is not completely removed, and the decompression is insufficient.

The second type: small bone window (open a small window) craniotomy hematoma removal: mostly used for shell hemorrhage, the trauma is smaller than the bone flap craniotomy, and the hematoma can be removed under direct vision, decompression, and hemostasis; Disadvantages: Not suitable for patients with a tendency to herniation (displacement, compression of other tissues).

The third type: bone flap (lift your skull) craniotomy hematoma removal: widely used, large trauma, complete hematoma removal, complete hemostasis, adequate decompression.

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

And the situation of the old classmate in front of him obviously already has a tendency to cerebral herniation, which is not suitable for 1, 2, 4 methods at all.

Best for the third method.

Moreover, the GCS score of 8 is also the adaptation range of "bone flap craniotomy hematoma removal".

Lin Feng glanced at Zhao Wangyang: "Director Zhao, equip me with an instrument nurse, I need assistance..."

Zhao Wangyang pointed to the instrument nurse Chen Yu: "Xiao Chen, you help Dr. Lin." "

"Wow~~" Nurse Chen Yu raised her eyebrows excitedly and came to Lin Feng.

"Doctor Lin, I haven't had brain surgery, so you have to point me out later..."

Looking at Lin Feng's handsome... Forehead, masks.

Worthy of Dr. Lin!

Wearing masks is so handsome!

However, I soon realized that this was an operating room, not a star-chasing scene, so I became embarrassed again.

Lin Feng ordered: "You go and prepare the items... Electric knife, bipolar electrocoagulation machine, compound sodium chloride solution..."

Said a series of items.

"Okay, okay..."

Nurse Chen Yu quickly went to prepare.

At this time, Director Qian Yuan of the Great Northern Hospital looked at Lin Feng and wondered in his heart, this Lin Feng looked very young, but the temperament and aura in this operating room were extraordinary, and he had a majesty of all directions, as if it should be taken for granted and everyone needed to obey the order.

This aura is stronger than himself.

"What the hell is this?"

Director Qian was shocked, remembering Lin Feng's rescue of Director Zhou, he couldn't help but put away his contempt and wait for Lin Feng to open his head.

Although the doctors of the other Great Northern Hospital were full of surprise, they were all calmed down by Lin Feng's aura and quieted down.

It took 10 minutes,

One item is ready.

......

Next: Preparation,

"Let's get started... I'll operate, you hand me something..." Lin Feng ordered.

"Uh-huh!" Nurse Chen Yu nodded repeatedly.

"Disinfection, 3% iodine wine disinfection ..."

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

Disinfect......

"Spread the towel... Help me lift the patient's head..."

"The brain-powered system pushes over..." (surgical instruments for craniotomy)

Lin Feng assembled the brain power system, selected the appropriate drill, and connected the handle...

Connect to the main machine and assemble the milling head and put it on the fan table for backup...

Fixed the suction tube, Lin Feng chose a thick suction head (used to suck the skull)...

Arrange cloth towels, suction heads, electric knife heads and bipolar electrocoagulation...

Turn on bipolar coagulation and adjust the bipolar coagulation size...

All set!

......

Step 2:

Craniotomy begins!!

Lin Feng picked up the No. 21 round knife.

Cut the skin, subcutaneous and aponeurotic layers in an arc, and clamp the scalp to stop bleeding...

No. 21 round knife incision and peeling off the periosteum...

Hand-held brain dynamics system skull drilling, skull drilling...

While opening the skull, soak the bone hole with a 50ml syringe drip saline, bone wax to stop bleeding ...

At this point,

The whole operating room was very quiet.

Everyone was afraid that the movement would be too loud, disturbing Lin Feng, and a wrong thing would drill the patient's head.

Lin Feng used an electric milling head to see the bone flap, and dripped saline with a 50ml syringe while sawing...

Then use a periosteal peel to pry open the bone flap (lift the cap), wrap it in wet gauze...

Rewound to stop bleeding, flush incision, protect the surgical field...

Finally, use wet brain cotton pads to protect brain tissue...

At this point,

Lin Feng stopped, took off his gloves again, washed his hands, put on gloves, and prevented infection...

......

Craniotomy, clean up intracranial blood, decompress!

Lin Feng picked up the small round needle + No. 1 line, threaded it to the dura mater (similar to 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 was still so fast, as if he had practiced tens of thousands of times.

Next, Lin Feng used a round knife to cut the dura mater, lifted the meninges with a meningeal hook, and then used the No. 11 blade to cut a small opening, and then expanded with meningeal scissors, in which bipolar electrocoagulation was constantly used to stop bleeding, and meningeal forceps were constantly used to wipe blood with cotton pads...

At this time, the skull has been completely opened.

None of the people present had actually seen the craniotomy.

Looking at the process,

Feel a chill in the scalp ~~~

Can't help but shiver!

When Lin Feng's meninges opened, you could see a darker cerebral heckmogram inside, a lot, estimated at about 30ml, and began to flow out slowly.

The next step is to clean up the blood.

Lin Feng was skillful, constantly wiping blood with cotton pads, and at the same time using gelatin sponge to stop bleeding...

Gelatin sponge, is a sterile, pyrogen-free hemostatic agent that can be absorbed by human tissues, containing collagen and protein. Suitable for all kinds of surgical hemostasis.

Lin Feng's entire process of blood sucking and stopping bleeding is gentle, brisk and meticulous!

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

You look at me, I look at you.

The shock on his face could not be concealed at all.

"That's awesome!!"

Although they don't understand craniotomy, Lin Feng's whole technique, lifting weights lightly, easily and naturally, is a veteran of experience!

However, this Lin Fengming is obviously still an intern.

"Is there really such an incredible genius in this world?"

"How about pulling it to our Great Northern Hospital?"

Both of them couldn't help but love talent.

The thief sneered up the idea of digging the foot of the wall.

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