Signed In At The Hospital, The First Operation Shocked The Whole Country!
Chapter 61 Stubbornly
Qin Feng walked into the rescue room,
On the hospital bed, on the trousers between the man's legs, the infested red and black blood stains were faintly visible, which was expanding little by little.
Fortunately, he was still conscious, and his face was as pale as paper, lying motionless on his side, muttering something in his mouth.
"I can't die~ I can't die~ I can't die~~~"
"can you hear me?"
He looked at the man and shook his hand, only to see the man blinking.
"What's this?"
Qin Feng stretched out a finger and said loudly.
"1~"
"what about this?"
"2"
"Hold on, we are trying to save you."
"Thank you~"
The patient said, Qin Feng nodded, but his heart sank.
Because the man just answered, none of the answers are correct. Although the eyes are still bright, there is obviously a problem with his vision.
He glanced at the horrifying steel bar exposed at the top of his skull, and instantly constructed a diagram of the steel bar insertion position and brain nerve distribution in his eyes.
There is only one possibility for vision problems. The steel bars may have touched or injured the optic nerve, and the patient may be confused.
Either of these two situations is terrible!
"How is it going?"
Seeing Xiao Jing walking back, he opened his mouth and asked.
Xiao Jing didn't speak, but shook her head, and handed him the inspection report that she had just taken in her hand.
Qin Feng took it, looked at it, and frowned.
Enhanced CT of the brain has come out. Although the steel bars did not damage the important nerves at the back of the brain, the situation is more difficult than imagined.
Because the steel bar is sticking to the half-moon section of the trigeminal nerve in front of the meninges, and there are signs of compression and bending!
This is why men can't see their fingers clearly!
Not so good!
If they really want to undergo surgery, they currently face at least three fatal risks!
Trigeminal Ganglion!
heart!
Liver and spleen hemorrhage!
"It's really difficult now."
Qin Feng couldn't help his heartbeat speeding up, and he whispered in a deep voice.
Even if he has the world's top surgical experience, the success rate of this operation will not exceed 70%...
He felt that this was his first biggest challenge in his history!
Surgery does not necessarily have to injure the body, or the appearance of certain organs is dangerous and serious.
Because if the inside of the body has been injured, what needs to be done is to fight for time with the god of death. The wound must be sutured and restored before the patient can't recover, restore the normal circulation of the body, and ensure the vital signs.
But for doctors, the biggest challenge is just the opposite!
Regardless of the situation of the patient in front of him, no matter how skilled the medical expert is, I am afraid that his scalp will be numb!
At least three departments are required for combined surgery, and each part has reached the level of level 4 surgery.
There is no hope of making any mistakes to safely remove the steel bars from these deadly parts and rescue the patients.
difficult!
As far as the medical level of Jiangcheng No. 1 Hospital is concerned, this cannot be guaranteed at present.
"I'll go to the conference room first. You must closely monitor the development of the injury to prevent accidents."
Qin Feng said to her solemnly, and Xiao Jing nodded.
He turned and left. Outside the rescue room, there was still a worker and the patient's wife and daughter.
Back in the meeting room, everyone was still discussing an effective surgical plan.
"No! I don't agree with this plan. If you hurt your brain, it will definitely be irreparable!"
"Then what do you say? Do you have a better way?"
"The patient's urinary system has also been damaged to a certain extent, and we cannot guarantee the safety of the operation!"
.......
At this moment, the various departments in the conference room were holding their own words, which seemed a bit chaotic.
Outside the brain, he proposed to open the skull first to confirm whether there is a chance of salvation.
But Cao Ke, outside his heart, disagrees. If there is a problem with the craniotomy, they will never have the opportunity to rescue, because the steel bar is too close to the heart!
Even the defibrillator cannot be used!
As for Zhang Chen, he had to open his abdomen to stop the bleeding first. There are too many blood vessels in the liver, even the instrument does not know how many arteries and veins are injured.
Qin Feng put the latest inspection result in front of Director Zhou Xianren, leaned over and asked,
"Director Zhou, is there a definite surgical plan now?"
"Several departments have come up with several surgical plans, but they can't be satisfied. This is the first time we have encountered this compound fatal injury. It is difficult to deal with."
A wry smile appeared on Zhou Xianren's face. This operation was indeed too difficult.
After arguing for more than ten minutes, no one is sure how to perform this operation.
Even he was afraid, worried that the patient would die on the operating table.
"Well, everyone, stop arguing, let's see the situation first."
Zhou Xianren waved at everyone and put the enhanced CT in his hand on the projector.
As soon as the screen appeared, everyone gasped!
Because the steel bar has been compressed to the trigeminal ganglion!
Suddenly, everyone's hearts were half cold, and they were silent.
The trigeminal nerve is the largest cranial ganglion in our face. It is composed of three sensory nerves (eye nerve, maxillary nerve, and mandibular nerve), which is what people call the trigeminal nerve.
The trigeminal nerve is an important nerve that manages facial sensation, and the three nerves converge in the semilunar ganglion (trigeminal ganglion), and then transmit to the brain to complete organ information induction.
The trigeminal nerve pressure at the tip of the petrous part of the temporal bone is covered with the dura mater, including the trigeminal nerve cavity formed by the two layers of the dura mater.
This is a terrible place!
At present, it has been compressed by steel bars. If you are not careful, it will completely paralyze all facial organs in mild cases, and may even damage other cranial nerves in severe cases.
The immediate result is death!
The attending doctor outside his head saw this scene and couldn't help but fought a cold war.
Grass!
He can't do this operation!
"Everyone, the current situation may be worse than before. If the patient's trigeminal nerve is compressed for a long time, even if the person is rescued, there will be serious sequelae."
Zhou Xianren's voice has become heavy, and this result can be said to have chilled everyone's hearts.
"Director Zhou, in this situation, I suggest transferring to hospital."
The head of brain surgery immediately stood up and said,
"This situation is beyond the tolerance of our hospital. Even if the heart, liver, spleen, and urinary system are preserved, the position of the trigeminal ganglion may not be able to be manipulated."
......
When the voice fell, no one continued to refute, and everyone was aware of the seriousness of the situation.
But now transfer to hospital, the risk is probably higher!
Because Jiangcheng would definitely not be able to perform this operation, he could only go to a bigger city, Suchuan, or Jinling.
There are state-of-the-art equipment and doctors there, so you might try it technically.
However,
Time is no longer allowed, and it will take at least three or four hours to reach the nearest Su Chuan from here.
In addition, in the event of an accident on the road, the steel bars will be displaced during the movement of the patient, injuring other cranial nerves or the heart, or causing hepatic and splenic hemorrhage.
Then there is only one dead end!
"I don't agree with this plan."
Director Qi, who was severely ill, could see the meaning at a glance, and pursed his mouth to break the silence.
"To transfer the patient to the hospital now is tantamount to being sent to death. The current condition of the patient is definitely not enough for the higher-level hospital.
I know what everyone thinks, but as the director of critical illness, I still oppose it. "
Qin Feng also understood that, in fact, there is only one purpose for arranging a transfer.
Avoid responsibility!
certainly,
This is also procedurally compliant, because they are really not sure to perform this operation.
As long as the family members sign the transfer consent form and the patient leaves the hospital to go to other hospitals, even if the person dies on the road, it has nothing to do with the City No. 1 Hospital.
But everyone here can see the results as long as they take their heads, and they will die forever!
The probability of staying in a higher-level hospital for surgery is not even 5%!
"But what else can I do now?"
Director Wu of the Urology Department sighed and said,
"Rather than waste time waiting for death in our place, I am afraid there is no better way."
"But the patient can't move easily now. In case the trigeminal ganglion breaks during the transportation, the person will die before leaving the hospital."
"Either let the family choose for themselves, or if the operation is performed here, they will have to bear the consequences of death."
"Yeah, let's save it. If we die, what will the hospital do?"
.......
For a time, about the transfer or the hard move?
Everyone was caught in a dilemma in an instant, and they started discussing differently.
It can be said very bluntly that they have basically given up the possibility of surgery to save people, just like gambling with cards.
Zhou Xianren suddenly felt that his head was about to explode!
There is no one more difficult than him, but he is in the emergency room!
save?
Nine deaths and a lifetime.
change?
The same nine deaths.
He now particularly wants to smash to death on the table. As a doctor, it is his bounden duty to save people.
Although everyone calls medical angels in white, only oneself knows that they are not gods and cannot save everyone.
And this kind of patient who has very little hope in front of him, what should he do?
"Qin Feng, do you have any ideas?"
He turned his head to look at Qin Feng, hoping to get an affirmative answer.
"At present, I have a surgical plan with a greater chance, but there is also a high risk. It depends on what everyone thinks."
Qin Feng pondered for a long time, just when his eyes were about to dim, his voice was low.
"real?"
Zhou Xianren's eyes lit up when he heard this, and he quickly got up and raised his hand to stop everyone from discussing.
"Everyone, wait a minute, Qin Feng has a plan. Let's listen to it first."
After hearing the words, everyone stopped talking, and at the same time cast their eyes on Qin Feng.
"Okay, Qin Feng, talk about it quickly."
At this moment, Cao Ke hurriedly said outside.
The others also nodded, looking expectant.
Only Zhang Chen, with suspicion in his eyes, seemed to be looking forward to seeing the other directors and attending officers stop, and was speechless again.
He doubts now, is Qin Feng really just an intern?
Why do all departments have such expressions when they hear Qin Feng's name?
......
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