Start as an Emergency Physician

Chu Chu's face was covered with blood, and his big cute eyes were full of pity, and he looked at Zhou Yuan in a pleading tone.

What happened just now is so terrifying, not to mention a six-year-old child, even an adult will be scared to the point of psychological shadows.

Chu Chu just wants to lean on Zhou Yuan's arms now, only this can make her feel at ease.

Zhou Yuan kept a calm face and hugged Chu Chu, but still let go of her, "My brother is a doctor, and now I have to save people!" "

"Chuchu, wait for me here, and come to you after I see the other patients!"

With that, Zhou Yuan quickly followed Lin Wen to the No. 1 rescue room.

"The patient's name is Zhao Han, a teacher at Yanjing Primary School, and she saved several children when the accident occurred."

After Lin Wen finished speaking, she began to report her condition: "According to eyewitnesses, Zhao Han hugged Chu Chu at that time, causing the front of the car to hit Zhao Han's back, and the head was also hit by inertia, and finally rolled several times before stopping. "

Zhou Yuan nodded, "Did you have a CT scan?" "

"It's too late! Now she is being resuscitated and her life has not been saved! The doctor who accompanied the car preliminarily determined that he had a spinal injury and that he might have a concussion! "

Zhou Yuan nodded.

Concussion is actually the mildest type of closed head injury, it does not cause organic damage to the nervous system, and the function can be fully recovered after a few days of rest, without other sequelae.

The clinical manifestations are confusion or coma after the injury, which lasts for a few seconds, minutes or even hours, and the memory of the injury is unclear after waking up, or there is dizziness, headache, vomiting, etc., but the symptoms mostly disappear after a few days.

Unless it is a severe concussion, after being rescued, let Zhao Han rest quietly for a few days, symptomatic treatment or give a small amount of sedative, and he will generally be able to heal on his own.

Zhou Yuan worries about skull fractures and spinal injuries.

There are two types of skull fractures, open skull fractures and closed skull fractures.

Open skull fractures are well understood, the fracture is open, and the scalp is dehiscence after the fracture, and it is easy to detect with bleeding.

Closed skull fractures are insidious and sometimes have occasional or bulging hematomas on the scalp, but others occur in the inner part of the skull, the surface of the brain, and are not easy to detect.

Most of the closed ones will be accompanied by basilar skull fractures, cerebrospinal fluid leakage, and brain tissue will also be damaged to varying degrees, such as intracranial hematoma compression, in which the patient will be awake for a while and coma for a while, or a coma for a long time.

At the same time as the compression of intracranial hematoma, the symptoms of impaired nerve localization appeared, which means that the patient's cranial brain is seriously damaged and is basically not far from death.

"Does the patient have any intracranial hematoma compression?" Zhou Yuan asked.

Lin Wen shook her head: "No!" The doctor on board checked it in the car! "

When the two arrived at the door of the rescue room, Zhou Yuan immediately pushed the door and walked in, and saw Zhao Han lying unconscious on the hospital bed.

Zhao Han frowned at the moment, full of blood, and the white Mickey Mouse T-shirt was also soaked in blood.

Seeing this scene, Zhou Yuan immediately remembered Chu Chu - the blood on his body was all Zhao Han's...

"Are there any impaired nerve localization?" Zhou Yuan quickly stepped forward.

"I haven't found it yet!"

Zhou Yuan breathed a sigh of relief.

"Zhou Yuan, the patient has an intracerebral injury, cerebral vascular hemorrhage, and must immediately undergo craniotomy, otherwise his life is in danger!"

Zhou Yuan's face became serious, glanced at Lin Wen, and said, "You go and arrange for the family members to sign." Also, don't let Chu Chu go to her mother, the first contact with her mother may cause Chu Chu to become infected and have serious lung transplant complications! "

After speaking, he took the doctor with the car and quickly pushed Zhao Han to the operating room.

The skull, that is, the part of the brain, which is the most important command center of human beings, is not a professional, and does not dare to use a knife in this place.

There is still a certain gap between the master cascade of pediatric craniotomy and craniotomy that Zhou Yuan mastered before, the main purpose of the former is to separate the skull, and in addition to separating the tangled symbiotic blood vessels, there will be no additional operation on the patient's brain.

But...... This craniotomy is to use a knife on Zhao Han's brain.

Zhou Yuan had to master a specific operation before he could have surgery.

He took a deep breath, pondered for a moment, and then said in his heart: "Exchange for a master-level posterior fossa craniotomy!" "

The system responded quickly.

The three intermediate treasure chests disappeared, and in the operation that had been mastered, the "Master Posterior Fossa Craniotomy" became active.

Craniotomy of the posterior fossa, also known as craniotomy of the posterior fossa, is a type of craniotomy.

Craniotomy can be divided into two broad categories, bone window craniotomy and bone flap craniotomy.

Bone window craniotomy is the removal of part of the skull, and then the craniotomy at this site, which will cause sequelae such as skull defect after surgery, and posterior craniotomy, subtemporalis decompression, and open injury skull debridement are all in this category.

A bone flap craniotomy is to make some muscular bone flaps or free bone flaps to open the bone flaps into the skull. After the surgery, the bone flap can be placed back for suture fixation, which does not leave a bone defect, but it is generally only used for tentorial surgery and is not suitable for the current condition.

As the master-level posterior craniotomy lit up, a lot of knowledge poured into Zhou Yuan's mind, and his body also mastered the experience of craniotomy.

The human skull, brain structure, etc. all appeared in Zhou Yuan's brain in three dimensions, and the common lesion sites, the identification of some tricky blood vessels, and the ingenious selection of craniotomy sites were all crossed from Zhou Yuan's mind one by one.

At this time, He Jianyi and Haiyang happened to come out of the operating room.

The two of them had just cooperated with the operation and rescued an eight-year-old boy who was hovering on the death line, and they didn't have time to pay attention to the family members who asked next to them, He Jianyi hurriedly ran to Zhou Yuan with a sentence of "the operation went well".

"What's going on here?" He Jianyi immediately asked.

Zhou Yuan pushed the emergency bed, ran, and reported his condition: "Intracranial injury!" And a fracture of the spine! "

These are the two most serious diseases, and there is no need to report the others.

Zhou Yuan can't do anything about vertebral fractures now, intracranial injuries must be treated first, otherwise Zhao Han has only one way to die, and only by saving his life can he repair his spine.

"I'll go with you!" He Jianyi said solemnly, "Can you open your skull?" "

"Yes!" Zhou Yuan nodded solemnly.

"You open your skull, I'll fix your spine!" He Jianyi said with a calm face.

The ocean also came up to push the cart, "I'll go too!" "

At this time, there were no more patients who were too critical, and He Jianyi and Haiyang came to help Zhou Yuan's operation.

"Good!" Zhou Yuandao.

However, at this moment, Zhang Ling rushed over with another patient.

As soon as I came in, the patients around me went crazy and flocked to the patients in the hospital bed...

"What's going on?" He Jian was stunned for a moment.

"Who's in the hospital bed?" Ocean asked, looking back.

It caused such a big sensation?! _

Feilu reminds you: there are three things to read - collection, recommendation, and points