C1527 Side Craniotomy
C1527 Side Craniotomy
"A large scale infarction, a cerebral artery infarction, edema. This is the result of a photo taken by the consultation department. The patient needs a craniotomy on the side of the skull, but two professors who can be operated on are on the operating table, so the command center asked us to send the patient to Dr. Chen for immediate resuscitation. "
Standing in front of Chen Qun, other than the doctor and nurse on duty who were pushing the Flat Car, there was also a middle-aged woman in her forties or fifties. Naturally, she was the patient's family. At this moment, she was looking at the young doctor in front of her anxiously, and she was somewhat conflicted.
"Doctor Fang, do you think that my wife's condition is very serious? But if she wants to perform surgery, can you ask an experienced doctor to come over? Even if she can't invite the Group Professor, there should be an associate Chief Physician who can do it, right? I don't think that there's a problem with your hospital's skills, but you shouldn't have rushed to the hospital, right? "
Chen Qun did not have the slightest aversion to the family's questioning, but he felt a little helpless. Instead, the consultation doctor who sent the patient over immediately straightened his face and introduced the situation to the family members righteously and sternly.
"Elder, you don't understand the situation in our hospital. I don't blame you. However, this Dr. Chen in front of him was the project leader of the Medical Research Center here. The Group Professor and Chief Physician, who were specially approved by our hospital, were also nominees for the Nobel Prize in Medicine surgical method. It was Fellow Yang from our hospital who performed brain tumor surgery. They were both the chief surgeons of Dr. Chen. He was the best Surgery Doctor in our hospital. If you are unwilling, We can also arrange for other doctors to rush over from the General Hospital to perform the surgery. However, the surgery will be delayed by about an hour. "
When he heard the 40-year-old specialist in front of him talk about a lot of names with a solemn expression, Fellow Yang, who was not familiar with other things, knew about the Xiangyun Hospital. Since Fellow Yang was the chief surgeon of this young man, he could only treat him like a doctor.
When the attending physician saw that the family member in front of him did not seem to be very smart, he knew that this kind of old lady might not have been to a large hospital a few times, so he patiently explained.
"Your lover is currently in a large group of soldiers, and he needs surgery to reduce the blood pressure in his brain. The earlier he does the surgery, the more he can save more brain tissue cells. If you are willing to accept surgery, then immediately sign the emergency rescue plan. If you don't know how to write, you can even make a handprint. "
Chen Qun knew that most of the members of his surgery team were assigned to Chi Hong and Huang Haitao, plus they were on vacation. There was not enough manpower, so there was no backup for the time being. It seemed that he could only catch strong men. Among the group of medical interns, there was a medical PhD who graduated from Harvard and was watching Huang Shiren's surgery from the side. He dragged the few of them over to see if they had the ability to adapt to the situation.
He arranged for patients to be sent to Operating Theater 3 while he asked the young nurse to call people over. In the blink of an eye, two women and a man appeared beside the sink. The boy was, of course, the PhD graduate from Harvard Medical College that he had pointed out. The other two girls were also recognized, and the tall girl was the team leader. She was famous for being fierce, and could be considered a thorn.
Chen Qun glanced at the girl who was about to wash her hands and disinfect her. He asked faintly.
"It seems like the two of you are too self-aware. I only called Little Han over. Why are you here to join in the fun? Give me a reason to join in the fun! Oh right, what's your name? I know that you always like to talk back to me. "
"Dr. Chen, you can't remember my name, so just call me Little Ding. As for the reason you want, the two of us are very sufficient. Because we have performed this kind of cranial surgery before. At that time, we were still the first and second assistants. We are more qualified than Han Yue's classmates! "
When Little Ding saw that Chen Qun actually could not remember her name, she was not angry at all. Xue'er had already made it very clear that this fellow had been an intern in his hometown for a year. He only remembered Ms Xin's name after Ms Xin teased him twice. He was born with terminal facial blindness. It was incurable. However, knowing that she liked to talk back, it also meant that his efforts were not in vain. He immediately answered Chen Qun's question.
"Skull resection is to remove part of the skull and form bone petals. "
"How to form it, be more detailed!"
"The only opening to enter the Cranial Cavity is a hole opened from the base. If there wasn't enough space, his brain would have squeezed out from the hole. Because the brain is swelling, we need to give it more space, so we can only remove part of the skull. "
"Then what should we do with the skull that is removed?"
"After we throw it into the stomach, we put the skull in the abdominal cavity. The peritoneum in the abdominal cavity can provide nutrition for the skull until the surgery ends. "
Chen Qun glanced at Little Ding and suddenly asked.
"Is your former professor an old military doctor who has been to the battlefield? Your words carry too many styles, and it is somewhat out of tune with the knowledge you narrate yourself? But you can use the simplest words to explain the complicated surgery clearly. It means that your instructor's surgical skills are very high. Of course, The style is also based on its application and not paying attention to the details. I think he's right!"
Little Ding's mouth was big enough to fit a goose egg. After being stunned for a moment, she expressed her hatred.
"You are not allowed to judge my uncle like this. I will tell him everything you said. I will ask him to come and settle the score with your teacher!"
Although the fierce girl put on a fierce look, she was secretly delighted and surprised. She knew that if her uncle knew about it, he would be able to deduce his medical style from just a few words. This Dr. Chen, who had a different way of thinking, was indeed much more powerful than she had imagined.
However, Dr. Chen was also a brutal doctor. He was also a military ruffian. He was good at beating people up. He was also petty and liked to take revenge. He had to be careful from now on. It was said that some doctors who looked honest would be the best at beating people up.
Chen Qun was about to let the two girls join the team when he heard the anesthetist calling out loudly.
"Dr. Chen, the patient has appeared and his brain has become strong!"
Chen Qun put away his disinfected arm and gave the three interns a look. He signaled them to disinfect it immediately. However, he walked in first and gave a series of orders.
"Don't panic. Inject the glycerol into the patient's ear with the largest dose and perform hormonal impact. At the same time, wash the patient's ear with ice water and perform cold and heat reflection. Prepare the bone saw and scalpel number eight. We have ten to fifteen minutes to save the patient from the malignant brain edema! "
After Chen Qun finished speaking, he walked to the operating table. He took the real, divine scalpel, which was commonly known as the "merciful knife," and cut a five to six centimeter incision on the left side of the patient's skull cleanly. Then, he flipped the scalpel slightly in his palm and handed it to the scrub nurse. He took the bone saw when he let go and opened the patient's skull with ease.
"Dr. Chen, the patient's ventilation carbon dioxide pressure is still normal at this time. There seems to be something wrong. "
"Yes, immediately reduce the concentration of carbon dioxide. At the same time, inject the nerve muscle blockage to reduce muscle reflex. "