Zhang Junyi's injury, when there was no autologous blood recovery machine more than ten years ago, may still rely on the "mutual blood donation" bought by a large number of family members. In the early years, no hospital would have even been willing to try to treat this kind of injury.

Fall injuries are one of the most troublesome systemic injuries - the human body did not evolve to survive a fall from a height.

The spine that helps humans walk upright lacks adequate cushioning, and the large, heavy, and fragile skull becomes a hammer on a thin stick. When falling from a height, the potential energy of the skull and the spine lacking a cushioning structure collide directly with the potential energy conversion. The most direct result is a basilar skull fracture and a burst fracture of the thoracic and lumbar spine.

Injuries to basilar skull fractures begin with brain herniation. The cause of brain herniation is still not clear enough - after seeing the midline deviation, Liu Tangchun directly decided to terminate the CT examination and immediately undergo emergency craniotomy. Therefore, it is now very important to judge the patient's condition.

The dura has been cut open by the surgeon. Sun Lien only now can see that the person who presided over the operation in the operating room was actually Liu Pingchuan.

As a second-level professor, Vice President Liu Pingchuan also serves as the director of neurosurgery and vice president. To put it bluntly, Dean Liu, who was born in Tongxie, is the first knife in neurosurgery in the entire Song'an Province and even in the surrounding provinces. In the face of such a seriously injured patient, and it is also the most experience-testing emergency exploratory surgery, Liu Pingchuan, who is still in the hospital, has the responsibility to shirk.

What's more, after Liu Tangchun received Sun Lien's call, he immediately ran to Liu Pingchuan's office and arrested the bewildered Vice President Liu into the operating room.

Even if you look at Lao Liu's face, Liu Pingchuan has to be responsible for this operation personally.

On the other hand, the hepatobiliary surgeon responsible for treating liver rupture is also a strong man who was captured by Liu Tangchun - Director Zhao Chongxi.

Director Zhao himself was originally preparing to get off work. But coincidentally, today happens to be the day when Xiao Yanran comes back for a review. The little girl now has to go to school every day, and the elementary school has to wait until half past four in the afternoon. It took more than ten or twenty minutes to rush back from school to the fourth courtyard. In order to do a good job of checking Xiao Yanran, Director Zhao took the initiative to decide to work overtime. As a result, before the little girl arrived at the Fourth Hospital, she was caught by Liu Tangchun, who was holding Liu Pingchuan with one hand--the director of hepatobiliary surgery's consultation room happened to be next door to the director's clinic.

Liu Tangchun grabbed a director in one hand, and at the same time held his mobile phone in his shoulder to call for support. "Lao Zheng, hurry up to the hospital, there is a high-altitude fall injury to deal with!"

Liu Pingchuan was a little dissatisfied with Liu Tangchun's behavior of calling for foreign aid, "The problem outside the spine can be dealt with by our gods." What are you asking Lao Zheng to do?"

"I'm glad you could get rid of my brain herniation. Liu Tangchun glared at Liu Pingchuan, "The problem of lumbar and thoracic vertebrae bursting can be discussed after you have solved the brain herniation and internal bleeding." ”

"I'll get rid of it together. Liu Pingchuan was still a little angry, "You called Lao Zheng over, his body can withstand the operation for several hours?"

Lao Zheng took the second station. This surgery was done even on the table. Liu Tangchun's hurried pace did not mean to stop, "You and Lao Zhao will solve the most fatal problem first." ”

"Why don't you call Xiao Jiang outside the spine?" Director Zhao Chongxi finally understood what his task was. He asked a little puzzled, "Isn't it right for Xiao Jiang and their department to engage in burst fractures of the lumbar and thoracic vertebrae?"

"The lumbar spine plus the thoracic spine, and the basilar skull fracture. This high fall may also have a few broken ribs. Liu Tangchun explained, "Hurry up for time, the second station will deal with the spine, skull and ribs - if there are other long bone fractures, let Lao Zheng clean them up together." ”

"He, Jiang Qingyuan, don't want to complain to me about robbing my life. Lao Zheng is his master, and it has only been a few days since he became independent from orthopedics outside the spine? Liu Pingchuan felt a little uneasy about the existence of the department of spine surgery - the establishment of spine surgery caused a lot of turmoil in the four hospitals. Shenwai and the Department of Orthopedics were transferred to a large number of young backbones to support the Department of Spine Surgery. However, Jiang Qingyuan's own academic level and professional level are still a little immature to lead the department, which also leads to the fact that the external sense of the spine in the four hospitals is not too strong.

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"This operation is big enough. Sun Lien's curiosity became great after recognizing Liu Pingchuan, and he began to look around to see which directors had come to the operating room. It doesn't matter if you don't look at the result, you will be shocked when you see it. Sun Lien was surprised to find that almost all of the people in the operating room are Zhenggao and Associate Gao.

Not counting Zheng Guoyou, who has not yet arrived at the scene, the doctors who are busy in the operating room include Vice President Liu Pingchuan, Director of Hepatobiliary Surgery Zhao Chongxi, Director of Spine Surgery Jiang Qingyuan, Deputy Director of the Department of Anesthesiology Li Tianfeng, and Director of the Blood Transfusion Department Li Yaoping. The Department of General Surgery of the Fourth Hospital did not send any director or deputy director to help, because it was Chen Tianyang who was ready to take over at the scene.

One operation, six high and one secondary high. Among this group of doctors, the lowest-ranking is Jiang Qingyuan, the director of the spine surgeon, who is currently a second-level associate professor. The highest-ranking are Chen Tianyang and Liu Pingchuan, both of whom are second-level full professors.

This is an epic operation that deserves to be. In order to save people, Liu Tangchun has unreservedly sent the strongest lineup of the four hospitals in order to complete this operation. It is only a large emergency center with strong strength like the Fourth Hospital that it is possible to catch six professors and one associate professor to perform emergency surgery in one go at the end of work.

It is only in a hospital like the Fourth Hospital that there may be seven third-line doctors who can go directly to the operating table.

Time passed quickly, and two and a half hours after the operation began, Liu Pingchuan's Shenwai surgery team announced the end of the operation. They succeeded in removing a large arachnoid blood clot and suturing the artificial dura.

An hour after Shenwai announced the end of the operation, the surgical team led by Zhao Chongxi announced that the hepatectomy hemostasis was completed. They removed all of Zhang's left liver, and also removed about half of the middle liver. Zhang Junyi's residual liver is about 65% of the original.

After the risk of brain herniation and liver rupture was removed, Liu Pingchuan, Jiang Qingyuan, Zheng Guoguo and Chen Tianyang took over and directly began the second operation. This operation was to fight for Zhang Junyi's better chance of recovery - Zhao Chongxi and Liu Pingchuan initially allowed Zhang Junyi to be safely admitted to the ICU. The second operation was to increase his chances of being discharged from the ICU safely.

Epic surgery, still ongoing.