423 Hydrocephalus pumping with bare hands

Zhang Xiao opened the girl's eyelids and exposed the eyeballs. Liu Banxia took two deep breaths before taking the needle handed over by Shi Lei.

Even if a decision has been made, Liu Banxia's heart is too nervous. This is a completely different level of operation from the on-site laparotomy and thoracotomy to stop bleeding, and the operation location is still in the very dangerous area of the brain.

When the needle was about to touch the patient's eyeball, Liu Banxia took his hand back again.

"Banxia, you can do it. By inserting the needle from the upper edge of the eyeball, more nerves can be avoided and the hydrocephalus can be reached. Zhang Xiao said.

"It's similar to a paracentesis, your hands feel so good, and you don't need to take out too much fluid. We just need to solve the condition of brain herniation and allow us time to drain in the operating room. ”

At this time, the monitor has been connected, but its function is to keep alarming.

Liu Banxia nodded and held his breath.

There's really not much time to think about that right now.

As the needle is inserted, his hand can clearly feel the position of the patient's eyeball and the needle. His eyes were glued to the needle, and his brain was recalling the CT image of the patient's brain.

He had to construct a three-dimensional image in his head, and at the same time imagine the condition of his needle extending through this image.

If there is a slight sensation of the needle tip penetrating the tissue, it is very small after a centimeter or so of piercing in.

Maybe it's because of his nervousness, or maybe it's because of the softness of this part of the tissue.

The sweat on Liu Banxia's head also came out directly, and every millimeter of distance that the tip of the needle pushed in, it seemed to have taken some of the strength out of him.

Although you should not hesitate to do this, because even if you pause even a little, you may change the route of the needle when you push it in.

But now no one dares to remind Liu Banxia, and no one dares to urge him.

This is also the absolute trust in him, because his hands are stable enough. Even if the needle prick is relatively slow now, in Zhang Xiao's judgment, Liu Banxia's hand still remains in the same position.

In fact, don't talk about Liu Banxia, he is now holding the patient's eyelids, and his fingers are a little numb.

He's a doctor outside the gods, and he's just as demanding on his hands. I know that this is because of nervousness, so it leads to my own peripheral vascular ischemia.

At this time, I saw Liu Banxia's hand stop, and the other hand gently pulled up the piston.

All eyes were on the syringe, hoping to get the fluid out instead of the patient's brain tissue or something else.

"Water ......"

Xu Yinuo couldn't help shouting, and hurriedly covered his mouth again.

Looking at the stagnant water pumped out, Liu Banxia also breathed a sigh of relief. In the process of pumping the stagnant water, his hand was also steady and slow, until he pulled out a little more than three milliliters, and the sound of the monitor stopped.

"Vital signs returned to stability. Zhou Qian said.

Liu Banxia held his breath again, he still had to pull out the needle. If you make too many movements, you may also damage nerves or brain tissue.

"Banxia, good. Express delivery to the operating room. ”

When Liu Banxia pulled out the needle in its entirety, Zhang Xiao patted him on the shoulder hard.

Liu Banxia, who was originally kneeling on the ground, was slapped by him like this, and the whole person lay on the ground like a balloon out of breath, with only a big gasp of air left in his mouth.

Ding! First aid complete

Gain 500 XP, 300 Diagnostics Skill Proficiency, 400 Dressing Change Skill Proficiency, and 3 Glory Points

This quest is rated as Perfect, gaining 500 XP points, 500 diagnostic skill proficiency points, 700 Dressing Change skill proficiency points, and 10 glory points

Now Liu Banxia is almost prostration, even if the reward given by the system is already very rich, but he still doesn't want to have a second such operation.

"You kid, Oxfork. ”

"Mr. Liu, it's amazing. ”

"Mr. Liu, can you tell us what it's like?"

He heard the first two sentences of praise very hazy, but he heard the last sentence clearly.

"What does it feel? I feel like I'm going to die. Let me lie down a little longer, and I won't have any energy left. Liu Banxia said with a wry smile.

At this time, the big guy realized that Liu Banxia's shirt was already wet, and his head was also full of sweat.

In fact, the result that caused him to be like this can only be said to be the last straw that broke the camel's back. Today, after seeing the Clostridium difficile patient, his spirits have never relaxed.

And as a hospitalist, that pressure is always there. He has been thinking about a lot of things recently, even if it has only been two days in a row, and the pressure is not small.

After lying on the ground for five minutes, Liu Banxia wiped the sweat from his head and got up from the ground. He was reluctant to exchange Peiyuan Mixture to replenish his strength, it was really a waste.

"Take a break, I'll keep an eye on you. Shi Lei said.

Liu Banxia waved his hand, "It's nothing, I was just too nervous just now." Bring me a bag of glucose and I'll quench my thirst. ”

The nurse didn't say a word, and went directly to the medicine cabinet to bring over a bag of glucose.

Liu Banxia drank it very boldly, and put down a small half bag in one go, and then felt a little energetic.

"I don't even know if I hurt the patient's nerves right now, so I'll check it after the surgery. Liu Banxia said.

"It's already very good, but the incident happened suddenly, and the cath lab on the first floor was occupied, so I can only do this. Shi Lei said.

"Anyway, it saved a life. Go to the lounge and lie down, you didn't sleep long last night. If you are tired, we will be even more tired. ”

"Then I'm not welcome, I'll lie down for 20 minutes, and call me if there's something. Liu Banxia nodded.

There is no need to be polite and excuse this matter, the body is really tired now, and the fatigue after this tension is much more tiring than physical labor.

Lying on the bed in the lounge, he drank up all the remaining glucose.

This is also a must-have nutrient for surgeons, but if you are overtired, you can drink a bag to last a little longer.

Lying down, he also reflected on it, the main reason why he would have the consequences he is now is because he has poured too much emotion into the patient.

I can't say that this is bad, but it is also necessary to grasp the problem of degree. If you don't do it too much, you will pay more attention to it and you will not be able to maintain an objective mentality.

Even if it is said that patients should make their own choices, in fact, many times, intentionally or unintentionally, they will give patients a certain degree of guidance.

This situation needs to be changed, otherwise I will definitely be more tired in the future, and it may also lead to the wrong choice for the patient. No one can guarantee that what the doctor says is right, and those possible complications will also occur.

He didn't lie down for twenty minutes before he walked out of the lounge.

"Mr. Liu, don't lie down any longer? Wang Chao said.

"I can't lie down, anyway, even if I come out, I'm sitting. You have to do the work. Liu Banxia said.

"I'm really not afraid to work, and now I'm also very motivated. Anyway, you have to boil it anyway, even if you become the main director in the future, it's also such a boiling method. Wang Chao said.

"These are the days when there is no light of day, so let's live as we please. You're almost out of the sea of suffering, and I don't know when you'll be able to get ashore. ”

"It's okay if you want to go ashore, do you want to go to the ICU for exercise?" asked Liu Banxia with a smile.

Wang Chao's head shook into a rattle, "Pediatrics, ICU, I mean I don't go anywhere." Even if it's a year late to get the attending contract, I won't go. ”

"Well, I have to give the interns a good lead. Liu Banxia said helplessly.

"In the past, I thought that the emergency department was the most exercised, but this is not bad. But I think if you want to exercise your mind, you still have to go to the ICU. ”

"When the ICU wards are all in place and expanded, there will definitely be a general inpatient at that time. Take a look and see if others have this idea. What I mean by this is that the inside of our emergency center is digested, and there is no need to look for it outside. ”

"Hehe, then I'm not going either. A patient with a bruised hand came, and I had to take it. After Wang Chao finished speaking, Liu ran away.

Liu Banxia grinned, the ICU is really a change of color. I don't know when the hospital will be able to fully allocate personnel, so that the work of the big guys can be easier.

Now it is just an emergency center built according to the original idea, and there is not only a shortage of departments, but also a shortage of people.

"Mr. Liu, the director just got out of surgery, so I'm calling you. At this time, a nurse came running.

Liu Banxia didn't have time to think about messing around, so he hurried to Zhou Shuwen's office.

"I heard about it right after the operation, and this patient was very beautiful. Zhou Shuwen said with a smile.

"Director, if Zhang Xiao hadn't told me what to do, how would I dare to do it. Liu Banxia said.

"I don't need to be modest, how about it?, has your body recovered?" Zhou Shuwen asked.

Liu Banxia nodded, "I've recovered." Director, there is a patient whose condition is complicated, please refer to it. ”

Then Liu Banxia gave a brief introduction to the situation of the Clostridium difficile patient.

Zhou Shuwen frowned, "It's hard to deal with, I have the same opinion as you, I can only wait." Even if the family chooses to have a healthy stool transplant, you need to do a good job of explaining it. ”

"There are not many cases treated with this method in our country, and if the patient's family really chooses to do it, you should also make detailed records. ”

"This is a general direction to solve intestinal problems, but the current risk factor is a bit high, and there are many variables, so we have to be more careful. ”

Liu Banxia nodded, Zhou Shuwen said so, and he could only die. There are not so many miracles in this world that you can't bet on the lives of your patients.