Craniotomy is no more difficult than laparotomy.

To open the abdomen, it is necessary to keep in mind the anatomy of the abdominal wall, what are the muscle layers through which the median incision of the upper abdomen passes, what important blood vessels need to be avoided between the muscular layers, how is the median incision of the lower abdomen, and what are the median incisions, transrectus abdominis incision, and transverse incisions under the costal margin......

But craniotomy is not so complicated.

Under the scalp, under the fat, under the fat, the skull, inside the skull is the dura mater, and inside the dura mater is the brain tissue.

In other words, if you make a hole in the skull, you will pass through the four layers of tissue: scalp, subcutaneous fat, skull and dura mater.

Although the blood supply to the scalp and subscalp fat is abundant, the capillaries are dense, and there can be 'countless' bleeding points under a knife, but these capillaries are not important, and there is no need to consider preservation during the operation.

As for making a hole in the skull, it sounds very mysterious, but in fact it is very LOW, and it is similar to the need to make a hole in the wall for ordinary people's home air conditioners, but the electric drill in the doctor's hand is smaller than the electric drill in the hands of the air conditioning master, more accurate, and the price is higher, that's all.

Craniotomy is simple, it is not difficult to open the cranium for congestion and drainage, you only need to determine the location of the bleeding, and then choose the right path, go through the catheter, drain the blood out, and an operation will be completed.

As an assistant in surgery, Dean Lin cooperated with Yang Xi's surgical operation, while thinking, this kind of surgery is indeed not difficult, it is no different from what the book says, with his own skills, he should have taken down the surgical treatment of cerebral hemorrhage a year ago, for Mao himself is timid? I bought instruments but put them in the warehouse, and I didn't dare to try it.

Alas, it's still a kind of Yang Xi!

In addition to sighing, he inadvertently looked at Yin Wei on the side, Dean Lin found a reason for himself, why is Yang Xi so kind, isn't it because there is an expert anesthesiologist like Yin Wei to escort him? If Lao Tzu has such an anesthesiologist, he is by no means worse than you Yang Xi, worse than you...... Too much.

Textbooks say that the prognosis of progressive coma caused by delayed intracranial hemorrhage is generally not very good, and the mortality rate is high. Although Dean Yin Weilin and his wife have no clinical experience in brain surgery, they remember the words in the textbook clearly, which is the main reason why the two of them were quite worried about Yang Xi along the way.

To put it mildly, in this disaster, the performance of Liuquan Town Hospital has been quite good, and if you stay up for another 24 hours to monitor the 10 injured people through the postoperative danger period, then, if the full score is 100 points, the score of Liuquan Town Hospital must be at least 98 points, and the 2 points deducted are nothing more than roll points, who makes the hardware conditions of the hospital not enough?

However, Yang Xi took the initiative to take the wounded from Dawu Town Hospital for observation, but it was a thankless choice. was lucky enough to save the wounded, and there were no additional points to be gained, and in case the wounded died on the operating table, then the responsibility would be deducted from Yang Xi's head, and the 98 points that he had already obtained may also be deducted.

Of course, Yang Xi also understands this truth.

However, human life is at stake, and he cannot be allowed to ignore the prevarication. Whether it is acute intracranial hemorrhage or delayed intracranial hemorrhage, unless the amount of bleeding is not large and can be treated conservatively, otherwise, if the craniotomy and drainage are one minute earlier, the injured will have more hope for life. Rushing from the Liuquan Town Hospital, the car drove more violently, that is, it could arrive in 20 minutes, but if it was necessary to transfer people from the county or send the wounded to the county hospital, it would take more than an hour.

The difference of 40 minutes is just a lesson for students and a report for leaders, but for doctors and patients, it is a prerequisite for defeating death.

As for how did Yang Xi's realm and professional ethics suddenly rise to such a height?

Ahem, all those who have questioned the master, please shut up, what is it, the master has always been a kind person, loves world peace, and has lofty ideals and beliefs...... Goose, a little embarrassed, doesn't seem to be a few people willing to believe it.

It doesn't matter if anyone believes it, it doesn't matter how many people believe it, the important thing is that Yang Xi's luck is so good that it is bursting.

In other words, the name of the wounded man was forgotten in the book of life and death of Lord Yama.

At the time of the accident, the injured person took off his helmet and was hit in the head by a carbon stone. The density of carbon stone is not as good as that of rock, and the structure is relatively loose, and it is smashed on the head, but it does not show obvious trauma, but the structure of carbon stone is relatively loose, which is also compared to rock, and I dare not understand that it is as loose as a snowball.

The casualty was bareheaded, and a subdural hematoma occurred, but the hematoma was not large enough to cause obvious signs of increased intracranial pressure.

However, the doctors at Dawu Town Hospital thought that these miners were wearing hard hats, so it was unlikely that they would have head injuries, so they focused on chest and abdominal injuries and bone injuries, and did not prescribe a head CT examination list for these wounded.

The wounded patient's brain parenchyma did have delayed hemorrhage, but the bleeding speed was not fast and the amount of bleeding was not large, but there was a previous and increasing subdural hematoma that compressed the brain tissue, and the two acted together, making the casualty present the clinical manifestations of severe intracranial hemorrhage.

In fact, when Yang Xi instructed Dawu Town Hospital through Dong Junhui's phone to take a CT scan of the head of the wounded, and at the same time give mannitol to reduce intracranial pressure to stop bleeding and prevent acid and enhance the wounded's blood clotting ability, the general condition of the wounded has been greatly improved. Otherwise, how could Yin Wei rush into the operating room and check the vital signs of the wounded when he had nothing to say?

Can you still be a doctor in Dawu Town Hospital?

The subdural hematoma can be punctured and blood drawn, and a small amount of high-concentration hemostatic drugs are injected after the blood is exhausted, and the amount of cerebral parenchymal bleeding is 6,7 ml, which can not be treated, but for the sake of insurance, Yang Xi still did the drainage.

One hour and twenty minutes later, the operation was declared over.

It is indeed a bit embarrassing that the operation took so long, but for the sake of the wounded, Yang Xi did a very fine craniotomy so that when the autologous skull repair was performed in the future, the wounded's skull could heal more tightly. Since it is delicate, it will take more time to indispense.

After getting off the stage, Yang Xi ignored Dean Hou, who had been guarding the operating room, but went straight to the lounge, where the two leaders of the county and Dong Junhui should be waiting a little anxious.

"How is it?" As soon as he saw Yang Xi, Dong Junhui asked eagerly.

Yang Xi was silent, took the cigarette handed over by Hu Shuji, lit it, took a puff beautifully, and then responded: "It's not a big problem." ”