Outside the gate of Jiangnan Hospital.

A white rescue helicopter landed on the ground at a rapid pace.

A group of doctors hurriedly ran down with stretcher carts, holding hanging bottles in their hands and shouting: "Get out of the way!

Scattered a crow that couldn't see its fingers.

......

Ten minutes later.

ICU Intensive Care Unit.

On the operating table lies an important patient who has just been flown in from outside the province.

Outside, the dean, vice president, chief physicians of various departments, and bulls from outside the province were waiting for the operation, looking up at the screen and preparing to observe the operation.

Behind them, there are hundreds of trainees, interns, trainees and nurses.

It is not easy for Jing Ye to be able to observe this operation, thanks to the head nurse Sui Taohua who opened the way in the mountains and built bridges in the water.

In addition, Jing Ye also saw Bai Qi of the criminal police detachment leading two guards to guard outside the door.

Patients lying on the operating table are not ordinary people.

Dai Nanguan.

He is a notorious death row convict who killed seven people in a row.

And among the seven deceased, one of them was Bai Qi's master.

As soon as he thought of his master's death, Bai Qi wanted to beat Dai Nanguan to pieces and sweep his body as a sieve.

For three years, with the cooperation of the police in other provinces, Bai Qi finally arrested Dai Nanguan across the province.

Obviously, the next moment, he can be taken back and sentenced to death.

But the heavens did not fulfill people's wishes, and at the moment of grabbing, Dai Nanguan suddenly fell to the ground and fainted.

After investigation, it was not a feigned illness, but an advanced hypothalamic hamartoma.

"Even if we are doctors, but he is a bastard who killed seven lives in a row! Why should we save him? If he is in the late stage, he deserves it!" a fledgling midshipman muttered angrily beside him, which was unfortunately heard by the dean, Qi Xiuyuan.

"Hurry up and get out, I don't want a trainee like you in Jiangnan Hospital!"

Qi Xiuyuan didn't explain anything, and scolded with a slashing face.

......

Although the treatment of hypothalamic hamartoma is not one of the most difficult surgeries in medicine, because the cases are extremely rare, the tumor components are complex, and there are few relevant references in the world, hospitals in other provinces are unable to start.

In order not to delay the deterioration of Dai Nanguan's condition, Qi Xiuyuan contacted hospitals in other provinces half an hour ago, and hospitals in other provinces immediately dispatched helicopters to transport Dai Nanguan to Jiangnan Hospital.

Jiangnan Hospital's research on hamartoma is not very good, but just in time for Mike Jack, a professor of medicine in the United States, to come to a regular academic seminar, and Dean Qi Xiuyuan asked Dai Nanguan's hypothalamic hamartoma surgery to replace the original breast cancer surgery of a young woman.

Jack became famous at the Dana-Farber Cancer Institute affiliated with Harvard Medical School, which is ranked fourth in the United States in oncology and has a Nobel Prize-winning medical master.

And Mike Jack is the apprentice of this master of medicine.

His research on tumors has received funding support from ACS, NCI, NCCN, and at the age of 27, he has become the youngest associate professor in the history of Harvard.

He has performed nearly 1,000 tumor surgeries, and so far, he has never missed.

And this time, he was invited to Jiangnan Hospital to preside over the hypothalamic hamartoma surgery, which became the shining point of today without any suspense.

......

Outdoor in the ICU.

"Professor Jack is here! He's here!"

Someone shouted, and when everyone looked back, they saw a Mi man coming in a hurry.

"Hello, I'm Dean Qi Xiuyuan. "The situation is urgent, there is no time to say too much, Qi Xiuyuan roughly said the patient's case, "The patient Dai Nanguan, 28 years old, has a family history of tumors, normal blood routine, high serum sodium, 64-row spiral CT enhanced non-contrast scan yielding lesions, a malignant hamartoma with a diameter of 3.3cm grew at the hypothalamus, which has compressed the nerve, because he is a death row prisoner, the family refuses to meet him, and norepinephrine does not last long, I see that there is no need to sign an agreement for surgery, and it is recommended to take a craniotomy immediately." ”

But considering the possibility of complications, Jack added: "Don't rush, do another MRI with enhanced scan, and use 0.1mmol of gadolinium pentetate meglumine injection for contrast medium." ”

Hearing this, everyone was confused.

"! Are he sure he's Professor Mi Guo?"

"Didn't he know that patients with hamartomas have epilepsy?"

"This kind of contrast agent is used with caution by epilepsy patients, and if it is not used well, it will kill people! If a person dies in our hospital, the century-old reputation of our hospital will be ruined! Can he afford this responsibility?"

At the same time that everyone questioned Jack's puffiness, Jack's pride said another sentence: "When ready, first inject an intravenous bolus of 5.24mg nitrodiazepam, EEG to observe the electroencephalogram, and prepare two more 2mg of fluoromethazepam and four 1mg of chloronozepam in case of accidents." ”

The crowd fell silent.

This is a master, this is a master.

......

Soon, the MRI results came back.

The display reads:

The bilateral brain structure was asymmetrical, the gray and white matter contrast was normal, the water in the brain increased, the lesion ring was enhanced, the intracranial central ventral surface was long T1 and long T2 signal shadow, the posterior hypothalamus was widened in the adenohypophysis, and the supraoptic nucleus was widened in the neurohypophysis.

After reading the results, Jack felt that he was doing the right thing.

The most important thing is that the complication of hamartoma causes cerebral edema, and cerebral edema further damages the hypothalamus, and the two are in cahoots, which not only makes the advanced stage of hamartoma early, but also aggravates the deterioration of cerebral edema.

"Professor, how many doctors and nurses do you need to be your assistant? The dean pointed to the doctors standing in the front rows and introduced, "The first three rows are all elites of our hospital, and there are also big doctors from other provinces. ”

Jack's eyes swept over everyone, and in the midst of thousands of mountains and people, he saw the handsome and wet Jingye standing in the last row: "It's him." ”

Many people have begun to question Professor Jack's level, even the itinerant nurses and instrument nurses don't care, he still chooses people so blindly, isn't this nonsense?

How is this Fat Four?

Even Jing Ye was a little confused, there were many doctors who were stronger than him, and he was just a small rotation trainee, "Does he think I'm the king?"

The dean urged loudly: "Hurry up at night, the professor's time is very precious, since the professor chose you, don't embarrass our hospital!"

Jingye could only be regarded as stepping on dog shit, nodding and immediately going to the locker room, washing his hands with soap and water, putting on gloves while wet, changing into sterile clothes, and putting on a mask and a doctor's hat, and then he walked into the ICU.

......

Everyone was looking forward and excited.

They stood outside and carefully watched and studied this master-level operation.

In addition to the transparent lead-led glass in front of you, the huge screen projection outside also has ultra-clear 12K picture quality, and everyone can clearly see the shadowless lamp on the operating table shining on the patient's baldness, which looks brighter and brighter.

Before the operation, the room has been sterilized and purified by ozone sterilizer and reflective ultraviolet disinfection lamp, and the bacterial colony has been controlled to 161cuf/㎥, and now the patient's body is covered by a layer of blue sterile sheet, only revealing the area of the upcoming craniotomy.

In addition to the pneumatic craniotomy drill, electric drill, grinding drill and milling cutter needed for craniotomy, there are also some rescue drugs, and there are many instruments and equipment, monitors, defibrillators, ventilators, electrocardiogram machines, etc.

At this time, the scalpel held by Jack was already a little chilly, and his whole body was invisibly exuding a dazzling light.

He is the protagonist today.

"It would be nice if the surgeon was me this time. ”

Sedum Night was like a salted fish standing up to a corpse, his eyes were longing, because he couldn't see a trace of Shuye when he stood behind Jack's stunt, and could only look up and observe through the screen captured by Shuye's camera.

Jack looked at the patient for a moment and spoke again: "Go and prepare a 0.9% sodium chloride solution, dilute dexmedetomidine to 4ug per milliliter, and slowly inject 30ug intravenously for general anesthesia." ”

"After intravenous injection, another 4ml injection of ondansetron was given to prevent vomiting during and after the operation. ”

"Another 10mg injection of dexamethasone to prevent cerebral edema, hypothalamic-pituitary-adrenal axis hormone imbalance and accidental shock during surgery. ”

Finally, rehydration and dehydration, with 5% glucose and 20% mannitol intravenously, are performed to prevent hypernatremia and reduce increased intracranial pressure, so that the patient can wake up after half an hour and urinate after surgery and moisten the bowels. ”

"These are all preoperative preparations, don't make a mistake!"

After hearing this, Jing Ye immediately left for the small unit dispensing room and began to dispense injections.

It's just that remembering so many things at once is also quite a test of instantaneous memory, and it is simply too difficult for him.

What to do?

Do you want to go back and ask again?

But we don't dare to ask, if we ask, won't our image and strength be wiped out in front of everyone?

At the same time, a mechanically cold voice suddenly sounded in Jingye's ears.

"Please open your starter pack!"