Chapter 498: Delayed intracerebral hemorrhage
Chapter 498 Delayed intracerebral hemorrhage
"Well, this is good! Money can make ghosts grind!" Han Qiang was even more happy, according to the convention, he had a share in the sight.
Xia Yuyan both loves and hates the guy in front of her who sees money, what she loves is his skills, which is really powerful, and what she hates is that he thinks of money whenever he thinks about it, and he simply drops it.
"Okay, then let's perform a right lobectomy!" Lin Yu began to explain the operation process in detail.
"Although this operation only needs to remove the upper lobe of the lung, it also needs to be separated, and the pleura and the lobes of the right lung must be separated, so that the lung can be expanded! If the separation is not done well, it may affect the lung expansion in the future!"
"Oh!" Han Qiang could only reply!
He didn't understand, and there was no other technical vocabulary to speak.
Lin Yu glanced at Han Qiang, there was some contempt in his eyes, of course, more helplessness: "We need to pull the right lung backwards and downwards and cut the mediastinal pleura around the upper part of the hilum! This blood vessel is called the asymmetrical vein, and we need to separate the mediastinal junction and connective tissue here! This is the vagus nerve, ligate it, and then expose the main trunk of the right pulmonary artery! Separate the anterior branch of the upper lobe apical ......."
Lin Yu's saliva was about to run dry, but Han Qiang didn't listen to anything!
These vascular nerves are too refined, clinically, this is the category of thoracic surgery! He is just a half-bucket urologist, Han Qiang said that he didn't understand anything, this lung blood vessel is originally a lot of blood vessels, very complicated!
For the sake of the 5,000 yuan, Lin Yu also fought hard! Explained while operating! And explained it more carefully.
"Our next step is to separate the artery along the main trunk of the pulmonary artery in the tunica vaginalis, where the posterior artery can be seen, and the artery is ligated, sutured and cut off...... Stitch the upper lobe bronchial artery, separate these bronchial tubes, and use bronchial forceps, there is a key point at this time! Please Han Qiang take notes and mark the key points!".
Lin Yu suddenly sold a pass.
"What?" Han Qiang could hear it, Lin Yu suddenly said something to ask him to make a point, he almost fainted, you just do it, what else are you selling!
This guy, as long as he has an angle, he will damage himself.
"We have to inflate the lungs with a ventilator, to prove that the part of the clamp is indeed the right upper lobe bronchi, do traction, and then cut the bronchial tubes and suture the bronchial stump! Remove the diseased lungs! The operation is almost done! There is another important point here, that is, to check for air leaks!".
Han Qiang was startled when he heard Lin Yu say that there was another test point! Fortunately, this guy didn't ask himself.
"What about wounds elsewhere?"
"I looked, the rest of the place is fine, there is no major problem, and the rebar has not caused organ damage wherever it goes!
Xia Yuyan looked at the time, it was indeed only fifty-five minutes! This operation time is indeed too short, the expert just said while doing it, otherwise, the operation speed would be faster!
She instantly felt that the 5,000 yuan she spent was worth it!
Behind the basketball court is a large football field, in which 50 tents are set up! As a Linshan hospital, many doctors and nurses are shuttling back and forth in it, and these doctors and nurses are all spontaneously organized by all the hospitals in Wenshan City to take on the work after the earthquake!
It stands to reason that they themselves are also affected by the disaster, and at this time, there is also a label attached to their identity: Angels in white! With them, there is hope for these injured victims!
"Just now, I asked the hospital to allocate medicines and medical supplies! It should be in the morning! It's too short of things!" Xia Yuyan sat on a chair with a tired face.
Although this is 120, but the space is indeed relatively large, in addition to the front cockpit, there is an operating table in the middle of the space behind, there are two soft benches on both sides of the operating table, and there are two simple chairs behind the butt of the car, which are usually automatically recycled, as soon as the door is opened, she is recycled, tired, you can move her off the door and take a break.
Xia Yuyan was sitting on it and talking at this time.
Lin Yu was also a little tired at this time, and sat on the bench and teased: "You are bleeding this time!"
Thinking that these things are not cheap, this kind of earthquake relief is an investment, from a commercial point of view, there is really no return, if you want to talk about the return, Lin Yu really can't figure it out.
"In the face of catastrophe, we Huaqing people will always walk in the first, as a private medical group, we are the first to arrive, we are the first to carry out surgery, our investment is also the first, plus the two trucks of supplies that came tonight, we invested three million in advance! Not including the follow-up treatment of these patients!".
When Lin Yu heard this, he secretly said that you are a capitalist, and you calculate everything so carefully: "You deserve to be a capitalist!
Lin Yu secretly said that you are so good at calculating, you must have already reported it, or appeared on TV.
"Not to mention the report, the Hannan Provincial TV station is already doing an exclusive interview! Tomorrow morning, I will have to conduct an online interview!" Xia Yuyan said proudly.
"Capitalists!"
When Xia Yuyan heard this, she felt that the tone of this expert's speech was a bit similar to that of a person!
"Director Lin, if you want to say that I am a capitalist, I have no objection! But you have also seen that we are really involved in earthquake relief, not just playing lip service! Let's just say that the patient just now, without us, he could have survived?" Xia Yuyan immediately retorted.
"Yes! Take what you need! This kind of practice of yours is indeed commendable! You are invested and do not want to reciprocate! This can be regarded as positive social energy, although you have done advertising, but the people in the disaster area have indeed benefited!"
Speaking of which, Lin Yu still understands her better.
As soon as Lin Yu's words were finished, Han Qiang hurriedly ran up: "There is a patient again, hurry up and come down and take a look!"
Han Qiang ran in a hurry, and the smoke was not extinguished.
"Smoke!" Xia Yuyan reminded viciously.
"Oh!" Han Qiang immediately jumped out of the car again, and took two puffs of his cigarette before throwing the cigarette butt away.
"Litter!" Xia Yuyan really wanted to step forward and give Han Qiang a kick!
"Hehe! there's no ashtray here!".
"You're still reasonable!" As soon as Xia Yuyan finished speaking, an ambulance came in, and there were many wounded people coming down, all of them were covered in dust, and some of them were covered in blood, looking terrifying.
At this time, there were already local doctors doing the initial screening, and as long as the patient was simply bandaged and sent to the back tent for treatment, Tangtian Hospital did not drive the ambulance over, but only set up two tents as operating rooms.
From this point of view, Lin Yu still appreciates Xia Yuyan more, whether from the degree of attention or from the perspective of manpower and material resources invested, Huaqing Group has an absolute advantage, and the Xia family attaches more importance to earthquake relief than the Tang family.
"That patient is for us!" Lin Yu saw a patient holding him.
"Isn't it the one lying down that is heavier?" Xia Yuyan puzzled, the patient lying on the walker had his thigh pressed to death, and he should have had to amputate his leg to save his life, and this patient could still walk, of course, with the support of others.
"This one has a cerebral hemorrhage!" Lin Yu reminded.
"The dean said to give you the one who is seriously ill! This patient is lighter!" The doctor was a little unhappy when he saw that the doctor had picked up a patient with a mild illness, thinking that he had to assign the patient himself, and he actually came to ask for the patient.
Of course, this doctor thought that this expert surnamed Lin was afraid of the serious!
"Look at which patient is heavier? Which one is heavier, the cerebral hemorrhage or the broken leg, and if the patient I want is sent to the back, you should still have to queue up for treatment! By that time, there may be no one left!" said the expert, surnamed Lin.
"Huh, how do you know?" The doctor was directly confused, there is no CT here, let alone MRI and other examination equipment, how can you tell that he has a cerebral hemorrhage?
As soon as he finished speaking, the patient suddenly fell to the ground!
Everyone sees it in their eyes and is anxious in their hearts!
That's right! The expert was right! Cerebral hemorrhage!
"You sent him, who are you?" Lin Yu looked at the person who was supporting him.
"It's my neighbor!" he said he was a little dizzy, so I helped him over!"
"Did he say why he had a headache?" Lin Yu saw that everyone was carrying the patient, and he tried to figure out the patient's condition first.
"When the earthquake happened, when he jumped from the second floor, he hit his head on a telephone pole, and he said that he was in pain at the time, and he was fine last night!"
"Delayed intracerebral hemorrhage! It is more common in clinical practice!" Lin Yu came to the side of the operating table after speaking, the patient was already on the operating table, and the intravenous anesthesia had been put on.
"Han Qiang, you come to do intubation!" Lin Yu thought that Han Qiang would follow him, and let him learn something! This thing is like a frog, if you don't kick him, he will definitely not move.
Follow yourself, or let him learn something, this is Lin Yu's original intention!
"Hmm!" Han Qiang began to intubate, this kind of patient needs to have a craniotomy, must be intubated for organs, put on a ventilator.
After about eight minutes, Han Qiang finally plugged in the right tube!
"Then let's start the operation! Han Qiang, you can do it!" Lin Yu saw that the patient's vital signs were quite stable, and there was no need to deliberately pursue speed, so Han Qiang came to take the lead.
Han Qiang was frightened! He never thought that he would have the opportunity to perform a craniotomy with the main knife! At this moment, he didn't know whether he was happy or sad.
"I... This... I don't know?" Han Qiang looked confused.
"Left prefrontal lobe hematoma! You shave off the patient's hair first, and I'll mark you later! Just do the surgery according to that mark!" Lin Yu encouraged.
I'm afraid of everything for the first time, and after I really want to get started with an operation, it's actually like that, it's not as difficult as I imagined.
Han Qiang's heart was beating faster at this time, he never thought that he would have an operation almost!
"Okay!" Han Qiang finished speaking and began to prepare the skin!
"Design the flap of the forehead first, and wait, you will follow this place!" Lin Yu began to mark the number with a marker.
Han Qiang began to tremble and cut open the skin and stop the bleeding, although it was not a big operation, but his movements were relatively clumsy, and the 'teacher' Lin Yu was very anxious!
"Director Lin, can he handle it?" Xia Yuyan was a little anxious for him, Han Qiang usually doesn't like to study, and he is easy to drop the chain at critical moments.
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