VIP Volume 56 Cerebral Hematoma Surgery

After changing into a sterile gown, sterile gloves, mask and hat, Zhang Kun entered the operating room.

It's all the two nurses from last time, plus nurse Xiao Li, so it's completely the foursome combination from last time.

Nodding, after saying hello, Zhang Kun carefully examined the patient on the hospital bed.

As Dean Li introduced earlier, the patient should be an old man in his seventies, and some of his gray hair has been dyed blood-red.

Zhang Kun carefully peeled off a part of his hair and examined the wound.

There was a hematoma at the impact of the victim's head, which was slightly convex and oozing blood, but fortunately, it did not cause a rupture of the scalp.

Closed cerebral hematoma.

This one is easier to deal with.

Zhang Kun checked the patient's other conditions.

Pull the patient's eyelids apart.

The patient's eyes are cloudy, and he has obviously entered a coma, his pupils are equal to large, and the light reflex is lost.

The only good thing is that the patient has not yet entered shock.

"The amount of bleeding checked no. Zhang Kun asked in a deep voice.

"Yes, it has been checked, supratentorial 30ml, infratentorial 10ml, brainstem 5ml or more, midline shift 0.5cm or more. ”

After understanding the basic condition of the patient, Zhang Kun's mind turned and the surgical plan was basically determined.

Zhang Kun nodded, and then instructed unhurriedly: "Then let's start, go to the hair, disinfect, carry out general anesthesia, micro, full head numbness, and take 0.25% procaine for subcutaneous injection." ”

"Yes!"

The other two nurses have also discovered that Zhang Kun is the same doctor who performed the intracranial fracture reduction operation last time with their cooperation.

With that cooperation, several surgical nurses were full of confidence in Zhang Kunna.

Therefore, after Zhang Kun gave the order, several people did it one by one.

After the anesthesia was completed, Zhang Kun took a deep breath, okay, don't be nervous, just do your best.

Stabilizing his mood, Zhang Kunyi stretched out his hand: "Treatment towel, medium single, hole towel, film, towel pliers, ......." ”

Xiao Zhang, the handwashing nurse next to him, handed them over one by one very quickly according to Zhang Kun's instructions.

After laying the groundwork, Zhang Kun, with the assistance of Xiao Li, pressed the scalp of the wounded person's wound, and then used a scalpel to cut the scalp layer by layer along both sides of the incision line.

Another nurse next to her immediately used bipolar electrocoagulation to stop the bleeding and put on a scalp clip.

After making an incision on the scalp, Zhang Kun took the periosteal stripper and dried blood pad to bluntly separate the cap-shaped subaponeurosis loose tissue layer and flip it toward the base of the flap.

The craniotomy was successful and went very well.

Zhang Kun nodded silently, and then stretched out his hand: "Cranial electrodrill." ”

"Wire saw guides, electric milling cutters. ”

"6*14 round needle, 3-0 mousse thread. ”

"No. 11 sharp knife. ”

"Drain, 9*24 triangular needle. ”

......

The operation continued minute by minute, and two hours later, the door to the operating room slowly opened.

The middle-aged man and woman who had been waiting outside the door immediately rushed to Zhang Kun, who had just walked out of the door.

"Doctor, how is my father. The middle-aged man asked anxiously.

Zhang Kun slowly took off the mask, looked at the middle-aged man's flat face, and finally showed a smile: "The operation was successful, the patient has been out of danger, but the patient is too old, and I am afraid it will take a long time to recover after surgery." ”

Hearing Zhang Kun's answer, the middle-aged man's heart was relieved.

At this time, Xiao Zhang, the nurse in the back, slowly pushed the hospital bed out, and the middle-aged man and woman immediately rushed to the hospital bed to visit the old man on the hospital bed.

At this time, Dean Li heard the movement outside and walked out of the office next to him.

He never left, but as the dean, it was not good to stand outside the operating room and wait, so he entered Deputy Director Xie's office.

"What's going on, the operation was successful!"

Dean Li looked at the patient's family members who were looking at the bed with excitement on their faces, although they could already see from their expressions, it was still good to ask Zhang Kun.

"The operation was successful and the patient was out of danger. ”

"That's good!" Dean Li's heart was completely relaxed.

Fortunately, I went to find Zhang Kun, otherwise I really don't know what to do.

Well, the neurology department should really find a few people, otherwise what if you encounter a situation like today?

Perhaps, you can really consider Lao Xie's opinion, although Zhang Kun is still only an intern, but he really has enough work in his hands.

Dean Li nodded thoughtfully.

At this time, the patient's family, a middle-aged man, came over and looked at Zhang Kun with a grateful face: "Doctor, thank you for my father's illness." ”

The middle-aged man bowed slightly, and then handed over a business card: "This is my business card, if you need help in the future, please look for me." ”

Business card?

Zhang Kun blinked, and then looked at Dean Li, can you accept this thing?

Dean Li smiled and nodded: "It's okay, as long as it's not a red envelope, this is a personal relationship between you, and many doctors will have all kinds of friends from all walks of life." ”

Doctors also need a variety of social connections, and many people in the community also want to have a doctor friend.

Something that is mutually beneficial, the hospital has no reason to stop.

Hearing what Dean Li said, Zhang Kun accepted his business card: "It is the duty of our doctors to save lives and help the wounded, and this is what we should do." ”

"It's just that the patient is indeed too old, and I'm afraid you will have to worry more about the postoperative recuperation in the later stage, and you must not be sloppy. ”

After speaking, Zhang Kun pondered for a while and said, "If you need it, you can find me, I am in the outpatient internal medicine department!"

Although it is a little strange why the doctor who has just done brain surgery for his old husband in front of him is in the outpatient clinic, and it is also an internal medicine.

But after finally hearing the words of hope, the middle-aged man still looked at Zhang Kun with a grateful face: "Thank you, doctor, by the way, just now the insider was too nervous about my father's condition, and he spoke too much, if there is anything offended, please forgive the doctor." ”

Zhang Kun waved his hand indifferently: "I can understand your feelings, don't worry." Take good care of your father. ”

After speaking, Zhang Kun turned his head to look at Dean Li: "Dean, the operation has been done, then I will go back to the outpatient clinic first." ”

Dean Li nodded, he didn't put his mind here anymore, but was seriously considering whether Zhang Kun should be transferred to the Department of Neurosurgery.

After all, there have been two craniotomys, intracranial fracture and cerebral hematoma, which can fully demonstrate Zhang Kun's ability in neurosurgery.

Such talents should be used to the best of their ability.

It's just that the vice president has to say it, after all, the hospital is not all up to him.

At this time, in the outpatient internal medicine department, Dr. Wang walked to the consultation room.

Li Jin is diagnosing a patient.

After looking at it for a while, Doctor Wang looked at Li Jin and asked, "Isn't Doctor Zhang sitting with you?"

Li Jin was asking the patient about his condition, and he replied without raising his head when he heard the words: "Well, I went out, and I haven't come back yet." ”

Doctor Wang frowned: "How long have you been out?"

Li Jin didn't think about it and said, "It should be two hours!"

After speaking, Li Jin had already helped the patient to diagnose it, and took out a list to prescribe medicine.

The corners of Dr. Wang's eyes twitched at the door: "I leave my post during work hours, and I go for two hours, which is too ignorant of the rules and regulations of the hospital." ”

"No, I've just come to the hospital and I'm so casual, and then I'll have to go to the director to talk about it!" After speaking, Dr. Wang ran towards the office of the outpatient director out of breath.

At this time, Li Jin just helped the patient prescribe the medicine list, and then looked blankly at Doctor Wang, who was already far away, and then smiled slightly bitterly.

"However, I haven't said that Dean Li called Zhang Kun away, you are always in a hurry. ”