With Director Huang and Director Chen, he naturally had nothing to do with him, he glanced at the first patient who was sent over, it should be a cerebral hemorrhage.

Cerebral hemorrhage refers to the hemorrhage caused by the rupture of blood vessels in the brain parenchyma that is not traumatic, accounting for 20%~30% of all strokes, and the mortality rate in the acute phase is 30%~40%. The causes of the occurrence are mainly related to cerebrovascular lesions, that is, they are closely related to hyperlipidemia, diabetes, hypertension, aging of blood vessels, smoking, etc. Patients with intracerebral hemorrhage often have a high mortality rate in the early stage due to emotional agitation and exertion, and most of the survivors have sequelae such as movement disorders, cognitive impairments, and speech and swallowing disorders of varying degrees.

Common causes are hypertension with arteriolar sclerosis, microaneurysms or microangiomas, and others include cerebrovascular malformations, meningeal arteriovenous malformations, amyloid cerebrovascular diseases, cystic hemangiomas, intracranial venous thrombosis, atopic arteritis, fungal arteritis, moyamoya disease and anatomical variations of arteries, vasculitis, aneurysm and stroke.

In addition, blood factors include anticoagulation, antiplatelet or thrombolytic therapy, Haemophilus infection, leukemia, thrombotic thrombocytopenia, intracranial tumors, alcoholism, and sympathetic stimulants.

Yang Yichen looked at the patient, this patient is about 50 years old, and now his vital signs are very weak, Director Huang and Director Chen immediately asked the family to come over after the examination.

"He has a cerebral hemorrhage in this case, the mortality rate is very high, and now he has to do surgery immediately, but he sent it a little late, and he has missed the best treatment time, and the success rate of the operation is very low. ”

"Doctor, you must save my father!"

"Don't worry, we will do our best to save the patient, now you don't have to delay any longer, hurry up and sign it, we can arrange the operation." ”

The patient's family immediately took the surgical consent form from the nurse and signed their name on it without looking at what was written on it. After signing, he went to the front desk under the guidance of the nurse to pay the money.

This operation was performed by Director Huang himself, he immediately went to the operation preparation room to change the surgical gown, and then disinfected the whole body, Yang Yichen saw that the patient was in a serious condition and followed without Director Huang's consent.

Director Huang just smiled at him and didn't say anything when he saw him come in, he thought that he wanted to come in to visit and study, this kind of thing is done by new doctors, in fact, it is normal, he didn't think much about it.

The patient has now been referred by nurses for neuroimaging tests, including CT scans, MRI and MRA scans, digital subtraction cerebral angiography (DSA) and electrocardiograms......

If Yang Yichen came for diagnosis and treatment, he could easily judge the patient's physical condition by skipping these examinations and by looking at the Chinese medicine methods, he looked at the patient, and the time wasted by the patient's examination would not put the patient's life in danger, so he did not rush out to show his medical skills.

In addition, if a new doctor directly tells the patient's condition without having been examined by the instrument, it will make people feel that you are talking nonsense or leave a bad impression of being irresponsible.

Yang Yichen finished disinfecting his whole body and Director Huang sat in the operating room waiting for the nurse to send over to check the report, then determine the location of the brain hemorrhage, and then finally determine the surgical plan.

After waiting for a while, the nurse finally sent the patient's examination report, Director Huang looked at the CT film, Yang Yichen inherited the skills of the miracle doctor, the miracle doctor here not only has traditional Chinese medicine but also Western medicine, with his medical skill level, he glanced at the CT film and figured out the patient's cerebral hemorrhage.

Brain CT scan examination can show that the hematoma in the brain is a high-density area, the hematoma with a diameter of >1.5cm can be accurately displayed, can determine the location of the hemorrhage, the size of the hematoma, whether it breaks into the ventricles, whether there is cerebral edema and cerebral herniation formation, the diagnosis is based on the brain CT scan to see the hemorrhage lesion, CT for the diagnosis of cerebral hemorrhage is almost 100%.

After watching the CT film, Director Huang carefully read the other examination reports, and finally handed over the information to Yang Yichen after reading it, he quickly looked at the information after getting it, and there were already multiple treatment plans in his head after reading it, but he didn't rush to say it, after all, Director Huang was the surgeon, and he just followed in to make soy sauce.

Director Huang gathered the other doctors together and then said his own surgical plan, other doctors can add if they have opinions, Yang Yichen listened to Director Huang's surgical plan, and couldn't help nodding, this kind of surgical plan is relatively routine, and it is generally done with cerebral hemorrhage.

After the surgical plan is determined, the patient is also pushed onto the operating table, and now the patient has done general anesthesia, so he can directly do the operation after hanging up the drip.

The patient's hair had been shaved by the nurse before it was pushed, and now it was bald when lying on the operating table, and Director Huang used a pen to draw the bleeding site on the patient's head, and later he would use a special electric drill to open the patient's brain.

The operation began, Director Huang skillfully started the operation, Yang Yichen stood aside to observe, I have to say that Director Huang's level is still very good, with his current medical skill level, Director Huang still has a little recognition in his heart, Director Huang's level is barely qualified here.

When the blood in the patient's skull was cleaned up, the lesion had to be repaired, but at this time, an emergency occurred, because the blood vessels in the brain were very thin and fragile, so when Director Huang used tools to repair the blood vessels, there was a rupture and bleeding of blood vessels, and the patient's vital signs on the instrument immediately dropped rapidly.

It's over, Director Huang is also frightened, and this situation can already declare the operation a failure. Everyone was in a bad mood at this time, and it was a very torturous thing to watch the patient die in his own hands as a doctor.

"Turn off the brain and end the operation! ”

"Wait!" Just as everyone was about to pull out the patient's things, a voice sounded, and in the dreary operating room it was like thunder, and everyone looked towards the voice, and saw that it was the new doctor. This person is Yang Yichen.

"Slow Director Huang, this patient can still be saved!" Everyone doubts their ears, they heard it right! The patient can still be saved like this, he is not joking! It's not funny at all, does he think that his medical skills are higher than Director Huang, Director Huang can't do anything, what can he do?