"Judging by the amount of bleeding of the patient, the thickness of this blood vessel and the time of the patient from the injury to the present," Yi Sheng pointed to this part of the signal area and explained: "The patient has been injured for 5 hours, even if the patient's own coagulation function is ignored, it is impossible to have so much blood here, so I judge that there are two bleeding spots here." ”

"However, if the patient's blood vessel rupture is large, it may also cause such a large amount of bleeding. He Zhen nodded thoughtfully.

"Then let's have a skull. Yi Sheng said that the MRI image was hung back on the projection table, and he returned to the operating table and picked up a pen to outline the surgical area: "In addition, the patient has a certain degree of skull injury, and may need to use skull repair, and then it will be troublesome to Mr. He." ”

"I thought you knew everything!"

He Zhen finally regained a little dignity, watched Yi Sheng put on a surgical gown with Su Jin's assistance, and stretched out his hand like a zombie with a surgical gown to wait for Su Jin to come over to help him, but Su Jin lowered his head directly after helping Yi Sheng put on it, and didn't see He Zhen's resentful eyes at all.

"Hehe, Teacher He, let me help you?"

Hao Zhe's big face came to He Zhen's eyes, with a flattering expression.

He Zhen glanced at Hao Zhe, who was five big and three thick, how could he hint in his mind that he couldn't turn Hao Zhe into a delicate and gentle little nurse in the operating room, so he had to close his eyes and say silently in his heart: "It's okay, it's okay, it's all the same ......when the lights are turned off."

When He Zhen opened his eyes again, Hao Zhe had already begun to prepare skin for the patient, stretched out his hand as if he couldn't lift his arm, He Zhen looked down at his surgical gown, and suddenly said angrily: "Why are you making zongzi!"

Yi Sheng raised his head, looked at He Zhen's appearance and suddenly laughed, Hao Zhe untied the belt tied to the inside of the surgical gown when he put on He Zhen's surgical gown, and then turned the surgical gown on He Zhen's left side clockwise along He Zhen's chest, wrapping He Zhen's arm into it, and finally because he couldn't find another belt in his back, he had to bypass He Zhen's shoulder and tie it to the belt that should have appeared on the waist, with the dark green color of the surgical gown, the word "zongzi" is really vivid!

"Teacher He, the first time I helped someone put on a surgical gown, you will be on it. Hao Zhe smiled embarrassedly.

He Zhen rolled his eyes, he didn't want to talk to this fool at all, with the help of Yi Sheng, He Zhen's arm was finally freed from the "zongzi", and he came to Hao Zhe's side and said in a deep voice: "Stand up!"

Hao Zhe thought that He Zhen was going to beat him, so he quickly stood up and put his hands on his chest and begged for mercy: "Teacher He, I was wrong! I went out to see the yellow calendar today, and the operating room should not be done today!"

"Where is so much nonsense!" He Zhen glanced at him, pulled the small bench under Hao Zhe's buttocks, sat down and scolded himself: "Are you embarrassed to sit in surgical gowns like this?"

This is the correct way for interns to use it, a disagreement is a scolding is a scene that should appear in a normal operating room, He Zhen can be polite to Yi Sheng because Yi Sheng has good talent and good skills, but Hao Zhe is just an ordinary intern, and it is normal to be scolded.

Everything was ready for the operation, Su Jin beckoned the anesthesiologist to perform general anesthesia after the patient's tracheal intubation, and the anesthesiologist ran to the back of the testing instrument to sit and play with his mobile phone after his own work last night.

After Yi Sheng checked the surgical instruments again, he picked up the knife and aimed it at the patient's operating area and quickly cut the skin.

"The hands are not shaking, the knife is not oblique, and the knife technique is okay!" He Zhen observed Yi Sheng's operation for the first time, and after admiring it, He Zhen sighed with emotion: "If you want me to say, our doctors are also a war without gunpowder in the operating room, this six-foot operating table is our battlefield, the three-inch scalpel is a weapon, and our goal is..."

"No tooth decay?" Hao Zhe interjected.

"Are you happy to peel it?" He Zhen's bold words were interrupted by Hao Zhe's hippie smile, as if eating a fly, and it took a long time to come back and say lightly.

"Enliven up the atmosphere! You see, if there is no laughter in the operating room, how depressing!" Hao Zhe said with a grin while stopping the bleeding.

Yi Sheng did not participate in the discussion between the two, this is his first surgery for subdural hematoma, although there is the knowledge imparted by the Xiaoyixian system, but it is better to be careful.

The subdural hematoma and epidural hematoma are basically the same in the first half of the operation, with the cooperation of He Zhen and Hao Zhe, Yi Sheng quickly exposed the patient's skull to the surgical field of view, Yi Sheng reconfirmed the location of the hematoma, took out the skull drill above the hematoma and began to punch holes.

Twenty minutes later, the skull in the operating area was completely removed, and Hao Zhe immediately took it over for edging.

"Goggles. ”

When the dura mater is cut, because the patient's intracranial pressure is high, the blood will be sprayed out immediately, and Yi Sheng doesn't want the blood to splash his face.

"Meningeal hook, knife 11. ”

After several people put on their goggles, Yi Sheng gently hooked the meninges with a meningeal hook and handed it to Hao Zhe, holding the No. 11 knife to accurately cut the dura.

"Poof!" The moment the dura mater was cut, the blood was sprayed on Yi Sheng's face, Yi Sheng put down the knife, and because the blood was splashed on the goggles, Yi Sheng could only wait for the blood to be emptied before operating.

"It's exciting. Hao Zhe was also splashed in the face.

"Later, after cutting the dura, turn your head to the side. He Zhen was the only one of the few who hadn't been splashed with blood on the goggles, he said.

"Clean the drill bits, craniotomy cutter saws. ”

Yi Sheng nodded, and after changing the goggles again, he took the Rong brain pressure plate and gently pressed the cerebral cortex, and continued the craniotomy with a cranial drill, and then stepped on the fixed point of the operating table, picked up the craniotomy milling knife, saw and sharpened the knife Huo Huo towards the meninges.

"If you don't work as a doctor in the future, you will go and work as a carpenter, and you will be qualified. Hao Zhe looked at Yi Sheng's extremely standard "carpenter" posture and exclaimed.

"When you go to the bone and saw your legs, you will know how tired this work is!" He Zhen used bone wax to stop the bleeding on the side.

Even if the air conditioning in the operating room is turned on to 16 degrees Celsius, it can't stop the sweat left by the saw-leg doctor's brain.

Yi Sheng took meningeal scissors to enlarge the dural surgical incision that had been cut before, and used a suction device to suck out the residual blood clot and fragmented brain tissue, and the blood vessels that had been stopped by the hematoma compression began to flow out slowly after the hematoma was removed.

Sure enough, as Yi Sheng expected, the second bleeding point and the third bleeding point really coincided together, and both blood vessels had different degrees of damage, He Zhen couldn't help but glance at Yi Sheng, He Zhen, who was originally a supervisor, was still quite arrogant when he first entered the operating room, after all, Yi Sheng is a junior, and he is not without guidance, but from now on, Yi Sheng's judgment of subdural hematoma is much higher than his own.

He Zhen is still very self-aware, otherwise he would not be able to mix with the title of attending physician, and now He Zhen is completely like a student who studies modestly, picking up sutures and needle holders to do his own work.

"Achievers first" is vividly played in the operating room.

"Twin electromechanical coagulation tongs. ”

"Gelatin sponge. ”

"Hemostatic gauze. ”

"Brain cotton. ”

The voices of Yi Sheng and He Zhen sounded alternately in the operating room, and Hao Zhe, who had nothing to do, acted as an instrument nurse while carrying the meninges.

Soon, Yi Sheng finished suturing the two overlapping blood vessels, and He Zhen was also able to finish sewing the one assigned to himself, the two discussed, and for the sake of insurance, a negative pressure drainage tube was placed under the bone flap to prevent the hematoma from recurring.

"Teacher He, can you talk to Director Li and ask a nearby hospital to transfer a few patients with subdural hematoma. After Yi Sheng finished his own sutures, he said as he watched He Zhen perform skull repair.

When it comes to subcranial surgery, skull repair is generally required when suturing, and skull repair is a new skill that can only be opened after Yi Sheng completes five subdural hematomas, so Yi Sheng wants to complete the operation of five cases of subdural hematoma as soon as possible, start skull repair as soon as possible, and then he can complete the operation independently.

"Acute patients like this will not be sent to a higher-level hospital unless they cannot be treated by the hospital below, otherwise they will be handled by the hospital itself, and there are too many accidents in the transportation process, even if Director Li contacts other hospitals, people may not agree. He Zhen mended his skull, glanced at Yi Sheng and said, "You won't have a girlfriend too, will you?"

"Why does Teacher He ask that?" Yi Sheng said in a daze.

He Zhen said with a broken face: "I was quite satisfied with my salary before I got a girlfriend, and I couldn't spend it every month, and I knew that after I found a girlfriend, I spent half a month's salary on a shopping trip." ”

"Then you may be unladylike, not all girls like to spend their boyfriend's money. Su Jin glanced at Yi Sheng, then lowered his head and counted the gauze and said casually.

"That's not it!" Hao Zhe's eyes swept back and forth over Su Jin and Yi Sheng, and he wanted to tease Su Jin, but he met Su Jin's murderous gaze, so he had to shrink his head and say, "I think some girls with weak personalities are more likable...."

"I just want to do a few more surgeries to practice my hands. Yi Sheng said: "It is better to take the initiative to wait for the rabbit every day, and there is no need to find some patients with acute subdural hematoma, and some patients with chronic subdural hematoma who need surgical treatment." ”

"Those are all middle-aged and elderly people, and if something happens, it's not easy to deal with. He Zhen reminded, but he immediately thought of Yi Sheng's calmness during the operation just now, and changed his words: "Okay, tell Director Li when I go up later, if the director can't find someone at that time, don't blame me." ”

"If you can find it, you can do it, and if you can't recruit it, forget it. ”

Yi Sheng looked up at the data on the patient's monitor and said, "Hao Zhe, you go and inform the family, the operation went well, and it will be pushed to the ICU for observation in a while." ”