60. Chapter 60
There was no major surgery in the morning, Ye Fan turned on the computer, deleted the messy yellow web pages in the web page favorites, and it was time to get off work.
Ye Fan was eating in the cafeteria, when suddenly Gu Xincheng called and said, "There was a serious car accident on the highway, Vice President Ma asked you to come over quickly......"
Ye Fan pushed away the dishes and chopsticks, and while running towards the inpatient department quickly, he asked, "What's the situation?"
"On the highway, a large truck and a small car collided, and then there was a series of collisions, and one of them died on the road. Now five wounded people are lying in the emergency room. ”
"I'll be there right away. Ye Fan hung up the phone and hurried to the emergency room.
In the emergency room, a man with a bloody head lying on the bed let out a slight moan, Gu Xincheng said: "The other four have been pushed into the operating room, and now this, Vice President Hu and you will do the operation yourself......"
Ye Fan's heart moved slightly, and he saw Hu Qingyun walking in quickly with a solemn face, and asked, "How is the condition of the injured now?"
"A fragment of the skull was stuck in his brain, and one of his pupils was dilated. Gu Xincheng described the condition.
"Quick, take a head CT first, operating room No. 5, prepare for surgery!" Hu Qingyun didn't dare to slack off, and said quickly.
He glanced at Ye Fan deeply again, and said, "Ye Fan, this operation will be performed by you, and I will press you down, I believe that you will be able to do a perfect operation......
Ye Fan nodded in agreement and said, "Vice President Hu, you were originally an expert in brain surgery, and I am very relieved to have you here." ”
"Just have faith!"
Hu Qingyun patted Ye Fan on the shoulder, walked into the changing room with him, changed into a disinfectant suit, and washed his hands.
At this moment, the two of them are like comrades in the same trench, sharing life and death.
The back of the two walking into the operating room together was seen by colleagues in the hospital, which caused them to talk a lot.
"Haven't Ye Fan and Lao Hu always been at odds?
"Ye Fan had intracranial surgery for the first time, and Lao Ma pressed him ......"
"I didn't expect Lao Ma to be quite generous, it seems that our hospital is still quite united. ”
"I really didn't expect the two of them to work together, Lao Ma is an old expert in neurosurgery, by him, Ye Fan's operation will definitely be a success......"
In the operating room, the atmosphere was quite tense.
In fact, for some senior doctors, entering the operating room is as normal as ordinary people eating and, and there is no tension at all. Especially during the stage of preparation for surgery and post-suturing disinfection, people often joke and tease boring people.
However, Ye Fan had surgery for the first time, and several nurses who worked with him, Gu Xincheng and Mao Qian, all had a good relationship with him, looking forward to his smooth operation, but also worried about any accidents. Therefore, the atmosphere at this time is a little dignified, and it is not difficult to understand.
"Look at your little face, you're scared. Is it your surgery or am I operating?" Ye Fan said with a smile to Mao Qian, who was shaving the head of the injured.
"Who's afraid? I don't. It's not the first time I've been in the operating room. Mao Qian saw that her worries were seen through by Ye Fan, and she gave him a blank look and said.
"Don't be nervous, you have to believe that your brother Ye Fan is the first miracle doctor of Renai Hospital!" Ye Fan joked with a smile, walked up to Gu Xincheng, who was hanging brain CT pictures on the light wall, and patted her shoulder, "Besides, this operation will be helped by our Vice President Hu, and there will be no problem!"
Ye Fan's words also relaxed the tension of Gu Xincheng Mao Qian's psychology a little. Gu Xincheng turned around and smiled at Ye Fan intimately, and said, "We all believe in you." ”
Hu Qingyun began to disinfect and deiodine the patient's head, and said with a smile: "The most important thing is that Ye Fan yourself is confident. ”
Then, Ye Fan also walked to the operating table and cut the skin of the patient's head with a scalpel under the shadowless lamp.
After all, he is a master of neurosurgery at Renai Hospital, and Hu Qingyun also shows his skillful medical skills. Ye Fan cut the skin, and blood overflowed, Hu Qingyun pasted the gauze to absorb the blood, and the hemostat quickly and accurately clamped the bleeding blood vessels, and the movements were smooth and clean.
Gu Xincheng also cooperated in place, clamped the edge of the scalp with a scalp clip, stopped the bleeding, and opened the flap to expose the skull.
Ye Fan used a pneumatic cranial drill to open the skull, but did not drill it open, and the bone hole bleed violently, that is, Hu Qingyun and Gu Xincheng used bone wax to smear the bleeding, and if the bleeding was not much, the method of filling the hemostasis with a wet cotton pad.
After Ye Fan made four bone hollows, he put on the milling cutter to connect the bone hollows.
Gu Xincheng, Mao Qian and others have been on the operating table many times, and they have also teamed up with many doctors with extraordinary medical skills in Renai Hospital, but when they saw Ye Fan on the operating table for the first time, they acted skillfully and calmly, which made them full of admiration for Ye Fan in their hearts.
Ye Fan's movements, the strength is just right, the angle is extremely precise, clean and neat, smooth and accurate. Hu Qingyun and several other assistants also nodded slightly.
The operation has been carried out very smoothly, and the cooperation between several people is seamless.
Immediately afterwards, Ye Fan opened the dura with a sharp knife, sewed the meninges on the sterile sheet spread around with a 4-0 round needle silk thread, and began to peel off. At the same time, prepare brain cotton and gelatin sponges.
"Ye Fan, I'll take a look first. Ye Fan was coming to the stage, and Hu Qingyun said on the side.
Ye Fan nodded, Hu Qingyun glanced at it under the microscope, and exclaimed in surprise, "The situation is not good!"
Gu Xincheng and Mao Qian both looked at their heads, and they couldn't help but be surprised, the situation was indeed not optimistic. The skull fragments sink into the meninges, but are sandwiched between two main blood vessels at the top and bottom, and a major cranial nerve is blocked at the back.
All the CT scans of the brain didn't show this condition.
In this way, the two main blood vessels were tightly attached to both sides of the bone piece, and if Ye Fanruo took out the bone piece, there was another major cranial nerve blocked. In this case, it is impossible to move at all, and if you are not careful, you will injure the main blood vessels on both sides, or the main nerve at the back end, causing complications, and even directly leading the injured person to sudden death on the operating table.
As soon as Gu Xincheng and Mao Qian saw this scene, cold sweat trickled down, it should be said that this is the most tricky and dangerous situation they have seen since they worked!
"Ye Fan, what should I do? Why don't you terminate the operation?" Hu Qingyun said with a frown.
Ye Fan walked to the operating table, looked through the microscope, and said, "It's okay, I can do it!"
"What?" Hu Qingyun looked shocked, "Ye Fan, you can't be impulsive." I really didn't expect this situation, if I could see this situation through the CT scan, I wouldn't let you go on stage! Don't say it's you, neither I nor Li Simiao are sure that this operation will be done well, it's too dangerous! I'll report the situation to Dean Ma!"
"Vice President Hu, it's not hard to wait. Wait a little longer now, and the patient will be more dangerous. If there is any medical accident, I will bear it!" Ye Fan said in a deep voice, "Prepare brain cotton, gelatin sponge to stop bleeding, and put on microscopic scissors and tweezers!"
"Yes!"
Gu Xincheng and Mao Qian seemed to be shocked by his momentum, and at this moment, Ye Fan's courage and responsibility made them have the urge to burst into tears.
Nowadays, the doctor-patient relationship is tense, and many doctors tend to treat conservatively, only accepting the best patients, patients with high risk factors, and basically they will refuse to accept them.
If there is a medical malpractice, on the one hand, it will affect the reputation of the hospital.
On the other hand, once this kind of dangerous surgery fails, it will affect their success rate, personal reputation, and evaluation of job titles, bonuses, and even red envelopes in the future.
Ye Fan can do this, which is commendable.
From Ye Fan's point of view, he can terminate the operation, after all, he only did a craniotomy, and did not really perform the operation, and if something happened to the patient, he could not be held responsible.
However, from the patient's point of view, Ye Fan's termination of the operation basically declared his death.
Even if the patient's family sends him to another hospital, will the other hospital accept him?
Definitely not.
Renai Hospital has already had a craniotomy and terminated the operation, which fully illustrates the danger of this operation. No doctor would be stupid enough to accept a patient who was rejected by Mahkota Hospital.
Then, there is only one end for the patient - being kicked around like a leather ball by different hospitals, and his condition is getting worse and worse, and finally he dies on the way between different hospitals.
In that case, who can understand and imagine the helplessness and despair of the injured and their families?
However, no one noticed the ruthlessness and smugness in the depths of Hu Qingyun's eyes, which flashed in a flash.
Ye Fan stared at the bone fragment, took the tweezers handed over by Gu Xincheng, microscissors, and began to slowly peel off the nerves and blood vessels.
Da-da-da-da!
The entire operating room was quiet, only the sound of Ye Fan's breathing, and the sound of the hands of the clock hanging on the wall of the operating room turning.
Time, second by second, quarter of an hour, half an hour...... Finally, an hour passed.
Although Ye Fan had the Cloud Sea Canglong Secret Protective Body, he couldn't help but have fine sweat on his forehead.
In the air-conditioned operating room, Gu Xincheng and Mao Qian sometimes felt cold.
It was as if the grim reaper in a black robe, armed with a sharp scythe, peered into the shadows of the wounded. Always be ready to wield a scythe and reap the lives of the wounded.
And Ye Fan is the brave warrior who led them to fight to the death with death, fearless, fearless, and never abandoned.
At this time, Ma Chuizhang, who received Hu Qingyun's call, also quickly summoned experts in Donghai City's cranial nerves, and they also quickly rushed over and came to the observation room.
Looking through the big screen, I watched a qiē in the operating room.
Liu Pinghai, director of the Department of Neuroeconomic Surgery of the First People's Hospital and honorary president of the Donghai Neurosurgery Society, couldn't help but light up his eyes suddenly and bowed slightly when he saw Ye Fan's skillful hands, dexterous and calm hands, perfectly peeling off the nerves and blood vessels, and exposing the bone fragments.
Other experts in Tokai neurosurgery couldn't help but applaud.
Finally!
The tweezers in Ye Fan's hand firmly clamped the bone fragment, observed the room, and quieted down again. All the experts were nervous, their brows were tightly locked, and their eyes were staring at Ye Fan's hands on the screen.
The difficulty of the surgery is obvious. Dangerous, it makes people's hearts chill.