Chapter 574: Craniotomy
Bai Yang heard Su Hongwen say that he was going to start the operation, and hurriedly said: "Teacher Su, wait, the surgical consent form has not been sent yet, and the patient's family has not signed the operation, which is not in accordance with the rules?" ”
Su Hongwen is very young, generally such doctors call other doctors teachers, but Su Hongwen may win the Nobel Prize in Medicine, which will greatly improve his status, Bai Yang is not wrong at all to call him a teacher, as long as Su Hongwen wins the Nobel Prize in Medicine, no matter how old the doctors in China are, they have to call him a teacher.
Geng Hai'an had already picked up the scalpel and was about to hand it to the doctor Su she had never seen before, but she hesitated when she heard Bai Yang's words, not knowing who to listen to.
Su Hongwen ignored Bai Yang, reached out and took the scalpel from Geng Hai'an's hand, turned his head and said, "It's too late, it's important to save your life now, don't worry about those cumbersome procedures." After speaking, Su Hongwen cut a hole in the skin of Zheng Cuiping's head.
The scalp is one of the most abundant places in the human body with blood circulation, and it is precisely because of such abundant blood circulation that there will be blood flow even if there is a small opening on the head.
Now that Su Hongwen went down, a stream of blood immediately flowed out, and Zhu Hongwei was already holding a dressing in his hand, so he didn't need Su Hongwen to say that he began to get bloody.
Bai Yang hurriedly said on the side: "Teacher Su, this is really not in accordance with the rules, once the family members of the patient who have an accident make trouble, you and I will have to go around without eating." ”
Su Hongwen said unhappily while using an electric knife to stop the bleeding: "Remember that you are a doctor, and the first duty of a doctor is to save lives and help the injured, not to worry about getting into trouble." Okay, don't talk anymore, stare at the patient's vital signs and tell me immediately, if something happens, I'll take the responsibility. ”
Bai Yang was choked by Su Hongwen's words, he wanted to say something, but when he saw Su Hongwen's tightly furrowed brows, he was so frightened that he didn't dare to say it.
At the time of the operation, Su Hongwen unconsciously exuded the momentum of a superior who made people obey his words, making people dare not refute his decision.
Because the subdural hemorrhage formed a hematoma, which increased the pressure in the skull, Su Hongwen did not rush to open the bone flap first, but drilled a hole near the fracture line to decompress. As soon as the surgical drill bit was taken out by Su Hongwen, a stream of cerebrospinal fluid immediately oozed out along the small hole, which was also mixed with some blood.
Seeing Su Hongwen's skillful drilling, Zhu Hongwei's heart was slightly lowered. He has been outside the brain for a few years, and he has undergone many surgeries, so he knows that Su Hongwen has two brushes for his skilled drilling skills, and he is no stranger to craniotomy at least. Otherwise he would be so skilled at drilling.
After relieving the intracranial pressure, Su Hongwen opened the bone flap. Bai Huahua's slightly gray brain appeared in front of Su Hongwen. At this point, the shape of the brain is a bit weird, the left side is bulging upward, which is due to the hematoma.
The hematoma is there, and Su Hongwen is very clear. Because he had fluoroscopic glasses, he directly omitted the specific step of detecting the hematoma, and directly probed the middle cranial fossa along the brain circuit with peel ions, and he wanted to use the peel ions to remove the hematoma.
Su Hongwen's approach was right, but there was a step missing to detect the hematoma, and seeing that he directly took the peel ion and ran to the middle cranial fossa, Zhu Hongwei immediately broke out in a cold sweat, and hurriedly said: "Old Su, don't fool around, can you be sure that the hematoma is in the middle cranial fossa?" ”
Su Hongwen didn't speak, he probed the ion peel down, and when he took out the ion peeling, the cotton ball on it was already dyed red.
The so-called ion stripping is a thin iron rod with a small cotton ball on top of the iron rod, and the cotton ball will naturally absorb after encountering blood.
Seeing the cotton ball that turned red, Zhu Hongwei swallowed a mouthful of saliva, and muttered in his mouth: "I'm scared to death, Lao Su, slow down, I'm really scared, this will make my legs straight and weak." ”
Su Hongwen smiled and ignored him, continued the work in his hand, peeled the ions and went down, each time he brought out a little clotted blood clot, this process lasted for more than half an hour, Su Hongwen changed the peel ion and probed down, and after taking it out to confirm that most of the hematoma had been removed, he was about to start looking for bleeding spots.
At this time, the door of the operating room opened, Lu Yadong ran in with sweat on his head, just now downstairs, he heard Yu Jian say that this operation was done by Su Hongwen, and he almost didn't scare him to death at that time, and scolded Su Hongwen in his heart for messing around, and also scolded Yu Jian for being blindfolded by lard, Su Hongwen can do obstetric, general surgery and even tumor surgery, but how can he do surgery outside the brain?
Isn't this the time to talk to Yu Jian, Lu Yadong has to hurry to the operating room to have a look, praying in his heart that Su Hongwen must not do anything, otherwise he will be unlucky, and he will not even be able to take the brain surgery and the provincial hospital well.
Panting and running in, Lu Yadong immediately shouted, "How is the patient? ”
Bai Yang glanced at the ECG monitor and said, "At present, the vital signs are stable, and there are no special circumstances. ”
Lu Yadong let out a long breath when he heard this, and said as he walked to the operating table: "Xiao Su, I'll come, you go down and rest." He thinks that Su Hongwen hasn't started surgery yet, he won't do surgery outside the brain, and if he really started to do it, it is estimated that the patient would have been beaten to death by him.
But when he walked up, he found that Su Hongwen was about to find out the blood spot, there was a tray on the instrument table, and there were many dark red blood clots in it, Lu Yadong was immediately stunned when he saw this, if he removed the mask on his face, he would find that his expression at this time was like a ghost.
Su Hongwen didn't look at Lu Yadong and began to stop bleeding with an electric knife, and he had already seen the bleeding point with fluoroscopic glasses, just on the middle meningeal artery, this bleeding point is not big, otherwise it would have to be ligated with silk thread to stop bleeding, it is quite difficult to use this method of hemostasis, after all, this artery is in the brain, although it is very shallow, but it is also covered by the brain tissue, and the surgical field is quite bad, in this case, it is too difficult to use silk thread ligation.
Lu Yadong came to his senses a little when he saw a faint white smoke, and stammered: "You, you have cleared the hematoma, coagulated and bleeding spots?" ”
Su Hongwen nodded and didn't speak, now the operation is not over, in order to prevent blood vessels from rupturing and bleeding after electrocoagulation and hemostasis, he still has to get some gelatin sponge to plug it in to prevent bleeding, which will make him stretch out his hand and think that Geng Haian will give him the gelatin sponge, but who would have thought that his hand was stretched out for a while, and he didn't see Geng Haian put the gelatin sponge on his hand.
Su Hongwen frowned, turned his head, and said with some dissatisfaction: "What do you think?" Gelatin sponge, fast. ”
Geng Hai'an's business level is quite good, and it stands to reason that there should not be such a low-level mistake, but she suddenly remembered that Su Hongwen was the director of the oncology department just now, and now he is actually doing surgery outside the brain, isn't this nonsense? This incident made her brain go blank and she was stunned.
Hearing Su Hongwen's words, Geng Haian was stunned and said, "Aren't you the director of the oncology department?" How, how ......? ”
Su Hongwen couldn't cry or laugh at this time, this nurse was too slow to react, it had been so long before she remembered that she was the director of the tumor, and said with a wry smile: "Okay, don't worry that I'm the director of that department, hurry up and prepare a gelatin sponge for me, quickly." ”
Zhu Hongwei raised his head at Lu Yadong at this time and showed a smile that was more ugly than crying, but fortunately, he was wearing a mask, and Lu Yadong couldn't see his ugly smile, Zhu Hongwei said: "Director Lu, I asked Lao Su to do this operation, if you want to deal with it, you can deal with me." Zhu Hongwei thought that Lu Yadong would ask the teacher for guilt, and he took the responsibility very righteously.
Lu Yadong ignored Zhu Hongwei and said with a wry smile: "Director Su, I really didn't expect you to have extracerebral surgery, you can continue." ”
Lu Yadong didn't believe that Su Hongwen could do surgery outside the brain just now, but when he came in, he saw that Su Hongwen had cleared the hematoma and electrocoagulated the bleeding point, these two steps were completed cleanly, and it only took more than forty minutes.
Su Hongwen nodded, took the thin strip gelatin sponge made by Geng Hai'an, clamped it with thin long tweezers, stuffed it little by little, and pasted it around the bleeding point to surround the blood vessel.
To get this step Su Hongwen breathed a sigh of relief, the most difficult step of this kind of craniotomy is to find out the blood spot, once the bleeding is not found, it will continue, the hematoma will continue to form and constantly compress the brain, and eventually lead to the death of the oppressed brain, at that time, even if Da Luo Jinxian descends to earth, it is useless.
Fortunately, he had see-through glasses and quickly found the bleeding point, and the bleeding point was not big, otherwise it would be really troublesome.
The hematoma was cleared at this time, the bleeding point was also found and electrocoagulated, and what Su Hongwen had to do was to suspend the dura mater, this step was to suspend the dura mater on the periosteum around the bone window, so as to narrow the epidural space and prevent bleeding.
This step was not difficult for Su Hongwen, it didn't take much time to complete, Lu Yadong admired while watching, and couldn't help but say: "Director Su, you came to our department, and no one in our department can compare to you for your technology." ”
Zhu Hongwei's heart was completely let go at this time, and now he was very excited and proud in his heart, because it was his brother Su Hongwen who was praised by their director, and at this time, Zhu Hongwei's heart was as beautiful as eating honey, but he was also curious about how Su Hongwen, a rabbit cub, did such a slippery operation outside the brain? But now he also knew that it was not the time to ask these questions, and he thought that he really had to interrogate Su Hongwen when he turned around.
Su Hongwen shook his head and said, "Forget it, I'll stay in the tumor, if I pick Dean Mu now, I have to eat me alive." ”
The rest of the surgical steps are simple, and the operation will be completed in about two hours, but whether Zheng Cuiping becomes a vegetative person or falls into a bunch of sequelae depends on her creation. (To be continued......)