Director Ran stood up happily, patted Tang Boqiang's shoulder and said, "Okay, very good!" If they don't want to do it, then we'll do it. I know Zhou Xiaoyang, the deputy director of the Department of Cranial Surgery, very well, and I will ask him to prepare a set of tools for us and ask him to do a demonstration operation. ”

"That would be great so that we can learn something more concrete." After all, doing external ventricular drainage is not a small saphenous vein incision that Mr. Zhu asked him to do during the internship, so the more solid the basic knowledge of such a new field for Tang Boqiang, the higher the chance of success.

According to Director Ran, when he made a request to Deputy Director Zhou Xiaoyang, Deputy Director Zhou Xiaoyang agreed without saying a word, and suggested: "In this way, you designate a person to be in charge of this work, and then promote it in the future." I'm in charge of doing technical training. The so-called technical training is to give you several special lectures, in addition, I will be responsible for helping you prepare this set of piercing tools and give it to you for free. ”

"You have the conscience of our doctors, you represent the future and hope of our hospital, I admire you, I will do everything to cooperate with you, and I wish you success!" Deputy Director Zhou Xiaoyang became excited as he spoke.

After everything was confirmed, Tang Boqiang began his characteristic habit of repeated meditation and simulation operation in his mind, so that Tang Boqiang had enough confidence to deal with the application of this new technology and the problems that may arise in the application process. All that's left is to wait quietly, waiting for the moment to verify whether you can finally succeed.

One night in March 1988, Tang Boqiang, who was resting in the duty room, suddenly received a phone call saying that a patient with a large amount of cerebral hemorrhage had been admitted to the ward, and that the patient's condition was very poor and deteriorated rapidly, so Tang Boqiang hurriedly came down to take a look.

After answering the phone, Tang Boqiang vaguely felt that an opportunity to try his skills was close at hand. He immediately returned to the ward, Dr. Li Jia, who was on duty, was waiting, and when he saw Tang Boqiang coming, he immediately handed the patient's head CT film to Tang Boqiang.

Tang Boqiang walked to the reading lamp and put the film on the reading lamp, only to see a large amount of blood accumulated in the bilateral lateral ventricles, the aqueduct leading from the lateral ventricles to the four ventricles has been blocked, and the bilateral lateral ventricles are significantly enlarged, indicating that the pressure in the lateral ventricles is very high, and the patient is in danger of brain herniation and death at any time.

After watching the film, Tang Boqiang walked quickly to the patient's bed, at this time the patient was already in a moderate to deep coma, and his breathing was different in depth and intermittent "tidal breathing", and then looked at the patient's bilateral pupils, which had begun to dilate. Seeing this, Tang Boqiang couldn't help but take a deep breath: it is too risky to operate on such a patient, and the patient may die during the operation at any time. If it is not done, in Tang's experience, the patient will die in about two hours.

Tang Boqiang immediately explained the patient's condition to the patient's son, who had been standing by the bedside, and clearly told him that there was still a glimmer of hope for surgery, and there was only a dead end if there was no surgery. The patient's son immediately replied, "Yes!"

Without delay, Tang Boqiang immediately gave the order for the operation. The nurse and Dr. Li Jia, who was on duty, immediately got busy, preparing instruments, preparing skins, and making all preparations for rescue......

The careful Tang Boqiang did not forget Director Ran's advice that "I must see the operation of the first patient, and notify me no matter what time it is", and asked the intern doctors on duty to call Director Ran. Soon, Director Ran appeared in the ward, and the importance that Director Ran attached to this matter can be seen.

When everything was ready, Tang Boqiang immediately positioned the puncture point, disinfected, wore gloves, laid a hole towel, picked up the stainless steel skull drill, fixed the drill bit, and began to use unfamiliar technology for the first time after graduating from medicine according to the process that he had repeated thousands of times in his heart. It all seems so skillful and methodical.

The scalp is rich in blood vessels, and Tang Boqiang deliberately slid the scalp before drilling the skull to avoid the large veins visible to the naked eye. When it penetrated the scalp, there was still some blood seeping out, and Director Ran, who had been standing behind him, said softly: "Hurry up and stop the bleeding!" ”。

For surgery, Director Ran has been away for a long, long time, but for Tang Boqiang, many key points of surgery are still in mind. Compared with saving the patient's life, these subtle venous bleeding in front of him can be said to have nothing to do with the overall situation, Tang Boqiang wiped the blood stains with gauze and continued to drill the skull.

It was also from this moment that Tang Boqiang realized what a "hard bone" was. He pressed his head and turned the skull with all his strength and the weight of his body, and it took a lot of effort to drill through the thin, about 1.5 centimeter thick skull. In the spring of March in Bay City, it was still cold at night, but at the moment when he drilled through his skull, Tang Boqiang still felt hot sweat on his back.

The cranial drill is unscrewed, the dura mater is carefully punctured with a 12-gauge needle, and a stainless steel guide needle is inserted into the drain and slowly followed the puncture hole toward the anterior angle of the lateral ventricle. When you enter the pre-marked 4 cm scale, you can immediately see bright red cerebrospinal fluid gushing out of the drainage tube, and the guide needle that is tightly attached to the plastic catheter cannot stop it, which shows the high intraventricular pressure.

Tang Boqiang did not dare to slack off, and clamped the drainage tube with his left hand while pulling out the guide needle, and motioned to Dr. Li Jia, who assisted on the side, to connect the drainage bottle. After lifting the highest point of the drainage tube to 20 cm away from the puncture point and fixing it, Tang Boqiang released the clamped drainage tube, only to see bright red cerebrospinal fluid rushing out along the drainage tube, and after a while, about 200 ml of bright red cerebrospinal fluid poured into the drainage bottle.

In words, it seems that the work of the whole process takes a lot of time. Actually, the whole operation didn't take long. Tang Boqiang knows very well that the patient is dying step by step, and if there is a slight delay, he will fail. It's not so much about every second as it is about every second.

After the operation, Director Ran and Tang Boqiang observed the patient's condition together. I saw that the patient's breathing gradually became smoother, and the bilateral pupils began to slowly retract, and they began to respond to the strong painful stimulus. The patient's eldest son kept asking Tang Boqiang if his father was out of danger, and Tang Boqiang replied repeatedly that it was too early to draw conclusions, and he must continue to observe, and at the same time told him to pay attention to the protection of the drainage tube. This tube is a life-saving tube, you must take care of it, and don't let it come out!

Back at the doctor's office, Director Ran's face bloomed with a smile, and although he didn't say much, he could write his satisfaction on his face. It can be said that he has put a lot of effort into this project, and the success or failure of this project is very important to him, and the success of tonight's surgery can be said to have taken a big step forward in the direction of success, which not only proves that his ideas are right, but also proves that the neurology department under his leadership is capable of testing these ideas.

The next morning, when Tang Boqiang walked into the ward, the patient's eldest son quickly greeted him, shook Tang Boqiang's hand, and said happily: "Thank you!" Thank you! My dad woke up! ”