After a hearty chat, Tang Boqiang and Chen Xian became friends from then on, and later they needed help with each other's affairs, just a hello.

The next morning, Tang Boqiang and Chen Xian went to the canteen for breakfast together. When they came out of the canteen, they found that Section Chief Li was already standing at the door of the canteen waiting for them.

Section Chief Li first took Tang Boqiang to the inpatient department of internal medicine on the second floor of the inpatient building, and Lin Quan, the director of the internal medicine department who had received the notice in advance, was already waiting in the office. Seeing Section Chief Li and them coming, Lin Quan immediately greeted him, without the introduction of Section Chief Li, Lin Quan's hand had already reached out to hold Tang Boqiang's hand and said: "You are Professor Tang, you have heard of the famous for a long time, you are really young and promising, please give me more advice in the future." ”

"Director Lin is polite! I don't dare to give advice, I'm here to learn from you. Tang Boqiang hurriedly said politely.

Seeing this, Section Chief Li knew that there was no need for her to make more introductions here, so he said to Lin Quan: "Director Lin, please take care of Professor Tang more, and ask Professor Tang for advice if you have any questions, if you have any needs, you can contact me, and I will try my best to coordinate." With that, he took Chen Xian to the surgical inpatient department.

Director Lin Quan invited Tang Boqiang to the doctor's office. coincided with the big shift on Monday, the doctor's office was full of doctors and nurses, Director Lin introduced Tang Boqiang to everyone, Tang Boqiang also nodded frequently to make polite expressions, and Director Lin then introduced the doctors in the department one by one for Tang Boqiang to know. After listening to Director Lin's introduction, Tang Boqiang learned that most of the doctors in the People's Hospital of Binhai County, including Director Lin, graduated from the Gulf Medical College.

After the introduction, Tang Boqiang sat next to Director Lin to participate in their morning shift. Dr. Zhang Fan, who was on duty yesterday, was full of tiredness, but his thinking was still very clear, focused, and orderly, which impressed Tang Boqiang.

Dr. Zhang Fan immediately accompanied the patient to the CT room for head CT examination, and found that the patient had a large hemorrhage in the parieto-occipital lobe of the left cerebral hemisphere. Because the patient was in a coma and vomiting frequently, Dr. Zhang acted quickly, and immediately after the examination, he was admitted to the hospital for emergency treatment, and rushed to the shift after a round of dehydration medication when his condition stabilized slightly.

After Dr. Zhang finished speaking, he handed the CT film on the table to Director Lin, who didn't look at it, and immediately handed it to Tang Boqiang and said, "Please ask Professor Tang to take a look and guide the next step of treatment." ”

In this case, Director Lin and Tang Boqiang are very clear that time is life, and there is no room for politeness. Tang Boqiang took the CT film and put it on the reading lamp to take a look, and he couldn't help but gasp in his heart: What a lot of bleeding! He took the percussion hammer with a scale handed over by Director Lin and began to measure the size of the hematoma, and then used a formula to measure the amount of cerebral hemorrhage to calculate the approximate amount of bleeding, and the result of the calculation was that the patient's bleeding volume was more than 80 ml. What's worse is that the hemorrhage is all confined to the brain parenchyma and does not break into the adjacent ventricles. In other words, the local pressure at the bleeding site is very large, and such a large pressure can press the brain down at any time, causing brain herniation and leading to the death of the patient.

Tang Boqiang's movements seem to be easy, but in fact they have a high technical content. How to read CT films, which level to use as the measurement standard, how to calculate after measurement, etc., all require rich experience and excellent professional knowledge. Director Lin: This is also the first time that they have seen the amount of bleeding in a cerebral hematoma directly measured and calculated on a CT scan.

After watching the film, Tang Boqiang's language was concise and concise: "This situation is very critical, because the amount of bleeding is too large, and it is confined to the brain parenchyma, the local pressure is very high, and the patient may die at any time. The second is to use a cranial drill to drill through the skull for external hematoma drainage. I recommend seeing a cranial surgeon right away, it's the best and quickest way to do it. ”

Director Lin was also unequivocal, and immediately made a phone call to the Department of Cranial Surgery. Soon, an attending doctor from the Department of Cranial Surgery came to the internal medicine ward, and after listening to the introduction and watching the CT film, he shook his head and said, "We have never done this before, we are not sure, and we dare not do it. When Tang Boqiang heard this, he knew that the road had been blocked. Because it takes several hours to drive from Bay City to Binhai County, with the current condition of the patient, it will definitely not be able to survive.

There is only one road left in front of Tang Boqiang, although he knows that there is little hope, but if he doesn't let go of Bo and let a life pass in front of his eyes, it is cruel for both the patient and Tang Boqiang. In the face of such patients, Tang Boqiang has always pursued the best efforts to win a glimmer of possible vitality.

Tang Boqiang had made up his mind, so he asked the neurosurgeon whether the hospital had a tool for cerebral hematoma puncture and drainage, and after receiving a positive answer, Tang Boqiang explained his thoughts to Director Lin.

Director Lin is a person with very strong executive ability. After listening to Tang Boqiang's words, he also understood that this was the only way, so he immediately made a decision and asked people to bring the overalls and masks that had been prepared for Tang Boqiang a long time ago for Tang Boqiang to wear, and Tang Boqiang also quickly took out the tools he was carrying, and walked to the patient's bed under the leadership of the doctor on duty.

At this time, Tang Boqiang had already entered the state and no longer paid attention to everything around him. Seeing that the patient's breathing was still smooth, and then the eyelids were opened and the two pupils were irradiated with a flashlight, thankfully, the pupils on both sides were still equal to the same size, and there was also a light reflex, and then the bedside was observed, and the patient was not seen to have new vomit, indicating that the treatment after admission temporarily played a role in reducing intracranial pressure.

At this moment, time is of the essence, and there is no room for delay and miscalculation. After reading these key signs and manifestations, Tang Boqiang immediately communicated with the patient's family in Mandarin, and when he encountered some problems that could not be communicated, Director Lin translated them on his behalf.

Hearing Tang Boqiang's reasonable analysis, the family knew the seriousness of the condition and the urgency of the rescue, and also knew that despite their efforts, there might not be the desired results.

It is an indisputable fact that the Gulf Medical College Hospital represents the highest level of medical care in the entire Gulf region. Although the family felt that Tang Boqiang was very young, when they saw the respectful look of Tang Boqiang from Director Lin to several old doctors in the department and even the young doctors in the general practice, the patient's family believed that the young professor's words were credible.