144. Bleeding that is difficult to control
In the doctor's office, when Tan Wenya handed over the payment slip to the director of neurosurgery, the middle-aged man with gold-rimmed glasses looked at Tan Wenya, smiled wryly and shook his head: "Girl, if this money had been handed in two days ago, we might have been able to give it a try, but even if we were willing to take the risk of doing this operation, I am afraid that the patient would not be able to get off the operating table, and it can be seen that you are also a filial child, so don't let your mother suffer like this, right?" Take advantage of the present time, take your mother home, and let her go decently! ”
The department director's words were like a blow to the head, and Tan Wenya's whole person was paralyzed.
Su Yue shook his head and helped Tan Wenya back to the room.
"You're also a doctor, you can help find a way, even if it's a vegetative person after being rescued, you can't just let her go!" Seeing his daughter crying in her mother's arms, Father Tan looked at Su Yue like a poor child.
Su Yue sighed, he had always been confident, but this time, he felt that it was tricky.
Tan's cerebral blood vessels are extremely fragile, like spider webs, and one carelessness is likely to cause more bleeding. Moreover, because she has a history of cerebral infarction, long-term use of anticoagulant aspirin causes poor coagulation function, and one careless can cause breathing and heartbeat to stop.
"Yes, you are also a doctor, you can save my mother......" Tan Wenya also rushed over and pulled Su Yue's arm.
Su Yue nodded helplessly: "I can try, but I don't guarantee ......"
Before Su Yue finished speaking, Father Tan hurriedly nodded: "We know, even if it is really not cured, we don't blame you......"
Su Yue's eyes glanced at Tan's mother again, the black was even more intense, and then looked at the indicators on the monitor, the heart rate continued to be one hundred and sixty or seventy times, even so, the blood pressure was still dropping, it had reached 80/50, the breathing was faster, and the saturation had dropped to eighty-five percent, there was no doubt that this was already a near-death state.
Su Yue hesitated for about a minute, and finally made a decisive decision to perform a craniotomy for him.
This is an affiliated hospital, he can't act rashly, but soon he remembered Qiao Chu, and in this situation, he can only ask for help from her.
He took out his mobile phone and dialed Qiao Chu, the situation was urgent, he could only say that there was a friend's mother who was critically ill and needed surgery in the affiliated hospital, and asked her to help arrange an operating room, and arrange anesthesiologists and instrument nurses by the way.
Qiao Chu happened to be around the hospital, so he promised to come over immediately.
After about three minutes, the director with gold-rimmed glasses walked into the ward, and when he saw Su Yue, he was stunned, but he only shook his head: "I understand your feelings, but it's really futile to do this......"
Su Yue didn't speak.
The director sighed: "The operating room is arranged in the first operating room, which is the most advanced operating room in the hospital, and the rescue equipment is relatively complete. ”
Su Yue knew that it must have been arranged by Qiao Chu.
"Thank you, all you need is an anesthesiologist and instrument nurse!"
In view of Tan's mother's current condition, Su Yue's surgical process must be extremely fast, and he definitely needs the assistance of eye perspective at a critical time, and he doesn't want these old experts to be around.
The director did not insist.
Soon, a nurse came over to prepare Tan's mother for the operation.
Ten minutes later, the patient was sent to the operating room, and Su Yue followed.
At the door of the operating room, Qiao Chu hurriedly came, "I'll do this operation with you!" ”
Su Yue didn't refuse, he knew that it was useless to refuse, and at this time, he really needed a helper, rather than looking for someone else, it was better for Qiao Chu.
I don't know if it's because Qiao Chu's power is too strong, the whole preoperative preparation takes a short time, Su Yue just changed into a surgical gown, everything is ready, and he can go under the knife.
This is the first time for a craniotomy, and it is such a complicated condition, Su Yue is still a little nervous.
"Be prepared for massive bleeding!" Su Yue picked up the scalpel and said the first sentence to Qiao Chu.
Qiao Chu nodded, and he was also ready.
The craniotomy process was not smooth, just after the removal of a piece of skull, the patient had a sudden cardiac arrest, fortunately the operating room is equipped with more complete rescue equipment, and the itinerant nurses and instrument nurses are also more professional, with the cooperation of everyone, the patient finally resumed the spontaneous heartbeat.
After such a small episode, Su Yue's movements were more gentle and careful.
However, when he opened the skull, Qiao Chu couldn't help but sigh, and then looked up at Su Yue: "In this case, is it necessary to continue?" ”
Qiao Chu's voice was small, but it exuded firmness and calmness.
In her opinion, there is no need for this operation to continue, because the internal structure of the patient's cranial brain has been a mess, and the positions of several important life centers are severely edematous, and the patient's current breathing and heartbeat are already miraculous, and continuing the operation is meaningless except for increasing the patient's needless pain, and the current situation, the patient's breathing and heartbeat may stop again at any time, and the patient's bleeding has increased greatly due to the craniotomy, which has also brought a lot of inconvenience to the rescue work.
"I want to work hard!" After Su Yue finished speaking, he carefully took the bipolar hemostatic electrode and burned it at the bleeding site of a small blood vessel.
Unexpectedly, instead of stopping the bleeding point, the electrode burned a larger bleeding point, and the bleeding became more ferocious.
Qiao Chu hurriedly handed over a gelatin hemostatic sponge.
Su Yue took it and pressed it on the bleeding site, and finally stopped the bleeding temporarily.
"Do you want to continue?"
Qiao Chu glanced at Su Yue and asked again.
Su Yue nodded, so far, he has no room to retreat at all, not to mention, if Tan Wenya hadn't met him at the beginning, maybe her mother would have been able to have surgery a long time ago, maybe the situation wouldn't have been so bad, with such a complicated feeling, Su Yue continued to pick up the hemostatic electrode.
At present, there are three bleeding points in the brain, the smallest one is the one that was stopped by pressing just now, and then there are two more seriously ruptured blood vessels, Su Yue first used normal saline to gently flush the bleeding site, and washed out some old bleeding, so as to temporarily relieve the pressure on the brain tissue, Next, Su Yue took a deep breath, held his breath, picked up the hemostatic electrode, and gently burned the bleeding site.
"Poof!"
An extremely slight voice sounded, and a column of blood gushed out.
"It's not good, the patient has a lot of bleeding, rescue immediately!" Qiao Chu shouted.
A cloud of black mist flashed in front of Su Yue!
"Cardiac arrest, respiratory arrest!" Su Yue's ears sounded the eager voice of the roving nurse.
Su Yue felt a chill hit his whole body, and he was also dizzy in front of him, and his hands pressed the bleeding site uncontrollably.
"Su Yue, you're crazy!" Seeing that Su Yue actually stretched out his hands to press the brain tissue, Qiao Chu shouted.
Brain tissue is not like other organs in the body, brain tissue is like tofu brain, very soft, a careless brain herniation will appear, Su Yue pressed so hard, does he want the patient to die as soon as possible?