Immediately afterwards, a young woman also walked up and said anxiously to Lin Yi:

"Doctor, my husband was able to talk to me just now, why is he suddenly silent?"

"No matter how I shouted at him, he didn't wake up, what's wrong with him! Is it getting worse? ”

Lin Yi didn't bother to answer her question, but walked up directly to check on his situation.

This man is the patient with subdural hemorrhage that Lin Yi focused on before his last operation.

Lin Yi first checked the patient's pupils.

It was found that his left pupil, which had reached six millimeters, had no reflection of light.

The right pupil has three millimeters and is sluggish in its light reflex.

The patient suddenly fell into a coma and had unequal pupils on both sides, which was clearly an increase in the amount of subdural bleeding in the patient!

Now that the herniation has formed, a craniotomy must be performed as soon as possible.

Otherwise, the patient will die!

A patient like this is admitted to the hospital with clear consciousness and a clear diagnosis, and does not bleed much, which does not meet the surgical criteria.

But within twenty-four hours, close observation must be carried out.

Because there is a high chance of continued bleeding.

If you don't look closely, you may mistakenly think that the patient is asleep.

That's a big mistake, and it can even become a medical malpractice!

As for why the patient suddenly fell into a coma, Lin Yi gave a detailed explanation to the family.

And it was made clear to them that the patient must be treated immediately or his life would be in danger.

At present, the patient only has unilateral pupil dilation, and if the operation is not done in time, there is no need for surgery after the bilateral pupil dilation.

Because at that time, it was already brain dead, and there was no rescue meaning.

At this time, the patient had reached the critical moment of life and death, and the family did not dare to hesitate after listening to Lin Yi's words, so they immediately signed the operation consent form.

The patient was then wheeled into the operating room by the nurse.

Lin Yi and Song Borui came down from the operating table for less than half an hour, and then re-entered the operating room.

Song Borui couldn't help but smile bitterly: "Brother Yi, today's car accident is really busy enough for us, and the whole rescue is really too tortuous!" ”

"yes."

Lin Yi was also helpless about this.

It's already evening, and it's long past the time to get off work.

All the medical staff on duty couldn't even take care of food.

Like this patient now, he must be operated on immediately, and Lin Yi and Song Borui can't take care of eating at all.

After washing and disinfecting their hands, the two stood on the operating table again.

Brain injury surgery, for Lin Yi, only needs two people.

After all, it is a knife on the head, and not only can it not sit down when there are too many people, but it will also be useless.

Because of the craniotomy, the doctor does it while sitting on a stool.

Then, the operation began!

They first prepared the skin on the head and drew lines to determine the location of the operation.

Subsequently, after the endotracheal intubation and general anesthesia take effect, the patient is placed in a supine position with his head tilted to the right.

Song Borui disinfected the entire head three times with iodine, and then spread a towel.

Lin Yi sat on the right side of the patient's head, and Song Borui held bipolar electrocoagulation on the left side.

In this patient, a 4x4cm scalp abrasion was visible on the right occipital roof, and the surface was oozing.

Local scalp swelling, extending to the right parietal and right temporal, scalp swelling area of about 15X15cm.

Immediately afterwards, Lin Yi immediately made an incision from the skin of the large bone flap on the left side, cut the scalp, turned the musculocutaneous flap to the face, and removed the bone flap by about 8X9 cm with a milling knife.

Exposed dura mater, purplish-blue in color.

Normally, the dura mater is white.

Now it is purple-blue, indicating that it is caused by subdural hemorrhage.

Lin Yi said to Song Borui, who was staring intently:

"You poke your finger at the dura mater and see what it feels."

When Song Borui heard this, he immediately poked his finger.

"This membrane is so hard! It feels like a ball! ”

Lin Yi nodded and said, "This is too much intracranial pressure and high tension, let's open the meninges to relieve him now." ”

Lin Yi said, and the scalpel cut a small infusion in the dura.

A dark red blood clot under the dural is seen.

Song Borui's eyes were quick, and he hurriedly used a suction device to suck up the gushing blood clots.

In fact, Song Borui's role is mainly electrocoagulation to stop bleeding, blood sucking and ligation.

He can't do the main technical actions, all of which are completed by Lin Yi.

When the blood clot is almost cleared, Lin Yi uses the "C" shaped knife method to cut the dura and remove about 50ml of hematoma.

When the dura is suspended around, the brain tissue is slightly bulging, and the frontal and temporal lobes can be seen with patchy contusions and deactivated brain tissue.

At this time, the brain is like a tofu brain wrapped in intestines.

It is dotted with bright red filaments, and it is also accompanied by a beat synchronized with the heartbeat.

Drum by drum!

Inactivated brain tissue, like a crumbled milkshake, has no effect and must be removed.

Lin Yi commanded Song Borui to use bipolar electrocoagulation and suction device to remove the deactivated brain tissue.

However, there are more bleeding spots.

Song Borui couldn't stop the bleeding by electrocoagulation for a while, and from time to time there was still blood coming out on the surface of the brain.

"You can't be fast!"

Lin Yi said, took the bipolar electrocoagulation in Song Borui's hand, and quickly completely electrocoagulated at several bleeding points.

This completely stopped the bleeding.

Subsequently, Lin Yi immediately carefully checked whether there were other bleeding spots.

Surgery for head injuries sounds lofty and bluffing.

In fact, surgery like this is not very difficult.

Just uncover the skull, open the dura mater, remove the bleeding inside, remove the necrotic brain tissue, and stop the bleeding completely, and the operation is completed.

It's that simple!

Because of this kind of trauma, the head injury and bleeding are basically on the surface of the brain, so the operation is not very difficult.

It's just that people or family members who don't know how to do it will be scared when they hear that they have surgery on their heads.

After all, the human brain is the most important organ in the whole body.

Once the head is operated on, it is not trivial!

Lin Yi examined the surface of the brain in detail again, and there were no more bleeding spots.

After rinsing and clarifying with normal saline, the gelatin sponge was applied to the wound of the brain tissue.

This thing has a hemostatic effect.

After normal saline was re-informed, the brain surface and surgical field were rinsed, and no bleeding spots were checked again.

The open dura mater is placed on the surface of the brain, a subdural drainage tube is placed, and another incorporation is made from the top left to lead out and fix.

This decompression of the bone flap has been completed.

Then count the instruments, just as much.

The incision is sutured layer by layer.

Of course, the palm-sized skull that was removed before the operation will not be sewn back.

The patient's skull was shown to the patient's family, and they were either kept by them or disposed of as medical waste.

If the patient recovers, after three months, the skull can be repaired with a titanium plate.

Otherwise, the left side of the surgery site will become a large pit.

It looks like there's a piece missing from the head, which is terrifying.

"Brother Shen!"

"Hmm!"

Shen Changqing walked on the road, and when he met someone he knew well, he would say hello to each other or nod his head.

But it doesn't matter who it is.

There was no superfluous expression on everyone's face, as if they were very indifferent to everything.

on this.

Shen Changqing is used to it.

Because this is the Demon Suppression Division, it is an institution that maintains the stability of Great Qin, and its main responsibility is to kill demons and monsters, and of course there are some other side jobs.

Arguably.

In the Demon Suppression Division, everyone has a lot of blood on their hands.

When a person is accustomed to seeing life and death, then he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.

The Demon Suppression Division is huge.

The people who can stay in the Demon Suppression Division are all powerful masters, or people who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppression Division is divided into two professions, one is the town guard and the other is the demon exterminator.

Anyone who enters the Demon Suppression Division starts with the lowest level of demon slayer.

Then step by step, he is expected to become a town guard.

Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level of the demon slayer envoys.

Have memories of the predecessor.

He is also very familiar with the environment of the Demon Suppression Division.

It didn't take long for Shen Changqing to stop in front of an attic.

Unlike other places full of slaughter, the attic here seems to stand out from the crowd, and in the bloody Demon Suppression Division, it presents a different tranquility.

At this time, the attic door is open, and there are occasional people entering and exiting.

Shen Changqing only hesitated for a moment, and then stepped in.

Access to the attic.

The environment has changed in vain.

A burst of ink fragrance mixed with the faint smell of blood came to his face, making his brow furrow instinctively, but quickly stretched.

The smell of blood on everyone's body in the Demon Suppression Division is almost impossible to clean.