The people next to him had never seen this technique, and of course they were moved.

After all, everyone knew that there would definitely be bleeding after the knife was cut, but Dr. Lin almost didn't see any bleeding when he went down this knife.

This is indeed rare!

As for the surgical plan for this case, Lin Yi has already made up his mind.

Subarachnoid hemorrhage has a high disability and mortality rate, and its surgical treatment is mainly craniotomy clipping and endovascular embolization.

Compared with traditional craniotomy and clipping, Lin Yi's treatment plan this time is endovascular embolization.

This treatment option has the advantages of high success rate, low trauma, short operation time and fast patient recovery.

Before the operation, in order to ensure the smooth operation and avoid the spasm of the cerebral blood vessels in the child, Lin Yi first relieved the cardiovascular system of patients with subarachnoid hemorrhage in aneurysms through the calcium channel blockers nimodipine and fasudil.

After doing this, Lin Yi turned his head and asked.

"Anesthesiologist, what are the signs of the child now?

Can I start surgery? “

The anesthesiologist glanced at the ECG monitor and said.

"No problem!

Your child's signs are now stable and you are ready to start surgery! “

Subsequently, Lin Yi routinely disinfected the child's right groin, infiltrated the puncture site locally, and then used a puncture needle to insert the right femoral artery into the 6F arterial sheath.

He then said to the anesthesiologist.

"Patients are systemically heparinized with an initial dose of 1000 units, followed by an additional 500 units of heparin every hour to prevent thrombosis, and continuous pressurized infusion.

The anesthesiologist nodded knowingly and said.

"No problem! Dr. Lim! “

After that, he will use a 6F guide catheter to pass through the incision and deliver the clip to the child's medial carotid artery, and then perform the clipping procedure.

The operating room was so quiet that you could hear a needle dropping.

Lin Yi took a deep breath and prepared to insert the wire into the incision.

At this time, I heard someone next to me say.

"Wait a minute!"

Lin Yi was stunned for a moment, turned his head and asked.

"What's wrong?

The person who spoke was Liu Tianning, deputy director of the brain surgery department who had just arrived in the operating room.

"Dr. Lin, why don't you wait for someone from the brain surgeon to come and start the surgery? You are so rash to perform surgery on a patient, it is simply nonsense! ”

Lin Yi looked at Deputy Director Liu and said.

"The reason why I chose such a surgical option is also because the patient's age is too young for the general surgical plan to be borne by the patient."

Director Liu sneered:

"Then your plan has to be reliable!"

The other doctors were shocked when they heard Director Liu say this.

Could it be that Lin Yi used the wrong surgical plan?

Originally, the patient's condition was urgent, and the anesthesiologist had to stabilize the patient's signs.

As a result, I didn't expect a Cheng Biting Jin to come out halfway, and Director Liu of the Department of Brain Surgery actually called out to stop the operation at a critical time.

It is not so much that Lin Yicao cares about human life, but that Director Liu is arrogant.

If Lin Yi didn't have such a certainty, he would definitely not rashly take this operation.

However, now Director Liu's attitude is very resolute, he believes that Lin Yi is harming people and delaying the patient's condition by doing this.

After all, in traditional medicine, a patient with such a condition must need a craniotomy!

And regardless of age, even if it is a child who is waiting to be fed, when encountering such a condition, it is necessary to have a craniotomy.

This is the standard protocol for treating this condition.

And the young doctor in front of him, who is also a doctor in the emergency department, who is qualified to operate here?

In terms of orthodoxy, he, the deputy director of brain surgery, is a professional doctor.

And what's going on with the doctors in the emergency department?

Generally speaking, don't doctors in the emergency department just hang the patient's life and then transfer to another specialty?

So, what's the situation now?

This is not a careless disregard for human life, what else can it be?

Even if he is. (This chapter is not finished!) )

Chapter 290: Stomach Hard!

I had heard of Lin Yi's name before, and he didn't take it seriously at all.

Therefore, he insisted on a different doctor in their department for the operation.

Deputy Director Liu's attitude surprised the other doctors in the operating room.

Perhaps, what Director Liu said is also right?

Because according to common sense, it seems that it is safer to change a specialist doctor to do surgery in this case than Lin Yi.

Moreover, I feel that the specialist doctor mentioned by Director Liu is indeed more suitable than the emergency doctor to do this kind of operation, and it is indeed dangerous to let the emergency doctor do this operation.

After all, the patient is already on the verge of death in this state, and changing the emergency department to do the operation is like playing with fire, and it is easy to cause unknown accidents, which can lead to the failure of the operation.

If Lin Yi was really desperate, this kind of operation was indeed dangerous.

However, this danger did not affect Lin Yi.

On the contrary, Director Liu's words just now made Lin Yi speechless.

He asked rhetorically:

"Director Liu, why are you so sure that my operation is wrong!

Medicine is also constantly advancing, and traditional treatment options need to be constantly improved and evolved.

You don't always stick to the original surgical plan and apply it to the patient, right?

Director Liu, why are you so sure that my surgery was wrong!

Medicine is also constantly advancing, and traditional treatment options need to be constantly improved and evolved.

You don't always stick to the original surgical plan and apply it to the patient, right?

This is useless, not only will it not save lives, but it will only treat the patient as a repeat product in your hands.

On the other hand, the surgical plan I proposed seems to be a little different from the traditional surgical plan, but this plan is not only small in size, fast in recovery, but more importantly, there are almost no complications.

Isn't this a surgical option more suitable for children?

Do you want your child to face the future with a huge wound for the rest of their life? “

Dr. Liu on the side persuaded:

"Director Liu, don't get excited!

I think Dr. Lim is right, after all, he has had so many surgeries before and nothing has gone wrong.

And the process of his surgery was very amazing.

Therefore, I think that at this time, it is really time to consider accepting new technologies and new solutions. “

After listening to Dr. Liu's words, Director Liu snorted coldly.

"The hospital has the rules and regulations of the hospital, and this is a patient of brain surgery, so it must be done according to the rules of brain surgery!"

Director Liu said coldly.

"Now these young people, who just don't have any discipline and dare to do anything, are really a bunch of crazy people.

It's because he's not a doctor in our department, otherwise, I'd have to deal with it seriously. ＂

In this regard, Lin Yi felt that there was no point in entangling with Director Liu any longer.

So, he said to Director Liu.

"Director Liu, here, I am the chief surgeon, and I also bear all the responsibility for this operation.

As for the surgical plan, it is up to me to decide and I am responsible.

Now, the operation is about to be, please leave the operating room immediately. “

Lin Yi's words were very decisive.

Director Liu didn't expect Lin Yi to be so strong for a while, and in front of everyone, he was speechless.

He stretched out a finger and pointed at Lin Yi and said.

"Count you ruthless!"

After Director Liu finished speaking, he turned around and left.

In the operating room, after Director Liu left, Lin Yi immediately began to operate on the child.

The broken vascular gap is sutured first, and then the 6F catheter is used to guide the internal carotid artery on the affected side with the guidewire, as close to the lesion as possible. @精华\/Shuge Error-free Debut~~

Then, a parallel three-dimensional reconstruction was performed to measure the diameter, size, width, and position of the surrounding collateral vessels.

Subsequently, based on the measurement data, a stent graft was first selected and placed at the distal end of the neck of the child's arterial rupture point, and the balloon was slowly inflated and maintained for about 10 seconds to keep the stent completely dilated and released.

。 (This chapter is not finished!) )

Chapter 290: Stomach Hard!

Then, post-emptilate balloon angiography showed that the child's intracranial aneurysm was completely absent and the artery was patency.

In this way, the operation ended smoothly and the child was safe.

Everyone sighed!

You still have to trust Dr. Lin!

After returning to the consultation room, Lin Yi asked Wang Qiaoya and Chen Qiang to come over.

The door opened, and a middle-aged man in his forties came in with a wheelchair.

In the wheelchair sat a middle-aged woman about his age.

However, the woman's face is thin, and her legs hanging in a wheelchair have obvious muscle atrophy.

This is caused by not walking and not exercising the calf muscles all year round.

So immediately, several people in the consultation room could see that this patient should be a paralyzed patient.

However, Lin Yi couldn't help frowning when he looked at the patient's abdomen.

"Doctor...... You guys help me to see, my wife said she had an upset stomach. Error-free updates @"

As soon as Wu Jiang heard this, he directly put on gloves and prepared to palpate.

Lin Yi turned his head to look at Chen Qiang and Wang Qiaoya and said:

"You two also wear gloves and observe with Dr. Wu."

"Okay."

The two stood up and followed Wu Jiang to palpate the patient's abdomen.

"What have you eaten lately? Do you have diarrhea? Is there a X life? ”

Wu Jiang asked while palpating.

When female patients are unsure of the abdominal pain point, they should consider whether it is the uterus and its appendages.

If it is a problem with the uterus and its appendages, then a woman like this who is paralyzed and has her husband to take care of her needs to ask if there is an X life.

**Abdominal pain can also occur with an ascending infection.

If it is not a problem with the uterus and its appendages, the stomach or appendix, liver and gallbladder should be considered.

When the family heard Wu Jiang ask, they were a little embarrassed.

"She eats normal meals, three meals a day, and she doesn't eat too spicy...... I don't have diarrhea, but I haven't for a few days, and if X lives...... This one...... Yes, but does this have anything to do with her abdominal pain? ”

Wu Jiang nodded:

"Probably, there is a little more abdominal pain in women than in men, and X life is the only way to cause pain caused by female genital infections, so I will ask.

And you said she hadn't pooped in days? How many days exactly? ”

Haven't pooped in days?

Then it is possible that it is not a problem with the uterine appendages, but a problem with the intestines.

The family was thinking carefully, and the patient in the wheelchair slowly spoke:

"I ...... I have seven days...... I haven't pulled it for seven days. ”

Wu Jiang was stunned: "Seven days?" ”

As he spoke, he reached out and pressed a few times on the patient's abdomen and intestines.

Sure enough, it's hard!

And the patient also feels a lot of pain when pressing.

"Bloating, it's still very hard, let's go find a CT scan to see if the is blocked, if so, I'll open two bottles of corkscrew and expose it."

If it's constipation, it's easier to treat, but if it's constipation caused by intestinal obstruction, it's troublesome.

Unexpectedly, the family immediately said:

"No, doctor......"

Wu Jiang raised his head: "What's not going to work?" Ketserto? ”

The family nodded: "She has been paralyzed for more than ten years, I know everything about Kasselu, since she was paralyzed, she can't move the lower half of her body, she lacks exercise for a long time, and she often can't pull out a bubble of for two or three days."

So there are a lot of things in the house, but after I used two of them for her last night, she only pulled out a little bit, which was about the size of sheep.

This morning, I don't believe in evil and used two more, but I still didn't pull out much, so I pulled the amount of my little finger so long.

In addition, she has been talking about stomach aches since yesterday, so I thought about taking her to the hospital for a look. ”

Lin Yi nodded in understanding at this time.

No wonder I saw a stomach full of excrement as soon as I came in......

Dare to love is that Kaiselu is not good, so that I want to go to the hospital for an enema??

"Okay, it may be constipation, but let's do it. (This chapter is not finished!) )

Chapter 290: Stomach Hard!

CT scan to see the specific cause of the pain, so it's a little safer. Wu Jiang said.

The family also nodded: "Okay, then let's do a CT scan and take a look." ”

Soon, the family pushed the patient outside for a check-up. @精华\/Shuge*First update~~

After the two left, Wu Jiang sighed with emotion:

"Alas, I'll go, this woman's belly is hard! I guess there's a lot of! ”

"It turns out that the belly that has been constipated for seven days feels like this?" Chen Qiang looked at his hand and said softly.

Lin Yi glanced at the two interns and asked:

"Chen Qiang, let me ask you, what diseases are more common in abdominal palpation with hard lumps or plate-like abdomen?"

Chen Qiang's face froze!

I just touched my belly and was going to be questioned?!

"Hmmm......"

After thinking about it, Chen Qiang replied:

"A hard lump on palpation may be constipation, of course, if it is a plate-shaped abdomen, it means that the rectus abdominis muscle is in a state of tension, and the tension that generally causes the rectus abdominis muscle is more common in inflammation, peritonitis, gastrointestinal perforation or simple gastroduodenal perforation, it is possible."

Lin Yi nodded with satisfaction.

It's not bad, can you answer it.

After a while, a middle-aged woman holding a child came in, and as soon as she came in, she said with a nervous expression:

"Doctor, my child has a fever! Prescribe some fever reducers, doctor! ”

Lin Yi frowned, the child looked only more than a year old, and he could only consider medication if he had a particularly bad fever.

Generally, below 38.5, you can try physical cooling, and if physical cooling does not work, then consider medication.

Lin Yi asked Wang Qiaoya to take the child's temperature.

"Don't use a thermometer, use mercury."

"Okay."

Five minutes later.

The child's temperature was 38.3.

Lin Yi: "Cough?" Runny nose? ”

Family: "A little cough, a little runny nose, but the fever is the most serious, I started to burn yesterday, I used the child's fever reduction patch at home, but it didn't work." ”

After thinking about it, Lin Yi said: "Your child's body temperature is 38.3, generally below 38.5, we recommend physical cooling to try."

Well, I'll teach you a physical cooling method, and then I'll prescribe you acetaminophen drops and cough syrup.

If the physical cooling is really ineffective, take this medicine again. ”。

Chapter 290: Stomach Hard!