Brain injury has been one of the highest causes of death in all traffic accidents.

Massive intracranial hemorrhage can cause intracranial hypertension in a very short period of time, and the mortality rate is ridiculously high.

In this case, a craniotomy must be performed as soon as possible.

But there are no doctors in the Third Hospital who can do this kind of surgery!

The situation was urgent, and Peng Tao immediately contacted Huang Ran, the leader of the emergency center, and told the other party the general situation of the patient.

Huang Ran replied that he had contacted the patient's family and was in communication.

……

At the same time, in the most luxurious Jingcheng villa area in Hangzhou, Lin Lan, deputy director of the Urban Construction Bureau, received a strange phone call.

As the voice on the other end of the phone rang, Lin Lan's face changed dramatically.

How so!

His younger brother was in a car accident on his way to Hangzhou.

Massive intracranial hemorrhage and critical condition.

He's only 22 years old!

In an instant, Lin Lan's mind thought of all kinds of terrifying scenes.

Her parents left early, and her younger brother has always been taken care of by her, so it can be said that she is also a sister and a mother.

The younger brother has just graduated from college this year, and Lin Lan is ready to bring him into the Urban Renewal Bureau.

The road has been paved for him, and it can be said that it is a smooth road.

Why did you suddenly encounter such a thing!

For a while, Lin Lan's head was buzzing,

Where is the image of a strong woman who is usually decisive and cold!

panicky

Anxiety!

She feared that she would lose her only loved one.

What to do?

What to do?

Suddenly, she remembered a phone call, it was the director of the first people's hospital in Hangzhou.

Shouli People's Hospital is the best hospital in Hangzhou, and the president Yuan Minghua is the best extraneous expert in Hangzhou.

Seeing hope in an instant, Lin Lan hurriedly dialed Yuan Minghua's phone.

The other party quickly connected.

"Hehe, Director Lin, is there anything I need to cooperate with?"

Lin Lan couldn't hold back, and said in a choked voice, "Hello Dean Yuan, I really have something to ask you now, my brother was in a car accident and suffered a massive intracranial hemorrhage, you are the best extraterrestrial expert in Hangzhou, only you can save him, you must help me!" ”

The other end of the phone was visibly stunned.

Then he said quickly, "Director Lin, don't worry, I'll go back to the hospital to prepare for surgery immediately, and you can bring your brother over quickly." ”

"Dean Yuan, thank you, but my brother has been dragged to the third courtyard now."

"The Third House?" Yuan Minghua was stunned for a moment, "They can't be doctors outside the gods at all!" ”

"Yes, Dean Yuan, so I'll call you for help, I'll go to the Third Hospital now and take my brother to Shouli Hospital!"

"Don't panic Director Lin!"

"What's wrong?"

Yuan Minghua said calmly, "Intracranial hemorrhage can develop into intracranial hypertension in a very short period of time, time is the most important thing for your brother, I am now starting from home, and it is closer to go to the third hospital." ”

"You mean go straight to the Third Courtyard!"

"Well, the preoperative examination also takes a certain amount of time, you contact the other side, let them prepare the operating room in advance, do the preoperative examination, and I will also make a phone call with Dean Fu Qing of the Third Hospital to explain the situation."

"In short, don't worry, I will personally perform this operation!"

With Yuan Minghua's promise, Lin Lan's heart instantly relaxed a lot.

"Okay Dean Yuan, I'll call them now, and you must do it as soon as possible!"

"Don't worry, I'll leave now!"

"Thank you Dean Yuan, thank you Dean Yuan!"

After hanging up the phone, Lin Lan hurriedly called the emergency center.

……

Three minutes later, Peng Tao, who was still on the road, received a call.

"What?"

"You said that President Yuan Minghua of the first hospital is going to come to the third hospital to personally conduct the surgery?"

"Okay, I got it!"

Until he hung up the phone, Peng Tao was still a little incredulous.

The first knife outside the gods of Hangzhou!

I was finally able to see Dean Yuan Minghua take action in person.

Peng Tao couldn't wait to tell the news to Li Xiyang in the back row.

But Li Xiyang didn't have the slightest sense of excitement.

In his opinion, Liu Lao of the First Courtyard was the strongest extraterrestrial expert he had ever seen.

In addition to the operation that is infinitely close to the level of Chinese medicine, the spirit of the great doctor on Liu Lao's body is even more impressive.

……

Five minutes later, the car finally returned to the Third Courtyard.

Because the news was received in advance, the medical staff in the emergency department were ready to pick up the car for a long time.

As soon as the car stopped, the little nurses ran over with their gurneys.

The car door opened, and several people worked together to lift the patient onto the gurney.

Peng Tao immediately ordered the patient to be pushed into the emergency room.

Then he said to Li Xiyang, "Doctor Li, the patient has a lot of wounds, before Professor Yuan comes, you and I can deal with the trauma together!" ”

"Okay."

……

Rescue room.

The little nurse quickly connects the patient to the ECG monitor and oximeter.

Peng Tao has already started to do debridement.

Because the patient has a lot of glass shards and iron sheets on his body, it is likely to cause contamination if he is not treated in time.

It can have a big impact on subsequent surgeries.

"Tweezers!"

"Cotton!"

"Iodophor!"

……

Piece after piece of solid debris was removed.

Peng Tao was busy here, and Li Xiyang was not idle.

The patient suffered multiple fractures, but none of them were fatal.

In addition to massive intracranial hemorrhage, rib fracture with pneumothorax is the second crisis.

If it is normal, it is definitely necessary to perform thoracotomy + open reduction and fixation of rib fracture for the patient.

But the patient will have to have a craniotomy in a moment, and it is obviously unwise to open the patient's chest now.

At present, the best treatment is conservative treatment.

Thoracostomy!

The so-called closed thoracostomy, also known as water-closed drainage, is in which the surgeon inserts a drainage tube into the patient's chest cavity, and the bottom of the tube is placed in the water of the drainage bottle.

The action of water is used to maintain a single direction of drainage and prevent reflux, so as to expel gas or liquid, rebuild negative pressure in the pleural space, and cause lung re-expansion.

glove

Masks

Hand washing!

Li Xiyang stood on the left side of the patient and reached out to take a water-sealed bottle packet,

After opening, inspect the water seal bottle for damage.

Start connecting the drain tube of the water seal bottle.

Connected!

Pour external normal saline into the bottle, place the long tube 1~2cm below the liquid level, and check the tightness of the water-sealed bottle......

Maintain an upright position and mark the outside of the bottle with adhesive tape......

Place the drainage bottle correctly, and the distance between the position of the bottle and the chest cavity is 60~100cm......

Inspect the wound and loosen the pin......

Squeeze the drain to expose the chest drain interface......

Two vascular clamps are clamped proximal to the chest drain......

At the disinfection interface, connect the drainage tube......

Check that the drainage device is correct and release the vascular clamp......

Squeeze the chest drain again to observe the fluctuation of water injection in the water seal bottle......

Soon, a textbook thoracostomy was completed.

The little nurses in the emergency room looked at it curiously.

"Who is this man?"

"I haven't seen it!"

"New interns?"

"But his thoracostomy seems to be better than many attending doctors!"

These little nurses are not in the daytime class, so they don't know Li Xiyang.

And just when several people were talking about Li Xiyang, Peng Tao, who was doing debridement for the patient, suddenly changed his face.

I saw that the patient suddenly bleeded from his mouth and nose.

The monitor next to it showed that the patient's blood pressure was dropping rapidly.

Not good!

It's an intracranial hyperbaric response!

If this continues, the patient will die suddenly in three minutes at most.

What to do?

Dean Yuan hasn't come yet!

"No, I'll make another call."

Peng Tao hurriedly walked out.

"It's too late!"

Li Xiyang took off his gloves and said calmly, "Just push the operating room, I'll do this operation!" ”