In the operating room.

"Dr. Li, do you really want to do it?"

"This operation is scheduled by President Yuan Minghua of the first hospital!"

"Why don't we wait?"

Peng Tao fidgeted restlessly, and kept thinking in Li Xiyang's ears.

Li Xiyang only replied, "Do you think it's too late?" ”

Peng Tao was speechless!

According to the patient's current condition, hold on for two more minutes at most, and if you don't decompress immediately, even if you pick up a life later, most of you will become a vegetative person.

But it's a craniotomy, big brother!

In the event of an accident, the consequences are unimaginable.

What's more, this is an operation hand-picked by Dean Yuan, and it is really going to be messed up, and he and Li Xiyang have to take the blame.

But when these words came to his mouth, Peng Tao couldn't open his mouth no matter what.

After all, lying on the operating table is a human life, so he just watched the patient die and did nothing, Peng Tao obviously couldn't do it.

Gritting his teeth fiercely, "Doctor Li, then please try to buy a little more time for the patient before Dean Yuan comes." ”

Li Xiyang glanced at the latter strangely, and had something to say, but after thinking about it, he nodded.

Turning around, Li Xiyang said to everyone:

"The patient, a 22-year-old male, was in good health and was injured in a car accident for one hour.

Headache, dizziness, accompanied by nausea, vomiting, vomit is stomach contents.

The bore is equal in size and circumference, 3 mm in diameter, and is unresponsive to light.

CT reveals a large spindle hematoma under the dura mater, displacing the midline of the brain, confirming a subdural hematoma.

Now it is performed, bone flap craniotomy + hematoma removal. ”

After Li Xiyang finished speaking, Peng Tao on the side was obviously stunned.

What?

Craniotomy?

Hematoma clearance?

Big brother, I'm asking you to find a way to help delay time, not letting you go on your own!

Peng Tao was just about to stop it, but Li Xiyang had already stood in the main knife position.

"Instrument nurse preparation: cranial bag, instrument bag, 50 ml syringe, scalp clip, sponge sheet, tablecloth, large hole towel, suction device, bipolar electrocoagulation, electroknife, bone wax, gelatin sponge, drainage tube, 1, 4, 7# silk thread, and some hemostatic gauze."

"Done!"

"Preparing for the itinerant nurse: preparing the head frame, two sets of intravenous channels, attaching eye films, cotton balls for both ears, adjusting the room temperature, and correctly pasting the negative plate."

"Done!"

"Anesthesiologist prepares: general anesthesia, endotracheal intubation."

"Done!"

In the operating room, the tension and panic that was originally full of tension and panic dissipated instantly as Li Xiyang spoke.

His voice is firm and powerful, giving people an indescribable sense of trust and security.

All the preoperative work was carried out in an orderly manner.

A thought suddenly popped into Peng Tao's mind, "Maybe he can really do it?" ”

"Helper prepares!"

"Huh? Oooh oh! ”

Peng Tao was stunned for a moment, and then hurriedly stood opposite Li Xiyang.

Li Xiyang said quickly, "Help me adjust the patient's position!" ”

"Good!"

"The patient is in the supine position, and the head of the bed is raised by 10 to 15 degrees to prevent the patient's cerebral congestion and increase the amount of bleeding in the surgical field!"

"Place your hands naturally at your sides and hold them in place with a mid-laner."

"Straighten your legs, fix your foot straps on the knee joints, and put a soft square pillow under your knees to avoid nerve paralysis caused by too long surgery."

"Turn the head to the healthy side, put a small sandbag under the shoulder of the affected side, and do not twist the neck excessively to ensure the patency of the patient's tracheal tube."

"The ear on the unaffected side should be placed in the head frame, because the patient's right ear is perforated to prevent second-degree trauma, and a cotton ball should be stuffed in the ear to prevent the disinfectant from flowing into the ear..."

Peng Tao was secretly frightened while operating according to the instructions.

This is the most detailed patient position he has ever seen on the operating table.

It's not as rigid as in textbooks, but it's adjusted according to the patient's signs at the time.

If the other party is an old doctor, it can probably be explained by rich experience.

But Li Xiyang is so young......

It only shows that his concentration and observation are amazing.

It's like this guy is a natural sorcerer.

At the same time, the patient's intracranial hypertension has dropped significantly.

Although it is not completely out of the danger period, it has already won at least 10-15 minutes for the next surgery.

Oh, my God

Just one change in position has had this effect.

Looking at Li Xiyang's eyes again, there was no surprise or surprise.

Could it be that he had calculated it all in advance?

After the shock, Peng Tao's heart calmed down.

"Disinfect ready!"

"Hand sponge forceps and hold iodine tincture and ethanol yarn balls to disinfect the skin. The disinfection area extends from the head, down to the eyes, and both ears. ”

"Done!"

"Hand the membrane of extracerebral surgery, and a piece of dry sand pad to assist in the film."

"Done!"

"Prepare 0.25% procaine 200ml + 4~5 drops of epinephrine!"

"Hand a 20-milliliter syringe and a No. 7 needle for subcutaneous injection."

"Then change the long needle for subponeurotic injection."

"Spread a large hole towel and hand two towel tongs."

"Fixed suction tube, bipolar electrocoagulator!"

"Hand over the 20th scalpel!"

When everything was finished, Li Xiyang slowly spoke, "The operation begins!" ”

……

Doctor Global Network.

"Dafa, Oba is on the air again!"

"Haha, I just got home from work, isn't this a coincidence?"

"Whoosh, I ordered a pig brain flower, just watching it while eating."

"Hehe, you're all here!"

"Hey, Brother Dao is in the front row this time!"

"Not only in the front row, but also in the first place!"

"Haha, it's really, Brother Dao, you're not kind, and you don't say a word about stealing the tower!"

"Oh, you can't compare with your big brother, you can't afford to hurt the rocket!"

"Hahaha~"

The sailors were all familiar faces, and before the operation began, everyone joked with each other.

After a while, the patient's anonymous medical record was transmitted.

And behold,

"I'll go, acute subdural hematoma!

”

"Laparoscopic appendicitis in the morning, tendon sutures in the afternoon, and direct craniotomy in the evening, is the anchor going to heaven?"

"Is a subdural hematoma dangerous? Is there a god outside the elder to popularize science! ”

Remarks: Third-year medical students of East-West Medical University, a scumbag, a dog's head to save his life!

"Ula, it turned out to be a little Mengxin!"

Dr. Xiong Guo, who goes by the screen name "A Cup of Vodka", said, "There are two kinds of subdural hematoma, chronic and acute, like the patient in the live broadcast room, who belongs to the latter, acute subdural hematoma." ”

"This condition is often due to intracranial hemorrhage caused by head trauma."

Meng Xin looked at the case, and sure enough, it was caused by a car accident.

"A glass of vodka" continues, "The human brain tissue is covered by three layers of meninges, namely the dura, the arachnoid, and the pia mater.

The dura mater is located in the uppermost layer, and the inner layer forms venous sinuses at the fold of the inner layer, and the wall of the venous sinuses lacks elasticity, making it difficult to stop bleeding when rupture.

The arachnoid is centered below the dura mater, and the subdural space is in between.

The leptomeninges cling to the surface of the brain, penetrating deep into all the depressions and fissures of the brain, forming wrinkled walls in certain parts and entering the ventricles to form choroid plexus.

Therefore, intracranial hemorrhage caused by head trauma can be divided into five types: supradural hemorrhage, subdural hemorrhage, subarachnoid hemorrhage, and cerebral hemorrhage according to the anatomical position from top to bottom.

Among them, subdural hematoma has the highest probability, which is more common in the frontotemporal region, accounting for more than 50% of intracranial hematomas.

It is often secondary to hedge cerebral contusion, and hemorrhage is usually due to contusion of cerebral parenchymal vascular injury.

In this case, intracranial hypertension occurs in a very short period of time, and a bone flap craniotomy + hematoma removal must be performed immediately.

Once the best time to rescue is missed, the patient will have a stroke! ”

"This is an extremely dangerous operation!"

With the exclamation of "a glass of vodka", the operation began.

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Chapter 97 Subdural Hematoma Free Read.