As the intramuscular injection was completed, the man slowly quieted down.

Li Xiyang nodded at everyone, and then started the hydraulic shears.

Place the scissors at a length of 10 centimeters near the woman's neck and push hard.

Card~

The rebar should be truncated.

Li Xiyang didn't feel relaxed, but put down the hydraulic shears and said, "Doctor Huang, Doctor Zhao, Doctor Sun, you are in charge of female patients, Doctor Zheng, Doctor Zhang, you work with me to do the operation on male patients!" ”

As Li Xiyang assigned the task, everyone took separate actions.

……

Emergency Operating Room No. 1.

Li Xiyang, Zheng Xiaoyu, and Zhang Jie changed into sterile clothes and quickly finished the disinfection.

Qian Min and Lin Yue were responsible for preoperative instrument preparation and bedside imaging.

Soon the CT image of the patient's brain came out.

Seeing the picture clearly, everyone exclaimed that this man was also lucky.

The steel runs through the skull, and it perfectly avoids all the important tissues in the head.

Zhang Jie pointed to the image and said, "Look here, the steel bar enters from the left roof of the injured person's skull and passes through the brain, through the right lateral brain, and the posterior cranial fossa passes through the right side of the cerebellum. ”

Zheng Xiaoyu also said, "And the part where the steel bar enters is only 0.5 cm away from the sigmoid sinus of the brain, if this part is penetrated, the patient will die on the spot, and it is absolutely impossible to survive!" ”

The two looked at Li Xiyang at the same time, "Doctor Li, what do you think?" ”

Li Xiyang said, "The information of the emergency center is wrong! ”

"Huh?"

The crowd was puzzled.

Li Xiyang pointed to the steel bar, "The emergency center said that the diameter of the steel bar is two centimeters, but I measured it just now, and it is only 1.2 centimeters." ”

Everyone was stunned, but thinking about it, if a 2-centimeter steel bar pierced the head, it would definitely not be as lucky as it is now.

But for now, this patient is already a medical miracle.

"Dr. Li, what are you going to do?"

Zhang Jie and Zheng Xiaoyu are both emergency doctors, and Li Xiyang can do the entire emergency department of craniotomy, so they know very well that they came here to be Li Xiyang's assistant.

As for whether the operation can be successful, it depends on Li Xiyang.

In fact, Li Xiyang has seen one before in the case of a steel bar penetrating his head and surviving.

The patient's name is Kamal, 46 years old, from the East Jerusalem area of Palestine.

In the first half of the year, he led his family on a tour of the family apartment he had built himself, but when he stepped down from the second floor, he stepped on the air, fell and hit a protruding steel bar.

At that time, Kamal's head was directly pierced by this steel bar, and his body could not move.

He rushed to call his family, who screamed in fright at the sight of him and immediately called an ambulance and took him to the Hadassah Medical Centre in East Jerusalem.

Kamal was received by Samuel, a senior neurologist at the hospital, who first confirmed that Kamal was still breathing normally, and performed various imaging tests to determine the location of the rebar, where it was hit, and whether it could be removed.

When the footage came out, he found that the steel bar that pierced the head had pierced from near Kamal's right ear and through the socket of his left eye.

And the most shocking thing is that the steel bar did not touch the two large arteries that supply blood to the brain.

But he was worried that if he hastily removed the steel bar, it might cause further damage to his brain, so he consulted a nasal and throat doctor.

After analyzing the details together, the operation was officially performed, and then, with great caution and care, it took several hours to remove the steel bar and stop the brain from leaking blood with a catheter.

But when the swelling subsided, doctors found that Kamal needed another 10-hour operation to repair the leaking brain crest in Kamal's brain.

It can be said that the difficulty of this surgery is very high.

One of the trickiest steps is how to get the rebar out of the patient's head.

Although the steel bar magically avoids all the important brain tissue, you can't cut it all open, whether it's the brain or the cerebellum. Take out the rebar and re-stitch it.

The only way is to pull out the rebar directly.

And this process is too dangerous, in the case of acute bleeding.

Strong intracranial pressure can cause the patient to die instantly,

Even if there is no bleeding, in the process of pulling out the steel bar, no one is sure that it will not touch the vital parts of the surrounding area.

At this time, Zheng Xiaoyu proposed, "Why don't we perform a craniotomy first to prevent excessive intracranial pressure." ”

Li Xiyang nodded, for now, this is indeed the safest approach.

At the same time, the craniotomy can also loosen the steel bar, and it can only be stable enough when it is pulled out.

But Zhang Jie disagreed.

"Doctor Li, this person is not a machine, how can he not move at all, there is no deviation, once there is a deviation, it will be too late to remedy!"

Li Xiyang said, "I am responsible for pulling steel bars, and I have confidence in my hands. ”

These words made Zhang Jie stunned.

In Zhang Jie's impression, Li Xiyang is usually very humble and kind, and what he said just now is really not like what he can say.

Zheng Xiaoyu has seen too much of Li Xiyang's appearance on the operating table, and he is not surprised by this.

"Dr. Li, I'll cut the patient's hair, let's open the skull!"

Time waits for no one, and the best way for patients in this situation is to solve it quickly.

"Wait!" Zhang Jie hurriedly stopped and said, "Even if Dr. Li's hands are stable enough and he really does it, have you ever thought about what to do after the steel bar is pulled out?" How to stop the bleeding? ”

Then a big hole, hemostats, electrocoagulators, these tools, do not work at all.

At that time, the steel bar will be pulled out, but the patient will still die of cerebral hemorrhage!

Zheng Xiaoyu was stunned, she really hadn't thought about this problem.

Turning to look at Li Xiyang, he asked, "Doctor Li, is there anything you can do to stop the bleeding?" ”

Li Xiyang said calmly, "Coagulopathy perfusion." ”

As soon as these words came out, Zhang Jie was anxious.

Thrombin perfusion?

Dr. Lee, are you crazy?

Infusing thrombin into a person's head can easily cause blood clots!

It's damn bad!

Li Xiyang didn't care, and said, "Thrombin may kill him, and it may save him, but if you don't intervene without thrombin, he will definitely die." ”

Zhang Jie was slightly stunned.

"Doctor Li, I understand your reasoning, but this is an illegal operation."

As everyone in the industry knows, there is a great deal of controversy in the medical community about thrombin perfusion.

They are saving people on the operating table, not experiments!

Zheng Xiaoyu said, "Then we can't just watch and do nothing, I support Dr. Li's idea!" ”

"Xiaoyu, you..."

"Oh, Sister Zhao, the patient's condition is critical, we don't have much time, besides, isn't there a surveillance camera in this operating room, as long as we operate in strict accordance with the drug use regulations, it will be fine!"

Medicine has developed to the present, and the accident committee is not an old antique that can be understood.

Zhao Jie saw that the two of them had made up their minds, so she could only nod helplessly, "Okay!" ”