Surgeries involving the cranial brain and viscera are performed only by the chief physician in emergency surgery.

There is no surgery in a small hospital, but surgery in a large hospital is not interprofessional, and it is impossible to do surgery across groups.

Zhao Yuan's treatment group eight is undoubtedly an exception.

Surgeries like this that other emergency treatment groups avoid, they do with a lot of effort.

Zhao Yuan asked Jiang Jing to deal with the problem of the skull, and Qin Yi was responsible for the problem of the viscera.

Take care of the overall situation by your side!

Zhao Yuan's division of labor arrangements for Jiang Jing and Qin Yi has a clear path and direction.

Jiang Jing's basic skills in the chest and heart field are very solid, so if there is a similar operation, he will let Jiang Jing deal with it. In addition, he found that Jiang Jing was also particularly interested in neurosurgical diseases, so when he had the opportunity, he let Jiang Jing practice.

As for Qin Yi, she is from a general background, she is proficient in many fields, and she can handle injuries below the chest well.

In short, Jiang Jing is responsible for the chest above; Qin Yi is responsible for the chest down!

The surgery begins, and the first step is skin preparation.

The man was shaved bald.

This is followed by a craniotomy and drainage.

Why is a cerebral hemorrhage scary?

The cranial brain has a very tough outer membrane, which is naturally wrapped in a thin film in order to reduce external stimulation during creation.

When the internal blood vessels rupture, the blood spurts outward, and there is a tough membrane that cannot break through, so it can only find space deep in the skull.

The blood spurted out is soft for the epimeninges, but for brain tissue, it is comparable to a high-pressure water gun.

Where to rush, where to break.

Moreover, this destruction is an organic blow.

For example, the man just now spoke slowly and reacted abnormally, I am afraid that the center involved in language management has suffered trauma.

Jiang Jing prepares to be pierced.

Zhao Yuan reminded softly, "Be careful! ”

He then stood next to the anesthesiologist, paying attention to vital signs.

Killing, saving?

This is a crucial step.

Enter and insert slowly!

A puncture needle is inserted into the brain tissue, similar to chopsticks inserted into tofu.

Qin Yi observed Jiang Jing's hand beside her, her eyes full of envy.

I have always been proud of my basic skills, but I am not as solid as Jiang Jing.

Perhaps because Jiang Jing is engaged in heart and herself is engaged in ordinary people, the gap is shown.

"Glucocorticoids are put into the pot to stabilize the patient's blood pressure, and Dr. Jiang is ready to draw blood!"

The operation is handed over to Jiang Jing, the overall situation is mastered, and the plan is promoted, all in Zhao Yuan's mind.

He has now changed his identity, and he is no longer a general who charges into battle, but a military advisor who commands the rear of the camp, the brain of the team!

It seems that the operation was completed by Jiang Jing and Qin Yi, but in fact, there is no brain like Zhao Yuan.

The two assistants will not be so confident.

Because Zhao Yuan watched it, he knew that as long as he followed the rhythm, he would not be wrong.

Jiang Jing cherishes such an opportunity.

Aspiration, where blood is slowly drawn from the needle.

“30ml？！”

This amount of bleeding is already quite terrifying.

Zhao Yuan glanced at his vital signs, and there was a look of relief in his eyes.

Experienced doctors can tell the patient's condition from the data of the instrument.

The patient's luck was good, although the brain tissue was compressed, but judging from the physical signs, the impact was not great.

After the operation of the cranial part was completed, Zhao Yuan gave instructions, and Qin Yi began to deal with the problem of damage to the internal organs of the cavity.

Qin Yi made an incision in the midline of the abdomen.

There is a point of attention in this place, it is necessary to bypass the navel position.

In the summer, many girls like to wear crop tops.

In the eyes of the surgeon, this place is not beautiful at all, but a place of dirt and dirt, not much different from the eye that excretes the digest.

If you make an incision in this area, it will be difficult to recover after surgery, and it will easily lead to infection.

When abdominal surgery is performed, it is important to disinfect the area.

The peritoneum was opened, and a large amount of bruising appeared.

"The bleeding point is in the spleen. A partial excision is done. Zhao Yuan reminded Qin Yi.

Qin Yi secretly thought that he hadn't found the bleeding point yet, so Zhao Yuan was not a prophet?

Soon it turned out that Team Leader Zhao's prediction was correct.

Qin Yi smiled at Zhao Yuan, sincerely admiring, "You are really amazing!" ”

Then, start moving towards the spleen!

The spleen was not taken seriously many years ago.

The medical community believes that it is the hematopoietic organ of human beings in childhood, and when they become adults, they will become a degenerated organ like the tail bone.

However, with the deepening of research, it was later discovered that the spleen is an important immune organ of the human body.

At this point, the understanding of the spleen in Chinese medicine is obviously higher than that of Western medicine.

Traditional Chinese medicine regards the spleen as an important organ for good health, as important as the heart, lungs, liver and kidneys.

With the development of evidence-based medicine, Western medicine defined the spleen organ as the largest immune organ in the human body.

There is a thin membrane on the outside of the spleen, and in many cases there is trauma and no symptoms at all. Because this thin coat is blocked, when the bleeding breaks through this layer of clothing, it is the time of shock.

This is why the man suddenly went into shock.

"Cut it all?" Qin Yi consulted Zhao Yuan.

Zhao Yuan shook his head, "Cut the necrotic part, five centimeters!" ”

Qin Yi stared at the spleen in the shape of broad beans, and was used to Zhao Yuan's decision-making.

If the former director of general surgery had done this surgery, most of the time it would have been cut off directly in order to save trouble.

Partial excision is obviously much more complicated than total excision.

It is necessary to distinguish the arteries of the upper pole and the veins of the lower pole, and slowly tie them one by one.

Zhao Yuan was satisfied with Qin Yi's operation, knotting, cutting, and stitching were all basic skills, and Qin Yi mastered it very well.

If the strength is a little greater, the blood vessels will be strangled, and the blood vessels will not be ligated if the strength is small.

After the blood vessels were ligated one by one, Qin Yi subconsciously exhaled.

She was actually very nervous, for fear of making a mistake.

Then wait, and after a few minutes, the area of the spleen with and without blood appears to be boundary, red on one side and pale on the other because there is no blood supply.

Qin Yi took the scalpel from the instrument nurse's hand, and at a distance of one centimeter from the junction line, she used the scalpel to cut the outer garment of the spleen, and then used the handle to cut into the spleen.

Accurate in place!

At this time, Zhao Yuan's reminder was just right!

"Watch out for oppression."

Qin Yi came back to her senses, and the thumb and index finger of her left hand pressed on the edge, which could fix the spleen and effectively control and reduce bleeding.

In the past, when I was in Puwai, there wasn't so much going on.

However, in the treatment of the eight groups is different, Zhao Yuan will pick you out the details of the operation.

After picking for a long time, Qin Yi was not so disgusted.

Not picked, but uncomfortable.

Zhao Yuan secretly thought that Qin Yi's fingers were basically practiced very well.

This may seem simple, but it's not easy.

It's like wearing rubber gloves, if you want to catch the slippery yellow eel, you have to lock the yellow eel to ensure that the position is fixed, and the force is not too great.

Finally, the damaged part of the spleen was removed.

Qin Yi put the excised part into the tissue bag and breathed a long sigh of relief.

However, the operation is not over yet.

The next sutures are crucial.

Qin Yi has had too many splenectomy surgeries, but every time she is with Zhao Yuan, she is very nervous.

Although Team Leader Zhao doesn't scold, his indifferent eyes glance at you, which is more uncomfortable than pointing at your nose and scolding!

Qin Yi treated the sutures carefully.

Because it is a very brittle tissue, it is necessary to use thick threads, and general general indications will have a special headache.

Three seconds of needle and thread, mattress suture combined with intermittent suture, and finally the spleen in the shape of a broad bean became cone-shaped.

Qin Yi was relieved, "Team Leader Zhao, your eyes just now are too scary, I feel that I made a mistake and want to kill me." ”

Zhao Yuan smiled dumbly, "You're too nervous!" Sweated too much. This aspect should be controlled in the future. The surgeon must not sweat too much, which has an impact on the sterile environment. ”

Qin Yi stuck out his tongue and said with a smile, "I understand!" Team Leader Zhao doesn't like a lot of water! ”

Zhao Yuan looked at Qin Yi awkwardly.

Bai Lu stood not far away, her face was red, and she muttered in her heart, what a female hooligan!

The itinerant nurse standing in the distance was a mother of two, covering her mouth and smiling.

Zhao Yuan smiled faintly and didn't say anything!

The operation was successful, and Dr. Qin opened a yellow cavity to liven up the atmosphere, but it didn't hurt!