In addition to the average ability of endoscopic surgery, Director Wen's traditional surgical ability is definitely above the standard.

After some manipulation, a small hole was drilled into the skull.

Throughout the process, Director Wen was full of master demeanor.

"Okay, Xiao Zhou, I'll leave the next surgery to you!"

Director Wen moved out of the way.

Zhou Can walked to the main knife position and stood still, without being polite at all.

Director Liu and Dr. Hu were stunned.

This is the home field of the gods, and the arrangement made by Director Wen makes that the two of them dare not be blind.

I can only watch it silently.

Seeing Zhou Can standing on the main knife position, the two felt both shocked and worried.

That's ridiculous.

With such a big operation and such a high risk, what does Director Wen think? Unexpectedly, a regular trainee was asked to complete the core operation to remove the hematoma and stop the bleeding.

Even if you want to focus on cultivation, there is no such cultivation method!

This is a living human life!

The supremacy of life and respect for life have been deeply rooted in the hearts of every doctor with a conscience.

Zhou Can had already taken the endoscopic electrosurgical knife unhurriedly and made a cross incision on the dura mater first.

This move made Director Liu next to him look apprehensive.

For fear that Zhou Can would not operate properly and the patient would burp.

At this time, the patient's vital signs fluctuate severely. Breathing, blood pressure, heart rate, all fluctuate dramatically.

"Did you cut into the brain tissue inside?"

Director Liu asked in horror and some anger.

"The patient is stimulated, and there is a normal reaction."

Zhou Can looked very calm.

Director Wen glanced at Director Liu for a long time. "Don't be impatient!"

These words are simply a tenfold crit blow to Director Liu.

If it weren't for the fact that the person who said this was Director Wen, if it weren't for the sake of face, Director Liu would definitely angrily denounce them on the spot, and this kind of behavior is simply murder.

At this time, Zhou Can had already completed the introduction of endoscopes.

The patient's blood pressure drops severely, and so does the heart rate. Breathing becomes weak.

"You guys are just nonsense, you're murder!"

Director Liu was furious.

Scrambling to help the patient stabilize their vital signs.

Director Wen saw that the patient's condition suddenly became very bad, and his heart sank.

Not to mention other doctors and nurses.

"Don't worry!"

Zhou Can only said three short words and continued to concentrate on the operation.

As he removed the blood from the patient's skull, the patient's vital signs began to pick up rapidly.

"It should have been just the sudden release of the patient's intracranial hypertension, coupled with the injury caused by the craniotomy, that caused a short-term stress. It was not Dr. Chow's mistake. ”

The anesthesiologist, who had been silent, explained lightly.

It's not the first time he's been involved in anesthesia surgery. I have seen Zhou Can's surgical strength many times, so I feel a little uncomfortable for Director Liu's fuss.

I am even more worried that Director Liu will scold people here and interfere with Zhou Can's operation.

Rather, it is a risky behavior.

This is also the reason why he will take the initiative to prove Zhou Can's innocence.

After Zhou Can removed the blood in the patient's skull, he could clearly see the brain tissue in the skull through the endoscope. I saw him operating the endoscope little by little, approaching the largest bleeding point.

This is very close to the brainstem area, even if Wu Baihe operated on it himself, he had to be careful.

"The broken blood vessel is quite large, a crack that is not too big. Do you see the direct repair line? Electrocoagulation to stop bleeding, I am worried that it will affect the blood supply to the brain and cause sequelae to the patient. ”

Zhou Can asked Director Wen's opinion.

Even superficial blood vessels such as limbs can be difficult to repair.

Endoscopic repair of blood vessels in the cranial cavity is unimaginably difficult.

"Are you sure? It's very close to the center of life, and it's very difficult. The stakes are also extremely high. ”

Director Wen is still more inclined to seek stability in his bones.

Every doctor has his or her own way of doing things.

Most doctors think about the same as Director Wen, not seeking merit, but seeking no fault.

Direct electrocoagulation to stop bleeding, although it may cause sequelae to the patient, does not have to take too much risk and can save the patient's life.

"Absolutely not sure, more than eighty percent!"

Zhou Can has always been very modest in his speech.

Director Wen knew him too well.

Hearing him say that he was more than eighty percent sure, my heart felt like I had taken a reassuring pill.

"Okay! Go for it! "Director Wen directly delegated authority.

Next, Director Liu, Dr. Hu and others thoroughly saw Zhou Can's surgical ability on the display screen of the endoscope.

I saw Zhou Can find the proximal end of the ruptured blood vessel, and then said to Director Wen, "I'm worried about damaging the blood vessel with a vascular clip." The cost of surgery will also increase a lot, is it possible to stop bleeding by direct ligation? ”

"Yes!"

Director Wen nodded again.

Zhou Can thinks about patients everywhere, and he can also see his noble medical ethics.

The doctors present all secretly admired his medical ethics.

In particular, Director Liu and Dr. Hu have a deeper understanding of Zhou Can.

I saw that Zhou Can quickly tied the blood vessel with dexterous movements.

It's a slip knot.

Many surgeons don't like to tie slip knots, in fact, in some special surgical occasions, square knots, slip knots, and triassal knots can all be used.

Every type of knot requires hard practice.

If you are 'biased', it is easy to face the shortcomings of surgery at critical moments, resulting in very passive surgery.

After ligating the blood vessels, Zhou Can began to repair the ruptured blood vessels.

If the wound is contaminated or uneven, it will also need to be cut flat before repairing the blood vessel.

I saw Zhou Can manipulating the endoscope and began to quickly suture the blood vessel wall.

"What a suture technique!"

Director Liu couldn't help but marvel.

"This is not an ordinary suture, but an endoscopic operation, and today I have opened my eyes!"

After seeing Zhou Can's suturing skills, Dr. Hu felt extremely ashamed.

The level of suturing of his attending teacher is far inferior to that of a regular trainee.

Even though he wasn't a full-time surgeon, he was still ashamed to be so far apart.

The blood vessels were repaired quickly.

Check that it is correct.

Zhou Can took the initiative to ask Director Wen for instructions, which can be regarded as taking care of Director Wen's face.

"Director Wen, please check it, if it's okay, I'll loosen the ligature and test the blood circulation of the blood vessels."

"It's very well sewn, let's test the blood directly!"

Director Wen's face has been maintained, and he loves Zhou Can even more.

A tree lives a skin, and a man lives a face.

Maintaining the face and dignity of superiors is a minimum workplace survival skill.

The kind of workplace novices who don't pay attention to what they say, don't have a scale for doing things, and put the face of the leader on the ground, the final result is that they are beaten by society. Either 'Huai Cai did not meet', or he was scolded every day, and finally he was fired.

Zhou Can loosened the slippery knot, and the blood circulation was restored to unobstructed, and it quickly poured into the repaired blood vessel segment.

It can be clearly seen that the blood vessels quickly become full, and the blood vessels in the back are restored to unobstructed blood circulation. Vascular repair has been very successful.

"Well, this surgery is beautiful!"

Director Wen laughed heartily.

The largest bleeding point stopped the bleeding and the blood flow was restored. It also means that the patient's life is basically saved.

It is worth mentioning that the repaired vascular segment will become narrower.

There is no way to solve this problem.

If it is a low-risk site with sufficient surgical field and easy access, it may be possible to try to amputate the blood vessel and re-anastomosis.

However, this part of the patient's skull is very close to the brainstem region, and it is an endoscopic operation, and the blood vessel is cut and re-anastomosed, which is pure death.

The lesser of two powers.

If a single blood vessel narrows a little, the impact is not particularly large.

This is the best that can be achieved with the current level of medical care.

Next, Zhou Can began to clear the blood in other parts, and then quickly electrocoagulated some small bleeding points to stop the bleeding. The remaining larger bleeding spot was repaired using the same method.

The whole operation was carried out in a tense and orderly manner.

Almost all of the core surgical parts were completed by Zhou Can alone.

At this moment, Director Liu and Dr. Hu finally understood why Zhou Can, a small trainee, could directly talk to the chief physician outside the gods.

If they were the chief physicians of the gods, their attitude would be more warm and friendly in the face of such a humble and polite super genius.

The operation lasted nearly two hours and was finally completed.

This cranial endoscopic operation went very smoothly, and Zhou Can also earned a lot of medical experience points.

The biggest gain is to pull the patient back from the ghost gate.

After the surgery, the patient's vital signs returned to stability and the ice blanket was removed.

There is no need for emergency rescue from time to time.

However, because the patient's injuries are extremely severe, he still needs to stay in the intensive care unit for some time.

After Zhou Can's surgery, he was not immersed in these achievements and glory at all.

At this moment, he was already sitting in the dormitory, tirelessly practicing the fast knife technique.

After practicing the quick knife technique, he chose to combine work and rest to supplement the notes he took in the intensive care ward during the day.

For some drugs that you don't understand, dosage, and difficult to understand, take the trouble to consult the information to understand and learn them. Do it to really master.

Some doubts that need to be solved by asking a senior doctor are marked.

Tomorrow after work, I will find an opportunity to ask the senior doctor for advice.

……

The next day, Zhou Can went to work, and when Dr. Hu saw him, he took the initiative to greet him enthusiastically from afar.

This kind of change made Zhou Can still a little uncomfortable.

It is estimated that he also saw Zhou Can's strong surgical strength yesterday, which made Dr. Hu completely put down his body and worked hard to have a good relationship with Zhou Can.

Director Liu also arrived in a hurry at this time.

According to the agreement, Zhou Can will no longer follow Dr. Hu from today onwards, but will be directly led by Director Liu.

"Dr. Hu, after the patient in bed 6 came back from surgery yesterday, how is he doing?"

"The night shift was managed by Dr. Shi, and at the time of the handover, he was still marveling at the six-bed car accident patient who had not only survived the life-threatening hurdle. And the injury improved quickly. Praise the surgery was done correctly and in a timely manner. ”

Dr. Hu is on the day shift.

The night shift is Dr. Shi.

Speaking of the condition of the patients in bed 6, Dr. Hu couldn't help but smile on his face.

Every doctor is very happy to see a patient's condition improve.

"When I was on duty, the patient in bed 6 was not only in stable vital signs, but also showed signs of regaining consciousness. Seriously, I've never had it easier than I was on duty today. The patients in bed 6 and bed 7 have all improved significantly, and only the patients in bed 8 need to be taken care of from time to time. I really didn't have anything to do, and I also helped other groups with some work. They all envy me. ”

When Dr. Hu said this, his eyebrows fluttered.

The death curse of the 6 beds has finally been broken.

And he is proud that two of his patients are getting better.

"Haha, it looks like our group has a lucky star!"

Director Liu was also very happy after hearing this.

Turned his head to look at Zhou Can.

"I can't do these things alone, mainly because of the leadership of a few senior doctors. It's not so much that I'm a lucky star, it's that I'm in a really good group. ”

Zhou Can hurriedly humbled himself.

This kind of high emotional intelligence answer made Dr. Hu and Director Liu smile even more.

Following Director Liu into the intensive care ward, Zhou Can checked the situation of the 6-bed patients. I saw that the patient's pale face, which was originally like gold paper, had regained a trace of ruddyness.

Blood pressure, blood oxygen, heart rate, breathing, all become stable.

The patient is very young and much more resilient than the elderly.

It is normal for the condition to improve quickly after surgery.

This is also the reason why young people are more likely to get out of the hospital alive than the elderly who are injured in car accidents.

The blood circulation, cell metabolism, regeneration ability, and physical recovery speed of the elderly are far inferior to those of young people.

The highest mortality rate is also among the elderly.

"Everything done yesterday for the 6 bed patient was so rewarding!"

Zhou Can saw a flower of life that was about to be thanked, blooming again and regaining its vitality. His heart was filled with a sense of accomplishment.

The 6-bed patient has little to worry about except for suction, turning over, and normal medication.

No wonder Dr. Hu said that today is the easiest time on duty ever.

Zhou Can walked to the 7th bed to check the patient's condition, which was also full of harvest and surprise.

The patient in bed 7 seemed to have known that it was Zhou Can who saved him.

Seeing Zhou Can walking to the hospital bed, he nodded vigorously at Zhou Can.

"Don't move, don't move, when you're ready, you can talk to me as much as you want."

Zhou Can hurriedly reassured the patient.

The patient is still with a trachea inserted and is unable to communicate directly.

"Director Liu, do you think it's necessary for him to take nutritional injections?"

It depends on his family's financial situation. However, I think that nutritional injections can quickly replenish his weak body and speed up recovery. It is possible to transfer out of the intensive care unit as soon as possible, which is an expensive treatment, and in general, it is a very good option. ”

Director Liu thought about it and said seriously.

At present, the domestic nutrition injection is not advanced, let alone perfect.

However, for this kind of patient who has been ill for a long time and is extremely weak, it is a very good choice to give appropriate nutritional support.

It must be said here that there is a saying in Chinese medicine that is called "deficiency is not replenished".

Patients who have been sick and weak for a long time must not make up for special supplements, but should make progress in an orderly manner and take their time.

Nutritional injections are generally given intravenously, and the supplementation is mainly human blood albumin.

I have to complain that the domestic nutrition injection is expensive, and the effect is average.

The research in this field is still very backward, and the market is relatively monopolistic, which is extremely unfavorable to the development and competition of the entire industry.

If the status of nurses in Huaxia can be as high as that of developed countries, the field of nutrition and pharmacy will definitely usher in a period of rapid development. At present, there are some nurses in China who have changed careers to become dietitians.

Compared with foreign countries, it can only be regarded as a prototype.

Still very immature.

When can we really provide cost-effective nutritional support for the people, it will be perfect.

The life expectancy of Chinese people will definitely be greatly improved, and the hospitalization period will be greatly shortened.

It's a big cake that hasn't been tapped.

It's a pity that in the face of many constraints and technical problems, we can only look forward to it slowly.

"I'll talk to your family later, and try to help you recover quickly and get out of here."

After seeing the pleading eyes of the patient, Director Liu comforted the patient.

After examining the patient in bed 7, the two walked to bed 8, and the patient's condition was quite stable.

"Let's go to the other beds!"

Director Liu is on duty, which is obviously different from Dr. Hu.

It is equivalent to the leader of the whole group, and needs to inspect the patients of the whole group. If there is an emergency for patients in other groups, Director Liu also needs to rush over to provide support.

The higher the status, the heavier the burden on your shoulders.

(End of chapter)