Not long after, he rushed to the emergency room of the neurosurgery department.

I saw that in front of a hospital bed in the emergency room, there were already more than a dozen doctors and nurses around.

There was also a blonde man who seemed to be a family member standing beside the hospital bed and watching worriedly.

"It turned out to be a foreign friend, no wonder the Department of Divine Surgery attaches so much importance to it."

It must be explained that this is not something of flattery.

Let foreign friends feel the beauty of China as much as possible, and attract more foreign friends to invest or work. It's a visionary vision.

In the past, Zhou Can always felt too licky when he saw that foreign friends were treated preferentially in China.

I was very disdainful of this.

Later, as his knowledge grew, his thinking gradually broadened, and he slowly understood the far-reaching intention of giving preferential treatment to foreign friends.

Be kind to foreign friends and you can gain their friendship and recognition. They will also be more willing to come to such a kind, peaceful and enthusiastic country to work and invest, which can drive economic, scientific and technological development.

"Doctor Zhou is here!"

This nurse girl should be the one who called Zhou Can just now.

Zhou Can had a slight impression of her, called Shu Qian.

"Director Wen, Director Wu......"

Zhou Can walked over to greet these godless bigwigs.

There were four chief physicians alone, and there were seven or eight attending and resident doctors, and the hospital attached great importance to this patient.

Otherwise, it would not have been possible to mobilize so many medical resources.

"Dr. Zhou can take a look at the film and medical records first, the patient has a cerebral hemorrhage, and he has just been delivered. A CT of the head was taken. ”

After Wu Baihe said a few words to Zhou Can, he leaned over again to carefully check the patient's condition.

Zhou Can took the CT film to check, and saw that there were multiple white spots on it, and there was a huge white spot in one place.

White spots on CT of the brain are often calcifications, hemorrhages, or tumors in the brain.

The patient is in a severe coma at the moment, and there is no response to calling or tapping on the shoulder.

When you open your eyelids, your eyes are blank and your eyes are misty.

It means that her condition is very critical.

Those small white spots should just be calcifications of the pineal gland or choroid plexus. This physiological calcification does not affect the patient much and does not require treatment.

The key lesion site should be that huge white spot.

The white spots on brain CT usually refer to high-density lesions, and the specific cause of formation should be comprehensively judged according to the size, location, CT value, mass effect, and the degree of compression of surrounding brain tissue.

Zhou Can has been training in the Shenwai Regulation for several months, and has long learned to read brain CT, color ultrasound, X-ray and other films.

The cause of this patient is actually very well diagnosed.

The intracranial pressure is very high, and the brain tissue is squeezed and displaced, which has formed a brain herniation with a very high mortality rate and disability rate.

At present, the site of bleeding can be roughly locked under the sickle of the brain.

When a herniation occurs in this area beyond a certain level, it is far more dangerous than a normal brain herniation. For example, foramen magnum hernia is usually caused by respiratory failure, or respiratory arrest. Before the onset of the disease, there will be symptoms such as neck stiffness, pupils that are large and small, and lack of oxygen in the brainstem.

In general, the onset of foramen magnum hernia is gradual, leaving the doctor with a rescue time.

At present, this patient is likely to have a cerebral subsickle herniation with a very high rate of death and disability, a large number of nerve tissue will be displaced or cut, and most of the nerves will be necrosis, which leaves a very short rescue time for doctors.

Many patients don't even have time to drill their skulls.

"Xiao Zhou, what do you think of the patient's condition after reading it?"

Lord Wen should just want to test Zhou Can.

There were several chief physicians on the scene, and it was definitely not a problem to diagnose the cause.

It is not a particularly rare disease per se.

"It should be a cerebral subfalcy herniation accompanied by intracranial hemorrhage and intracranial hypertension, and the patient's condition is extremely dangerous. When the brain subfalcy herniation is mild, it will only cause paralysis of the contralateral lower limb and difficulty urinating, and the patient is already in a deep coma, indicating that the displacement of brain tissue caused by brain herniation is already extremely severe. The best thing to do is to have a craniotomy right away. Looking at her current situation, I am afraid that it is too late for a traditional craniotomy, and there may be a glimmer of life if she immediately undergoes drilled cranial endoscopic surgery. ”

On this occasion, Zhou Can naturally would not play any clumsy tricks.

Instead, he truthfully told all his diagnoses.

As for whether the chief physicians adopt it, it depends on their meaning.

"It seems that it is the right decision to invite Dr. Zhou to participate in the rescue! Your diagnosis is generally consistent with ours. ”

If you listen carefully, you will find that Wu Baihe said that he was asking Zhou Can to come over, not asking Zhou Can to come over to participate in the rescue.

To be able to make this director of the Divine Surgery so polite is enough to show Zhou Can's status in the minds of these chief physicians outside the gods.

"Immediate critical illness notice! Then talk to the family, and if you agree, immediately ask the family to sign the operation notice, and then send them to the operating room for emergency surgery. ”

Wu Baihe made a decision immediately and made a series of arrangements.

Any kind of brain herniation is extremely dangerous. Most of this patient's body has already entered the ghost gate, and emergency surgery is the only way to live.

"However, the site of intracranial hemorrhage has not yet been identified, and there are too many uncertainties in rushing to operate. The surgery was already very risky, and I was worried about ......"

A chief physician questioned with a worried face.

"The patient's current situation can't wait to have an angiogram, I have done intracranial surgery for so many years, and I already know the brain structure well, and I can only fight it with experience. Let's do it! ”

The peak scalpel is not called in vain, and Wu Baihe's understanding of the structure of the brain is probably better than everyone else.

Even if he didn't have a film, he was certain that he would be able to successfully complete this high-risk surgery with his extensive surgical experience.

After Wu Baihe gave the order, he personally talked to the foreign friend.

I really didn't see that Wu Baihe not only has the reputation of a peak scalpel, but also speaks English very fluently.

The communication with the family was very smooth.

The surgery was quickly agreed.

The nurse immediately brought the scissors to shave the patient's hair and prepare the skin before the operation.

The patient was quickly rushed to the operating room.

Dr. Yu, the most powerful anesthesiologist at Tuya Hospital, was also called in to work overtime.

Zhou Can helped to anesthetize the patient together.

Unlike anesthesia for ordinary patients, anesthesia for this patient has many skills and points, and requires the completion of general anesthesia in the shortest possible time.

Dr. Yu worked hard with him, and the two worked together to achieve a high degree of tacit understanding, and after some hard work, they were finally able to successfully anesthetize the patient.

[Anesthesia XP +1.]

[The first time you complete the general anesthesia of a brain herniation patient, you will be rewarded with anesthesia experience points +100.]

This is the first time that Zhou Can has been rewarded with experience points for anesthesia, and it is as high as 100 points.

This surprised him.

However, the implementation of this anesthesia operation was indeed full of challenges, and he also learned many advanced skills.

In particular, the protection and stability of patients' vital signs, including preoperative medications, in the state of emergency, many are learned for the first time.

"Dr. Zhou's surgery was very fast, and the scalp layer was cut through by you."

Wu Baihe didn't invite Zhou Can to come over to see the excitement.

In addition to taking a fancy to Zhou Can's endoscopic surgery ability, he can act as a backup surgeon when necessary. There is also Zhou Can's ability to perform quick surgery, which is not comparable to other doctors.

There are only two doctors in the entire Tuya Hospital.

That's Dr. Xu and Zhou Can.

If you have no choice but to do so, you will not easily ask Dr. Xu to participate in this kind of rescue surgery.

Although it has been a long time since that incident, Dr. Xu's identity is still highly sensitive.

This operation involves foreign friends, and the hospital is very cautious.

In case the patient is not rescued, the list of surgeons is reported, and Dr. Xu appears on the list by someone who cares, and it will be a big trouble.

Zhou Can's quick knife has the true inheritance of Dr. Xu, although the heat is still far away, but it can be used.

Zhou Can stood on the main knife position, and also lived up to his high expectations, cutting the scalp layer according to the drawn knife position as quickly as possible.

The next skull drilling didn't dare to let Zhou Can get started.

Because it is not well drilled, it is easy to cause major injuries to the patient.

Drilling holes in the removed bone flaps is something that a surgeon would dare to do. However, drilling directly into the patient's skull is extremely technical, and it is difficult for ordinary deputy chief physicians to complete this operation.

Under the skull is the cerebral dura, and below it is the important brain tissue, brainstem, blood vessels, and nerves.

Anywhere it hurts, it will cause unpredictable damage.

It directly leads to respiratory arrest and cardiac arrest of the patient, which is a normal thing.

Therefore, the skull drilling must be done by a chief surgeon with extensive surgical experience.

Wu Baihe personally drilled holes and opened windows in the patient's skull.

Ichisuke used a mastoid retractor to stretch the scalp so that Wu Baihe could smoothly open the bone window.

I saw Wu Baihe carefully drilling holes in the patient's skull, while Zhou Can stood by and watched and studied.

Fenestration of the skull, whether by drilling a hole or cutting a bone flap with a chainsaw, is extremely dangerous.

The main thing is that it's hard to get that right.

After Wu Baihe completed the windowing, he cut open the cerebral dura mater and began to perform cerebral hematoma removal surgery for the stringers using an endoscope.

Little by little, the patient's intracranial hematoma was removed, and his movements were like caring for a baby.

Fear of excessive movements will hurt the baby.

The brain tissue in the skull is actually more immature and fragile than that of a baby, and the slightest carelessness can cause irreversible serious consequences.

Zhou Can stood under the stage and stared at the endoscope screen from time to time, and from time to time looked at how Director Wu's hands operated the endoscope.

"Oops!"

After Wu Baihe removed part of the hematoma from the patient's skull, his face changed greatly, and there was a trace of solemnity and tension between his eyebrows and eyes.

"Director Wu, what's wrong?"

The hearts of the doctors around him were clenched.

"After the stasis was removed, blood gushed out of the patient's skull. Since it is not possible to do an angiogram before the operation, it is not easy to find the bleeding point now. If the bleeding does not stop in time, the patient will die quickly. ”

Wu Baihe thought that based on his rich experience, he would be able to deal with any situation.

Unexpectedly, the bleeding point was very secret, and I couldn't find it after looking for it twice.

More than three and a half hours have passed since the rescue, and the hope of saving the patient has become slimmer.

According to international rescue experience, emergency surgery for brain herniation takes more than four hours and can basically be declared dead.

Now that it has been nearly four hours since the rescue was completed, the bleeding point could not be found, and the brain cells at the end of the blood supply would die due to ischemia.

This death of brain cells and brain tissue is irreversible.

Wu Baihe was too old after all, and he rushed to the hospital in the middle of the night to have surgery for such a long time, and his physical strength and energy were obviously a little exhausted.

But for endoscopic surgery, none of the deputy chief physicians and chief physicians under him were particularly powerful.

"Director Wu, why don't you let Zhou Can replace you for a while!"

Director Wen was anxious from the side.

Although the surgical team composed of so many chief physicians and deputy chief physicians is gorgeous, the others are not at all compatible.

At most, they help the anesthesiologist work together to stabilize the patient's vital signs.

The main output force of the operation has always been only Wu Baihe.

"Is Dr. Chow confident?"

Wu Baihe stopped the operation and turned his head to ask Zhou Can, who had long wanted to ask for help under the operating table.

Senior doctors generally ask, are you confident? How many percent are you sure of?

Instead of asking like family members, can the disease be cured? How many days can it be? It must be able to save life, right?

Doctors are people who have operated on the surgery themselves and understand the hardships and uncertainties.

Family members and patients don't understand this.

It is impossible to force the doctor to give an affirmative answer.

"Yes!"

Zhou Can's answer was short and forceful.

"Come on, try and see if you can find the bleeding spot! When I was looking for the endoscopic probe just now, I believe you also watched, and those probed areas can basically be ruled out. Be careful not to injure the important blood vessels and nerves in the brainstem and subarachnoid membrane. ”

After Wu Baihe gave up the position of chief surgeon, he did not step down from the operating table.

Instead, stand by and watch.

Zhou Can secretly rejoiced that the hemostasis technique had been promoted to level five not long ago, which made him dare to challenge the hemostatic task of this operation.

He had been watching from the audience just now.

If you are not mistaken, the bleeding site is likely to be a brain hemangioma or a malformed blood vessel rupture.

For larger hemangiomas, Wu Baihe's surgical experience is extremely rich, and he must have found it out a long time ago.

For small hemangiomas, the amount of bleeding should not be so large.

The last possibility is that the cause of the bleeding is the rupture of the malformed blood vessel.

He operated the endoscopic probe and carefully probed the cranial cavity.

Unlike Wu Baihe's way of investigation, Zhou Can deliberately did not suck out the new bleeding in the cranial cavity. Let it form a puddle of blood.

"Is this going to work? How do you feel like he's playing! ”

"It's a bit of child's play to let a trainee operate."

"It's really anxious to watch, but it's a pity that my endoscopic operation skills are not good, otherwise I should be able to find the bleeding point if I change it."

Many doctors at the scene were anxious.

They felt that it was ridiculous to let Zhou Can do this operation.

Zhou Can, who was standing on the operating table, was not affected by the doubts of the outside world, but stared intently at the endoscopic screen. The endoscope in his hand changed its angle slightly, moving slowly.

He didn't know what other doctors' abilities were after they had advanced to level five.

Anyway, as early as when he had reached the fourth level of hemostasis, he would be able to trace the approximate location of the bleeding point through the flow of blood and the ripples on the surface of the effusion.

Suddenly, his eyes lit up.

"The bleeding point was originally hidden in the right brainball, no wonder Wu Baihe has not been able to find it."

The location is easy to overlook.

Even if the probe detects the vicinity, it is easy to remove it quickly.

"Hey, hey, how did the endoscope move in? Dangerous! ”

"Stop!"

Several chief doctors were half frightened to death after seeing Zhou Can's operation.

Zhou Can did not stop, but very firmly probed directly into the target position in the brainball.

This process is actually very difficult.

Fortunately, his grasping skills and transmission skills have all been upgraded to level four. This comes in handy when removing some brain tissue to create a favorable space for endoscopic probing.

[Grip experience +1.] 】

[Successfully grasp important brain tissue for the first time, reward grasping experience points +100.]

[Transmission XP +1.]

[The first successful transfer and traction of important brain tissue, reward the experience value of the transfer technique +100.]

Every difficult surgery must be rewarded.

Zhou Canle blossomed.

An even bigger surprise was yet to come, and the probe captured the picture that lifted him.

"The bleeding point has been found! Sure enough, it was a malformed blood vessel ruptured and bleeding. ”

As soon as Zhou Can's probe arrived at the bleeding location, he saw the blood gushing out, and the blood washed onto the probe.

The amount of bleeding is quite large.

The arteries must have been broken.

And it is not a small arterial vessel, but a cerebral artery with a relatively thick diameter.

No wonder patients can't stop bleeding on their own clotting ability.

"Good! That's great! Finding the bleeding point means that the patient's hope of recovery is much greater! ”

Wu Baihe was extremely excited.

The doctors who questioned Zhou Can closed their mouths one by one, ashamed of their reckless words and deeds just now.

No one expected that Zhou Can would really be able to find the blood vessels of intracranial hemorrhage.

It took only nine minutes.

At this moment, some people even felt that it might be more beneficial for patients to let Zhou Can take over Wu Baihe's main knife position earlier.

Thank you book friends, the other side of the flower reward support!

(End of chapter)