Chapter 322: No One Does Craniotomy Surgery?
Chen Anan and the little nurse pushed the patient towards the B-ultrasound time, not to mention that thanks to Xiao Liu, Chen Anan did not know the location of the B-ultrasound room.
If it weren't for Xiao Liu, they would have to take a detour.
Now it's obviously a lot of effort.
The bed was pushed into the ultrasound room, and the doctor in the ultrasound room began to do the examination.
But Chen An'an frowned, and the B-ultrasound of the brain was obviously beyond her experience.
It was obvious to the patient in front of him that he had suffered a severe blow to the head and that there was a high probability of internal bleeding.
The extent of the injury to the skull is clearly very serious from the outside.
The patient has been unconscious, and it is likely that the blood clot from internal bleeding has compressed the nerve, causing the patient to be unconscious.
This is very difficult to check out with ultrasound.
But now it is necessary to check through this means, which is obviously a drop in the bucket.
The doctor in the B ultrasound room frowned, watched it for a long time, and finally reluctantly handed the film to Chen An'an.
"Go and bring it to you Dr. Meng, the internal situation that our B-ultrasound can shoot is very limited.
From this shadow, it is only known that the skull is seriously injured and there is internal bleeding.
But to what extent is up to you. ”
This is quite unprofessional, but in the current situation, it is the most professional conclusion.
Chen Anan and Xiao Liu pushed the sick and walked back, while looking at the B-ultrasound film on the patient's chest on the hospital bed.
Not under the lights, but only from the current situation of the film.
It has been judged that the patient's internal bleeding is quite severe, and surgery is now necessary, and if it is not operated, it is likely that the patient is at risk of shock with increased intracranial pressure.
Shock caused by intracranial injury can also lead to brain death.
After a long time, basically even if the patient is rescued, it is likely to become a vegetative person.
They pushed the bed back to the emergency room, where there were already three more doctors, including Wang Minghai.
At the same time, there were two more patients in the emergency room.
There were still four or five patients sitting on the benches outside the emergency room, with only minor trauma.
Overall, it was a vicious accident, and there are about a dozen patients seriously injured so far.
At this moment, two doctors were discussing the patient with the penetrating wound.
"Let's take a film and see the inside before deciding how to pull out the rebar."
"The film is definitely going to be filmed, but as far as the current situation is concerned, the patient is not in a good condition.
You see the patient's condition is now extremely weak, if this rebar is inserted in the position it is likely to cause the rupture of the aorta, once it is removed......"
Everyone knows that bleeding is severe, and it is not good to cause heavy bleeding.
At this moment, the patient collapsed directly on the hospital bed with his head tilted.
Because this posture fell, the steel bar touched the hospital bed, and it should have broken the blood vessel.
The most dangerous situation they call has emerged.
The blood swiped out, and you could tell by the splash that this vessel was the main vein.
The patient's face turned pale.
All the doctors in the emergency room were anxious.
"Dr. Wang, Dr. Liu don't say more now, the patient urgently needs surgery and blood transfusion, so we hurry up and prepare the operating room."
This is a medical and surgical operation at the same time, after all, the patient's current condition is unknown, and they have to operate together.
Wang Minghai didn't say a word, and the other doctor had already pushed the patient towards the operating room outside.
Dr. Meng put the final dressing on the patient's wound at hand.
When I turned around, I saw Chen Anan looking at the B-ultrasound film in his hand.
"Can you read a B-ultrasound movie?"
Like Wang Minghai, he also thinks that Chen An'an is just a barefoot doctor from the township health team.
Most barefoot doctors don't have enough expertise, especially when it comes to using these advanced machines.
They don't really know what the shadows on the ultrasound and what the data represents.
"Dr. Meng, this patient has a very serious cerebral hemorrhage, and you can see that the shadow on the ultrasound film is now showing signs of further expansion.
The patient must be operated on immediately. ”
When Dr. Meng heard this, he was stunned for a moment, stood up and looked at the film carefully, and the more he looked at it, the more solemn his expression became.
"We can't do this surgery in our hospital."
One sentence made Chen Anan stunned on the spot, she never expected that she would get such an answer.
"Dr. Meng, the patient's current condition is very critical, and if he does not have surgery, he may die suddenly at any time."
This is no joke, in the case of severe intracranial hemorrhage.
Within 20 minutes, a person could be gone.
And to what extent the patient's intracranial condition has progressed now, they simply don't know.
B-ultrasound without CT is just an approximate image.
With decades of experience, Chen An'an can conclude that this patient must be operated on immediately.
Every minute of delay is a sent-the-way rush to death for the patient.
"I know what you're talking about, but no one in our hospital can do brain surgery."
Dr. Meng's voice was filled with sadness, they were just a small county people's hospital, although the medical conditions were very complete compared to all the surrounding towns and villages.
But there is still only one result, compared with the big hospitals in the city and province, they can't do brain surgery.
"Do we have the equipment and medicine for brain surgery and the rescue machine?"
Chen An sank with peace of mind.
She is the most authoritative and top surgeon and has the most say in this area.
Chen An'an's words made Dr. Meng in front of him stunned for a moment, mainly because Chen An'an's current momentum changed instantly, as if he was a top expert who grasped the overall situation.
That's absolute authority.
As if suppressed by Chen An'an's momentum, he replied instinctively.
"Our county people's hospital is equipped with instruments and equipment for craniotomy, but we do not have professional doctors in this area at present.
Our surgeons are not equipped to do this surgery. ”
"All the instruments for our craniotomy are ready.
Originally, I thought that in two months, a special brain surgeon from the province would be transferred to work here.
By the way, it helps us improve the surgical skills of surgeons. ”
"But the hospital doesn't have that capacity at the moment."
"There are instruments, surgery and complete follow-up rescue equipment, Dr. Meng, we are going to do a craniotomy."
Chen An'an calmly observed the patient's various indicators, and probably planned a set of craniotomy plans in his heart.
This was her first craniotomy in the world, even though she had done thousands of craniotomys.
However, as a strict doctor, she will deduce the best plan for the whole operation countless times in her mind.
"Huh!?"
Dr. Meng was stunned on the spot.