Yang Xuejun slept at home all day the next day, but Zhou Qiao went to work at the County People's Hospital early in the morning.

The agreed time was supposed to be eight o'clock, but Zhou Qiao arrived five minutes early.

He is never late for work.

When he arrived at the County People's Hospital, President Zheng Xinhai had already taken a group of people and was waiting on the third floor of the hospital's administrative building.

Hearing the news, the group hurriedly came out.

Dean Zheng was still a little surprised, and said that Dr. Zhou was really so early? Isn't it generally a little later?

The estimate was wrong, so he didn't wait at the door.

"Dr. Zhou, welcome."

"Hello Dean Zheng, hello everyone."

Zhou Qiao shook hands with everyone one by one and greeted each other, some of whom he had met last year, such as Director Zhang of the Department of Cardiac Surgery and Director Wang of the Emergency Department, but most of them were not impressed.

Everyone was also very curious, looking at this young famous man who came back from the United States.

Someone's eyes were obviously surprised, and they said that this is younger than on the video, how can they look like college students, but if they look closely, Zhou Qiao has a maturity and stability that college students don't have.

There is also that kind of indescribable expert and scholar temperament.

This kind of temperament is difficult to develop without profound knowledge.

How to put it, it is an unparalleled self-confidence, but it is not frivolous and slightly heavy. Because, Zhou Qiao himself has accumulated a large amount of medical knowledge. There's that underbelly.

This kind of temperament can't be pretended, even if the actor has good acting skills, it is difficult to perform the charm between the eyebrows.

Moreover, Zhou Qiao greeted everyone, and his speech and demeanor were very atmospheric.

After all, his daily interactions are all at the level of bigwigs, Governor Hulk, a magical queen like Loya, the governor of Texas, a Nobel Prize winner, an academician, a high-ranking member of the University of California, and a bigwig in the Ministry of Foreign Affairs...... It's been trained a long time ago.

While walking and chatting, Dean Zheng invited Zhou Qiao to the conference room of the Administration Building.

According to the schedule, the first cooperation and exchange meeting will be held in the large conference room on the third floor of the Administration Building.

After arriving at the conference room, everyone sat down.

The seats were arranged in advance, and there were name tags on the tables so that everyone could sit down and get to know each other.

The staff served tea, and Dean Zheng personally presided over the meeting and made opening remarks.

Dean Zheng solemnly introduced Zhou Qiao's identity and brilliant achievements in the past, and extended a warm welcome to Zhou Qiao's arrival.

There was a tidal wave of applause in the conference room.

Then, Dean Zheng introduced the content and schedule of the next meeting.

First, a vice president introduced the situation of the hospital, and then the participants introduced themselves, all of whom came at the middle and senior level of the hospital and the director of the department. Therefore, it includes the introduction of their respective work and the situation of the department.

Some department directors, such as Director Sun of the Department of Gastrointestinal Surgery, secretly muttered, saying that although Dr. Zhou is a great and the champion of heart surgery in North America, he is only in the field of cardiac surgery, and it has nothing to do with my gastrointestinal surgery.

It is estimated that the focus is still on Lao Zhang.

Lao Zhang is the director of cardiac surgery.

Not only did he think so, but the directors of many other departments, such as general surgery, oncology surgery, otolaryngology, orthopedics, etc., all had similar thoughts.

The most excited and looking forward to it is Director Zhang of the Department of Cardiac Surgery.

After all, he had been thinking about Zhou Qiao's arrival.

Everyone else has a bit of a feeling of coming to "be company".

"Doctor Zhou, after everyone has finished the introduction, let's go to various departments to visit, outpatient department, inpatient department, surgery center, testing center, etc.," Dean Zheng continued to introduce the schedule, "and then we arranged a special foreign aid famous medical room, on the right side of the hall on the first floor of the outpatient building, a special very spacious room......"

……

Dean Zheng was introducing it, and Director Wang's phone in the emergency department rang suddenly, which seemed very abrupt in the "quiet" conference room.

"Sorry, I'll go out and answer a call." Director Wang stood up, bowed slightly, and then walked out quickly.

After all, the hospital is not an ordinary unit, so when there is a meeting, the phone is not silent. Especially Director Wang of the emergency department, he doesn't dare to be silent, in case there is an emergency that delays the patient's condition, who will bear this responsibility?

Dean Zheng nodded, and then asked the vice president to start introducing the hospital.

The vice president had already prepared, turned on the large-screen projection, and displayed the exquisite PPT. Of course, this PPT was not made by himself, it took three days for the people below to prepare.

The vice president only gave suggestions for revision, changed the draft several times, and finally finalized it. I don't have to say anything about the content.

As the vice president was talking, Director Wang of the emergency department came in in a hurry: "Dean, there is an emergency now, a car accident injured person has been sent over, and now the surgery, orthopedics, and stomatology departments need to participate in the rescue." ”

Dean Zheng said, "Hurry up." ”

Several department directors attending the meeting were in a hurry and followed Director Wang. Not only did they deploy the backbone of the department, but they also went to the rescue room themselves.

In the conference room, the meeting continued.

However, not long after, Dean Zheng's phone rang.

Dean Zheng didn't go out, so he picked it up directly, because it was Director Wang who called, and it was estimated that the situation was more urgent.

Dean Zheng listened for a moment, and his brows furrowed: "What about the transfer hospital?" Hurry up and go to the provincial capital! ”

On the other end of the phone, Director Wang: "It's too late, it's quite serious." Or, give up the rescue? ”

"What are you talking about?!" Dean Zheng immediately slapped the table and stood up, with an angry face.

On the other end of the phone, Director Wang was very embarrassed: "Everyone else has seen it, but there is really no way." The injured carotid artery injury is serious, which is a clinically recognized problem, even if it is immediately flown to the provincial capital, the hospital in the provincial capital is likely to give up treatment. ”

The situation was very urgent, the voices of the two were a little loud, the conference room was relatively quiet, Zhou Qiao sat not far from Dean Zheng, even if Dean Zheng did not turn on the speakerphone, Zhou Qiao still heard Director Wang's voice on the other end of the phone clearly.

In fact, the sound insulation effect of Dean Zheng's mobile phone is not good, and the other department directors who are sitting farther away in the conference room also hear it.

Zhou Qiao groaned slightly, and then said, "Dean Zheng, why don't I go and take a look." ”

"Huh?" Dean Zheng was stunned for a moment, and said in his heart that you are a cardiac surgeon, and the injured person's carotid artery is seriously damaged, can you do it?

Everyone else looked at each other, and they probably all meant the same thing.

Zhou Qiao didn't have time to explain, stood up and said, "Saving people is like fighting fire, let's hurry over." ”

After all, the emergency department is "fighting", and what kind of "welcome ceremony" are they still doing here, it can't be said, right?

"Then let's go for a walk." Dean Zheng was also anxious, he couldn't care so much, and hurriedly took Zhou Qiao towards the emergency department.

Others followed.

Anyway, let's go over and have a look. If the plan can't keep up with the changes, it will not be able to go on.

The middle and high-level of the hospital, led by Zhou Qiao and President Zheng, walked quickly to the emergency department, and the wind was in full swing.

Along the way, many people were surprised and gave way.

Because, as soon as I saw this battle, and then thought of the sound of the ambulance in front of the emergency building before, I knew that I was afraid that someone was going to quack.

After Zhou Qiao arrived, he quickly learned about the injury.

Sure enough, it belongs to the category of giving up treatment on the front line. It's no wonder that Director Wang was so embarrassed before and had the idea of giving up.

The injured person is a young man in his twenties, who was involved in a tragic car accident on the highway, and the right side of his neck was penetrated by a high-speed foreign body with great impact, resulting in serious damage to the right common carotid, internal carotid and external carotid arteries.

The foreign body entered from the front of the right side of the patient's neck, penetrated the right submandibular gland, and shattered the carotid artery along the anterior border of the sternocleidomastoid muscle from below the broken submandibular gland, resulting in a partial transverse process fracture of the cervical vertebrae.

After being sent to the emergency department of the county people's hospital, the injured person was already in shock, and his right pupil was also dilated.

The emergency department, together with the backbone of other departments, carried out emergency rescue, including neck compression hemostasis, tracheal intubation, blood transfusion, fluid rehydration, etc.

Unfortunately, the injuries were too severe for the injured to recover.

The open wound on the right side of his neck was seven or eight centimeters long, exposing the submandibular gland deep and the right carotid pulse was no longer palpable.

This is equivalent to being cut off.

There is an idiom called "the friend of the neck", when you commit suicide, you wipe the neck with a sword, and the person dies.

That's pretty much the case with this guy.

was "choked".

In the tissue behind the young man's neck, a 2cm*2cm metal foreign body is lying quietly inside.

CT scan of the emergency neck blood vessels showed occlusion of the right common carotid artery and the internal and external carotid arteries.

Although the wound was compressed through endotracheal intubation to stop bleeding, the patient's blood pressure continued to decrease.

The carotid artery is very important, unlike the injury of the arteries of the limbs, the neck where the carotid artery is located belongs to the "anatomical artery", and the inner side is adjacent to the trachea, esophagus, and jugular vein, and the hematoma formed is easy to compress the trachea and cause asphyxia.

At the same time, the carotid artery is the most important blood supply artery to the brain, directly supplying 3/5 of the blood flow to the brain, and the injury causes cerebral ischemia, which is easy to cause disability and even death.

For the vast majority of doctors, the serious injuries of the wounded man in front of him are beyond the need for treatment.

After everyone understood the situation, they all felt that Director Wang was right before. What else is this salvaging?

It's too late to transfer to the provincial capital by helicopter.

It is better for the families of the injured to accept the reality as soon as possible and mourn smoothly.

In fact, the families of the injured have long been desperate, the injury is so serious, there is really little hope, outside, the families of the injured are crying in the dark, especially the old mother of the injured, who has fainted three times.

finally cultivated such a son, who had just graduated from college for a year, and "flew into trouble".

"Doctor Zhou, is there a way?" Dean Zheng looked at Zhou Qiao.

With the attitude of a dead horse as a live horse doctor, Dean Zheng also knew that Zhou Qiao might not have a way.

After all, Zhou Qiao is a master of heart surgery, and his heart surgery skills are at the peak, everyone knows it, but now ......

Zhou Qiao pondered for a moment and said: "Considering that it is an acute contusion of the right carotid artery and the formation of thrombosis occlusion, it is not ruled out that the blood vessel may be completely destroyed. Surgery for revascularization is extremely risky and difficult. It is imperative to quickly explore hemostasis, determine the location and nature of vascular injury, whether there is nerve injury and other side injuries, maintain stable blood pressure, and prevent hypoperfusion cerebral infarction. In addition, the operating room needs to be prepared as soon as possible, and it is necessary to perform right carotid artery exploration, carotid angiography, carotid artery embolectomy, and carotid artery-internal carotid artery autologous bypass grafting. ”

Although Zhou Qiao's speed of speech is fast, he is calm and powerful, and his thinking is clear, everyone was shocked, is there really a way?

Listening to Zhou Qiao's tone, although he was serious, he still felt a little confident.

So, under the order of Dean Zheng, the relevant departments began to take action and fully cooperate with Zhou Qiao's rescue operation.

Soon, the wounded were wheeled into the operating room.

The stormy operation has begun, and the real decisive battle has begun!

In addition to Zhou Qiao, many doctors came to the scene, and if they couldn't get in, they just watched in the monitoring room.

Everyone dared not come out, because they all knew that this was a tough battle and a huge challenge.

In the operating room, Zhou Qiao used his skillful hands to quickly locate, cut and separate blood vessels layer by layer......

During the operation, it can be seen that the main trunk of the patient's right external carotid artery was completely fragmented, and the branches of the external carotid artery such as the superior thyroid artery, facial artery, and lingual artery were not spared.

The anatomy is messy and the bleeding is ferocious.

Zhou Qiao was not in a hurry, carefully probed, looking for every ruptured and bleeding artery, and every time he found one, he quickly completed the ligation to stop the bleeding.

Sometimes, his fingers even bring up pieces of afterimage, so that everyone does not see his movements clearly.

If it was a normal teaching, Zhou Qiao could slow down his movements and take his time, but this kind of critical moment could not allow him to delay even a second.

Don't look at him unhurried, that refers to his mentality, calm and relaxed, but his hands are not slow.

The people present admired that Dr. Zhou's hand speed was really ...... Absolute Son.

I don't know how much time passed, it seemed to be very long, as if it was very short, and finally, the active bleeding in the injured person's neck was resolved, and the injured person's blood pressure and heart rate gradually stabilized.

However, everyone still did not dare to catch the breath.

Because that's just the first step.

Next, it is necessary to "unblock" the common carotid and internal carotid arteries occlusion of the injured person.

In other words, the right side of the injured person's brain is still in a state of severe acute ischemia.

If this problem is not solved, it will still be highly lethal and disabled.

Zhou Qiaomiao moved his hand lightly to trim the stump of the patient's right common neck and internal carotid artery, and then removed the thrombus in the lumen of the stump.

It's easy to say, but it's extremely technically difficult and complex to operate.

Finally, the patient's common carotid artery resumed spurting, and the internal carotid artery also resumed blood return.

However, the challenge is not over.

Complicated surgery, one level is more difficult than one level!

The patient's carotid artery also has a defect of seven or eight centimeters long, which makes it impossible for the carotid arteries at both ends to be directly anastomosed.

How?

Everyone looked at Zhou Qiao.

Time was pressing, and there was no time to discuss the surgical plan in advance, and Zhou Qiao did not tell them the specific details of the operation.

In fact, this is a great test of the clinical performance of the surgeon.

In many cases, it is not possible to formulate a specific plan in advance because of the unknown medical condition.

Even if it does, it may not be applicable.

"With the patient's saphenous vein."

Zhou Qiao immediately decided to take the patient's own saphenous vein, intending to use it as a "bridge vessel" to perform bypass grafting of the right common carotidal-internal carotid artery.

The patient's carotid artery is damaged up to seven or eight centimeters, and the internal carotid artery is only about 1 cm away from the normal lumen of the skull base, and it is very difficult to expose the blood vessels.

However, such a delicate and difficult operation, under Zhou Qiao's hands, it was easy to lift the weight.

This made the doctors present stunned.

"Oh my God, god-like operation."

"It's so showy!"

"Great!"

Everyone exclaimed in their hearts.

Of course, Zhou Qiao's surgery is inseparable from the cooperation of others.

For example, the anesthesia team needs to make every effort to ensure the hemodynamic stability of the patient, ensure the blood supply to various organs, especially the intracranial blood supply, and at the same time, try to maintain vascular tone and ensure the smooth progress of vascular anastomosis.

For example, the instrument nurse needs to hand over the corresponding equipment to Zhou Qiao in time.

The instrument nurse was stressed and sweaty on her forehead.

It's true that this instrument nurse doesn't have Elena's hand, but now is not the time to find fault with this.

On the contrary, Zhou Qiao took the initiative to reassure the instrument nurse, don't be nervous, and at the same time, Zhou Qiao tried his best to say what he needed in advance, or give prompts in time.

With the full cooperation of the anesthesia and surgical nursing teams, Zhou Qiao was fast and carried out the transplantation of the patient's autologous blood vessels.

……

At the same time, on the right side of the first floor of the outpatient building, there was already a long queue in the waiting area in front of the foreign aid famous doctor's clinic.

"Didn't you say that you should start seeing a doctor at half past nine? What about doctors? Why haven't you come yet? ”

"It's like, such a big shelf? said that the famous doctor saw the doctor, but there was no shadow of anyone. ”

The nurse hurriedly came over and explained: "Everyone, don't be irritable, don't be irritable." Dr. Zhou has already come, but there is a person in the emergency department who has a serious car accident, and Dr. Zhou helps to rescue and do surgery. ”

As soon as these words came out, everyone stopped making trouble. Talk.

"I said, it turned out to be rescued."

"Understandable."

"Who is so unlucky for this Chinese New Year?"

"I heard it was a highway accident."

"Hey, I said how before the ambulance, the police car, whining la-la-la."

……

In the operating room, minute by minute, time ticks.

Zhou Qiao operated step by step, methodically, but very quickly, and the level of surgery amazed everyone.

When the blocking forceps on the carotid artery were opened, everyone couldn't help but cheer, and the tide of applause rang out, because the reconstructed carotid artery blood vessels, filled with blood, began to beat regularly!

The pulse of the blood vessels means that this operation, which "should have given up treatment", and the operation that should have been "impossible to succeed", was successful!

The patient's life was snatched back from the hands of black and white impermanence by Zhou Qiao!

Next, Zhou Qiao took an "intermission" and handed over the baton to the doctors of the County People's Hospital.

Because the follow-up is the finishing work, the patient still has some "insignificant" injuries in the mouth, part of the transverse process of the cervical vertebra is fractured, and there is also a fracture of the ribs.

Compared to the previous "key points", these are not the same thing.

Zhou Qiao didn't leave, watching other doctors do the operation, he never expected that on the first day he came, early in the morning, he would perform such a thrilling operation.

Dean Zheng did not expect that the first day of the cooperation and exchange program would start in such a way.

The original plan was to have a meeting in the morning, exchange feelings, and then take a tour around, and then Zhou Qiao went to the famous foreign doctor's clinic to sit for a consultation, and at noon, everyone went to a restaurant outside to have a meal, and then continued to sit in the afternoon.

At the same time, I helped to take the doctors of the county people's hospital.

It was supposed to be in a very pleasant, relaxed atmosphere.

Who knows, the first day is like a war.

After the operation, the hospital canteen.

"Poor hospitality, this is really poor hospitality." Dean Zheng was very emotional, because after the meal, there were still many patients who had made appointments for the treatment services of famous foreign doctors, and they had no time to go out to eat, so they had to invite Zhou Qiao to eat a boxed lunch in the hospital cafeteria.

I didn't even have time to turn on the small stove.

"It's okay, this meal is very fragrant, the taste of hometown." Zhou Qiao said with a smile.

Dean Zheng invited: "After work, let's go have a good meal, I have already booked a private room, don't refuse." ”

(End of chapter)