Chapter 128 Another No Man’s Land!(1/2)
Zhao Yuan nodded slightly, "That's right! The patient has a cerebral hemorrhage! As for the real time of disease, it was last night, when you started to attack her in the head!"
"Why did I get a cerebral hemorrhage?" The husband was incredible. "I slapped her in the face, and she slapped me three or four! Why am I not at all?"
Zhao Yuan was amused and cried, and clearly hated domestic violence.
For a moment, I felt that this man was a little pitiful again!
Zhao Yuan patiently explained, "There are many nerve blood vessels on the human head. The violent behavior last night caused a blood vessel in her brain to rupture. It was not shown at that time, but after a night, the blood overflowed a lot, compressing the nerves and causing mental abnormalities. The behavior of hitting the glass this morning and the sudden attack on Dr. Sun just now are all related to this reason."
The husband regretted it, "Doctor, what should I do now? Should I have surgery?"
"Go to do a brain test first!"
Zhao Yuan glanced at Sun Liang, "Hurry up and notify Director Tong. This patient is likely to undergo an intracranial hematoma removal surgery, and he needs his advice!"
"Okay!"
Sun Liang rubbed his neck. Although there were tooth marks, the wound was not deep and the blood had stopped.
The resident doctor, Xiao Ke, left in shame.
The mentality exploded again.
He knew that Zhao Yuan was very strong in physical examination and diagnosis.
But he didn't believe that it was possible to confirm that the patient had a cerebral hemorrhage by just checking the body without the need for instruments.
When he walked to the office, the inspection report also came out.
As Zhao Yuan said, women have indeed suffered a cerebral hemorrhage!
Sun Liang had long been numb to Zhao Yuangao's physical examination level.
However, the nurses still have great enthusiasm for this.
"Why is Dr. Zhao's physical examination so powerful?"
"Physical examination requires talent. Although everyone knows the method, not everyone can find the right answer from the patient's reaction."
"Traditional Chinese medicine often says that they do not need to rely on equipment to diagnose patients. They only need to look, listen, ask, and touch to know the patient's condition. In fact, if Western medicine practices physical examination skills, the same effect can be achieved."
"I just saw Director Xing of the emergency department. He also praised Zhao Yuan for being very good!"
"Really? Director Xing is the most powerful physical examination expert in the emergency center. He has been in medicine for more than 30 years and has never misdiagnosed!"
...
Tong Zheng strode into the operating room.
The patient's body is filled with various tubes, and under the influence of anesthesia, he has entered a state of drowsiness.
"Prepare for minimally invasive swelling clearing surgery for ventricular cerebral swelling! Zhao Yuan, you come to serve as a helper."
Sun Liang looked at Tong Zheng expectantly, and finally disappointed.
Tong Zheng did not give Sun Liang the opportunity to help him.
The reason why Tong Zheng is in a stable position in the emergency surgery department is not only because he is a "friend of women", but also a master in the field of neurosurgery.
Emergency doctors need to deal with a large number of patients every day, and the condition is complicated, so emergency doctors are also called general practitioners.
Child administration is a typical surgical talent.
He has a very high standard in many fields, such as gynecology, hepatobiliary, neurosurgery, cardiothoracic surgery, etc.
This is also why Chang Hongbo handed over Zhao Yuan to him to bring him.
Talents like Tong Zheng are scarce talents when they go to any hospital, and they are a major loss to Tianhua Hospital.
Although he was Zhao Yuan's instructor, Tong Zheng has always adopted the method of freeing Zhao Yuan.
Of course, Tong Zheng still planned to find an opportunity to teach Zhao Yuan some unique skills.
Today's surgery is a good opportunity.
The minimally invasive swelling clearance surgery for ventricular cerebral tertiary surgery is a neurosurgery level.
Although it is not difficult, because new technologies and new devices are involved, there are only a handful of doctors in neurosurgery who can perform this surgery.
As for emergency surgery, no one can do it except for child administration!
Pre-operative preparations begin in the operating room.
"Do you know how to assemble a ventricular lens?"
"I know. I've watched the video."
Everyone in the operating room is very familiar with Zhao Yuan.
With Zhao Yuan's personality, if you are not sure, you will never take action.
"Then let's start!"
There is no further comment on the Tong Zheng.
He knew that Zhao Yuan had just started his internship and was more talkative in school on paper, and he might not have had any experience in clinical microsurgery.
Zhao Yuan let out a sigh of relief.
He is no stranger to ventricular ventricular surgery.
As a military doctor, you often have to deal with brain diseases.
He gestured with his hands and forehead, instructed Bai Lu to "kocher point" on the patient's forehead, and remove his hair.
When his scalp was exposed, Zhao Yuan picked up the scalpel.
Without any hesitation, cut the cut with a length of about 3 cm.
Zhao Yuanxuan’s location is good.
Tong Zheng nodded in agreement.
Bai Lu slapped the instrument into Zhao Yuan's hand.
She didn't expect that Zhao Yuan was not unfamiliar with ventricular scopic surgery at all.
It doesn't seem like the first time I've had this surgery.
The difficulty of ventricular scopy surgery lies in the installation of ventricular scopy.
Then, use intravision technology to find and deal with the lesions.
Zhao Yuan’s previous steps were very smooth, without any drag.
As for the subsequent links, the skull is drilled, the bone flap is removed, and the dura is cut through the cross.
The operation was even more done in one go.
As the mirror sheath entered the right ventricle forehead corner along the puncture channel, Zhao Yuan completed the most critical step and placed the ventricular lens.
At this time, the panoramic view of the right ventricle can be clearly seen through a microscope.
Next, it is the swelling of the fistula.
Tong Zheng couldn't help asking at this time, "You really haven't had such surgery?"
Zhao Yuan's entire face was pressed against the microscope.
Of course he can't tell the truth.
"I haven't done it! However, I've actually studied more than a dozen videos."
“…”
Although it is illogical, Tong Zheng can only believe that Zhao Yuan learned it from video.
Because Zhao Yuan is a medical student, it is impossible to have the opportunity to practice clinically.
With the support of vision, Zhao Yuan quickly found the bleeding point.
Remove the old hematoma, and then use electrocoagulation to stop the bleeding points one by one.
The most difficult part of the surgery has been completed.
It takes three hours to remove the hematoma by routine craniotomy.
However, minimally invasive ventricular swelling clearing surgery only takes one hour and causes little trauma to the patient.
Although the surgery may be more expensive, many patients are more willing to accept new technologies.
Tong Zheng is one of the early surgical experts in China who have learned minimally invasive ventricular microscopy technology. Every year, hospitals at all levels of Tianhua Group will arrange doctors to go to the general hospital to learn new technologies from Tong Zheng.
Mastering a new technology can directly improve the hard power of a hospital.
Tong Zheng plans to bring Zhao Yuan into the game today.
Unexpectedly, Zhao Yuan didn't need to teach him at all.
Tong Zheng seems peaceful on the surface, but complex emotions surge inside.
Shocked, lost, proud...
Just by self-studying through video, you can master the key.
To be continued...