medical road high rise

Chapter 237 Craniotomy

Chapter 237 Craniotomy

"Brother Qin, the patient currently has intracerebral damage and cerebral blood vessel bleeding, and must undergo craniotomy immediately." Zhao Qi said.

After hearing this, Qin Feng frowned immediately, "Go out now and contact the patient's family members to sign, and others will push the patient to the operating room."

Everyone hurriedly pushed the patient to the operating room, and Qin Feng followed behind, thinking about what operation to use in his mind.

Finally, the posterior craniotomy came to Qin Feng's mind. This is a type of craniotomy, and it is also the one that Qin Feng is most proficient in the training room.

The skull is the brain part of the human body. Generally, non-professionals would not dare to use a knife casually, or it might be a lower body paralysis.

Qin Feng recalled the details of this operation, such as the structure of the brain, what the skull is like, what are the common lesions and tricky blood vessels, etc.

In the process of pushing to the operating room, there was an episode where many family members of the patients involuntarily squeezed in one direction.

"What's the situation?" Qin Feng looked at the road in front of him and was surrounded by his family members.

"It seems that the perpetrator was sent here." Someone replied.

"You send the patient to the operating room first, and I'll go over to have a look." Qin Feng squeezed over, shouting loudly as he squeezed, "I'm a doctor, get out of the way for me."

The name of a doctor is still very useful, and now most people's lives are in the hands of doctors, and everyone has to give way.

Watching Qin Feng keep approaching the perpetrator, some people couldn't help but said: "Doctor, don't save him, he is the one who hit our child, he is a devil."

Qin Feng looked at the patient on the cart and glanced casually. The patient's condition was very bad, and he learned from the doctor on the cart.

The patient's knee was completely shattered and he was pulled out of the car.

In this case, the car stops suddenly, and the knee directly hits the baffle under the hard steering wheel of the car, causing it to break.

Qin Feng then touched the perpetrator's chest, and could clearly feel the rib fracture and chest depression.

What is certain is that this person is indeed the driver.

"Doctor, he killed someone and cannot be saved."

"Yes, he should die."

"How did you become a doctor? Do you want to save this kind of demon?"

They are basically surrounded by the children's family members. When their own children are injured, the creditors come over again, and they have the heart to swallow them alive.

The little nurse following the car lowered her head, almost crying.

After all, in a major car accident, doctors and nurses are under a lot of pressure, and now they are criticized by a group of people in public, and everyone would be wronged.

It is not their will to save people or not, but the hospital's regulations, and it is the responsibility of the white coat.

This is their job. No matter what crimes the person in front of them has committed, as long as they come to the hospital and lie on the hospital bed, the medical staff will rescue him.

"It's okay, you continue to report your condition." Qin Feng said.

"The patient's head hit the front window, the skull was fractured, the spine was broken..."

The long list of injuries made Qin Feng stunned.

At this time, the brain surgery doctor rushed over, glanced at Qin Feng and said, "Doctor Qin, the patient in front of me needs immediate surgery, will you do it or should I do it?"

The difficulty of surgery for this kind of injury is beyond imagination.

The brain surgeons of Taoshi No. [-] Hospital, including the director, were not sure. This kind of surgery involved the repair of the skull, and even the patient's milk was injured by a broken skull.

There are also about the repair of the spine, the repair of the cervical spine, etc. You must have an all-round doctor to win so many projects.

Qin Feng was lost in thought.

The teacher and the driver have similar difficulty in surgery.

Now let Qin Feng save the driver. After the operation, Qin Feng can guarantee to save the driver's life, but after the brain surgery doctor in the hospital performs the operation, the mortality rate is definitely as high as 90.00%.

As for the teacher, if the same thing is done by a brain surgeon in the hospital, the mortality rate is as high as 70.00%, which is also a high probability of death.

This time, Qin Feng fell into a choice.

In the end, Qin Feng chose to save the teacher. In terms of rescue rankings, Qin Feng preferred the teacher and was unwilling to let a courageous teacher lose his life in the hospital.

As for the driver, he was handed over to the brain surgeon of the Second Hospital and left to his fate.

After all, Qin Feng is also human, although in the crowd, he can not hesitate to consider the perpetrator.

But in terms of the same case selection, Qin Feng would definitely not choose him.

People have feelings, and they also have the infection of anger from others. For the perpetrators, there is more or less anger.

This time, let Qin Feng be selfish.

Qin Feng walked into the operating room, and the orthopedic doctor had already dealt with everything, waiting for Qin Feng's operation.

Still the same sentence, even the brain surgeons of the Second Hospital dare not do craniotomy, and can only wait for Qin Feng's arrival.

"Get ready for surgery."

Qin Feng sorted out his emotions, then put on the surgical gown, and started the operation,

Although the patient is still in a coma, his blood pressure and heart rate have been stabilized by orthopedic surgeons and emergency department residents.

Doctors in the emergency department are definitely familiar with the treatment of emergency patients.

After the anesthetist administered the anesthesia, Qin Feng picked up a marker pen to make an incision.

Due to the small volume of the posterior cranial fossa, important structures such as the brainstem, posterior cranial nerves, and vertebrobasilar arteries are inside. If the opening is not proper, damage or excessive traction may occur during the operation.

Therefore, the incision of the craniotomy is very important.

Preoperative positioning must be done accurately, and the surgical approach must be well thought out to meet the needs of the surgical operation.

Qin Feng is also in the rigorous selection, because of the skull injury, the frightening thing is not the fracture of the skull itself.

The skull itself is a sphere-like bone shell, which is only used to protect and accommodate the brain in the cranial cavity.

There are very few blood vessels and nerves on the skull, just a few combined bones. There is nothing wrong with fractures, just repairing them.

The most feared thing is that when the skull is fractured, it may cause concurrent damage to the contents of the cranial cavity.

Depressed or comminuted skull fractures, in particular, can damage the meninges and rupture nerves in the brain.

Therefore, the harm of skull fracture is not itself, but the hidden brain tissue.

"Director Zhou, you puncture the rear corner of the side posterior chamber to prevent the drainage tube." Qin Feng said.

This surgery was performed by the director of brain surgery for Qin Feng.

It is better to give this kind of puncture to someone who is good at it. Even doctors in the emergency department are not suitable for puncture.

After Director Zhou finished the puncture, Qin Feng picked up the scalpel and prepared to perform craniotomy.

"Prepare 0.25% procaine."

Procaine is a local anesthetic. After adding epinephrine, the procaine along the incision will infiltrate the tissues of all layers. It is injected on both sides of the incision line, which can reduce intraoperative bleeding and facilitate muscle separation.

Qin Feng picked up the needle tube and inserted the long needle into the patient's skull where the hair had been shaved, and injected on both sides of the incision, until the lamina of the first cervical vertebra stopped.

In the drainage tube, the red water is sucked out along the way.

Qin Feng glanced at the drainage tube and nodded, then quickly incised the skin and subcutaneous tissue, ligated the bleeding points, and started the operation quickly.

Then, the periosteum was incised above the external occipital prominence and extended downward, leaving the prismatic fascia at the prominence, which is used for postoperative alignment suture and is a reference object.

"Periosteal separator."

During craniotomy, it is not possible to use a scalpel, because the brain cells are cut off accidentally.

Generally, intracranial surgeries require specific instruments. When the brain surgeon learned about the car accident, they quickly prepared the instruments and sent them over.

This is not the first time that the Second Academy has encountered such a situation, and everyone is prepared.

(End of this chapter)