My medical skills are a billion points

Xiao Chu first pinched the patient's skin with tweezers, and the patient did not show any nervous reactions, which meant that the anesthesia had already taken effect.

The patient was in a supine position with the left shoulder raised and the head tilted slightly to the right. Xiao Chu was sitting on the left side of the patient's head, and Zhao Fangshu was sitting on the right side as the first assistant.

The others stretched their necks one after another, stood on tiptoes, and watched Xiao Chu's operations carefully.

Xiao Chu used a scalpel to incise the curved skin flap of the left frontotemporal region that had already been positioned.

Then the scalp and subcutaneous layers were cut in layers, the scalp clips were fixed, and the skin flap was peeled off to expose the skull.

There was a lot of bleeding on the scalp, and Zhao Fangshu used electrode clips to coagulate it.

Although Zhao Fangshu does not know how to perform brain surgery, it is a basic operation to coagulate bleeding blood vessels with electrode clips.

Xiao Chu looked up at Liu Qing and the others, and explained: "The blood vessels on the scalp are very rich, you must stop the bleeding at all the hemostasis points, otherwise it will affect your surgical vision."

Liu Qing and the others nodded in understanding.

Regardless of whether you can understand or not, you can do it or not, just nod and you're done.

Otherwise, the teachers will be saved from saying that they don't understand anything.

Xiao Chu took out a magic drill to drill a hole, and milled a bone flap about 6*8cm in size with a milling cutter.

Brain surgery is definitely not as simple as just opening the scalp.

The skull must have to be removed in order to gain access to the brain for surgery.

Xiao Chu continued the operation while explaining to Liu Qing and other interns.

Regardless of whether they could understand what Xiao Chu said, Liu Qing and the others listened with gusto.

After all, it was Xiao Chu's on-site teaching.

Even if you don't understand, it's not easy to come in to observe the operation. Others can't come if they want to.

Check that the dura mater is intact, but the tension is very high, as hard as a basketball.

High tension is caused by bleeding.

Just like a rubber ball, you just need to inflate it to a certain pressure.

But if you inflate it to two pressures, it can be seen how high the pressure of the ball is, and it may burst at any time.

Chapter 139 Everyone here are brothers

Of course, the human dura mater will not rupture due to excessive tension.

Because the outside of it is the skull.

There is no external force on the human skull, so it is impossible to explode by itself.

Therefore, no matter how high the intracranial pressure is, the human dura mater will not rupture.

However, the limited space will only increase the intracranial pressure and squeeze the normal brain tissue, thereby forming a brain herniation and causing the death of the patient.

This means that if there is a lot of intracranial hemorrhage, surgical decompression must be performed as soon as possible, otherwise it will be difficult for the patient to save his life.

While listening to Xiao Chu's explanation of the operation steps and details, everyone watched Xiao Chu's movements attentively.

After Xiao Chu suspended the dura mater, he cut the dura mater crosswise, and the brain tissue bulged out of the dura mater border.

White flowers, really like tofu brains.

Carefully separate the dura mater and brain tissue and protect the draining vein;

Because of the high cerebral pressure, the draining veins of the temporal lobe were avoided, and a cortical fistula was made in the superior temporal gyrus under the microscope.

Blood clots were seen 3 cm below the cortex, and the blood clots were relatively tough. They were crushed and sucked with forceps, and the wound cavity was repeatedly washed with a large amount of normal saline.

Remove about 45ml of blood clot, blood clot thoroughly sucked clean.

The bleeding in the operation area was completely stopped, the gelatin sponge was filled, and the fibrils covered the wound surface, and the brain pressure was significantly reduced.

In fact, the removal of brain hematoma is not difficult.

As long as the skull is opened, the dura mater is cut, and the blood clot is seen to suck out the blood clot, the operation is basically over, as long as there is no more bleeding.

But after all, it is to operate a knife on the human brain, and it is still impossible for a professional doctor to do this.

When Xiao Chu was explaining, he had 4-0 absorbable sutures in his hands, and he had already started suturing the dura mater. The stronger artificial dura mater 7*9 repaired the dura mater defect coverage, 2 Synthes connectors, and 2 Stryker cover holes. One and titanium nails were returned to fix the bone flap.

A subcutaneous drainage tube was placed and fixed, the subcutaneous layers were sutured, the skin was stapled with a nailer, and the wound was bandaged with gauze dressing.

The blood loss during the operation was only 50ml, and there was no need for blood transfusion at all.

Done work!

Xiao Chu took off his gloves and looked up at the time.

"Well, it took 50 minutes, so-so!"

Gao Yingjun came over and patted Xiao Chu's shoulder, and asked with resentful eyes: "Xiao Chu, do you know the word 'Versailles'?"

Xiao Chu suddenly couldn't laugh or cry.

I was just feeling normal, how did it become Versailles?

If Xiao Chu did not explain to the interns while performing the operation, then his operation time could be reduced by 10 minutes.

It was also because of this that Xiao Chu couldn't help but sigh with emotion, he never thought that Gao Yingjun would regard him as his Versailles.

Xiao Chu stared at Gao Yingjun, and said calmly: "Is 10 minutes fast? I think it's already very slow, okay? According to my normal speed, I can reduce it by 10 minutes."

"I'll go, Xiao Chu, Xiao Dashen, please stop hitting our little hearts, okay?"

Gao Yingjun immediately clutched his chest, looking distressed.

"Do you know how long it will take for the director of neurosurgery, Director Li Lintao, to do this brain hematoma removal operation?"

Gao Yingjun made an exaggerated gesture.

"Director Li's fastest time was an hour and a half. And you only took five or ten minutes, which is still too slow. Are you still letting people live?"

Xiao Chu didn't know that it took Li Lintao an hour and a half to remove the brain hematoma.

For Xiao Chu, if he was allowed to do this operation for an hour and a half, he would go crazy.

It was as slow as a snail.

After all, the level of this operation is not too difficult for him.

Xiao Chu's appearance does not seem to be showing off his short operation time at all.

For him, this operation can only be said to be a normal performance.

Chen Bin came over and patted Xiao Chu on the shoulder.

Excitedly said: "Xiao Chu, you are really amazing. I never thought that you could perform neurosurgery operations so beautifully. In my opinion, it is better than Lao Li's."

"Don't say anything. From now on, you will be responsible for all brain surgery operations. From now on, I want the directors of other departments to come to our emergency department and ask you Xiao Chu to learn from them."

Chen Bin thought about it, and couldn't help rubbing his hands excitedly, and it was difficult to conceal the excitement in his heart.

Judging from Xiao Chu's current surgical ability, there is almost no surgery he can't do.

It can be said that Xiao Chu is now in the emergency department, and he is definitely a hot god-level figure.

Chen Bin wished to praise Xiao Chu and build a powerful emergency department for him.

And he even wants to step down as the director right now, and let Xiao Chu be the director of the emergency department.

After all, Xiao Chu's ability is too strong now, he, the director, is already in technical means, and cannot compare with Xiao Chu.

As for his old classmate Li Lintao, Chen Bin is quite aware of his ability to perform brain surgery.

Now that he has observed Xiao Chu's brain surgery all the way, he immediately knows that there is still a big gap between Li Lintao and Xiao Chu in comparison.

At least in terms of operation time, Xiao Chu was a few blocks ahead of Li Lintao.

After all, it took Li Lintao an hour and a half for brain surgery, but Xiao Chu only needed five or ten minutes for the operation.

And according to Xiao Chu, it can be shortened by 10 minutes.

For Xiao Chu, this is simply supernatural!

In the Jiangnan Provincial People's Hospital, among other things, no one is better than him in the removal of brain hematoma.

Fortunately, Chen Bin knew that Xiao Chu would not go to other departments, but wanted to stay in the emergency department.

Otherwise, he would still be worried that Li Lintao might poach Xiao Chu away.

After all, Xiao Chu's brain surgery ability has surpassed that of Li Lintao.

If Li Lintao found out, he might poach the corner of the emergency department and send Xiao Chu to the neurosurgery department.

But now Chen Bin is not worried at all, other department directors can poach Xiao Chu away.

What's more, Xiao Chu's appointment letter for the deputy director of the emergency department will be issued to the whole hospital tomorrow.

At that time, all the medical staff in the emergency department were even more reluctant to leave Xiao Chu.

Anyway, now Chen Bin regards Xiao Chu as a treasure in the emergency department.

Whoever wants to dig Xiao Chu, he will use all his strength to protect him.

Now Xiao Chu is the benchmark of the entire emergency department, everyone in their emergency department, once they say that Xiao Chu is from their department, they feel very proud of themselves.

From then on, I will never be run over by other major departments and say that the emergency department is a hodgepodge and a panacea.

In front of many other experts in the hospital, people in the emergency department can also stand upright.

What made everyone in the emergency department proud was the effect Xiao Chu brought to them.

Now Xiao Chu is perfect again, and has completed the brain hematoma removal operation for this patient.

In a short time, it will definitely spread gradually in the hospital.

As a result, the entire Provincial People's Hospital and the front-line clinical department doctors will recognize the existence of Xiao Chu.

Once Liu Qiming builds Xiao Chu's reputation, then Xiao Chu will become a dazzling famous doctor in the entire Jiangnan Province, and even the whole country.

Chapter 140 The Domineering Girl Who Wants a Blind Date

After the operation, the patient was sent to the emergency intensive care unit.

After all, this patient had a very large amount of cerebral hemorrhage. Even with Xiao Chu's top-level surgical ability, he could remove the bleeding hematoma very cleanly.

But after all, the amount of bleeding is heavy, and the pressure on the brain tissue causes cerebral edema. The patient will definitely not wake up for a while, and the follow-up treatment is also very important.

Patients with massive cerebral hemorrhage and herniation of the brain need to continue to use mannitol, dehydration to reduce intracranial pressure, and anti-infective treatment with strong antibiotics even after surgery.

Even if Xiao Chu's surgery had special effects, he couldn't take it lightly.

Because once the patient is in a coma and stays in bed for a long time, hypostatic pneumonia will inevitably occur.

As a result, problems such as fever and expectoration that are difficult to cure appear.

Moreover, some patients still experience upper gastrointestinal bleeding due to sudden severe illness that stimulates the stomach.

These are all complications after cerebral hemorrhage, and they are also very dangerous.

It is necessary to closely observe changes in the condition, and frequently monitor blood routine, liver and kidney function, electrolytes, blood gas analysis and other inspection items.

In short, like this cerebral hemorrhage patient, although he has undergone surgery, the follow-up treatment also requires careful observation and treatment by doctors.

Otherwise, once there is an intracranial infection, or the aggravation of hypostatic pneumonia, it will be difficult for the patient to wake up.

Fortunately, Xiao Chu's special surgery can reduce the rate of intracranial infection by 50%, so the possibility that this patient is awake in theory is very high.

Of course, after this patient was sent to the emergency intensive care unit, Zhao Fangshu was still in charge of the bed.

Xiao Chu was just operating on him, but not his bed doctor.

Zhao Fangshu gave the patient a doctor's order and walked out of the intensive care unit.

After finding Xiao Chu, he sighed and said, "This patient's bleeding volume is really too large. Although he underwent surgery, it is still very dangerous. After all, subsequent complications are inevitable."

Xiao Chu nodded, and said with approval: "I have already told the old lady about this situation, but you'd better communicate with the old lady more, and let her slowly accept this process.

As doctors, we have tried our best. After all, we are not gods. Every patient will be cured completely, as long as we have a clear conscience! "

Seeing Zhao Fangshu's depression, Xiao Chu comforted her.

In fact, Xiao Chu could understand Zhao Fangshu's behavior.