Signing in at the hospital, the first operation shocked the whole country!

The first operation shocked the whole country!Section 50

Then he pointed to the attending physicians and deputy directors of other hospitals who were waiting to be arranged.

Everyone was shocked when they heard this.

What does this mean?

They, a group of doctors who have worked in the hospital for at least a few years, as many as more than ten years, are not as good as this young doctor in his 20s?

Where is this great god?

"No problem, let's go on stage."

Qin Feng nodded, turned around and rushed into the operating room, washed his hands again and put on new sterile clothes, gloves, masks and other equipment.

As soon as I opened the door,

I saw Deputy Director Cao, Deputy Director of Internal Medicine of the Second Municipal Hospital Qian Cheng, Director of Orthopedics Department Shen Yan, and three department directors gathered for this operation.

This lineup is a bit strong!

Chapter 38 Four operations on the same stage, the first craniotomy

"Great! Qin Feng, you are here!"

Director Zhang Fan, who was out of his mind, saw him walk in, his eyes lit up immediately, and he said in surprise.

"Director Zhang."

Qin Feng nodded and walked forward,

"What's the problem?"

"Is such that......"

Zhang Fan immediately told him the situation of the injured in detail, for fear of missing something.

The two directors of the Second City Hospital looked at each other in blank dismay, and couldn't help being very surprised.

This is Qin Feng?

The first doctor in Jiangcheng City to complete the ex vivo liver tumor resection?

Although they also read the report about Qin Feng, it was the first time they saw him in person.

It's too young!

And even Zhang Fan, who is a top-notch knife in the entire Jiangcheng, is so enthusiastic about him.

It's amazing!

At this moment, Qin Feng couldn't care about their surprise, his eyes became serious.

The injury of the injured man in front of him is really serious!

Compound fracture, shock, ventricular fibrillation, rupture of spleen, bleeding from damaged heart meridian, intracranial hemorrhage...

The heart stopped beating several times, and the vital signs disappeared. If it wasn't for Zhang Fan, an out-of-control boss, and the two directors of the Second Municipal Hospital, with their rich surprises, they would have rescued their lives abruptly.

It's a miracle that he hasn't died yet!

Of course, this is also the order to die from the superiors. As long as there is a glimmer of hope, we must not give up on any injured person. I am afraid that he will have died several times already.

"Hearts, compound fractures and ruptured spleens, we can still handle them."

Shen Yan, Director of the Orthopedics Department of the Second Municipal Hospital, frowned and said,

"However, patients with intracranial pressurization and massive hemorrhage, doctors outside the brain are all on stage now, and we are short of manpower.

If the operation is performed rashly, the patient may not be able to stand down! "

"Yeah, I really don't dare to move. Once the heart is blocked, coupled with cerebral hemorrhage, it is impossible to survive."

Zhang Fan nodded in agreement and said helplessly.

"Well, now more than 12 serious injuries are undergoing surgery, [-] patients have cerebral hemorrhage, brain doctors from three hospitals are all on the job, and there is no other way!"

Qian Cheng, deputy director of internal medicine at the Second City Hospital, shook his head, basically giving up in his heart.

"Have you been to CT?"

Qin Feng nodded slightly. He knew the seriousness of this, and asked the three of them.

"Out, here."

Director Zhang Fan quickly handed him the inspection report,

"Now the patient has begun to experience respiratory failure. According to the CT scan, it should be a brain herniation caused by cerebral edema, which compresses the respiratory center."

He stared at Qin Feng, Zhang Fan knew that Qin Feng had performed many major surgeries in cardiology, obstetrics, and internal medicine.

And every operation is perfect at the textbook level!

Up to now, almost all of his surgical videos have become surgical textbooks in various departments for all doctors to learn from.

But I don't know if he will have brain surgery!

"Director Zhang, I remember that Qin Feng is still an intern now."

Just when Qi Fang was able to read the inspection report, Qian Cheng, deputy director of internal medicine, looked at Zhang Fan with a slight frown and asked,

"Can he really get on stage?"

"Hehehe~

Qin Feng is already an official doctor in the first hospital of our city, and has the right to sign the surgery specially approved by the president, what do you think? "

Zhang Fan smiled lightly when he heard the words, his calm tone was full of arrogance.

Click!

Hearing his words, both of them were shocked!

The eyes looking at Qin Feng suddenly became serious and unbelievable!

The signature right of the operation with the special approval of the director?

You know, the right to sign the surgery is a power that only the deputy chief physician or above can have!

This is also to manage the operation process in the department and strictly control each operation.

And Qin Feng has obtained the power that every ordinary doctor dreams of!

Is this guy really an intern?

"Of course, I don't know if he will have brain surgery, just wait."

Zhang Fan saw that the two were in a daze, so he followed up.

Poof~!

Deputy Director Qian Cheng and Director Shen Yan almost spit out old Xie.

Isn't this nonsense?

What can you do without brain surgery?

"Old Zhang, you're not kidding us, are you?"

Deputy Director Qian Cheng couldn't help but said in a deep voice,

"This is a brain surgery, if you are not careful, you will die!"

After about two or three minutes,

Qin Feng put down the inspection report and fell into deep thought.

"How about Qin Feng, can you do it?"

Zhang Fan asked nervously.

"The patient's intracranial hemorrhage should have exceeded 30mi, accompanied by intracranial pressurization. The situation is really not good and a craniotomy is needed."

Qin Feng raised his head and glanced at the monitoring data of the wounded, then looked at the three of them and said,

"Give me a device nurse outside my head, I need assistance."

"it is good!"

When Zhang Fan heard his answer, he couldn't help being ecstatic in his heart, and immediately pointed to a nurse and said,

"Quick! Find an experienced equipment nurse outside your brain!"

The nurse nodded and quickly ran out of the operating room.

According to the inspection report, Qin Feng has already understood the specific situation of the injured, and has formed multiple surgical plans in his mind.

At present, the patient's blood pressure is 134/72mmhg, which is somewhat unstable.

GCS score (Glasgow Coma Scale assessment, including three aspects of eye opening response, language response and body movement, mild coma 13-14 points, moderate coma 9-12 points, severe coma 3-8 points, 3 points or less Brain dead, 14 points or more is the normal state):

8 points (severe coma)!

Moreover, there was an 8cm gap on the top of the skull pillow, which reached the depth of the skull, accompanied by active bleeding.

During the head examination, brain contusion and laceration were found, and the subarachnoid meninges were also damaged to varying degrees.

Start choosing the most suitable surgical method in your mind.

At present, the most effective surgical methods to solve cerebral hemorrhage include three types.

The first one, minimally invasive!

The advantages are local anesthesia, less trauma, easy operation and quick recovery.

But the disadvantages are also great. The hematoma is not completely clear, the intracranial decompression is not sufficient, and because the surgical field of view is small, once the formation of thrombus is very dangerous.

The second type, small bone window!

It is to drill a small window in the congested area, and perform craniotomy to remove the hematoma. Generally, it is called nuclear hemorrhage, and the trauma is less than that of bone flap craniotomy.

Moreover, the surgical field of view is large, and the hematoma can be removed, decompressed, and bleeding can be stopped under direct vision.

The disadvantage is that it is not suitable for patients with a tendency of brain herniation (displacement and compression of other tissues).

The last one: bone flap craniotomy and hematoma removal surgery (opening the skull): the most perfect surgical plan for doctors, with complete vision, complete hematoma removal, thorough hemostasis, and full decompression.

But the disadvantage is that the trauma is too great!

Of course, there is a fourth type, stereotaxic aspiration.

This kind of surgery is more advanced, it is a new technology that has only been developed in recent years, and Qin Feng will also do it, but it is also not suitable for patients with brain herniation.

And most importantly, none of the hospitals in Jiangcheng had this kind of equipment.

too expensive!

The patient in front of him had an obvious tendency of brain herniation, and was not suitable for the first, second, and fourth surgical options at all.

Now only the bone flap remains.

Moreover, according to the score of GCS, 8 points are also in line with the range of [Bone Flap Craniotomy and Hematoma Evacuation].

It's decided, so be it!

Qin Feng has already determined the operation plan in his heart.

After about 10 minute,

The nurse who left didn't come back, and another nurse came, the head nurse of the brain surgery!

"Doctor Qin, I'm here."

When she saw Qin Feng, she walked up to him and said in a deep voice.

"it is good."

Qin Feng nodded, glanced at the three people in front of him, with a serious tone,

"Everyone, let's get started."

"it is good!"