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

The head of the brain surgery immediately stood up and said,

"This situation is beyond the tolerance of our hospital. Even if the heart, liver, spleen and urinary system are preserved, the position of the trigeminal ganglion may not be able to be manipulated."

......

After the voice fell, no one continued to refute, and everyone realized the seriousness of the situation.

But now the transfer, the risk may be even higher!

Because Jiangcheng definitely can't do this surgery, and can only go to a bigger city, Suchuan, or Jinling.

There are state-of-the-art equipment and doctors, so maybe you can try the technology.

however,

Time is no longer allowed, and it will take at least three or four hours to get to the nearest Suchuan from here.

In addition, in case of an accident on the road, the steel bar will be displaced during the patient's movement, which will injure other cranial nerves or the heart, or cause hepatosplenomegaly.

Then there is only one dead end!

"I disagree with this plan."

Director Qi, who was seriously ill, could see the meaning at a glance, pursed his lips to break the silence,

"To transfer a patient to another hospital now is equivalent to sending him to death, and the patient's current condition will definitely not be able to support the higher-level hospital.

I know what everyone thinks, but as the director of critical care, I still object. "

Qin Feng also understands that there is actually only one purpose in arranging the transfer now.

Avoid responsibility!

of course,

This is also compliant in terms of procedure, because they are really not sure about performing this operation.

As long as the family members sign the transfer consent form, the patient leaves the hospital and goes to another hospital. Even if he dies on the way, it has nothing to do with the city's first hospital.

But everyone here can see the result as long as they use their brains, they are close to death!

The probability of going to a higher-level hospital for surgery to save your life is not even 5%!

"But what else can we do now?"

Director Wu of the Urology Department sighed and said,

"I'm afraid there is no better way than to waste time waiting for us to die."

"But the patient can't move easily at all now. If the trigeminal ganglion is ruptured during the carrying process, the person will die before leaving the hospital."

"Either let the family members choose by themselves. If they undergo surgery here, they will bear the consequences of death."

"Yeah, it's okay if we save him, but if he dies, what will happen to the hospital?"

.......

For a while, is it about transfer or hard work?

Everyone was caught in a dilemma for an instant, and they each insisted on their own words and began to discuss.

It can be said bluntly that they have basically given up the possibility of surgery to save lives, just like gambling when they see the hole cards.

Zhou Xianren suddenly felt like his head was about to explode!

There is no one more difficult than him, but he is in the emergency room!

save?

Nine lives.

change?

The same narrow escape.

Right now, he really wants to smash his head on the table to death. As a doctor, saving people is his bounden duty.

Although everyone calls the medical angels in white, only I know that they are not gods and cannot save everyone.

And what should we do for this kind of patients who have little hope in front of them?

"Qin Feng, do you have any ideas?"

He turned his head to look at Qin Feng, hoping to get an affirmative answer.

"Currently, I have a set of surgical plans. The chances are higher, but there are also high risks. It depends on what everyone thinks."

Qin Feng pondered for a long time, and when his eyes were about to dim, he said in a low voice.

"Really?"

Zhou Xianren's eyes lit up when he heard the words, he quickly got up and raised his hand to stop everyone's discussion,

"Wait a minute, everyone, Qin Feng has a plan, let's listen to it first."

When everyone heard the words, they stopped talking immediately, and turned their eyes to Qin Feng at the same time.

"Okay, Qin Feng, tell me quickly."

At this moment, Cao Ke, who was out of his mind, hurriedly said.

The others also nodded, looking expectant.

Only Zhang Chen, with surprise in his eyes, saw that the other directors and attendings all stopped, as if looking forward to it, and was speechless again.

He is very suspicious now, is Qin Feng really just an intern?

Why do all departments have such expressions when they hear Qin Feng's name?

......

Chapter 62 I can't die, my daughter is still waiting for me to save her

"Okay, everyone, then I will tell you about my plan first."

Qin Feng straightened up, swept across all roads,

"First of all, I don't agree to transfer to another hospital. Just like Director Qi said, before a person leaves the hospital gate, he may die from shock."

"Qin Feng, just say what you can, we all support you."

Out of his mind, Deputy Director Cao Ke said immediately, his words were full of trust.

After all, this is a great hero of their heart surgery!

"You may be surprised by what I say below, but this is probably the best solution so far."

He nodded when he heard the words, and began to explain the only feasible surgical plan in his mind,

"It can be seen from the current patient's condition that the steel bar pierced through the head. Although the important rear cranial nerve was not injured, it was almost close to the trigeminal ganglion, and there was already slight deformation and compression.

Everyone knows the seriousness of this part. Once the semilunar junction of the trigeminal nerve is damaged, the consequences will be disastrous. "

After the words fell, everyone nodded again and again, their faces full of dignity.

They are all experienced and experienced doctors, so they dare not operate lightly, and would rather transfer to another hospital to avoid responsibility.

"Currently, the steel bars have blocked half of the trachea, but the patient is still able to breathe normally, and the next fatal thing is the heart.

The steel bar is now attached to the right myocardium and penetrates into the liver and spleen. It is too close to the heart, and a slight movement will puncture the myocardium, causing shock and hemorrhage.

At the same time, the place where the liver and spleen penetrate has begun to bleed. Once the amount of bleeding increases during the operation, the patient will go into shock almost instantly. "

After Qin Feng explained the situation, his eyes became serious, and he said loudly,

"My operation plan is like this, the steel bar cannot be cut off inside the body, and if it shakes too much, it will easily cause secondary injury.

Craniotomy was performed first, and the trigeminal ganglion was cut off using Frazier operation (also known as trigeminal half-lunar postganglionic sensory fiber transection, which is a method of blocking and separating the ganglion).

Afterwards, the cardiology department, internal medicine department, and urology department opened the thoracotomy at the same time, exposing the steel bars in all positions, and then performed multi-point fixation.

Outside the heart, Director Cao freed the heart tissue, moved it to the left by two millimeters, and cut it off, making sure to ensure the safety of the heart.

Department of Internal Medicine cuts the penetrated liver and spleen from the safest position shortest to the steel bar, and removes the liver and spleen to stop the bleeding.

As for the part of the patient's urinary system that did not injure the fatal organs, it was handed over to Director Wu to dissociate and expose the steel bars outside the organs.

After all the parts are completed, the steel bars are pulled out from the lower body in parallel to avoid secondary injuries.

Finally, all four parts are sutured at the same time, taking care of all wounds! "

......

The voice fell,

Everyone was silent, with a thoughtful look on their faces.

Everyone including Zhang Chen was stunned. Qin Feng's bold idea almost cut the patient open from the head to the whole body!

"Is...is this okay? Frazier surgery may not be possible outside of our brains."

The head surgeon of the brain surgery suddenly looked extremely ugly, and said bitterly.

"I know this, everyone first confirms the feasibility of the operation."

Qin Feng nodded to express his understanding, this kind of operation is indeed too small.

Many brain doctors have heard of it, but have not seen it.

And the difficulty of operation is quite high!

After the words fell, everyone fell into deep thought.

The surgical plan he just mentioned is indeed feasible to a certain extent, but the risk is also huge.

First of all, if it is really operated in this way, the amount of bleeding will be an extremely terrifying figure.

Does the hospital blood bank have so much blood?

Three Level [-] surgeries plus one Level [-] surgeries are combined ultra-difficult surgeries, who will perform the surgery?

If you are not careful, you will lose everything!

This is too bold!

Zhang Chen wanted to stand up and refute, but when he saw the deadly positions marked on the curtain, his brows almost knit together.

Compared with the surgical plan they discussed before, the feasibility of this plan seems to be higher...

In short, no matter what, there are only him and Wei Dajing in the internal medicine department. Compared with the surgical experience, he must be the one who can take the stage.

It is also to face the risk of liver and spleen rupture, which is also the biggest, and hemorrhages!

now,

The meeting room fell silent.

"Don't worry about the risks. If you can trust me, I will sign the surgery!"

Seeing this, Qin Feng continued to speak,

"Of course, if the leaders can come up with a better surgical plan, that would be the best."

"Qin Feng, I agree with you if you come to be the chief surgeon!"

Suddenly, Deputy Director Cao Ke was surprised that you were the first to stand up,

"As far as the heart is concerned, thoracotomy is inevitable, and heart stripping and displacement is the best way at present!"

"I also agree with Xiao Qin's idea, the urology department is fine."

Immediately afterwards, Director Wu, who was on duty in the urology department, also nodded and said.

In the previous discussion, everyone put the patient's urinary injury at the end, even if some injuries to the urinary system were to be discarded, life-saving should be the first.

But now, Qin Feng directly and decisively pulled all links to the same level.

In this way, they can also ensure the integrity of the patient's urinary system to the greatest extent!

Of course he wants to support it!

"I don't have any opinions outside the brain, but what about the blocking operation of the trigeminal ganglion?"

The attending doctor outside his head frowned, worried, and immediately looked at Qin Feng,

"If something goes wrong and causes serious sequelae, I'm afraid it will be difficult!"