Medical road Qingyun

Zhao Yuan bowed slightly, "That's right!" The patient has a cerebral hemorrhage! As for the real time of illness, it was last night, when you did it, you hit her on the head!

"Why did you have a cerebral hemorrhage?" The husband was incredulous, "I slapped her once, she hit me three or four!" Why am I nothing?

Zhao Yuan couldn't cry or laugh, and he obviously hated domestic violence.

For a moment, I felt that this man was a little pitiful!

Zhao Yuan patiently explained, "There are many nerves and blood vessels in the human head, and last night's violence caused a blood vessel in her brain to rupture, which was not manifested at the time, but after a night, a large amount of blood overflowed, compressing the nerves, resulting in mental abnormalities." The act of hitting the glass this morning, as well as the sudden attack on Dr. Sun, are all related to this cause. The

husband regretted it, "Doctor, what should I do now, is it necessary to have surgery!" "

Let's get a brain test first!"

Zhao Yuan glanced at Sun Liang, "You hurry up and inform Director Tong, this patient is likely to have intracranial hematoma removal surgery, and he needs to give advice!"

"Okay!"

Sun Liang rubbed his neck, although there were still tooth marks, the wound was not deep, and the bleeding had stopped.

Resident Shook walked away.

The mentality exploded again.

He knew that Zhao Yuan was very strong in physical examination and diagnosis.

But he did not believe that a patient could be determined to have a cerebral hemorrhage based on a physical examination alone, without the need for instruments.

By the time he got to the office, the inspection report was in.

As Zhao Yuan said, the woman really had a cerebral hemorrhage!

Sun Liang had long been numb to Zhao Yuan's superb physical examination level.

Still, there is a lot of enthusiasm among the nurses.

"Why is Dr. Zhao's physical examination so powerful?"

"You need to be talented. Although everyone knows the method, not everyone can find the right answer from the patient's response.

"TCM practitioners often say that they don't need to rely on equipment to diagnose patients, they just need to look and smell to know the patient's condition. In fact, if the kung fu of Western medicine physical examination is practiced in place, the same effect can be achieved. "

I just saw Director Xing from the Department of Emergency Medicine. He also praised Zhao Yuan for being very good!

"Really? Director Xing is the most powerful physical examination master in the emergency center, and has been practicing medicine for more than 30 years and has never misdiagnosed! "

......

Tong Zheng strode into the operating room.

The patient's body has been filled with various tubes, and under the action of anesthesia, he has entered a comatose state.

"Prepare for ventriculoscopic minimally invasive swelling surgery! Zhao Yuan, you will serve as an assistant.

Sun Liang looked at Tong Zheng expectantly, and finally waited for disappointment.

Tong Zheng did not give Sun Liang a chance.

Tong Zheng's position in emergency surgery is not only because he is a "friend of women", but also because he is a master in the field of neurosurgery.

Emergency physicians are also called general practitioners because they have to deal with a large number of patients every day and have complex conditions.

Tong Zheng is a typical surgical talent.

Gynecology, hepatobiliary, neurosurgery, cardiothoracic surgery, etc., in many fields, he has a very high standard.

This is also the reason why Chang Hongbo handed over Zhao Yuan to him to bring.

Talents like Tong Zheng are scarce talents to go to any hospital, and it is a major loss to Tianhua Hospital.

Although he is Zhao Yuan's instructor, Tong Zheng has always adopted a free-range approach to Zhao Yuan.

Of course, Tong Zheng still plans to find an opportunity to teach Zhao Yuan a little mastery.

Today's surgery is a good opportunity.

Ventricular minimally invasive swelling surgery is a tertiary neurosurgical operation.

Although it is not very difficult, because it involves new technologies and new instruments, there are only a handful of doctors in neurosurgery who can do this surgery.

As for in emergency surgery, no one can do it except child administration!

Preoperative preparations begin in the operating room.

"Do you know how to assemble the ventriculoscope?"

"Yes. Watched the video. "

The people in the operating room are very familiar with Zhao Yuan.

With Zhao Yuan's character, if he is not sure, he will definitely not do it.

"Let's get started!"

Tong Zheng did not go into details.

He knew that Zhao Yuan had just started his internship, and he was more on paper in school, and he might not have any experience in clinical microsurgery.

Zhao Yuan exhaled softly.

He is no stranger to ventriculoscopic surgery.

As a military doctor, you often have to deal with brain diseases.

He gestured with his hand in front of his forehead and instructed Bai Lu to remove the hair from the "Kocher point" on the patient's forehead.

Waiting for the scalp to be exposed, Zhao Yuan picked up the scalpel.

Without the slightest hesitation, the incision is made about 3 cm in length.

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 no stranger to ventriculoscopic surgery.

It wasn't like the first time I'd had this surgery at all.

The difficulty of ventriculoscopic surgery is the installation of a ventriculoscope.

Then, internal vision techniques are used to locate and treat the lesion.

Zhao Yuan's steps in front of him were very smooth, without a trace of mud and water.

As for the subsequent steps, the skull is drilled, the bone flap is removed, and the dura mater is cut through the cross.

The operation is even more in one go.

With the sheath entering the frontal angle of the right ventricle along the puncture channel, Zhao Yuan completed the most critical step and placed the ventriculoscope.

At this point, the panorama of the right ventricle can be clearly seen through the microscope.

Next, the stoma is cleared.

Tong Zheng couldn't help but ask, "You really haven't had this kind of surgery?" Zhao

Yuan's entire face was attached to the microscope.

Naturally, he couldn't tell the truth.

"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 from the video.

Because Zhao Yuan is a medical student, it is impossible to have the opportunity to practice in clinical practice.

With the support of his vision, Zhao Yuan quickly found the bleeding point.

The old hematoma is removed, and the bleeding points are stopped one by one with electrocoagulation.

The hardest part of the surgery has been done.

Routine craniotomy to remove the hematoma takes three hours.

However, ventriculoscopic minimally invasive deswelling surgery takes only one hour and is minimally invasive to the patient.

Although the surgery will be more expensive, many patients prefer to embrace the new technology.

Tong Zheng is one of the first surgical experts in China to learn the minimally invasive technique of ventriculoscopy, and every year the hospitals at all levels of Tianhua Group will arrange doctors to go to the main 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 take Zhao Yuan to get started today.

Unexpectedly, Zhao Yuan didn't need to be taught at all.

Tong Zheng seems to be peaceful on the surface, but there are complex emotions surging inside.

Shock, loss, pride....

Just by learning on your own through videos, you get the key.

- That's genius!

Unknowingly, Zhao Yuan completed the last step.

Cut off the absorbable thread.

Tong Zheng clasped his hands gently, and his eyes were full of love.

Stupid disciples can't teach no matter how they teach.

Wise disciples can be self-taught without teaching!

"The procedure was clear and reasonable!

The CT of the head was examined 24 hours after the operation, and it was successful if there were no problems. "

......

The group of melons in the emergency surgery department is frying again!

"Dr. Zhao can even do minimally invasive ventriculoscopic surgery!"

"Is the teaching at Shonan Medical College so deep?"

"Think too much! There are many graduates of Shonan Medical College every year, but Dr. Cho is only one!".