Surgeons dressed as poor people in the Republic of China

"Doctor Ye, Doctor Ye?" Seeing that Ye Yibai seemed to be in a daze, Xiao Zheng called out cautiously.

Ye Yibai came back to his senses upon hearing the sound, and smiled at her.

"Let's go."

"Are you all right?"

"It's okay, I just suddenly feel a little heavy on my shoulders."

For this operation, he... is not sure.

In the operating room, everyone was ready. Except for Richard, there was also a 40-year-old Dr. Ma who nodded to Ye Yibai when he saw Ye Yibai coming in.

The nurses on stage were all old acquaintances. Head nurse Zhou, Xiao Zheng, Shen Lai and two young doctors who were unfamiliar stood by the door.

Receiving Ye Yibai's suspicious gaze, Shen Lai smiled and said, "I'll help you pay attention to the patient's signs, and let the two little guys come to learn more by the way, and leave the work of pressing the breathing bag to them."

Ye Yibai nodded, and walked towards the operating table under the adoring and awe-inspiring eyes of the two young doctors.

Head nurse Zhou had already shaved off Feng Ran's hair.

"The patient has been anesthetized and intubated, and is ready for surgery at any time." Richard said in a serious tone, and as he finished speaking, the shadowless lamp in the operating room was turned on.

"give it to me."

Ye Yibai took the headlamp handed over by head nurse Zhou. The headlamps in the Republic of China were made of metal. Not many.

This weight is fine for an hour or two. After a complicated craniotomy, the doctor’s neck has to be crippled, but there is no way, the brightness of the shadowless lamp is limited, and the supplementary light source of the headlight is still needed for delicate operations.

Ye Yibai took a deep breath, put on the headlight, and looked at the time on the wall of the operating room.

"At 20:17 p.m., the operation begins."

Following Ye Yibai's voice, the atmosphere in the operating room suddenly became tense, because they knew that today's operation was different from the past, and this time, they were really competing with death.

"Gentian purple."

The gentian violet mentioned by Ye Yibai is commonly known as purple potion, which is generally used to mark and draw lines before surgery, because Feng Ran was sent directly to the operating room, and preoperative preparations such as surgical positioning had to be completed on the spot, plus X The information that the light film can give is limited, and it is difficult for Ye Yibai to estimate the exact extent of the hematoma for a while.

Therefore, he had to design several bone flap craniotomy plans, and then choose one of them according to the results of drilling exploration.

Head nurse Zhou quickly opened a bottle of gentian violet, with the mouth of the bottle facing Ye Yibai.

Ye Yibai directly dipped a little bit with his hand, and began to mark Feng Ran's head.

"Neural?" Looking at the two little doctors who didn't blink, Ye Yibai asked while positioning.

"No...not, but we want to be neurosurgeons." One of the little doctors said weakly.

Ye Yibai glanced at him, the little doctor's entire face was covered by a mask, only two eyes were exposed, but he could see determination and yearning in these eyes.

"Well, if you determine the goal as soon as possible, you can avoid a lot of detours." Ye Yibai said.

Dr. Ye Da's whole body was completely covered by surgical gowns, only two eyes were exposed, coupled with his dominant and powerful aura in the operating room, these words of emotion and admonition from the older generation came from his mouth When he came out, none of the people present felt that there was anything wrong with it.

"The patient suffered contusion and laceration of the brain, suspected to be accompanied by acute subdural hematoma and superficial intracerebral hematoma, because the information obtained from the film is limited, so we based on the patient's neurological signs, head trauma posture, focus point and skull fracture judge the situation.”

As soon as Ye Yibai opened his mouth, everyone knew that he was pointing the two little doctors. The backs of the two little doctors straightened all of a sudden, expressing the signal that they were listening carefully with every nerve in the whole body.

Not only the two little doctors, except for a few nurses in the operating room, the ears of the other white coats also secretly pricked up.

At this time, neurosurgery was a rare department.

The object of neurosurgery is the most complex brain in the human body, and the operation is difficult. Therefore, doctors are required to have an extremely solid and extensive knowledge base and extremely precise and skilled surgical techniques.

In Huaguo 90 years later, a neurosurgeon needs at least six to seven years of training before he is allowed to operate a neurosurgery operation. In the Republic of China in 1933, neurosurgery hospitals were set up nationwide. You can count them.

Anyway, the Red Cross Hospital does not have a specialized neurosurgery department.

"The patient's focus is on the occipital, and the right pupil is dilated, so we first explore the right side. Drill in the order of the right temporal, frontal, left temporal, and frontal, and finally the posterior fossa and occipital. Kong Chatan."

Ye Yibai used purple syrup to mark the drilling points on Feng Ran's head, and at the same time drew the bone flap design incisions in different situations.

"disinfect."

After Ye Yibai's positioning, he took a step back to make room for a change of disposable sterile gloves. At the same time, Richard stepped forward and used tweezers to pick up iodophor cotton balls for full head disinfection.

"Scalpel."

Ye Yibai came back after changing his gloves, turned on the headlights, and pressed the scalp on both sides with his fingers. The moment the scalpel entered the scalp, everyone seemed to hear the sound of the scalp being cut open.

The scalpel cut directly to the periosteum.

"Stripper."

The periosteum stripper gently pushed Feng Ran's periosteum away, and Richard who was on the side was always ready. Seeing that the periosteum was pushed away a little, he quickly grabbed it with the mastoid retractor, and then pulled it away.

Dr. Ma also quickly washed Ye Yibai's surgical field clearly.

Ye Yibai looked at the slightly bulky electric skull drill, and frowned slightly. Feng Ran was only a ten-year-old child, and his skull was naturally much smaller than that of an adult, and the skull electric drill in the 30s was twice as large as that of later generations. more than.

The human brain is the most complex and precise organ of the human body. A little improper operation can lead to epilepsy, activity or cognitive impairment, aphasia, and severe coma.

Ye Yibai glanced across the instrument tray.

"A 20ml syringe, help me cut it open, counting from the bottom, take three centimeters."

Although everyone didn't know Ye Yibai's intention to cut the syringe suddenly, but the words of the chief surgeon in the operating room were absolutely authoritative. Head nurse Zhou nodded immediately, picked up the scissors and started cutting the syringe.

"Doctor Ye, here it is."

Ye Yibai nodded, took the half of the syringe, sterilized it, and directly placed the bottom of the cylinder on the skull to be drilled, and aligned the bottom with the drilling point.

Only then did everyone suddenly realize that it was necessary to use a syringe to assist in drilling.

Thanks to the three-centimeter barrel bottom, the drill bit enters the skull through the syringe barrel, which not only enables better positioning to prevent damage caused by displacement, but also protects the adjacent tissues to the greatest extent.

"Rinse! Don't stop!" The skull electric drill is also an electric drill, and the heat generated by the friction of the electric drill will cause thermal damage to a certain extent, so it is necessary to rinse and cool down at this time.

"Yes!" Dr. Ma immediately moved.

Although it is only a small syringe, everyone can see Ye Yibai's skills from this syringe. Neurosurgery, you are a master if you do it step by step, but this Dr. Ye can make temporary changes during the operation, Even if it's just an auxiliary trick, if you don't know the whole operation method well, how can you make such a simple and effective technical improvement temporarily.

"Blue, bloody, scalpel."

Ye Yibai's face was tense, and when the hole was drilled, the epidural was normal, but the subdural was dark blue, which meant that Feng Ran had hemorrhage or brain contusion under the dura mater. There was even an intracerebral hematoma underneath, and the operation seemed to last all night.

"Yes!"

The dura mater was cut in a cross shape with a scalpel, and the accumulated blood gushed out immediately.

"bloodletting."

Dr. Ma immediately stepped forward to suck up the accumulated blood, and Dean Shen's expression became solemn. He walked to Dr. Ma's side, ready to help at any time.

After confirming the hematoma in the temporal area, the frontal and top must be identified.

"Electric drill."

Rinse, move the syringe barrel, drill in, still blue, incise the dura mater, bleed, rinse, and then top, when the dark blue appeared in front of everyone again, the atmosphere in the entire operating room became solemn and tense.

Ye Yibai took the scalpel from head nurse Zhou.

"It's clear if it's clear, and it's clear when it's clear. It's not time to be nervous."

"Knife."

For such a large-scale hematoma and brain contusion, half of the head had to be opened.

Based on the forehead, parietal, and temporal holes just drilled, the dura mater was incised in an arc. At this time, Dr. Ye did not care whether the arc is good-looking or how many pores Feng Ran was damaged. Would it be possible? As a result of "traumatic linear baldness", he has to ensure that the skull is lifted enough to allow him to explore the frontal pole, temporal pole and interhemispheric fissure.

The incision was turned up and fixed. When a large amount of blood and contusion appeared in front of the white coats, only the sound of their breathing could be heard in the operating room.

"Why are you standing there! Do you want me to teach you how to suck and clean?"

Ye Yibai's voice without a trace of emotion rang in everyone's ears, and everyone suddenly woke up from the doubts of "Is this person really saved?"

No, they cannot doubt, they cannot give up.

They are doctors, if even they doubt themselves and lose confidence, then this little guy lying on the operating bed will really have no chance of survival.

"The base of the skull and the interhemispheric fissure were washed clean, and there was nothing left."

"Yes."

Time passed by, and Ye Yibai did not find any obvious source of bleeding. This is not good news, which shows that there is a high probability that Feng Ran's cerebral blood vessel is embolized.

"Electric cautery."

No obvious source of bleeding was found, so Ye Yibai could only burn it with an electric cautery device and cover it with a gelatin sponge to prevent secondary bleeding.

"Scissors."

Feng Ran had not only hematoma and brain contusion under the cortex, but also a lot of necrotic brain tissue, which he had to remove one by one.

"Doctor Ye! Come out!"

When Ye Yibai removed the broken brain tissue, halfway through the removal, hematoma and necrotic brain tissue gushed out from below, immediately filling half of the operating field.

"Rinse, suck."

"The pressure in the brain is high, so when cleaning the broken brain tissue under the cerebral cortex, some intracerebral hematoma and necrotic brain tissue will flow out on their own, and it's okay."

"Brain needle."

"it is good."

"Some of them are deep in the brain parenchyma and won't come out on their own, so we need to puncture them with a brain needle to confirm."

"Knife."

When Ye Yibai cut Bai Huahua's brain with a single knife, Xu Shi's brain saw his companion being ruthlessly cut open, everyone's hairs trembled instantly, a coolness started from the cerebral cortex, and quickly spread to the limbs and bones .

"rinse!"

Ye Yibai raised his head and glanced at Dr. Ma, Dr. Ma immediately became agitated, his brain started to run at an unprecedented speed, soft water rushed into the brain parenchyma, and the fingertips wearing sterile gloves inadvertently touched the brain parenchyma, soft , bouncing.

His mind seemed to be conscious, releasing waves of coolness to the master, making Dr. Ma's head particularly clear.

"Where's Huahua? When are you going to flush it?" Dr. Ye took the washer in one hand and began to rinse it himself.

The gray-white brain was trembling in Ye Yibai's hands, and everyone's hearts were trembling too. This is the brain, not the tofu flower.

The tense atmosphere in the operating room was slightly relieved during the process of washing the brain, but the nerves in everyone's brains were still tense. Watching Ye Yibai remove the hematoma and necrotic brain tissue in the brain, and find the bleeding point to stop the bleeding , Everyone's hearts even raised their throats.

"Doctor Ye?"

Ye Yibai put down the scalpel, sighed softly, "Sew it back."

"Doctor Ma, I'll trouble you later." After nearly five hours of surgery, coupled with the several kilograms of head on his head and prolonged nervous tension, Ye Yibai's physical strength was exhausted.

He took a few steps back and leaned against the wall to rest, not even bothering to raise his hand to pick up the headlamp.

Leaning on, his back is getting lower and lower. When Feng Ran goes out, let him take another X-ray. This time, he will adjust the position himself. It would be best if he can wake up after anesthesia, but if not If so, the operation cannot be delayed.

The side effects of anesthesia at this time were too strong. With Feng Ran's physical condition, two consecutive general anesthesia within 48 hours would definitely leave sequelae, but his surgery can't be delayed, wait for the film to come out, he will be in a row... …

Ye Yibai thought about it, not knowing when he lost consciousness.

"Doctor Ye? Doctor Ye?" A familiar voice came from my ear

Ye Yibai woke up suddenly, "Xiao Zheng? Something happened?"

Xiao Zheng waved his hands again and again, "Dr. Ma has stitched up this side, take another look, why did you fall asleep while wearing a headlamp? This is old and heavy, your neck is okay."

Ye Yibai stood up with a wry smile, why did he fall asleep, the severe pain in his neck made him frowned, "It's okay, I'll just go back and apply hot water."

As he spoke, he took off the headlight and walked towards the operating table.

"The stitches are good, when will the anesthesia last?"

"There is still about half an hour," Richard replied.

Ye Yibai looked at the time on the wall of the operating room, and it was already around 01:30 in the morning.

"Okay, then let's wait for half an hour, don't be tense, and find a place to sit." He found a wall and sat directly on the ground.

The floor of the operating room is always the cleanest, much faster than the bed at home. Li checked the admiration in the eyes of the two little doctors before resisting the desire to lie directly on the ground.

Others followed suit. Those looking for stools looked for stools, and those looking for walls looked for walls. A group of white coats swayed to and fro in an instant, changed clothes and changed places, and put a bowl in front of them, and they could directly debut in the beggar gang.

"Doctor Ye, was the operation successful? Will he survive?" Nurse Xiao Zheng still couldn't hold back, and asked the question that everyone in the room wanted to ask.

The operating room was quiet, and the nurses arranging the instruments and taking notes also quietly stopped, and everyone's eyes were on Ye Yibai.

Dr. Ye raised his head, "There is no brain herniation yet, and the hematoma in the brain is also superficial. The brain contusion is moderate, and the cerebral edema is moderate. Let's see his fate."

This little guy didn't have a head injury, but also internal organ injuries and fractures, even if he woke up...Ye Yibai glanced at the immature face on the operating table, and sighed softly.

Everyone heard Ye Yibai's meaning from this sigh, and their expressions became heavy.

A ten-year-old child, a poor family, and sequelae... Although they are not neurosurgeons, they are both surgeons, and they can guess the sequelae of the craniotomy after thinking about it.

Seeing that the atmosphere in the operating room became heavy.

Shen Lai clapped his hands to break the silence, "They are all doctors. I have seen life and death more than once. Please calm down. As long as he can wake up after anesthesia, his little life will be saved. The ten-year-old The child is full of vitality."

"Who are you showing this look to, family members?"

It was only after everyone heard the words that they realized that there was an anxious mother waiting outside the operating room.

"Snapped."

Richard patted his face, rubbed his cheeks, forced a smile, and said in broken Chinese, "Is it better?"

Everyone was taken aback for a moment, and then there was a "cracking" sound in the operating room.

Ye Yibai and Shen Lai looked at each other, and their cheeks twitched. Can things like "brain short circuit and low IQ" be contagious?

The wall clock on the wall of the operating room is ticking, 10 minutes, 10 minutes, 25 minutes... Everyone is like a gopher in a game of whack-a-mole. Long, I can't wait to stick it directly to the clock face.

Three 10 minutes!

When half an hour was up, all the white coats who were stumbling around stood up straight in an instant.

Richard did the general anesthesia this time, he stepped forward quickly and said in broken Chinese: "Feng Ran, Ran, can you hear me?"

Xu was stuttering in Chinese, so he said it loudly in English again, causing Shen Lai to roll his eyes.

"The ten-year-old kid's brain can't handle your complicated language. I'll do it." He walked up to Feng Ran and said in a calm voice, "Feng Ran, Feng Ran, can you hear me? ?”