Start From Emergency Doctor

Chapter 248

Chu Chu had a blood-stained face and pity in his big, cute eyes, looking at Zhou Yuan in a pleading tone.

What happened just now was terrible. Not to mention a six-year-old child, even an adult would be scared into a psychological shadow.

Chu Chu now only wants to lean in Zhou Yuan’s arms, only this can make her feel more at ease.

Zhou Yuan hugged Chuchu with a sullen face, but let go of her, “My brother is a doctor, now I must save people!”

“Chuchu, waiting for me here, and waiting for me to see other patients before I come to you!”

With that, Zhou Yuan quickly followed Lin Wen to the first rescue room.

“The patient’s name is Zhao Han, a teacher at Yanjing Primary School. She saved several children when the accident happened.”

After Lin Wen finished speaking, she began to report her condition: “According to witnesses, Zhao Han hugged Chu Chu at that time, causing the front of the car to hit Zhao Han’s back. The head was also hit on the car by inertia, and finally rolled several times. The circle stopped.”

Zhou Yuan nodded, “Have you undergone a CT examination?”

“It’s too late! She is undergoing cardiopulmonary resuscitation now, and she hasn’t even saved her life! The doctor who was with the car initially judged that there was a spinal injury, and there may be a concussion!”

Zhou Yuan nodded.

Concussion is actually the lightest type of closed head injury. It does not cause organic damage to the nervous system. After a few days of rest, the function can be fully recovered without other sequelae.

The clinical manifestations are trance or coma after the injury, which lasts for a few seconds, minutes or even hours. After waking up, the memory of the injury is unclear, or dizziness, headache, vomiting, etc., but the symptoms mostly disappear after a few days.

Unless it is a severe concussion, after the rescue, let Zhao Han rest for a few days, give symptomatic treatment or give a small amount of sedatives, and he can usually heal on his own.

Zhou Yuan is worried about skull fractures and spinal injuries.

There are two types of skull fractures, open skull fractures and closed skull fractures.

An open skull fracture is well understood. The site of the fracture is open. After the fracture, the scalp is split and accompanied by bleeding, which is easy to find.

Closed skull fractures are relatively concealed. Sometimes, local occasional or hematoma swelling can be seen on the scalp, but some of them appear in the inner part of the skull, that is, the brain surface, which is not easy to find.

Closed cases are most likely to be accompanied by skull base fractures, cerebrospinal fluid leakage, and different degrees of damage to the brain tissue, such as intracranial hematoma compression. If this symptom occurs, the patient will wake up for a while and then coma, or for a long time Coma.

While the compression of intracranial hematoma also appears as symptoms of impaired nerve positioning, it means that the patient’s brain is severely damaged and is basically not far from death.

“Does the patient suffer from intracranial hematoma compression?” Zhou Yuan asked.

Lin Wen shook her head: “No! The doctor in the car checked it out!”

When the two arrived at the door of the rescue room, Zhou Yuan immediately pushed the door and walked in, and saw Zhao Han lying unconscious in the hospital bed.

Zhao Han frowned tightly at the moment, his face was bloody, and the white Mickey Mouse T-shirt was also stained with blood.(Read more @ wuxiax.com)

Seeing this scene, Zhou Yuan immediately remembered Chu Chu-the blood on Chu Chu’s body was Zhao Han’s, right…

“Is there any damage to nerve positioning?” Zhou Yuan quickly stepped forward.

“Not found yet!”

Zhou Yuan just breathed a sigh of relief.

“Zhou Yuan, the patient has a brain injury and hemorrhage from a cerebrovascular vessel, so he must undergo a craniotomy immediately, otherwise his life is in danger!”

Zhou Yuan looked serious, looked at Lin Wen, and said, “You go and arrange for your family to sign. Also, don’t let Chuchu go to her mother. Contact with her mother for the first time may cause her mother to be infected and cause severe lung disease. Complications of transplantation!”

After speaking, with the doctor in the car, he quickly pushed Zhao Han to the operating room.

The skull, which is the brain part, is the most important command center for mankind. People who are not professionals dare not use knives in this place.

There is still a certain gap between the master cascade skull separation surgery that Zhou Yuan previously mastered and the craniotomy. The main purpose of the former is to separate the skull. In addition to separating the entangled symbiotic blood vessels, it will not perform additional treatment on the patient’s brain operating.

But… this time the craniotomy is to use a knife on Zhao Han’s brain.

Zhou Yuan must master a specific operation to perform surgery.

He took a deep breath, meditated for a moment, and then said in his heart: “Exchange for master-level posterior fossa craniotomy!”

The system responded quickly.

The three middle-level treasure chests disappeared, and the “master-level posterior fossa craniotomy” became active during the operations that had been mastered.

Postcranial fossa craniotomy, also known as posterior fossa craniotomy, is a type of craniotomy.

Craniotomy can be divided into two categories, bone window craniotomy and bone flap craniotomy.

Bone window craniotomy is the removal of part of the skull, and then a craniotomy at this part, which will cause sequelae such as skull defects after the operation. Later, I craniotomy, subtemporalis decompression, and open injury skull debridement are all of this category. of.

Bone flap craniotomy is to make some bone flaps pedicled with muscle bone flaps or free bone flaps, and turn the bone flaps into the skull. After the operation, the bone flap can be put back for suture fixation. This method will not leave bone defects, but it is generally only used for tentorium cerebellar surgery and is not suitable for the current situation.

As the master-level posterior fossa craniotomy came on, Zhou Yuan flooded his mind with a lot of knowledge and his body also mastered the experience of craniotomy.

The human skull, brain structure, etc., appear in Zhou Yuan’s brain three-dimensionally. The common lesions, the discrimination of some tricky blood vessels, the ingenious choice of craniotomy, etc., have all been scratched in Zhou Yuan’s mind.

At this time, He Jianyi and Haiyang just came out of the operating room.

The two had just cooperated with the operation and rescued an eight-year-old boy who was hovering at the death line. He Jianyi left aside the sentence “The operation went well” and hurried to Zhou Yuan.

“What’s wrong with this?” He Jianyi asked immediately.

Zhou Yuan pushed the emergency bed, ran, and reported his condition: “Intracranial injury! And spine fracture!”

These are the two most serious illnesses, and there is no need to report the others.

Zhou Yuan has no choice but to deal with vertebral fractures. Intracranial injuries must be dealt with first, otherwise Zhao Han will have a dead end. Only if his life is saved, can he repair his spine.

“I’ll go with you!” He Jianyi said solemnly, “Can you have a skull?”

“Yes!” Zhou Yuan nodded solemnly.

“You have the craniotomy and I will repair the spine!” He Jianyi said with a calm face.

The ocean also came up to the cart, “I’ll go too!”

There are no more critical patients at this time. He Jianyi and Haiyang will definitely help Zhou Yuan’s operation.

“Good!” Zhou Yuan said.

However, at this moment, Zhang Ling pushed another patient and rushed over.

As soon as I came in, the surrounding patients went crazy, flocking to the patients on the bed…

“What’s the matter?” He Jian was taken aback for a moment.

“Who is on the bed?” Haiyang asked back.

Has it caused such a sensation? ! .