Chapter 152 Craniotomy Hematoma Removal
"Electrobrain activity is approaching to disappear!"
"Try brainstem reflexes quickly!"
"Spontaneous breathing is weak, intubation is carried out immediately!"
"Is the operating room ready?! It's necessary to have a craniotomy!"
The ICU ward was already in chaos, and a group of medical staff were busy.
Seeing her husband Ying Qin being surrounded by the middle, the family member Xu Zhen could only cover her mouth and let tears hang down!
At this time, Xu Qiaoen hurried in and shouted: "Everything is ready in the operating room. Has the surgeon confirmed?"
"I have notified Director Liang of the Department of Brain Surgery, and several other experts from the Department of Neurosurgery are also coming." Someone replied.
Xu Qiaoen said anxiously: "Then send it over quickly, it's a big drag... By the way, this is a movie that has just been made, so you can also take a look."
"Didn't you see we're busy? You said that's it."
"Through brain CT, the injured person's craniocerebral congestion has disappeared one-third compared to when he first entered the hospital, and the bleeding points have basically stopped." Xu Qiaoen reported quickly: "But there are a few blood stasis, which has metastasized and has pressed to the main brain nerve center..."
"drop……"
As if Xu Qiaoen's statement was fulfilled, the electrocardiogram monitor let out a harsh twitch!
"Cardous arrest! Defibrillator preparation!"
Someone shouted wildly.
Just as the scene became more chaotic, a figure rushed in from outside quickly. Without saying a word, he pulled out the crowd and jumped to the hospital bed.
"Song Che?!"
When everyone was calm and saw clearly, Song Che was already sitting on the hospital bed. At the same time, he tore the buttons of the patient Ying Qin's collar, then placed his left hand on the patient's heart, clenched his fist with his right hand, and tapped his back!
Hit the tip of the heart!
Everyone was stunned.
None of them has ever experienced rescuing patients with critical illness.
But few of them have witnessed it as wild as Song Che!
madman!
The cardiac arrest caused by obvious ventricular fibrillation is actually knocked with the apical area at this time. Isn’t this to aggravate ventricular fibrillation?
However, given Song Che's extraordinary strength, no one stopped him.
Then we put on the oxygen and defibrillator step by step.
After Song Che performed apical area tapping, he immediately began external heart compression for cardiac resuscitation.
Now the patient is in a deep coma and has not breathed independently, and has cardiac arrest. It will be useless if he doesn't take some hard medicine.
After pressing for three minutes, Song Che turned his head and pressed his ear to the patient's left chest. After listening for a while, he started tracheal intubation.
A series of skilled and sophisticated techniques made everyone's originally disordered mood involuntarily calm down.
It seems that everyone has a tacit understanding in their subconscious mind: as long as Song Che takes action, there will be no difficult and complicated diseases.
"The incisors were neither touched nor squeezed to the patient's lower lip, and the throat was moderately deep, impeccable!"
At this time, a sentence came from the corner of the ward.
Xu Qiaoen looked in the voice and saw a handsome man standing at the door at some point, then stepped forward and said, "Sorry, we are rescuing patients here. If you have nothing to do, go out first."
"I have something to do." The man smiled and said, "I am the assistant invited by Expert Song."
"Who are you? Which department is from? Why haven't I seen you before?" Xu Qiaoen wondered.
"My name is Lin Wendong, I am from the United States, and I am currently a professor in the Department of Medicine at Stanford University."
“…??!!”
Xu Qiaoen was shocked for a moment and couldn't figure out where Song Che came from to a Stanford University medical professor to be an assistant.
At the same time, Song Che also completed the intubation process, and when the nurse turned on the oxygen catheter, the intravenous passage was also completed.
"1 mg of epinephrine, injection every five minutes, defibrillator, 300j."
While giving orders, Song Che picked up the defibrillator and landed it steadily on the patient's chest!
Looking at the wavy lines on the electrocardiogram monitor, Lin Wendong also took a step forward and said: "Try intravenous infusion of 5% sodium bicarbonate."
"No, the patient is likely to have respiratory acidosis now, and the extracellular fluid is in a state of alkaline poisoning. Moreover, the patient's respiratory insufficiency, and the infusion of sodium bicarbonate at this time will inevitably produce a large amount of carbon dioxide!" Song Che shook his head and said, "Open another intravenous channel and inject 80 mg of lidocaine!"
Soon, the lidocaine injection began and the conductive paste was applied again.
Prepare! Leave the bed!
Defibrillation again!
The instant electric current made the patient lift up.
Then everyone breathed a sigh of relief.
The ECG monitor shows that the heartbeat has recovered.
But Song Che was still full of grim expression and said, "Send it to the operating room immediately to perform a craniotomy hematoma removal!"
"I will be your assistant." Lin Wendong said: "I have majored in neurosurgery and brain surgery, but my skills have not fallen."
Song Che nodded silently.
At this moment, experts from the brain surgery and neurosurgery department will arrive at some point, but the patients can’t wait for a second!
"Doctor Song, please save him... My child cannot be without a father!" Xu Zhen grabbed this gap, stepped forward and took Song Che's arm, and said with tears in his eyes.
Song Che did not make an oath to promise, but just reached out and patted Xu Zhen's back of his hand.
Xu Qiaoen also came up to support Xu Zhen at the right time.
A few minutes later, the cart rushed into the operating room.
Lin Wendong, who had changed into surgical gowns, looked at the brain CT scan that was already hanging on the projector and said, "The blood congestion range has been controlled and there are signs of fading. How did you do it?"
"Eat earthworms."
Song Che replied directly, then confirmed with the anesthesiologist, then grabbed the sharp scalpel with one hand and rubbed the patient's brain with the other, as if weighing the ripening of the watermelon.
"The first step is to make a horseshoe-shaped incision to bite the skull!" Song Che said decisively.
Lin Wendong was stunned and hesitated: "Don't you make a formed bone flap?"
"Which bone flap can be more fully exposed, but it is too time-consuming. I have basically mastered the location of blood stasis. In addition, it is about to die in the brain, so it's better to fight and decide quickly."
Song Che did not allow Lin Wendong to discuss it, so he started to cut the cortex with a knife.
Lin Wendong saw the process in his eyes, and the shock in his eyes became even more intense.
It can be said that during craniotomy surgery, cortical removal is undoubtedly the first difficulty.
Although there is only such a thin layer of skin, the process of inserting the knife should not only avoid damaging the blood vessel nerves, but also have appropriate deep incisions to reach the hematoma cavity.
As the saying goes, the difference is in danger!
However, as time went by, Lin Wendong did not see a trace of blood seeping out of the incision!
It seems that this brain tissue has been fully displayed in the mind of the knife-holder!
The cortex, subcutaneous layer, aponeurosis layer, and periosteum layer are uncovered layer by layer, just like a cook who cuts a cow.
Then, Lin Wendong took a specific skull drill and handed it to Song Che. At the same time, he kept breathing and witnessed the whole process of the skull being opened...
Chapter completed!