Different pupils?

This is a big problem! It means that the patient's pupils are bleak, completely lost consciousness and fell into a coma. Even if he knows the condition, it is not a good operation.

"Why do you give the patient a routine blood test first?"

Dr. Liu suggested.

"Well, do a blood routine. Dr. Zhong, please ask the patient's family to see if the patient has any previous medical history. I suspect the patient has cerebral hemorrhage, but it is related to the patient's previous medical history."

Wang Yangdao.

Dr. Zhong went out of the emergency room and began to negotiate with the patient's family, telling the patient's family about the current critical situation.

"Qin Wen, give the patient a brain ct."

Wang Yang ordered in an orderly manner without any panic.

Because Wang Yang knows the patient's condition through the system, he only needs to determine whether the patient's cerebral hemorrhage is sinus or non-sinus.

"Train intubation first."

Wang Yang ordered.

Zhao Meng was quickly called over and performed tracheal intubation, waiting for the result of Qin Wen's brain CT.

During this process, the sound of tic-cardiogram monitoring made everyone in the rescue room feel nervous, mainly the equipment of the county hospital, which made them feel powerless.

"Dr. Wang, the patient had a cerebral hemorrhage surgery a few years ago."

Dr. Zhong came back and said.

Wang Yang nodded. In fact, the questions he asked were all to convince the rest of the rescue room. Only when Wang Yang operated it later would he not be so shocked by the world.

"CT is out."

Qin Wen pointed at the image and said.

Everyone hurriedly surrounded him. Wang Yang saw that the patient had a thalamic hemorrhage and broke into the ventricle. The amount of hematoma in the brain was greater than 15ml, which was cast in secondary ventricular hemorrhage.

"Dr. Wang, we don't understand this in general surgery."

Dr. Liu smiled.

After all, cerebral hemorrhage belongs to the oncology department or neurosurgery department. Dr. Liu and Dr. Zhong are both general surgeons. It is good to be able to tell that it is cerebral hemorrhage. As for the treatment, they can't do it for a long time.

"Will this patient be dead?"

A doctor who followed Dr. Liu suddenly spoke.

Everyone turned their eyes to him, and the doctor covered his mouth, knowing that he had said the wrong thing.

"Does the patient call the city hospital and transfer it?

Even if there are instruments, no one can do the surgery.”

Dr. Liu suggested.

"The flood is too serious. When the city hospital comes over, the patients may have passed."

Dr. Zhong raised an objection, "No matter what, we must first restore the patient's heart rate and blood pressure, otherwise the patient will die of shock due to ischemia and hypoxia."

“I can do the surgery.”

Wang Yang suddenly spoke.

"Can you do it?"

The doctors were all looking suspiciously, and they really didn't believe Wang Yangneng's cerebral hemorrhage surgery.

When Li Xiang saw everyone like this, he curled his lips. These people really didn't know that Wang Yang was powerful. They were just cerebral hemorrhage, which made them helpless. Now they are still suspicious of Wang Yang. It's ridiculous.

"The film shows that the patient's third ventricle is enlarged, midbrain ductile vessels and fourth ventricle hemorrhage should be a ventricle casting caused by severe ventricular recurrent thalamic hemorrhage. The emergency dilation of the ventricle and obstruction of cerebrospinal fluid circulation form non-communicational hemorrhage. There may be brain hernia, and it is necessary to immediately remove the thalamus and the hematoma in the ventricular region, otherwise it will cause the patient's thalamus to lose its functionality."

Wang Yang spoke.

Everyone looked at Wang Yang in surprise, but they didn't expect that Wang Yang would have such a deep study on cerebral hemorrhage.

"Dr. Wang is from the interventional department, and neurosurgery is closely related to the interventional department."

Chang Yu started assisting.

Some people even opened their mouths when they didn't know Wang Yang's identity. During this period, Wang Yang relied on surgical operations to conquer them. As for interventional surgery, they only had one tips from beginning to end, and they didn't show much, which naturally made people forget.

"Doctor Wang, are you sure?"

Dr. Zhong asked.

“It shouldn’t be a big problem.”

Wang Yangdao.

Wang Yang recently looked at the future treatment methods for this severe ventricular thalamic hemorrhage when he was bored in the system library.

According to current methods, even experts in cerebral hemorrhage will be helpless.

After all, thalamic hemorrhage is different from other brain hemorrhages. This place is quite special. The traditional craniotomy operating room translateral fissure-suland approach or lateral fissure and angular circumference approach, triangular approach and temporal lobe fistula surgery will damage the inner capsule and nerve conduction bundles in more important parts of the brain to varying degrees, aggravate the patient's postoperative neurological dysfunction.

This is why more and more patients with cerebral hemorrhage have begun to take interventional measures and minimally invasive neurosurgery.

The method recorded in that publication is to use endoscopic-assisted translateral ventricle frontal approach to treat patients with severe ventricular thalamic hemorrhage. The operation takes about two periods, and the first period mainly removes hematoma in the thalamus and ventricles.

"Prepare for the surgery."

Seeing that Wang Yang was determined, Dr. Zhong directly asked the anesthesiologist to take the patient to the operation, "What kind of surgery are you going to take?"

"Translateral ventricular frontal approach surgery assisted by endoscopy."

Wang Yangdao.

"good."

Dr. Zhong agreed and suddenly thought that he seemed not familiar with the procedure, "What equipment do you need?"

"The endoscopy of 0° and 30° and the No. 10 silicone tube..." Wang Yang said the equipment he needed, and the nurse next to Dr. Zhong recorded it.

After Wang Yang finished speaking, he took Li Xiang to the operating room, and Chang Yu followed him. This was a good opportunity to learn. In the previous surgery, Chang Yu really just had the mentality of seeing. As for learning, it was impossible.

However, this cerebral hemorrhage is different. Wang Yang obviously needs to use neurosurgery to deal with it, which is worth learning from Chang Yu.

Neurosurgery and interventional departments are not separated in some municipal hospitals, and there are areas worth learning about surgery.

“Treat general anesthesia.”

Wang Yangdao.

Zhao Meng nodded, controlling the amount of anesthetic agent, while Wang Yang was dressed neatly and rubbed his fingers across his arms, and then began to prepare for the operation.

"Did the instrument nurse and the instrument come?"

Wang Yang asked.

"I contacted Meng Yue and I'll be here soon."

Li Xiang stood in the position of Ichisu.

When Wang Yang heard the word Meng Yue, his tone became softer.

When Meng Yue came in, there were still water droplets on her face. She probably was woken up when she was sleeping. She went to the bathroom to wash her face and woke up. She came over before she could wipe her face.

Wang Yang looked at Meng Yue with great distress and said, "You should sleep with peace of mind and change it to someone else."

"The nurse has never done this surgery, so it's better for me."

Meng Yue snorted.

Wang Yang wanted to reach out and touch Meng Yue's head, but suddenly he thought that he was wearing a sterile clothing, so he gave up this action and started the operation directly.
Chapter completed!