The ambulance sent the patient directly to the CT room, and a CT scan was performed in the emergency department, which revealed cerebral hemorrhage.
The first patient had a blood volume of 110 ml, the bleeding site was in the basal ganglia, broke through the ventricles, and became comatose. He was 80 years old.
The second bleeding volume was 50 ml, and the bleeding site was also in the basal ganglia, and the person was still conscious.
In the third case, the bleeding volume was 10 ml. The bleeding site was in the thalamus. The person was in a drowsy state, which is the sleep center.
All three cases were admitted to the intensive care unit.
"It's all mine!" Liu Maqiao rolled up his sleeves and prepared to fight.
"It's all yours? I can do this 110ml one." Dr. Zou wanted to overcome the psychological shadow of last time. Patients with heavy bleeding can more easily build confidence.
"Don't get your hands dirty. Today's patients are all mine." Liu Miqiao was a little excited.
Three patients, or maybe even ten patients, can have a hearty fight. As a doctor, if the operation is successful and the patient is saved, it is a kind of enjoyment, a kind of enjoyment that ordinary people cannot appreciate.<
/p>
Dr. Zou is the attending physician in the intensive care unit, and puncture is a common practice.
In the past, they treated patients with massive bleeding, and most of the time they used hose drainage, which caused relatively large iatrogenic damage.
This time, Director Zhao Yilin made a name for minimally invasive puncture, which meant abandoning the past tube drainage technique.
Today is the first day.
Dr. Zou had never officially done it in the past, so Liu Miqiao said it was all his job, so he kept silent.
However, he still asked aggrievedly: "Should I help you prepare for the operation?"
Unexpectedly, Liu Muqiao answered simply, "You only need to be responsible for three things. One is to talk to the patient's family, the other is to write the operation records, and the third is to learn on the side. Forget it if you do it. You are slow."
."
These words almost made Dr. Zou so angry that he vomited blood.
But, isn't it right? Zhao Yilin has already told him that as an apprentice with Liu Muqiao, from now on, the two of them will be the main puncture performers in the neurology department.
"Okay."
Dr. Zou said this, but he was filled with resentment in his heart. He was just waiting to see the excitement!
Zhao Yilin was also waiting to watch the excitement. He also felt that Liu Miqiao should not be too proud. If he is too proud, he will easily raise his tail, and if he raises his tail, he will charge a high price.
He hasn’t discussed his salary with Liu Muqiao yet!
He is still hesitating as to how much money should be given to him.
Soon, the conversation was settled, and the family members of the three patients were willing to undergo paracentesis. At this time, the family members' wishes were very consistent - to listen to the doctor at all costs.
Doctors have heard this sentence many times.
Three puncture kits were brought over.
"Today, we may need to prepare ten puncture kits." Liu Maqiao said as he prepared.
"Ten?"
The resident doctor holding the bag wanted to laugh. Do you think the patients are going to the market today? In the past, ten bags could last half a month.
Liu Miqiao didn't say anything else. He started to cut the patient's hair, position it, disinfect it, lay out hole towels, cut the skin, and then picked up the electric drill to drill holes.
All in one go.
Huh?
Both of them said "Hey" secretly.
Didn’t he say that he hasn’t done aseptic surgery yet? It’s strange that he is at the level of a veteran as soon as he gets started.
A layman can watch the excitement, but an expert can tell at a glance whether there is something wrong. Liu Miqiao's aseptic operation just now is nothing to mention. Even Zhao Yilin, who has done thousands of punctures, feels that he is not so smooth.
Moving smoothly, step by step, with no gaps in between, this is simply not something a novice can do!
Dr. Zou is so disappointed.
Zhao Yilin couldn't help but stand in awe.
His aseptic operation is very standardized, so you don’t have to worry about hospital infections, and it can also be used for teaching purposes.
When negotiating with him, you can't ignore your conscience, and you really can't treat him badly with money. He is not an intern at all, but a journeyman and a master.
Liu Muqiao secretly glanced at Dr. Zou, who looked disappointed, while Zhao Yilin had admiration in his eyes.
Next, unlike the last time, I prepared two 3 mm diameter puncture needles to flush out the hematoma.
This method is used in patients with massive bleeding to replace hose drainage.
Double-tube puncture was not difficult at all for Liu Miqiao. He inserted the two needle tubes accurately and started flushing.
It took ten minutes to add normal saline and hemolytic enzyme in and out, and in the end all that came out was clear normal saline.
This example is over.
Zhao Yilin stepped forward and took a look at the patient's pupils, and said yes, yes, there has been a change, the pupils have become smaller, and importantly, the pupils on both sides have become symmetrical.
In other words, the cerebral hernia has been resolved.
As an old director, I was heartbroken. As long as there was no second bleeding, this old patient with a bleeding volume of 110 milliliters had a very high chance of surviving.
This is living advertising.
A bleeding volume of 110 milliliters is considered a massive hemorrhage. Being able to survive is a miracle in itself.
What Zhao Yilin needs now is a miracle. He hopes that his department will become a brand department of Antai Hospital. He also has a dream of becoming the second largest neurology department in the province one day.
As for the first one, if you don’t have this dream, the affiliated hospital is too powerful. It has more than twenty doctoral supervisors. It is a national-level famous department and is the main unit for compiling textbooks.
Dr. Zou is out. He has to announce the good news to the patient's family.
When the family heard this, they were overjoyed.
"So fast? We thought we were still getting haircuts?"
Dr. Zou said: "Our director performed the surgery himself and it was very successful."
"Will there be any sequelae?"
"This will definitely leave sequelae. Hemiplegia, there is nothing we can do about it. We can only try to reduce the sequelae." Dr. Zou's voice dropped a few decibels.
"It doesn't matter. Hemiplegia is hemiplegia. As long as she can breathe, we will hire two people to serve her."
"Oh." Dr. Zou breathed a sigh of relief. What he was most worried about was that the patient's family would take advantage of them. The family's understanding made him relax.
A family that can hire two nannies is awesome.
The second case was a bleeding of 50 ml. The man was still conscious. Zhao Yilin gave oral doctor's orders to inject 10 mg of diazepam intravenously.
The patient fell into deep sleep in an instant.
Puncture surgery rarely requires an anesthetist, and most of the time it can be done with just one shot.
Liu Miqiao quickly made preparations. The residents and interns observing the situation were so impressed that they had seen standard ones but never seen such smooth ones.
Not to mention doing it, it’s fun to watch.
Five minutes and everything is ready.
Liu Miqiao used an electric drill to drill a hole, then inserted the needle, and "poof", it was the third time today that he enjoyed the feeling of successfully piercing the dura mater.
Next time again.
Blood came out.
Liu Muqiao didn't pursue speed, but even if he didn't pursue it, he still finished it within ten minutes.
This chapter has been completed!