"Dr. Wang, who is talking?" Director Tang's voice came from the mobile phone. He seemed to be "bullied", and Director Tang sounded unhappy.
Doctor Wang pointed at the cell phone and said: "It's the medical students from the National Association of Medical Sciences who are saying that we can't save people in neurosurgery."
"Medical student? Which medical student?"
"Director Tang." Dr. Wang reported in a low voice, "The director's nephew is here. She may be Yue Wentong's classmate."
"Is Yue Wentong here?" Director Tang knew the dean's famous nephew.
"Yes, Director Tang."
"Tell him to call the dean. If he doesn't believe us, question us, ask them to call our dean. Let the dean come forward to explain. As for the student who asked why we didn't do lateral ventricular drainage for the injured, you
, Dr. Wang, immediately told her why. As a student, she has never done neurosurgery, how can she know what is going on? Doesn’t she know that many things written in textbooks are not clinically consistent? " said Director Tang.
It became louder and louder after that, and it seemed that he was hurt by the words of an intern and was very annoyed.
After Director Tang's guidance, Dr. Wang turned around and refuted Xie Wanying's words, speaking in professional academic terms: "The measures you mentioned are not clinically the best solution. It is not impossible for patients to undergo lateral ventricular drainage, but it depends on the patient.
The specific situation. This injured person has an acute posterior fossa hematoma, an acute increase in pressure in the posterior fossa, and hydrocephalus. First of all, mannitol should be dropped to reduce intracranial pressure. We are doing this rescue measure. External drainage of the lateral ventricle is a textbook
However, if this is done clinically, it will release the cerebrospinal fluid too quickly, causing an imbalance in the supratentorial and infratentorial pressure, and forming a supratentorial herniation again. This means that it will worsen the condition of the injured person, so clinically
This approach is often not adopted in hospitals. It should be to ignore the ventricular drainage and directly perform the posterior fossa hematoma removal surgery, and then open the ventricular drainage tube according to the situation after the operation. As a resident doctor, I cannot perform such an operation, so I asked you to transfer the injured person.
Go to the National Association. Instead of wasting your words on us here, you should transfer to the hospital quickly."
"Nonsense." Faced with the opponent's long speech, Xie Wanying only responded with two words.
"What did you say?" Dr. Wang was about to explode. How could she, a medical student, have the confidence to question the professional words of specialists like them?
Yes, it depends on the specific situation of the patient. But the question is what is Sister Xu's condition? She cannot wait for the operation, so she needs to do ventricular drainage first to gain the chance of surgery. If she is transferred to another hospital, Sister Xu will definitely die halfway. These guys are specialists.
Doctors, could you not have expected this kind of thing? Anyway, if the patient is transferred to another hospital, it has nothing to do with them. So I hope they can transfer the patient quickly.
What the squad leader said is correct. You can't believe a word these people say.
"You said it was too late. How did you know it was too late? Do you know that you are wasting her life-saving time here? Hey -" Dr. Wang was halfway through his confident and angry words when he suddenly heard something, making him seem to be standing still.
Can't stand still.
Beep beep, beep beep, the ECG monitor sounded an alarm.
"Get ready for endotracheal intubation." Xiao Yang turned around and shouted. Unexpectedly, as Xie Wanying said, it was too late.
The injured person's breathing rate and heart rate are both decreasing.
If something like this happened on the way to the hospital, it would be troublesome. Where would the ventilator come from in the ambulance?