Zhao Yuan nodded slightly, "That's right! The patient had a cerebral hemorrhage! As for the real time of the illness, it was last night when you hit her on the head!"
"Why did she have a cerebral hemorrhage?" The husband couldn't believe it. "I slapped her in the face, and she slapped me three or four times! Why didn't anything happen to me?"
Zhao Yuan couldn't laugh or cry, and he clearly hated domestic violence.
For a moment, I felt a little pitiful about this man!
Zhao Yuan explained patiently, "There are many nerves and blood vessels in the human head. The violent act last night caused a blood vessel in her brain to rupture. It did not show up at the time, but after a night, a large amount of blood overflowed, compressing the nerves, causing mental abnormalities.
The behavior of hitting the glass this morning and the sudden attack on Dr. Sun just now are all related to this reason."
The husband regretted it endlessly, "Doctor, what should I do now? Should I have an operation?"
"Let's do a brain check first!"
Zhao Yuan glanced at Sun Liang and said, "Hurry up and inform Director Tong that this patient will most likely need intracranial hematoma removal surgery and you need his advice!"
"okay!"
Sun Liang rubbed his neck. Although there were still teeth marks, the wound was not deep and the bleeding had stopped.
Resident doctor Xiao Ke left dejectedly.
My mentality exploded again.
He knew that Zhao Yuan was very strong in physical examination and diagnosis.
But he does not believe that a patient can be determined to have a cerebral hemorrhage just by physical examination without the need for instruments.
By the time he walked to the office, the results of the inspection report were also available.
As Zhao Yuan said, the woman really had a cerebral hemorrhage!
Sun Liang had long been numb to Zhao Yuan's superb physical examination skills.
However, nurses are still very enthusiastic about it.
"Why is Dr. Zhao's physical examination so good?"
"Physical examination requires talent. Although everyone knows the method, not everyone can find the correct answer from the patient's reaction."
"Traditional Chinese medicine often says that they don't need to rely on equipment to diagnose patients. They only need to look, smell, and ask to know the patient's condition. In fact, if the physical examination skills of Western medicine are practiced well, the same effect can be achieved."
"I just saw Director Xing of the Emergency Medicine Department. He also praised Zhao Yuan for being very good!"
"Really? Director Xing is the most powerful physical examination expert in the emergency center. He has been a doctor for more than 30 years and has never made a misdiagnosis!"
…
Tong Zheng strode into the operating room.
The patient's body is already covered with various tubes, and he has entered a comatose state under the influence of anesthesia.
"Prepare for minimally invasive ventriculoscopic detumescence surgery! Zhao Yuan, you will be the first assistant."
Sun Liang looked at Tong Zheng expectantly, but was ultimately disappointed.
Tong Zheng did not give Sun Liang a chance to help.
The reason why Tong Zheng has a stable position in the emergency surgery department is not only because he is a "friend of women", but he is also a master in the field of neurosurgery.
Emergency doctors need to deal with a large number of patients with complex conditions every day, so emergency doctors are also called general practitioners.
Tong Zheng is a typical all-round surgical talent.
He has a very high level in many fields such as gynecology, hepatobiliary surgery, neurosurgery, cardiothoracic surgery, etc.
This is also the reason why Chang Hongbo entrusted Zhao Yuan to him.
Talents like Tong Zheng are scarce in any hospital and are a huge loss to Tianhua Hospital.
Although he is Zhao Yuan's instructor, Tong Zheng has always adopted a carefree approach towards Zhao Yuan.
Of course, Tong Zheng still plans to find an opportunity to teach Zhao Yuan some unique skills.
Today's surgery is a good opportunity.
Ventriculoscopic minimally invasive detumescence surgery is a third-level neurosurgery operation.
Although it is not difficult, because it involves new technologies and new equipment, there are only a handful of neurosurgery doctors who can perform this operation.
As for emergency surgery, no one can do it except Tong Zheng!
Preoperative preparation begins in the operating room.
"Do you know how to assemble a ventriculoscope?"
"I know. I've seen the video."
Everyone in the operating room was very familiar with Zhao Yuan.
With Zhao Yuan's character, he would never take action if he was not sure.
"Then let's get started!"
Tong Zheng has no further words.
He knew that Zhao Yuan had just started his internship and was more of an armchair strategist in school, and might not have any experience in clinical microsurgery.
Zhao Yuan breathed out softly.
He is no stranger to ventriculoscopic surgery.
As a military doctor, you often have to deal with brain diseases.
He gestured with his hand in front of his forehead to guide him to remove the hair from the "kocher point" exposed on the patient's forehead.
When the scalp was exposed, Zhao Yuan picked up the scalpel.
Without any hesitation, make an incision about 3 cm in length.
Zhao Yuan chose a good location.
Tong Zheng nodded in approval.
Bai Lu patted the instrument into Zhao Yuan's hand.
She didn't expect that Zhao Yuan was no stranger to ventriculoscopic surgery.
It's not like having this surgery for the first time at all.
The difficulty of ventriculoscopic surgery lies in installing the ventriculoscope.
Then, use endoscopic techniques to find and treat the lesions.
Zhao Yuan's previous steps were very smooth, without any sloppiness.
As for the subsequent steps, the skull is drilled, the bone flap is removed, and the dura mater is cut crosswise.
The operation is even more seamless.
As the scope sheath entered the frontal corner of the right ventricle along the puncture channel, Zhao Yuan completed the most critical step, inserting the ventriculoscope.
At this time, the panoramic view of the right ventricle can be clearly seen through the microscope.
Next, the fistula is deswollen and swollen.
Tong Zheng couldn't help but ask, "Have you really never done this kind of surgery?"
Zhao Yuan's entire face was pasted on the microscope.
Of course he couldn't tell the truth.
"Never! However, I have actually studied more than ten videos."
"..."
Although it is illogical, Tong Zheng can only believe that Zhao Yuan learned it from the video.
Because Zhao Yuan is a medical student, there is no chance of clinical practice.
With the support of his vision, Zhao Yuan quickly found the bleeding point.
Remove the old hematoma and then use electrocoagulation to stop the bleeding points one by one.
The hardest part of the surgery is done.
Routine craniotomy to remove the hematoma takes three hours.
However, ventriculoscopic minimally invasive detumescence surgery only takes an hour and causes minimal trauma to the patient.
Although the surgery will be more expensive, many patients are more willing to accept new technologies.
Tong Zheng is one of the first domestic surgical experts to learn the minimally invasive technique of ventriculoscopy. Every year, hospitals at all levels under the Tianhua Group arrange for doctors to go to the main hospital to learn new technologies from Tong Zheng.
Mastering a new technology can directly enhance the hard power of a hospital.
Tong Zheng plans to introduce Zhao Yuan today.
Unexpectedly, Zhao Yuan didn't need to be taught at all.
Tong Zheng looks peaceful on the surface, but he has complex emotions surging inside.
Shocked, disappointed, proud...
Just through self-study through videos, you will master the key.
——This is genius!
Unknowingly, Zhao Yuan completed the last step.
Cut off the absorbable thread.
Tong Zheng gently clasped his hands together, his eyes filled with love.
Stupid disciples cannot teach them no matter how hard they teach them.
Smart disciples can learn on their own without being taught!
“The surgical procedure was clear and reasonable!
A head CT scan was performed 24 hours after the operation. If there were no problems, it was a success."
…
The group of eating melons in the emergency surgery department is in trouble again!
"Dr. Zhao can even perform ventriculoscopic minimally invasive surgery!"
"Is the teaching at Shonan Medical College so in-depth?"
"Think too much! There are many graduates of Xiangnan Medical College every year, but there is only one Dr. Zhao!"
