In emergency surgery, only the chief physician dares to perform surgeries involving the brain and internal organs.
There is no surgery in small hospitals, but it is impossible for large hospitals to perform surgeries across specialties, let alone across groups.
Zhao Yuan's eight treatment groups are undoubtedly an exception.
They did a very exciting operation like this, which other emergency treatment teams avoided.
Zhao Yuan asked Jiang Jing to deal with the problems of the brain and Qin Yi to deal with the problems of the internal organs.
Coordinate the overall situation by yourself!
Zhao Yuan has a clear path and direction for the division of labor between Jiang Jing and Qin Yi.
Jiang Jing's basic skills in the field of chest and heart are very solid, so he will let Jiang Jing handle similar surgeries. In addition, he found that Jiang Jing is also particularly interested in neurosurgery diseases, so when there is an opportunity, he will let Jiang Jing practice.
As for Qin Yi, who is from a commoner background, she is proficient in many fields, and she can handle injuries below the chest very well.
In short, Jiang Jing is responsible for the upper part of the chest; Qin Yi is responsible for the lower part of the chest!
The surgery begins with skin preparation.
The man was shaved bald.
Then the craniotomy was performed and drainage was performed.
Why is cerebral hemorrhage scary?
The brain has a very tough outer membrane. Naturally, when creating things, in order to reduce external stimulation, it was specially wrapped with a thin film.
When the internal blood vessels rupture, the blood spurts out, and the tough membrane faces outward. It cannot break through and can only find space deep in the skull.
The sprayed blood is soft to the epicranial membrane, but to the brain tissue, it is comparable to a high-pressure water gun.
Wherever it rushes, it will be bad.
Moreover, this kind of destruction is an organic blow.
For example, the man's slow speech and abnormal reactions just now may mean that the center involved in language management has suffered trauma.
Jiang Jing prepares for puncture.
Zhao Yuan reminded softly, "Be careful!"
Then, he stood next to the anesthesiologist and paid attention to vital signs.
Kill people, save people?
This link is very critical.
Enter, insert slowly!
The puncture needle is inserted into the brain tissue, similar to the chopsticks inserted into tofu.
Qin Yi was observing Jiang Jing's hands from the side, her eyes full of envy.
The basic skills that I have always been proud of are not as solid as Jiang Jing's.
Perhaps it was because Jiang Jing was doing cardiac surgery and she was doing general surgery, the gap was revealed.
"Glucocorticoids are put into the pot to stabilize the patient's blood pressure. Dr. Jiang is ready to draw blood!"
The operation is left to Jiang Jing, and the overall control and plan advancement are all in Zhao Yuan's mind.
He has now changed his identity. He is no longer a general charging into the battle, but a strategic commander behind the camp and the brains of the team!
It seems that the surgery was completed by Jiang Jing and Qin Yi, but in fact there is no brain like Zhao Yuan.
The confidence of the two assistants would not be so strong.
Because Zhao Yuan is watching, he knows that as long as he follows the rhythm, he will not go wrong.
Jiang Jing cherishes this opportunity very much.
Aspiration, the blood is slowly sucked out of the puncture needle.
“30ml?!”
This amount of bleeding is already quite terrifying.
Zhao Yuan took a look at his vital signs, with a look of relief in his eyes.
Experienced doctors can see the patient's condition from the instrument data.
The patient was very lucky. Although the brain tissue was compressed, judging from the physical signs, the impact was not too great.
After the cranial surgery was completed, Zhao Yuan gave the order, and Qin Yi began to deal with the problem of intracavity organ damage.
Qin Yi made an incision on the midline of the abdomen.
There is a point to note here, you must avoid the navel.
In summer, many girls like to wear midriff-baring clothes.
In the eyes of surgeons, this place is not beautiful at all, but a place where dirt and evil practices accumulate. It is not even much different from the eye where digestive products are excreted.
If an incision is made at this location, it will be difficult to recover after surgery, and it can easily lead to infection.
When doing abdominal surgery, focus on disinfecting this area.
When the peritoneum was opened, a large amount of blood stasis appeared.
"The bleeding point is in the spleen. Partial resection is required." Zhao Yuan reminded Qin Yi.
Qin Yi secretly thought that Zhao Yuan had no idea before she found the bleeding point?
Facts soon proved that Team Leader Zhao’s prediction was correct.
Qin Yi smiled at Zhao Yuan and expressed sincere admiration, "You are so awesome!"
Then, start working on the spleen!
The spleen was not taken seriously many years ago.
The medical community believes that the hematopoietic organ in human childhood will become a vestigial organ like the tail bone in adulthood.
However, with the deepening of research, it was later discovered that the spleen is an important immune organ of the human body.
At this point, Chinese medicine’s understanding of the spleen is obviously higher than that of Western medicine.
Traditional Chinese medicine has always regarded the spleen as an important organ in the health of the body, as important as the heart, lungs, liver and kidneys.
With the development of evidence-based medicine, Western medicine has defined the spleen as the largest immune organ in the human body.
There is a thin film on the outside of the spleen. In many cases, there are no symptoms at all when trauma occurs. Because this thin coat blocks the spleen, when bleeding breaks through this layer of clothing, it is the time of shock.
This was the reason why the man suddenly went into shock just now.
"Is it all done?" Qin Yi asked Zhao Yuan.
Zhao Yuan shook his head, "Cut the necrotic part, five centimeters!"
Qin Yi stared at the bean-shaped spleen, already accustomed to Zhao Yuan's decision-making.
If the director of general surgery had performed this surgery in the past, he would probably have cut it off directly to save trouble.
Partial resection is obviously much more complicated than total resection.
After distinguishing the arteries in the upper pole and the veins in the lower pole, slowly ligate them one by one.
Zhao Yuan was satisfied with Qin Yi's operation. Knotting, incision, and suturing were all basic skills, and Qin Yi mastered them very well.
If you use a little more force, the blood vessels will be strangled, but if you use less force, the blood vessels will not be ligated.
After the blood vessels were ligated one by one, Qin Yi subconsciously exhaled.
She was actually very nervous, afraid of making mistakes.
Next, wait. After a few minutes, a boundary appears between the blood and blood-free areas of the spleen. One side is red, and the other side becomes pale because there is no blood supply.
Qin Yi took the scalpel from the instrument nurse, used the scalpel to cut the coat of the spleen one centimeter away from the junction line, and then used the handle to cut into the spleen.
Accurate to the point!
At this time, Zhao Yuan’s reminder was just right!
"Beware of oppression."
Qin Yi came to her senses and pressed the edge with her left thumb and index finger to fix the spleen and effectively control and reduce bleeding.
When I was in general surgery, there weren't so many things going on.
However, it is different in the eight treatment groups. Zhao Yuan will dig into the details of your surgery.
After picking at it for a long time, Qin Yi was no longer so disgusted.
If it is not picked, it will be uncomfortable.
Zhao Yuan secretly thought that Qin Yi had practiced the basic finger skills very well.
This operation seems simple, but it is not easy.
It's like wearing rubber gloves and trying to catch a slippery eel. You have to lock the eel in place to ensure that it's in a fixed position, and the force shouldn't be too great.
Finally, the damaged part of the spleen was removed.
Qin Yi put the resected part into the tissue bag and breathed a sigh of relief.
However, the operation is not over yet.
The next stitching is very critical.
Qin Yi has had too many splenectomy surgeries, but she gets particularly nervous every time she is with Zhao Yuan.
Although Team Leader Zhao doesn't curse, his cold glance at you is even more uncomfortable than pointing at your nose and scolding you!
Qin Yi takes care of the sutures carefully.
Because it is a very fragile tissue, thick threads must be used, which would cause a headache for general surgery.
Three stitches per second, mattress sutures combined with interrupted sutures, and finally the broad bean-shaped spleen turned into a cone shape.
Qin Yi felt relieved, "Team Leader Zhao, the look in your eyes just now was so scary. You felt like I made a mistake and you were going to kill me."
Zhao Yuan burst into laughter, "You are too nervous! You sweat too much. This aspect must be controlled in the future. The surgeon cannot sweat too much, as it will affect the sterile environment."
Qin Yi stuck out her tongue and said with a smile, "I understand! Team leader Zhao doesn't like watery things!"
Zhao Yuan looked at Qin Yi awkwardly.
Bai Lu stood not far away with a red face, muttering to herself, what a female hooligan!
The circulating nurse standing in the distance was a mother of two children, covering her mouth and smiling non-stop.
Zhao Yuan smiled lightly and said nothing!
The operation was a success. It doesn't hurt that Dr. Qin opened a vaginal cavity to liven up the atmosphere!
