When a doctor opened a plug-in

Although Zhang Zhipeng does not have the ability to deal with such patients!

But it won't be messy!

Quickly picked up the phone and contacted the department director!

At this time, the patient's situation is very complicated, and you must find the boss for this kind of thing.

"Professor Chen, I'll call our Director Hu!"

It was only 11 o'clock in the evening, and the call was connected soon after.

"Director Hu, this is Xiao Zhang and Zhang Zhipeng. Professor Chen Cang came to the emergency department with a patient with intercourse stroke. Now there is a large area of ​​cerebral hemorrhage. I suspect it is a ruptured intracranial hemangioma."

"Now the patient is in a coma, and the hematoma is relatively large, about 4x3x4, oppressing the pituitary gland..."

After speaking, Zhang Zhipeng handed the phone to Chen Cang: "Professor Chen, Director Hu calls."

Chen Cang said, "Director Hu, hello, I am Chen Cang."

Hu Chuanbang’s voice is more vigorous, and Chen Cang had a fate. This is a man with a straight face and a very imposing Chinese character: "Well, Professor Chen, I will go over immediately. You can maintain the patient’s vital signs as much as possible. , Give sulfacetamide + vitamin K, while reducing intracranial pressure to prevent the spread of edema..."

Hu Chuanbang didn't talk nonsense, and directly explained the situation to Chen Cang, then hung up the phone and got up hurriedly.

As a doctor, even if you are the director, you have to make this preparation anytime, anywhere!

After hanging up the phone, Chen Cang was not idle either, and Zhang Zhipeng hurriedly started to prepare.

Zhang Zhipeng picked up the phone and called the operating room, trying his best to settle all these things in advance before the director arrived at the hospital.

The neurosurgery operating room has specialized equipment and a team of nurses. This is a unique treatment for neurosurgery!

Hu Chuanbang is also known as a neurosurgeon who is not worse than Xue Zhengren.

Hu Chuanbang was obsessed with surgery all his life, but rarely won awards, so he naturally missed the academician, and he belonged to the representative of the practical school in the medical industry.

With the arrival of Director Hu, Chen Cang can finally breathe a sigh of relief!

As a doctor, you must remember two things.

When it's up to you to do it, it's your duty.

When you shouldn't do it, don't be greedy!

The operation is irreversible.

There is no second time in life.

At this time, Chen Cang only needs to maintain the patient's vital signs.

"Ice cap cooling down!"

External application of ice packs and ice caps cannot reduce intracranial pressure.

It is because those hematomas of cerebral hemorrhage can cause ischemia and hypoxia of surrounding tissues to form edema, leading to neurological deficits.

The cooling treatment can reduce brain metabolism and oxygen consumption in the ischemic area around the hematoma, which is beneficial to the recovery of brain tissue and cells and reduces edema.

At this time, Chen Cang can't do much!

Time goes by every minute!

Everyone is waiting anxiously.

But at this time, nurse A Liu said, "Professor Chen, the patient is starting to restless again!"

The sedative that I did not measure just now seems useless!

Just when Chen Cang was about to continue the injection.

Suddenly something happened.

He hurriedly took the flashlight, walked to the patient, opened his eyes, and started to check!

Suddenly, he found that the pupils on both sides of the patient were not equal in size!

and……

Slow reflection on light!

Chen Cang's expression suddenly changed!

He looked up at the monitor and found that the patient's blood pressure rose again and his pulse slowed down!

What a bad thing!

Chen Cang turned to Zhang Zhipeng and said, "Dr. Zhang, the patient has a brain herniation and needs immediate surgery!"

Zhang Zhipeng was stunned!

Herniated?

Can this be seen as a brain herniation?

In fact, it is due to Chen Cang's perfect neurology diagnosis ability!

What is a brain herniation?

That is, when there is a space-occupying lesion in a certain cavity in the cranial cavity, the pressure of this cavity is higher than the pressure of the adjacent cavity!

At this time, the brain tissue will shift from the high-pressure area to the low-pressure area, causing a series of clinical syndromes called brain herniation.

It's not that the brain is about to come out of the head!

If that's the case, the gods can't save it.

At this time, a brain herniation occurred, the most important thing is to cut and drain to reduce intracranial pressure.

It cannot be delayed for too long at all, because once a brain herniation occurs, the situation will start to aggravate and must be dealt with urgently!

To be honest!

If it weren't for Chen Cang who couldn't have the craniotomy with his bare hands, he would have been operating in the rescue room long ago!

Seeing Zhang Zhipeng's staring gaze at this time, Chen Cang had no time to explain.

"Let's go, send to the operating room! Surgery as soon as possible, it's too late!"

Zhang Zhipeng responded quickly!

In his heart, Professor Chen is better than him. He was right!

In fact, to be a little doctor, you must have the consciousness of a little doctor!

Don't be stubborn, it's better to be obedient when you meet a big cow!

A Liu and Chen Cang pushed the bed, and here Zhang Zhipeng led the way.

By the way, pick up the phone and notify the director.

"Director, Professor Chen said that the patient had a brain herniation and he needs an operation immediately!"

Hu Chuanbang who was driving couldn't help but was taken aback.

With a kick of the accelerator, the old-fashioned Junyue was also a bit faster.

"Cooperate with Professor Chen!"

Hu Chuanbang didn't know Chen Cang, but he had heard of Chen Cang's deeds and knew that Chen Cang would perform neurosurgery.

Hu Chuanbang knew that now he can only believe in Chen Cang!

If the patient really has a brain herniation, it takes too long and everyone is gone!

But if it is not a brain herniation, there is nothing wrong with craniotomy in advance.

Therefore, Hu Chuanbang chose to trust Chen Cang.

Let Zhang Zhipeng cooperate is the best choice.

Because... he can't help it if he doesn't agree!

...

...

It didn't take long for the three to arrive in the operating room.

"Prepare for surgery!"

Zhang Zhipeng hurriedly prepared.

After coming out, Zhang Zhipeng and Chen Cang were a little nervous to be honest when they washed their hands together.

After thinking about it, he thinks Chen Cang should be his support, right?

"Professor Chen, do you often perform this operation?" Zhang Zhipeng asked in a low voice.

Chen Cang was stunned for a moment: "It's the first time!"

Zhang Zhipeng soap fell into the sink!

I felt even more flustered.

"Professor Chen is joking!"

Chen Cang was taken aback for a moment: "I'm serious, you will help me with drainage in a while, and I will have a craniotomy!"

After speaking, Chen Cang took the lead to walk inside.

Zhang Zhipeng was left with a dazed expression, and then he laughed hahaha.

"Professor Chen, you are so humorous!"

Chen Cang didn't explain it either.

In the operating room.

Looking at the CT film on the light screen.

Chen Cang began to judge and discern where the holes were punched.

To be honest, the perfect drilling and exploration operation gave Chen Cang the ability to choose the most suitable place to open!

At this time, Zhang Zhipeng, who was dressed, asked, "Professor Chen, should I install the stereotaxic device?"

Chen Cang shook his head: "No need!"

Zhang Zhipeng was taken aback for a moment: "How do you open the skull without a locator? Where do you open the skull?"

Chen Cang drew an area on the head completed by skin preparation: "Here!"

Zhang Zhipeng's mouth twitched: "Is it too random..."

"Professor Chen, are you thinking about it?"

Chen Cang has already picked up the scalpel...

...

ps: Three chapters are delivered, and there are three more in the evening.

Finally... ask for a monthly pass, big brothers!