Chapter 46 Cerebral Hemorrhage, Really Pediatrics
At this moment, in the rescue room, Wang Xiaobin carefully watched the brain CT film clipped on the electric light board, and looked up at William.
"Wang, what's wrong?" William, who had been an intern behind Wang Xiaobin for a full half year, naturally knew that Wang Xiaobin would have such eyes when he encountered difficulties during the operation.
"It's hard to say. It's definitely possible to save it, but I can't avoid the sequelae. If the patient had not been moved, I think..." Wang Xiaobin's tone was heavy.
The treatment method for cerebral hemorrhage is actually not complicated. It mainly reduces brain pressure and restores the patient's consciousness, but the sequelae are difficult to avoid. If you want to avoid sequelae, it is very dangerous and may even threaten the patient's life. If this is an ordinary patient, it is easy to deal with, but Mr. Ren is lying on the head, and maybe it is still the future Grandpa Yue. So Wang Xiaobin couldn't help but hesitate.
Without saying a word, William turned his head and left the operating room through the side door. When he walked out of the disinfection room again, he had an additional document that required the signature of his family.
"Doctor, how is my father?" Ren Jiyang saw the doctor coming out, but he didn't see who it was and went forward and asked.
As a professional doctor, William is used to birth, old age, sickness and death, so he said in a very plain tone: "Mr. Ren, Wang is ready for surgery, but the patient's condition is not optimistic. Originally, a sudden cerebral hemorrhage should not be sent to the hospital, but a professional doctor should be rushed to the site for treatment. Now... Wang can only save the patient's life, but cannot avoid the sequelae. If you agree to Wang for this operation, you will not be held accountable for the sequelae of the cerebral hemorrhage surgery, then Wang will do his best to save the patient's life..."
In fact, Wang Xiaobin is not irresponsible for signing a disclaimer. The most serious case of cerebral hemorrhage is paralyzed at the mildest level and death at the worst. Even if the operation is lucky and the operation is completely successful and there are no complications, it will take five to ten years to fully recover from health. Now Wang Xiaobin is worried about whether Mr. Ren can endure the coherent torture after the operation.
Ren Jiyang asked angrily: "Catch accountability? When will we still talk about responsibility?"
After waiting in the operating room for a long time, Wang Xiaobin was restless and finally walked out in person, sighing and said, "William... let me say it!"
"Xiaobin, you must save grandpa..." Ren'er rushed up and opened her mouth and cried.
When Wang Xiaobin saw that it was Ren'er, he quickly stopped and said, "Oh!" and sighed, turned around and walked into the disinfection room for secondary disinfection. William had no choice but to follow him in again.
"I'll go in and see if there is anything I can help!" Hong Zhenbang nodded to everyone, and then walked into the disinfection room.
In the operating room.
Wang Xiaobin asked William: "William, do you remember the heart pressure reduction technique I taught you?"
"Well, remember. Ah? Wang, you didn't want me..." William didn't find it strange at first, but after answering, he realized that Wang Xiaobin asked him to do it for an old man, and the risk was very high.
Heart pressure is different from brain pressure and blood pressure. Heart pressure is an independent existence. To sum up, the heartbeats too slowly and the heartbeats caused by excessive blood pressure caused by excessive blood pressure. The first two times the old man was shocked and the heart stopped beating was because of excessive heart pressure.
However, William was puzzled, but he did not dare to neglect the slightest. Wang Xiaobin looked at the movements in his hand and nodded, "Well, it's not bad! Heart pressure and decompression surgery, and you need to cut off the tendons on the patient's right wrist, and connect them in an hour. If necessary, you still need to perform a heart bypass surgery on the patient. Is there any problem?" In order to avoid William's poor Chinese and not understanding, he changed it to English. After all, what he said now has never done this in the history of surgery.
"Oh my God?! King, are you God? I can do this if you ask me to do this, but you don't know if these programs are carried out at the same time. Do patients have to be subjected to general anesthesia? With such a severe amount of anesthesia, I'm afraid that even if the cerebral hemorrhage recovers, they will definitely be paralyzed." Although William was a little crazy, he was in a well-organized manner.
Hong Zhenbang stood aside, listening to the conversation between Wang Xiaobin and William with interest, and couldn't help asking: "Is there anything I need my help?"
"You, are you Hong Zhenbang?" Wang Xiaobin noticed the man who was entering the old age. He suddenly remembered a group photo he had seen at the Old Doyle's house and couldn't help but ask.
"Yes, but the main swordsman is still the two of you. I just asked what I can do." Hong Zhenbang replied.
The operation was urgent, so Wang Xiaobin said bluntly: "You should act as nurses and inspectors for us. I don't want to encounter unnecessary disturbances and stays during the operation."
"Okay, no problem!" Hong Zhenbang nodded, then drove all the remaining medical staff out of the rescue room and told no one to enter the rescue room without permission. After a while, only Wang Xiaobin, William and Hong Zhenbang were left in the rescue room.
After preparing to stop, Wang Xiaobin nodded to the two of them and said in a deep voice: "Start!"
Seven years ago, the general anesthesia scene that Wang Xiaobin had first seen when he first came to the United States, and the top general paralysis surgery for traditional Chinese medicine acupuncture was reappeared under his hands. The highest skill of acupuncture was seven needles, the Giant Bone point and the sides of the shoulders, one needle could cause both legs to lose consciousness like a bone pulp; Yintang, Dazhui, and Dahe points respectively control all the pain cells in the human body. Therefore, after the seven needles were all over, the whole person would immediately lose pain.
"Okay, the patient is already paralyzed. William is ready to do what I said. Now start to perform cardiac pressure decompression." Wang Xiaobin ordered. On the other hand, he had already picked up a medical hair removal knife and quickly shaved a piece of hair the size of a palm-sized hair on the back of his head.
Since patients with cerebral hemorrhage cannot be placed in the pond, it will cause sputum and saliva to block the respiratory tract and cause suffocation. Although the most advanced sputum suction device has been used, I still dare not be careless, so Mr. Ren is now fixed on the operating table by lying on his side.
At the same time, William held a slender medical silver thread in his hand, and with the help of the X-ray fluoroscopy instrument, he quickly pierced into Mr. Ren's chest, and then slowly and orderly controlled the silver thread to approach the heart.
"The blood-sucking needle, the smallest one!" Wang Xiaobin carefully disinfected the scalp five times, then opened a knife cutter the size of a match head on his scalp, and then reached out to Hong Zhenbang.
"The blood-sucking needle, the smallest one!" Hong Zhenbang repeated, without stopping in his hand, quickly finding a thin needle not much thicker than his hair from the blood-sucking needle and handing it to Wang Xiaobin.
"The brain image meter, CT are all turned on, the monitor is turned on." Wang Xiaobin ordered.
Immediately, both instruments were turned on, and above Wang Xiaobin's head, the two LCD monitors also showed the patient's brain condition.
Wang Xiaobin roughly measured the length with his hands, and then used force to use his hand, the thin but very strong blood-sucking needle was bent out of three curves of varying degrees and distances.
"William, have you done it?" Wang Xiaobin asked.
"OK!" William stabbed the silver wire into the apex of the lower end of his heart, then connected a small vibrator to the exposed end, turned on the switch with his hand and replied calmly.
Although the vibration generated by the small vibrator cannot be sensed by the human body at all, it can produce a small but powerful vibration wave for the heart to beat, forming regular vibration waves.
"Be careful when the movements of your hands, you must be cut off and connected, and you must be cut off." Wang Xiaobin ordered.
***
Chapter completed!