In addition to general endoscopic surgery skills, Director Wen's traditional surgery skills are definitely above the standard.
After some manipulations, a small hole was drilled into the skull.
During the whole process, Director Wen's gestures were full of mastery.
"Okay, Xiao Zhou, the next operation will be left to you!"
Director Wen moved away from the chief surgeon.
Zhou Can walked to the main knife position with ease and stood still, without any formality.
Director Liu and Dr. Hu stared blankly.
This is Shenwai's home court, Director Wen made the arrangement, the two dare not blindly bb.
I can only watch in silence.
Seeing Zhou Can standing on the chief knife position with their own eyes, the two felt both shocked and worried.
It's ridiculous.
Such a large operation with such a high risk, what does Director Wen think? Actually let a regular trainee complete the most core surgical removal of hematoma and hemostasis.
Even if you want to focus on cultivation, there is no such cultivation method!
This is a living life!
The supremacy of life and respect for life have penetrated into the hearts of every conscientious doctor.
Zhou Can took over the endoscopic electric knife in a calm manner, and first made a cross incision on the dura mater.
Director Liu next to him was apprehensive about this move.
I was afraid that Zhou Can's operation would be improper and the patient would belched to death.
At this time, the patient's vital signs fluctuated severely. Breathing, blood pressure, and heart rate all fluctuated drastically.
"Did it cut into the brain tissue inside?"
Director Liu asked in horror and a little angrily.
"It's a normal reaction for the patient to be stimulated."
Zhou Can looked very calm.
Director Wen took a leisurely look at Director Liu. "Be safe and don't be impatient!"
These words were a tenfold blow to Director Liu.
If it weren't for Director Wen who said this, and if it wasn't for saving face, Director Liu would definitely angrily denounce their behavior on the spot as murder.
At this time, Zhou Can had already completed the introduction of the endoscope.
The patient's blood pressure dropped severely, and his heart rate also dropped. Breathing becomes weak.
"You guys are just messing around, killing people!"
Director Liu was furious.
He frantically helped the patient stabilize his vital signs.
Director Wen's heart sank when he saw that the patient's condition suddenly became very bad.
Not to mention other doctors and nurses.
"Don't worry!"
Zhou Can only said three short words and continued to concentrate on the operation.
As he pumped out the hemorrhage in the patient's brain, the patient's vital signs began to rise rapidly.
"It should have been just the sudden release of the patient's intracranial hypertension, coupled with the injury caused by the craniotomy, which caused a short-term stress phenomenon. It was not Dr. Zhou's operation error."
The anesthetist who had been silent all this time explained calmly.
It's not the first time he has gone out of his way to participate in anesthesia for surgery. I have seen Zhou Can's surgical prowess with my own eyes many times, so I feel a little displeased with Director Liu's fuss.
I am even more worried that Director Liu is here to swear at others and interfere with Zhou Can's operation.
On the contrary, it is a dangerous behavior.
This is also the reason why he would take the initiative to speak out to prove Zhou Can's innocence.
After Zhou Can took out the accumulated blood in the patient's brain, he could clearly see the brain tissue in the patient's brain through the endoscope. I saw him operating the endoscope a little closer to the biggest bleeding point.
This place is very close to the brainstem area, so even Wu Baihe has to be careful when performing the surgery himself.
"The broken blood vessel is quite big, a not too big gap. Do you think it can be repaired directly? Electrocoagulation to stop the bleeding, I am worried that it will affect the blood supply to the brain and cause sequelae to the patient."
Zhou Can asked Director Wen for his opinion.
Even the repair of superficial blood vessels like the extremities will be very difficult.
Endoscopic repair of blood vessels in the cranial cavity is too difficult to imagine.
"Are you sure? This place is very close to the life center, and the difficulty is very high. The risk is also extremely high."
Director Wen still prefers to seek stability in his bones.
Every doctor has his own style of doing things.
Most doctors have the same idea as Director Wen, they don't seek meritorious service, but seek no faults.
Although direct electrocoagulation may cause sequelae to the patient, it does not need to take too much risk and can save the patient's life.
"I'm definitely not sure, more than 80%!"
Zhou Can has always spoken very modestly.
Director Wen knew him too well.
Hearing that he said that he was more than 80% sure, I felt like I had taken a reassurance.
"Okay! Let's do it according to your plan!" Director Wen directly delegated power.
Next, Director Liu, Dr. Hu and others thoroughly saw Zhou Can's surgical ability on the display screen of the endoscope.
I saw Zhou Can find the proximal end of the ruptured blood vessel, and then said to Director Wen, "I am worried about damaging the blood vessel with a blood vessel clip. The operation cost will also increase a lot. Is it okay to stop the bleeding with direct ligation?"
"Can!"
Director Wen nodded again.
Zhou Can thinks of patients everywhere, and he can also see his noble medical ethics.
All the doctors present secretly admired his medical ethics.
In particular, Director Liu and Dr. Hu had a deeper understanding of Zhou Can.
I saw Zhou Can quickly ligate the blood vessel with dexterous movements.
It's a slippery knot.
Many surgeons don't like slipping knots. In fact, in some special surgical occasions, square knots, slipping knots, and triple knots are all used.
Each knot requires hard practice.
If you are "biased", it is easy to face surgical shortcomings at critical moments, resulting in a very passive operation.
After the blood vessel was ligated, Zhou Can began to repair the ruptured blood vessel.
If the blood vessel wound is polluted or uneven, it needs to be cut flat before repairing the blood vessel.
Zhou Can manipulated the endoscope and began to quickly suture the blood vessel wall.
"Awesome stitching technique!"
Director Liu couldn't help but marvel.
"This is not an ordinary suture, but an endoscopic operation. I have opened my eyes today!"
After seeing Zhou Can's suturing skills, Dr. Hu felt extremely ashamed.
As an attending therapist, his suturing skills were far inferior to that of a Gui Peisheng.
Even if he wasn't a full-time surgeon, it still made him feel ashamed to be so far away.
Blood vessels were quickly repaired.
The check is correct.
Zhou Can took the initiative to ask Director Wen for instructions, which can be regarded as taking care of Director Wen's face.
"Director Wen, please check it. If there is no problem, I will loosen the ligature and test the blood supply of the blood vessels."
"The sewing is very good, let's test the blood directly!"
Director Wen's face was preserved, and he liked Zhou Can even more.
A tree has a skin, and a person has a face.
Maintaining the face and dignity of superiors is the minimum survival skill in the workplace.
The kind of young white in the workplace who doesn't pay attention to what he says, doesn't have a standard in doing things, and puts the leader's face on the ground, will end up being severely beaten by the society. Either 'unrecognized talents', or being scolded every day, and finally fired.
Zhou Can loosened the slippery knot, and the blood flow resumed unimpeded, and quickly poured into the repaired blood vessel segment.
"Okay, this surgery was done beautifully!"
Director Wen laughed heartily.
The largest bleeding point stopped the bleeding, and the blood flow resumed unimpeded. It also means that the patient's life is basically saved.
It is worth mentioning that the repaired vessel segment will become narrower.
There is no way to solve this problem.
If it is in a low-risk area with sufficient surgical field of view and easy operation, it may be possible to try to cut off the blood vessel and re-anastomose.
However, this part of the patient's brain is very close to the brainstem area, and it is an endoscopic operation. Cutting off the blood vessels and re-anastomosis is purely a death.
The harm of the two rights is the lesser.
If a single blood vessel narrows a little, the effect will not be particularly large.
This is the best result that the current medical level can achieve.
Next, Zhou Can began to remove the accumulated blood in other parts, and then quickly electrocoagulated some small bleeding spots to stop the bleeding. The remaining large bleeding point was repaired in the same way.
The whole operation was carried out in a tense and orderly manner.
Almost all the core operations were performed by Zhou Can alone.
At this moment, Director Liu and Dr. Hu finally understood why Zhou Can, a little Gui Peisheng, could talk directly to the chief physician of Shenwai.
If they were the chief physicians of Shenwai, their attitude would be more warm and friendly when facing such a humble and polite super genius.
The operation lasted nearly two hours and was finally completed.
This endoscopic operation went very smoothly, and Zhou Can also earned a lot of medical experience points.
The biggest gain is to pull the patient back from the gate of hell.
After the operation, the patient's vital signs recovered and the ice blanket was removed.
There is no need for emergency rescue from time to time.
However, because the patient's injuries are extremely serious, he still needs to stay in the intensive care unit for a period of time.
After Zhou Can's operation, he was not immersed in these achievements and glory at all.
At this moment, he was already sitting in the dormitory, practicing the quick knife technique tirelessly.
After practicing the quick knife technique, he chose to combine work and rest to supplement the notes he made in the intensive care unit during the day.
For some unknown drug usage, dosage, and places that are difficult to understand, take the trouble to look up the information to understand and learn them. Do really master.
Some doubts that need to be resolved by asking the superior doctor are marked.
I will find an opportunity to consult the superior doctor after work tomorrow.
…
The next day, when Zhou Can went to work, Dr. Hu saw him and greeted him enthusiastically from a long distance away.
Zhou Can was still a little uncomfortable with this change.
It is estimated that seeing Zhou Can's powerful surgical skills yesterday made Dr. Hu put down completely and try to build a good relationship with Zhou Can.
Director Liu also rushed over at this time.
According to the agreement, Zhou Can will no longer hang out with Dr. Hu from today, but Director Liu will take him directly.
"Doctor Hu, is the patient in bed 6 doing well after returning from surgery yesterday?"
"Dr. Shi is in charge of the night shift. When handing over, he was still amazed that the 6-bed car accident patient not only survived the life-threatening situation, but also recovered quickly. He praised the correct and timely operation."
Dr. Hu works the day shift.
The night shift is Dr. Shi.
Speaking of the situation of the 6-bed patient, Dr. Hu couldn't help smiling.
Every doctor will feel very happy to see the improvement of the patient's condition.
"When I was on duty, the patients in bed 6 not only had stable vital signs, but also showed signs of regaining consciousness. To be honest, I have never been on duty as relaxed as today. All the patients in beds 6 and 7 have improved significantly, which means There are only 8 patients who need to be taken care of from time to time. There is really nothing to do, and I also help other groups with some work. They all envy me."
When Dr. Hu said this, he was really elated.
Bed 6's death spell was finally broken.
Moreover, two extremely critically ill patients under his care have improved, which makes him feel very honored.
"Haha, it looks like our group has a lucky star!"
Director Liu was also very happy after hearing this.
Turning to look at Zhou Can.
"I can't do these things alone. The main reason is that several senior doctors have good leadership. Rather than saying that I am a lucky star, it is better to say that I joined a very good group."
Zhou Can hurriedly gave in.
This kind of high EQ answer made Dr. Hu and Director Liu smile even more.
Following Director Liu into the intensive care unit, Zhou Can checked the condition of the patients in bed 6. I saw that the patient's pale complexion, which was originally as pale as gold paper, had returned to a rosy complexion.
Blood pressure, blood oxygen, heart rate, and respiration all became stable.
The patients themselves are very young, and their resilience far exceeds that of the elderly.
It is normal for your condition to improve quickly after surgery.
This is also the reason why young people are more likely to walk out of the hospital alive than old people with the same injuries.
The blood circulation, cell metabolism, regeneration ability, and physical recovery speed of the elderly are all far inferior to those of the young.
The highest mortality rate is also the elderly.
"Everything I did for the 6-bed patient yesterday is so meaningful!"
Zhou Can saw a flower of life that was about to fade, and it bloomed again and regained its vitality. His heart is full of a sense of accomplishment.
The 6-bed patient has little to worry about except for sputum suction, turning over, and normal medication.
No wonder Dr. Hu said that today was the most relaxing time ever on duty.
Zhou Can went to bed 7 to check the patient's condition, which was also full of gains and surprises.
The patient in bed 7 seemed to have known for a long time that it was Zhou Can who saved him.
Seeing Zhou Can walking to the hospital bed, he nodded vigorously at Zhou Can.
"Don't move, don't move, when you get well, you can talk to me any way you want then."
Zhou Can hurriedly comforted the patient.
The patient is still intubated, so there is no way to communicate directly.
"Director Liu, do you think it's necessary for him to get nutritional injections?"
"It depends on his family's financial situation. However, I think that nutritional injections can quickly replenish his weak body and speed up his recovery. He can be transferred out of the intensive care unit with expensive treatment costs as soon as possible. Very good choice."
Director Liu thought for a while and said seriously.
At present, domestic nutritional needles are not advanced, let alone perfect.
But for this kind of extremely weak patient who has been sick for a long time~www.mtlnovel.com~, it is a very good choice to give appropriate nutritional support.
It must be said here that there is a saying in Chinese medicine that the deficiency cannot be supplemented.
Patients who are chronically ill and weak should use food supplements, and they must not make a lot of supplements, but should take it step by step and take it slowly.
Nutritional injections are generally given intravenously, and the supplement is mainly human albumin.
I have to make complaints about the fact that domestic nutritional needles are extremely expensive, and the effect is average.
Research in this field is still very backward, and the market is relatively monopolized, which is extremely unfavorable to the development and competition of the entire industry.
If the status of nurses in China can be as high as that of developed countries, the field of nutritional medicine will definitely usher in a period of rapid development. At present, there are some nurses in China who switch careers to become nutritionists.
Compared with foreign countries, it can only be regarded as a fledgling.
Still very immature.
When it can really provide cost-effective nutritional support for the common people, it will be perfect.
The life expectancy of Chinese people will definitely be improved a lot, and the hospitalization period will be greatly shortened.
This is a big cake that has not yet been developed.
It's a pity that facing many constraints and technical difficulties, we can only look forward to it slowly.
"I'll talk to your family members later, try to help you recover quickly, and transfer out from here."
Director Liu comforted the patient after seeing the pleading eyes of the patient.
After checking the patient in bed 7, the two went to bed 8. The patient's condition was fairly stable.
"Come on, let's go to the other beds!"
Director Liu is on duty, which is obviously different from Dr. Hu.
It is equivalent to the team leader of the whole team and needs to patrol the patients of the whole team. If there is an emergency for patients in other groups, Director Liu also needs to rush to support.
The higher the status, the heavier the burden on the shoulders.