Chapter 4551 【640】Silent

Going a step further, Dr. Xie Wanying continued: "The monitor has always been a very courageous doctor."

Dr. Yue Wentong's face turned red quietly, and he wanted to glare at Classmate Xie: "You don't need to praise me like this, I can't bear it."

Thinking back to when he accompanied classmate Xie to rescue Sister Xu, he was just as scared first.

His courage was brought out step by step by classmate Xie. How could He De let classmate Xie praise him first?

Dr. Xie would say that he did not praise Monitor Yue blindly.

Whose credit was it for Sister Xu to have the surgery? Without the courage of Squad Leader Yue to support her, it would have been impossible.

Should I praise squad leader Yue? Yes.

Thinking about the primitive tools that can only be used to drill holes in patients' heads in such a disaster area, how difficult a doctor's manual job it is, squad leader Yue actually did not back down.

Monitor Yue, who did not retreat, must have been thinking of his mother, Sister Xu, Doctor Xin, classmate Xie, etc. Well, he must also be thinking of Senior Brother Cao and Song Mao.

(Senior Brother Huang: Where am I?!)

Thinking of Mom and Sister Xu is a sign of compassion, thinking of Dr. After all, emergency surgeries in today’s special scenarios are not simple routine surgeries and require unconventional associations.

(Senior Brother Huang:...)

At this point, we can understand the reason for Dr. Song Xuelin's stern expression: In a critical moment, this guy thought of imitating my Song Mao's skills.

Since Dr. Song Xuelin was seriously thinking about the patient's medical problems, Dr. Xie Wanying could only take over the explanation work for the time being and explained to the anxious crowd: "Maybe Dr. Yue speculated that Dr. Tong's condition can be treated like Sister Xu."

Sister Xu had a foramen magnum herniation and a bulging brain tissue. After using lateral ventricular drainage in the emergency room, she needed emergency surgery, otherwise she could not be saved. It is equivalent to drainage as an emergency transitional means.

Pay attention to Dr. Xie's wording. He sounds like Sister Xu, but it cannot be the case. If so, drainage alone is useless.

On the one hand, what Dr. Xie's words want to show is that Squad Leader Yue is courageous and resourceful. He is really not a random person, only courage can do things.

If he only had the courage to act recklessly, Dr. Song would beat the man immediately at the first sight. Don't forget that in the unit, Dr. Song is now leading Dr. Yue's work and is Dr. Yue's supervisor.

You have an idea, are you on the right track?

Whether the patient is on the right track or not cannot be decided by seeing whether the patient's condition improves temporarily. A patient's condition may go up and down, and the only people who can predict whether treatment measures are on the right track are professional experts and teachers.

A good diagnosis is only the first step. It is determined that the patient's condition is in urgent need of neurosurgical intervention. Whether or not to perform surgery requires a more precise diagnosis.

The general diagnosis direction is correct, but what about the detailed diagnosis?

I also knew that detailed neurosurgical diagnosis was not possible in this disaster area.

There is no CT machine.

Dr. Song Xuelin looked at Dr. Yue: Do you want to imitate Dr. Xie and me?

Looking back at Sister Xu’s case, the first step was CT examination. Dr. Xie planned the puncture point based on CT examination. Without a CT machine, Dr. Xie, no matter how talented he is, would not be able to accurately plan the puncture point. Because Dr. Xie used CT positioning and puncture method at that time.

What Dr. Yue couldn't learn in the first step was to go to the conventional puncture point.

In the second step, Dr. Song came to support the catheterization and drainage. Dr. Yue must have wanted to learn Dr. Song's technique of catheterization and drainage to resolve edema, balance the cerebrospinal fluid, and maintain continuous drainage, so as to maintain the patient's vital signs and carry out the next operation in the hospital.

At this moment, Dr. Song's eyes said: The prerequisite for me to be able to do the second step in this kind of case is, how can I do it without the first step as a foundation!

No wonder Dr. Song keeps saying that there are a lot of idiots. How can these idiots take it for granted that they can skip the first step and go directly to the second step?

He, Dr. Song, was not in a hurry to scold people because he thought that the idiot's brain had already expected that he could only reach this level of IQ. It would be great if he had the courage to drill and drain some hematoma.

"This, this, this -" Dr. Jiang's heart began to tremble, and he did not forget that he was an "accomplice" at that time, encouraging who to do the surgery.

Of course, as I just said, Dr. Song already knew this.

Between the lines, Dr. Xie Wanying said euphemistically: Everyone knows that Dr. Song is a genius.

The genius Teacher Song saw at a glance that Mr. Yue wanted to imitate Teacher Song and achieve success, but what he ended up doing was the lowest level of technical work. This made Teacher Song so angry that he was speechless.

If you want to learn from Teacher Song, there are neurosurgery cases handled by Teacher Song on site.

Dr. Yue Wentong immediately learned from Classmate Feng and others that Classmate Gu was also a neurosurgery patient.

However, Gu did not undergo surgery and was treated conservatively with drops of medicine.

According to Feng’s classmate Zhao who is very good at investigating intelligence, Song Mao snatched neurosurgery drugs from Dr. Touch, it may be a backup plan to prepare Student Gu if his condition changes.

Dr. Yue Wentong's face turned pale in waves, as if he was remembering something.

In other words, the diagnoses of Classmate Gu and Dr. Tong should be similar.

"Is it all cerebral herniation?"

Everyone asks. Here, the fairy brother and Dr. Chang Jiawei never join in the fun. One bad boy is smart and the other is naive and wise.

When a non-neurosurgeon asks if it is a brain herniation, the neurosurgeon will also give me the same look: Go back to school and reinvent the wheel!

What brain herniation? What is cerebral herniation? Does cerebral hernia appear out of nowhere?

Colleagues who asked this question immediately dug themselves into the ground and buried their faces before speaking.

Now it’s time to discuss the detailed treatment measures. It’s outrageous for you to discuss whether brain herniation is a symptom. Brain herniation is a syndrome that is characteristic of the development of many neurosurgical diseases. What should be discussed is what causes brain herniation so that targeted treatment can be done. .

Looking at it now, what Dr. Xie added before is even more meaningful.

Professor Pei and Dr. Jiang looked at each other and felt even more embarrassed: Oh my god, they were just talking to each other and they were so happy that they didn't realize their fault. They were going to be laughed to death by the neurosurgeon.

There are many types of traumatic brain injuries. What kind of patient is he now? Doesn’t he look like Sister Xu? Referring to the cases mentioned above, it is most likely that he is the most common epidural hematoma. So Dr. Yue dared to drill.

To be honest, if it was the brain stem, how could Dr. Yue dare to drill into it?

Cerebral herniation caused by epidural hematoma can also be life-threatening. This has been mentioned in previous cases, and it was a case that Teacher Ren worked on. The problem is, the child's hematoma was palpable. What about these two patients?

A group of people looked back and forth at the two injured people: This doesn't seem right.

After classmate Gu was rescued, everyone could guess that he had a brain problem when they saw that he was unconscious, but the wounds on the outside of his head were not obvious.

"It should be noted that they are epidural or subdural hematomas where blood flows through the brain tissue into the subarachnoid space after the blood vessels rupture, which is secondary subarachnoid hemorrhage." Dr. Xie Wanying said, "So Dr. Song said Dr. Gu’s condition is more serious. If the injury is not treated properly, bleeding will occur repeatedly, and the fatality rate is quite high, which can reach 70% among comatose patients.”

One piece: silent, silent, silent...

Everyone understands that Dr. Song likes to be silent. Neurosurgeons really should be silent: no one can understand the state of a master.

Thank you for your support, good night, dear friends~