Chapter 1348 No Need!

Although Zhang Zhipeng has no ability to deal with such patients!

But it's not too messy!

Quickly pick up the phone and contact the director of the department!

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

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

It was only 11 o'clock in the evening, and the phone was connected not long after.

"Director Hu, I'm Xiao Zhang, Zhang Zhipeng, and Professor Chen Cang came to the emergency room with a stroke patient who had a sexual intercourse. Now there is a large area of ​​cerebral hemorrhage. I suspect the rupture of an intracranial hemangioma."

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

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

Chen Cang hummed: "Director Hu, hello, I'm Chen Cang."

Hu Chuanbang's voice was thicker, and Chen Cang had a relationship, this was a man with a straight face and a very imposing man: "Well, Professor Chen, I'll go over immediately, you try to maintain the patient's vital signs as much as possible. , give sulfasalazine + vitamin K, while reducing intracranial pressure and preventing the spread of edema..."

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

As a doctor, even if you are the director, you have to be prepared for this anytime, anywhere!

After hanging up the phone, Chen Cang and Zhang Zhipeng hurriedly started to prepare.

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

The operating room of neurosurgery has special equipment and a team of nurses, which is a unique treatment for neurosurgery!

And Hu Chuanbang is also known as a neurosurgeon no worse than Xue Zhengren.

Hu Chuanbang has been obsessed with surgery all his life, but he rarely wins awards, so he is naturally missed as an academician, and belongs to the representative of the practical faction in the medical industry.

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

As a doctor, remember two things.

When it's your turn to do it, you must be obliged.

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

Surgery is irreversible.

There is no second time in life.

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

"Cool the ice cap!"

Topical ice packs and ice caps did not reduce intracranial pressure.

But because those hematomas with cerebral hemorrhage can lead to ischemia and hypoxia in surrounding tissue to form edema, resulting in neurological deficit.

Cooling therapy can reduce the cerebral 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 flies by!

Everyone is anxiously waiting.

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

The small dose of sedative just now seems to be 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 unequal!

and……

Slow reflection of light!

Chen Cang's expression changed suddenly!

Looking up at the monitor, I found that the patient's blood pressure has risen again, and the pulse has slowed down!

Bad thing!

Chen Cang turned to Zhang Zhipeng and said, "Doctor Zhang, the patient has herniated brain and needs immediate surgery!"

Zhang Zhipeng was stunned!

Brain herniation?

Could this be 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 sub-chamber of the cranial cavity, the pressure of the sub-chamber is higher than the pressure of the adjacent sub-chamber!

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 going to come out of the head!

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

At this time, brain herniation occurs, and the most important thing is to incision and drainage to reduce intracranial pressure.

It can't be delayed for too long, because once the brain herniation occurs, the situation will start to get worse, and it must be dealt with urgently!

To be honest!

If it wasn't for Chen Cang's inability to open his skull with his bare hands, he would have performed the operation in the emergency room long ago!

Looking at Zhang Zhipeng's dazed eyes, Chen Cang didn't have time to explain.

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

Zhang Zhipeng responded quickly!

Anyway, in his mind, Professor Chen is better than him, so listen to him right!

In fact, to be a small doctor, you must have the consciousness of a small 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 Zhang Zhipeng led the way.

By the way, pick up the phone to inform the director.

"Director, Professor Chen said that the patient has a herniated brain and needs immediate surgery!"

Hu Chuanbang, who was driving, couldn't help but be stunned.

As soon as the accelerator goes down, the old-fashioned LaCrosse is also a little faster.

"Cooperate with Professor Chen!"

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

Hu Chuanbang knew that he could only trust Chen Cang now!

If the patient really has a brain herniation, if it drags on for too long, everyone will be gone!

However, if it is not for brain herniation, there is nothing wrong with early craniotomy.

Therefore, Hu Chuanbang chose to trust Chen Cang.

Let Zhang Zhipeng cooperate is the best choice.

Because...he can't do anything if he doesn't agree!

...

...

The three arrived in the operating room not long after.

"Prepare for surgery!"

Zhang Zhipeng quickly prepared.

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

After thinking about it, he felt that Chen Cang should be able to become his own support, right?

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

Chen Cang was stunned for a moment: "First time doing it!"

Zhang Zhipeng's soap fell into the sink!

More panicked.

"Professor Chen is joking!"

Chen Cang was stunned: "I'm serious, you can help me drain the water in a while, and I'll do the craniotomy!"

After speaking, Chen Cang took the lead and walked inside.

Zhang Zhipeng was left with a confused look, and then laughed hahaha.

"Professor Chen, you are too humorous!"

Chen Cang did not explain.

into the operating room.

Look at the CT film on the light screen.

Chen Cang began to judge and identify where the hole was punched.

To be honest, the perfect punching exploration surgery gave Chen Cang the ability to choose the most suitable place to open his mouth!

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

Chen Cang shook his head: "No need!"

Zhang Zhipeng was stunned: "How do you open a craniotomy without using a locator? Where is the craniotomy?"

Chen Cang drew an area on his skin-prepared head: "Here!"

Zhang Zhipeng's mouth twitched: "Isn't it too casual..."

"Professor Chen, are you thinking about it?"

Chen Cang has picked up the scalpel...

...

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

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