Chapter 379 He vomited out his brain!

"Ugh!"

After a low roar, a mixture of pink and grayish white began to spray out of the patient's mouth.

The pupils of the people present suddenly widened, and their breathing almost stopped.

Those who can come to the emergency room are basically old hands in the emergency department. What human structure have they not seen?

Hemorrhoids that grow into a bunch of grapes are not rare.

But what the patient vomited out now... is brain tissue!

He vomited out his own brain!

"Ugh!"

The nurse who was closest to her was vomited all over. She looked pale, and the next moment her stomach rolled and she vomited wildly.

But her hands still held the patient firmly.

If she let go, the steel bars would shift after the patient fell down, and he would probably die on the spot.

As a nurse in the emergency department, this level of professionalism is still necessary.

"What's going on!"

Wang Fan, who came to rescue, was terrified, "Brother Xu, Brother Xu, help!"

Liu Susu quickly replaced the vomiting nurse and said, "Others hold on, Doctor Xu is here!"

Xu Qiu also stood on the right side of the patient and presided over the rescue.

"The steel bar probably opened several cavities, and the brain tissue flowed into the mouth. Don't panic." Xu Qiu's voice was like a spring breeze, instantly comforting everyone in the rescue room.

Only then did Wang Fan calm down and quickly reported the patient's immediate condition.

"The patient's left pupil is 0.25cm in diameter and reacts to light. The right pupil is 0.2cm and reacts to light sensitively.

The left eyeball is strabismus, the left nasolabial groove is shallow, the corner of the mouth is tilted to the right, the upper limbs are rotated inward, and the muscles are hypertonic..."

Xu Qiu interrupted him: "Let's get to the point. Have you taken X-rays?"

"Yes, the frontal and lateral X-rays of the head show that the steel bar entered from the right occipital back and inserted into the eyeball obliquely to the right front!

The patient's bilateral Babinski signs are positive, and the meningeal irritation signs are obvious!"

Xu Qiu nodded.

The patient's wound surface is shocking. The maxillofacial bones, frontal bones and the occipital bones behind are all exposed. There are serious open wounds and active bleeding.

In addition, although the patient was sent to the hospital in time, the wound was surrounded by scattered iron-red rust from the steel bars, and the swelling was exaggerated. There were also a small amount of skull fragments stuck in the brain tissue...

This is one of the most fatal and difficult to deal with open cranial brain injuries.

Serious foreign body contamination.

It penetrates the brain and is very large on the bed.

There are still a lot of debris left.

In this case, the slightest movement may scratch the blood vessels and cause severe intracranial hemorrhage.

Even if Xu Qiu has a perfect level of hand-hemostasis, he can only stop the bleeding of the heart and organs that can be touched. Facing the bleeding in the brain, he is still powerless.

In addition, the condition cannot be delayed for a moment.

Otherwise, the bacteria will multiply rapidly, and once the infection breaks out, it will still be a death.

"Save... Save me, I don't want to die..."

At this time, a trembling voice came from the bed.

Everyone was startled again and looked in horror.

But they found that the patient actually opened his only left eye, the pupil trembled, and his face was full of fear.

"Still awake?" Xu Qiu was also a little surprised.

In this case, it was a miracle that the patient was alive, and he was not only alive, but also awake to the doctor for rescue, and his vitality was extremely tenacious.

"First, do a phase of debridement, and call the neurosurgery, ophthalmology, plastic surgery, otolaryngology, anesthesia, and imaging departments to come for consultation."

Xu Qiu ignored the patient's existence and continued to rescue.

There is actually an advantage to debridement of the brain.

No anesthetic is needed.

There are very few pain nerves in the brain, so even if the tweezers scratch the brain tissue when picking up iron filings, it will not cause much severe pain.

The pain of the eyeball puncture overwhelms everything.

Of course, this step still needs to be extremely cautious.

Because pain is a protective mechanism.

Although there is no pain, if a piece of functional brain tissue is accidentally damaged, the patient will be left with lifelong sequelae.

…

Debridement of open brain injuries is difficult, but only a little bit.

For Xu Qiu, it is not a big problem.

From outside to inside, from shallow to deep;

Extend the incision and clear layer by layer;

Under direct vision, Xu Qiu slowly completed the initial debridement.

More than 20 minutes later, the patient's life was saved. A multidisciplinary discussion on the surgical plan was needed to completely remove the steel bar in the head.

An emergency surgical meeting was held in a hurry.

During the meeting, the emergency CT results of the patient's reexamination were also reported.

The neurosurgeons, ophthalmologists and other doctors in the conference room looked at the examination results and broke out in a cold sweat.

"It's so dangerous!" The director of ophthalmology frowned.

Director Lin of neurosurgery breathed a sigh of relief: "This position is very tricky. The part where the steel bar penetrates the skull is close to the middle cerebral artery and almost brushes the internal carotid artery... If it deviates a little bit, these two blood vessels may collapse and the patient will die within minutes!"

The directors looked extremely solemn.

The good news is that the foreign body is stuck on the edge of fatality.

But this is the nightmare of all neurosurgeons.

If you want to remove the steel bar that penetrates the brain tissue and is stuck in the skull, the range of motion should not be small, and it is very likely to damage these two blood vessels.

"Another thing is that the steel bars are very old, full of rust, and very polluted.

Also, there are a lot of raised rust on the surface of this thing. If you want to take it out, the risk is completely uncontrollable!"

Director Lin sighed.

If it was a small foreign body, the neurosurgery department would have experience.

However, this steel bar is 0.9 meters long and about 32 mm in diameter, at least as thick as two adult male fingers.

The neurosurgery department really has no experience in dealing with such patients...

Director Lin has indeed encountered a few of them, but they were already dead when they were sent to him, and the death notice was issued. This patient is still alive today, which is incredible!

The meeting continued for more than ten minutes.

Someone suggested doing early debridement first, and then consider removing the steel bar after the patient stabilizes.

After all, the patient has woken up and can be questioned.

However, the outcome of this treatment method can be seen at a glance.

The patient will definitely die - the steel bar is extremely contaminated. If it is not removed early, the patient will inevitably die from the infection of various pathogens.

Soon, the police also brought the latest news.

Patient Zhang San refused to explain anything.

Everyone was helpless.

This guy must also know that the only way to make doctors, family members, and the police want him to live is to keep his mouth shut.

At this point, the "selective removal" plan was completely rejected.

"Doctor Xu, what do you think?"

When all the plans failed, everyone's eyes fell back on Xu Qiu.

Director Lin and others were a little confused.

Doctor Xu, who was sitting in the main seat, had been in a daze. Was he... as helpless as they were?

But then, Xu Qiu's pupils gradually gathered and he regained his spirit.

He glanced at the doctors present and suddenly asked, "Are there any doctors here who are newly married or in love?"

"Huh?"