Chapter 381 The last preoperative indicator: whether Xu Qiu agrees or not!
Out of personal preference, the two directors certainly hope that Xu Qiu will give up Zhang San and focus on Gao Juan.
But this is obviously not in line with the reality.
"I will persuade him again."
Wang Ping looked deep and said, "The risk of this operation is indeed too high. The difficulty is not only in the main operation, but also in anesthesia. Let's see if we can persuade the family to give up the operation."
Given Gao Juan's physical condition, she is likely to die on the operation.
Once anesthesia is applied, she may not be numb first, but may suffer from heart infarction, fibrillation, sudden arrest, or respiratory failure, pulmonary embolism, organ failure, etc. ...
Not to mention the greater damage caused after the operation.
Although conservative treatment is not meaningful, it can at least delay it for one or two weeks.
"At least, conservative treatment can give the family and the patient time to say goodbye." Wang Ping said after thinking it over.
Director Jiang nodded and agreed to this approach.
Soon, the two directors convened the patient's family and held the last preoperative notification meeting.
During the meeting, Wang Ping repeatedly emphasized the risks of anesthesia.
Such as respiratory depression, circulatory depression, hypotension, etc.
Each of them is extremely dangerous, just like dancing next to the King of Hell's Book of Life and Death, and asking the King of Hell if he wants to join.
Wang Ping's professional and calm analysis is quite effective. The family member's face soon turned pale as paper, and he was trembling with fear.
The light in his eyes gradually disappeared, and the whole person was lost and his face was full of death.
Wang Ping sighed in his heart, and finally succeeded in persuading...
However, just as the thought came up, the family member who had been hanging his head suddenly raised his head, wiped his red and swollen eyes and said: "We all know the risks, doctor, do the operation, save my mother!"
Wang Ping was stunned.
Is the desire for surgery so strong?
Director Jiang sighed and gave Wang Ping a helpless look.
I said I couldn't persuade her, this family was very determined to have surgery...
Gao Juan's family stood up, speaking in a low but firm voice, "Doctor, we want to give it a try. My mother said before she died that she didn't want to be intubated, and she didn't want to live without dignity in a hospital bed... We have discussed with her that no matter how high the risk is, she will die. She is afraid that she will have to hang on to her life like now in the last days."
"This..."
Wang Ping hesitated.
Most of the time, family members dare not do this kind of surgery.
However, in fact, the clinicians are more afraid than the family members...
Now that the family members have let it go, the pressure falls on the doctors!
"Wait a minute, I will evaluate a few more indicators and make the last preoperative confirmation. You can think about it again."
Wang Ping got up and left the meeting room.
Director Jiang chased out and asked puzzledly: "What indicators? The preoperative evaluation is already very clear. Is there anything else to check?"
Wang Ping shook his head, "I just told the family members. I have to ask Xu Qiu's opinion."
Director Jiang suddenly realized.
"Call the operating room and ask them to collect Gao Juan's detailed information."
Wang Ping did what he said, and extracted the key examinations and vital signs, and asked the circulating nurse in the operating room to ask Xu Qiu for advice.
The action over there was faster.
Five minutes later, the person in the operating room called back: "Doctor Xu said that we should coordinate with the ICU in advance, prepare rescue drugs and defibrillators, and try to do the operation!"
"Okay!"
Hearing Xu Qiu's judgment, Wang Ping felt inexplicably relieved.
He walked back to the meeting room and handed various preoperative notices, consent forms, etc. to the family members for signature.
"Doctor, we know that my mother is very ill. If she delays, she will die. If she has surgery, she will die. No matter what the result is, we will not make a fuss. We just hope you can do your best!"
Wang Ping held the hand that the family members extended.
It was cold and trembling.
He looked at the family members and said in an infectious voice: "As long as it is possible, we will save the patient's life!"
...
Five hours passed in the blink of an eye.
In the No. 4 operating room of Xu Qiu, after the difficult debridement and positioning, he finally began to move the steel bar millimeter by millimeter.
After putting on the condom, the steel bar was less sharp and more smooth.
Finally, in the sixth hour and twenty minutes of the operation, the last piece of steel bar was completely pulled out of the brain tissue with a light "bang".
"Huh!"
Everyone in the operating room immediately relaxed.
When they came to their senses, they found that they had been sweating coldly on their backs.
Director Lin's face was full of fine beads of sweat, and the other assistants also closed their eyes and looked up at the sky, relieving the fatigue caused by long-term nervous tension.
"You are awesome, Doctor Xu!" The young nurse wiped the sweat off Xu Qiu.
"You are so handsome, Doctor Xu!" The circulating nurse looked at the other doctors in the operating room, and then looked at Xu Qiu, and suddenly felt that her eyes were cleansed.
"What about me?" Director Lin laughed.
This time he was an assistant and played the best performance of his surgical career.
The circulating nurse paused and thought for a long time, "Hello...Hello, Director Lin?"
"???"
Hello, goddamn it!
Can't you just give me a few compliments?
"Prepare to finish."
Under the shadowless lamp, the operation has not yet ended, and Xu Qiu's attention is always on the patient.
The others were immediately in awe.
Soon they adjusted their state and focused again.
The next step is to eliminate the inactivated brain tissue and perform strict electrocoagulation to stop bleeding.
This kind of extremely severe open craniocerebral injury has a very high mortality rate and the risk of surgery is extremely high, so many hospitals dare not accept it.
This case is a typical example.
After opening the skin flap, they found that the insertion of the steel bar caused the skull to burst, presenting a comminuted hole-type fracture.
The process of removing the steel bar was also very frightening.
The surrounding tissue must be electrocoagulated to stop bleeding first, and then the steel bar must be removed while flushing. After that, the wound cavity must be cleaned several times with hydrogen peroxide and saline.
It took almost half an hour to remove the large hematoma that compressed the brain stem in the brain tissue.
Of course, even if the steel bar is removed, it does not mean that the next step will be easy.
The bone fragments, hair, devitalized brain tissue, and even rust left in the wound by the steel bar need to be completely removed.
The eighth hour of the operation.
Xu Qiu finally completed the electrocoagulation to stop bleeding, and after compressing with cotton cloth, he covered it with gelatin sponge, and the bleeding was finally controlled.
"Amount of bleeding?" Xu Qiu asked without raising his head.
"170ml!"
When this number came out, everyone in the operating room felt incredible.
Too little!
For ordinary heavy open injuries, foreign bodies such as steel pipes inserted three or four centimeters may cause more than 300 ml of intraoperative bleeding.
But this foreign body removal operation, which is extremely difficult and risky, has surprisingly little bleeding!
"Doctor Xu, my God!"
"I feel that your neurosurgery talent training base can start another project, called the removal of extra-heavy cranial foreign bodies, which is very promising!"
Director Lin's smile was particularly bright.
Indeed, if this operation is successful, it is estimated that it will make another big news. The head of Tiandu's neurosurgery department, Tiantan Hospital, will definitely be drooling with envy!
Of course, the most important thing is not this...
