The mortality and disability rates of severe craniocerebral injury are very high.
Statistics show that the mortality rate of non-surgical treatment for patients with severe craniocerebral injury combined with cerebral herniation is about 97%, while the mortality rate of surgical treatment is about 32%.
In short, without surgery the patient would definitely die.
If you undergo surgery, you will most likely not be able to get off the operating table.
Head CT and skull three-dimensional reconstruction, the conclusion is consistent with Zhao Yuan's judgment.
Immediately, anesthesia, craniotomy, and debridement were performed.
The next step is to repair the sagittal sinus!
Zhao Yuan freed the fracture fragments, carefully removed the broken bone fragments, and then removed the crushed and inactivated brain tissue. When he pried up the fracture fragments at the top midline, rapid and violent bleeding suddenly occurred.
Everything was as expected.
He immediately raised the head of the bed and used gelatin sponge to temporarily apply pressure to stop the bleeding.
"The sagittal sinus tear is up to two centimeters." Qin Yi reminded with a frown.
Zhao Yuan realized that it was difficult to stop bleeding with sling compression and could easily lead to sagittal sinus embolism.
He thought for a moment and said softly, "6-0 non-invasive microscopic sutures!"
In this case, sagittal sinus suture repair must be performed.
Zhao Yuan began to operate carefully.
Suturing the brain and body is no joke, any mistake will be irreversible.
The doctors observing the operation were either silent or full of questions.
Although they are all doctors and have even operated on patients, it obviously involves the brain and most of them stick to textbook knowledge.
The anatomy diagrams in the textbook can be memorized by heart.
But the actual operating table, like plastic surgery, is something else entirely.
The degree of difficulty is extremely high!
Zhao Yuan did not forget to share his experience with team members in more important places.
"You must pay attention during the suturing process. The threads must be routed to avoid blood vessels and nerves. If something is touched that should not be touched, the patient will lose a function even if he survives."
"Um!"
Jiang Jing nodded like a chicken pecking at rice.
Qin Yi frowned, always feeling uncomfortable looking at the tofu-like brain.
But I still had to bite the bullet and observe and remember every step of Zhao Yuan.
This opportunity is so rare.
She has worked in Tianhua for many years and improved her business skills. Most of the time she relied on watching and memorizing, and she never had the opportunity to teach herself step by step.
If you want to have a top expert teach you, unless you join their apprenticeship, otherwise, even if you attend some training sessions, you will only be able to learn something superficially.
Zhao Yuan said and did, "The cranial part is over!"
Time flies.
He was pretty efficient, but he did it for almost three hours.
Zhao Yuan raised his head and glanced at Qin Yi, who suddenly showed a very comfortable expression.
Stared at by Zhao Yuan's disgusting expression, Qin Yi, who had always been carefree, suddenly turned red.
Zhao Yuan instantly understood the reason for Qin Yi's dazed expression just now.
An operation like this takes a long time, and everyone is wearing diapers. When they can't hold it in any longer, they can only do it on the spot.
This is true for both male and female doctors. They have to pee in front of others.
It doesn't matter to male doctors. As for female doctors, they are not so thick-skinned and usually solve the problem secretly when others are not paying attention.
But Qin Yi felt a little relaxed just now.
As a result, I didn't hide it well and my secret was exposed.
However, the embarrassment was overwhelmed by the tense atmosphere.
Zhao Yuan had no time to worry about whether Qin Yi was "convenient" just now!
The surgery must be done from top to bottom...
After the head is done, do the part below the neck.
Zhao Yuan and Qin Yi said, "You start to do the leg fracture, Dr. Sun will cooperate with you. Dr. Jiang will cooperate with me to do the chest."
In order to seize the time, the treatment team was divided into two teams.
Qin Yi has an impatient temper, is not slow at all, and is particularly familiar with orthopedic surgery.
However, when her task was 90% completed, she was shocked to find that Zhao Yuan had performed breast surgery.
The silver tray contained fine bone residue and liver tissue that had been damaged and could only be removed.
Qin Yi knew very well that Zhao Yuan's part of the surgery was much more difficult than the part of the surgery he performed.
She didn't think much about it. Zhao Yuan was the team leader and was better than her, so it was natural.
Finally, Qin Yi repaired the injury on his leg.
Zhao Yuan and Qin Yi said, "Next is the spine part. Not surprisingly, this part is very difficult and crucial."
Qin Yi understood what Zhao Yuan meant.
Several other surgeries were performed to save lives.
Spinal surgery is so that he can have a future like normal people.
Otherwise, although the person survives, he may have to spend the rest of his life in a wheelchair.
Qin Yi took a deep breath and encouraged herself, "Come on!"
…
As the hours passed, the number of doctors observing the surgery only increased.
People who initially doubted Zhao Yuan have now changed their views.
At this stage of the surgery, the patient's physical signs remained stable.
Even if there were occasional fluctuations, they were suppressed by Zhao Yuan's methods.
The operation was not over, but everyone only knew that Zhao Yuan kept his record.
A meaningless but somewhat awesome statistic.
——Zero death cases in emergency surgery!
"It's amazing! I didn't expect that such a critically ill patient could be saved. It's really unbelievable."
"I sincerely apologize for my previous doubts."
"I was so excited to watch this surgery today! I suddenly want to transfer to emergency surgery."
Except for going to the bathroom twice, Pan Yang spent the rest of the time paying attention to the operation.
He could feel that the attention of emergency surgery in the hospital was significantly increasing.
This is the strength of star doctors.
Like being a star player on the basketball court or football field.
At critical moments, he can use his personal strength to make incredible achievements and help the team win.
…
Rescue outdoor.
The patient's wife anxiously awaits the results.
Her relatives also got the news and rushed there one after another.
"How are you doing?" my wife's sister asked with concern.
"I don't know! Woohoo." My wife burst into tears. "The doctor said there is only a 30% success rate."
The younger sister held her in her arms and patted her back gently, "It's okay, Jiren has his own destiny. He must be fine. By the way, we brought our bank cards. We don't have enough money. Can you get it from me?" "
The wife's eyes were red and she choked with sobs, "The rescue money has been paid. If the rescue is not possible, no amount of money will be meaningful."
"Alas! I can only ask God for blessing."
My wife felt a little better because she was accompanied by her family.
Time passed by minute by minute.
Every once in a while, my wife would ask the nurse how things were going inside.
The nurses all responded with ambiguous answers.
However, as time went by, my wife became more hopeful.
Because the longer the husband lives, it means that the surgery may have had an effect.
At this moment, her mood was extremely complicated.
I hope to know the result as soon as possible, and hope that the operation will not end so soon, and my husband can live longer in another world!
The lead door opens.
Jiang Jing walked out and pulled down her mask.
The wife rushed over quickly and asked eagerly, "How is my husband?"
"The operation was a success!"
Jiang Jing answered with a smile!
