Chapter 1350: 1350
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Although Zhang Zhipeng does not have the ability to deal with such patients!
But it will not be messy!
Quickly picked up the phone and contacted the director of the department!
At this time, the patient's situation is very complicated, this kind of thing must find the boss.
"Professor Chen, I will call our Director Hu!"
It was only 11pm at this time, and the call was connected shortly after.
"Director Hu, I'm Xiao Zhang, Zhang Zhipeng, and Professor Chen Cang came to an **** stroke patient in the emergency department. Now with massive cerebral hemorrhage, I suspect that the intracranial hemangioma is ruptured."
"Now the patient is in a coma, the hematoma is relatively large, about 4x3x4, oppressing the pituitary gland..."
After speaking, Zhang Zhipeng handed the phone to Chen Cang: "Professor Chen, Director Hu's phone."
Chen Cang yelled: "Director Hu, hello, this is Chen Cang."
Hu Chuanbang's voice is relatively thick, and Chen Cang has a relationship. This is a very handsome man with a correct face and a national face: "Well, Professor Chen, I will go over immediately. You should maintain the patient's vital signs as much as possible. , Give fenpropamide + vitamin K, while reducing intracranial pressure to prevent the spread of edema..."
Hu Chuanbang didn't talk nonsense, he directly explained the situation to Chen Cang, then hung up the phone and got up quickly.
As a doctor, even if you are the director, you have to make this preparation anytime, anywhere!
After hanging up the phone, Chen Cang was not idle, and Zhang Zhipeng began to prepare in a hurry.
Zhang Zhipeng picked up the phone and called the operating room, trying to settle these things in advance before the director arrived at the hospital.
The neurosurgery operating room has specialized equipment and a nurse team, which is a unique treatment for neurosurgery!
Hu Chuanbang is also known as a neurosurgeon who is no worse than Xue Zhengya.
Hu Chuanbang was obsessed with surgery all his life, but he rarely won awards, so he naturally missed the academician and is a representative of the medical profession.
When Director Hu arrived, Chen Cang was finally relieved!
As a doctor, you must remember two points.
When you should 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.
"The ice cap cools down!"
The external application of ice packs and ice caps cannot reduce intracranial pressure.
Instead, those hematoma caused by cerebral hemorrhage can cause ischemia and hypoxia in the surrounding tissue to form edema, resulting in neurological deficit.
The cooling treatment can reduce brain metabolism and reduce oxygen consumption in the ischemic area around the hematoma, which is conducive to the recovery of brain tissue and cells and reduces edema.
At this time, Chen Cang can not do much!
Time goes by one minute and one second!
Everyone is waiting anxiously.
But at this time, nurse Aliu said: "Professor Chen, the patient has become restless again!"
The sedative that was measured a little earlier seems useless!
Just when Chen Cang was about to continue the injection.
Suddenly reacted to something.
He hurriedly took the flashlight, walked to the patient, opened his eyes, and started checking!
Suddenly, he found that the pupils on both sides of the patient were not equal!
and……
Slow reflection of light!
Chen Cang's face suddenly changed!
I looked up at the monitor and found that the patient's blood pressure increased again, and the pulse slowed down!
What a bad thing!
Chen Cang turned to Zhang Zhipeng and said, "Dr. Zhang, the patient has a cerebral hernia and needs immediate surgery!"
Zhang Zhipeng suddenly froze!
Brain hernia?
Can this be seen as a cerebral hernia?
And in fact it comes down to Chen Cang's perfect level of neurology diagnostic capabilities!
What is a cerebral hernia?
That is, when there is a space-occupying lesion in a sub-cavity in the cranial cavity, the pressure in this sub-cavity is higher than the pressure in the adjacent sub-cavity!
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 cerebral hernia.
It's not that Nao Ren is coming out of his head!
Really want that, the fairy can't save.
At this time, cerebral hernia occurs, the most important thing is to cut the drainage and reduce intracranial pressure.
It can't be delayed for too long, because once a cerebral hernia occurs, the situation begins to worsen, and it must be dealt with urgently!
To be honest!
If it were not Chen Cang who could not open the skull with his hands, he would have had surgery in the rescue room!
Looking at Zhang Zhipeng's glaring eyes, Chen Cang was too late to explain.
"Let's go to the operating room! It's too late to operate as soon as possible!"
Zhang Zhipeng responded quickly!
Anyway, Professor Chen is better than him in his heart, and he is right!
In fact, to be a doctor, you must have the consciousness of a doctor!
Don't be stubborn, it's better to be obedient when you meet Daniel!
Aliu and Chen Cang pushed the bed, and Zhang Zhipeng led the way.
By the way, pick up the phone to notify the director.
"Director, Professor Chen said the patient had a cerebral hernia and needed immediate surgery!"
Hu Chuanbang, who was driving, couldn't help but froze for a moment.
Going down the throttle, the old LaCrosse was almost a bit faster.
"Cooperate with Professor Chen!"
Hu Chuanbang did not understand Chen Cang, but after hearing Chen Cang's deeds, he also knew that Chen Cang would do neurosurgery.
Hu Chuanbang knows that now he can only believe in Chen Cang!
If the patient really has a cerebral hernia, it will be too long, and everyone will be gone!
But if it is not a cerebral hernia, there is nothing wrong with craniotomy in advance.
Therefore, Hu Chuanbang chose to trust Chen Cang.
Let Zhang Zhipeng cooperate is the best choice~www.novelhall.com~Because... he does not agree and there is no way!
...
...
The three of them arrived in the operating room soon.
"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 uneasy.
Thinking about it, he thinks that Chen Cang should be able to rely on himself?
"Professor Chen, do you often perform this operation?" Zhang Zhipeng asked in a low voice.
Chen Cang froze for a moment: "Do it for the first time!"
Zhang Zhipeng soap fell into the sink!
The heart was even more flustered.
"Professor Chen is kidding!"
Chen Cang was stunned: "I'm serious, you will help me drain for a while, I will open the skull!"
After speaking, Chen Cang took the lead in walking towards it.
Zhang Zhipeng was left in a daze, and then he laughed hahaha.
"Professor Chen, you are too humorous!"
Chen Cang did not explain.
To the operating room.
Look at the CT film on the light screen.
Chen Cang began to judge and identify the punching place.
To be honest, the perfect level of perforation exploration surgery gives Chen Cang the ability to choose the most suitable place to open!
At this time, Zhang Zhipeng, dressed in clothes, asked, "Professor Chen, shall I put the stereotaxic device on?"
Chen Cang shook his head: "No more!"
Zhang Zhipeng was shocked: "How to open the skull without a locator? Where is the open skull?"
Chen Cang drew an area on his completed head: "Here!"
Zhang Zhipeng's mouth twitched: "Is it too casual..."
"Professor Chen, are you considering?"
Chen Cang has picked up the scalpel...
...
ps: Three chapters delivered, there are three chapters at night.
Finally... asked monthly tickets, big brothers!
vertex
Please report us if you find any errors so we can fix it asap!
Although Zhang Zhipeng does not have the ability to deal with such patients!
But it will not be messy!
Quickly picked up the phone and contacted the director of the department!
At this time, the patient's situation is very complicated, this kind of thing must find the boss.
"Professor Chen, I will call our Director Hu!"
It was only 11pm at this time, and the call was connected shortly after.
"Director Hu, I'm Xiao Zhang, Zhang Zhipeng, and Professor Chen Cang came to an **** stroke patient in the emergency department. Now with massive cerebral hemorrhage, I suspect that the intracranial hemangioma is ruptured."
"Now the patient is in a coma, the hematoma is relatively large, about 4x3x4, oppressing the pituitary gland..."
After speaking, Zhang Zhipeng handed the phone to Chen Cang: "Professor Chen, Director Hu's phone."
Chen Cang yelled: "Director Hu, hello, this is Chen Cang."
Hu Chuanbang's voice is relatively thick, and Chen Cang has a relationship. This is a very handsome man with a correct face and a national face: "Well, Professor Chen, I will go over immediately. You should maintain the patient's vital signs as much as possible. , Give fenpropamide + vitamin K, while reducing intracranial pressure to prevent the spread of edema..."
Hu Chuanbang didn't talk nonsense, he directly explained the situation to Chen Cang, then hung up the phone and got up quickly.
As a doctor, even if you are the director, you have to make this preparation anytime, anywhere!
After hanging up the phone, Chen Cang was not idle, and Zhang Zhipeng began to prepare in a hurry.
Zhang Zhipeng picked up the phone and called the operating room, trying to settle these things in advance before the director arrived at the hospital.
The neurosurgery operating room has specialized equipment and a nurse team, which is a unique treatment for neurosurgery!
Hu Chuanbang is also known as a neurosurgeon who is no worse than Xue Zhengya.
Hu Chuanbang was obsessed with surgery all his life, but he rarely won awards, so he naturally missed the academician and is a representative of the medical profession.
When Director Hu arrived, Chen Cang was finally relieved!
As a doctor, you must remember two points.
When you should 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.
"The ice cap cools down!"
The external application of ice packs and ice caps cannot reduce intracranial pressure.
Instead, those hematoma caused by cerebral hemorrhage can cause ischemia and hypoxia in the surrounding tissue to form edema, resulting in neurological deficit.
The cooling treatment can reduce brain metabolism and reduce oxygen consumption in the ischemic area around the hematoma, which is conducive to the recovery of brain tissue and cells and reduces edema.
At this time, Chen Cang can not do much!
Time goes by one minute and one second!
Everyone is waiting anxiously.
But at this time, nurse Aliu said: "Professor Chen, the patient has become restless again!"
The sedative that was measured a little earlier seems useless!
Just when Chen Cang was about to continue the injection.
Suddenly reacted to something.
He hurriedly took the flashlight, walked to the patient, opened his eyes, and started checking!
Suddenly, he found that the pupils on both sides of the patient were not equal!
and……
Slow reflection of light!
Chen Cang's face suddenly changed!
I looked up at the monitor and found that the patient's blood pressure increased again, and the pulse slowed down!
What a bad thing!
Chen Cang turned to Zhang Zhipeng and said, "Dr. Zhang, the patient has a cerebral hernia and needs immediate surgery!"
Zhang Zhipeng suddenly froze!
Brain hernia?
Can this be seen as a cerebral hernia?
And in fact it comes down to Chen Cang's perfect level of neurology diagnostic capabilities!
What is a cerebral hernia?
That is, when there is a space-occupying lesion in a sub-cavity in the cranial cavity, the pressure in this sub-cavity is higher than the pressure in the adjacent sub-cavity!
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 cerebral hernia.
It's not that Nao Ren is coming out of his head!
Really want that, the fairy can't save.
At this time, cerebral hernia occurs, the most important thing is to cut the drainage and reduce intracranial pressure.
It can't be delayed for too long, because once a cerebral hernia occurs, the situation begins to worsen, and it must be dealt with urgently!
To be honest!
If it were not Chen Cang who could not open the skull with his hands, he would have had surgery in the rescue room!
Looking at Zhang Zhipeng's glaring eyes, Chen Cang was too late to explain.
"Let's go to the operating room! It's too late to operate as soon as possible!"
Zhang Zhipeng responded quickly!
Anyway, Professor Chen is better than him in his heart, and he is right!
In fact, to be a doctor, you must have the consciousness of a doctor!
Don't be stubborn, it's better to be obedient when you meet Daniel!
Aliu and Chen Cang pushed the bed, and Zhang Zhipeng led the way.
By the way, pick up the phone to notify the director.
"Director, Professor Chen said the patient had a cerebral hernia and needed immediate surgery!"
Hu Chuanbang, who was driving, couldn't help but froze for a moment.
Going down the throttle, the old LaCrosse was almost a bit faster.
"Cooperate with Professor Chen!"
Hu Chuanbang did not understand Chen Cang, but after hearing Chen Cang's deeds, he also knew that Chen Cang would do neurosurgery.
Hu Chuanbang knows that now he can only believe in Chen Cang!
If the patient really has a cerebral hernia, it will be too long, and everyone will be gone!
But if it is not a cerebral hernia, there is nothing wrong with craniotomy in advance.
Therefore, Hu Chuanbang chose to trust Chen Cang.
Let Zhang Zhipeng cooperate is the best choice~www.novelhall.com~Because... he does not agree and there is no way!
...
...
The three of them arrived in the operating room soon.
"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 uneasy.
Thinking about it, he thinks that Chen Cang should be able to rely on himself?
"Professor Chen, do you often perform this operation?" Zhang Zhipeng asked in a low voice.
Chen Cang froze for a moment: "Do it for the first time!"
Zhang Zhipeng soap fell into the sink!
The heart was even more flustered.
"Professor Chen is kidding!"
Chen Cang was stunned: "I'm serious, you will help me drain for a while, I will open the skull!"
After speaking, Chen Cang took the lead in walking towards it.
Zhang Zhipeng was left in a daze, and then he laughed hahaha.
"Professor Chen, you are too humorous!"
Chen Cang did not explain.
To the operating room.
Look at the CT film on the light screen.
Chen Cang began to judge and identify the punching place.
To be honest, the perfect level of perforation exploration surgery gives Chen Cang the ability to choose the most suitable place to open!
At this time, Zhang Zhipeng, dressed in clothes, asked, "Professor Chen, shall I put the stereotaxic device on?"
Chen Cang shook his head: "No more!"
Zhang Zhipeng was shocked: "How to open the skull without a locator? Where is the open skull?"
Chen Cang drew an area on his completed head: "Here!"
Zhang Zhipeng's mouth twitched: "Is it too casual..."
"Professor Chen, are you considering?"
Chen Cang has picked up the scalpel...
...
ps: Three chapters delivered, there are three chapters at night.
Finally... asked monthly tickets, big brothers!
vertex
Although Zhang Zhipeng does not have the ability to deal with such patients!But it will not be messy!Quickly picked up the phone and contacted the director of the department!At this time, the patient's situation is very complicated, this kind of thing must find the boss."Professor Chen, I will call our Director Hu!"It was only 11pm at this time, and the call was connected shortly after."Director Hu, I'm Xiao Zhang, Zhang Zhipeng, and Professor Chen Cang came to an **** stroke patient in the emergency department. Now with massive cerebral hemorrhage, I suspect that the intracranial hemangioma is ruptured.""Now the patient is in a coma, the hematoma is relatively large, about 4x3x4, oppressing the pituitary gland..."After speaking, Zhang Zhipeng handed the phone to Chen Cang: "Professor Chen, Director Hu's phone."Chen Cang yelled: "Director Hu, hello, this is Chen Cang."Hu Chuanbang's voice is relatively thick, and Chen Cang has a relationship. This is a very handsome man with a correct face and a national face: "Well, Professor Chen, I will go over immediately. You should maintain the patient's vital signs as much as possible. , Give fenpropamide + vitamin K, while reducing intracranial pressure to prevent the spread of edema..."Hu Chuanbang didn't talk nonsense, he directly explained the situation to Chen Cang, then hung up the phone and got up quickly.As a doctor, even if you are the director, you have to make this preparation anytime, anywhere!After hanging up the phone, Chen Cang was not idle, and Zhang Zhipeng began to prepare in a hurry.Zhang Zhipeng picked up the phone and called the operating room, trying to settle these things in advance before the director arrived at the hospital.The neurosurgery operating room has specialized equipment and a nurse team, which is a unique treatment for neurosurgery!Hu Chuanbang is also known as a neurosurgeon who is no worse than Xue Zhengya.Hu Chuanbang was obsessed with surgery all his life, but he rarely won awards, so he naturally missed the academician and is a representative of the medical profession.When Director Hu arrived, Chen Cang was finally relieved!As a doctor, you must remember two points.When you should 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."The ice cap cools down!"The external application of ice packs and ice caps cannot reduce intracranial pressure.Instead, those hematoma caused by cerebral hemorrhage can cause ischemia and hypoxia in the surrounding tissue to form edema, resulting in neurological deficit.The cooling treatment can reduce brain metabolism and reduce oxygen consumption in the ischemic area around the hematoma, which is conducive to the recovery of brain tissue and cells and reduces edema.At this time, Chen Cang can not do much!Time goes by one minute and one second!Everyone is waiting anxiously.But at this time, nurse Aliu said: "Professor Chen, the patient has become restless again!"The sedative that was measured a little earlier seems useless!Just when Chen Cang was about to continue the injection.Suddenly reacted to something.He hurriedly took the flashlight, walked to the patient, opened his eyes, and started checking!Suddenly, he found that the pupils on both sides of the patient were not equal!andSlow reflection of light!Chen Cang's face suddenly changed!I looked up at the monitor and found that the patient's blood pressure increased again, and the pulse slowed down!What a bad thing!Chen Cang turned to Zhang Zhipeng and said, "Dr. Zhang, the patient has a cerebral hernia and needs immediate surgery!"Zhang Zhipeng suddenly froze!Brain hernia?Can this be seen as a cerebral hernia?And in fact it comes down to Chen Cang's perfect level of neurology diagnostic capabilities!What is a cerebral hernia?That is, when there is a space-occupying lesion in a sub-cavity in the cranial cavity, the pressure in this sub-cavity is higher than the pressure in the adjacent sub-cavity!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 cerebral hernia.It's not that Nao Ren is coming out of his head!Really want that, the fairy can't save.At this time, cerebral hernia occurs, the most important thing is to cut the drainage and reduce intracranial pressure.It can't be delayed for too long, because once a cerebral hernia occurs, the situation begins to worsen, and it must be dealt with urgently!To be honest!If it were not Chen Cang who could not open the skull with his hands, he would have had surgery in the rescue room!Looking at Zhang Zhipeng's glaring eyes, Chen Cang was too late to explain."Let's go to the operating room! It's too late to operate as soon as possible!"Zhang Zhipeng responded quickly!Anyway, Professor Chen is better than him in his heart, and he is right!In fact, to be a doctor, you must have the consciousness of a doctor!Don't be stubborn, it's better to be obedient when you meet Daniel!Aliu and Chen Cang pushed the bed, and Zhang Zhipeng led the way.By the way, pick up the phone to notify the director."Director, Professor Chen said the patient had a cerebral hernia and needed immediate surgery!"Hu Chuanbang, who was driving, couldn't help but froze for a moment.Going down the throttle, the old LaCrosse was almost a bit faster."Cooperate with Professor Chen!"Hu Chuanbang did not understand Chen Cang, but after hearing Chen Cang's deeds, he also knew that Chen Cang would do neurosurgery.Hu Chuanbang knows that now he can only believe in Chen Cang!If the patient really has a cerebral hernia, it will be too long, and everyone will be gone!But if it is not a cerebral hernia, there is nothing wrong with craniotomy in advance.Therefore, Hu Chuanbang chose to trust Chen Cang.Let Zhang Zhipeng cooperate is the best choice~www.novelhall.com~Because... he does not agree and there is no way!......The three of them arrived in the operating room soon."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 uneasy.Thinking about it, he thinks that Chen Cang should be able to rely on himself?"Professor Chen, do you often perform this operation?" Zhang Zhipeng asked in a low voice.Chen Cang froze for a moment: "Do it for the first time!"Zhang Zhipeng soap fell into the sink!The heart was even more flustered."Professor Chen is kidding!"Chen Cang was stunned: "I'm serious, you will help me drain for a while, I will open the skull!"After speaking, Chen Cang took the lead in walking towards it.Zhang Zhipeng was left in a daze, and then he laughed hahaha."Professor Chen, you are too humorous!"Chen Cang did not explain.To the operating room.Look at the CT film on the light screen.Chen Cang began to judge and identify the punching place.To be honest, the perfect level of perforation exploration surgery gives Chen Cang the ability to choose the most suitable place to open!At this time, Zhang Zhipeng, dressed in clothes, asked, "Professor Chen, shall I put the stereotaxic device on?"Chen Cang shook his head: "No more!"Zhang Zhipeng was shocked: "How to open the skull without a locator? Where is the open skull?"Chen Cang drew an area on his completed head: "Here!"Zhang Zhipeng's mouth twitched: "Is it too casual...""Professor Chen, are you considering?"Chen Cang has picked up the scalpel......ps: Three chapters delivered, there are three chapters at night.Finally... asked monthly tickets, big brothers!vertex
