"Mom! How are you, Mom?"
At this time, the strong man who had just started also rushed over, shouting and rushed into the emergency room.
The next second, just as Qin Feng was about to do further inspection, the strong man squeezed beside him and frowned.
"This is the emergency room. The family members go out first, so don't delay our rescue."
He spoke to remind the man.
"Doctor, doctor, you must save my mother!"
The strong man grabbed his hand and said repeatedly.
"That beast made my mother look like this, you must save her!"
"Get out of here!"
Qin Feng's face suddenly became displeased and he scolded in a low voice.
The strong man seemed to want to say something, but after glancing at the old woman on the hospital bed, he let go of his hand and walked out of the rescue room three times.
"It's too late, let's send it to the operating room first, and prepare for the craniotomy."
Qin Feng looked at the data on the testing instrument and immediately made a decision.
In this case, the priority check cannot be waited, and only synchronous operation can be performed.
Cerebral hemorrhage and cerebral infarction are two completely different severe diseases, with a higher degree of danger!
In terms of pathogenesis, cerebral hemorrhage is caused by rupture of intracranial arteries, while cerebral infarction is caused by blockage of intracranial arteries.
Intracerebral hemorrhage often has a history of hypertension, and it usually occurs during exercise, labor, or emotional agitation, which is also consistent with the patient's situation.
The onset of cerebral hemorrhage is acute, the condition is severe, and the progress is rapid. Within a few hours, headache, vomiting, and three partial symptoms may occur, and the probability of sequelae is extremely high.
And the mortality rate is also higher, the proportion of all strokes exceeds 20%-30%,
"Okay! I'll make arrangements right away."
Zhao Yitian ran out quickly, three nurses also entered the operating room to prepare in advance, and the old woman was pushed into the operating room.
Qin Feng walked out of the emergency room, and when he heard the moaning of pain next to him, he walked over and took a look.
The man who was brought along with him, lying on the bed at the moment, seemed weak and seemed a little unconscious.
Xiao Jing was treating the wound on his face, and the broken right arm was temporarily immobilized, waiting for the orthopaedic doctor to come over for surgery.
"Doctor Xiao, have you checked it out?"
Qin Feng walked in and asked.
"Come out, here."
Xiao Jing handed him the inspection report that just came out.
"The facial soft tissue contusion, the bridge of the nose was slightly fractured, and the tibia of the right forearm was broken, obviously caused by a foreign object."
Qin Feng nodded when he heard the words, which was basically the same as what was shown in the report.
"A brain CT will be added to him later to prevent accidents. It seems that he was beaten hard."
After he finished speaking, he turned and left. The man's current condition is basically mainly trauma, and no important organs have been injured.
The old woman's situation is in some crisis now, and she must have an operation immediately, otherwise the person will be gone.
Emergency operating room.
Qin Feng and Zhao Yitian were sterilizing and preparing to go to the operating table.
At this time, the old woman had been anesthetized and lay quietly on the operating table.
In about 10 minutes, all inspection reports have been sent.
It can be determined from the historical medical records that the patient does have a history of cerebral hemorrhage.
Coupled with the CT examination of the brain, it can be determined that this time it is also a cerebral hemorrhage, and the situation is more serious.
Because the patient is too old and stimulated, it is not very good.
The hematoma in her brain was about half the size of her palm, and the amount of bleeding reached at least 30ml!
Severe brain pressure!
The patient has fallen into an unconscious severe coma.
"Prepare the skin."
After Qin Feng confirmed it, he notified the nurse in the operating room to start cleaning the hair on the patient's head.
He immediately put on a sterile suit, gloves... everything went smoothly!
When he stood in the position of the chief surgeon, the patient had already prepared the skin.
"Zhao Yitian, come and be the first assistant and study hard."
Qin Feng glanced at Zhao Yitian beside him, and said in a deep voice,
"The patient is placed in the prone position."
When Zhao Yitian heard the words, he immediately adjusted the patient's posture.
"Establish two-way venous access, one for the arm and one for the femoral vein, ready to supply blood."
Hearing this, he immediately moved, and two minutes later, the venous access was established.
"Yes, tracheal intubation, ready for craniotomy."
Seeing his accurate movements, Qin Feng nodded and said.
everything's ready.
"Okay, let's start."
Qin Feng's voice fell, his palm stretched out, and the scalpel fell into his palm.
The first step is to peel off the brain.
Disinfect the back neck with padding gauze, and then de-iodine disinfection with alcohol cotton.
The surgical file is slowly drawn down at the position of the patient near the cranial ground, that is, the junction of the cartilage bone, and an incision is made.
"Electric knife."
Immediately, Qin Feng began to peel off his scalp to reveal the skull below.
Each incision layer should be lifted with scalp clamps to stop the bleeding.
"Turn on bipolar coagulation to stop bleeding."
Everything was proceeding in an orderly manner, and Zhao Yitian was watching quietly by the side, concentrating on it.
You must know that such opportunities are rare, especially this kind of fourth-level craniotomy that is quite difficult in other departments.
Even if it is encountered in an emergency, it is usually necessary to ask the chief surgeon and chief of brain surgery to come over.
Soon, the patient's scalp was incised en bloc, and the next step was to separate the layers of tissue beneath the aponeurosis.
"Stop the bleeding! Physiological saline."
Qin Feng slowly turned the base of the flap with his signature, and covered the surface with normal saline.
Scalp treatment complete!
"Periosteal Separator."
Qin Feng peeled off the periosteum from the inside of the incision, and then began to cut the skull.
There was a sound of the electric knife rubbing and cutting on the bone, and an arc-shaped trace that continued to lengthen appeared on the skull.
The fines of the bone are washed down under the saline, preventing it from entering the cranial cavity.
Subsequently, the periosteal separator was inserted into the bone flap, and the cranium was lifted by forcefully tilting it.
"Give me gauze."
Qin Feng took the handed saline soaked gauze, covered the bone flap, and the bone wax stopped the bleeding immediately.
The hemorrhage in the patient's brain was exposed to the line of sight, and the visible hematoma covered part of the cranial nerve and was tightly attached.
This is the source of the unconsciousness that causes the patient to faint!
"Hey~ This situation is more serious than I imagined!"
When Zhao Yitian saw the scene in front of him, he suddenly took a breath and couldn't help but say.
"Yeah, the two cranial nerves oppressed by the hematoma have hardened, which is also caused by the old injury from the previous cerebral hemorrhage. It is estimated that they will not recover."
Qin Feng frowned, nodded and said in a low voice,
"I'm afraid she can save her life, but she will also lose some basic mobility."
"Deserved!"
Hearing this, Zhao Yitian couldn't help but say.
? ? ?
"What's the matter?"
Qin Feng was stunned when he heard the words, what happened?
He just patronized to save people, and he didn't know the reason at all.
"Qin Feng, didn't I just say that this old lady and that man are because of dancing?"
"Actually, the man's man is not wrong at all. That is the parking space. In order to dance, the old lady refused to let the man stop, and even threatened him with a stick, and smashed the man's car..."
Zhao Yitian briefly explained the whole story of the man who was injured on the road in a daze.
Qin Feng was speechless when he heard the words.
He used to watch a lot of videos, but this time he saw with his own eyes what it means to get old and get worse.
And her son, regardless of the reason, severely injured the family, which is simply impossible to say.
Estimated!
Next is the best!
Next, clear the hemorrhage.
"Give me the nerve peeler."
Qin Feng slowly probed down with the nerve peeler, and prioritized cleaning up those large hematomas.
Zhao Yitian, who was next to him, was about to pull down the operating microscope, but found that he had already started the operation.
Suddenly, everyone looked at Qin Feng in surprise.
This is the brain nerve tissue!
Directly operate from the naked eye?
Such a degree of hematoma, and it is still close to the lower cranial nerve, a slight accident may be an irreversible accident.
Even experienced brain surgeons can rely on a microscope to operate with confidence.
But Qin Feng's naked eye surgery?
The risk is too high!
Unfortunately, they don't know that Qin Feng's current eyes, let alone microscopes, are comparable to electron microscopes!
At this moment, the patient's brain tissue is clearly terrifying in his eyes!
Even the slight vibration caused by the flow of fresh blood in the blood vessels is clearly like a river.
Qin Feng kept the speed of his hands and freed the hematoma from the dura mater.
The blade also walked past the nerve wall without even a trace of error. Zhao Yitian's eyelids jumped next to him, and he couldn't help sweating on his back.
Such technology is simply not human!
"Attractor."
Qin Feng used an aspirator to remove the dissociated hematoma, and then cleaned up the oozing blood.
"Multiple active bleeding."
Zhao Yitian looked at the data on the screen and said.
"Tie the line!"
Qin Feng nodded, took the smallest tie wire directly, and ligated the bleeding point with a little bit of precision.
Originally, bipolar electrocoagulation should be better for hemostasis, but it may also cause certain damage to subcutaneous nerve, so he still adopts the most familiar method.
Safe and easy to use!
"Okay, bone wax to stop bleeding, come and try."
After finishing all the nerve repairs, Qin Feng looked at Zhao Yitian and said.
"it is good!"
Zhao Yitian didn't refuse, he took the initiative to stand over, and with a dignified expression, he used bone wax to walk in the bone canal, filling the meningeal hemorrhage.
Fifteen minutes later, Qin Feng looked at him who put down the equipment and nodded with a smile.
"It's a good job, it's very meticulous, and you will be more active in the future, and you will soon be able to access the fourth-level surgery."
"Seriously Qin Feng, although I haven't been with you for a long time, I have learned a lot."
Zhao Yitian was also satisfied.
Qin Feng was speechless for a while, saying this.
Obviously he was a trainee doctor at the beginning, and Zhao Yitian was the teaching doctor, but it turned out to be the other way around.
"Okay. Shut her head."
After waiting for a few minutes, it was confirmed that there were no more signs of bleeding, and all the accumulated blood and hematoma had been cleared. Qin Feng nodded and it was over.
The rest is the basic operation, and everyone watching at the dazzling speed is quite amazed.
...
At this time, the emergency hall was a chaotic scene.
"I tell you, if my mother has anything to do, I will never let your family go!"
The strong man pointed at the family of three in the rescue room and shouted angrily.
Like that, if it wasn't for the security guards to stop him, it is estimated that he could rush in and beat the man again.
The man's wife and children hurried to hear the news. In the emergency room, they looked at the man with a bruised nose and a swollen face on the hospital bed, fearful and distressed.
"Husband, I've already called the police. Don't worry, I won't let them let go. You can take care of your injuries."
The woman wiped away her tears, and her words were full of grievances.
She knows what kind of person her man is, and is kind and reasonable. If she doesn't touch the bottom line, she will definitely not have a conflict.
Now that her husband is beaten like this, and the men outside are still threatening, how can you not be angry?
But she knew that she couldn't fight, and she couldn't fight.
Fighting, hurting, these are two different things!
After ten minutes, two police officers entered the emergency room.
"Police, they beat my mother so that she is undergoing surgery. I want them to compensate! Arrest them all!"
When the strong man saw the police, he immediately rushed over and shouted at the man in the room.
"Which one is Ms. Wang Sidan?"
The policeman glanced at him, ignored him, and asked.
"I am, I called the police."
The woman heard the sound, left the child in the emergency room, wiped her face and walked out of the emergency room, she said in a deep voice.
"Okay, we need to do an investigation, I don't know if it's inconvenient for you?"
Seeing this, the police nodded and said.
"Hey! I said what happened to your police? You don't care about me, just care about them! Are you a police officer!"
Seeing that the police ignored him, the strong man roared angrily.
"You can check whether we are the police or not. In addition, don't leave yet. We will check with you later."
An older policeman glanced at him with a cold expression, then took out his police officer card and gave him a look.
After speaking, he directly pressed the recorder on his chest and started recording the whole process.
"Hello, let's go in and talk, is the doctor there?"
Immediately, Xiao Jing, Wang Sidan and two policemen entered the emergency room and began to conduct simple inquiries and records of injuries.
About half an hour later, the door of the operating room opened, and Qin Feng and Zhao Yitian came out.
"Doctor, doctor, how is my mother?"
The strong man hurried over and grabbed him and asked.
"Your mother's condition is not very good. She has had a cerebral hemorrhage before. This time, the cerebral hemorrhage occurred again, compressing two cranial nerves."
Qin Feng glanced at him lightly and explained normally,
"Although the hematoma has been completely cleared and the life is saved, there should be some sequelae, including hemiplegia or inconvenience."
"Hemiplegia? Inability to move?"
When the strong man heard this, the whole person was stunned, and his expression gradually changed from shock to anger.
"How did you become a doctor? My mother is so healthy, how could she have hemiplegia?"
"You did it on purpose! You just wanted to trick us and make my mother like this!"
After speaking, the strong man stretched out his hand and tightly grasped Qin Feng's collar, roaring loudly.
"What are you doing? Release your hands!"
Seeing this, Zhao Yitian quickly stretched out his hand to help.
But the brawny man was obviously stronger, and he seemed to fight often, so he pushed Zhao Yitian away as soon as he raised his hand.
The two security guards at the door also rushed over, and the two policemen who were making records in the emergency room also came out after hearing the sound.
The next second, the strong man clenched his fist and was about to hit Qin Feng.
"You, stop!"
The policeman yelled at once, but it was too late.
Seeing that the fist is about to fall, Qin Feng's eyes suddenly squinted, and his body exudes a chilling aura.
Snapped!
Suddenly, the strong man's fist stopped abruptly less than five centimeters from his cheek, and everyone was stunned.
The strong man didn't react. When he tried to withdraw his fist with all his strength, he found that no matter how hard he tried, the fist couldn't move.
In a hurry, the strong man let go of the hand that was holding the front of his shirt and grabbed it towards his throat.
A gleam of light flashed in Qin Feng's eyes, and he made a fist with one hand, which suddenly came out from his waist.
Bang!
Everyone saw that the man was shaken all over, standing on the spot unable to move, and then his legs became weak.
Pfft!
He directly covered his abdomen and knelt in front of Qin Feng, and fell to the side.
The face that had been blushing was as pale as paper at the moment, and the beads of sweat kept oozing out. He opened his mouth tremblingly, but couldn't utter a single word.
"Officer, I'm just self-defense."
Qin Feng turned his head, looked at the two policemen, and asked calmly.
"Ah? Uh... it counts..."
At this moment, everyone at the scene was stunned and stared at him with their mouths open.
What's going on?
What did Qin Feng just do?
With just one punch, this burly man who was almost as big as him fell to the ground!
And it doesn't even have the strength to fight back!
Shock!
The two policemen were the first to react, looking at him with shocked and complicated eyes, and then at the strong man on the ground.
"Don't worry, he's fine, he'll be able to regain his mobility after a few hours of rest."
Qin Feng understood and immediately explained.
"I know the severity, but I just blocked his diaphragm, and it is estimated that it will hurt for two days."
"OK."
The police nodded when they heard the words, and it was fine.
But this doctor is too fierce!
With the physique of a strong man, if they really resisted, it is estimated that the two of them would not be able to control them without equipment.
And now, with one punch, he was lying on the ground like a shrimp ball.
Really cool!
About two hours later, the police also immediately removed the surveillance video near the public parking lot of the community, as well as the injuries of the old woman and the man.
At the same time, Qin Feng also explained the situation. The old woman actually suffered from a cerebral hemorrhage caused by emotional agitation, and there was no injury caused by external force.
On the contrary, the man, according to the degree of injury, has already reached a serious level.
Of course, the man's wife Wang Sidan is also very decisive. This matter must be dealt with in public, and court proceedings will be initiated.
They must send the strong man in to eat well for a few years in prison!
At this moment, the original plot is directly reversed!
What a good show!