Guan Chuyu was injured in the temporal area.

However, this injury is particularly weird.

Injuries caused by falling are usually hedging brain contusions, which may include scalp avulsion and facial abrasions.

More importantly,

If you fall from a height such as stairs, it is impossible to only injure your head.

In most cases, the left and right zygomatic arches may have comminuted fractures, and the radial shaft may also be fractured.

However--

Except for an injury to her left temporal bone, Guan Chuyu's body was fine.

and--

This injury doesn’t look like a contusion or laceration!

On the contrary, it was more like being hit with a blunt object!

Xu Qiu's face darkened.

Other doctors around noticed the change in Xu Qiu's eyes, and they also came to check.

"What's wrong?"

"Dr. Xu, did I fail to debridement well... I'm sorry..."

Suddenly there was a sound of footsteps in the corridor.

He Hai heard that there was an emergency patient with cerebral herniation. He finally rushed to the emergency room, took a look, and directly judged: "Blunt force injury, what's going on, call the police!"

Everyone was startled suddenly, and looked at Guan Chuyu's wounds again, and suddenly realized, and then their faces became ugly.

…

"How... how is it possible? Teacher Diao from the cram school said she fell down the stairs!"

Outside the rescue room, the two young parents were shocked and angry.

He Hai didn't say much, but said: "If you don't call the police, we will call the police."

Whether it is domestic violence or violence in tutoring institutions,

If you extend your poisonous hand to such a young child, it will not end well.

"In addition, the operation is urgent. Craniotomy, hematoma removal, decompressive craniectomy, etc. must be performed within an hour!"

He Hai explained again: "Your child's intracranial pressure is now very high, and he has suffered a brain herniation. He may die at any time. He must be opened to remove the hematoma, remove the intracranial high pressure, and relieve the brain herniation!"

…

Ten minutes later, a multidisciplinary joint meeting was held urgently.

All elite doctors from brain surgery, respiratory, ultrasound, imaging, anesthesia, emergency department, etc. were present to participate in the formulation of the plan.

Final confirmation: intracranial hematoma removal and craniectomy, decompression and external ventricular drainage surgery!

The surgical steps are also very simple:

Craniotomy - dura mater incision - hematoma removal - dura mater suturing.

"Who will do this surgery?" someone asked.

Everyone's eyes turned to Xu Qiu.

"Can Dr. Xu do it?"

"I just completed a neuroendoscopic resection of a huge tumor at the skull base. This operation is trivial!"

"But he has finished a full day of work today and had two surgeries in the afternoon. Isn't that a bit too forced?"

"That's right. It would be too difficult for Dr. Xu to do another surgery."

Everyone shook their heads.

Although I really want to see it, the patient's life always comes first.

Director Lin is also a little envious of Xu Qiu's surgery.

In the past few days, he had looked at the resection with that endoscope many times.

So much so that I didn't hand in homework to my wife for several nights.

It’s all Xu Qiu’s fault…

Director Lin said with some pity: "Xu Qiu, please get off work and leave this operation to me."

Xu Qiu glanced at his daily tasks.

Simple task: remove the patient's feces

General tasks: Complete three surgeries

Difficult task: discover a difficult disease and cure it

In the afternoon, Xu Qiu had the opportunity to do simple tasks.

But he gave it to Wang Fan.

What if Wang Fan also has a system?

If it’s a difficult task…

For difficult and complicated diseases, it may take months or years just to diagnose.

Not to mention healing.

I definitely didn't expect to complete the difficult task today.

However, after this operation is completed, we will be able to complete three operations. It would be good to end today's work with general tasks.

After thinking about it, Xu Qiu came back to her senses and said calmly: "I'll do the surgery."

The conference room fell silent briefly.

Immediately, many doctors burst into cheers.

Director Lin also smiled evilly: "Okay, I have a new movie to watch."

…

…

At 5:05 pm, enter the operating room.

Chief surgeon: Xu Qiu

First Assistant: Director Lin

Second and third assistants:...

At 5:10 minutes, general anesthesia was quickly induced.

First, etomidate, sufentanil, rocuronium, and endotracheal intubation were given.

To maintain anesthesia, it was switched to intravenous anesthesia, and the drugs were changed to propofol, sufentanil and dexmedetomidine.

After anesthesia is completed.

The right internal jugular vein was punctured and catheterized under ultrasound guidance.

Open the central venous infusion channel and monitor the central venous pressure.

"SBP is maintained at 100~140mmhg, dbp is maintained at 60~80mmhg, and heart rate is maintained at 85~100 beats/min..." Xu Qiu arranged calmly.

He glanced at the bispectral index (bispectral index).

This is an indicator for detecting brain function and also directly guides the depth of anesthesia.

At this time, Guan Chuyu's bis value is 51.

100 represents awake, 0 represents completely no brain electrical activity, and should be maintained between 40 and 60 during surgery.

"Give ulinastatin 150,000u."

"Pump injection of dexmedetomidine 0.5μg (/kg·h)..."

On the other side, the blood gas analysis results of the emergency examination after anesthesia also came out.

"ph7.26, paco241.0mmhg, pao2201mmhg, be-6.2mmol/l, blood sugar 14.2mmol/l, lactic acid 3.8mmol/l..." www.bǐqυgetν.℃ǒm

Xu Qiu glanced at it,

pH is too low, metabolic acidosis.

"Give 5%nahco3125ml!"

Blood sugar is too high.

"Pump regular insulin 2.5iu/h."

After all preparations are completed, the operation finally begins!
To be continued...