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Chapter 379 He Spit Out His Brain!

"vomit!"

After a low growl, the patient's mouth began to spray a mixture of pink, off-white mixed substances.

The pupils of the people present suddenly widened and their breathing was almost stopped.

Those who can come to the rescue room are basically old fry in the emergency department. I have never seen any human body structure?

Hemorrhoids that grow into a bunch of grapes are nothing rare.

But what the patient vomits now...is brain tissue!

He spitted his brain out!

"vomit!"

The nurse closest to her was vomited all over. Her face turned pale, and the next moment she also rolled in her stomach and started to retching wildly.

But the hands still firmly hold the patient.

Once the patient lets go, the steel bars will be displaced after the patient falls down, and he is likely to die on the spot.

As an emergency department nurse, you still need to have this professional quality.

"What's going on!"

Wang Fan, who came to rescue, was extremely frightened, "Brother Xu, Brother Xu, save the scene!"

Liu Susu quickly replaced the vomiting nurse and said, "The others are holding on, Dr. Xu is here!"

Xu Qiu also stood on the right side of the patient and presided over the rescue.

"There is a high probability that the steel bars will open up several cavitys before the brain tissue flows into the mouth, so there is no need to panic." Xu Qiu's voice was like a spring breeze, and instantly sootheed the people in the rescue room.

Wang Fan calmed down at this time and quickly reported the patient's immediate situation.

"The patient's left pupil diameter is 0.25cm, the photoresponse size is 0.2cm, the right pupil is 0.2cm, and the photoresponse is sensitive.

Strab gaze inward of the left eyeball, shallowness of the left nasolabial groove, right corner of the mouth, internal rotation of both upper limbs, hypertonia..."

Xu Qiu interrupted him: "Tell me the point, have you taken the x-ray?"

"I took a photo. The x-section of the head is on the right side shows that the steel bar enters from the back of the right pillow and is inserted into the eyeball diagonally to the front right!

Both Papistry symptoms in the patient were positive, and meningeal irritation was obvious!”

Xu Qiu nodded.

The patient's wound was shocking, with the maxillofacial bone, frontal bone and the posterior occipital bone exposed, with severe open trauma and active bleeding.

In addition, although it was delivered in time, the wound was covered with iron-red rust scattered with steel bars, which was very exaggeratedly swollen, and a small number of skull fragments were stuck in the brain tissue...

This is one of the most deadly and difficult to deal with intracerebral open injury.

Severe foreign matter contamination.

Through the brain, it is extremely large in the bed.

There are still a lot of debris left.

In this case, slight abnormal movement may scratch the blood vessels and cause severe intracranial hemorrhage.

Even if Xu Qiu has a perfect method of stopping bleeding with bare hands, he can only stop bleeding from the heart and organs that can be touched, and he is still unable to make up for the bleeding of the brain.

In addition, the condition cannot be delayed for a moment.

Otherwise, the bacteria will reproduce rapidly, and once the infection breaks out, it will still be dead.

"Save...Save me, I don't want to die..."

At this time, a trembling voice came from the hospital bed.

Everyone was startled again and looked in horror.

But I found that the patient was actually opening his only left eye, his pupils trembled, and his face was filled with fear.

"Still awake?" Xu Qiu was also a little surprised.

In this case, it is already a miracle that the patient can live. Not only does he live, he also soberly rescues the doctor, and his vitality is extremely tenacious.

"First one phase of debridement is called brain surgery, ophthalmology, plastic surgery, otolaryngology, anesthesiology, and imaging departments come to consult."

Xu Qiu ignored the patient's existence and continued to rescue him.

Debride the brain actually has one advantage.

No anesthetics are needed.

There are very few painful nerves in the brain, so even if the brain tissue is scratched when picking up iron chips by tweezers, it will not cause much severe pain.

The pain of eye piercing overwhelms everything.

Of course, this step still requires extra caution.

Because pain is a protective mechanism.

Although there is no pain, accidentally damaging a certain functional brain tissue will leave lifelong sequelae.

...

Debridement of open brain injury is difficult, but only a little bit.

For Xu Qiu, it was not a big problem.

From outside to inside, from shallow to deep;

Extend the incision and remove layer by layer;

Looking straight, Xu Qiu slowly finished the preliminary debridement.

After more than twenty minutes, the patient's life was saved. In the future, multiple disciplines were needed to discuss the surgical plan to completely remove the steel bar in the head.

In a intensive manner, an emergency surgical meeting was held.

During the meeting, the emergency CT results of the patient's follow-up examination were also returned.

The brain surgery, ophthalmology and other doctors in the conference room looked at the examination results and had a layer of sweat on their bodies.

"So dangerous!" The director of ophthalmology frowned.

Director Lin of the Department of Brain Surgery breathed a sigh of relief: "This position is very tricky. The part of the steel bar penetrates the cranial brain that is close to the middle cerebral artery, and it almost rubs against the internal carotid artery... If the slight deviation is slightly, these two blood vessels may collapse, and the patient will die within minutes!"

The directors looked extremely solemn.

The good news is that foreign objects just get stuck on the edge of the deadly edge.

But this is a nightmare for all brain surgeons.

If you want to remove the steel bars that penetrate the brain tissue and are stuck in the skull, the movement range should not be small, and it is very likely that these two blood vessels will be damaged.

"There is another point, the steel bars are old, full of rust, and the pollution is very serious.

Moreover, there are many raised rust on the surface of this thing. If you want to remove it, the risk is completely uncontrollable!"

Director Lin sighed.

If it is a small foreign object, there is experience in brain surgery.

However, the steel bar is 0.9 meters in diameter and is about 32 mm, with at least two adult men's fingers as thick as their fingers.

In the brain surgery department, there is really no experience in dealing with such patients...

Director Lin has indeed encountered several, but when he was delivered, he was already a corpse. The next death notice is done. This patient has lived to this day, which is incredible!

The meeting continued for more than ten minutes.

Some people suggest that early debridement should be done first, and then consider removing the steel bars after the patient has stabilized.

After all, the patient has woken up at this time and can ask questions.

However, this way of handling can see the ending at a glance.

Patients will definitely die - the steel bar pollution is extremely serious. If not removed early, the patient will inevitably die under the infection of various bacteria.

Soon, the police also brought the latest news.

Patient Zhang San refused to explain anything.

Everyone was helpless.

This guy must also know that if the doctor, family, and police want him to be alive, the only way is to keep his word.

At this point, the "optional removal" plan has been completely denied.

"Doctor Xu, what do you think?"

When all the solutions did not work, everyone's eyes fell back to Xu Qiu.

Director Lin and others were a little confused.

Dr. Xu, who was sitting in the main seat, was always in a daze. Is this... as powerless as them?

But then, Xu Qiu's pupils gradually gathered and his spirit was restored.

He swept over the doctor present and suddenly asked, "Are there any doctors here who are newly married or in love?"

"Um?"

Everyone was stunned.

Suddenly asked what this is for?
Chapter completed!
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