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Chapter 381 The last preoperative indicator: Xu Qiu agrees or not!

Out of personal preference, the two directors definitely hoped that Xu Qiu would give up Zhang San and focus on Gao Juan.

But this obviously does not conform to the reality.

"I'll go and persuade again."

Wang Ping looked deep and said, "The risk of this surgery is indeed too high. The difficulty lies not only in the main surgery, but also in anesthesia. It depends on whether the family can be persuaded to give up the surgery."

With Gao Juan's physical condition, she is likely to die on the stage.

After a blow of anesthesia, she may not have numbness first, but heart infarction, tremor, sudden arrest, or respiratory failure, pulmonary embolism, organ failure, etc.

Not to mention that it causes greater damage after surgery.

Although conservative treatment is not very meaningful, it can be delayed for at least one or two weeks.

"At least, conservative treatment can be left to the family and the patient for farewell." Wang Ping said after thinking about it for a while.

Director Jiang nodded and agreed to this approach.

Soon, the two directors convened the patient's family and held the last preoperative notification meeting.

During the meeting, Wang Ping repeatedly emphasized the risk of anesthesia.

Such as respiratory depression, circulation inhibition, hypotension, etc.

Each item is extremely dangerous, just like dancing next to the King of Hell's Life and Death Book, and asking the King of Hell if he wants to go with him.

Wang Ping's professional and calm analysis was quite effective. His family members' faces quickly turned pale as paper, and they were so scared that they were trembling.

His eyes gradually lost their light, and he was completely lost and his face was full of death.

Wang Ping sighed in his heart, and finally the persuasion was successful...

However, as soon as the thought arose, the family members who had been lowering their heads suddenly raised their heads and rubbed their swollen eyes and said, "We all know the risks, doctor, let's have surgery, save my mother!"

Wang Ping was stunned for a moment.

Are you so strong in the operation?

Director Jiang sighed and gave Wang Ping a helpless look.

I couldn't persuade him, and the family was very persistent in starting the surgery...

Gao Juan's family stood up, his voice low but firm, and said, "Doctor, we want to take a try. My mother said before her death that she would not want to have a tube inserted, nor would she want to live on the hospital bed without dignity... We discussed with her that no matter how high the risk is, she would die. She was afraid that she would have to be as hanged in the last time as she is now."

"this……"

Wang Ping hesitated for a moment.

Most of the time, family members dare not do this kind of surgery.

However, in fact, what is more afraid of than the family is the clinician...

Now that the family members are open-minded, the pressure is on the doctor!

"Wait a moment, I'll judge a few more indicators and make the last preoperative confirmation. You can consider it again."

Wang Ping got up and left the conference room.

Director Jiang chased after him and said in confusion: "What indicators? The preoperative evaluation is already very clear. What else should I check?"

Wang Ping shook his head, "It's just for the family to listen to. I have to ask Xu Qiu's opinion."

Director Jiang suddenly realized.

"Call the operating room and ask them to summarize Gao Juan's detailed information."

Wang Ping did it as soon as he said that, extracting key examinations, vital signs, etc., and asking the nurses in the operating room to ask Xu Qiu for advice.

The movements over there are faster.

Five minutes later, the person in the operating room called back: "Dr. Xu said that we should cooperate with ICU in advance to prepare rescue medicines and defibrillators, and try surgery!"

"good!"

Hearing Xu Qiu's judgment, Wang Ping felt a little calmer inexplicably.

He walked back to the conference room and handed over various preoperative notices and consent forms to his family for signature.

"Doctor, we know that my mother is very ill. If she drags on, she will die, and if she does surgery, she will die. No matter what the result is, we will not make trouble. We just ask you to do your best!"

Wang Ping held the hand that the family extended.

It's cold and trembling.

He looked at his family and said in an infectious voice: "Whenever possible, we will save the patient's life!"

...

Five hours passed in the blink of an eye.

Xu Qiu's operating room No. 4 was difficult to debride and position, and finally began to move the steel bars one millimeter after another.

The steel bars after wearing condoms are less sharp and more smooth.

Finally, in the sixth hour and twenty minutes of the operation, the last piece of steel bar was "bang" from the brain tissue and completely pulled out.

"call!"

Everyone in the operating room immediately relaxed.

When they came to their senses, they realized that they had already sweated coldly behind them.

Director Lin's face was covered with fine beads of sweat, and the other assistants also closed their eyes to the sky, relieving the feeling of fatigue caused by long-term tension.

"Hello, Doctor Xu!" The young nurse wiped Xu Qiu's sweat.

"You are so handsome, Dr. Xu!" The nurse traveled to look at other doctors in the operating room and then looked at Xu Qiu, and suddenly felt his eyes were washed.

"Where is me?" Director Lin laughed.

This time he became a helper and also performed the best in his surgical career.

The tour nurse paused for a while and thought for a long time, "You...hello, Director Lin?"

“???”

God, hello!

Can't you praise a few words?

"Prepare to finish."

Under the shadowless light, the operation was not over yet, and Xu Qiu's attention was always on the patient.

The others immediately felt awe.

I quickly adjusted my state and focused again.

Next, it is to eliminate the inactivated brain tissue and conduct strict electrocoagulation to stop bleeding.

This extremely severe open brain injury has a very high mortality rate and a huge risk of surgery, so many hospitals dare not take it.

This one is a typical example.

After turning on the flap, they found that the insertion of the steel bar caused the skull to burst, showing a comminuted hole-shaped fracture.

The process of removing steel bars is also a worry.

The surrounding tissue must be electrocoagulated and stopped bleeding, and then removed while flushing. After that, you have to use hydrogen peroxide and normal saline to clean the wound cavity several times.

It took about half an hour to clear the hematoma that pressed the brain stem in the brain tissue.

Of course, even if the steel bars are removed, it doesn’t mean that it will be easier next.

The bone fragments, hair, inactivated brain tissue, and even rust that remain in the wound need to be completely removed.

The eighth hour of the operation.

Xu Qiu finally completed electrocoagulation and stopped bleeding. After pressing it with cotton cloth, he covered it with gelatin sponge and finally controlled the bleeding.

"Drain?" Xu Qiu asked without raising his head.

“170ml!”

As soon as this number came out, everyone in the operating room found it incredible.

Too few!

Ordinary severe open damage, steel pipes and other foreign objects inserted into three or four centimeters may cause intraoperative bleeding of more than 300 ml.

This foreign body removal surgery, which is extremely difficult and risky, has an astonishing amount of bleeding!

"Doctor Xu, my god!"

"I feel that your brain surgery talent training base can start another project, which is called removing the extraordinarily heavy cranial foreign body, which is very confusing!"

Director Lin’s smile was particularly bright.

Indeed, if the operation is successful, it is probably another big news. Tiandu's brain surgery boss, Tiantan Hospital, will definitely be drooling!
Chapter completed!
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