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Craniotomy 1


Director Chen took the consultation form from Li Min's hand and took the lead in entering the dry ward.When you step into the dry ward, you immediately feel that it is significantly different from the corridor of the regular inpatient ward.The medical staff who came and went looked more cautious, as if some big man was here.Director Chen looked back at the cautious and self-contained Li Min and wanted to tell her a few words, but he couldn't say it.A short and fat old man in his fifties, his white coat was almost broken by his bulging belly, and the stethoscope was twisting in front of his stomach.When he saw Director Chen, he came over from afar, and dragged Chen Wenqiang's arm forward."

Oh, Lao Chen, I'm waiting for you.Come with me quickly. ”"What are you waiting for me?

There's nothing you can't do.You let go and pull and pull like that.I had to look at the medical records first. ”"It's been so many years, and you're still like this.Look at the medical records first, then look at the medical records.I'll tell you that this is a vice sheng who has just retired, and he used to have a little high blood pressure, high blood lipids or something.None of the problems are too big.But the most important point is that he is considered an old Red Army. ”"What kind of calf are you talking about?

You look at this consultation list, seventy years old, how can it be the Red Army.This year is 90 years. ”"Well, here it is.Don't Xing people be red ghosts before the Anti-Japanese War.It's just that there is no Long March.The anti-Japanese fighters in the back all participated.People also cooperated with Big Brother Sulian to recover our Lushunkou, and the War to Resist US Aggression and Aid Korea was almost glorious in Southern Chaoxian.He was one of the first to cross the river.So, I can warn you, don't be busy until the end of the day, like the year before last. ”"Lao Zhao, if you want to say this, this consultation is still another master."

As Chen Wenqiang spoke, he stuffed the consultation sheet into the fat man's hand.The fat man hurriedly blocked Chen Wenqiang's hand."

What are you doing?

We've known each other for 30 years, when have I ever cheated you?

Listen to me, if this is done, you will turn over.It's hard to listen to a worker, peasant, and soldier college student pointing fingers at you. ”The two of them went to the director's office while talking.The director handed the medical record book on the table to Chen Wenqiang, "Take a look." ”Chen Wenqiang glanced at ten lines, and Li Min came to his side to follow the medical records and had a preliminary understanding of the medical history."

Alright.Look at the patients to go.Bring a flashlight with you. ”Director Zhao hurriedly took out a flashlight from the drawer and put it in the pocket of his white coat.The placket of his white coat was torn to the side, making his image even worse.The patient is in an ensuite room.Li Min followed the two directors into the door with the medical record book.More than a dozen men and women crowded the sofa outside.Seeing Director Zhao bring people in, some of these people stood up politely."

Director Zhao, thank you for your hard work.Did my dad have a stroke?

”A man in his early forties stepped forward, his tone urgent, but the politeness and concern between his words were sincere.And just by looking at his appearance, this person can guess that he is a person who has been in a high position for a long time, giving orders, and being a leader.Director Zhao smiled and nodded."

Not to say hard things is what I should do.You see, I invited Director Chen to consult with your father.Director Chen is the best neurosurgery director in our provincial hospital.Wait until he sees the old leader. ”Then he pushed open the door to the inner room, "Director Chen, please." ”Chen Wenqiang nodded and walked in, Li Min held the door with his hand, and motioned Director Zhao to go first.Then he didn't give way to the man who spoke, and followed Director Zhao in.There were two women standing by the bedside in the room, and the age difference between the two was not much.A young nurse was standing at the head of the bed, watching the speed of the infusion.The nurse heard the footsteps at the door and immediately turned back."

Director Zhao, come and see.""

Hmm.I know.You get out of the way.Let Director Chen check the leader. ”Director Zhao had only been away from the patient for a few minutes, and he knew the condition.He used all the medicines that could be used, and now it depends on Director Chen.Chen Wenqiang came to the bedside, "Old leader, old leader?

Zhu Dayong. ”The last three words raised his voice significantly, but the patient only frowned slightly, his eyes rolled under his eyelids, and he did not open his eyes to answer Director Chen's greeting.Li Min hurriedly recorded it in his notepad, responding to the call, but unable to sober up."

Give me the flashlight."

Director Zhao handed the flashlight to Chen Wenqiang's hand."

Doctor Li, come and have a look."

Li Min stepped forward amid the strange gazes of several people, stretched out his left hand and opened the patient's upper eyelid together.Chen Wenqiang immediately used a flashlight to shine back and forth at the patient's eyes."

How?""

Bilateral mydriasis suggests elevated intracranial pressure and brainstem compression.The left and right pupils are unequal, although not obvious, but they are present, and they are afraid of brain herniation or have formed. ”Chen Wenqiang nodded.Stuff the flashlight to Director Zhao and check his body by himself."

Give me a bottle of mannitol first?"

Li Min asked."

Okay."

Li Min immediately wrote down the doctor's order on the temporary doctor's order sheet, and then showed it to the nurse who was guarding the side."25% mannitol 125ml intravenous infusion."

The little nurse read softly, and then immediately went to get the medicine."

You open another liquid channel.Blood transfusions are to be given in preparation for surgery. ”The nurse was stunned for a moment, glanced at the two directors, and saw that neither of them spoke, so she asked Director Zhao softly: "Director?"

”"Do as Dr.

Li says."

Chen Wenqiang did not stop it, which means that he approved of the medical advice given by this young Dr.

Li.The purpose of his consultation was to prepare Chen Wenqiang for craniotomy.The little nurse immediately turned to the left and opened a new fluid channel on her foot.Then switch mannitol to the access to the arm."

Mannitol has to be lost a little faster.Enter it in 15 minutes. ”"Then you'll have to go down to the doctor's order book."

Li Min immediately filled out a few strokes in the temporary medical order book and showed it to the nurse.The nurse took the pen from Li Min's hand, signed her name on it, and began to adjust the infusion rate of mannitol.Director Chen's physical examination of the patient proceeded quickly.When he found out that the foot was done with the Babinski test, Li Min said to Director Zhao: "I want to trouble Director Zhao to ask the radiology department to do the bedside dispensing." ”Chen Wenqiang turned around and said, "You tell the radiology department to hurry up."

You call the operating room again. ”Director Zhao immediately turned around and went out with agility."

Doctor Li, you go to prepare for the operation, remember to prepare 400ml of blood."

Li Min immediately began to write the temporary doctor's order, and at the same time said to the nurse: "You get off the urinary catheter first, indwelling catheterization, and prepare the skin."

Call the nurse in the disposal room to do a procaine skin test, draw blood and do blood crossing, etc.Director, I'll go to the office and fill out the form. ”Chen Wenqiang nodded, took the catheterization bag that the nurse took out, and gave the patient a catheter himself.The men and women outside gave up the place at the door for Li Min to pass through, Chen Wenqiang in the room quickly left a urinary catheter for the unconscious patient, and the little nurse quickly connected the urine bag with her hands and feet and hung it on the hook under the bed, and these people immediately flocked to Chen Wenqiang's side."

You're going to have surgery on my dad?"

A sturdy man in his thirties in military uniform approached Chen Wenqiang's side and lowered his voice to question."

Yes.Your dad is in a bad situation right now.The amount of bleeding in the head is relatively large.There are already symptoms of brainstem compression.A craniotomy must elige blood accumulation and reduce intracranial pressure. ”"Is it okay if you don't open it?"

The older middle-aged beautiful lady who was guarding the bedside, tears accompanied by a worried tone, made everyone who heard her say unbearable to refuse her."

If the head is opened, can people still be okay?"

Chen Wenqiang immediately replied: "If I can be treated conservatively, Director Zhao will not come to me for consultation." ”He clasped his hands in front of his lower abdomen, rubbed them a few times, took off his gloves, and threw them into the disposal plate.Speak calmly to these ill-intentioned family members."

If you don't open your skull, the old leader will probably not be able to do it for half a day.But after opening and reducing the pressure on my brain, I can't 100% guarantee that others will be fine. ”"What are you talking about?

You want to play with my dad's head?

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”The other man's finger quickly hit Director Chen's nose."

Little Four, what nonsense are you talking about.I didn't hear the doctor say, and it might be half a day if I didn't have a craniotomy. ”The man who stood up at the beginning scolded the person who stretched out his finger to Director Chen, "If you don't want Dad to be treated, you can say it." ”The man immediately turned his head and scolded his person, "Boss, who are you talking about?"

Who doesn't want their dad to be cured?

I want Dad to be the same as yesterday than any of you. ”"Yes, Dad is getting better, so I can clean up the mess for you."

A woman who stands with a beautiful woman with tears in her eyes opens her mouth to ridicule.Director Chen didn't seem to see or hear this, and whispered to the little nurse to do something.Fortunately, Director Zhao came back in time.As soon as he saw the situation in the ward, he immediately said: "The family members have all come to my office and say, don't make a noise until the old leader is recuperating." ”The man in his forties told the woman next to him, "You stay here."

I went to Director Zhao's office. ”The woman nodded and stood by the bedside.Li Min was writing wildly at Director Zhao's desk, and the list was quickly filled out in her hand.Seeing Director Zhao and Director Chen leading this large group of people in, she stood up and gave Chen Wenqiang the temporary medical order."

Director, have you seen all this?"

Chen Wenqiang nodded after seeing it, and Li Min immediately folded the order sheet, put the stack of test sheets and other clips, and squeezed them out of the patient's family.A moment later, Li Min came back with a stack of blank sheets.She took out the basic information of the patient that she had recorded and began to write the consent form for surgery.The man standing behind her happened to be the fourth child who was pointing Director Chen.He looked at what Li Min had written, and immediately screamed."

We family members haven't agreed to the operation yet, why are you writing this?"

Director Chen immediately said, "We have made all these preparations before we can operate on your father."

Once you've agreed, push to the operating room immediately.If you are sure that you will be treated conservatively and will not have surgery, then I will leave the dry ward immediately. ”Director Zhao immediately stopped him, "Lao Chen, if you leave, I can only immediately let the family of the old leader prepare for the future."

The director of our hospital came over immediately.I heard that the leaders of the province are also coming.You are the closest people to the old leader, and I have already told you about the old leader's condition before I invited Director Chen to come for a consultation. ”There were not many seats in Director Zhao's office, and a man in half of the people standing immediately spoke: "Surgery."

There is still hope for my dad to have a craniotomy.Mom, do you agree?

”The beautiful woman nodded with tears in her eyes.Momentarily, there was only heavy breathing left in the office.Li Min quickly finished writing the consent to the operation and handed it to Director Chen: "Director, do you think there is anything else you need to add?"

”Director Chen looked at it very seriously.All eyes in the room focused on his face alone.It seemed like a long time before he opened his mouth and said to Li Min: "You sign here first." ”This request surprised Li Min, but she also obediently signed her name immediately.Then Chen Wenqiang took Li Min's pen and signed his name behind him."

Dr.

Li, you and the patient's family will give a preoperative explanation."

Nervousness immediately surfaced on Li Min's face and was transmitted through her voice.But Director Chen's orders in front of so many people, she couldn't help but do it.Under Director Zhao's worried gaze, Li Min turned to the man who was called the boss and the beautiful woman.※※※※※※※※※※※※※※※※※※※※ catch insects () is a bit far away