I can see the status bar

Chapter 454 Brain Stem Surgery
Rescue, first to deal with the most critical symptoms.But Sun Li'en looked at the mangled woman in front of him, and didn't know which aspect to deal with first.

"Blood pressure 58/94, heart rate 117" The data on the monitor is not optimistic. The rupture of the spleen may cause fatal internal bleeding, but it is also possible to stop the bleeding by itself.Fractured bones in both legs may lead to severe bleeding, compartment syndrome, and pulmonary embolism.It can also be fatal.And brainstem hemorrhages can also kill straight away — the same goes for skull fractures and brain contusions.

Five states, nearly each of which can be fatal.How to deal with this?Sun Li'en was a little panicked. Most of the rescue cases he took over in the past were just one or two fatal states. There are a series of fatal states on top of them, and almost every one of them may kill Tian Huixin in a short time.In this case, which one should be dealt with first?
Sun Lien was silent for a second.In all fairness, he felt that it was not very likely that Tian Huixin would be rescued in the end, but this was not an excuse for him to be passive and sabotage.On the contrary, he planned to complete the examination of Tian Huixin as soon as possible, and immediately sent him to the operating room for emergency surgery.In this way, she still has a small chance of surviving.

"Push B over and check the condition of the abdomen. There may be internal bleeding." Sun Lien issued his own rescue order after quickly ending the conscious judgment of "patting and shouting". "Let the CT prepare immediately, and do the brain CT as quickly as possible—Which neurosurgery teacher is on duty today?"

"Liu Pingchuan is on duty today." Dr. Pascal replied, "Do you need to invite him down for consultation?"

After thinking about it for a while, Sun Lien shook his head, "I'm going to make a call."

He didn't intend to ask Liu Pingchuan to come down to consult Tian Huixin, which was actually meaningless.Liu Pingchuan is the neurosurgeon with the highest level in the hospital, and may even be the neurosurgeon with the strongest surgical ability in the entire Song'an Province and even the surrounding provinces.If he couldn't even perform Tian Huixin's operation, then no one else could.Patients with brainstem hemorrhage have a near [-] percent mortality rate if they cannot undergo surgery immediately to remove the clot.

Liu Pingchuan had to perform an operation on Tian Huixin, otherwise she would die.On this basis, Liu Pingchuan's diagnostic opinion is not important. What he needs to do is to arrive at the operating room as quickly as possible and start preoperative preparations.

"Dean Liu, please wait in the operating room immediately. We have three patients with craniocerebral injuries after the explosion who are going to undergo surgery." Sun Lien reported the situation to Liu Pingchuan at the fastest speed on the phone, "Yes A grown woman needs you to operate - the family has not found it."

"Okay, I'm going to the operating room now." Liu Pingchuan's answer was also very straightforward. Sun Li'en called and wanted to go to the operating room immediately without saying a word. You don't need to ask. You know that the patient's condition is very serious. "Emergency surgery is Bar?"

Sun Lien nodded at the other end of the phone, "Yes, this patient's condition is quite serious. We just sent her to the hospital, we will give her a B-ultrasound to check the internal bleeding, and send her to the emergency CT immediately after the end, and then send her directly to the hospital. Went to the operating room."

"In such a hurry?" Liu Pingchuan frowned, "If you're in a hurry, you can send it to the combined operating room after the B-ultrasound is over. You can also do CT during the operation."

"I'm afraid it won't work..." Sun Li'en sighed, "The CT machine in the hybrid operating room is not accurate enough. This patient's condition is not very good. His pupils shrink like needles and his breathing is irregular."

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The two situations reported by Sun Li'en basically sounded no different from "death" to the neurosurgeon's ears.Pin-like pupillary narrowing generally occurs in poisoning and pontine hemorrhage.Add irregular breathing, and the answer is brainstem hemorrhage—a symptom caused by morphine intoxication that suppresses breathing but does not make it irregular.Irregular breathing and needle-like narrowing of the pupils at the same time can only be brainstem hemorrhage.

Brain stem hemorrhage is generally not curable.

The reason why brain stem hemorrhage is more serious than general cerebral hemorrhage is mainly due to the different responsibilities of the brain stem and the cerebellum.The brain is damaged, and a person's higher neural activity may be affected.Like memory, certain cognitive abilities and awareness can be affected.The cerebellum mainly controls the activities of human muscles.The consequences of cerebral hemorrhage in the brain and cerebellum may be serious, but as long as no one dies, the damage is still within the "tolerable" range.Whole body paralysis, memory loss or loss of several skills are all painful, but at least the person is still alive.

But brainstem doesn't work.

The role played by the brainstem is very important. It is mainly responsible for mediating various "reflex centers" and "reflex impulses" in the human body.

Without the instructions from the brainstem, the human heart will not be able to beat normally, breathing will not be carried out normally, blood pressure, endocrine, digestion, and various activities that require nerve instructions will not be able to proceed normally.This consequence is very fatal.

This is the main reason and basis for Sun Lien's decision to conduct a CT examination immediately after the B-ultrasound examination and send it directly to the operating room.

The internal bleeding of the spleen determines whether Tian Huixin can survive the 5-minute journey from the emergency room to the operating room, and the CT examination determines whether Liu Pingchuan can try to break his wrist with the god of death.

As for the bleeding and femur fracture—at least Tian Huixin's heart was still beating, and a blood transfusion had already been given.Pulmonary embolism caused by a femur fracture is also fatal, but it usually occurs within a day or two after the fracture.This kind of problem can be left to the orthopedic doctor to worry about after Tian Huixin survives today.

The first credo of emergency doctors has never changed - "save lives first, then treat illnesses".

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Liu Pingchuan didn't ask any more questions, he summoned his surgical team as quickly as possible, and entered the operating room to start standby - the only reason why he didn't perform disinfection immediately, put on the surgical gown and entered the operating room was because, Liu Pingchuan needs to look at the CT images first.That way he can roughly plan the procedure.

Sun Li'en and others pushed Tian Huixin out of the CT room almost at the speed of a charge. The results of the B-ultrasound examination were not too bad but certainly not optimistic.After the spleen ruptured, about 700ml of blood accumulated in Tian Huixin's abdominal cavity.But fortunately, under the B-ultrasound examination, her bleeding did not show any obvious tendency.

As for the CT examination, it was no different from what Sun Lien saw.There was a hemorrhage in Tian Huixin's pons, with a volume of 2mm*1mm*3mm.

This is already very close to the limit level where cerebral hemorrhage requires 10ml for surgery.

"Has the hospital office authorized you?" Liu Pingchuan only asked this sentence when he saw Sun Lien.

(End of this chapter)