Surgery is no joke, and each operation has its own appropriate indications.

It's not just an operation. As long as it sounds better, more sophisticated, and has enough skills, it can be done directly.

Puncture needle hematoma evacuation under CT monitoring.

Naturally, it is the least invasive, but it is only suitable for a single hematoma, especially if the patient suffers from a single, relatively large hematoma.

The problem can be solved quickly.

But if there are many hematomas like Lu Qianzhou's now, but they are not very big, it may be safer to remove them through craniotomy, or slowly do it under endoscopy!

This is Du Li's idea, and it is also a relatively conventional idea.

However, Lu Qianzhou's condition is different now. From a conventional perspective and thinking, he would just wait for death.

Therefore, from the beginning, Zhou Cheng's thinking never took the ordinary path!

The reason why medicine needs to develop is that the current level of inheritance and knowledge will never be able to analyze all existing diseases, no matter which type of medicine.

You are paralyzed!

Do you have to pay attention to the lower limit when insulting people?

But not Zhou Cheng!

"The high pressure dropped off a cliff to 50+, and we were able to rescue it. This really requires a very high level."

Professor Lu frowned when he heard this: "It is not an option to cut off a limb to save your life. You can leave the green hills without worrying about having no firewood."

In this way, even if a lawsuit is filed, things must be done within strict guidelines. Any operation outside the guidelines is an illegal operation!

Retract the rectus abdominis to both sides, pick up the posterior sheath of the rectus abdominis and the peritoneum, pick up the peritoneum with toothed forceps, and use a curved vascular forceps to pick up the peritoneum about one centimeter away from the opposite side of where the surgeon pinched it. , then the surgeon relaxes the clamped peritoneum, clamps another place again, repeats this process once and then cuts with a knife.

Then, at this moment, a lot of people suddenly gathered at the door of the operating room. However, these people just gathered around the door of the operating room and looked inside curiously. However, no one actually opened the operation. The door of the room was closed for fear of affecting the rescue operations!

When one of the circulating nurses saw this scene, she thought something was going on, so she immediately went to the door and opened it herself to ask about the basic situation.

After all, there are not many people like Zhou Cheng who have professors speaking and supporting him.

Professor Lu glanced at the blood pressure display on the anesthesia machine.

But Zhou Cheng's words directly made Fang Jingsheng, several people from the vascular surgery department, and even the neurosurgery people who knew what a sheath was, cursed in their hearts.

Intracranial hemorrhage is not a big problem if it does not continue to expand. If the spleen is ruptured, it can be cut off. Liver contusion and laceration are not particularly serious. For a professor of general surgery, it is just a piece of cake.

However, after Fu Youhan from the Department of Orthopedics recognized the identities of these people, he walked over silently and whispered: "Director Tong, Teacher Zhang, and Teacher Zeng Diwei's student Zhou Cheng are on the stage."

Of course, the procedure they have to go through is very simple.

The meaning of this is very simple. Remove the generated emboli, and use the remaining emboli to stop the unimportant bleeding points. For important bleeding points, after removing the thrombus, accurately target the bleeding points. Embolization stops bleeding.

There is good news from all sides.

An assistant next to Du Li seemed to be a little scared by Du Li's action, and said: "Teacher Du, the diameter of this hematoma is not easy to operate? Actually."

After doing this, Professor Fang Jingsheng blocked all the blood vessels in the limbs. Zhou Cheng breathed a sigh of relief at that time.

Some dangers should be taken when necessary, and we cannot let a young man fight alone here as a hero.

The leader was an old man with gray sideburns. After he entered the door, he shouted: "Professor Fang, how is the patient's current condition? I happened to invite an expert from Fuwai Hospital in Kyoto who came to Shanghai on a business trip.

"

However, this situation has returned to a scene that Zhou Cheng is familiar with.

…

Zhou Cheng himself is somewhat confident about his current technical level, but others don’t know that!

It's impossible for everyone to know, because this is due to lack of experience and resume.

"What are you going to do next?" Fang Jingsheng had a headache at this moment. Although the temporary life-threatening situation was temporarily solved, how to deal with the embolization of the lower limbs and upper limbs? Now even if the embolization thing was removed,

The blood probably won't flow anymore, and the bleeding won't come out.

However, Fang Jingsheng can also understand that Zhou Cheng only wants them to have a better sense of participation. Don't make everyone look so ugly on the surface.

Do what you can, should and shouldn't do, there is no need to take risks.

Could you please speak less casually?

However, it seems that their reaction at this moment is not as big as before. After all, everything has a process of getting used to. Slowly getting used to it, it is not as shocking as before. Zhou Cheng even blindly operated the femoral artery into the cerebral blood vessels.

Okay, so blindly perform a lower extremity artery thrombectomy, isn't it a piece of cake?

What else should they be surprised about?

Every doctor's first reaction is that they must not leave any flaws in the surgical process to cause trouble for others. They must choose the best solution based on the most standard surgical indications!

Even people at Huashan Hospital know Zhou Cheng.

At this time, Zhou Cheng was no longer polite or modest. Time was urgent now. If he were to be humble a few more times, the people of Lu Qianzhou would all be gone.

However, no one who came in responded to his words. People from other specialties went to the direction of the reader and were reading the medical conditions carefully.

After replying, Professor Chu immediately followed his students: "If you continue to draw electrolytes and replenish so much blood, you must pay attention to hyperkalemia and metabolic alkalosis."

There is a teacher named Zeng Diwei in the Ninth Courtyard.

"Don't worry, I can definitely do this!" Du Li replied very calmly.

If this were at the Shonan University Affiliated Hospital, Zhou Cheng would have the home field advantage. When there were people behind him, Zhou Cheng wouldn't even have to create opportunities himself, but would directly tell Ding Changle and Cai Dongfan.

Fuwai Hospital is the best hospital for vascular surgery and has strong strength, while the best hospital for neurosurgery is Tiantan Hospital in Kyoto. At least that's the official definition.

Zhou Cheng nodded at that time, his mind turned slightly, and he suddenly realized, and he said to himself, Brother Zhou Cheng, you better not be too arrogant!

You are now in Huashan Hospital. This is not a place where you can be unscrupulous. There are more professors and experts here than you see.

But avascular necrosis is about to come. If it is not treated in time and muscle necrosis occurs in all limbs, the patient will die, unless amputation can solve all the troubles at once.

However, seeing how powerful Zhou Cheng was, he had almost begged for their opinions humbly and tried all kinds of extreme methods.

And according to the most conventional thinking, if Du Li and Professor Ni didn't scold Zhou Cheng when he interrupted their own surgical design ideas, or even kicked him out, they were extremely well-educated.

"Bring over two more doses of dopamine and adjust the speed of intravenous medication."

However, the comprehensive strength of Huashan Hospital's neurosurgery ranks second in the country, and Professor Du Li is a well-known top expert and professor.

Then Zhou Chenggong said: "Tourist, can you push the computer for reading the film over for me? I want to see the specific location of the bleeding point. Now I need to put gel to stop the bleeding in the skull, thank you!"

For this operation, because the director personally spoke, there is no upper limit on the number of circulating nurses and hand-washing nurses. If there are ten, she will call ten people to come to the operating room! If there is a shortage of people, she can do it herself.

The damage caused by these words to Fang Jingsheng made the doctors from the vascular surgery department standing next to Fang Jingsheng start to look away and smile helplessly!

And if Zhou Cheng was not a little-known doctor, but a very well-known associate professor in the industry, Zhou Cheng wouldn't have to be so humble and make various suggestions. He would just get started and say this.

This is my specialty, please feel free to leave it to me.

At this time, Professor Yan from the Department of Thoracic Surgery also gave good news, saying: "The bleeding in this chest is not quite large, and the drainage volume here is not too much."

Zhou Cheng was being modest, but it was just a little too much.

Professor Chu, the anesthesiologist, also took a long breath and said: "CVP has finally stabilized. We are still slowly transfusing blood here, so it should be more stable. For the time being, we are out of the period where shock may occur at any time."

He could only shave his head.

Obviously he also knows Fang Jingsheng. There are many international conferences in Kyoto and Shanghai, and there are many collisions and exchanges between top professors, so basically all the big guys in the world know each other.

"This doesn't look like it, does it?"

"Professor Ni, can you help me make the guide sheath port for the lower arterial sheath? I haven't done it yet." Zhou Cheng answered very quickly, but also a little embarrassed. He seemed a little shy.

He can start the operation immediately. Even in the Ninth Hospital, Zhou Cheng can directly say that I want to go on stage, instead of asking several professors for their opinions and getting permission before going on stage.

Dean Wang had just finished speaking. The professor he introduced, an old man with clear eyes but age spots all over the bridge of his nose, spoke: "Dean Wang, I won't go on stage. Professor Du is here. The current surgery

The progress is very good.”

The only bad news is that the lower limbs that were previously embolized have begun to become embolized.

These steps are indispensable, plus the process of stopping bleeding, this speed is already considered the ultimate speed, okay?

Zhou Cheng actually wanted to start directly from the beginning, but he couldn't.

The speaker was the director of Huashan Hospital. When he spoke, Du Li and Fang Jingsheng were still working.

"The vital signs have also stabilized."

Fang Jingsheng opened and closed his mouth slightly, nodded, and moved away: "Then you start first. Starting from the last upper arm that I embolized, there may be fewer embolisms to encounter, and the operation will be more difficult.

Lower."

Immediately afterwards, Du Li also took charge of his own work: "Xiao Zhou, I will do the puncture needle drilling, you only need to be responsible for stopping the bleeding!"

"What?" Tong Dawei immediately turned his head and looked towards the operating table.

However, in most cases, due to the current medical environment, these professors are unwilling to touch or try many things.

When Zhou Cheng said this, Du Li immediately said: "Tour, quickly push the computer over and transfer the MRA images to him."

Fang Jingsheng said politely: "Professor Lu has good eyesight. The patient's current blood supply to the limbs is cut off. We did it ourselves in order to stop the bleeding quickly and easily."

This is Huashan Hospital. This operating room is only open to doctors from Huashan Hospital!
To be continued...