
" Your abilities are getting better Bi, " said Reyhan's doctor.
" Dok, this is a crash victim patient ', once known, from the results of the USG."
Abi saw the results of the ultrasound of the abdomen and chest.
" There is a lot of fluid in the abdominal and chest cavities, after the drainage of the chest is closed and dilatancy blood pressure is stable" Abi told Dr. Evan.
" We have to do a laparotomy right doc?, " said Abi.
Laparotomy is a procedure that makes large vertical slices on the abdominal wall into the abdominal cavity. According to other references Laparatomy is one of the operations performed on the abdominal area. This procedure allows the doctor to see and feel the internal organs in making a diagnosis of what is wrong.
" To see the spleen lethargy and bleeding.Covered chest drainase covered with blood, but not much., Makan abdominal surgery first," said Reyhan doctor.
Abi to the next patient.
" The possibility of a complete cranial intrauterine hemorrhage cannot be ruled out."
Intracranial bleeding is bleeding inside the skull. This is a life-threatening emergency. Intracranial bleeding can occur in the parenchyma of the brain or the surrounding meningeal space.
"Basic fractures of the skull due to brain injury, traumatic often accompanied by Otorrhea".
Otorrhea is an ear discharge that can come from the tympanic membrane. Otitis media is classified on the basis of clinical symptoms, otoscopy, length of illness and complications. Otitis media occurs due to impaired aeration of the middle ear, usually due to impaired function of the eustachian tube.
" The fluid coming out of the ear is bloody fluid" Abi said.
" What is feeling nauseous ? want to throw up?" asked Abi.
Patients nodding.
" It looks like there's a massive intracranial hemorrhage on the docks, and the patient is experiencing a decrease in consciousness" Abi told Reyhan's doctor.
" Prepare for a craniotomy, "doctor Reyhan said.
Craniotomy (craniotomy) is an operation to open part of the skull (the cranium) with the aim of repairing and knowing the damage that is in the brain. The surgery aims to repair and determine the damage in the brain by opening the skull.
Intracranial bleeding is bleeding or accumulation of blood in the intracranial cavity that can occur in the parenchyma of the brain and in the surrounding meninges. Intracranial bleeding can be caused by both traumatic and non-traumatic events. Bleeding that occurs in the meninges space can be epidural bleeding, subdural bleeding, and subarachnoid hemorrhage. Bleeding in the cerebral parenchyma can extend up to the ventricles of the brain, referred to as intraventricular hemorrhage. Bleeding in the parenchyma of the brain will cause hemorrhagic stroke in patients
"Abi, follow me, we're preparing to have surgery" Reyhan said.
Abi nodded.
" It is fortunate that the patient arrived on time, Doc, " said the nurse .
Abi nodded, so his condition has not deteriorated and surgery can be done as soon as possible" Abi said .
The nurse nodded too.
After the results came out, Abi and Bams looked at each other.
" acute brain hemorrhage, "they said simultaneously .
" The location of the bleeding is the poaterior cortex, "ujqr Abigail.
Bams nodded.
" If the bleeding is severe, let's lower the intracranial pressure first" Abi looked at Bams
" Agree Bi, " said Bams smiling.
" We need to do the drainage of the lateral verticles" Bams said.
" The patient's first symptoms of dizziness, because the cranial space is very small, if there is large bleeding, can cause breathing and heart rate to stop, he is still young, 17 years old," Abi said.
" Dok, save my son, " said the mother.
" We'll try our best ma'am, I'll calm down."
" Sus, please give this mother a drink, she's very depressed."
" Good doc, " said the nurse.
After the mother drank, Abi slowly explained." Ma'am, we've contacted the brain surgeon, first the lateral ventricular drainage will be done, to lower the Intfakranial pressure.And then the bleeding will be treated bu."
" Do your best doc, please I just have him, I don't have anyone."
Abi nodded his arms around the mother, the mother crying sobbing on Abi's shoulder.
Abi's longing was deep, longing for his mother, father and brother.
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Don't Forget
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