This is an amazing story, the patient had fatal intracerebral hemorrhage three times, followed by severe infection leading to sepsis and even shock after surgery, however, the medical staff tried their best and never gave up any trace of hope, finally overcame death, so that the patient regained consciousness, and after rehabilitation treatment and skull repair surgery, to renew the journey of life, which not only created a medical miracle, but also demonstrated the solid medical workers’ professionalism. However, just two and a half hours later, the condition took a sharp turn for the worse, and the brain hemorrhage increased substantially, leading to the formation of brain herniation, and the patient not only had dilated pupils and lost consciousness, but also gradually stopped breathing. Time is life, and there was no time to hesitate. After understanding the situation, Dr. Gao Guoyi, deputy chief of the neurosurgery trauma intensive care group, immediately contacted the operation room for arrangement, and at the same time commanded all the preoperative preparations to start comprehensively, and the patient was smoothly transferred to the operation room to start the operation in just a few dozen minutes. The operation went smoothly, but near the end there was an unexpected situation, the brain tissue suddenly began to bulge outward! At once everyone’s heart was raised, which means that the cranium is likely to have an unexplained serious lesion, not immediately dealt with is likely to lead to the patient’s life, and to clarify the cause must immediately end the operation to check clearly. A race against time began, and a heavy burden fell on Dr. Mao Qing and Dr. Feng Junfeng, who were still on the stage. They put their whole heart and soul into the operation and finally finished it quickly within half an hour with their excellent and skillful surgical skills and perfect intraoperative cooperation, and the patient immediately entered the machine room to start the CT examination. When the scan results came out, the doctors present took a breath of cold air. It turned out that there was a large amount of subdural and epidural bleeding on the opposite side of the operation area, which meant that the patient’s prognosis was extremely poor and the patient might be in circulatory failure or even die at any time. Although there was only a ray of hope, no one said to give up, communication with the patient’s family, coordination with the interoperative contact, maintenance of vital signs, perfect preoperative preparation, everything was being carried out in a race against time, and there was only one idea in everyone’s mind: one minute earlier to clear the bleeding, one more point of hope for survival. The second operation lasted until the evening of the same day, when the patient returned to the care unit, all the doctors came to the bedside, and it was already late that night after completing the postoperative supportive treatment measures. Despite working continuously for nearly 20 hours since the early morning, everyone was happy to have successfully saved the patient’s life. The patient’s mother said gratefully that my “fat sister” was saved. The standard postoperative treatment was in full swing and the patient’s condition gradually stabilized, but at that moment the accident appeared again. When Dr. Zhang, the bedside doctor, saw the rising intracranial pressure, the falling heart rate and rising blood pressure, he immediately realized that this was a typical brain herniation and that there might be another intracranial hemorrhage! A CT scan a few minutes later confirmed this, and the area where the first surgery was performed showed massive delayed bleeding and broke into the ventricles. “Operate now! This is the only hope to save the patient’s life!” Dr. Gao Guoyi, deputy chief physician, made the decision almost immediately, and as before, the third surgery started quickly and lasted until late at night, when the whole team was relieved to see that the patient’s intracranial pressure was stable and his vital signs were stable after the surgery. The patient spent a month of gradual improvement and recovery after the three surgeries, with stable intracranial conditions, stable vital signs, and gradual clarity of consciousness, and just when everyone was full of optimism and considering arranging for discharge in the near future, the relentless disease struck again. The sepsis led to high fever above 40℃ for several days, stressful gastrointestinal bleeding, severe depletion, impairment of important organ functions, etc. I can’t remember how many times the patient’s life was in danger and he had to rely on a lot of drugs to barely maintain his vital signs, and how many times the whole group of doctors were at the bedside, accompanying the patient to pass the danger tenaciously. Finally, the infection slowly improved, the high fever gradually subsided, the patient became conscious, and was slowly able to complete some simple activities as instructed, and was safely discharged from the hospital for rehabilitation. This week, the fat girl who finished bilateral skull repair looked at the doctor who checked her room and smiled heartily. The diagnosis and treatment process of “fat girl” can be described as a series of twists and turns, with three operations and serious infections during the recovery period, each time the change of condition was raging enough to be fatal, and each time the patient was on the edge of life and death, but the medical and nursing staff worked together, and each time the patient was successfully saved from the ghost gate, which cannot be said to be a miracle. Without continuous monitoring, diligent care and timely and decisive treatment of changes in the condition, it would not have been possible to have good treatment results today. Dr. Gao Guoyi, the leader of the neurotrauma intensive care team, always says: benevolence and benevolence cannot just be written on the desk, but must be remembered in the heart, and the smooth recovery of the patient is the highest requirement of traumatic brain injury intensive care management.