I am not a materialist, but when I think of little Jia Wei, this word pops into my mind at once, maybe only this word can express something deeper than the cure. Patient Jia Wei, male, 17 years old, was admitted to the central ICU in an emergency on 2008-10-3 at 18:00 for the main reason of post-traumatic unconsciousness with hemorrhagic deformity of the left calf for 7 hours.Admission Diagnosis: 1. Heavy cranio-cerebral trauma, cerebral contusion, epidural hematoma, and ventricular hemorrhage after drainage 2. Closed thoracic trauma, pulmonary contusion 3. Closed abdominal trauma, splenic rupture 4. Open comminuted fracture of the left calf 5, Hemorrhagic shock 6, Hemorrhagic anemia 7, Metabolic acidosis. After careful consultation with the patient, I proposed craniotomy hematoma removal and performed the surgery under emergency. During the operation, the patient was critically ill, with obvious swelling of brain tissue, severe whole brain contusion, and diffuse hemorrhage, and the hematoma was removed in the shortest possible time with tight hemostasis. After the operation, Xiao Jiawei continued to be resuscitated in ICU, during which I followed up the consultation several times and negotiated the treatment plan with the ICU bedside doctors. At this time, Xiao Jiawei was still in critical condition, due to multiple traumas and weak resistance, serious systemic infection, and sudden intracranial vascular rupture and hemorrhage on 2008-10-23 due to inflammatory infiltration and vascular corrosion. ICU urgently invited me to consult the patient’s general condition is very poor, low blood pressure, shortness of breath, a large amount of bright red blood from the swelling of the original surgical incision sprayed out of the brain tissue with the expansion, a nurse with a thick gauze cover on the brain tissue to stop the bleeding compression, between the fingers can still be seen in a large amount of blood gushing out of the scene, even if it is a neurosurgeon who has been working for several years, I also feel alarmed. At this time, there was only one way to open the craniotomy and stop bleeding, but whether the patient’s physical condition could tolerate the surgery was a problem, whether the operating room could arrange the surgery and large amount of blood supply in the shortest possible time was also a problem, and the greater difficulty was that Xiao Jiawei belonged to the second surgery, the adhesion of the operation area and the primary infection made the normal tissue level disappeared, and then the infection led to the edema of the brain tissues and the corrosive degeneration of the cerebral vessels, so it would be difficult to recognize the functional area and stop bleeding during the operation. It would be very difficult to identify the functional areas and stop the bleeding during the operation, which would probably lead to an unmanageable situation, and the risk was extremely high. Little Jiawei’s father nearly collapsed, kneeling in front of me, pleading to save his child, sobbing uncontrollably, moving. Sickness is an order, and I made a prompt decision to actively coordinate with the relevant departments, and the operation began in the shortest possible time. The surgery was more difficult than expected, with a large amount of brain tissue edema degeneration and necrosis, multiple cerebral vascular rupture, serious scalp tissue infection, and fat liquefaction and necrosis. The surgery took nearly 5 hours and thankfully was very successful. After the surgery, the patient was transferred to our department for treatment, rehydration, dehydration, nutritional support, maintaining the stability of the internal environment, and the most difficult part was anti-inflammation. Little Jiawei was basically on antibiotics before he was transferred to our department, and the results were poor, so we were left with little wiggle room, and several experts and professors from higher hospitals who came to the consultation shook their heads in disbelief. We knew the difficulties and took the following measures: 1. Asked the pharmacy to assist in the selection of antibiotics. 2. 2.Strengthen the dressing change, once a day, twice a day, three times a day, as long as needed we change, keep the wound clean. 3.Strengthen drainage, one lumbar puncture a day, replace the cerebrospinal fluid, at first, the cerebrospinal fluid was as turbid as rice soup water, and then finally normalized under our persistent efforts. 4, strengthen nursing care to prevent the emergence of new medical infections. During this period, I was at a loss, I felt helpless, and even thought of advising the family to give up, but a stronger belief always supported me, that is, is this the destiny of little Jia Wei? I don’t believe it! Through the concerted efforts of everyone, Xiao Jiawei recovered very quickly, and now the patient has regained consciousness and is able to have simple conversations. All the patients and their families who know or know of Xiao Jiawei say it is a miracle. The complexity of the case and the difficulty of the treatment were more than ever before, but the patient’s recovery was also unexpected. It is summarized as follows: 1) the great assistance of related departments 2) the joint efforts of all medical staff in the department 3) the active cooperation of the family 4) the determination to persevere, the confidence to win, and the related surgical skills and treatment experience. From this case, I deeply understand the sacred duty of a doctor, patients do not have a predestined fate, as long as the heart loaded with the majority of patients’ suffering, put a heart all in the sacred cause of saving lives and helping the wounded, we can create a miracle!