Zheng Ren sighed softly and glanced at the ventilator.
The parameters are all normal.
At this time, he hated his carelessness extremely.
Call Chu Yanran and Chu Yanzhi, the stage should be started by now. Because of my temporary soft-heartedness, I had to face the situation where the anesthesiologist was flipping through a book while doing anesthesia.
Zheng Ren was regretting that he had never thought that it would be too arrogant to use his own people for a team he was not familiar with.
It's really... forget it, since you are here, let's do it little by little.
If there is a next time...or no next time, wouldn't it be nice to go to the desert quietly and look at the stars? Everyone is safe and sound, which is better than anything else.
The people from the general surgery department looked at the young patient and were doing a facial recognition.
"Why don't you position yourself?" Zheng Ren asked in a deep voice, the volcano in his heart was about to erupt.
"The electroplating rod... I'm afraid of touching it." The doctor from the general surgery department said hesitantly.
"Where is your director?" Dean Wang asked unhappily as he did not see the director's shadow.
"When I called just now, I was..." The doctor from the general surgery department glanced at the dean's face and said carefully: "I was drinking... I can't come..."
Zheng Ren laughed angrily.
On the weekend, you started drinking before noon
He really loves wine more than that guy Su Yun.
He didn't even arrive at this time, so he probably had almost enough to drink. It seems that we can't count on this aspect of surgery, we have to do it ourselves.
Dean Wang's face turned red with anger.
Today is the weekend, and there is absolutely nothing wrong with people drinking at home. If this happens at other times, the patient can only be transferred to the province.
As for whether he can survive to reach a higher-level hospital, that depends on his fate.
Fortunately... Boss Zheng from 912 is here today.
Dean Wang did not speak, but glanced at Zheng Ren carefully. He wanted to see Zheng Ren's expression to judge whether he could perform general surgery.
"Dean Wang, would you like me to help?" Zheng Ren glanced at the ECG monitor and saw that his blood pressure did not rise or fall. The blood bag was hung up, but there was no pressurized blood transfusion device.
He didn't bother to complain, but asked directly and politely. Although the words sounded polite, the tone was completely different.
"That's great, Boss Zheng, thank you, thank you." Dean Wang rubbed his hands repeatedly in thanks.
"Do you have a pressurized blood transfusion machine?"
"No." The operating room nurse replied immediately.
"Pinch it with your hands and infuse the blood as quickly as possible. Will you give me some rice or something? Warm blood, Dean Wang, you can go too." Zheng Ren mobilized all available manpower.
The nurse in the operating room nodded, stood next to the blood bag, raised her arms high and pinched the blood bag to let the blood pour in faster.
Zheng Ren directed the two doctors from the general surgery department to position themselves.
With the hips and waist raised, Zheng Ren estimated the position and added a folded sterile drape before calling on others to lift the little patient to the operating table.
After getting into position, a little doctor went to brush and disinfect the hands. It seemed that he was already very proficient in doing these things and there was no need for Zheng Ren to tell him.
As fresh frozen red blood cells were poured in, Zheng Ren saw the patient's blood pressure gradually increase. Although it is slow, this is a relatively good trend.
"Are you ready for the attractor?" Zheng Ren asked.
"alright."
"How many?"
The traveling nurse was startled.
"We need two negative pressure suction devices. If they are not enough, move the mobile suction device over." Zheng Rendao.
The nurse was a little confused, but she still followed Zheng Ren's words.
"Open another bag, two suction devices!" Zheng Ren warned.
"good!"
"The long pliers should be disinfected."
"It's being disinfected. It'll be ready in 10 minutes."
"Is there any hemostatic gauze?!" Zheng Ren asked again.
"Teacher, yes." A young doctor from the general surgery department timidly replied. With the dean here, he even spoke much softer.
"Take 20 yuan first." Zheng Ren said, "Be quick."
20 yuan...Does this need to be filled with hemostatic gauze? The young doctor in the general surgery department was stunned.
Zheng Ren was not polite, stepped on stage and stood directly in the position of the magician.
The opening time was at least 10 minutes later than expected, which delayed a lot of things. If we were polite after this, it would be hard to say whether the patient would be able to endure it. Zheng Ren glanced at the monitor and saw that his vital signs were stable.
I took another look at the ventilator and found that the various system parameters were stable.
After disinfection and drying with a large gauze, Zheng Ren made a 15cm incision next to the right rectus abdominis, no more, no less.
"Electric heating, middle bend." Zheng Ren stretched out his hand and said.
After 5 seconds, the electric heater was handed to his hand.
Zheng Ren couldn't help it, he had regretted it countless times.
Each step is delayed by a few seconds, which accumulates to a huge number in the end.
Use electric cautery to stop the bleeding, separate it layer by layer, and protect the peritoneum when it reaches the peritoneum.
"Attractor."
At this time, the circulating nurse and Liu Xuzhi just brought the suction device over.
"Dean Wang, go help." Zheng Ren said unhappily.
Dean Wang was standing behind him, really unable to help at all. It would be a pity not to use such a strong worker. Although he was warming the blood, he could still warm it up by holding it under his armpits without delaying his work.
After hearing Zheng Ren's words, Dean Wang was startled for a moment, and then helped the nurse pack the suction device.
Zheng Ren held a sheathed suction device and handed the forceps holding the peritoneum to the opposite assistant. He gently tapped the peritoneum with a scalpel and made a small incision. Before the blood could gush out, he immediately inserted the suction device. .
Whirring, a low voice came out. The dark red blood was sucked out endlessly.
"Another suction device, hurry up." Zheng Ren's tone unknowingly became much harsher.
A minute later, the second suction device was inserted.
A stomach full of blood was quickly sucked away, the peritoneum was opened, a large curved retractor opened the intestines, and a shiny electroplated tube appeared in front of everyone's eyes.
This was the culprit. Zheng Ren first observed the arteries around the electroplated tube.
Because it was after embolization, the arterial bleeding had stopped.
Zheng Ren can guarantee this.
They were all bleeding from the pelvic arteriovenous plexus. During earthquake relief, patients with severe pelvic fractures were in much more serious condition than this little girl.
For the first time, Liu Xuzhi saw with his own eyes the anatomical effects of interventional surgery on severe pelvic fractures.
Indeed, seeing it with my own eyes, the smell of blood and viscera was straight up my nose. Liu Xuzhi felt dizzy and slightly nauseous.
As a radiologist, he usually works with heavy, cold machines and invisible radiation, so he never gets the chance to see anatomy.
The anatomy last night was the clearest explanation he had ever seen. Now, I have directly seen the effects of embolization for severe pelvic fractures.
In the past, Liu Xuzhi only knew that the patient would survive after embolization and there would not be a lot of bleeding.
But seeing the embolization effect with your own eyes is really clear!
The white blood vessel walls hang weakly, like fibrous cords. Looking at the thickness, Liu Xuzhi felt that if there had been no interventional embolization, the blood would have gone directly to the room as soon as the abdomen was opened.