"Hemostatic gauze, large gauze pad." Zheng Ren stretched out his hand, and the nurse quickly packed the sterile packaging bag. Ten seconds later, the hemostatic gauze and large gauze pad were handed over to Zheng Ren's hand.
Cover the damaged venous plexus with hemostatic gauze and use a large gauze pad for compression.
"Boss Zheng, is this possible?" Liu Xuzhi suddenly asked when he saw that the hemostatic gauze was stained with blood when it was spread out. He felt unsure.
"We have performed many embolization surgeries for pelvic fractures in Pengxi Township. The bleeding can be stopped without any surgery. It will be fine." Zheng Ren began to explore the damage to the intestines and explained: "The arterial pressure is marked by mercury columns. Yes, venous pressure is marked by water column, and the pressure is different, a lot different."
Liu Xuzhi was a little confused and thought about writing this down and reading the book when he went back.
"Then why do you need surgery?" Liu Xuzhi immediately thought of another unexplainable point.
"Old Liu, the patient's intestines are damaged. We are doing a laparotomy to repair the intestines. Because there is bleeding in the veins, we just wanted to take a look." Zheng Ren explained helplessly.
Another question to ask is that Lao Liu's level is indeed very average. But he is a radiologist and can understand.
"..." Liu Xuzhi forgot about this and his face suddenly turned red. I was so nervous, so nervous that I forgot about this.
"By the way, if you apply pressure to stop the bleeding, the patient will bleed less." Zheng Ren said: "I sucked out about 2500ml of fresh non-coagulated blood just now, and there are still a few blood clots, which is considered 300ml. The patient's bleeding volume is too large, so it would be better if we can reduce it."
So precise? Liu Xuzhi quietly turned back and glanced at the negative pressure suction bottle behind him.
The total amount of liquid in the two bottles is about 2550ml. Liu Xuzhi sighed in his heart, Boss Zheng must be too knowledgeable.
"Do you have anorectal department?" Zheng Ren asked.
Dean Wang shook his head.
"What should patients with hemorrhoids do?"
"They are all done by general surgery." Dean Wang replied. He watched the surgery and felt an extremely professional power from the conversation between Zheng Ren and Liu Xuzhi. His recognition of Zheng Ren became stronger and stronger, and he even felt an indescribable sense of dependence.
Despite his youth, he truly deserves to be a professor from 912. The rescue techniques are skillful and quick, but a bit too cruel.
But emergency rescue is understandable.
"What can you do..." Zheng Ren asked halfway and then paused.
The two general surgery doctors opposite looked confused, looking at the electroplated steel rods, and even looked a little afraid.
It's definitely not possible to rely on them.
At this moment, Zheng Ren missed Su Yun very much.
Surgery is not done by one person, especially with such severe compound injuries. I still remember that in a hospital in Haicheng City, there was a patient who was penetrated by a steel bar. In the end, Su Yun pulled out the steel bars and then sewed them together.
Now, only myself.
Next time, these guys must not be let go. Zheng Ren felt very distressed.
I kept reminding myself, but I still drifted off unconsciously. I subconsciously thought I could handle everything, but I started to regret it when I got on stage.
If Xie Yiren, Su Yun, and the Chu sisters were all here, I'm afraid the operation would be almost completed by now.
Zheng Ren reflected deeply on himself, but he was not slow in his work. He began to explore and suture the intestines.
Because the metal head is not very sharp, the damage to the intestines is not serious, so it is a blessing among misfortunes.
There were six damaged spots in the intestines, and Zheng Ren sutured them one by one. Then I took away the large gauze pad and saw that the bleeding from the pelvic venous plexus covering the area had stopped.
If there is huge damage or breakage, it can be tied. But Zheng Ren checked it out and found that there was no such situation, which saved him some effort.
"Dean Wang? Can you pull out the electroplating rod?" Zheng Ren asked.
"..." Dean Wang took two steps back.
"Old Liu?"
"I... try." Liu Xuzhi's hands were a little soft. He was a radiologist, and the smell of abdominal organs and blood already made him want to vomit.
Do you still have to pull out such a long electroplated rod
He tried hard to keep his hands from shaking, but then he felt the urge to pee.
"Boss Zheng, I... that... need to pee..." Liu Xuzhi's face turned red like a monkey's butt.
Saying such words at this time is simply a desertion. Although he has experienced earthquake relief and has seen many things, this is the first time he has faced the current situation head-on.
Although he is a doctor, a doctor and a doctor are different.
Seeing that Old Liu was timid, Zheng Ren didn't force it. He looked at the doctor sitting opposite him and said, "Go and pull out the electroplating rod. Wear gloves and be careful not to hurt anyone. Be especially careful not to hurt anyone." Own!"
"Yeah." The general surgery doctor has seen some emergency rescue operations, so he still has some courage.
"After pulling it out, stuff it with a large gauze. After I finish the abdominal cavity, I will stop the bleeding and suture it." Zheng Ren sighed and said.
One hour and thirty-two minutes later, the operation was over.
Liu Xuzhi's feet felt weak, his legs were shaking a little, and he couldn't stand firmly.
"Dean Wang, please show this to your family members." Zheng Ren said while wearing sterile gloves and weighing half of the electroplating rod.
Dean Wang was a little timid, but he still managed to put on a pair of gloves and forced a smile.
Zheng Ren felt relieved when he saw that the blood pressure on the monitor had returned to 100/60 mm Hg. The system indicates that the surgery completion rate is 95%. Although it is not 100%, it is enough.
He knows where he falls short.
If all the venous plexuses are anastomosed, the surgical completion rate will be 100%. But the town hospital does not have a microscope, nor does it have such a thin blood vessel suturing needle.
Zheng Ren was already very satisfied if he could make do with the simple things.
Liu Xuzhi accompanied Zheng Ren to change clothes with an embarrassed look on his face. Liu Xuzhi still felt embarrassed when he thought about what had just scared him to the point of peeing.
"Boss Zheng, just now I..."
"It's okay." Zheng Ren smiled, "You're not a surgeon, so it's normal if you're not used to it. But have you seen the anatomy of the pelvic cavity clearly today?"
Liu Xuzhi nodded vigorously.
As for any major gains, being able to see the physiological anatomy of the pelvic arteriovenous plexus was his biggest gain. Moreover, it is not only the physiological anatomy, but also the anatomy after arterial embolism.
"I guess I saw the anatomy today. If I go back and reflect on it, your level can be improved a little. There won't be many opportunities like this. Old Liu, you are still very lucky." Zheng Ren said with a smile.
"Almost." Liu Xuzhi was still not confident, "By the way, Boss Zheng. What should I do if I have a second-stage surgery in two days?"
"Didn't you do it yourself? There should be no problem."
"Aren't I still a little worried?" Liu Xuzhi said softly.
"Oh, I'll see if I have time. If I don't have time, I'll ask the professor or Yanag Zewei to come."
Only then did Liu Xuzhi feel relieved.