Admitting patients to the emergency ward, preoperative preparations, and preoperative explanations are a series of tasks that are very tedious.
Even though the emergency was simplified, as long as the patient's condition allowed, Su Yun was busy for at least half an hour before pushing the patient to the operating room.
When the patient was pushed onto the stage, the patient's high blood pressure had dropped to 90 mm Hg.
The continuously falling blood pressure indicates that the patient's condition is not as simple as it appears.
After anesthesia, Su Yun positioned the patient, spread the first layer of sterile drape, and then went to brush his hands again. At this time, Zheng Ren put on sterile clothes and started laying out the second layer of sheets.
The operation officially begins.
Zheng Ren stretched out his hand, and a pair of hemostatic forceps and iodophor gauze were patted into his hand.
Disinfect, put the forceps on the side of the patient's leg, then stretched out his hand, and slapped the scalpel on it.
The skin was opened with a 20cm large incision, followed by incision layer by layer, blunt separation, and electrocautery to stop bleeding.
Cao Guozhen had already arrived in the operating room. He was now standing behind Zheng Ren, watching the operation from the perspective of the surgeon.
The thoracotomy process was almost perfect with minimal bleeding.
Although Cao Guozhen was still unconvinced, he complained that if he opened his chest, there wouldn't be much blood.
Thoracic opening and abdominal opening are two completely different methods of opening.
Many years ago, before electric cautery was widely used in clinical practice, 500ml of blood was required for chest opening.
However, during Zheng Ren and Su Yun's surgery, there was no visible bleeding at all. Some larger blood vessels were directly picked out from the tissue with hemostatic forceps and sutured.
Only after the muscle is severed can electric cautery be used to burn the blood oozing out of the muscle.
The operation was performed neatly, and Cao Guozhen became more and more frightened as he looked at it.
How come these two monsters in the emergency ward are so good at thoracic surgery? Thinking about rushing to the emergency department of the chest department, it is really not something you just talk about casually.
Zheng Ren and Su Yun had a tacit understanding not to perform internal fixation of the rib fracture, but to open the chest first.
Because there is no strong evidence that thoracotomy is possible, we can only say that internal fixation of rib fractures is required.
this,
The line has been crossed.
Even if the postoperative recovery is not good and the patient's family members are hypocritical, Zheng Ren and Su Yun may be in trouble.
certainly,
They brought this trouble on themselves.
Cao Guozhen's sneer under his mask became thicker and thicker. These two guys in the emergency department were so presumptuous.
Don’t they know that the diagnosis and treatment procedures are illegal
The patient's surname is neither Zheng nor Su. Is that so
It's still swollen, and I don't know my last name anymore.
Although no problems were seen after the thoracotomy, the patient's family members did not know and would not instigate the rib fracture directly.
However, there is no reason to walk along the river without getting your shoes wet.
Just let them continue to be so arrogant, and something will happen soon.
Cao Guozhen watched intently as the two opened their chests. As soon as Zheng Ren raised his hand, a heavy automatic retractor appeared in his hand.
Open the chest and use an automatic retractor to open the surgical field about 8cm.
Under normal circumstances, the surgical field is definitely not that big. However, the patient had a rib fracture. At this time, the ribs did not have such high elasticity and toughness, and the surgical field was wider than before.
"I originally wanted to do thoracic surgery just for this kind of surgical field." Su Yun disliked the quietness in the operating room and began to chatter, "It's so open and bright, and I don't have to dig through my intestines to remove feces. Boss, you think so."
As the buckles of the automatic retractor were unscrewed, the lungs appeared in front of you.
There was a huge hole in the middle lobe and lower lobe of the right lung, with dark red edges, appearing in the surgical field.
Zheng Ren and Su Yun let out a sigh of relief.
If there is something really wrong, my intuition is correct!
Zheng Ren was a little scared and cursed the system in his mind for being such a big pig. He only said it was a ruptured lung and did not mark how big it was.
Can a 0.5cm abrasion ruptured lung be the same as a 10cm long and 10cm deep lung rupture
Zheng Ren used hemostatic forceps to explore, and all the hemostatic forceps were inserted before he explored to the end.
The middle lobe of the right lung was almost penetrated.
Cao Guozhen stood behind Zheng Ren, stunned.
What's the point
With such a large lung rupture, why is there no hemopneumothorax? impossible!
It can't be!
He was confused.
Cao Guozhen has been practicing medicine for ten years and has seen countless traumatic injuries, but this is the first time he has encountered this kind of situation.
How is this going
While Zheng Ren was investigating, Su Yun was murmuring, "Boss, I guess the force of the steel bar was too great. The broken ends of the rib fractures were like daggers, causing trauma to the middle and lower lobes of the right lung. Then, due to the elasticity of the ribs themselves, Shrank back.
Because the force was too great and the trauma was too severe, it was still similar to a sharp injury. At the moment of injury, the bronchial arteries were damaged in many places, and a large amount of blood poured out, filling the lungs directly. "
The process of Zheng Ren's mental recollection was similar to what Su Yun said, without much difference.
"So from the imaging point of view, it is similar to traumatic wet lung. Because the blood is filled in the bronchi and capillaries of the right lung, there is no pneumothorax. The lung itself is not compressed, the pressure is huge, and the blood cannot flow out, so No hemothorax either.”
"This case is simply too misleading." After Su Yun explored the patient's lungs, he was very happy and could not stop talking.
Compared to the cautious person before, he seemed like a completely different person.
Cao Guozhen stood behind Zheng Ren, already in a petrified state.
What Su Yun said makes sense. But if it were me, if I had such a guess, would I dare to open my mind
He thought about it for a long time, and he definitely didn't dare.
If there is no indication for surgery, if the chest is opened at will, the patient's family members may be sued by the medical adjustment committee with malicious intentions.
These two people... are simply too courageous.
But as he continued to think about it, Cao Guozhen broke out in a cold sweat.
If Zheng Ren and Su Yun had not insisted on opening the chest for exploration, and the patient would have been observed for a few more hours, the blood would not have come out of the chest, but would have spread out from the upper respiratory tract.
It is similar to the process of drowning, except this time it is his own blood that affects the patient's breathing.
This is more troublesome than drowning. Once the blood condenses into scabs, the airway is blocked...
The patient must die in thoracic surgery.
When he thought that the patient was fine when he was hospitalized, but died in the thoracic surgery department without even making it through the night... Cao Guozhen was stupid.
Even just thinking about it is as creepy and chilling as watching the scariest horror movie.
The blood all over his body seemed to have solidified, and he recalled in his mind that a rib fracture in the ward had caused an aortic dissection. During the CT scan, the dissection was not serious and was not found. The dissection ruptured a few hours later and the patient died suddenly.
After the patient died, dozens of people came to the home, wearing sackcloth and mourning. They placed the patient's body at the door of the Thoracic Surgery Department, burned paper and mourned.
Just thinking about that kind of scene made Cao Guozhen's legs weak.
It’s not that the doctor doesn’t care, or that the patient’s family wants to cause trouble. How can a good person endure being told that he is hopeless
But do 8 CT scans 10 times a night to prevent and avoid it
The thoracic department handles hundreds of fractures a year, and the patients' families may have to sue for death.
It's so terrible, thinking about it, Cao Guozhen's hands were filled with sweat.