The Surgeon’s Studio

Chapter 435: 428 With fewer people, there are more techniques

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Gao Shaojie immediately started running.

As a doctor, my reaction is the same when encountering an emergency.

A large amount of adrenaline is secreted, and the crackling sound of high-energy phosphate bonds in the body seems to be clearly audible in the ears.

He quickly ran to the elevator and saw that the flat car had just entered, so he followed him.

Entering the elevator, in the narrow and cramped space, the smell of blood became a little stronger, so strong that it made people breathless.

Gao Shaojie glanced at the ECG monitor on the flat car. The blood pressure... was undetectable, the heart rate was 160 beats/min, and the blood oxygen saturation was 80%.

Hemorrhagic shock, this is the minimum, Gao Shaojie has his own judgment.

That technician... was pinching the patient's liver porta to try to reduce the bleeding? There is no blood left to draw out.

Su Yun was kneeling on the flat car, with a few drops of blood on his forehead, but his black hair was still fluttering persistently and firmly.

"Boss, do you want hybrid surgery?" Su Yun asked calmly on the flat car without any panic at all.

"The liver was bruised and bruised over a large area, and it was completely shattered." Zheng Ren was equally calm and replied: "Interventional surgery is needed to accurately determine the location of the bleeding, and then try to save as much liver as possible."

"..." Gao Shaojie was stunned.

This damn person is dead, can he still be saved

"Are the chest bottles ready in the operating room?" Zheng Ren asked.

"Yes." Su Yun answered simply, because the elevator had already reached the operating room on the third floor.

Gao Shaojie helped pull the flat cart out of the elevator and ran towards the operating room.

Although it was said to be "running wildly", the speed was not particularly fast.

After all, there is still a person kneeling on the flatbed truck to stop the bleeding. What if he accidentally throws the mechanic off

The technician was young, so it was okay to drop him, but he was holding the patient's liver hilus in his hand.

Once the hilum of the liver is torn due to excessive force, the patient will be really cold.

"Director Pan, emergency, anonymous, liver rupture, blood pressure undetectable, I'm going to have surgery." Zheng Ren made the last call and walked into the operating room.

There were no Shay people, just a traveling nurse busy inside.

The next surgery is probably not finished yet.

After carrying the patient to the operating table, the circulating nurse walked with an afterimage, trotting and talking busy all the way.

Su Yun pinched the hilus and watched Zheng Ren brush his hands, put on lead clothes, and disinfect them. He said with a smile: "Boss, are you not used to this?"

Zheng Ren ignored this guy and disinfected as quickly as possible.

"What technique?" Su Yun saw that Zheng Ren was not paying attention to him and was very bored, so he stopped his playful smile and asked seriously.

"Open the abdomen, explore, and perform interventional angiography to find the blood vessels." Zheng Rendao.

With half a bottle of iodophor, a dozen pieces of large soaked gauze, and scrawled disinfection instructions, Zheng Ren immediately began to lay out the surgical drapes.

He deliberately left the right femoral artery open for interventional angiography.

"Boss, you are so big-hearted. There are only two of us. How many spells are you going to do? You can't use me like this." Su Yun's tone of voice made people want to smash the sterilized bending plate in their hands. to his head.

"It's okay, I can do it." Zheng Ren said: "If you can't do it, you still have to do it. The liver is rotten, so just liver resection won't work."

After laying out the sheets, Zheng Ren brushed his hands, put on surgical clothes, and went directly to the stage.

He did not ask the circulating nurse to come up. Instead, he stood at Ichisuke's position and acted as the instrument nurse himself. He used a hemostat to clamp the blade and install it on the handle.

Disinfect and wipe it clean, then cut along the previous wound and make a 15cm surgical incision.

Zheng Ren immediately made a leather sheath out of a sterilized tourniquet and wrapped it around the patient's liver porta with appropriate tightness, freeing Su Yun's hands.

Su Yun immediately went to wash and disinfect his hands.

Gao Shaojie came over to take a look and was shocked.

The right lobe of the patient's liver almost no longer exists. It was so broken that it was impossible to put it back together.

The left lobe of the liver was also partially ruptured.

If only the right lobe of the liver is crushed, just resect it directly.

But there was trauma to the left lobe of the liver as well. Could it be that they were all cut off

"Su Yun, hurry up, I'm going to do angiography." Zheng Ren shouted.

Although Su Yun was almost flying, Zheng Ren was still disgusted.

"Mr. Zheng, can I go on stage and give it a try?" Gao Shaojie volunteered.

There are only two people in Haicheng City No. 1 Hospital, who perform both surgical operations and interventional operations. There is also an operation downstairs that is being completed, and it is very busy.

It is not appropriate to stand here and watch at this time.

Although he did not register with the medical office, although he was not invited, and there were various irregularities, Gao Shaojie still stepped forward to help.

"You are..." Zheng Ren hesitated.

This guy has completely forgotten who Gao Shaojie is.

"..." Gao Shaojie was speechless. It turned out that in Zheng Ren's heart, he was just an insignificant supporting role...

No, the supporting cast doesn’t even count, it’s just an extra.

Or bring your own lunch.

"Mr. Zheng, you forget things a lot." Gao Shaojie smiled awkwardly, "I am Gao Shaojie, deputy director of the Interventional Department of the Affiliated Hospital of Medical University."

"Oh, I'm sorry to bother you." Zheng Ren was not polite and responded immediately.

It would have been nice if Professor Rudolf Wagner was here, but it was a pity that this patient came at the wrong time. Not only was he off work, but he was still rushing to undergo radiofrequency ablation.

Zheng Ren was also helpless.

As for the doctor who claims to be the deputy director of the Interventional Department of the Medical University Affiliated Hospital, no matter what he is, if he can’t do the surgery well, he will just be kicked off the stage.

One puncture is enough to judge whether it is good or not.

Nowadays, the patient's blood pressure is almost zero, and it is not something that ordinary doctors can do if they want to successfully indwell the arterial sheath.

"The lead clothes are over there, put them on yourself, hurry up!" Zheng Ren was not polite and shouted directly.

Su Yun brushed his hands, but did not put on a surgical gown. Instead, he placed a closed chest drainage in the 6th and 7th intercostal space on the patient's right chest wall.

The snoring gas came out, along with black and red blood.

"Yanran, you can go out first after the anesthesia is done." Zheng Ren said.

Chu Yanran shook her head and said, "It's okay to eat some thread occasionally."

Anesthesia has been completed and the double-lumen tube has been inserted. However, the patient has blood pressure and heart rate problems. As an anesthesiologist, she dare not leave.

Zheng Ren didn't insist and said, "Go put on some lead clothes."

"Yes." Chu Yanran went to the next door to get a piece of lead clothing and put it on.

The lead coat was very wide and hung dangling on her body, making people feel that her small body would be crushed at any time.

"Use the blood! Find the nurse in the emergency department to wait for the blood, hurry!" Zheng Ren shouted.

The circulating nurse was already busy covering her head and turning around. She inserted the gastric tube and urinary tube, prepared a sterile bag, and prepared a chest bottle for Su Yun. At this time, she was about to prepare negative pressure suction when she heard Zheng Ren roar and agreed quickly.

Everything is important, but there are indeed not enough manpower.

Wang Qiang followed Gao Shaojie into a lead suit and originally wanted to be Gao Shaojie's assistant.

Seeing that the circulating nurse was very busy, he said: "Leave this to me, and I'll ask you if you don't understand anything. Go and get the blood flowing!"

"Who are you?"

"Wang Qiang, deputy director of the Interventional Department of the Second Hospital."