Zheng Ren and Su Yun ran from the emergency ward to the emergency room in less than two minutes, like wild dogs that had lost their stiffness.
Lying on the flat car... a patient, not lying down, but lying in a weird posture. A steel bar penetrated from the lower body and protruded from the left armpit.
Visual inspection showed that the steel bar was at least 1.5cm thick, and the length left in the body was at least 60cm.
In other words, where the steel bar passes through the patient's body, all organs will suffer at least 1.5cm of penetrating injury.
Zheng Ren felt nervous, and then looked at the system panel on the upper right side of his field of vision.
Rectal rupture, colon rupture, gastric rupture, diaphragm rupture, lung rupture, intercostal artery rupture, hemorrhagic shock... a series of diagnoses that make people's hands and feet numb.
If it comes to ordinary intestinal rupture and stomach rupture, Zheng Ren doesn't take it seriously.
Just suture it and that's it. It's a big deal that there is an abdominal infection after the operation. As long as the patient can survive it, the patient will recover.
But this kind of penetrating injury...
Zheng Ren immediately shouted: "The patient's family! Witnesses at the scene! Who is there!"
A simple and honest middle-aged man stood up with a sad look on his face, "Doctor, I am his neighbor."
"How did the steel bar break?" Zheng Ren asked.
Su Yun knew what Zheng Ren meant, the patient was penetrated by steel bars. Judging from the location, it should have fallen from a high altitude. Then the bottom of the steel bar must be fixed, so that it has enough force to penetrate the human body.
Only by breaking the steel bars can the patient be brought to the hospital.
If it is too severe, it will cause large-scale contusion and laceration of abdominal organs.
This involves emergency surgical rescue.
After Zheng Ren asked a question, he immediately said to Su Yun: "Notify the operating room and prepare for emergency rescue!"
"Doctor, this kid is studying really well. I heard from his dad yesterday that he got second in grade in the final exam. Who knew he would be..."
"Let me ask you, how did you break the steel bar?" Zheng Ren's forehead veins were exposed, looking a little ferocious.
The middle-aged man was startled and said: "The firefighters saw it off with a cutting machine, so they were very careful..."
"Go to the operating room!" Zheng Ren was slightly reassured. Seeing that the gastric tube and urinary tube had been inserted, and the intravenous access had been established, he immediately shouted.
The doctors from the emergency surgery department, Su Yun, Zheng Ren, and the patient's family members pushed a flat cart and carried IV bottles in a hurry to the operating room.
Because it was daytime, Director Pan was in full charge here, so Zheng Ren felt relieved.
When we arrived at the operating room, it was already busy.
Prepare surgical instruments and general anesthesia equipment, and operate them accurately and efficiently.
"Call the chest department and we'll open it together!" Zheng Ren said the last word, and then hurriedly went to change clothes.
Zheng Ren had a headache when he thought of the patient's injuries.
Don’t be afraid of anything else. How to take out the steel bar
The surgical position is not easy to adjust.
If it were taken out directly before surgery, the patient would definitely experience massive bleeding at various ruptures in the patient's internal organs, and then... he would immediately become cold.
However, intraoperative removal is also an unfaceable problem.
While Zheng Ren was changing his clothes, he was thinking about how to perform this operation.
There is no doubt that combined thoracoabdominal incisions and simultaneous operation are necessary.
However, within one minute after the steel bar is taken out, it is a bit difficult to deal with all the damaged blood vessels involved.
Zheng Ren was a little slow in changing his clothes. Su Yun had changed his clothes early. Seeing Zheng Ren's expression, he understood and said, "Just try and see, not everyone can be saved."
The two looked at each other and sighed in unison.
Su Yun didn't wait for Zheng Ren and quickly went to put the chest bottle on the patient.
Change your clothes and quickly come to the operating room.
Chu Yanran and Chu Yanzhi had given the patient general anesthesia, but the patient's posture was particularly awkward. Several sandbags were placed under the left side of the body to cushion the body at an angle so as not to touch the steel bars entering the anus.
It is certain that the posture will be awkward after surgery.
"Ask Yang Lei to come up." Zheng Ren brushed his hands and said in a deep voice: "Prepare blood and hurry up."
The circulating nurse flew up like a bird, with her feet barely touching the ground. While helping the Shay people prepare various surgical tools, they also prepared equipment for the surgery such as wall negative pressure suction.
Chu Yanzhi said: "I'm going to make a call. Have you sent the blood sample?"
"Sent to the emergency department." Zheng Ren started to put on the sterile surgical gown. Chu Yanzhi tied the belt for him and ran all the way, burning endless calories to ask Yang Lei to come on stage and go to the blood transfusion department to urge blood.
Fortunately it's daytime, Zheng Ren thought to himself.
Su Yun laid out the sheets and went to disinfect again and put on clothes as quickly as possible.
But how the two of them stand has become a big problem.
The steel bars are inserted from behind, so people should stand on both sides. Originally, the surgeon stood on one side of the patient and the assistant stood on the other side. However, the patient was lying on the operating table at an angle of 60°, and people on the other side could not see the surgical field at all.
Zheng Ren only hesitated for a second and then said: "Su Yun, come this way."
Reaching out, the hemostat clamped a large piece of gauze stained with iodophor, which was patted into Zheng Ren's hand.
Familiar recipe, familiar taste, but Zheng Ren didn't feel it at all.
His mind was running at high speed, planning how to bring the patient back from the brink of death.
Disinfect, pat the hemostatic forceps and gauze to the side of the patient's leg, turn your hand over, and pat the scalpel handle in your hand.
Zheng Ren was not polite and cut with one knife, from bottom to top, through the patient's abdominal cavity.
Emergency treatment was a race against time. Zheng Ren really wished that the length of the steel bar would make the knife edge bigger.
Rapid blunt dissection was performed to open the abdominal cavity.
As the abdominal cavity opens, the intestines flow out of the patient's abdominal cavity.
This is why general surgery requires the supine position.
The large gauze pad was padded, and the intestines were blocked with a sterile drape and body. Zheng Ren began to look for the location of the damaged steel bar.
After the abdominal cavity was completely opened, it was shocking to look around.
The steel bar penetrated from the rectal end, ruptured the left colon, ruptured the stomach, penetrated the entire stomach, pierced the diaphragm, and penetrated upward.
"How come the chest department hasn't come yet!" Zheng Ren yelled.
Su Yun suddenly felt a powerful aura rising from Zheng Ren, like a lion king patrolling his territory, roaring with infinite majesty.
When did he grow up to this point? Su Yun was in a daze.
"Yang Lei, you help the boss, I'll open the chest." Seeing Yang Lei coming up, Su Yun said immediately.
Su Yun can be responsible for the chest opening, but there are not enough manpower...
Zheng Ren is distressed.
At this moment, Cao Guozhen arrived in a hurry. He said apologetically: "Sorry, Mr. Zheng, we are doing bypass surgery over there. I heard there was an emergency, so I rushed over."
"Brush your hands and open your chest with Su Yun." Zheng Ren said while exploring the wounds in his abdominal cavity.
Full of majesty, unquestionable.
Cao Guozhen ran over to wash his hands without saying a word, and almost bumped into Yang Lei who had just finished washing his hands.
"Mr. Zheng, do you want anyone else?" Cao Guozhen asked.
"Call someone else." Zheng Ren said.
Naturally, the more people, the better.