The surgical field was exposed, and a wound about 5 cm long was visible on the left edge of the liver. Although the first porta hepatis was controlled by a latex tube, a small amount of blood was still leaking out.
Zheng Ren quickly cleaned the damage to the liver. Because the injury lasted only a short time, no necrotic tissue had appeared yet.
Exploring the inside of the liver rupture, the depth was about 4cm, and dark red blood was still flowing out of several blood vessels.
Zheng Ren stretched out his hand and clasped it in his hand with pattern pliers.
Clamp and ligate actively bleeding blood vessels and ligate damaged bile ducts.
After dealing with the bleeding point, Zheng Ren finally breathed a sigh of relief. After loosening the latex tube at the first liver portal, there was no sign of continued bleeding.
"Blood pressure." Zheng Ren asked.
"80/60." Chu Yanran answered.
Obviously, as the bleeding spleen was removed and the liver bleeding stopped, the patient's vital signs began to change for the better.
After transfusion of 16u frozen red blood cells and 1000ml fresh frozen plasma, it should be better.
Zheng Ren assessed the scope of the liver wound and said, "Call Su Yun and ask him if he is sure he can handle the postoperative problems of patients with hemorrhagic shock. If so, ask him to go to the ICU with him."
Chu Yanzhi hesitated for a moment, then immediately ran out of the surgery room and woke up the unconscious drunkard.
Zheng Ren cut a piece of omentum and plugged it into the liver wound. He then used silk thread to perform interrupted mattress sutures on the liver wound. The margins of the sutures were very standard, and the caliper measured the same, with a suture line of 1cm.
This stitching is really standard! One stitch is 1cm, which is the same as measured with a caliper.
It's great. The surgeon was also very cautious and left the omentum in the liver wound to avoid bleeding caused by the reopening of small blood vessels after the blood pressure increases.
How could someone who could master his skills be so careless? Young man, let me tell you from my experience. The surgery must be performed on the growth of the baby, so don’t waste it.
How many minutes has it been? Do you have fifteen minutes
I calculated that it should be thirteen and a half, and the operation was basically completed, including splenectomy and liver rupture suturing. Although it is not a major surgery, the speed is really amazing.
The speed of life and death, unhappiness will kill people. The surgeon didn't choose a small incision without looking at it. He just cut it with one knife. The 25cm incision was really open.
After the suturing was completed, warm salt water was prepared on Shay's side.
Rinse the abdominal cavity and use a suction device to suck away the remaining blood and warm saline mixture.
Zheng Ren checked the abdominal cavity again and went back to check the spleen fossa after splenectomy. A drainage tube was placed near the spleen fossa and liver wound, and the abdomen was closed.
"Su Yun has woken up. He will go over there and watch immediately." Chu Yanzhi came back and reported to Zheng Ren.
"Fully awake?"
"It sounds like this." Chu Yanzhi rubbed her little hands that were cold with fresh frozen red blood cells while recalling last night's feat with a smile on her face.
"Well, the ICU side is more equipped and the nursing staff are more experienced." Zheng Ren also agreed with this statement.
He estimated that the injured person would have few postoperative problems. But we are always afraid of the unexpected, so it is safer to observe him in the ICU for a day or two.
As for how many injured people will be admitted to the ICU today, there is no need to consider that for the time being.
The burning eyebrows are burning, let’s focus on the present.
"Notify the ICU to prepare a ventilator, and the patient will be delivered in 20 minutes." Zheng Ren arranged.
The abdomen is sutured and closed, and the patient is intubated and pushed directly to the ICU.
Chu Yanran sat on the flat car, curling her legs as much as possible to reduce her area.
Her posture was very awkward, and she had to hold the ball, pay attention to vital signs, and escort the patient all the way.
As soon as Zheng Ren stepped down and sent the patient to the ICU, he hurried back to the emergency department.
Although my own surgery was short, it took almost an hour before and after.
Such a long time is enough to transport all the subsequent wounded.
When we came to the emergency department, Director Pan was directing the rescue. The old director remained calm and composed, and worked with staff from relevant departments to determine the severity of the patient's injuries and which department he should send him to for further treatment.
Zheng Ren took a glance and saw that although there were many injured, most of them had fractures, head trauma, etc., and they were not too serious, so he felt relieved.
After asking about it, during the operation, two patients with visceral rupture and bleeding were also sent. A serious one was sent to the second department of general surgery, and Director Sun came to the stage to rescue it. The other one, who was slightly lighter, was sent to the first department of general surgery, where the deputy director who led the team went to rescue him.
Director Pan is in charge, giving people a particularly stable feeling. No matter how busy or chaotic he is, he can find the key points.
Because most of the patients' family members have not yet arrived at the hospital, the relevant staff in the medical office are also very busy. Record the situation of each patient who needs surgery and complete relevant legal procedures.
Because there are more and more medical troubles, hospitals are very cautious about such matters, and the legal procedures are relatively complete. Even if it is a large-scale emergency rescue, we must strive to achieve perfection.
This is the experience gained from hundreds of thousands of disputes a year.
Zheng Ren once heard an old doctor say that in the 1980s and 1990s, social security was relatively poor, but doctors were still respected. Generally, when a trauma occurs, it is recorded anonymously and can go on stage without thinking, saving a lot of rescue time.
And now, if another doctor dares to do this... Zheng Ren can be sure that as long as he meets a vicious family member, his future in this life will be ruined.
Seeing Zheng Ren coming down, Director Pan said seriously: "How was the operation?"
"The liver was ruptured and the spleen was ruptured. The operation went smoothly and the patient has been sent to the ICU." Zheng Ren made a simple report to the old director.
"Yes." Director Lao Pan nodded: "There are many patients today, but there are only a few patients with visceral rupture at the beginning, all from Bentium Overpass. The rest are mainly patients with bone injuries, and some have traumatic brain injuries. , you need to stay in the emergency department for observation.”
Zheng Ren responded.
"Be aware of the possibility of delayed intracranial hemorrhage and do not let down your guard." Director Lao Pan warned.
Zheng Ren continued to nod.
As time went by, more and more people with minor injuries were brought to the hospital. Because the 120 ambulance was really busy, and ordinary patients couldn't wait in the ice and snow, so they all came to the hospital on their own.
Most of these patients were unable to control their speed when it just snowed and the road suddenly froze, and most of the injuries caused by collisions and rear-end collisions were not very serious.
Some patients were elderly people who were walking when the road suddenly froze and slipped, causing trauma such as Klay's fractures and intertrochanteric fractures.
The orthopedic surgery department is extremely busy. Zheng Ren made a rough calculation and found that each of the four orthopedic surgeries in the city's first hospital sent about ten trauma cases.
This does not include the most common Klinefelter fractures that emergency departments deal with.
Colles fractures are mostly caused by indirect violence and are common in falls, especially in situations like today where the ground is slippery and the hand touches the ground when the person slips.
The elbow is extended, the forearm is pronated, the wrist is dorsiflexed, and the palm of the hand is on the ground causing injury. Stress acts on the distal end of the radius, causing this fragile portion to fracture.
The treatment is relatively simple, just reset, fixate, splint, and take drugs that promote blood circulation and remove blood stasis.
If the patient wants to be kept under observation... Under normal circumstances, he will be kept under observation. But in this case today, the doctors tried their best to persuade the injured to go home.
The entire emergency room is already overcrowded, and there is no room left for observation.
Zheng Ren did not have an orthopedic background. He had only performed manual reduction once or twice during his internship. He had already eaten, so he had nothing to help.
He visited patients back and forth, sat in the clinic, triaged patients, and was busy until the afternoon.
At 14:25, the emergency department received a call from the ICU, saying that a patient with hemorrhagic shock required hospital-wide consultation.
The road outside is as smooth as a mirror. People who can't go out do so. There are no more new diseases swarming in. Seeing that the situation had stabilized, Director Lao Pan asked the doctor on duty to call if anything happened, and then took Zheng Ren to the ICU.