Chapter 93: busy

The surgical field was exposed, and a wound of about 5 cm in length was visible on the left edge of the liver. Although the first hepatic hilum was controlled by the latex tube, a small amount of blood was continuously oozing out.
Zheng Ren quickly cleaned the liver and wounded the wound. Because the injury time was short, there was no necrotic tissue.
Explore the inside of the liver rupture, the depth of the road is about 4cm, several blood vessels still have dark red blood.
Zheng Ren reached out and painted the tongs in his hand.
Clamp, ligation of active bleeding blood vessels, and ligation of broken bile ducts.
After the bleeding point was processed, Zheng Ren finally breathed a sigh of relief. After releasing the latex tube of the first hepatic hilum, there was no sign of continued bleeding.
"Blood pressure." Zheng Ren asked.
"80/60." Chu answered.
Obviously, as the bleeding spleen is removed, the hemorrhage of the liver stops and the patient's vital signs begin to shift in a good direction.
After 16u frozen red blood cells and 1000ml of fresh frozen plasma are added, it should be better.
Zheng Ren estimated the extent of liver wounds and said: "Go to Su Yun and ask if he is sure to deal with the postoperative problems of patients with hemorrhagic shock. If so, let him go to the ICU."
Chu Yuzhi hesitated and immediately ran out of the surgery to wake up the unscrupulous drunkard who was drinking.
Zheng Ren cut a large omentum, blocked in the liver wound, and then sutured the liver wound with a silk thread. The margin of the suture was very standard, the caliper was the same, and the suture was 1 cm.
[This stitching, true standard! 1cm a needle, the same as the amount measured with a caliper. 】
[Very praise, the surgeon is also very cautious, leaving the omentum in the liver wound, to avoid the blood pressure rise after the small blood vessels reopened to cause bleeding. 】
[How can you practice your hands like this? Young Lang, tell you an experience, surgery must be wretched, don't wave. 】
[This is only a few minutes? Is there fifteen minutes? 】
[I counted, it should be 13 minutes and a half, the surgery is generally completed, splenectomy and liver rupture suture. Although it is not a major surgery, this speed is really awesome. 】
[Life and death speed, unhappiness is to die. Did not see the surgeon did not choose a small incision, a knife down directly, 25cm incision, this mouth can be really bright. 】
After the suture was completed, the Xie Yi people had prepared warm salt water on the side.
Rinse the abdominal cavity, and the aspirator away the residual blood and warm saline mixture.
Zheng Ren checked the abdominal cavity again and went back to check the spleen fossa after the splenectomy. A drainage tube was placed in the vicinity of the spleen and liver wounds, and the abdomen was started.
"Su Yun has woke up, he will immediately go there to look at it." Chu Yuzhi came back to report to Zheng Ren.

Is it completely awake?

"Listen to the sound is like this." Chu Yu, one of the cool little hands of the fresh frozen red blood cell ice, recalled the feat of last night, full of smiles between the eyebrows.
"Well, the equipment on the ICU is more complete, and the nursing staff is more experienced." Zheng Ren also recognized this statement.
He estimated that the postoperative problem of this injured person should be small. But everything is afraid of it, it is more secure to observe in the ICU for a day or two.
As for how many injured people will enter the ICU today, I don't have to think about it for the time being.
Burn your eyebrows and take care of your eyes.
"Notify the ICU, prepare the ventilator, and the patient will be sent after 20 minutes." Zheng Ren arranged.
Suture and abdomen are closed, and the patient cannula is directly pushed to the ICU.
Chu Yuran sat on the flat car, and his legs were curled up as much as possible to reduce his area.
Her posture is very awkward, but also pinch the ball all the way, pay attention to vital signs, and the patient.
Zheng Ren just stepped down and sent the patient to the ICU, and he rushed back to the emergency department.
Although the operation time is short, it is nearly one hour before and after.
Such a long time is enough to transport the wounded afterwards.
Coming to the emergency department, Director Pan is directing the rescue. The old director calmed down and asked the staff of the relevant departments to determine the severity of the patient's injuries. Which department should be sent to continue to see the doctor.
Zheng Ren glanced at it. Although there were many injured people, most of them were fractures, head injuries and the like, which were not too heavy.
Asked about it, during the operation, two patients with visceral rupture were also sent. A heavy one was sent to the second division of the general public, and Sun was taken to the rescue. The other one was sent lightly to the general department, and the deputy director of the group went to the rescue.
Director Pan Pan sits in the town and gives a feeling of special stability. No matter how busy or chaotic he is, he can find the key points.
Because most of the patient's family members have not yet arrived at the hospital, the relevant personnel of the Medical Service are also very busy. Document each patient who needs surgery and improve the relevant legal procedures.
Because more and more doctors are making trouble, the hospital is very cautious about such things and the legal process is relatively perfect. Even in this kind of large-scale emergency rescue, we must strive to be perfect.
This is the experience of hundreds of thousands of disputes in a year.
Zheng Ren once heard an old doctor say that in the 1980s and 1990s, social security was relatively poor, but he still respected doctors. Generally, the trauma has come, and the anonymous name is recorded. If you don’t want it, you can go to the stage and save a lot of rescue time.
Now, if there is another doctor who dares to do this... Zheng Ren can be sure that as long as he encounters a family member with a heart and a poison, the future of this life will be ruined.
See Zheng Ren down, Director Pan Pan said seriously: "How is the surgery?"
"The liver is ruptured, the spleen is ruptured, the operation is very smooth, and the patient has been sent to the ICU." Zheng Ren made a brief report to the old director.

Yeah.
Director Pan Pan nodded.
There are a lot of patients today, but only the first patients with visceral rupture are from the Pentium overpass. The rest are mainly patients with bone injuries, and some are brain trauma. You have to stay in the emergency department."
Zheng Ren should have a voice.
"Attention to the possibility of delayed intracranial hemorrhage, can not relax the vigilance."
Zheng Ren continued to nod.
As time went by, more and more minors were sent to the hospital. Because the 120 ambulances are really busy, the average patient can't wait in the ice and snow, so they all come to the hospital by themselves~EbookFREE.me~ Most of these patients are just because they have just snowed and the road is freezing instantly. Can not control the speed of the car, the impact caused by impact, rear-end collision, the big is not very heavy.
Some patients are elderly people who are bending, and the road freezes instantly, causing trauma such as Klein fractures and intertrochanteric fractures after slipping.
The orthopedic surgery is busy, Zheng Ren roughly statistics, the city's first hospital four bone surgery, each department sent about 10 trauma.
This does not include the most common Klein fractures that the emergency department can handle.
Colles fractures are mostly caused by indirect violence, which is common in falls, especially in situations where the ground is smooth and slips on the palms.
Elbow extension, forearm pronation, wrist extension, and palm injury. Stress acts on the distal end of the humerus, causing fractures in this fragile part.
It is also relatively simple to treat, reset, fix, plywood, and eat drugs that promote blood circulation and remove blood stasis.
If the patient wants to watch it... If it is normal, it will be watched. But in this case today, the doctor tried his best to persuade the injured to go home.
The entire emergency department is overcrowded, and there is still a place to stay.
Zheng Ren is not an orthopedics. The manual reset has only been done once or twice during the internship period. He has already eaten food, so there is nothing to help.
He patrolled the patient back and forth, sat down, diverted the patient, and was busy until the afternoon.
At 14:25, the emergency department received a call from the ICU, saying that patients with hemorrhagic shock needed consultation at the hospital.
The road outside is as smooth as a mirror, and people who can go out without going out will not go out, and there are no newcomers. Director Pan said that the situation had stabilized. When the doctor on duty had a phone call, he took Zheng Ren to the ICU.