Chapter 123: : I have a personal choice!

When he was about to leave work in the afternoon, Kobayashi had already walked out of his grief.
Kobayashi ’s full name, Lin Ran, was not a long time to come to the emergency department. The cause and effect of this old man, Kobayashi, was in his eyes, with some regret and heartache.
Lin Ran didn't know whether she was crying because of the innocence of the old man, or because of helplessness towards women, or helplessness in front of her life.
The emergency department didn't believe in tears. Before Chen Cang had time to be sad, a surgery came suddenly!
"Cang Cang will come to the operating room at once! Hurry up!" Li Baoshan said, Chen Cang was in danger!
Hurrying to the operating room, Chen Cang was disturbed.
What the happened?
Chen Cang is puzzled!
Too much time to think, Chen Cang headed straight for the operating room. The head nurse of the operating room was already waiting outside. When he saw Chen Cang coming in, he said anxiously: "Wash your hands and change clothes! Operation room 3!
When Chen Cang heard about operating room 3, he was nervous for no reason.
The Provincial Second Hospital's No. 3 operating room is generally empty, waiting for emergency surgery at any time.
For example, in a sudden accident, the rescued patient was directly sent to the operating room 3 to prepare for the operation. Li Baoshan did these operations.
Li Baoshan is the pillar of the emergency department of the Second Provincial Hospital, which is a superstructure and height!
With him, you can support the major surgery of the Second Provincial Hospital!
So Chen Cang became a little bit nervous and nervous!
When everything was ready, head nurse Li Ying looked at Chen Cang and encouraged: "Come on!"
Chen Cang nodded and entered the operating room!
…………
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In the operating room, an extremely tense rescue is underway!
Li Baoshan, Director of Emergency Department, Tao Tao, Director of Cardiac Surgery, Li Jianwei, Director of Orthopaedics, Zhang Youfu, Director of General Surgery!
Patients in car accidents are more dangerous and often lead to severe multiple organ damage.
At this moment, everyone is facing a "combination of chest and abdomen" caused by a car accident!
The patient had ruptured diaphragm, punctured liver, ruptured stomach, penetrating colon injury, multiple fractures of sternum, and severe pelvic fracture.
When he was taken to the hospital, he had a combined thoracoabdominal wound above the navel, generalized peritonitis, and hemorrhagic shock with a blood pressure of only 70/40.
All signs indicate that the patient is in very poor condition!
The life of a boy who is only 18 years old is passing away bit by bit.
All directors of the Second Provincial Hospital were dispatched to carry out this rescue work!
Liver repair, liver needle suture!
Diaphragm repair, intestinal suture.
Plenty of warm saline and metronidazole flush the abdominal cavity ...
In the operating room, only the sound of the machine dripping and the sound of the instruments intertwine.
At this point, no one dared to breathe out!
Because the patient's condition is very special, the operation time cannot exceed four hours, otherwise the situation will easily change!
In order to ensure the progress and efficiency of the operation, everyone can only abandon some non-serious or life-threatening operations, and focus on the very dangerous operations.
Even, the chest surgery has been performed at the same time as the liver suture!
Zhang Youfu's eyes were dignified, the atmosphere did not dare to take a sip, the liver needle was replaced with a thick bowel thread for suture, and the operation was thrilling!
And at this time, suddenly the patient had bleeding!
There have been two bleedings and extracorporeal circulation has been established. What is the cause of the bleeding at this time?
Suddenly everyone found out that the patient had ruptured the splenic artery!
Everyone suddenly became numb, and the difficulty of surgery continued to increase!
The blood has stopped!
The reason was found.
But soon, another big problem appeared before everyone.
Zhang Youfu suddenly widened his eyes and panicked: "Now the patient's blood pressure is very low, but there is not much peripheral blood circulation. The main pressure is concentrated in the spleen artery area, and because the spleen aorta has been damaged, the blood vessel wall is now very thin I'm afraid it won't last long ... or even major bleeding will happen, and the situation will be difficult to say then ... "
Everyone's face changed: "Isn't ligation and stitching OK?"
Tao Yan shook his head: "The patient's physical condition is too ... too bad! If the ligation takes less than 90 seconds, according to his current situation, if the ligation time is too long, even if sutured, the later recovery is a problem. ! "
A puzzle appeared in front of everyone!
How can we complete this anastomosis of the blood vessel in ninety seconds.
The spleen artery supplies blood from multiple organs such as the stomach, pancreas and spleen. If a large amount of blood is lost, multiple organ damage is inevitable.
Some patients may have splenic artery embolism and splenic infarction. Or when the patient with spleen rupture is undergoing surgery, accurately finding the splenic artery is the most critical to control bleeding.
At this time, a problem suddenly appeared, hemostasis required suture of blood vessels, ligation of blood vessels was less than 90 seconds, and the establishment of external circulation could not guarantee the blood supply of many subsequent organs.
Li Jianwei looked up: "Lao Tao, can you sew?"
Li Jianwei is the director of the Department of Orthopaedics and the vice president of the hospital. At this time, his sentence represented the expectations of everyone and touched everyone's desire!
Can you sew?
90 seconds ~ EbookFREE.me ~ Can you sew the splenic artery!
Tao Yan suddenly became nervous inside, for a long time, he took a deep breath: "I ... I may not be able to do it!"
A word from Tao Yan immediately made everyone's heart sink.
Even Tao Yan, director of the Department of Cardiovascular Surgery, couldn't do it. Who else could do it?
A word from Tao Yan is equivalent to giving the patient a critical notice and even ...
Tao Yan took a deep breath and went on to say, "It's not that I'm incapable or that I'm old, but ... these 90 seconds are basically unrealistic. The fastest I've ever seen is at this speed, but that person It ’s still in the capital, but it ’s too late at this time. The people in Dongyang Province who can successfully vascularly match within 90 seconds may ... maybe none! "
Tao Yan shook his head, it was too difficult ...
It's too difficult!
"This pays attention to the flexibility of a hand, and also requires the surgeon to have a good vascular suture skill and stability. This is an artery. While the suture is fast, it must be tight and strong. At least 30 needles must be completed on this blood vessel. It ’s ... too difficult! "
Indeed, vascular sutures are inherently difficult and extremely demanding. They must be tight and firm. Otherwise, they may easily rupture or other problems after surgery.
When Li Jianwei heard it, his face suddenly changed!
"Director Zhang, is your department good at suturing blood vessels?"
Zhang Youfu shook his head. It would be great if their department had such talents ...
Everyone couldn't help sighing.
How to do?
What to do!
Li Jianwei is about to say, "Lao Tao, come on, do your best! Do your best!"
There is no other way than to try your best.
Only believe Tao Tao.
At this time, Li Baoshan suddenly thought of a person: "I have a personal choice, you can try!"