Chapter 186: Wansui into water, sinking into a river


In the operating room, the rescue work is proceeding in an orderly manner.
People in the departments of thoracic surgery and general surgery are busy at the same time.
Under normal circumstances, no doctor is willing to do so.
The surgery brought a huge blow to Fang Lin, and it may even exceed his young body.
but,
No way.
Zheng Ren's reminder is only a factor that determines the joint incision of the chest and abdomen. More importantly, 500 l of dark red blood liquid is extracted from the breast bottle.
After a few minutes, the breast bottle was full and a clean breast bottle was replaced.
Looking at the dark red blood, it reminds me of the fact that all the doctors present are also suffering from a large arterial injury in the chest, or else there will be no blood left.
The chest and abdomen are combined and cut, and at the same time hemostasis, Fang Lin has to bear a huge blow.
If one comes, there are many bleeding points, and Fang Lin will not be able to pass.
Adults have to make multiple choice questions when they have to.
When Zheng Ren asked the little nurse to speak, the thoracic surgery was ready to start, but the doctors were still hesitating and the movement was slightly slower.
Everyone wants to reduce the amount of drainage in the next second.
Everyone hopes that blood pressure will rise in the next second.
But this is a luxury.
Zheng Ren is the first witness and a professional doctor. His opinion is the most worthy of reference.
Therefore, after the little nurse said Zheng Ren’s diagnosis, no one hesitated, and the preparation speed before the operation flew up.
3 minutes and 33 seconds, the thoracic surgery was performed by the deputy director of the clinic today. The anesthesiologist switched the single lung mode and blocked the right lung respiratory channel.
Everyone is working hard, and if they can survive, sometimes they really have to look at it.
At 13 minutes and 54 seconds, several medical doctors held fresh frozen plasma and fresh frozen red blood cells ran back. In the arms, take out the frozen red blood cells with warm body temperature and hang them on the infusion stand.
The blood bags in the pressurized blood transfusion device are smashed one by one, and after being replaced, they are placed neatly on one side.
After the operation, these blood bags will be checked and verified again.
The air in the operating room was almost solidified, and it was not easy and freehand.
No one talks about the paragraph, and no one can drive without driving.
15 minutes and 15 seconds, the directors of the relevant departments quickly rushed over to do the on-the-spot consultation.
18 minutes and 23 seconds, the director of the medical department gloomy from home, like a volcano suppressed in his heart.
However, he did not lose his calmness. He was commanded to rescue him and coordinated all departments of the hospital.
Although it was a weekend, it was spread throughout the hospital in a very short time. All departments and departments cooperated with each other, and each person contributed his own, perhaps insignificant, power to save this young doctor with a bright future.
Wanshui into the water, sinking into the river,
Like a song of a sly song.
At 43 minutes and 05 seconds, the broken bronchial artery in the thoracic cavity was sutured, and the right lower lung was sutured. The diaphragm was ruptured and sutured. The active bleeding was checked and the chest was closed.
At 57 minutes and 27 seconds, the liver was sutured, the abdominal cavity was flushed, and the drainage tube was left.
The tense and oppressive atmosphere, until this time, only slightly eased.
The high pressure has recovered to 70 mm Hg, and the oxygen saturation has remained at the level of 97 while inhaling pure oxygen. A few occurrences of atrial fibrillation were corrected by the anesthesiologist, and now the sinus tachycardia is too fast, with a heart rate of 147 beats per minute.
Fang Lin's state is not satisfactory, but in the face of such a serious trauma, it can be a very good result.
More than a dozen medical staff escorted all the way, and sent Fang Lin out of the operating room in an orderly and orderly manner. The deputy director of the main surgeon and the general surgery director of the thoracic surgery came to the locker room to remove the hat and mask that was wet and soaked with sweat.
Until now, there is a chance to breathe a sigh of relief and ease the tight nerves.
"There was a life." The deputy director of the thoracic surgery recalled that there was a lingering fear.
Especially when he just came over, he saw a man in a plain clothes and a half-squatting posture with Fang Lin on the operating table. The shock at the bottom of his heart is hard to forget.
"Well, the first time to rescue in time, without any delay, Fang Lin's life is really back." The general surgery director lit a cigarette and threw it.
They are old smokers, and no one dislikes them.
The spicyness of tobacco quickly neutralized the tension and exhaustion caused by the rescue in the body. After feeling a sentence, the two fell silent.
After exhausting a cigarette, the deputy director of the thoracic surgery felt much better. He asked: "The young man who stopped the blood by hand is a peer. The first time he took the shot, he did not hesitate, it was good."

I heard that it was a small doctor from Haicheng in the northeast.
The director of general surgery said with a smile,
The diagnosis is accurate, well handled, quite good young people.

"He is holding the liver door all the way?"
"Ok."

Is there necrosis and avulsion?

The hilar tissue is very brittle and important. It is not the same as using blood-stopping forceps to block blood supply during surgery. The difficulty of blocking by hand is at least ten times that of the former.
Also be careful not to block the long time and avoid liver necrosis in a nervous, flustered mood.
Adding all the way to the fast, it is difficult to keep a posture. Once the hilar tissue laceration occurs, the patient is abolished.
Although the surgery has been done, the results are known, but the deputy director of thoracic surgery still subconsciously asked such a question that he knows the result.
"Protection is very good." The general surgery director said with emotion: "I estimate that the young man interrupted the blood supply to the liver. This degree is very precise. EbookFREE.me~, the blood flows down the liver rupture area. Yes, it’s no effect, right. Right, when I came, I saw a syringe needle inserted in the chest wall. Is it a tension pneumothorax?

"Yes." The deputy director of the Department of Thoracic Surgery has a heart, "Bleeding is a small matter, and the tension pneumothorax will be dead within ten minutes. Fang Lin can live into iu, it is really a dog."
"If I say this, I seem to be a little interested in that guy." The general surgery director smiled and took out the phone and dialed the phone.
"It's me, you go to see where the foreign doctors who stop the bleeding are now, try to understand some of his situation."
"Yes, if the injury is not serious, give him a high room."
"Tell the head nurse, it is what I mean."
Hang up the phone, the deputy director of the thoracic surgery looked at him with some depression, complaining: "It's just a rescue, can you commit it? This year your doctoral students can't stay in the hospital. Besides, Fang Lin is the person in my thoracic surgery."
"It seems like you can adjust the single room at will." The general surgery director smiled and said: "I did not leave him to mean, provide a better environment for him to recover, it is also a heart."
The two chatted a few more words, each changing their clothes and preparing to go back to the clinic.
Although this kind of evil happened, the outpatient clinic still came out.
The general surgery director’s cell phone rang and he connected the phone.
"Well, what?"
"..."
"okay, I get it."
Hanging up the phone, the expression on his face is a bit weird.
The deputy director of thoracic surgery could not understand what he meant and asked: "What happened?"
"Recent research is doing research, do you know?"

Every year, there is research, and it’s not related to our thoracic surgery. Don’t pay attention.

"The young man from Haicheng was invited to participate in scientific research..."
"hiss……"
Latest chapter of Ebook Live Surgical Broadcast Click here