Chapter 428 Fewer People and More Techniques

Gao Shaojie ran up immediately.

As a doctor, my reaction to an emergency is the same.

A large amount of adrenaline was secreted, and the crackling sound of high-energy phosphate bonds in the body seemed to be right next to his ears, clearly audible.

He quickly ran to the elevator, and saw that the flat car had just entered, so he followed.

Entering the elevator, in the narrow and cramped space, the smell of blood became stronger, making it suffocating.

Gao Shaojie glanced at the ECG monitor on the flat car, the blood pressure... could not be measured, the heart rate was 160 beats per minute, and the blood oxygen saturation was 80%.

Hemorrhagic shock, this is the minimum, Gao Shaojie has his own judgment.

That mechanic...was he pinching the patient's liver, trying to reduce the bleeding? There's no more blood left.

Su Yun knelt on the flat car, with a few drops of blood on his black hair on his forehead, but he was still persistently fluttering.

"Boss, do you want hybrid surgery?" Su Yun on the flat car asked calmly, without any panic at all.

"The liver has been crushed and contused in a large area, and it's shattered into a mess." Zheng Ren was equally calm, and replied: "It is necessary to perform an interventional operation to accurately determine the location of the bleeding, and then try to save as much of the liver as possible."

"..." Gao Shaojie was stunned.

This is a dead person, can he be saved?

"Have you prepared a chest bottle in the operating room?" Zheng Ren asked.

"Yes." Su Yun answered briefly, because the elevator had reached the operating room on the third floor.

Gao Shaojie helped pull the flat car out of the elevator, and ran towards the operating room.

Although it is "running wildly", the speed is not particularly fast.

After all, there was still a person kneeling on the flat car to stop the bleeding, what if he accidentally threw that mechanic off?

The mechanic is young, so it's okay to fall, but he is holding the patient's liver.

Once the force is too strong, the hilum of the liver is torn, and the patient is really cold.

"Director Pan, emergency department, Anonymous, liver rupture, blood pressure can't be measured, I'm going for surgery." After making the last call, Zheng Ren walked into the operating room.

There were no Shays, just a roving nurse busy inside.

The following surgery is estimated to have not yet finished.

Carrying the patient onto the operating table, the itinerant nurse walked with afterimages, trotting and chattering all the way.

Su Yun pinched his liver, watched Zheng Ren brush his hands, put on lead clothes, and disinfect them, and said with a smile: "Boss, are you not used to it?"

Zheng Ren ignored the product and sterilized it as quickly as possible.

"What kind of technique?" Seeing that Zheng Ren ignored him and was bored, Su Yun put away his playful smile and asked seriously.

"Laparotomy, exploration, and angiography at the same time, to find blood vessels." Zheng Ren said.

Half a bottle of povidone iodine, more than a dozen pieces of soaked large gauze, and sloppy disinfection, Zheng Ren immediately began to spread the surgical drape.

He deliberately left the position of the right femoral artery, which is used for interventional angiography.

"Boss, you have a big heart. There are only two of us. How many spells are you going to do? You can't use me like this." Su Yun spoke in such a tone that it made people want to smash the sterilized bender in his hand. to his head.

"It's okay, I can do it." Zheng Ren said: "If you can't do it, you have to do it. The liver is rotten, so just liver resection is not enough."

After laying out the sheet, Zheng Ren brushed his hands again, put on his surgical gown, and went straight to the stage.

He didn't let the itinerant nurse come up, but stood in the first assistant's position, acting as an instrument nurse himself, clamping the blade with a hemostat and attaching it to the handle.

Disinfected, wiped clean, followed the previous wound, and made a 15cm surgical incision.

Zheng Ren then used the sterilized tourniquet to make a leather sheath, wrapped it around the patient's hilum, and it was tight enough to free Su Yun's hand.

Su Yun immediately went to brush and disinfect his hands.

Gao Shaojie came over to take a look, he was shocked.

The right lobe of the patient's liver is almost non-existent. It was so broken that it couldn't be put together.

The left lobe of the liver was also partially ruptured.

If only the right lobe of the liver is crushed, it would be fine to just resect it.

But the left lobe of the liver was traumatized, could it be that they were all cut off?

"Su Yun, hurry up, I'm going to do imaging." Zheng Ren roared.

Although Su Yun was about to fly, Zheng Ren still hated it.

"Mr. Zheng, can I try on stage?" Gao Shaojie volunteered.

There are only two people in the No. 1 hospital in Haicheng City. They are going to perform both surgical operations and interventional operations. There is another operation downstairs that is being completed, and it is very busy.

It's not appropriate to stand here and watch at this time.

Although he didn't file with the medical office, even though he wasn't invited, and all kinds of irregularities, Gao Shaojie still stood up and asked for help.

"You are..." Zheng Ren hesitated.

This guy, he has already frankly forgotten who Gao Shaojie is.

"..." Gao Shaojie was speechless. It turned out that he was just an insignificant supporting role in Zheng Ren's heart...

No, supporting roles are not counted, just an extra.

Or bring your own box.

"Your Majesty Zheng often forgets things." Gao Shaojie smiled awkwardly, "I am Gao Shaojie, Deputy Director of the Intervention Department of the Affiliated Hospital of Medical University."

"Oh, I'll trouble you then." Zheng Ren was not polite, and immediately responded.

It would have been great if Professor Rudolf Wagner was here, but unfortunately this patient came at an inopportune time, not to mention after get off work, and rushing to do radiofrequency ablation there.

Zheng Ren was also very helpless.

As for the doctor who claimed to be the deputy director of the interventional department of the Affiliated Hospital of Medical University, no matter whether he is right or not, if he can't perform the operation well, he will just be kicked off the stage.

Good or bad, one puncture is enough to judge.

Now the patient's blood pressure is almost zero. It is not possible for ordinary doctors to successfully indwell the arterial sheath.

"The lead clothes are over there, go and put them on by yourself, hurry up!" Zheng Ren was not polite and yelled directly.

Su Yun brushed his hands, but did not wear a surgical gown. Instead, he placed closed thoracic drainage in the sixth and seventh intercostal spaces on the patient's right chest wall.

The purring gas came out, with black and red blood.

"Yan Ran, go out first after the anesthesia is over," Zheng Ren said.

Chu Yanran shook her head, and said, "It's okay to eat some thread once in a while."

The anesthesia was over, and the double-lumen tube was inserted long ago, but the patient had problems with blood pressure and heart rate. As an anesthesiologist, she dared not leave.

Zheng Ren didn't insist, and said, "Go and put on a lead jacket."

"Yes." Chu Yanran went to the next door to get a lead coat and put it on.

The lead jacket was very wide, hanging on her body, dangling, making people feel that her small body would be crushed at any time.

"Stimulate the blood! Find the nurse in the emergency department to wait for the blood, hurry up!" Zheng Ren roared.

The itinerant nurse was busy covering her head and turned around. She put the gastric tube and urinary tube in, prepared a sterile bag, and prepared a chest bottle for Su Yun. At this time, she was about to prepare for negative pressure suction. After hearing Zheng Ren's roar, she quickly agreed.

Everything is important, but manpower is indeed not enough.

Wang Qiang followed Gao Shaojie in a lead suit, and originally wanted to be Gao Shaojie's assistant.

Seeing that the itinerant nurse was too busy, he said, "Leave this to me, and I'll ask you if you don't understand. You go to urge the blood!"

"Who are you?"

"Wang Qiang, Deputy Director of the Intervention Department of the Second Hospital."