Chapter 605 You Go Blood
Cao Guozhen, Chief Inpatient of Thoracic Surgery, and the itinerant nurse who took blood came to the emergency operating room together.
After entering the door, Cao Guozhen said: "Mr. Zheng, we also had our chest opened, so we came a little late."
"It won't come any later." Su Yun said coldly.
The operation went relatively smoothly, Su Yun knew it well, so he had the time and mood to hate Cao Guozhen.
"..." Cao Guozhen was speechless.
Taking a closer look, Zheng Ren had already stitched up his ruptured colon in the abdominal cavity.
He glanced at it, and Cao Guozhen was taken aback when he saw that the liver was still tattered after sewing.
"Boss Zheng, can I still have this liver?" Cao Guozhen asked in a low voice.
"There's no way, it's best to go to this level. It can't be completely cut. The liver's self-regeneration ability is very strong, and now it seems that there is a half chance of recovery." Zheng Ren was also a little helpless.
"And after that?"
"Use bio-protein glue later, sprinkle hemostatic powder, and cover with hemostatic gauze." Zheng Ren already had a complete set of ideas.
After hearing that so many things were used together, Cao Guozhen knew that the patient's injury was more serious than he imagined.
"How is your patient?" Zheng Ren took a look through the system panel below. Another patient suffered severe chest trauma, so he dragged this patient onto the stage, and threw the other one to the thoracic surgery department.
"Sternum fracture, multiple rib fractures on both sides, and rupture of both lungs." Cao Guozhen said: "The patient was fatal. The sternum poked a hole in the pericardium, but the heart muscle was not damaged."
Uh... that's lucky enough indeed. If it gets stuck in the heart, I'm afraid people will get cold on the highway.
"The director is doing surgery, let me come down and take a look at this." Cao Guozhen is still relatively simple and honest, and the previous cooperation was quite pleasant.
Cao Guozhen remembered that the thoracic surgery department had cleared the emergency department.
"Oh." Zheng Ren glanced at Su Yun's side, and said, "Mr. Cao, I'm done with this side. Are you ready to do the other side?"
"As long as you need it," Cao Guozhen said.
"Then I would like to trouble you to make blood bags." Zheng Ren said, and then shouted: "Fugui, let's make blood."
The professor had just taken off his lead jacket and was standing over the instrument table, praising the Xie people for their good violin playing.
Hearing what Zheng Ren said, the professor felt a little helpless, "Boss, this guy should buy a machine for warming blood bags."
"Understood." Zheng Ren said.
The professor was very helpless, but Zheng Ren said, so he could only get two blood bags and warm them with his hands.
Cao Guozhen was even more helpless. He told himself to come down, but he wanted blood. There is no reason for this matter.
But it's all here, so let's do it.
Zheng Ren seized the time to find out if there were any other bleeding points in the abdominal cavity, and searched around. Except for the bleeding from the liver, other places were fine.
Biological gel, styptic powder, and hemostatic gauze were put on the patient's fragmented liver in turn, and he began to close the abdomen.
Mr. Wang was not relieved until this time.
I didn't dare to slip through the whole process, it was really tiring. Not to mention slipping away, even if I was concentrating on it, it would be very difficult for me to keep up with Zheng Ren's speed.
Seeing that the washing was finished and the abdomen was about to be shut down, he finally breathed a sigh of relief.
"Mr. Zheng, your general surgery is really strong." Mr. Wang felt that his back was shaking, and the lead clothes on his body were also extremely heavy, and he was sincerely moved.
"It's okay." Zheng Ren's answer was a little indifferent.
There are really two people on the operating table and off the operating table. Mr. Wang smiled. Although he was relaxed, he did not forget his role as an assistant.
While tying and cutting the thread, he carefully observed Zheng Ren's technique.
Previously, the interventional method was used to stop bleeding from the liver. This idea and surgical method were too amazing, like a fairy flying from the sky.
Mr. Wang was immersed in the exquisite cooperation between Zheng Ren and Professor Rudolf Wagner and the operation of determining the bleeding point, and did not pay attention to Zheng Ren's technique.
At this time, if you look carefully, Zheng Ren's suturing skills are skillful, the needle and thread are flying, and the needle holder and hemostat are perfectly coordinated, which is indeed the demeanor of an old doctor.
But if you want to say how high the level is, you can't tell from the belly.
This kind of small work, no matter how proficient it is, it's the same. Recalling the use of interventional methods to judge the bleeding point, Mr. Wang felt that the blood in his whole body was boiling.
Interventional surgery and general surgery are connected, and there are so many uses, which Mr. Wang never thought of before.
It's not unexpected, it's just that there are few interventional doctors, and there is no sense of presence in many hospitals, and many doctors don't even know what interventional is except for cardiac stenting.
Mr. Wang immediately thought of many cases. If there are interventional doctors to help, it seems that the difficulty of the operation will plummet.
Zheng Ren carefully left a drainage strip at the location of the liver and kidney recess.
If there is continuous bleeding, it can be observed from the drainage volume.
Hope... hope not.
Zheng Ren himself was not particularly sure about the success of the operation. After all, this patient's liver was shattered badly, and Zheng Ren wouldn't have been able to sew it up if he hadn't intervened in the operation and searched for the bleeding point.
Whether he can survive or not really depends on fate.
With one DIC, the patient oozes blood and dies.
For such a heavy patient, no one can say that the rescue was 100% successful. Although the big pig's trotter gave an evaluation of 92% completion of the operation, Zheng Ren couldn't guarantee it.
After closing the abdominal cavity, Su Yun's chest cavity was also finished.
The operation speed is slightly slow, which is related to the trouble of cooperation and fixation of rib fractures in the later stage.
"Do you want me?" Zheng Ren asked.
"Use you to help turn the patient over." Su Yun glanced at Zheng Ren and said.
Zheng Ren heaved a sigh of relief, as long as Su Yun started to speak out, it proved that the situation was not so urgent.
Chu Yanran supported the endotracheal tube, and several people worked together to turn the patient over and start the operation on the left chest cavity.
Sure enough, Zheng Ren didn't swipe his hands and went to the stage. He picked up a blood bag and started bleeding, standing behind Su Yun and watching.
"Boss, looking at you like this, I'm under a lot of pressure." Su Yun said.
"What's the pressure? Hurry up for surgery, as if you're really scared." Zheng Ren said.
Seeing the bag of fresh frozen red blood cells deflated in the pressurized blood transfusion set, Zheng Ren hung up the bag of freshly warmed blood in his hand.
As the blood was poured in, the patient's blood pressure gradually displayed a numerical value on the monitor. Although it is still very low, with a high pressure of 40 mm Hg, there are still two concepts with and without.
Soon, the operation on Su Yun's side was also completed.
The patient was intubated and sent to the ICU. Zheng Ren and Su Yun didn't change their clothes either. They wore isolation suits and white coats, and rushed to the emergency room on the first floor.
Su Yun did not follow the patient to the ICU as usual. Zheng Ren knew that it was because tomorrow...today he was leaving.
It really doesn't matter if you go or not.
Haicheng City No. 1 Hospital, if you leave it, you will not be able to open it.
Here, do your best and have a clear conscience.