Chapter 123: I have a personal choice! (For the Moon League
When it was almost time to get off work in the afternoon, Kobayashi had already walked out of her sadness just now.
Kobayashi's full name is Lin Ran. She has not been in the emergency room for a long time. Kobayashi sees the causes and consequences of this old man, and she feels a little regretful and heartache.
Lin Ran didn't know whether she cried because of the old man's innocence, because of helplessness towards women, or helplessness in front of life.
The emergency department did not believe in tears. Before Chen Cang could be sad, a surgery came suddenly!
"Chen Cang is coming to the operating room right away! Hurry up!" Chen Cang was ordered in danger with a sentence from Li Baoshan!
On the way to the operating room, Chen Cang was nervous.
What exactly happened?
Chen Cang was a little puzzled!
Before he could think too much, Chen Cang headed straight towards the operating room. The head nurse in the operating room was already waiting outside. When he saw Chen Cang coming in, he said anxiously: "Wash your hands and change your clothes quickly! Operating room No. 3!"
When Chen Cang heard about Operating Room No. 3, he became much nervous for no reason.
The operating room of the Second Provincial Hospital No. 3 is usually empty and is waiting for the arrival of emergency surgery at any time.
For example, the rescue patient who suddenly had a car accident was sent directly to the operating room No. 3 to prepare for surgery. Li Baoshan did these operations.
Li Baoshan is the pillar of the emergency department of the Second Provincial Hospital, the superstructure and height!
With him here, you can support the major operation of the Second Provincial Hospital!
So Chen Cang became more and more nervous!
After everything was ready, the head nurse Li Ying looked at Chen Cang and encouraged: "Come on!"
Chen Cang nodded and entered the operating room!
…………
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An extremely tense rescue is underway in the operating room!
Emergency director Li Baoshan, Xinwai director Tao Mi, orthopedic director Li Jianwei, and General Utility Director Zhang Youfu!
Car accident patients are more dangerous and often lead to serious damage to multiple organs.
At this time, everyone was facing a "chest and abdomen joint injury" caused by a car accident!
The patient had a ruptured diaphragm, a puncture of the liver, a ruptured stomach, a penetrating colon, multiple fractures in the sternum, and severe pelvic fractures.
When I was sent to the hospital, my blood pressure was only 70/40, my chest and abdomen were combined with wounds above the navel, generalized peritonitis, and hemorrhagic shock.
All signs: The patient is in extremely poor condition!
The life of a boy who is only 18 years old is passing by bit by bit.
All directors of the Second Provincial Hospital were dispatched to carry out this treatment!
Liver repair, liver needle suture!
Diaphragm repair, intestinal suture.
A large amount of warm salt water, Mid Diling flushes the abdominal cavity...
In the operating room, only the sound of machines and the sound of equipment intertwining back and forth.
At this time, no one dared to speak 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 surgery, everyone can only give up some not serious or life-threatening surgeries, and focus on the most dangerous surgeries.
Even the chest surgery has been performed at the same time as the liver suture!
Zhang Youfu's eyes were solemn, and he didn't dare to let out a breath. The liver needle was replaced with thick intestinal thread and sutured, which made the operation thrilling!
And at this moment, the patient suddenly had bleeding!
There have been two bleeding times and the extracorporeal circulation has been established. What is the cause of the bleeding at this time?
Suddenly everyone discovered that the patient had ruptured the splenic artery!
Everyone's scalp suddenly became numb, and the difficulty of the operation continued to increase!
The blood stopped!
The reason was also found.
But soon, another big problem appeared in front of everyone.
Zhang Youfu suddenly widened his eyes and was frightened: "The patient's blood pressure is very low now, but the surrounding blood circulation is not much. The main pressure is concentrated in the splenic artery area. Because the spleen aorta has been damaged, the blood vessel wall is very thin now. I am afraid that it will not last long... There will even be heavy bleeding, and it is hard to say at that time..."
Everyone's faces changed: "Is it okay to ligate and suture ligate?"
Tao Mi shook her head: "The patient's physical condition is too...so bad! If the patient is ligated, it will take less than 90 seconds. According to his current situation, if the ligation time is too long, even if the suture is done, later recovery will be a problem!"
A difficult problem appeared in front of everyone!
How to complete this vascular anastomosis 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, damage to multiple organs is inevitable.
Clinically, some patients may experience splenic artery embolization and splenic infarction. When patients with spleen rupture undergo surgery, accurately finding the splenic artery is the most important thing to control bleeding.
At this time, a problem suddenly appeared. Hemostasis requires suturing blood vessels. Ligating blood vessels can only take less than 90 seconds. The establishment of external circulation cannot guarantee the subsequent blood supply to many organs.
Li Jianwei looked up: "Lao Tao, can you sew?"
Li Jianwei is the director of Orthopedics University and the vice president of the hospital. His words at this time represent everyone’s inner expectations and touch everyone’s desire!
Can it be sewn?
90 seconds, can the spleen artery be sewn well?
Tao Mi suddenly became nervous inside. After a long time, he took a deep breath: "I... I may not be able to do it!"
Tao Mi's words immediately made everyone's hearts sink.
Even Tao Mi, director of the University of Cardiac Surgery, can’t do it, who else can do it?
Tao Mi's words were even equivalent to sending a critical illness notice to the patient and even...
Tao Mi took a deep breath and continued, "It's not that I'm incapable of it, nor that I'm old, but... these 90 seconds are basically unrealistic, and the fastest I've ever seen is this speed, but that person is still in the capital, and it's too late at this time. There may be no one in our Dongyang Province who can successfully anesthetize blood vessels in 90 seconds... it may not be!"
Tao Mi shook her head, it was too difficult...
It's really too difficult!
"This requires the flexibility of a hand, and also requires the surgeon to have good vascular suture skills and stability. This is the artery. While the suture is fast, it must be tight and firm. At least 30 stitches must be done on this blood vessel. This... is too difficult!"
Indeed, vascular suture is difficult and has extremely high requirements. It must be tight and firm, otherwise it will easily cause rupture or other problems after surgery.
When Li Jianwei heard this, his face suddenly changed!
"Director Zhang, is there anyone who is good at suturing blood vessels in your department?"
Zhang Youfu shook his head. It would be great if there were such talents in their subjects...
Everyone couldn't help but sigh.
what to do?
How to deal with it!
Li Jianwei was about to say, "Old Tao, come on, do your best! Just do your best!"
At this time, there is nothing else to do except to do your best.
Only believe in Tao Mi.
Chapter completed!