Oh, just be satisfied." Zheng Ren's expression was a little stiff. He didn't care about being perfunctory to Sister Zhao, and said lightly.

Seeing that Zheng Ren was different from his usual behavior, Sister Zhao asked: "I think the patient is in good condition. Mr. Zheng, are you worried?"

"Yes, Sister Zhao." Zheng Ren said: "The patient is considering traumatic carotid artery injury. Now he looks good. Maybe a stream of blood will spray up in the next second and the person will be gone."

Sister Zhao was surprised that even the old clinical assistant doctor had never seen the situation Zheng Ren said. She operated the machine half-believingly and did cervical blood vessels for the patient.

After more than 20 minutes of examination, Zheng Ren asked Su Yun to take the patient back.

He also reminded Su Yun not to let the patient move.

Su Yun knew the severity and importance, and Zheng Ren’s concern was also his concern.

If the emergency patients receive too many cases, they will see many strange things. Be careful that they can drive a ship for thousands of years, so this is the only way.

Su Yun once treated a patient with spontaneous pneumothorax in the imperial capital.

The patient came along and was diagnosed with spontaneous pneumothorax on the left, with 60% compression of lung tissue. The patient claimed to have a history of pneumothorax and recovered after receiving closed drainage treatment.

There is nothing to say about this kind of patient, the medical history is simple and the treatment is simple. If you refuse to have thoracic opening or thoracoscopy surgery, you can observe the next chest vial for a few days.

However, after the chest bottle was in, dark red fresh blood began to be drawn out along the chest tube.

Su Yun was not careless and moved a stool to sit next to the patient to observe the drainage of the chest vial.

After two hours, the drainage per hour has reached about 200ml.

Su Yun made a quick decision and explained the condition to the patient's family and opened his chest to investigate.

The result is ridiculous.

Because the patient had a closed drainage, there was adhesion in the lungs and pleura. This time, when the lung tissue was compressed, the adhesion area of ​​the apical pleura was torn.

During the operation, there was only a void area as big as a large female fingernail, and there was bleeding in this area.

There is only such a little blood seeping. When the chest cavity is positively pressured, the blood seeping is not obvious. When the air is pulled out and the chest cavity returns to normal pressure, a large amount of blood seepage begins.

When he came on stage, the patient was in the pre-hemorrhagic shock.

Almost disappeared.

If Su Yun is a little careless.

If there was a major rescue that day, everyone would come to the stage, which would delay observation and disposal time.

if……

Tens of millions of patients will die in the ward.

Therefore, a doctor who works in clinical practice will have one problem - all doubts and unsupported areas will be infinitely magnified.

Perhaps, this is also a kind of pessimism and an obsessive-compulsive disorder.

Nowadays, Zheng Ren and Su Yun treat patients suspected of carotid artery scratches with this attitude.

Seeing that Zheng Ren did not leave, Sister Zhao knew that he was anxious and simply rushed to release the film.

When the image of the blood vessels in the neck appeared on the screen, both of them were stunned.

A triangular piece of glass inserted into the carotid artery.

Although it prevents carotid artery bleeding, no one can say when this unstable factor will go wrong.

The moment Zheng Ren saw the glass fragments, he immediately picked up his cell phone and called Su Yun.

"The patient saw glass fragments in the carotid artery. Do not press on the scratched area on the left, do not press on!"

"Yes, please consult the Vascular Department, inform them and prepare for emergency surgery."

"Please calm the patient and make the patient's mood stable."

After explaining, Zheng Ren breathed a sigh of relief and put away his phone.

If you can find problems, you can solve them.

The most difficult and most dangerous period for this patient has passed.

This kind of surgery was first performed by general surgery, after all, it was neck surgery. However, as the vascular department was assigned, it was performed by the vascular department.

Zheng Ren cannot give it a try, but one is that there is no advantage to block consumables such as carotid artery. Second, the surgical training time is now gone, so if you don’t have any training, who dares to touch the carotid artery?

As for the technical strength of the Vascular Department of Haicheng First Hospital, it may not be possible to get this surgery.

But Zheng Ren didn't care either.

If you can't get the surgery down, you can go on stage together. Choose the carotid artery and get a vesicle stent at the bleeding site.

Although the latter is not rigorous and irregular in handling it, the means of saving lives are good.

"Mr. Zheng, how did the glass get in?" Sister Zhao asked while doing post-processing.

"It is probably because of high-speed motion glass fragments that penetrate into the skin. Moreover, the damage to the glass fragments has no obvious signs on the surface, but the condition in the body is very serious." Zheng Ren still couldn't help but be afraid when he thinks about it now.

If you are a little careless, the patient will have severe bleeding as the glass fragments fall off the carotid artery and die within one minute.

Holding the film that had just been printed, Zheng Ren hurried back to the emergency department.

The director of the Vascular Department was also pulled over from the cafeteria.

Because the vascular department is a small department and there are not many related surgeries, there is no even hospitalization.

Small hospitals are all kinds of non-compliant.

When Zheng Ren walked in, Director Fan of the Vascular Department was walking out.

The two met head-on, Zheng Renyang took a look at the movie in his hand and said, "Director Fan, take a look?"

Director Fan nodded cautiously, and Zheng Ren called the patient's lover to the office, found a video reader and inserted the film.

On the cervical blood vessel cta, the triangular glass fragments less than 1cm are particularly dazzling.

Almost when I saw the film, the fragment of glass "thorn" out of the film like a horror film.

"Director Fan, prepare for the operation." Zheng Ren said.

"Oh." Director Fan shook his head and said, "The patient's life is so great."

Zheng Ren deeply agrees.

If there weren't many coincidences, I'm afraid the 120 ambulance was brought to the hospital, and it would be just a corpse.

The diagnosis was clear and there was nothing to say. The emergency surgeon issued an inpatient form, and Director Fan hurried back to prepare for the operation.

This kind of surgery will recover quickly.

Zheng Ren estimated that he would be discharged from the hospital two or three days after the operation.

Many big things, once discovered, are trivial things.

The trauma, disease, and diagnosis that can cause death are clear, and the patient can be discharged from the hospital two or three days after the operation. Think about it, it is indeed her life.

After working in clinical practice for a long time and seeing more, I gradually began to believe in my life.

At the scene of the car accident, the patient who was hit without human form was discharged from the hospital after half a month and returned home.

The patient had nothing to do, but he caught a 1 in 50,000-probable carotid endarteral avulsion. After three or five days of hospitalization, he suddenly had incontinence and lost consciousness. Zheng Ren also witnessed the case of unconsciousness. (Note 1)

So let's say, people...

...

...

Note 1: Carotid endarteral avulsion, a case of carotid artery avulsion, was encountered by a friend of mine during neurosurgery. Later, I checked the book and found that the probability was one in 50,000.

The case of carotid artery, I remember that there are similar contents in the American drama "Good Doctor". This case is selected from "Journal of vascular surgery". There are some places that I think are amazing. But clinically there are some low-probability events.
Chapter completed!