The surgical field was exposed, and a wound about 5 cm long could be seen on the left edge of the liver, and although the first liver portal was controlled by a latex tube, a small amount of blood continued to leak out.

Zheng Ren quickly cleaned the wound of the damaged liver, and because the injury time was very short, there was no necrotic tissue.

The inside of the liver rupture was explored, and the depth diameter was about 4 cm, and dark red blood was still flowing out of several blood vessels.

Zheng Ren stretched out his hand, and the pattern pliers slapped in his hand.

Clamp and ligate the active bleeding vessel, and ligate the broken bile duct.

After dealing with the bleeding point, Zheng Ren finally breathed a sigh of relief, and there was no sign of continued bleeding after loosening the latex tube of the first liver gate.

"Blood pressure. Zheng Ren asked.

"80/60." Chu Yanran replied.

Obviously, as the bleeding spleen is removed, the bleeding point in the liver stops, and the patient's vital signs begin to change for the better.

16U frozen red blood cells and 1000ml of fresh frozen plasma should be better after transfusion.

Zheng Ren estimated the extent of the liver wound and said, "Go and call Su Yun and ask him if he is sure to deal with the postoperative problem of patients with hemorrhagic shock." If so, let him go with him to the ICU. ”

Chu Yanzhi hesitated slightly, and immediately ran out of the operation room to wake up the drunk who was unconscious.

Zheng Ren cut a large omentum and blocked it in the liver wound, and then used silk threads to intermittent mattress sutures for the liver wound, the margin of the suture is very standard, the caliper measurement is the same, 1cm a suture.

[This stitching, really standard!1cm stitch, the same as measured with calipers.] 】

[Great, the surgeon is also very cautious, leaving the omentum in the liver wound to avoid bleeding caused by the reopening of small blood vessels after the blood pressure rises. 】

[How can a person who can practice his craft like this, how can he not be cautious. Young man, let me tell you an experience, surgery must be obscene and developing, don't waste it. 】

[It's only been a few minutes, is there fifteen minutes?]

[I calculated, it should be thirteen and a half, the operation is generally completed, splenectomy plus liver rupture and suture. Although it is not a major operation, the speed is really amazing. 】

[The speed of life and death, unhappiness is going to die. Those who didn't look at the surgeon didn't choose a small incision, and went straight down, with a 25cm incision, which is really open. 】

After the stitching was completed, the Shayman's side was ready with warm salt water.

Flush the abdominal cavity and suck up the remaining mixture of blood and warm saline with a suction device.

Zheng Ren examined the abdominal cavity again and went back to examine the splenic fossa after the spleen was removed. A drain was placed near the spleen fossa and the liver wound, and the abdomen was closed.

"Su Yun has woken up, he will go there and watch it immediately. Chu Yanzhi came back and reported to Zheng Ren.

"Completely awake?"

"Listen to the sound like this. Chu Yan rubbed her cool little hands that were frozen by fresh red blood cells, while thinking back to last night's feat, her eyebrows were full of smiles.

"Well, the ICU is more well-equipped and the nursing staff is more experienced. Zheng Ren agrees.

He estimated that the injured person should not have much of a problem after surgery. But if you are afraid of everything, it is safer to observe in the ICU for a day or two.

As for how many injured people will be admitted to the ICU today, there is no need to think about these for the time being.

Burn your eyebrows, and look at your eyes.

"Notify the ICU, prepare a ventilator, and the patient will be delivered in 20 minutes. Zheng Ren arranged.

Sutures, abdominal closure, patient intubation directly pushed to the ICU.

Chu Yanran sat on the flat car, her legs curled up as much as possible to reduce her area.

She is in an awkward position, pinching the ball, paying attention to vital signs, and escorting patients all the way.

As soon as Zheng Ren stepped down and sent the patient to the ICU, he hurriedly ran back to the emergency department.

Although the operation time was short, it was nearly 1 hour before and after.

Such a long time is enough to transport all the wounded afterward.

When I came to the emergency department, Director Pan was directing the rescue. The old director was calm and calm, and the staff of the relevant departments determined that the patient's injuries were serious and which department should be sent to continue the treatment.

Zheng Ren glanced at it and saw that although there were many injured people, most of them were fractures, head trauma and the like, which were not too serious, so he was relieved.

I inquired, and during the operation, two patients with rupture and bleeding of internal organs were also sent. One was sent to the Second Department of General Surgery, and Director Sun came to the stage to rescue him. The other one was sent to the first department of general surgery, and the deputy director of the group was rescued by the deputy director of the group.

Director Pan is in charge, giving people a particularly stable feeling, no matter how busy and chaotic, he can find the key points.

Since most of the patient's family members have not yet arrived at the hospital, the staff at the medical office are also busy. Document the situation of each patient who needs surgery and improve the relevant legal procedures.

Because of the increasing number of medical troubles, hospitals are quite cautious about such things, and the legal process is relatively perfect. Even in this kind of large-scale emergency rescue, we must strive for perfection.

This is all the experience of hundreds or thousands of disputes a year.

Zheng Ren once heard an old doctor say that in the eighties and nineties of the last century, social security was relatively poor, but he still respected doctors very much. When the general trauma comes, the anonymous person is recorded, and you can go on stage without thinking about it, which saves a lot of rescue time.

And now, if any doctor dares to do that...... Zheng Ren can be sure that as long as he meets a family member with a malicious mind, the future of this life will be ruined.

Seeing Zheng Ren coming down, Director Pan said solemnly: "How was the operation?"

"The liver was ruptured, the spleen was ruptured, the operation went well, and the patient was sent to the ICU. Zheng Ren made a brief report to the old director.

"Hmm. Director Pan nodded: "There are a lot of patients today, but only a few patients with ruptured internal organs at the beginning are from the Pentium overpass. The rest are mainly patients with bone injuries, and some are traumatic brain injuries and need to be observed in the emergency department. ”

Zheng Ren answered.

"Be aware of the possibility of delayed intracranial hemorrhage and not let your guard down. Director Pan instructed.

Jung in continued to nod.

As time went on, more and more people with minor injuries were brought to the hospital. Because the 120 ambulance is really busy, and the average patient can't wait in the ice and snow, they all come to the hospital on their own.

Most of these patients are because they can't control their speed when the road surface freezes instantly, and most of the trauma caused by impact and rear-end collision is not very serious.

There are also some patients who are elderly people who are walking and the road freezes instantly, and after slipping, they cause trauma such as Craig's fracture and intertrochanteric fracture.

The Department of Orthopedic Surgery is busy, Zheng Ren roughly counted, the four orthopedic surgeons of the first hospital in the city, each department sent about ten traumatic injuries.

This does not include the most common Craigner's fractures that can be managed in the emergency department.

Colles fractures are often caused by indirect violence and are common in falls, especially when the ground is smooth and slippery palms are on the ground, as today.

The elbow is extended, the forearm is pronated, the wrist joint is extended dorsally, and the palm of the hand is injured by touching the ground. Stress acts on the distal radius and fractures this vulnerable portion.

The treatment is also relatively simple, reduction, fixation, splinting, and taking drugs to promote blood circulation and remove blood stasis.

If the patient wants to stay for observation...... If it were a normal situation, I would have watched. But today, in this case, the doctors tried their best to persuade the injured to go home.

The entire emergency department is already overcrowded, and there is still a place to stay.

Zheng Ren is not from an orthopedic background, and he has only done manual reduction once or twice during the internship period, and he has already eaten, so there is nothing to help.

He went back and forth to visit patients, sat in consultations, triaged patients, and was busy until the afternoon.

At 14:25, the emergency department received a call from the ICU, saying that a patient with hemorrhagic shock needed a hospital-wide consultation.

The road outside is as smooth as a mirror, and those who can not go out do not go out, and there is no constant influx of new patients. Seeing that the situation had stabilized, Director Pan instructed the doctor on duty to call if he had something, so he took Zheng Ren to the ICU.