0186 Thousands of trickles into water, confluence into a river
In the operating room, the rescue work is being carried out in an orderly manner.
People from the two departments of thoracic surgery and general surgery were busy at the same time.
Normally, no doctor wants to do that.
The operation brought Fang Lin a huge blow, and it might even be beyond the weight of his young body.
But
There is no way.
Zheng Ren's reminder was only one factor that determined the joint incision of the chest and abdomen, and more importantly, 500ml of dark red bloody fluid was instantly drained from the chest bottle.
After a few minutes, the chest bottle was full, and it was replaced with a clean chest bottle.
Looking at the dark red blood eliciting it, it reminded all the doctors present of a fact - there are also relatively large arteries in the chest cavity that are damaged, otherwise there would not be such blood at all.
The chest and abdomen were cut together, and the bleeding was stopped at the same time, and Fang Lin had to bear a huge blow.
If they came one by one, there were many bleeding spots, and Fang Lin would definitely not be able to get through.
Adults should also do multiple-choice questions when they have to.
When Zheng Ren asked the little nurse to speak, the thoracic surgery department was already ready to open, but the doctors were still hesitating and moving a little slowly.
Everyone wants to have less diversion in the next second,
Everyone hopes that their blood pressure will go back in the next second.
But, this is an extravagant hope.
Zheng Ren was the first eyewitness and was a professional doctor. His opinion is the most worthy of reference.
Therefore, after the little nurse said Zheng Ren's diagnosis, no one hesitated anymore, and the speed of preparation before the operation flew up.
At 3 minutes and 33 seconds, the deputy director of the thoracic surgery department was in charge of the surgery, and the anesthesiologist switched to single-lung mode, and the respiratory passage of the right lung was blocked.
Everyone is trying, and whether they can survive or not sometimes really depends on fate.
At 13 minutes and 54 seconds, several doctors and nurses ran back with fresh frozen plasma and fresh frozen red blood cells. In his arms, he took out the frozen red blood cells that had been warmed by body temperature and hung them on the infusion stand.
The blood bags in the pressurized blood transfusion set were deflated one after another, and after being replaced, they were neatly placed aside.
After the operation, these blood bags have to be checked and verified again.
The air in the operating room is almost frozen, and it is not as relaxed and freehand as it used to be.
No one told jokes, and no one drove at every turn.
At 15 minutes and 15 seconds, the directors of the relevant departments quickly rushed over to do a consultation on the stage.
At 18 minutes and 23 seconds, the chief of the medical department rushed from home with a gloomy face, as if there was a volcano suppressed in his heart.
But he did not lose his cool, and he was in the center to direct the rescue and coordinate all departments of the hospital.
Although it was a weekend, the news spread throughout the hospital in a very short time. All departments and departments fully cooperated, and each of them contributed their own part, perhaps insignificant, to save this young doctor with a bright future.
Ten thousand trickles into water, confluence into rivers,
Like a surging song.
At 43 minutes and 05 seconds, the broken bronchial artery in the thoracic cavity was sutured, the penetrated right lower lung was sutured, the diaphragm ruptured and sutured was completed, and the chest cavity was closed after checking that there was no active bleeding.
At 57 minutes and 27 seconds, the liver was sutured, the abdominal cavity was flushed, and the indwelling drainage tube was placed.
The tense and oppressive atmosphere was only slightly relieved by this time.
The high pressure has recovered to 70 mm Hg and the oxygen saturation remains at 97% in the state of pure oxygen inhaled. Several episodes of atrial fibrillation were corrected by an anesthesiologist with medication, and now it is sinus tachycardia, with a heart rate of 147 beats per minute.
Fang Lin's state was not satisfactory, but in the face of such a serious injury, it was already a very good result to be able to barely breathe.
More than a dozen medical staff escorted Fang Lin out of the operating room in a nervous and orderly manner, and the deputy director of thoracic surgery and the director of general surgery came to the locker room and took off his hat and mask that were wet and soaked with sweat.
It was only at this moment that I had a chance to breathe a sigh of relief and ease the tense nerves.
"Picked up a life. The deputy chief of thoracic surgery recalled it with palpitations.
Especially when he just came over, he saw a person wearing civilian clothes and half-kneeling on the operating table with Fang Lin, and the shock in his heart was still hard to forget at this moment.
"Well, the first time the rescue was timely, without any delay, Fang Lin's life was really picked up. The director of general surgery lit a cigarette and tossed it.
It's all old smoking guns, and no one dislikes anyone.
The pungency of tobacco quickly neutralized the tension and exhaustion caused by the rescue in the body, and after the two sighed, they both fell silent.
After smoking a cigarette, the deputy director of the thoracic surgery department felt much better and asked, "That young man who stopped the bleeding with his bare hands is a peer, he shot at the first time, without hesitation, it's good." ”
"I heard that it was a little doctor from Northeast Haicheng. The director of general surgery smiled, "The diagnosis is accurate, the treatment is proper, and it is quite a good young man." ”
"He's pinching the liver door all the way?"
"Hmm. ”
"Is there necrosis and avulsion?"
Hepatic hilar tissue is brittle and important. Unlike blocking the blood supply with hemostats during surgery, it is at least 10 times more difficult to block with bare hands.
It is also necessary to be careful not to block for too long under the nervous and flustered mood to avoid liver necrosis.
Coupled with the fact that it was running all the way quickly, it was difficult to stay in one position. Once there is a laceration of the hilar tissue, the patient is discarded.
Although the operation had been completed and the results were known, the deputy director of thoracic surgery still subconsciously asked such a question that he knew the results.
"Very well protected. The director of general surgery sighed: "I estimate that the young man intermittently supplies blood to the liver, and this degree is very precisely controlled." If you give too much, the blood will flow out along the ruptured area of the liver. Give less, it doesn't help. By the way, when I came, I saw a syringe needle stuck in the chest wall, is it a tension pneumothorax?"
"Yes. The deputy director of the thoracic surgery department had palpitations, "Bleeding is a trivial matter, and tension pneumothorax will kill people within ten minutes." Fang Lin was able to enter the ICU alive, it was really shit luck. ”
"With that said, I seem to be a little interested in that young man. The director of general surgery smiled and took out his mobile phone and dialed the phone.
"It's me, you go and see where the foreign doctor who stopped the bleeding with his bare hands is now, and try to know a little about his situation. ”
"Yes, if the injury is not serious, open him a high room. ”
"When I tell the head nurse, I'll tell you what I mean. ”
Hanging up the phone, the deputy director of the Department of Thoracic Surgery looked at him a little depressed, and complained: "It's just a rescue, can you do it? This year, your doctoral students will not be able to stay in the hospital." Besides, Fang Lin is my thoracic surgeon. ”
"It's as if you can change a single room at will. The director of general surgery smiled: "I don't mean to keep him, and providing a better environment for him to recuperate from his injuries can be regarded as doing my best." ”
The two chatted a few more words, and each changed his clothes to prepare to go back to the clinic.
Although this vicious incident occurred, the outpatient clinic should still be released.
The cell phone of the director of general surgery rang, and he answered the phone.
"Well, how?"
“……”
"Okay, I got it. ”
Hanging up the phone, there was something strange on his face.
The deputy chief of thoracic surgery couldn't understand what he meant, and asked, "What's wrong?"
"Recently, the institute has been engaged in scientific research, do you know?"
"Every year there is scientific research, which has nothing to do with our thoracic surgery and does not pay attention. ”
"That young man is from Haicheng and was invited to participate in scientific research......"
"Hiss......"