The front and back are fixed at the same time, the posterior pedicle nails, and the anterior steel plate.

Irrigation, drainage is placed, the sternum is inserted into the wire to pull and fix, and each incision is sutured in layers.

The wood must have been sharply beveled at the time, and when it was taken out, the skin was not visibly defective, but only squeezed open.

Fast but not urgent, interlocking, the operation ended naturally.

"Blood pressure, 90/55mmHg—"

Blood pressure is starting to rise!

"Hemoglobin 68g/L"

Every 200 milliliters of blood can increase hemoglobin by about 6g, which is theoretical. Considering wastage, a 4-5g increase in hemoglobin is achievable.

Hemoglobin is 68g/L, although this value is very low, as long as there is no more bleeding, the fortune is picked up. For acute blood loss, if the hemoglobin is higher than 70 g/L, blood transfusion may not be required.

Spinal cord transection, this is a medical problem in the world, and I can only spend the rest of my life in a wheelchair in the future.

The procedure takes about 40 minutes.

"Ding Dong, the task is complete, the reward is 12,000 points, and a super cultivation Dafa series treasure box is attached."

Mechanical female voice, with subtitles in the upper right corner of the field of view.

"Eight Lambs!"

The sterile sheet was opened, and whoever scolded was Zhang Lin.

"Director Zhang, the ruptured liver and spleen has arrived, and Dean Dong has arranged for you to be the chief surgeon." Someone came to the operating room to call Director Zhang, and his tone was short.

After the operation here, Director Zhang and Director Li were fine, and began to take off their clothes and gloves, and found that their backs were full of sweat, cold and wet.

Director Zhang rushed to have a ruptured liver and spleen, and Director Li also had multiple rib fractures and lung contusions, and a deputy chief physician in Corey was doing it, and he was going to rush to the stage.

The entire operating room is running at high speed, all elective surgeries are stopped, and the potential is being squeezed wildly.

The next seven patients all went to the operating room, except for the pulmonary contusion in thoracic surgery and the ruptured liver and spleen in general surgery.

Orthopedic calf severe crush injury, amputation; If the pelvis is fractured, combined with bladder and urethral injury, and the blood pressure is unstable, Director Miao is doing it, and Director Wang Hansheng of Sanbo is assisting; If the thoracic vertebrae burst fracture and paraplegia, another deputy chief physician of the Department of Orthopedics is doing it; The perineum was severely lacerated, and the intestines and uterus were leaking out, and Director Chen Xiaoqiao of Sanbo was doing it; Brain surgery suffered from an intracranial and extracranial hemorrhage, cerebral contusion, and brain herniation, and died after rescue efforts failed.

Carts come and go, blood, fluids, medicines, gauze, instruments, are sent to various operating rooms, and nurses run forward.

The vice president of business and the director of the medical department wore visiting clothes and shuttled through the various operating rooms to be responsible for coordination.

"The heart of the thoracic surgeon has stopped breathing, and the heart is pressed in the chest, quick!"

"General surgery, the blood is not enough, it needs a thousand!"

"Obstetrics and gynecology need the coordination of general surgery!"

The fire here is extinguished, and the other side is burning again.

"Director Miao's pelvic surgery, do you need our help to see if we need to help?" Director Tian said to Yang Ping.

Dr. Tao took them to another operating room, where Director Miao was struggling hard.

"How about it, Director Miao, do you want a helper?" Director Tian asked.

Director Miao was looking at the image on the C-arm machine, he was doing an external pelvic fixator, the wounded person's blood pressure was very unstable, and he was afraid that he would not be able to walk on the operating table after the operation.

Yang Ping looked at the film on the reading lamp, mainly the fracture of the anterior ring, and the bleeding should be controlled with an external fixator.

"I will fix the external fixator first to keep the pelvic ring stable, if the blood pressure can not be maintained, let the interventional department perform vascular embolization, do you think it is appropriate?" Director Miao asked Director Tian's opinion, and at a critical time, it was a happy thing for someone to discuss.

Director Miao is still experienced, and this process is very reasonable.

"Okay, how is the rectourethra?" Director Tian asked.

"The rectum is fine, the bladder is broken, the urethra is broken, do a cystostomy first, wait for the blood pressure to stabilize, and the secondary urethra anastomosis." Wang Hansheng was on stage, and he assisted Director Miao in dealing with the injury of the bladder and urethra.

This kind of patient should be able to stabilize, and the amputation is nothing to see, as long as it is amputated in time and does not cause acute renal failure, it will be stable.

Chen Xiaoqiao's patient, Tian Yuan wants to go and see. He asked Yang Ping to go with him, and Yang Ping's ability to deal with chest and abdominal trauma just now was at the level of a bull, so he was told to rest assured.

In the operating room of the obstetrics and gynecology department, the director of the obstetrics and gynecology department is accompanying him.

I don't know what the mechanism of injury is, the pelvic floor of the entire perineum is severely torn, there is a lot of bleeding, and the intestines and uterus are leaking out.

The patient's lithotomy position, Chen Xiaoqiao was doing it with the obstetrician and gynecologist wearing Gaogen shoes, with the assistance of the director of the obstetrics and gynecology department of Shipo Hospital.

"How? What kind of support do you want?" Tian Yuan asked.

Chen Xiaoqiao sat on the stool, focused on the operation, and said as he did it: "Let the general surgery department send someone to take a look, the rectum and colon are also broken." ”

"It's called General Surgery!" Director Tian's name is Dr. Tao.

Just as the director of the medical department came to inspect: "I have already called, I will be there soon." ”

"Blood, no, at least a thousand." Chen Xiaoqiao looked up at the monitoring screen.

"It's coming!" As soon as the words were finished, the nurse ran in and pushed a pile of blood bags.

In the case of a spinal burst fracture, a deputy chief physician of the Department of Orthopedics is doing posterior decompression pedicle nail fixation.

These surgeries are not a problem for them to take, unlike the chest and abdomen penetrating injury just now, there is no full experience, and the slightest accident will explode blood.

In the thoracic surgery department, he suffered multiple rib fractures, lung contusions, flail chest, and could not breathe, and he underwent lobectomy and rib fracture reduction and fixation, and suddenly stopped beating during the operation.

The vice president of business hurriedly came over and asked Director Tian Yang Ping to take a look together, Director Li had seen their thoracotomy to deal with aortic rupture, which was the level of Buwai and An Zhen.

Director Tian Yang Ping hurriedly shifted his position, and Director Li was holding his heart in his hand and pressing it.

"Sudden arrest, ventricular fibrillation, go on stage!" Director Li saw Director Tian Yang Ping coming over and hurriedly said.

It was too late to wash their hands, so the two people immediately took the sterile gloves handed by the nurse, put on the gloves, put on the surgical gown, and put on another layer of sterile gloves.

Director Li got out of the way, Director Tian took it and pressed it, and after pressing for a while, the heart was beating, but the tension was not enough: "0.1% epinephrine 1 ml intracardiac injection." ”

The syringe is passed over, filled with 1 ml of 0.1% epinephrine, pierced into the heart, and injected into the cavity.

I continued to press, and finally the pulse was strong, and the blood pressure went from undetectable to 90/60mmHg.

"Dopamine to maintain blood pressure, 5% sodium bicarbonate static point, it's okay--" Director Tian's hand came out of his chest, turned around, and switched positions with Director Li back to back.

"If there is a contusion in the heart, use some drugs to protect the heart muscle, check whether there is bleeding at the injection site just now, and if there is bleeding, compress it, and if there is no surgery, you can continue the operation."

Director Tian and Yang Ping took off their clothes and gloves, and went around again to say hello. The other patients did not need to go on stage for the time being, Director Tian and Yang Ping decided to take a rest first, and if they needed help, they could go up at any time, and a few people came to the lounge.

"This Wang Ba Lamb is quite lucky, when we operate on him, panda blood, there is a volunteer to donate blood to him."

Zhang Lin was indignant.

"Can I smoke a cigarette?" Liang Fatzi asked Zhang Lin.

"It's not his business to get out of the car." Xiao Wu said.

"Smoke, give me one, Wohuo, we were almost hacked by him, and we also helped him with surgery, and he was sweating profusely." Zhang Lin's remaining anger has not disappeared.

Liang Fatzi gave Zhang Lin a cigarette to Xiao Wuyi.

"One yard is one yard, scolding can be scolded, people still have to be saved, give me one." Director Tian said that Director Tian never smoked.

"I just have a fire in my heart, haven't people been saved? I didn't slow down to hand the forceps during the operation. Zhang Lin smoked.

Yang Ping leaned back in the chair and rested: "Give me one." ”

"Don't you smoke? Waste! Zhang Lin said.

Liang Pang flicked out a cigarette, Yang Ping pulled it out, Liang Fat helped light it, Yang Ping took a puff: "Isn't Director Tian also smoked?" "Five people were in the break room.

An anesthesiologist from Shipo Hospital came in to drink water, who had just done anesthesia with Liang Fatzi, and listened to them talking.

sat down and said: "It's really fateful, not only did I meet you, I heard that I also met a person with rich experience in first aid at the scene, who saved him, and more coincidentally, it was also that person who donated blood, and some things in the world are so coincidental." ”

Zhang Lin said: "You said that someone saved him on the spot? And donate blood to him?"

"Yes, the emergency command department looked for RH negative blood type A, but I didn't find it for a long time, I went to the group for help, and there was a fucking one in the emergency department, or the person who sent him, he was a twin brother in his last life, right?"

Can you do first aid? It may be a doctor, thinking of the doctor, Director Tian's heart tightened, and he didn't know why, but suddenly remembered Director Zhu who he met on the road, and his car was in front of the bus he was taking.

It's him? Impossible, how could it be him, it can't be such a coincidence, it's too cruel, it's too tricky for him, people who love medicine so much, they are ruined alive, although it's good to do insurance now, it's not what he loves after all.

Suddenly like a stab in his heart, he said to Yang Ping: "You are here, I'll go down and take a look." ”

He came to have several surgeries, he knew the aunt who guarded the door, and he was familiar with the environment of the hospital.

"Do you know where the blood donors are?" Director Tian asked the anesthesiologist.

The anesthesiologist is also a know-it-all figure in the hospital, and he said, "Professor Tian, let me help you ask." ”

The anesthesiologist picked up the phone, called the brother in the emergency department, and after asking clearly, he said, "The emergency observation room is infusion, and I have taken 800 and am replenishing fluids." ”

"Professor Tian? Acquaintances? Such a coincidence? Shall I talk to the emergency department in advance?"

Director Tian thanked him.

Quickly changed his clothes, came to the emergency department, and identified himself with the nurse, who immediately warmly took him to the observation room.

I don't know why, his mood is very heavy and very uncomfortable, I hope it is not what he guessed, this is really too cruel. When he got to the door, the nurse wanted to push the door, and he waved his hand: "I'll do it myself." ”

Director Tian stood at the door, looking through the small transparent window on the door, the man was lying on his side, his face was facing inward, his back was facing the door, and he couldn't see his face.

He thought about it for a while, picked up the phone, he had Director Zhu's phone, when the province sent him to RB in the past, Director Zhu also went with him, but he didn't usually contact him much, and he didn't know if he had changed the phone.

After a few rings, the phone was connected.