Chapter 1338 Results of Interventional Surgery
Zheng Ren sighed softly and glanced at the ventilator.
The parameters are all normal.
At this time, he hated his own carelessness.
Calling Chu Yanran and Chu Yanzhi, the stage should have started by now. Because of my temporary tenderness, I had to face the situation of an anesthesiologist turning over a book to do anesthesia.
Zheng Ren was regretting, he never thought that it would be too arrogant for a group of people who are not familiar with the place to use their own people.
It's really... Forget it, if you have yourself, then come a little bit.
If there is a next time... or not, wouldn't it be good to go to the desert quietly to see the stars? Everyone is safe and sound, stronger than anything else.
The general surgeon looked at the small patient and was facing each other.
"Why don't you put your posture?" Zheng Ren asked in a deep voice, the volcano in his heart was about to erupt.
"The electroplating rod... I'm afraid I'll touch it." The general surgeon said hesitantly.
"Where's your director?" Dean Wang asked unhappily when he didn't see the director's shadow.
"When I called just now..." The general surgery doctor glanced at the dean's face and said carefully, "I was drinking... I can't come..."
Zheng Ren laughed angrily.
Start drinking before noon on weekends?
He really loves wine more than Su Yun.
It didn't arrive at this time, and it was estimated that the drink was almost full. It seems that the operation can't be counted on this side, and I have to do it myself.
Dean Wang's face flushed with anger.
It's the weekend, and there's absolutely nothing wrong with drinking at home. If this happens at other times, the patient can only be referred to the province.
As for whether you can survive to a higher-level hospital, it depends on your life.
Fortunately... Boss Zheng from 912 was there today.
Dean Wang didn't speak, but glanced at Zheng Ren carefully. He wanted to see Zheng Ren's expression and judge whether he could perform general surgery.
"President Wang, do you want me to help?" Zheng Ren glanced at the ECG monitor, his blood pressure did not rise or drop. The blood bag was hung up, and there was no pressurized blood transfusion set.
He was too lazy to complain, but asked directly and politely. Although the words sounded polite, the tone was completely different.
"That's great, Boss Zheng, thank you, thank you." Dean Wang rubbed his hands in thanks again and again.
"Is there a pressurized blood transfusion device?"
"No." The operating room nurse replied immediately.
"Pinch it with your hands, and the blood should be put in as quickly as possible. What will you give me? Blood, President Wang, you should go too." Zheng Ren used all the manpower he could use.
The nurse in the operating room nodded, stood beside the blood bag, raised her arms high and pinched the blood bag to make the blood flow faster.
Zheng Ren instructed two doctors in general surgery to pose.
With the hips and waist raised, Zheng Ren measured the position and added a folded sterile sheet before calling others to lift the small patient to the operating table.
After setting the posture, a little doctor went to brush his hands to disinfect. It seems that he is very skilled at doing these things, and it is useless to tell Zheng Ren.
As the fresh frozen red blood cells were poured in, Zheng Ren saw the patient's blood pressure gradually rise. It's slow, but it's a good trend.
"Aspirator, is it ready?" Zheng Ren asked.
"All right."
"How many?"
The itinerant nurse was startled.
"Two negative pressure suction devices are required. If they are not enough, move the mobile suction device." Zheng Ren said.
The nurse was a little confused, but she still followed Zheng Ren's words.
"Open another bag, two attractors!" Zheng Ren urged.
"it is good!"
"The big long pliers should be disinfected."
"It's being disinfected, it'll be ready in 10 minutes."
"Hemostatic gauze, do you have it?!" Zheng Ren asked again.
"Teacher, yes." A young doctor in general surgery replied timidly. With the dean here, he even spoke in a much lower voice.
"Take 20 yuan first." Zheng Ren said, "Quicker."
20 yuan...is this filled with hemostatic gauze? The little doctor of general surgery was stunned.
Zheng Ren was not polite, he brushed his hands to the stage, and stood directly in the position of the surgeon.
The opening time was at least 10 minutes later than I expected, which delayed a lot of things. It's really hard to say if the patient will be able to endure it if he is more polite afterwards. Zheng Ren glanced at the monitor, his vital signs were stable.
I took another look at the ventilator, and the various system parameters were stable.
Disinfection, dry with a large gauze, Zheng Ren made a knife, and made an incision next to the right rectus abdominis, 15cm, no more or less.
"Electric burning, middle bending." Zheng Ren stretched out his hand and said.
After 5 seconds, the electric burner was handed to the hand.
Zheng Ren has no choice, he has regretted it countless times in his heart.
Each step is delayed by a few seconds, and it accumulates to the end, which is a huge number.
Electrocautery was used to stop bleeding, separated layer by layer, and reached the peritoneum for peritoneal protection.
"Attractor."
At this time, the itinerant nurse and Liu Xuzhi just brought the suction device over.
"President Wang, go and help." Zheng Ren said unhappily.
Dean Wang's pestle was behind him, and he really couldn't help at all. Such a strong labor, it would be a pity not to use it. Although he is burning blood, he can still heat up with his armpits, without delaying his work.
After hearing Zheng Ren's words, Dean Wang was startled for a moment, and then helped the nurse to clean up the suction device.
Zheng Ren held a sleeved suction device, handed the forceps that clamped the peritoneum to the assistant on the opposite side, gently tapped the peritoneum with a scalpel, and cut a small incision. Before the blood gushed out, he immediately put the suction device in. .
Huhuhu, a low voice came out. The dark red blood was sucked out endlessly.
"Another attractor, hurry up." Zheng Ren's tone became much harsher unconsciously.
After 1 minute, a second aspirator was inserted.
A belly of blood was quickly sucked away, the peritoneum was opened, the large curved retractor pulled open the intestines, and a shiny electroplated tube in the pelvic cavity appeared in front of everyone.
This is the culprit. Zheng Ren first observed the arteries around the electroplated tube.
Because it was post-embolization, the arterial bleeding had stopped.
Zheng Ren can guarantee this.
All are bleeding from the pelvic arteriovenous plexus. During the earthquake relief, the patient with severe pelvic fracture was much heavier than this little girl.
Liu Xuzhi saw the anatomical effect of severe pelvic fracture after intervention for the first time.
Indeed, watching it with my own eyes, the smell of blood and internal organs hit my nose. Liu Xuzhi felt dizzy and slightly nauseated.
Usually, as a radiologist, he deals with heavy, cold machines and invisible radiation, so there is no chance to see anatomy.
The anatomy last night was the clearest explanation he had ever seen. Today, I have directly seen the effect of embolization for severe pelvic fractures.
In the past, Liu Xuzhi only knew that the patient would live after the embolization and would not bleed a lot.
But seeing the embolization effect with my own eyes is really clear at a glance!
The white blood vessel walls hang down weakly, like fibrous cords. Looking at the thickness, Liu Xuzhi felt that if the embolization was not involved, the blood would definitely go directly to the room as soon as the abdomen was opened.