Chapter 1339 The Operation Is Not Done by One Person
"Hemostatic gauze, large gauze pad." Zheng Ren stretched out his hand, and the nurse hurriedly filled the sterile packaging bag. After ten seconds, the hemostatic gauze and large gauze pad were handed over to Zheng Ren.
The damaged venous plexus is covered with hemostatic gauze and compressed with a large gauze pad.
"Boss Zheng, can this work?" Liu Xuzhi suddenly asked when he saw that the hemostatic gauze was stained with blood.
"How many embolization operations for pelvic fractures have we done in Pengxi Township, and the bleeding can be stopped without surgery. It's all right." Zheng Ren began to investigate the damage of the intestines and explained: "The arterial pressure is marked with mercury columns. Yes, the venous pressure is marked by the water column, the pressure is different, a lot worse.”
Liu Xuzhi was a little confused, thinking in his heart that he should write down this and go back and read the book.
"Then why do you need to have surgery?" Liu Xuzhi immediately thought of an unexplainable point.
"Old Liu, the patient's intestine is damaged. We are doing an exploratory laparotomy to repair the intestine. Because there is bleeding in the veins, let's take a look." Zheng Ren explained helplessly.
This also asks, the level of Lao Liu is indeed very general. But he's a radiologist and understands that.
"..." Liu Xuzhi forgot about this, and his face turned red all of a sudden. I was so nervous, I was so nervous, I forgot about it.
"By the way, by pressing to stop the bleeding, the patient's bleeding will be less." Zheng Ren said: "I just sucked out about 2500ml of fresh blood without coagulation, and there are a few blood clots, which are considered to be 300ml. The patient's bleeding volume is too large.
so precise? Liu Xuzhi quietly turned his head and glanced at the negative pressure suction bottle behind him.
The total amount of liquid in the two bottles is about 2550ml. Liu Xuzhi sighed in his heart, Boss Zheng has too many hands.
"Proctology, do you have any?" Zheng Ren asked.
Dean Wang shook his head.
"What about patients with hemorrhoids?"
"It's all done by general surgery." Dean Wang replied. He watched the operation, and felt an extremely professional power from the conversation between Zheng Ren and Liu Xuzhi. His recognition of Zheng Ren became stronger and stronger, and he even had an unspoken sense of dependence.
Regardless of his youth, he truly deserves to be a professor of 912. The rescue techniques are skilled and the movements are quick, but it is a little too brutal.
However, emergency rescue is also understandable.
"Can you do it..." Zheng Ren asked for a while, then paused.
The two doctors in general surgery on the opposite side looked confused, looking at the galvanized steel rod, and even looked a little scared.
Relying on them is definitely not possible.
At this moment, Zheng Ren misses Su Yun very much.
Surgery is not done alone, especially in the case of such a severe compound injury. I still remember that in the first hospital in Haicheng, there was a patient who was penetrated by steel bars. In the end, the steel bar was pulled out by Su Yun and then stitched.
Now, only myself.
Next time, I must not let these guys go, Zheng Ren was very distressed.
I kept telling myself, but unknowingly it was still floating, subconsciously thinking that everything could be done, but when I came to power, I began to regret it.
If Xie Yiren, Su Yun, and the Chu sisters were all there, the operation would be almost finished by now.
Zheng Ren had a deep self-reflection, but his hands were not slow. He began to probe and suture the intestines.
Because the metal head is not very sharp, and the intestinal damage is not serious, it is still a good fortune in misfortune.
There were six damaged points in the intestine, and Zheng Ren sutured them one by one. The large gauze pad was then removed, and the bleeding of the pelvic venous plexus at the covering was stopped.
If there is a huge breakage or break, it can be ligated. But Zheng Ren probed it again, and there was no such situation, which saved a little effort.
"President Wang? Can you pull out the electroplating rod?" Zheng Ren asked.
"..." Dean Wang took two steps back.
"Old Liu?"
"I... try." Liu Xuzhi's hands were a little soft. He was a radiologist, and the smell of the internal organs and blood mixed together made him want to vomit.
Do you have to pull out such a long plating rod?
He tried hard to keep his hands from shaking, but then a urge to urinate came up.
"Boss Zheng, I...that...urgency..." Liu Xuzhi blushed like a monkey's butt.
Saying such words at this time is simply a deserter. Although he has experienced earthquake relief and has seen a lot, this is the first time he has faced the current situation.
Although it is a doctor, a doctor is different from a doctor.
Zheng Ren saw that Lao Liu was cowardly, and did not force himself. He looked at the doctor in the position of the fourth assistant and said, "You, go and pull out the electroplating rod. Wear gloves and be careful not to hurt anyone. Be especially careful not to hurt anyone. Own!"
"Yeah." Doctors in general surgery have seen the emergency rescue to some extent, so there is still some courage.
"After pulling it out, stuff it with a large gauze. After a while, I will go down to stop the bleeding and suture." Zheng Ren sighed and said.
After one hour and thirty-two minutes, the operation was over.
Liu Xuzhi saw that his feet were weak, his legs were shaking a little, and he couldn't stand still.
"President Wang, this, you can take a look at the family." Zheng Ren said with sterile gloves, weighing half of the electroplating rod.
Dean Wang was also a little cowardly, but he still put on a pair of gloves and forced a smile.
Zheng Ren felt comforted when he saw that the blood pressure on the monitor had returned to 100/60 mmHg. The system gives the surgery completion rate of 95%, although it is not 100%, it is enough.
He knew where he was.
If all venous plexuses are anastomosed, the operation is 100% complete. But the town hospital does not have a microscope, nor does it have such a thin blood vessel suture needle.
It is simple because of the humble, and Zheng Ren is already very satisfied that he can achieve this level.
Liu Xuzhi was embarrassed to accompany Zheng Ren to change his clothes. Liu Xuzhi still feels embarrassed when he thinks about the thing he was scared to pee just now.
"Boss Zheng, just now I..."
"It's okay." Zheng Ren smiled, "You're not a surgeon, and it's normal if you're not used to it. But today's pelvic anatomy, have you seen clearly?"
Liu Xuzhi nodded vigorously.
If there is any major gain, being able to see the physiological anatomy of the pelvic arteriovenous plexus is his greatest gain. Moreover, it is not only the physiological anatomy, but also the anatomy after arterial embolization.
"I guess I saw the anatomical structure today, go back and reflect, your level can rise a bit. There are not many opportunities like this, Lao Liu, your luck is still good." Zheng Ren smiled.
"Almost." Liu Xuzhi was still not confident, "By the way, Boss Zheng. What should I do if I have the second-stage operation in two days?"
"Didn't you do it yourself, it shouldn't be a problem."
"I'm still a little worried." Liu Xuzhi whispered.
"Oh, I'll see if I have time. If I don't have time, I'll ask the professor or Liu Zewei to come."
Liu Xuzhi was relieved.