Chapter 186 Ten Thousand Streams Become Water, Converging Into Rivers
In the operating room, the rescue work is proceeding in an orderly manner.
People in the two departments of thoracic surgery and general surgery were busy at the same time.
Usually, no doctor wants to do this.
The operation brought a huge blow to Fang Lin, and it may even be more than his young body can bear.
But,
There is no way.
Zheng Ren's reminder was only one factor in determining the combined thoracoabdominal incision. More importantly, 500ml of dark red bloody fluid was immediately drained from the chest bottle.
After a few minutes, the breast bottle was full and was replaced with a clean breast bottle.
Looking at the dark red blood drawn out, it reminded all the doctors present that there were relatively large arteries damaged in the chest cavity, otherwise there would be no such blood retention at all.
To cut the chest and abdomen together and stop the bleeding at the same time, Fang Lin has to bear a huge blow.
If they came one by one, and there were many bleeding spots, Fang Lin would definitely not be able to survive.
Adults, when forced to do multiple-choice questions.
When Zheng Ren asked the little nurse to speak, the thoracic surgery department was ready to open the stage, but the doctors were still hesitating and moved slightly slower.
Everyone hopes that the traffic will decrease in the next second,
Everyone hopes that the blood pressure will go back up in the next second.
However, this is a luxury.
Zheng Ren was the first witness and a professional doctor. His opinion is the most worthy of reference.
Therefore, after the little nurse said Zheng Ren's diagnosis, no one hesitated any more, and the preparation speed before the operation flew up.
At 3 minutes and 33 seconds, the deputy director of the thoracic surgery department was the chief surgeon. The anesthesiologist switched to the single-lung mode, and the right lung breathing channel was blocked.
Everyone is working hard, and sometimes it really depends on whether they can survive or not.
At 13 minutes and 54 seconds, several medical nurses ran back with fresh frozen plasma and fresh frozen red blood cells. He took out the frozen red blood cells that had been simmered with body temperature in his arms and hung them on the infusion stand.
The blood bags in the pressurized blood transfusion set were deflated one by one, 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 was almost frozen, not as relaxed and free as it used to be.
No one tells jokes, and no one drives around at every turn.
In 15 minutes and 15 seconds, the directors of the relevant departments quickly rushed over to conduct an on-stage consultation.
At 18 minutes and 23 seconds, the head of the medical department rushed over from home with a gloomy expression, as if a volcano was suppressed in his heart.
But he did not lose his calm, he was in the center to direct the rescue and coordinate the various departments of the hospital.
Although it was a weekend, the news spread throughout the hospital in a very short time. All departments and departments cooperated fully, and everyone contributed their own contribution, which may be insignificant, to save this young doctor with a bright future.
Thousands of streams become water, converging into rivers,
Like a surging song.
At 43 minutes and 05 seconds, the damaged bronchial artery in the thoracic cavity was sutured, the penetrated right lower lung was sutured, and the ruptured diaphragm was sutured, no active bleeding was checked, and the thoracic cavity was ready to be closed.
At 57 minutes and 27 seconds, the liver was sutured, the abdominal cavity was flushed, and a drainage tube was placed.
The tense and depressing atmosphere was only slightly relieved at this time.
The high pressure has returned to 70 mm Hg, and the blood oxygen saturation has remained at 97% in the state of pure oxygen inhalation. Several episodes of atrial fibrillation were corrected with medication by the anesthesiologist and are now sinus tachycardia with a heart rate of 147 beats per minute.
Fang Lin's state is not satisfactory, but in the face of such a serious trauma, it is already a very good result to be able to breathe a sigh of relief.
A dozen medical staff escorted Fang Lin out of the operating room in a tense and orderly manner. The deputy director of the thoracic surgery department and the director of the general surgery department came to the dressing room and took off the sweat-soaked hats and masks.
It was only at this moment that he had the opportunity to take a long breath to ease his tense nerves.
"A life was saved." The deputy director of the Department of Thoracic Surgery recalled with lingering fears.
Especially when he just rushed over, seeing a man in plain clothes, half-kneeling on the operating table with Fang Lin, the shock in his heart is still unforgettable at this moment.
"Well, the rescue was timely without any delay. Fang Lin's life was really recovered." The director of general surgery lit a cigarette and threw it away.
They are all old smokers, and no one dislikes anyone.
The pungency of the tobacco quickly neutralized the tension and exhaustion brought about by the rescue in the body. After the two sighed with emotion, they both fell silent.
After smoking a cigarette, the deputy director of the Department of Thoracic Surgery felt much better and asked, "Is that young man who stopped the bleeding with his bare hands a fellow? He shot at the first time without hesitation. It's good."
"I heard that it is a young doctor from Northeast Haicheng." The director of general surgery smiled. "Accurate diagnosis, proper treatment, and a pretty good young man."
"He was holding the liver door all the way?"
"Um."
"Any necrosis and avulsion?"
The hilar tissue is fragile and important. Unlike the use of hemostatic forceps to block blood supply during surgery, it is at least ten times more difficult to block with bare hands.
Also, be careful not to block for too long in a tense and flustered mood to avoid liver necrosis.
Coupled with the fast rushing all the way, it is difficult to keep a position still. Once the hepatic hilar tissue is lacerated, the patient is aborted.
Although the operation has been completed and the results are known, the deputy director of thoracic surgery subconsciously asked such a question that he knew the results.
"The protection is very good." The director of general surgery said with emotion: "I guess that young man intermittently supplies blood to the liver. This degree is controlled very accurately. If he gives too much, the blood will flow out along the ruptured area of the liver. If he gives 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 Department of Thoracic Surgery had lingering fears. "Bleeding is a trivial matter. Tension pneumothorax can kill a person within ten minutes. Fang Lin was lucky enough to be admitted to the ICU alive."
"If you say that, 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 out.
"It's me. Go and see where the out-of-town doctor who stopped the bleeding with bare hands is now, and try to understand some of his situation."
"Yes, open a high room for him."
"Tell the head nurse, just say what I mean."
After 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? Even your doctoral students won't be able to stay in the hospital this year. Besides, Fang Lin is from my Department of Thoracic Surgery."
"It's as if you can adjust the single room at will." The director of general surgery said with a smile: "I don't mean to keep him either. Providing a better environment for him to recuperate can be considered as a contribution."
The two chatted a few more times, and each changed their clothes and prepared to go back to the outpatient clinic.
Although this vicious event occurred, the outpatient service should still be concluded.
The chief of general surgery's cell phone rang, and he connected.
"Well, what?"
"..."
"okay, I get it."
Hanging up the phone, the expression on his face was a little weird.
The deputy director of the Department of Thoracic Surgery couldn't understand what he meant and asked, "What's wrong?"
"Recently, the institute is engaged in scientific research, do you know?"
"There is scientific research every year, and it has nothing to do with our thoracic surgery department, so we don't pay attention."
"That young man is from Haicheng and was invited to participate in scientific research..."
"hiss……"