Chapter 93 Busy

The surgical field was exposed, and a wound of about 5 cm in length could be seen on the left edge of the liver. Although the first hepatic hilum was controlled by a latex tube, there was still a small amount of blood oozing out.

Zheng Ren quickly cleaned up the damaged wound of the liver. Because the injury time was very short, there was no necrotic tissue yet.

Exploring the inside of the liver rupture, the depth and diameter are about 4cm, and dark red blood is still flowing out of several blood vessels.

Zheng Ren stretched out his hand, and the patterned pliers clapped in his hand.

Active bleeding vessels are clamped, ligated, and broken bile ducts are ligated.

After dealing with the bleeding point, Zheng Ren finally breathed a sigh of relief. After releasing the latex tube at the first hepatic hilum, there was no further bleeding.

"Blood pressure." Zheng Ren asked.

"80/60." Chu Yanran replied.

Clearly, as the bleeding spleen was removed and the liver hemorrhage stopped, the patient's vital signs began to turn for the better.

After transfusion of 16u frozen red blood cells and 1000ml fresh frozen plasma, it should be better.

While assessing the scope of the liver wound, Zheng Ren said, "Go and call Su Yun and ask him if he is confident in handling the postoperative problems of patients with hemorrhagic shock. If so, let him go to the ICU with him."

Chu Yanzhi hesitated, and immediately ran out of the surgery room to wake the unconscious alcoholic.

Zheng Ren cut a piece of omentum, blocked it in the liver wound, and then used silk thread to suture the liver wound with interrupted mattress suture.

[This stitching is really standard! A 1cm needle is the same as measured with a caliper. 】

[Very good, the surgeon is also very cautious, leaving the greater omentum in the liver wound to avoid bleeding caused by re-opening of small blood vessels after blood pressure rises. 】

[How can someone who can practice his skills be such a person not be cautious. Young man, let me tell you an experience, surgery must be vulgar and grow, don't be fooled. 】

【It's only a few minutes? Do you have fifteen minutes? 】

[I figured it out, it should take 13.5 minutes, the operation is generally completed, splenectomy and liver rupture suture. Although it is not a major operation, the speed is really amazing. 】

[The speed of life and death, if you are not fast, you will die. The surgeon did not choose a small incision, and went directly to the 25cm incision. This incision is really open. 】

After the stitching is completed, the warm salt water has been prepared on the side of the Shei people.

The abdominal cavity was irrigated, and the residual blood and warm saline mixture was sucked away by the aspirator.

Zheng Ren checked the abdominal cavity again, and went back to check the spleen fossa after the splenectomy. A drainage tube was placed near the spleen fossa and the liver wound, and the abdomen was closed.

"Su Yun is already awake, he will go there to watch right away." Chu Yanzhi came back and reported to Zheng Ren.

"Fully awake?"

"That's what it sounds like." Chu Yanyi rubbed her cool little hands that were frozen by freshly frozen red blood cells, recalling the feat last night, her eyes filled with smiles.

"Well, the ICU is more fully equipped and the nursing staff are more experienced." Zheng Ren also agreed with this statement.

He estimated that the injured patient should have little problem after surgery. But in case everything happens, it is safer to observe in the ICU for a day or two.

As for how many injured people will enter the ICU today, we don't need to consider these for the time being.

Burning eyebrows, look at the eyes.

"Notify the ICU, prepare a ventilator, and the patient will be delivered in 20 minutes." Zheng Ren arranged.

Suture, close the abdomen, and push the patient's intubation directly to the ICU.

Chu Yanran sat on the flat car, her legs curled up as much as possible to reduce her area.

Her posture was awkward, and she had to hold the ball all the way, pay attention to vital signs, and escort the patient.

As soon as Zheng Ren stepped down and sent the patient to the ICU, he rushed back to the emergency department.

Although the operation time was short, it was nearly an hour before and after.

Such a long time was enough to transport all the subsequent wounded.

When I came to the emergency department, Director Pan was directing the rescue. The old director calmly, and the staff of the relevant departments determine the severity of the patient's injury and which department should be sent to continue treatment.

Zheng Ren glanced at it and saw that although there were many injured people, most of them were broken bones, such as head trauma, which were not too serious, so he was relieved.

Asked about it, during the operation, two patients with ruptured internal organs were also sent. A heavy one was sent to the Second Department of General Surgery, and Director Sun came to the stage to rescue him. The other one, which was slightly lighter, was sent to the First Department of General Surgery, and the deputy director of the group went to rescue it.

The old director Pan sits in the town, giving people a particularly stable feeling, no matter how busy or chaotic, he can find the key point.

Because most of the family members of the patients have not arrived at the hospital, the relevant personnel of the medical department are also very busy. Record the situation of each patient who needs surgery, and improve the relevant legal procedures.

Because of more and more medical troubles, the hospital is quite cautious about such matters, and the legal process is relatively complete. Even in this large-scale emergency rescue, we must strive to be perfect.

This is the experience tempered by hundreds of thousands of disputes a year.

Zheng Ren once heard an old doctor say that in the 1980s and 1990s, social security was relatively poor, but he still respected doctors. Generally, when the trauma comes, the anonymous person can be recorded, and he can take the stage without thinking, which saves a lot of rescue time.

And now, if there is another doctor who dares to do this... Zheng Ren can be sure that as long as he encounters a family member with a vicious mind, his future in this life will be ruined.

Seeing Zheng Ren coming down, Director Pan said solemnly, "How is the surgery?"

"The liver ruptured, the spleen ruptured, the operation went well, and the patient has been sent to the ICU." Zheng Ren made a brief report to the old director.

"Well." Director Pan nodded: "There are a lot of patients today, but only a few patients with ruptured internal organs at the beginning, all from Pentium Interchange. The rest are mainly bone injury patients, and some are traumatic brain injuries. , to be observed in the emergency department."

Zheng Ren responded.

"Pay attention to the possibility of delayed intracranial hemorrhage, and don't let your guard down." Director Pan instructed.

Zheng Ren continued to nod.

Over time, more and more people with minor injuries were brought to the hospital. Because the 120 ambulance is too busy, and ordinary patients can't wait in the ice and snow, they all come to the hospital on their own.

Most of these patients are due to the fact that it has just snowed and the road is icy and the speed cannot be controlled. The trauma caused by collision and rear-end collision is not very serious.

Some patients are elderly people who are walking, and the road is icy instantly, and after slipping, it causes trauma such as Kray fractures and intertrochanteric fractures.

The orthopaedic surgery department is busy. Zheng Ren made a rough count. There are four orthopaedic departments in the city's first hospital, and each department has sent about ten traumatic injuries.

This does not include the most common Kray fractures that emergency departments can handle.

Colles fractures are mostly caused by indirect violence and are common in falls, especially when the ground is slippery like today and the palm of your hand is on the ground.

The elbow is extended, the forearm is pronated, the wrist is extended, and the palm is on the ground. Stress acts on the distal radius, causing this fragile part to fracture.

The treatment is also relatively simple, such as reset, immobilization, splinting, and taking medicines for promoting blood circulation and removing blood stasis.

If the patient wants to be observed...if the situation is normal, it will be observed. But in this situation today, the doctor tried his best to persuade the injured to go home.

The entire emergency room is overcrowded, and there is no place for observation.

Zheng Ren was not born in orthopedics. He had only done manual reduction once or twice during the internship period, and he had already eaten, so there was nothing to help.

He visited patients back and forth, sat in clinics, triaged patients, and was busy until the afternoon.

At 14:25, the emergency department received a call from the ICU, saying that patients with hemorrhagic shock needed hospital-wide consultation.

The road outside is as smooth as a mirror, and those who can not go out will not go out, and there are no new diseases swarming constantly. Seeing that the situation had stabilized, Mr. Pan asked the doctor on duty to call if something happened, so he took Zheng Ren to the ICU.

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