Great doctor starts with adding points

"Use it, the family has already expressed their opinion." After a while, someone came back in a hurry and brought the news to everyone.

However, the news he brought back seemed to be completely ignored.

Everyone on the stage has gathered together at this moment.

Holding his breath, he was concentrating on watching a person's operation.

And after seeing that he successfully treated an artery in the abdominal cavity again. Everyone breathed a sigh of relief.

The doctor in the hepatobiliary surgery department was still urging: "It's amazing, if you can stop a few more bleeding points, this patient may really be able to save his life."

The anesthesiologist stood solemnly in front of the anesthesia machine, looked at the vascular surgery doctor and said, "I think it's better for you to change the verb. Rather than picking it up, it's better to say it's snatching it back!"

While speaking, he reduced the dosage of the medicine, and at the same time observed the monitor on the anesthesia machine with both eyes.

"Low Potassium High Sodium!"

"The patient lost too much blood, and concentration occurred." The student of the anesthesiologist hurried back at this moment.

"Puff it again! After ten minutes, send another tube. Pay attention to ask the family members if the patient has any medical history related to heart disease." The anesthesiologist said decisively and calmly.

The corners of his eyes were still flickering and beating following Wu Xie's manipulation.

"The extracorporeal circulation machine is pushed over..."

"Wait a little bit, I can connect it right away. The blood vessels of this patient's lower extremities have no way to form arteriovenous return." Vascular surgery and cardiac surgery are not separated, so the doctor of vascular surgery will operate like this .

And asked: "Itinerant teacher. Have you called our director?"

"Yes, today's New Year's Eve. Director Zhong drank, but Director Qi was on his way..."

Hearing this, Wu Xie glanced unexpectedly at the doctor on duty in the vascular surgery department. Regardless of whether he is in the surgery class or the normal class, it is already quite good to be able to do this step in surgery.

Being able to establish an arteriovenous circulation and be able to connect to an extracorporeal circulation device requires very profound basic skills in itself.

"The bleeding in the pelvis is serious..." the doctor of the general surgery department said suddenly after carefully opening and cleaning up a layer of 'digestion'.

Seeing this, Wu Xie's scalp felt numb.

This is a variant of retroperitoneal hemorrhage, and it is still bleeding accompanied by spinal cord injury. The situation is more dangerous than active hematoma in the pelvis.

Wu Xie immediately looked at his brother in the spine surgery department: "Can you stop the retroperitoneal bleeding?"

"Once the blood circulation is established, the retroperitoneal bleeding must be dealt with immediately!"

But it seems that the level of the doctor on duty is not as good as that of the vascular surgeon.

He shook his head, the skin between his forehead covered with fine sweat.

"This kind of injury has never been encountered in our department. It is a miracle that such a patient can be pushed to the hospital." He explained.

Although slightly pale, it is also a fact.

This type of disease basically dies before reaching the hospital. There are not so many doctors who have experience in dealing with it, and even have experience in dealing with it successfully.

Wu Xie heard this, and then saw that the retroperitoneal bleeding was already quite large.

Immediately don't control too much, the knowledge points that have been stored with great difficulty in the recent period, the original intention is to accumulate, add some knowledge points of nuclear magnetic film reading, and all add points to the hemostasis.

Just a little froze of consciousness, Wu Xie had a lot more things in his mind.

"Stuff the gauze to temporarily stop the bleeding, give me two minutes!" Wu Xie said decisively.

Then he turned his head and glanced at the heart rate monitor.

This patient's desire to survive is too strong, and such a strong desire to survive is a kind of fate. At first, Wu Xie thought that he would JUGG even if he couldn't even enter the operating room, so he didn't add some hemostasis to waste his knowledge.

After all, corpses don't need to stop bleeding.

But he has survived until now, so Wu Xie didn't dare to say a word wasted.

The spine surgeon still has basic professional skills, so he stuffed the sterile saline pad first, forming temporary compression to stop bleeding.

However, in Wu Xie's mind, there was a lot more content about the different schools of hemostasis in an instant.

Pushing blood is just one of them.

The concept of blood-severing technique and blood-separating technique that Professor Xue said before was integrated in an instant.

Using both hands, Wu Xie quickly found a few remaining ruptured arteriovenous veins from the abdominal cavity, bleeding, slipping like eels in the pool of blood, but Wu Xie accurately grasped them and clamped them temporarily!

"Teacher of vascular surgery, please help me with a ligation and suture. It must be sutured, otherwise, the vitality of the lower limbs will be irreversible..."

"Do you still want to save your limb?" Everyone looked at Wu Xie in astonishment, thinking that Wu Xie was going to heaven.

"If you don't save your limbs, you have to keep your pelvis!" Wu Xie said.

He didn't know if it made sense, after all, the patient's Gao Pill had been misplaced to the point where he didn't know where to go, and he didn't know if the other one was crushed or exploded.

However, if he is to survive, then the reconstruction of the pelvis must be done.

However, before that, he had to finish the temporary life-saving hemostasis before he could ask Fu Jin to come over to help, otherwise, it would be meaningless.

"Teacher Xun, call Director Fu Jinjin of the Trauma Surgery Department. If you don't know his phone number, open my mobile phone. The unlock code is 111012!" Wu Xie instructed Xun Xun.

"Okay, teacher." It would be more polite to patrol and ignore.

After Wu Xie put down the bleeding from the large blood vessels, he immediately moved to the rear of the peritoneum.

However, this time, Wu Xie did not choose to stop the bleeding at the bleeding point, but chose to start from the abdominal cavity and the front edge of the vertebral body, and began to anatomically expose the blood vessel source of the bleeding point.

The concept of hemostasis, in addition to the blood-pushing school, there are also corresponding ideas of the blood-splitting school and the blood-cutting school.

A simple understanding cannot deal with such a disease that does not follow the textbook. However, after all, it may be possible to control the bleeding, and if the patient's lower limbs are to be active, a part of the blood may be wasted.

Therefore, hemostasis of retroperitoneal bleeding must be thorough!

"Silk thread!" Wu Xie shouted at the doctors in other departments, as if treating them as assistants.

But the doctor in the general surgery department was not unconvinced, but asked, "Doctor Wu, what kind of blood vessel is this?"

"Let's deduce it after the operation. It's a waste of time to be distracted by talking now. I'm sorry." Wu Xie declined.

Where is the time for teaching and discussing academics now? Everything is based on saving lives.

In just seven or eight minutes, Wu Xie cut off and shunted the blood to other areas by ligating the upstream artery, and put it into the abdominal cavity.

However, after the hemostasis of these parts is completed, the patient still cannot guarantee the balance of circulation blood volume.

Therefore, Wu Xie once again moved to the abdomen, and started a bloody battle against the branch blood vessels with the abdominal aorta as the core.

It was a real bloody battle.

"Silk thread!~"

"After my ligation, within fifteen minutes, the capsule of the kidney was sutured, is that enough?" Wu Xie asked the doctor in the Department of Urology.

"Our director may be able to do it, but I can't."

"Then let it go for a while, and then tie it up again. It's best to keep the patient's kidney."

"The heartbeat has not stopped, and the heart rate is still a little fast now. Order the blood bank to bleed!" The anesthesiologist professionally reported the current vital signs to everyone at any time.

Everyone breathed a sigh of relief.

Another twenty minutes passed.

Wu Xie just finished the hemostasis, which is equivalent to the hemostasis of this patient. Wu Xie used Ruyi-level hemostasis, and it lasted for more than forty minutes, nearly fifty minutes.

Only when the patient's blood pressure is stabilized.

After Wu Xie finished, he stepped back a little and took a breath.

In any case, the temporary life-saving operation has been completed.

"Doctor Wu, you are really awesome. Such a patient can really win back a way of life..."

"This patient is also lucky, at least he can survive for a year." Someone said with emotion.

Wu Xie's rescue process was very dangerous, if he hesitated a step, and if Wu Xie was not around, then the patient could go straight away without any way out.

"You're tired, let's take a rest first." Fu Jinjin had already arrived in the operating room at this moment, and he also drank some wine, but not much.

It's just for a drink, so he also wants to come on stage.

Otherwise, ordinary people really can't do such a broken pelvic reconstruction.

Especially now, Associate Professor Zhou Xiaoning and others have gone back to celebrate the New Year, and no one will come if they want to call for foreign aid from the outer court.

"Okay, Director Fu!" Wu Xie was also a little tired.

He at least needs to rest his mind so that he can better perform the follow-up surgery.

At this time, basically all the surgical superiors were present.

The professional level of the doctor on duty may not be high-end, but Wu Xie is the worst in terms of professional ability to call people.

"Director Fu, your orthopedic department has really found a treasure. Dr. Wu, it's a bit of a waste of money to entrust it to your orthopedic department." The director of the general surgery department said without any concealment.

"Fuck off, our trauma surgery department has hired you to provoke you, don't ask our trauma surgery doctors if you are capable?" Fu Jin laughed and scolded upon hearing this.

However, after speaking like this, Fu Qianjin said to Xun Xun: "Teacher Xun Xun, tell the family members outside that the right lower limb should be amputated at the base of the thigh, and the left lower limb, we will find a way to save it."

"But the right lower extremity, with such damage, it is impossible to save it."

Although Wu Xie had already made preparations for limb salvage in advance.

But doctors are not gods, and not any injury can be treated with limb salvage.

If it continues, it may affect the patient's vital signs and increase the extent of his already extensive surgical trauma.

"Go talk, amputate."

"It is already a miracle that this person survived. We are limited in our abilities and cannot create more miracles."

"Don't waste any more time," said the director of vascular surgery.

Vascular surgery and orthopedics are the main undertakers of limb salvage. If both sides say so, then amputation is inevitable.

The itinerant nurse is not responsible for signing the conversation, but this is not a conversation, but a message.

Whether it is life or legs, this point still needs to be clarified.

"The family members agreed." After a while, the itinerant nurse came in with a slightly heavy heart.

It is estimated that when she went out just now, the scene she saw was not particularly good.

However, sensationalism will not appear in a bloody operating room.

"Pfft!~"

Just as everyone was earnestly trying to rescue the operation, an artery that Wu Xie had temporarily ligated before suddenly stretched open, and blood splashed on the operating table, soaring into the sky.

Some people turned their heads subconsciously, and then looked back at the surgical field.

However, Wu Xie pinched the proximal end of the ruptured blood vessel with his hands immediately, and rubbed it with his fingers to feel the changes in the wall of the blood vessel.

"It doesn't matter. There should be a small breach before, but it was not discovered by careful inspection, so it broke halfway."

"Mr. Anesthesiologist, are the patient's vital signs okay?" Wu Xie turned around and asked.

However, when Wu Xie turned his head, almost everyone looked at Wu Xie very strangely.

Because at this moment, Wu Xie just pinched the blood vessel with three fingers to stop the bleeding.

"How can it be all right?" The anesthesiologist smiled bitterly, but he could only do his best to continue to maintain the patient's vital signs.

Can this patient still have no problems with his vital signs?

It's just that it's not dead yet.

"Doctor Wu, how do you stop the bleeding?" The director of the vascular surgery department blinked and asked in astonishment.

Although he is not a particularly professional vascular surgeon, he has some experience with vascular surgery, but he has never heard anyone say that this hemostasis can be so outrageous.

It may also be that he is not professional enough to get in touch with that higher field.

"Director Huang, it's just pressing to stop the bleeding. It's the most basic."

"In our trauma surgery department, we occasionally encounter patients with massive bleeding, so we have a little bit of experience."

But this director Huang was puzzled, and said bluntly: "Your teacher's family raises blood eels, how many blood vessels can allow you to practice like this?"

This sentence reminded everyone.

However, soon, Fu Jinjin said something very heart-warmingly: "Director Huang, if you touch well, you don't necessarily have to touch a lot. Could it be that if you are talented, you can touch less, but you can touch well?" ?”

"It's not that kind of recreational activity. If you touch a lot, you'll have experience." Fu Qianjin was protecting Wu Xie, and at the same time began to speak yellow accents.

The progress of the operation has been moving in a favorable direction, and everyone's mood has become friendly.

"Director Fu, Director Huang, please stop talking jokes. This patient is still on the verge of shock at any moment. Hurry up and finish the operation and send him to the ICU?"

"People have vital signs, but they have had three or four cardiac arrests before?"

"It's not elective surgery and common cases, it's not as optimistic as you think!" the anesthesiologist reminded.

I even wanted to scold my mother in my heart.

At this time, the operation encountered another big problem.

That is, the intestine, now there is a relatively long defect, and it cannot be continuous.

So, the director of the general surgery department, his head hurts right now.

Although Wu Xie saved his life, the remaining professional medical treatment was a big part of their headache.

Of course, Wu Xie and Fu Qianjin also encountered big trouble...