I Spent Those Years In the Operating Room Fighting Monsters

　　 Lu Cheng's heart sank.

　　 Artery embolism, the four words got into Lu Cheng's mind.

Zhou Xuanqing, Zang Xun, Wu Wei, and Tu Chaoran were all enthusiastically performing operations. They didn’t seem to notice the incident at all, and they kept boasting that the incision was done well. Deputy Director Liu Kaihua was squeezed in. In the slightly better corner of Lu Cheng, he tiptoed and peered in...

　　 At this moment, his mood in Lu Cheng was a little messy.

Before the start of the operation, he checked the patient's arteriovenous color Doppler ultrasound results and blood coagulation function again. For insurance, he did a color Doppler ultrasound only yesterday. It showed stenosis of the popliteal artery. After the trauma, the blood coagulation function was not the same. Very reliable.

　　 Now, why is the artery embolized suddenly?

　　 Arterial embolism, although relatively speaking, there is no such high risk that venous thrombosis will fall off and cause pulmonary embolism, but once it occurs for too long, what is waiting for the patient is the necrosis of the distal limbs, and then liquefaction and decay, and finally—

　　 amputation!

　　 No matter how good the operation is, can you use it as a fart?

　　 After Lu Cheng took two deep breaths, he pulled Liu Kaihua's forearm and said softly, "Director Liu, I didn't feel the patient's dorsal artery pulsation."

　　 Liu Kaihua was carefully observing Zhou Xuanqing's operation, and Lu Cheng's voice was too small, he thought that his hand was blocking Lu Cheng, and moved a little.

　　 Lu Cheng saw him, and he hurriedly poked Liu Kaihua directly, with a bit of strength.

　　 continued to say softly: "Director Liu, I didn't feel the patient's dorsal artery pulsation."

　　 Liu Kaihua's pupils were tight at the time. He looked at the very strong cloth sheet that had been wrapped around his ankles, and suddenly frowned again. With such a thick cover, how could you feel the fluctuation of the dorsal foot artery?

　　 But Liu Kaihua heard Cai Xuan and Director Chen Bing talk about Lu Cheng. He has not always been a person who likes to show off his presence and like to make jokes. Therefore, at such a critical moment, he couldn't be joking with Lu Cheng.

　　 But this patient, Liu Kaihua stared at from the beginning, including his medical records and conversation records. Naturally, he was very familiar with the results of his examinations, especially after hearing that Tang Deye, who was in his group, could not be on stage yesterday, he deliberately memorized the results of the examinations just to get a sense of the patient.

　　 I am also afraid of problems in the process of inviting Professor Zhou Xuanqing to perform the operation.

　　 Lu Cheng continued to point to the position of the patient's thigh, and said, "No tourniquet!"

　　 Liu Kaihua took two steps back and secretly called out a 5ml syringe on tour!

　　 I can't feel the pulse of the dorsal foot artery, and I didn't hit the tourniquet. This is a possible substitute for arterial embolism.

　　 To verify whether an arterial embolism has occurred, in addition to ultrasound, there is an easier way to puncture multiple skins at the distal end of the arterial embolization with a needle. If there is no blood leakage, don't hesitate.

　　 Blood vessel exploration or prepare for amputation.

　　 This is an invasive operation that is not expensive, at least compared to vascular embolization.

　　 Moreover, he couldn't rule out that Lu Cheng had the stronger hand feeling, and he could feel the pulse of the arteries even through the two layers of cloth.

　　 Soon, the itinerant nurse secretly brought the syringe to the stage, and Liu Kaihua immediately poke a few quickly on the skin under the patient's tibia.

　　 This action awakened several Zhou Xuanqing who were indulging in the operation.

　　 "What are you doing? Director Liu?" Zhou Xuanqing seemed to see something wrong with Liu Kaihua's expression.

　　 Liu Kaihua pointed to the position where he poked and said, "Professor Zhou, the artery is blocked."

　　In an instant, several people turned their heads in unison and looked at the place. The skin is smooth and beautiful, especially white, without blood.

　　 Seeing this scene, the faces of several people learned from the color of the skin.

　　 Immediately after Liu Kaihua saw Zang Xun’s unkind gaze, he hurriedly said, “Director, I personally saw this patient. I checked all the examination results yesterday, including the results of color Doppler ultrasound and blood draw.”

"And after entering the operating room, the anesthesiologist and I checked again. It was definitely not before the operation. Even before the anesthesia, I felt the pulsation of the blood vessels. How could I make such a joke? "

　　 Yes, Liu Kaihua can't be joking.

When the patient is traumatized, the blood coagulation function will be disordered. After the operation, the skin incision will ooze blood. Our body's natural protection mechanism is to prevent us from bleeding and present a partial hypercoagulable state, but the human body itself is not that way. Absolute intelligence, so it caused stressful vascular embolism during the operation, which is very normal.

　　 Many trauma patients have their limbs amputated because of arterial embolism.

　　 Zang Xun quickly said: "Xiao Lan, quickly call Director Tan of Vascular Surgery and the current doctor on duty! Operating room, emergency consultation!"

　　 has a cold tone, no doubt.

"What's the matter? What's the matter?" Zang Xun was looking at the mobile phone in front of the patient. Hearing the voice of Zang Xun, the mobile phone hurriedly threw the phone directly behind him. What's wrong with the signs.

　　 After seeing the patient's state clearly, he said: "Blood pressure and breathing are all okay?"

　　 "The artery is clogged. UU reading www.uukanshu.com" Zang Xun said.

"Huh?" Anesthetist Huang Xueming looked incredible and said, "Isn't it possible? The color Doppler ultrasound and blood coagulation function that were reviewed only yesterday? Director Liu and I were right. I also touched the dorsal artery of the foot before the operation, you guys. How did you find it?"

　　 As long as there is something wrong with the vital signs, it is not his turn to worry about the anesthesiologist. However, this kind of thing will happen to the patient whose surgery is performed by Professor Xuanqing Zhou, so he naturally has to help explain it.

　　 Otherwise, it would be bad for Professor Zhou Xuanqing to leave the impression of Changshi First People's Hospital pitting him.

Everyone looked at Liu Kaihua, while Liu Kaihua looked at Lu Cheng. Lu Cheng said: “When I was here to support my leg, I didn’t feel the pulsation of the dorsal instep artery. And before the operation, I also touched with Director Liu. Passing the dorsal artery of the foot, it was there at that time, but not at this time."

　　 "I asked Director Liu and he checked it out."

　　 Everyone got the answer. After listening, Professor Zhou Xuanqing basically said without any hesitation: "Give me the syringe."

　　 Liu Kaihua gave the syringe to him.

　　Professor Zhou Xuanqing pierced the patient’s skin a dozen or so holes along a line, and then saw that there was no bleeding from the fracture below the tibial plateau, and made a decisive decision:

　　 "Come on, change positions, dissect the popliteal fossa!"

　　 "Call the thoracic surgery or cardiovascular surgery again immediately and call them for an emergency consultation to get the thrombus."

　　 "We first expose the popliteal artery and the anterior tibial and posterior tibial arteries to them, and we can't delay!"

　　 Although he spoke in a hurry, he didn't panic at all, and he quickly made the most correct arrangement.

　　 Lu Cheng secretly admired him, he really deserves to be a professor at the Second Xiangya Hospital, and there is no hesitation in such a situation.