I Spent Those Years In the Operating Room Fighting Monsters

Lu Cheng had already mastered the key points of dealing with open fractures, and even if there were at least seven or eight similar patients treated today.

The patient's trauma was in the limbs, but the real fractures were in the lower limbs and pelvis. It only took Lu Cheng more than half an hour to complete the debridement and suture of the limbs and the external fixation with external fixation brackets.

"Doctor Yang, how's the thrombus on your side? I'm planning to do pelvic debridement now. Will my incision on your opposite side affect your operation?" Lu Cheng asked Yang Zi.

Yang Zi was stunned for a while, then looked at the wounds on his limbs that had been treated by Lu Cheng. After a while, he nodded and said, "Ao, no, no."

Then he stepped back a little.

Lu Chengcheng said: "Dr. Yang, although the vascular trauma of the patient's lower extremities has been treated at this moment, there are still some problems with the distal blood supply of the right lower extremity. Although I sutured the injured anterior tibial artery, But you still have to take the thrombus out so that the leg can be saved."

"Oh, and there may be some issues with the distal blood supply to the right upper extremity."

Lu Cheng was afraid that Yang Zi would misunderstand that he wanted her to get out of the way, and then entrusted him with the task of vascular surgery.

Yes, Lu Cheng and Zhang Yuewei had a certain personal relationship, and Zhang Yuewei had asked Lu Cheng to go to vascular surgery to help when Lu Cheng was free before, but the premise was that Lu Cheng himself did not have clinical tasks that he should undertake.

After Zhang Yuewei called Lu Cheng to the stage last time, it was Li Dongshan who went to the operating room late at night to take care of orthopaedic affairs for patients.

Later, Lu Cheng reflected for a while, and still felt that as the general hospitalization of trauma surgery, he should not have done this. As the administrative director of the trauma center, the reason why Li Dongshan came to the operating room at night to clean up himself was because he was his student.

If it were another person, the chief resident of the Orthopedics Department said that he was going to perform vascular surgery, and Li Dongshan would have to scold him to death.

Everyone has their own work, and they have to do their own work well so that they have room to help others. Otherwise, when you are in a big mood, someone will carry the burden for you.

In fact, Zhang Yuewei's idea is also good, he just wants to save a patient and save the patient's leg.

However, Orthopedics is not a subordinate department of Vascular Surgery. Orthopedics does not need to completely obey the commands of Vascular Surgery, and Lu Cheng’s clinical role now is a very authentic and professional clinician from the Department of Orthopedics.

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"Ah? Ao." Yang Zi reacted after realizing it, and then approached the operating table again to continue her operation.

It's just that in the process of doing it, she felt a little aggrieved.

In the previous vascular surgery, if you encountered a similar patient and it was difficult to remove the thrombus, then you only needed to go to the orthopaedic department to amputate the limb. The blind operation of thrombectomy like now was done by you Lu Cheng. Our subordinates in vascular surgery add to the burden.

If you're not there, it's fine. Now that it's right in front of you, you don't know how to help.

Yang Zi is usually very busy with hospital consultations and emergency operations. Where can there be so much time and energy for what the director of the research department is currently researching? She has to do her own thing first.

Yang Zi glanced at Lu Cheng sideways, and thought again that Lu Cheng had done enough.

He is only an orthopaedic doctor. If he encounters vascular damage during the operation, he can completely leave it out without treatment, then clamp it with a vascular clamp, and directly call the circuit to call the vascular surgery for suture.

This is the most standard, and is currently the prevailing way to request emergency consultation and surgery in China.

But Lu Cheng didn't do that. Instead, he dealt with some minor problems he encountered, and he acted very quickly. It's just that since Lu Cheng's movements are so fast, it's okay for him to help him. This patient, Lu Cheng's surgery, is finished. If the thrombus is not taken out due to his own reasons in the end.

If you miss a leg and a hand in vain, then the patient will be too pitiful.

When Yang Zi was still thinking, Lu Cheng had already started to cut the skin, and then he was going to the depths of the pelvis for debridement. I saw that he entered very quickly, an electric knife, cut and stopped the bleeding, look. The electric knife, which was very blunt, danced like a phoenix in Lu Cheng's hands, as if he was not afraid of blood vessel and nerve damage.

How did he get so confident?

The structure of the pelvis, the average person dares to enter?

Indeed, the structure of the pelvis is very complex, and the departments involved are not only general surgery, orthopedics, but also urology or gynecology.

However, in Lu Cheng's eyes, this is not the case.

Most of the shape of nerves is accompanied by the shape of blood vessels. The blood vessels in the pelvis also belong to the field of limbs, and belong to the controllable field of Lu Cheng, so basically just look at the shape of blood vessels and avoid large blood vessels and nerves. , When saving life, even if some small nerves and blood vessels are cut off, so what?

In emergency surgery, the bleeding volume of pelvic fractures can reach up to 5000ml, which is a fatal bleeding volume. If the fracture or blood vessel damage can be cleaned up early, then the patient's life protection and blood transfusion volume will be greatly controlled.

Before the fracture, there was a rough outline in the pelvic radiograph, and on the CT plane, the location and classification of the fracture were also known.

However, the main purpose of Lu Cheng’s incision this time was not to deal with the problem of pelvic fractures. This patient’s pelvic fractures were extremely complex type C3. This type of fracture can be treated in the open during this operation, and then Lu Cheng can go straight to the injured blood vessel.

Just get rid of the internal femoral artery cut by the sharp edge of the pelvic fracture, plus a small ruptured blood vessel around the pubic bone. The chance that this patient will die from shock is greatly reduced.

However, whether he will die because of other factors, or whether he will be amputated because the thrombus cannot be removed, is not within the scope of Lu Cheng's consideration. Today, in the six wards of the Orthopedics Department, there are still more than a dozen patients with moderate injuries, and more than 20 mild patients who need to go to the operating room are not treated.

In the initial diagnosis process, although it is a moderate to mild injury, once it is delayed, it cannot be ruled out that it will develop into a severe disease.

In the process of this emergency rescue, Lu Cheng figured out one thing, even Lu Cheng, even the best doctor, must have something to give in clinical tasks. At critical moments, only one side can be taken care of.

In the face of human life, everyone is equal. If he can choose to give more people a possible chance to survive in the shortest time, Lu Cheng feels that the latter may be more important.

The problem that Lu Cheng needs to deal with now is the fatal problem because of orthopedics. If he sees one, he will be treated thoroughly until all injuries are perfected.

The affairs of other departments are the tasks of doctors in other departments. Lu Cheng believes that in the Second Xiangya Hospital, there will be many experts and professors who will try to pull as many people back from the hand of death as possible.

Thinking of this, Lu Cheng's speed became a little faster. After about seven or eight minutes, Lu Cheng opened an opening for suturing the blood vessel, and then precisely clamped the proximal end of the internal femoral artery and the distal end with the vascular clamp. The heart end is then sutured with a special vascular suture thread, and the two large and small blood vessels are quickly sutured.

Of course, in addition to this, Lu Cheng also removed some of the fractured fragments of the pelvic fracture to a position away from the blood vessels.

To do a pelvic fracture, the current manpower is definitely not enough. If there are no more three or four assistants, this pelvic fracture will definitely not be able to be taken down, so Lu Cheng can only take emergency avoidance and take some broken pieces. Insert it into the broken end of the fracture and leave it for the second-stage treatment.

After doing this, Lu Cheng quickly sutured the innermost layer, then took off his gloves directly, and said, "Xiao Zhou, you suture the wound, and then suture two layers on the outside, one subcutaneous and one skin layer."

"When it's done, call me and I'll tell you which operating room it's in."

"Okay!" said to Lu Cheng's surgery class a little tiredly.

"Lu..." Yang Zi saw that Lu Cheng's operation was finished, and only then spoke the first word. Lu Chengcheng had disappeared outside the door of the operating room, and had gone somewhere.

Yang Zi continued to be depressed and took the thrombus, and was very anxious...

The anesthesiologist comforted and said, "Don't worry, don't worry, after the young man's debridement just finished, the patient's blood pressure has slowly risen, and you still have plenty of time now."

Yang Zi smiled helplessly, that's the only way to deal with it.

…

It was six o'clock in the morning.

Lu Chengcai slowed down a little, sat at the door of the operating room, and opened a bottle of glucose.

The anesthesiologist in the 4 rooms saw Lu Cheng four times in a row and thought he must be a little hungry, so he gave it to him.

Lu Cheng sat on the stool and drank slowly, feeling extremely tired.

My double eyelids were a little sleepy, but I didn't let myself fall asleep. At this time, if you eat and drink in a big mouth, it is absolutely bad for the stomach, so Lu Cheng can only drink it in small mouthfuls, so as to avoid the sudden secretion of a large amount of gastric acid in the stomach.

Just when the glucose was half drunk, a person suddenly broke into the operating room.

After stepping on the induction door of the operating room, he came directly to Lu Cheng, knocked Lu Cheng's head directly, and said angrily, "I heard Xiao Fang say you didn't eat last night?"

Lu Cheng felt the strength in Li Dongshan's hand when he knocked him on the head.

He touched his head with his left hand, and carefully protected the glucose on his chest with his right hand. Nodding: "Hmm."

"Then you did more than 20 debridements in a row last night?" Li Dongshan continued to ask.

Lu Cheng didn't speak, he raised his hand to drink water again, he was really thirsty and hungry.

Surgery is not a simple three-word operation. No matter it is any operation, physical and mental energy will be consumed to a certain extent. Not to mention more than 20 operations, even if it is two operations in one night, most people will feel weak all over the body.

"You're really not afraid of your own sudden death!"

"What the **** did I do? You took a stupid student like you, and you don't have a mobile phone, right? Can't you order takeout? Can't you order something to eat?"

"Do you need your teacher to teach you to remember to eat?"

"Brother, you are in your twenties or thirties now, don't you know this common sense? Ah?"

"Would you like me to bring something to eat and drink, come to you, feed it to you, and then say, "Professor Lu, please eat something?" Li Dongshan's roar resounded through the operating room, and he almost missed it. The anesthesiologist who stayed up all night sent him away on the spot.

However, the anesthesiologist, who was squinting and dozing off, was completely awake, and together with everyone in the operating room, they looked at Lu Cheng as this pervert in amazement.

One night, more than 20 debridement units, one for half an hour on average, is this a bull?

Of course, if they knew that Lu Cheng had only started taking on the task of being the main knife in the early hours of the morning, they would have been even more shocked.

Lu Cheng licked the slightly dry shell, but the dry shell had been moistened with water and remained silent.

Li Dongshan still pointed at Lu Cheng's forehead and scolded: "Are you talking? Can't you talk? Don't you dare to talk?"

"Are you trying to find another news for us, Xiangnan University and the Second Xiangya Hospital?"

"Do you want your parents to come all the way to me and ask me for someone?"

"Are you afraid that others won't know that I squeeze you every day, exploiting your residual value, and then I squeeze you to sudden death?"

"What can you do? Huh?"

"MaleGobi, I've been in clinic for so many years, and I've never seen a lunatic like you. Others drink glucose and don't have time to step down. That's really no time to step down. You run through several operating rooms in the hospital in one night. Where can you stop by? Just buy something and eat it, do you want to be a martyr or something?"

"Afraid of wasting time? Not afraid of ruining your life!"

"I. UU reading www.uukanshu.com" Li Dongshan scolded and scolded, looking at Lu Cheng's tired eyes, he couldn't help scolding all of a sudden.

In fact, as early as when the first wave of patients entered the hospital, he received a patient with severely damaged limbs. In order to save his limbs, he fought for more than six hours in a row, and then Min Hong arranged for him to have multiple crushing injuries. For patients with open fractures, he worked for more than four hours, plus the turnaround time in between, and now barely steps down.

Then after contacting Fang Nixin, she almost died without being **** off by Lu Cheng.

"Let's go, go down and have some porridge, Fang Nixin ordered porridge for you two hours ago, and he specially asked his brother to find the owner of the porridge shop to cook it for you, and sent you a message to ask you to drink it, but you It's good, I came and went several times, but I didn't even glance at the information."

"It's true, you have fallen yourself, what are you talking about to heal and save people?"

"In your whole life, the people you want to save and the people you can save are more than just these few!"

"Fate!"

"Everyone's life is life, not just the patient's. Like you do, if your colleague faints next to you, and you are going to meet an emergency patient, will your colleague definitely die in honor?"

Lu Cheng smiled and replied, "No, Master, I just think."

"You think it's a shit, don't talk about these messes, eat quickly, go to sleep after eating, there are other arrangements for today's emergency class, and all elective surgeries in our orthopaedic department have been postponed today. There are still leftovers from yesterday. Some of the patients in the hospital are on the night shift the day before yesterday, and those who were off yesterday will be dealt with today, so don't worry about it."

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