I Spent Those Years In the Operating Room Fighting Monsters

　　 When Lu Cheng came to seven of the operating room. Li Zhiliang arrived late in a hurry. He had not had time to change his surgical gown. There were blood stains on a pair of gloves. He and Lu Cheng walked into the operating room while undressing.

　　 Then he asked: "What's the situation of the patient?"

　　 When Lu Cheng and Li Zhiliang walked in, there were already two groups of people present.

　　 But the people on the two teams are not very rushed. After all, the orthopedic trauma is there now. The patient is in hemorrhagic shock. The orthopedic has to solve the life-saving problem. They only need symptomatic surgery.

　　 is equivalent to orthopedic pressure, they are responsible for cooperation.

　　Where can there be an anxious look.

　　 The anesthesiologist saw Li Zhiliang and said quickly; “The patient’s blood pressure is very unstable now, and it is already under shock blood pressure. Even after a blood transfusion, it still can’t stabilize. Considering that there may be active bleeding.”

　　 "Your orthopedics department must stop the blood as soon as possible, otherwise it doesn't matter how many bags of blood are transfused, and the patient says nothing and it is gone."

　　 An anesthesiologist for emergency surgery is not an orthopedic anesthesia. So I don't know Lu Cheng and Li Zhiliang.

　　 Shock is the biggest problem facing patients now.

　　 For all emergency patients, even if it is written in textbooks, the first item is always to replenish blood volume before performing emergency surgery.

　　 So finding the bleeding point is very important.

Li Zhiliang threw the **** surgical gown into the green cloth bag, then looked at the basic condition of the patient and said: "Teacher of anesthesia, this patient's blood pressure is unstable, but it has nothing to do with our orthopedics department. If the patient has a fracture Is in the pelvis, so we can still be found."

　　 "However, for a trauma near the knee joint, even if the tibial artery or the popliteal artery is injured, a tourniquet is enough."

Li Zhiliang probably took a look and said, "Whether this patient’s leg can be saved, and whether there is any function after it has been saved, I have to say otherwise. My investigation is very fast. If there is a problem with the blood vessel, I immediately call the vascular surgery department. Just deal with it. If there is no blood vessel problem, just stick a VAC and it's done."

　　 "I'll go out and talk briefly with the patient's family members first. You should call the gods and the brothers outside the chest to do it first. Where is the patient's medical history?"

"Lu Cheng, you first press the position of the popliteal artery to stop the bleeding. If you press for five minutes and the blood pressure can stabilize, it can basically prove that there is a problem with the blood vessel. The instability of blood pressure is caused by bleeding. If there is still a problem with blood pressure, you have to find another Problem."

　　 Now I am an emergency patient. I have not yet written any orthopedics-related issues and documents, so Li Zhiliang needs to take the medical record to handwrite the conversation. This is an emergency plan for an emergency.

　　 If I get a surgical consent form or something now, the patient will be gone.

　　 However, even at this time, they still need to follow a formal process.

Hearing what Li Zhiliang said, Lu Cheng nodded in his heart. Li Zhiliang still has a set of foundations and cognitions. After all, he graduated from Xiangya with a postgraduate degree. It should not be underestimated. Perhaps his surgical skills are not as good as his own. , But some basic theoretical knowledge will definitely not be much worse than myself.

　　 Lu Cheng probably took a look at the patient. He, with top-level knowledge of limb anatomy, immediately determined the position of the patient’s popliteal artery based on the patient’s body shape. After Lu Cheng put on his gloves,

　　 I checked the vascular signs first, and the blood flow was active, which proved that there was no arterial thrombosis for the time being.

　　 The patient's calf was twisted with his left hand, and the thumb of his right hand quickly pressed towards a position.

　　 Immediately after releasing the left hand, after pressing for about a few seconds, I checked the distal vascular signs with my left hand, and found that there was a problem with the vascular filling.

　　 This just represents Lu Cheng's hemostasis position, which is extremely accurate.

　　 Seeing Lu Cheng's operation, several people were shocked.

　　Li Zhiliang: "……"

　　 Shenwai team: "……"

　　Outside the chest team: "……"

　　MMP.

　　 In a few seconds, the orthopedics problem is solved.

　　 Lucheng pressed the popliteal artery at this moment. The popliteal artery was at the proximal end of the trauma. If the patient's shock was caused by bleeding from an orthopedic trauma, he would temporarily stop the bleeding after he pressed the artery.

　　 The bleeding has stopped, but there is still the problem of shock, and if the blood pressure is still falling, it is not a matter of orthopedics.

　　 The anesthesiologist was speechless after reading this. When he saw this, he could only press the button to measure the patient's blood pressure again, and at the same time, he started to check the blood gas and electrolytes again.

　　Patients who have lost a lot of blood cannot be rescued by a large amount of blood transfusion.

　　 It is also necessary to check whether the blood oxygen saturation and electrolyte are disordered, especially hyperkalemia is easy to cause cardiac arrhythmia, and then the heart is arrested and the person is gone.

　　 This situation can come and go without a trace, so blood gas and electrolytes must be checked every once in a while.

　　 Even so, the anaesthetist originally thought that the patient had active bleeding. Although he heard Li Zhiliang’s easy explanation, he was done with the blood vessel anastomosis.

　　 But the therapeutic nature of all diseases in this world is actually very simple.

　　 is just difficult to do.

　　 is the position of the popliteal fossa. There are very important structures such as the popliteal artery, anterior tibial artery, posterior tibial artery, and medial saphenous vein and popliteal nerve.

　　Where is it so easy to detect the specific bleeding location and then find the bleeding point and perform electrocoagulation to stop the bleeding or suture to stop the bleeding?

　　 It is not easy to stop bleeding under open eyes, let alone stop bleeding with finger pressure.

　　 Press to stop the bleeding. It's easy to say, just have a hand, but you have to press it accurately.

　　 The general direction of the arteries of the lower extremities is that the femoral artery continues as the popliteal artery. The rest of the arteries are branches of the popliteal artery. Because the femoral artery is large in size, it is not easy to press to stop bleeding. Therefore, it is generally preferred to press the popliteal artery to stop bleeding, which is more reliable.

　　 But reliability is reliability. It's not that you can pinpoint the position as soon as you get started, and then basically eliminate the following problems by pressing it?

　　 Can you still be an individual?

　　 Give neurosurgery and thoracic surgery time to react.

　　 With this hand pressing to stop bleeding, the patient’s blood pressure is unstable~www.wuxiaspot.com~ and there is absolutely no trouble in orthopedics, so if the patient is gone,

　　 Just call someone to ask about the troubles of neurosurgery, thoracic surgery, and anesthesiologists.

　　 There is no active bleeding in the orthopedics department, and the patient has active bleeding again. You can find it yourself, it doesn't matter to me.

Although there is another possibility that the blood is in a hypercoagulable state after trauma, causing thrombosis in the arteries or veins, and then the thrombus falls off and causes pulmonary embolism, cerebral infarction and other fatal risks, but this risk is extremely small, and even if it occurs , In the operating room, it can also be processed in the first time.

　　 Also, what Lu Cheng is pressing at the moment is the popliteal artery, and the shedding of arterial thrombosis can only cause the distal arterial embolism at most, but will not cause pulmonary infarction and heart embolism.

　　 So even if related risks occur, it is not Lu Cheng’s problem...

　　The anesthesiologist can only sneer;

　　 "The patient's current blood pressure is still extremely unstable, and it is only 75/65mmHg now. Although the torhydryl kidney has been used, it can't rise back. You may need to open the craniotomy and exploratory chest immediately."

　　 Whether it is high intracranial pressure outside the gods or blood pneumothorax, it can cause shock in the patient.

　　 Hearing this, the neurosurgery and thoracic surgery teams even accelerated the speed of disinfection by a full three points.

　　 When they entered the operating room, they saw trauma in the orthopedics department, and they were all quite calm.

　　Emergency consultation is actually a game and competition between various departments. As long as they can prove that there is nothing wrong with them, you have to deal with the problems of your related departments as soon as possible.

　　 In this way, the psychological pressure has not increased by a little bit. Both of them looked at Li Zhiliang and said: "I knew that orthopedics is so simple. I used to go to orthopedics."