Rebirth begins in the operating room
Chapter 189
The words just fell.
Wang Jian was shocked by Ye Li's angry scolding, especially his sharp eyes.
It was different from usual, a little scary.
"Brother Ye, stop arguing. The injured person's condition is not optimistic. What should we do?"
Han Yaxin noticed that the vital signs on the monitor continued to decline.
High pressure 45, low pressure 40.
Slow pulse and heartbeat...
I was delayed for some time on the road, and it was almost ten minutes since I arrived at the hospital. I couldn't waste any more time.
It would be too late to take a cranial X-ray.
At this time, Wang Jian said harshly: "Ye Li, if you don't handle such a serious injury well, you must bear the consequences yourself!"
In Ye Li's eyes, this Wang Jian was not good at helping, he was good at reprimanding and bullying the newcomers, but not being a director was really humiliating his talent.
"roll!"
Ye Li picked up the syringe on the medical cart and flew directly to Wang Jian.
Still the kind with needles.
The syringe speed is too fast.
Wang Jian had no time to dodge, and the needle pierced directly into the opponent's thigh flesh.
Wang Jian cried out, "It hurts."
The furious Wang Jian pulled out the syringe and glared at Ye Li fiercely.
Ye Li also ignored the system's reminder to obtain a conflict value.
The brain surgeon has not arrived yet. If he continues to wait like this, the intracranial pressure will increase and brain herniation will occur. The injured person may not be saved.
He took out his mobile phone and contacted Zhou Wei.
However, the system releases tasks at this time.
"Ding! Please perform craniotomy on the patient, get 1000 conflict points, and get 20 points as reward..."
Ye Li didn't pay attention to the generous rewards given by the system. Instead, after hanging up the phone, he gritted his teeth and said, "Little chatterbox, prepare for intubation, open the head cover..."
"What! Open your head? Now?"
This was the first time for Hanyaxin to hear such a crazy decision.
That's a head, not a coconut shell. It can be opened just as you say!
Wang Jian discovered that Ye Li was completely crazy and endured the pain in preparation to file a complaint.
A new doctor calls out the skull. Isn’t this nonsense?
Of course Ye Li ignored Wang Jian.
He looked serious now and said to Hannya Xin: "Otherwise! If we delay it any longer, there will be a corpse. The nurse will inform the family members of the situation and ask them to sign."
"good...."
Next, Hanyaxin could only follow the instructions, who asked her to learn from Ye Li.
She used a hair clipper to shave the patient's hair to 1 cm.
Time is very tight, and the optic nerve head continues to deteriorate, just as Ye Li said, it is a corpse.
After Ye Li cut his throat and inserted the oxygen tube.
Hanyaxin wiped the sweat from her forehead with her arm, "I've finished trimming my hair..."
"very good...."
"Brother Ye, we don't have an anesthesiologist!"
"Be there soon..."
Hanyaxin realized the problem, but Ye Li replied lightly.
Just such a sentence made Hanyaxin feel inexplicably at ease.
Ye Li remembered that Zhou Wei was present during Li Anjian's occipital surgery last time.
So he has the most experience.
Next, Ye Li first used povidone-iodine solution to disinfect his head.
"Ali, I'm here..."
Zhou Wei hurriedly entered the rescue room.
He came very promptly.
"Time is tight, I need you to anesthetize the fascia, no problem!"
"no problem...."
Next, the three of them cooperate.
Hanyaxin reached out and held down the injured person's head, "Let me hold it down for you!"
"No, if you press the head like that, it will speed up the death of the injured..."
When Ye Li saw Hanyaxin wanting to help, he almost failed to help.
"Then how can I help you!"
"Gently hold both sides with your hands, don't use force, just keep it in place..."
"oh!"
"Intracranial pressure is inherently high, and if you exert force, it will only aggravate the intracranial pressure."
"sorry...."
Hanya Xin has never apologized to anyone in the tertiary hospital, and her character never apologizes.
Even in front of Sun Yao, she wouldn't do it.
He apologized to Ye Li inexplicably.
"You don't have to apologize, I didn't blame you..."
After Ye Li finished drawing the place to be opened, he happened to try the sterile scalpel.
The moment the blade touched the scalp, it was cut through effortlessly.
Just like cutting tofu with a kitchen knife, there is no obstacle at all.
Very easy.
Hanyaxin also widened her eyes. It was the first time she saw such a sharp scalpel and she was deeply attracted.
It has a sophisticated appearance, all black.
And I can’t tell what material it is made of.
She has never seen this kind of scalpel in any tertiary hospital.
I really want to ask, but I don't dare to ask.
Normally, an electric scalpel is used, but due to current limited conditions, Ye Li used a scalpel instead of an electric scalpel to incise his scalp.
"Dr. Ye, I'm sorry, the brain surgeon has his own business and can't spare time..."
The female nurse apologized.
There are only a few brain surgeons in the Second Hospital, and Ye Li knows that.
"Forget it if you don't come, you can help get the salt water first..."
Ye Li put down the black scalpel and picked up the craniotomy drill beside him.
While directing the nurse's operations.
Pour salt water on the craniotomy drill to prevent heat from burning the skull.
When Hanyaxin saw Ye Li solving intracranial pressure in this way, it was too messy.
There are blood vessels inside, so aren't you afraid of bleeding?
Of course, her concerns and worries are unnecessary.
Because I saw the drilling was so clean and neat.
Hey! There’s no bleeding, how is that possible?
Han Yaxin discovered a surprising scene. Normally, bleeding would occur when drilling holes.
Could it be that the bleeding was stopped and the holes were drilled at the same time?
This time, Hanyaxin's heart was filled with turmoil. She really never thought that Ye Li would deal with it in a rough and delicate way.
It’s really messy and feels awesome.
In fact, Ye Li didn't even use the hemostasis provided by the Ghost Hand talent.
Instead, a rolling method was used.
The cutting drill is turned upside down and crushed.
Although blood vessels can be cut, the bone powder in the skull can block small blood vessels and stop bleeding.
In this way, the injured person's head cover was opened bit by bit, and the intracranial pressure was resolved.
Solve the life danger caused by intracranial pressure.
Hanya Xin was completely impressed by this handsome man.
Conventional decompression surgery can use subtemporal decompression, suboccipital decompression, or ventricular puncture and drainage....
But the other party chose the most rude way to relieve stress.
Zhou Wei glanced at the monitor and said, "Ali, the blood pressure is rising..."
Ye Li also took a look at the condition of the injured, "Now all that's left is the glass in the chest and tension pneumothorax."
At this time, the puncture needle of the injured person's tension pneumothorax could no longer hold on.
The trachea outside the throat began to vibrate.
Zhou Wei looked at the serious condition of the injured, especially with a piece of glass stuck in his chest, and said: "Ali, I'll use Lamine for anesthesia first. If the blood pressure is too low, it's okay to use vasopressors!
"
"Okay, you can make arrangements." Ye Li responded, full of trust in Zhou Wei.
Then, his gaze shifted to Hanyaxin, "Xiaochao, can you do thoracotomy?"
"Okay, I need to prepare."
Although the conditions in the emergency room were very limited, Han Yaxin was not picky and chose to undergo the surgery.
She thought Ye Li could even do a craniotomy.
Why can’t I do it myself!
Next, with the help of the nurse, Hanyaxin changed into surgical clothes.
The female nurse who signed the agreement was sent by Ye Li to borrow thoracotomy tools as soon as she came back.
In such a rescue room with very limited conditions,
How difficult it is to perform rescue operations.
Han Yaxin cherished this operation very much and used her own operation to save the injured man's life.
Didi didi!
"Dr. Ye, the patient's blood pressure continues to rise..."
The monitor's alarm sounded, and the female nurse yelled in panic.
Seeing this situation, the atmosphere in the emergency room became tense.
Ye Li saw that the blood pressure continued to rise to 100 and the low pressure was 80.
This means that intracranial pressure will increase again.
He frowned, he had to buy some time for Hanyaxin.
"Bring the largest syringe quickly."
The nurse handed over a large syringe, and Ye Li quickly inserted it into the patient's right chest and extracted a large amount of air from the right chest cavity.
This is done to buy some time for surgery.
"There's no time, little chatterbox, hurry up and do the surgery..."
Ye Li urged.
Heparin has just been injected here, and Hanyaxin carefully holds the black scalpel handed over by Ye Li.
She didn't have time to appreciate this light and weightless scalpel.
Use it to separate the top layer of skin.
...
The thoracotomy operation begins.
Hanyaxin looked focused, and the black scalpel in her hand was so sharp that it cut open the sternum, which was surprising.
Even Ye Li himself was shocked.
This time, even the spreader was not used. Considering the displacement of the sternum, the glass would scratch the lungs.
Broad head rongeur!
Hanyaxin carefully cut off the ribs at the edge of the glass.
At the same time, Ye Li wrapped the glass with a sterile towel to hold it in place so that it would not be affected by the vibration.
After taking out the two ribs.
Ye Li pulled out a ten centimeter piece of glass.
The picture is full of sense.
The scalp of the two nurses was numb when they looked at it.
Next, Hanyaxin was using an expander to open her sternum.
The left lung was observed to be intact.
Everyone breathed a sigh of relief.
Looking at the right lung, the condition is more serious. Part of the right lower lung lobe was scratched by a broken rib.
When Hanyaxin saw this situation, she could no longer sew it up.
The patient fell from a height and received an impact on the lower side of the right chest during the process, which led to the current situation.
When Ye Li looked through with a medical eye, he saw that the lower lung lobe was necrotic and had to be removed.
But this time he didn't remind him, it just depends on Hanyaxin's decision.
"Brother Ye, the middle and upper lungs are intact, but the lower lung is necrotic and can only be removed."
"Then remove the lower lobe of the lung..."
Ye Li nodded. In this case, the only way was to remove the lower lobe of the lung, and there was no other way.
When saving lives, no matter how much theoretical knowledge you learn on a daily basis, it is useless.
After hearing Ye Li's consent, Hanyaxin began to remove the lower lobe of the lung.
At this time, bare hands feel best.
It is also a tedious and complicated job.
I'm afraid men can't be that delicate.
Han Yaxin is different, she is a very experienced doctor.
Less than ten minutes.
The necrotic lower lung lobe has been removed.
Then the bronchial veins were felt with bare hands and sutured.
Ye Li observed that Hanyaxin's suturing technique and her long and slender fingers were her advantages.
It seems that I have practiced a lot since I was a child.
At this time, Wang Jian's voice of complaint came from outside the rescue room.
"Director Tang, this Ye Li is crazy. He opens the patient's skull without knowing anything. Isn't this nonsense? You must fire him!"
Tang Minghui laughed in his heart.
Fired!
Does the second hospital still need places for further studies?
Now the quota depends on Ye Li's words.
All the directors of the Second Academy knew about Ye Li's existence.
Not to mention Tang Minghui himself, even Dean Zhou Yanshun did not dare to put on airs in front of Ye Li.
He is the treasure of the second hospital.
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