Start as an Emergency Physician

Mao An's condition is similar to that of Zhihui before, and his spleen is also ruptured.

However, compared to Zhihui, Mao An's spleen rupture is more serious.

Hemorrhagic shock with a ruptured spleen is a more critical condition.

There are many structures in the tissue of the spleen called blood sinus, and normally the blood sinus will store a part of the blood in the blood sinus, and when the body loses blood, the spleen will cause the blood sinus to contract, so as to release the blood stored in the blood sinus into the periphery to replenish blood volume.

Not only that, but there are also a large number of macrophages attached to the blood sinus, which can engulf aging red blood cells, pathogens, and foreign bodies...

But at this time, Mao An's spleen suffered serious trauma...

The spleen of the human body is located in the upper left of the abdominal cavity, opposite the 9th-11th ribs, and the long axis is the same as the 10th rib.

Mao An's left hand was hit by a car in the ribs, and the ribs were inserted into Mao An's spleen, causing penetrating injuries, causing severe splenic rupture and subcapsular rupture.

If the ribs are removed, a large amount of blood will inevitably be released from the penetrated blood vessels and tissues, causing fatal hemorrhage.

Now, the only way is to have a splenectomy!

"Are the patient's families here?" Zhou Yuan frowned and asked.

In fact, it should be signed by a family member before going to the operating table, otherwise it is not in accordance with the rules.

But Mao An's condition was too critical at that time, and he had to open his abdomen immediately to stop the bleeding, otherwise it would definitely be a dead end, and Zhou Yuan did not expect that a penetrating injury to the spleen had occurred.

Removing the spleen is no small matter.

The spleen is one of the peripheral immune organs and the largest lymphocyte in the human body, accounting for 25% of the lymphocytes in the body alone.

If the spleen is lost, the body's cellular immunity and humoral immunity will be greatly reduced, and the spleen itself has some medically unexplained mechanisms to fight tumors and inhibit the development of tumors.

After splenectomy, patients have low immune function, and lifelong susceptibility to severe infection, prone to acute fulminant infection, sepsis and meningitis, etc., although after a period of postoperative adjustment, the body's immunity can be restored to a certain extent, but it is basically impossible to recover as normal.

This is no longer a question of whether the surgery will be successful or not.

In general surgery, the family member is required to sign because he is worried that the failure of the operation will bring a series of troubles, and the doctor can bear it himself, as long as the operation is successful, there will generally be no problem.

However, splenectomy affected Mao An for the rest of his life, and he succeeded, and he became a susceptible person for the rest of his life, failed, and died on the spot.

It is absolutely impossible to avoid the family or the patient himself.

"I don't know, there are a bunch of parents in the emergency department, all of them are looking at their children, I don't know if the family members are here!" Zhang Ling said quickly.

"Hurry up to his family! I'm here to stabilize the patient! "

Zhou Yuan said and took the extracorporeal drainage tube from Zhang Ling's hand.

Zhang Ling immediately ran out.

As soon as I got out of the operating room, a large group of people came up.

"Doctor, how is my child! Where's my child? "

"Nurse, where are you doing your hands, I want to see if my child is on the operating table!"

Zhang Ling pushed everyone away and ran straight to the emergency department hall.

This kind of child accident is the most feared by the emergency department, seven aunts and eight aunts will come to the hospital to accompany them, once something goes wrong, the saliva of the family can spray the doctors and nurses to death.

Zhang Ling picked up the microphone and shouted: "There is a traffic policeman in the operating room now, may I ask if the family of this traffic policeman is here!" Family members should go to the nurse's desk in the emergency department lobby as soon as possible! "

shouted twice and there was no response, and Zhang Ling's heart was cold.

How can I have surgery without a signature?

Splenectomy surgery, if there is no consent from the family or the patient, the doctor does it, whether it is successful or failed, the patient has the absolute right to speak.

If successful, the patient said that he would rather die than have his spleen removed, and his immune function plummeted in the second half of his life, especially in old age, his own immunity is low, and the patient loses his spleen, almost dying.

Failed... The doctor treated someone without a consent form!

Once a patient takes a doctor to court, it is almost impossible for the doctor to win the lawsuit, no matter what the outcome is!

Just as Zhang Ling was about to rush back to report, a woman about thirty years old squeezed through the crowd and walked over.

"Traffic police? Do you mean there's a traffic policeman in the operating room? Is his name Mao An! He's my husband! "

Zhang Ling was a little surprised, and said: "The injured man has no identity certificate on him, we can only be sure that he is a traffic policeman!" He was the only one injured at the scene, a traffic policeman. "

"It's definitely my husband! My husband is standing guard at Yenching Elementary School! "

Zhang Ling nodded, "You come with me!" "

As he spoke, he took Mao An's wife to confirm her identity.

Before being sent to the operating room, Zhang Ling and others took photos to prevent this from happening - it is impossible for the patient's family to enter the operating room, and it must be kept sterile.

"Husband!" Mao An's wife was stunned when she saw the photo, and her eyes were instantly filled with tears.

"Is this your husband?"

"Yes, it's my husband..."

Zhang Ling nodded, "Your husband's spleen is now pierced by ribs and has a penetrating injury, and he can only have his spleen removed, otherwise his life will not be saved..."

Saying that, Zhang Ling gave the informed consent form to Mao An's wife.

After a brief introduction to the consequences of losing his spleen, Zhang Ling was a little worried that Mao An would not be able to hold on, and said: "You have to hurry, your husband has already experienced a lot of blood loss, and now he is hanging on to his life by infusion and blood transfusion, it will be very dangerous to delay it, maybe the spleen will not be saved in the end." "

Mao An's wife was stunned for a second, and directly signed her name on the consent form: "I believe in you!" "

"You must save my husband! I heard that my husband has saved a lot of children, you must save my husband back! "

Zhang Ling looked at Mao An's wife's eyes, a little heartbroken, and said, "Don't worry, we will definitely do our best!" Your husband is a hero, and we will definitely bring him back! "

With that, he quickly re-disinfected and entered the operating room.

"Zhou Yuan, it's okay!"

Zhou Yuan nodded and did not speak.

As soon as Zhang Ling changed into a surgical gown, he heard a voice from Zhou Yuan's side.

"Okay, next, remove the spleen."

Zhang Ling was stunned, looked at the nurse next to Zhou Yuan, and looked confused: "Zhou Yuan, did you start the operation without permission?!" "

Zhang Ling's face turned pale all of a sudden.

This is something related to Zhou Yuan's future, once something goes wrong, maybe the doctor's career will be over...

She hurried over.

Zhou Yuan has completed the first few steps of the spleen resection book, completed the dissection, exposure and ligation of the splenic artery, and is now removing the spleen..._

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