Start as an Emergency Physician

Zhou Yuan's movements were very fast.

The spleen was carefully lifted out, placed outside the incision, and the other hand plugged the large gauze pad into the spleen fossa.

On the one hand, this practice can stop the bleeding, but also fill the space behind the missing spleen, preventing the spleen from sliding back into the abdominal cavity - the surface of the spleen that has escaped from the body carries a large number of bacteria, and once it is returned to the body, it may cause infection, etc.

"What are you doing in a daze, come here to help!" Zhou Yuan shouted to Zhang Ling.

Zhang Ling hurriedly ran over and helped Zhou Yuan hold his spleen.

"Scalpel."

"Tissue scissors."

Zhou Yuan quickly cleaned up the disintegrated tissue around the splenic pedicle and ligated and cut off the arteries and veins of the splenic hilum respectively.

Spleen resection is not too difficult surgery, mastering double lung transplantation allows Zhou Yuan to resect and transplant difficult lungs, and mastering total gastrectomy allows Zhou Yuan to have perfect organ resection skills.

In addition, the structure of the spleen Zhou Yuan itself is very clear, and with the skills and abilities brought by other surgeries, Zhou Yuan has no problem in doing a spleen removal with a very low difficulty coefficient.

Zhang Ling was on the side, still in a sluggish state.

"Zhou Yuan, don't take such risks in the future... If the patient's family knows that you have had surgery rashly, some ill-intentioned people will take the opportunity to blackmail..."Zhang Ling said worriedly.

Zhou Yuan nodded and said, "I know, but it was too late at that time, the patient experienced heavy bleeding, and the penetrating part of the spleen was still losing a lot of blood, if the operation was not carried out immediately, there was only a dead end!" "

"Then you have to think of yourself, too!" Zhang Ling subconsciously shouted.

Kamihara Crystal is the best counterexample.

He was a master of hand surgery and a powerful figure in the field of amputated limb replantation, but he was later revoked from his doctor's license for some reasons and could not go to the operating table again for life.

It is said that it was because he performed an operation without authorization, and was finally sued by the patient's family and lost the lawsuit.

Zhou Yuan sighed and said: "The patient is a traffic policeman, without him, I am afraid that there will be more than twenty injured people who come to the emergency department, such a person, I don't believe he will do anything to us." "

The two stopped talking and concentrated on removing their spleens.

......

Outside the operating room, Lin Wen quickly pushed a person to the rescue room.

"There's a woman here! She was holding a comatose child in her arms! "

"Come to the rescue, hold it so tightly that we can't be separated!"

No one dares to question how much strength a person can have in a critical situation.

There was once a news story about a child being crushed under a truck, and his father was so anxious that he lifted the truck up - this is not a fantasy, but something that really happened.

Several people quickly ran up and tried to find a way to separate.

Soon, some parents recognized the injured man.

"She's Teacher Zhao Han! It was she who pushed my child away, otherwise my child would not have been bruised, and would definitely have been hit by a car! "

"Teacher Zhao saved four children! also pushed my son away, and then the little girl in the middle was too late, Teacher Zhao could have run, but she went back and hugged her mother! "

Lin Wen was stunned.

I thought it was the mother who protected the child, but the teacher who protected the student...

"Must be saved!"

Lin Wen and the other medical staff are not emotionless machines, and after hearing about Zhao Han's deeds, they immediately became more cautious.

"Will there be an accident with the child in her arms, she is holding it too tightly..."

"Brain CT is here! The patient's head was hit and the skull was damaged! "

After a while, the crowd finally succeeded in separating the two.

Other doctors quickly sent Zhao Han to the emergency room.

Lin Wen was going to check the injuries of the child in her arms and mark the red, yellow and green divisions.

As soon as she turned the little girl over, Lin Wen was frightened by the blood-stained face.

"Initial ?!!"

......

"Vascular clamp."

Mao An's spleen pedicle was relatively thick, and Zhou Yuan clamped the spleen pedicle in parallel with three large hemostats at the door of the spleen.

Then, the splenic artery and splenic vein were ligated.

"Remove the spleen."

Zhou Yuan put the spleen on a sterile funnel, and let the blood in the spleen flow naturally into the blood storage bottle containing the anticoagulant maintenance solution for autologous blood transfusion.

Mao An's spleen was injured by his own ribs, so the blood in the spleen was not contaminated, and it was theoretically possible to carry out autologous reflux.

If a foreign body invades the body and causes damage to the spleen, the blood in the spleen sinuses cannot be reused.

After the spleen was removed, Zhou Yuan began to stop the bleeding and conduct examinations.

After splenectomy, there is often bleeding from torn varicose veins retroperitoneum, splenophrenic ligament, and spleen-renal ligament, which will cause postoperative subdiaphragmatic hemorrhage, secondary infection and subdiaphragmatic abscess.

The final step is drainage and suturing.

Because the patient's spleen was removed, and the liver was next to the spleen, which was also affected by the spleen, Mao An's blood clotting function would decrease.

Even if the hemostasis is complete during the operation, the patient may have poor coagulation function and wound bleeding after the operation, so a drainage tube should be placed in the splenic fossa.

"Double-cavity silicone tubing."

Zhou Yuan carefully placed the drainage tube into the spleen fossa, and the double-lumen tube can be placed for three to five days, so that it can be continuously suction after surgery, and the risk of bleeding and fluid accumulation under the interval will be greatly reduced.

After the placement of the drain was completed, Zhou Yuan began to use silk sutures to intermittently suture each layer of the incision.

"There's not enough blood..."

When the sutures were closed, Zhang Ling, who had been staring at the venous passage, suddenly said.

Zhou Yuan immediately said in a deep voice: "The blood of the sterile funnel is autologous reflux!" "

"I understand, I'm worried that patients outside won't be able to operate..."

If there is not enough blood, it means that the blood bank is in a hurry...

There were five or six seriously injured people in the emergency department alone, and there were a lot of other wounded, and at this time, the blood bank was in an emergency, and the operation could not be carried out at all, so they could only wait for death!

Zhou Yuan's face changed.

Although he has a small blood bank, he can only lose 1,000 milliliters of blood at most... Not to mention so many people, Mao An's operation alone used 3,000 milliliters of blood!

There was simply nothing he could do.

"Don't worry, at least you can save Mao An... By the way, did you see Chu Chu when you just went out? Zhou Yuan rescued Mao An, and finally had the opportunity to ask Chu Chu.

"Chuchu? Is Hatsuchu also there?! Zhang Ling was taken aback.

"I don't know, Chu Chu is at Yanjing Primary School, and this point is the time for them to get out of school."

"I didn't see it!" Zhang Ling was a little lucky.

"Okay, the stitching is done. You take care of the next steps, and I'll go out and save people! "

After Zhou Yuan finished speaking, he glanced at Mao An's vital signs, and in the emergency rescue process, Mao An gradually recovered, at least the fatal injuries were solved.

As for fractures and so on, these are all things on the orthopedic side.

Zhou Yuan is an emergency physician, and his mission to "save his life" is always the most important. _

Feilu reminds you: there are three things to read - collection, recommendation, and points