The Godfather of Surgery

Anterior and posterior fixation, posterior pedicle screw, anterior steel plate.

After irrigation, drainage was placed, the sternum was inserted into the wire and fixed, and each incision was sutured in layers.

The wood should have a sharp bevel at the time. After taking it out, the skin was not obviously damaged, but was squeezed away.

Quick but not in a hurry, interlocking, the operation ended naturally.

"Blood pressure, 90/55mmHg—"

Blood pressure starts to rise!

"Hemoglobin 68g/L"

Every two hundred milliliters of blood can raise about 6g of hemoglobin, which is theoretical data. Considering the loss, it is achievable to increase the hemoglobin by 4-5g.

Hemoglobin is 68g/L. Although this value is very low, as long as there is no more bleeding, the fortune teller will pick it up. Acute blood loss, if the hemoglobin is higher than 70g/L, blood transfusion is not necessary.

Spinal cord transection is a medical problem in the world, and in the future, I can only spend the rest of my life in a wheelchair.

The operation time is about forty minutes.

"Ding Dong, the task is completed, the reward is 12,000 points, and a treasure box of the super training Dafa series is attached."

Mechanical female voice, with the subtitles in the upper right corner of the field of view.

"Wang Bajiaozi!"

When the sterile sheet was opened, whoever cursed was Zhang Lin.

"Director Zhang, the one with ruptured liver and spleen has arrived. Director Dong has arranged for you to be the chief surgeon." Someone came to the operating room to call Director Zhang, and his voice was short.

After the operation here, Director Zhang and Director Li were fine. They started to take off their clothes and gloves, and found that their backs were covered in sweat, cold and greasy.

Director Zhang rushed to do the treatment for the rupture of the liver and spleen. Director Li also had multiple fractures of ribs and contusions to the lungs. A deputy chief physician in Keli was doing it, and he had to rush to the stage.

The entire operating room was running at high speed, all elective surgeries were stopped, and the potential was squeezed frantically.

The subsequent seven patients all went to the operating room, except for the pulmonary contusion in the thoracic surgery and the rupture of the liver and spleen in the general surgery.

In the department of orthopedics, a calf was severely crushed, and the limb was amputated; in the case of a pelvic fracture, combined with bladder and urethral injury, and blood pressure instability, Director Miao was doing it, and Director Wang Hansheng of Sanbo assisted; a burst fracture of the thoracic vertebra and paraplegia, another deputy chief physician of the department of orthopedics was in I did; the perineum was severely lacerated, and the intestines and uterus leaked out. Director Chen Xiaoqiao of Sanbo was doing it. In brain surgery, a traumatic intracranial hemorrhage, cerebral contusion, and cerebral herniation were formed, and the rescue was invalid.

Carts come and go, blood, liquids, medicines, gauze, and instruments are sent to various operating rooms, and nurses run forward.

The vice president of business and the director of the medical department wore visiting clothes and shuttled in various operating rooms to coordinate.

"The heartbeat and breathing of the thoracic surgery stopped, and the heart was pressed in the chest, hurry up!"

"General surgery, if the blood is not enough, I still need a thousand!"

"Obstetrics and gynecology needs general surgery collaboration!"

The fire is out here, and it's burning over there.

"Director Miao's pelvic surgery, let's go and see if you need our help?" Director Tian said to Yang Ping.

Dr. Tao took them to another operating room, where Director Miao was fighting hard.

"How is it, Director Miao, do you want help?" Director Tian asked.

Director Miao was looking at the images on the C-arm machine. He was doing a pelvic external fixator. The blood pressure of the wounded was very unstable, and he was afraid that the surgery would not be able to support him walking on the operating table.

Yang Ping looked at the film on the reading light, mainly the fracture of the anterior ring, and the external fixator should be able to control the bleeding.

"I'll fix it with an external fixator to keep the pelvic ring stable. If the blood pressure can't be maintained, I'll let the interventional department perform vascular embolization. Do you think it's suitable?" Director Miao asked Director Tian's opinion. happy things.

Director Miao is still experienced, and this process is very reasonable.

"Okay, how about the rectum and urethra?" Director Tian asked.

"The rectum is fine, the bladder is broken, and the urethra is broken. First, do a cystostomy and wait for the blood pressure to stabilize. The second-stage urethral anastomosis."

This kind of patient should be able to stabilize, the amputation is nothing to see, as long as it is amputated in time, it will be stable without causing acute renal failure.

Chen Xiaoqiao's patient, Tian Yuan is going to see it. He asked Yang Ping to go with him. Yang Ping's ability to deal with chest and abdominal trauma was at the top level, so he asked him to rest assured.

In the operating room of the obstetrics and gynecology department, the director of the obstetrics and gynecology department is doing it together.

I don't know the mechanism of the injury. The entire perineum and pelvic floor were severely torn, and there was a lot of bleeding. The intestines and uterus leaked out.

On the patient's lithotomy position, Chen Xiaoqiao was leading the obstetrician and gynecologist wearing high heels, and the director of the Obstetrics and Gynecology Department of Shipo Hospital assisted.

"How? What support do you want?" Tian Yuan asked.

Chen Xiaoqiao sat on the stool, focused on the operation, and said as he did it, "Let a general surgeon send someone to take a look. The rectum and colon are also broken."

"It's called General Surgery!" Director Tian called Dr. Tao.

It happened that the director of the medical department came to inspect: "I have already called, and I will be there soon."

"Blood, no, at least a thousand." Chen Xiaoqiao looked up at the monitoring screen.

"Come on!" As soon as the words fell, the nurse ran in and pushed a bunch of blood bags in.

Spinal burst fracture, a deputy chief physician of the Department of Orthopedics is doing, posterior decompression pedicle screw fixation.

It is not a problem for them to win these operations. Unlike the penetrating chest and abdomen injury just now, they do not have full experience, and they will burst blood if they are not careful.

Multiple rib fractures in thoracic surgery, pulmonary contusion, flail chest, unable to breathe, lobectomy and rib fracture reduction and fixation were performed, and the heartbeat stopped suddenly during the operation.

The vice president of business came over quickly and asked Director Tian Yang Ping to come and have a look. Director Li had seen their operation to open the chest to treat aortic rupture, which was at the level of outsiders and An Zhen.

Director Tian Yang Ping quickly moved his position, Director Li was pressing his heart in his hand.

"Sudden arrest, ventricular fibrillation, come on stage!" Director Li said quickly when Director Tian Yang Ping came over.

It was too late to wash their hands, so the two immediately took the sterile gloves handed by the nurse, put on gloves, a surgical gown, and a layer of sterile gloves.

Director Li stepped aside, and Director Tian took over to press. After pressing for a while, the heart beat, but the tension was not enough: "Inject 1 ml of 0.1% epinephrine into the heart."

The syringe is handed over, filled with 1 ml of 0.1% epinephrine, pierced into the heart, and injected into the cavity.

Continue to press, and finally the pulsation is strong, and the blood pressure has never been measured to maintain 90/60mmHg.

"Dopamine maintains blood pressure, 5% sodium bicarbonate is instilled, it's ok--" Director Tian's hand came out of his chest, turned around, and changed positions back to back with Director Li.

"There is a contusion in the heart. Use some drugs to protect the myocardium to check if there is any bleeding at the injection point just now. If there is bleeding, apply pressure. If there is no bleeding, you can continue the operation."

Director Tian and Yang Ping took off their clothes and gloves, went around again, and said hello. Other patients didn't need to come on stage for the time being. Director Tian and Yang Ping decided to take a break first. If they needed help, they would come at any time.

"This son of a bitch is lucky. When we did an operation on him and panda blood, there was a volunteer who donated blood to him."

Zhang Lin was indignant.

"Can I have a cigarette?" Fatty Liang asked Zhang Lin.

"It's not up to him to get off the bus." Xiao Wu said.

"Come on, give me one, I'm so hot, we almost got hacked by him, and we even helped him perform surgery, sweating profusely." Zhang Lin's breath was still alive.

Fatty Liang gave Zhang Lin Xiaowu a cigarette.

"One yard is one yard, and you can scold you. If someone needs to be saved, give me one." Director Tian said that Director Tian never smoked.

"I just have a fire in my heart, haven't people been saved? I didn't delay a second in handing the forceps during the operation." Zhang Lin smoked.

Yang Ping rested on the back of the chair: "Give me one."

"Don't you not smoke? Waste!" Zhang Lin said.

Fatty Liang popped out a cigarette, Yang Ping pulled it out, Fatty Liang helped to light it, and Yang Ping took a breath: "Didn't Director Tian also smoke?" The five people were smoking in the lounge.

An anesthesiologist from Shipo Hospital came in to drink water, who had just done anesthesia with Fatty Liang, and listened to what they were talking about.

I sat down and said, "It's really fateful. Not only did I meet you, but I heard that I met a person with rich first aid experience at the scene and saved him. What's more, it was the same person who donated blood. Some things in the world are just such a coincidence. "

Zhang Lin said, "You said someone rescued him at the scene? He even donated blood to him?"

"Yeah, the emergency headquarters looked for RH-negative blood type A, but couldn't find it for a long time. When I went to the group for help, there was one in the emergency department, or the person who brought him here. He was a twin brother in his previous life, right? "

First aid? It might be a doctor. Thinking of a doctor, Director Tian felt a little nervous. For some reason, he suddenly thought of Director Zhu who met him on the road. His car was in front of the bus he was riding.

It's him? Impossible, how could it be him, it can't be such a coincidence, it's too cruel, it's too cruel to tease him, such a person who loves medicine is ruined, although insurance is good now, it's not what he loves after all.

Suddenly like a knife in his heart, he said to Yang Ping, "You are here, I'll go down and have a look."

He has come here for several operations, he knows the aunt who is the gatekeeper, and he is also familiar with the hospital environment.

"Do you know where the blood donors are?" Director Tian asked the anesthesiologist.

The anesthesiologist is also a know-it-all in the hospital. He said, "Professor Tian, ​​I'll help you ask."

The anesthesiologist picked up the phone and called his brother in the emergency department. After asking, he said, "The emergency observation room is infusion. I have drawn 800 and are replenishing fluids."

"Professor Tian? An acquaintance? Such a coincidence? I told the emergency department in advance?"

Director Tian thanked him.

He quickly changed his clothes, came to the emergency department, and showed his identity to the nurse, who immediately took him to the observation room enthusiastically.

For some reason, his heart is very heavy and uncomfortable. I hope it's not what he guessed, it's really cruel.

He stopped: "Which room? I'll go by myself, you go to work!"

The nurse pointed to the front: "Ward 3!"

Director Tian thought for a while and picked up the phone. He had Director Zhu's phone number. When the province sent him to Japan, Director Zhu also accompanied him, but he didn't usually contact him, and he didn't know if he had changed the phone.

After a few rings, the phone was connected.

It will be on the shelves tomorrow, thank you for your support, tolerance and encouragement along the way. Bow down here!